Yes it is possible for a health care organization to be ineffective despite having a strong corporate culture. There are many variables that can create this scenario. For instance companies that has cash flow problems can become ineffective because managers may be force to excessively cut down costs in a short period of time to maintain the liquidity of the firm. Liquidity problem hurts a companys ability to pay off its obligations (Vitez, 2011). Another reason that a company with a strong culture could be ineffective is due to a lack of adequate technology. A health care organization must stay on top of the latest technological advances in the medical industry. New technologies can provide more income opportunities, greater productivity, and better efficiency.