The relationship between organizational culture and performance in acute hospitals

► We examine the relationship between senior management team culture and organizational performance in English acute hospitals. ► Many culture-performance relationships exist cross-sectionally and some persist over time. ► Aspects of performance valued within the dominant culture are often those domains on which the organization performs best. ► Hospitals are moving towards more competitive cultural archetypes, which is consistent with national policy initiatives. ► Hospitals appear to be moving towards more blended cultures with single dominant cultures becoming less prominent.