This performance review of Alberta Health Services, conducted by Ernst & Young LLP, aims to provide clear answers on how health care dollars are being spent, what improvement opportunities exist across AHS when considering leading organizations and systems, and to provide recommendations on how long-term sustainability of the health care system can be achieved. The review approach included hearing directly from Albertans, including patients, staff and physicians working in AHS, as well as from key stakeholder groups including patient advocates, regulatory bodies and associations, municipalities and universities.