The purpose of the quantitative correlational research study was to analyze secondary employee and patient survey data from hospitals located throughout the United States to determine what, if any, relationship exists between perceived senior leadership behaviors and patient loyalty attributes. The sample consisted of 52 acute-care hospitals owned by for-profit Triad Hospitals Inc. Analysis of results indicated significant, positive relationships exist among senior hospital leadership core behaviors, employee recognition, communication, and clear mission, and the patient loyalty attributes would return to the hospital and trust. The research indicated significant, positive correlation between senior hospital leadership core behavior communication and patient loyalty attribute reputation. A revised diagram proposing the relationship between senior leaders’ core behaviors and patient loyalty is offered.