How Kanban, Lean and Agile helped us to save a hospital in Bandung, Indonesia. Twice! As an IT consultant with a lot of kanban, lean and agile experience I was interested to see if I could use that knowledge when working for the Salvation Army Health Foundation in Indonesia. I got ample opportunity to try. In this talk I will describe how the basic ideas of Kanban, Lean and Agile helped us to save a hospital from bankruptcy (or worse!). Twice. In using these principles and ideas in a total different setting I gained a much deeper understanding of them, and also needed to find other ways to describe and apply the practices I've taken for granted in "our" culture and setting.