The Johns Hopkins Hospital has a mission to set the standard of excellence in patient care and improve health globally. It provides top-ranked specialty care like neurosurgery and endoscopy. While its financial ratios showed strong performance in 2011, its debt ratio increased to 65% by 2012 due to investments in new facilities and technology. To maintain its leadership, Johns Hopkins aims to continue providing language services to patients and partnering with insurers while reducing debt through strategic sourcing.