This document presents a study on the effects of risk culture on organizational performance in Ghanaian financial institutions. The study found a high positive correlation between risk culture and all aspects of organizational performance. Specifically, it identified relationships between different components of risk culture and various performance metrics. For example, tone at the top was strongly correlated with profitability and customer satisfaction, while accountability correlated strongly with efficiency and staff performance. The study also found that leadership action/inaction was the biggest challenge to developing effective risk culture. Finally, it proposed a risk culture framework and recommendations, such as business leaders playing an active role and considering non-financial performance measures.