In team-based organizations, senior executives are often the last group to be truly a team. Many factors contribute to the individualism that is characteristic of the leadership of an organization. Factors that produce the success of an executive may be contradictory to the skills needed to be an effective team member. Team-based organizations continue to demonstrate their success in managing the changing and challenging work environments. Health care executive leadership groups must realize the impact they can have on the organization if they become a team. This article reviews how executives can become a team.