As we all know employee retention is vital to long term health facilities and can help to ensure the best success for your healthcare organization. Most management will readily agree, that they hold a key part in marinating staff retention. Who is really affected by maintaining or not maintaining retention? What changes need to be made within an organization for this to occur successfully? What fiscal impacts may occur? And what if any would be the ethical and legal and diversity risk factors involved. This is a proposal for Ashford General Hospital and staff retention. In the following paragraphs I will answer the questions above.