The report emphasizes the importance of income generation for public sector healthcare organizations to deliver efficiency and increased value in the health economy. The authors suggest that these organizations should follow key principles and go through a rigorous process to select income generation ideas. By investing in such enterprises, healthcare organizations can meet the basic expectations of public healthcare provision and inspire action within themselves and their local health economies to deliver increased benefits to the people they serve. The report concludes that income generation serves the public good and is a bold move that healthcare organizations should consider.