<p>This paper explores the uniqueness of Canadian Roman Catholic healthcare organizations from theological, strategic, and operational perspectives. By arguing that Canadian Roman Catholic healthcare understands that suffering is inevitable for all people at some point in their lives, the paper indicates that patient and family accompaniment through their experiences of suffering is one of the unique dimensions of a Roman Catholic ethos of care. The paper draws upon concepts and ideas from various traditional Christian sources to articulate a robust theology that can guide the building of this ethos in organizational contexts. Consideration is then given to how this theology can be operationalized, first from a strategic leadership vantagepoint, then within the context of a concrete proposal for palliative care.</p>