This study addresses motivational concepts and practices as perceived by the supervisor and the employee. The author attempts to provide general information to all Naval Health Care Administrators on possible methods and retain their key civilian employees. Faced with tremendous responsibilities, increasingly complex procedures, ever-rising costs, budget limitations, and demand for the highest standards in every phase of his organization, the health care administrator must rely heavily on the willingness of the people who work for him. While relationships with professional staff, (physicians, registered nurses, etc.,) have some concerns unique to their nature, professional dedication will normally motivate these elite individuals. Of more immediate concern is the motivation of nonprofessional key employees, whose jobs, though often limited in prestige, are nonetheless a vital factor in the successful and economic function of the facility.