This is a text based on the primary author's course notes presented over the past five years at Carnegie-Mellon U. This text is an overview of the US healthcare system, with specific emphasis on flow charting the entire system as to how it's integrated. Coverage of the reimbursement system, along with extensive coverage on health care IT, is also included. Issues such as operational efficiency, quality improvement and big data opportunites are covered in detail. There will be numerous examples and end-of-chapter pedagogy to enhance learning.