Hospital management is a complex process that involves balancing operational efficiency, financial sustainability, and patient care. As healthcare institutions operate within commercial frameworks, the intersection of business objectives with patient care ethics becomes a significant concern. Ethical considerations in hospital management include resource allocation, stakeholder relationships, conflicts of interest management, and decision-making processes. Balancing profitability demands with ethical obligations poses challenges for administrators, necessitating a comprehensive understanding of managerial practices. Hospitals must balance business objectives with patient care ethics, ensuring ethical practices in resource allocation, managing relationships with multiple stakeholders, and ensuring patient autonomy, beneficence, nonmaleficence, and justice. As hospitals operate within commercial entities, it is crucial to ensure that profitability does not compromise patient well-being or erode trust in healthcare institutions. Healthcare professionals must be aware of the ethical implications of dual relationships with clients, resource allocation, and other ethical decisions. Collaborating scholars, policymakers, and healthcare practitioners can promote ethical excellence in hospital management, enhance patient care outcomes and advancing healthcare ethics.