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The purpose of this study was to explore leadership styles within the NCRHA across top management levels, identifying common approaches to, and/or styles of, leadership. The research sought to identify any perceived changes in approach that these reported as a consequence of the changed internal and external economic environments (economic environment in Trinidad in the period 2015-2016. The research findings were positively correlated to the research's aims and objectives. It was noted that, among the middle managers in the system, leadership styles had changed to a significant extent as a result of the economic downturn. There were both strengths and weaknesses in leadership behavior highlighted as a result of the research. In order to maintain the changes, it is necessary to evaluate and take a 360-degree review of all systems, whether attendance policies or financial regulations. This will involve the managers reviewing their own positions, and identifying the strengths and weaknesses of each system. Failure to acknowledge the findings will only serve to undermine the organization's ability to move forward, further damaging its reputation and stifling the opp