This article aims to focus mainly on the relationships between the actual and the desired culture in the Brazilian health organizations’ culture. The Competing Values Framework and its matched scale OCAI was used to analyze the Brazilian health organizational culture. Ten health clinics were delimited as the object of this research: the examined population consisted of a hundred and three employees of the private health institutions in the city of Belo Horizonte and two cities in the central-western region of the Minas Gerais state, Brazil. Six dimensions were evaluated: (1) dominant characteristics, (2) organizational leadership, (3) management of employees, (4) organization congruence, (5) strategic emphases and (6) criteria of success. This study also evaluated the grouping of the dimensions. Overall, the authors' findings suggest that for the “Now” perspective, there is a dominance of a hierarchical culture with an internal focus and dominant control and, as for the Preferred perspective, it was possible to identify a hierarchical culture with an internal focus and dominance for Control over Flexibility. It was possible to conclude that organizations should not target only one type of culture since there is the need to consider the compliance with the established rules for work and operational efficiency.