This article presents the viewpoints of the CEOs of the three largest for profit child care organizations in North America about trends in their field. The three individuals are: (1) David Lissy, CEO, Bright Horizons Family Solutions; (2) Felicia Thornton, CEO, Knowledge Universe Education, U.S. (parent company for Knowledge Learning Corporation); and (3) Bill Davis, CEO, Learning Care Group. More about the impact of these companies as well as other major organizations can be learned in the accompanying chart, "The Exchange Top 50: North America's Largest For Profit Child Care Organizations." (Contains 1 table.)