Quality management systems based on ISO 9000 series are significantly focused on customers who include a range of aspects from identification and determination of customer requirements to improving the customers’ satisfaction. Complexity of the business environment in these decades has forced to focus not only on customers but also other groups, organizations, individuals or aspects interacting with the organization. Nongovernmental organizations (NGO) and environmental aspects of the organizations activities are examples. These are not acting as usual customers but the organizations shall consider and address their requirements and expectations. So an effective quality management system requires a broader focus on stakeholders including the customers as ISO 9004 recommends.