McComb draws on his more than 40 years of experience as a hospital trustee, consultant, and health care lawyer to provide a thorough overview of the many issues confronting health care executives, including planning and marketing, ensuring fiscal integrity, understanding the board's role in improving quality of care, knowing when and how to restructure, contending with the impact of managed care systems, and adopting alternative strategies for responding to reform proposals. Table of Contents: 1. The Crisis and the Challenge; 2. Understanding the Hospital Setting; 3. The Goals of Governance; 4. Voluntarism and the Nonprofit Corporation; 5. Recruiting and Retaining the CEO; 6. The Committee System of Governance; 7. Board Accountability and Limitations; 8. Responsibilities in Planning and Marketing; 9. Ensuring Fiscal Integrity; 10. Improving Quality for Patients and Staff; 11. Knowing When and How to Restructure; 12. The Impact of Shared Services and Managed Care; 13. Meeting the Challenge and Building Effective Boards.