I’ve served on non-profit boards—and worked with them—for decades. But as the health and human service field continues to evolve, I have questions about whether the current governance role for non-profit boards of directors is working or can work.

The big issue is the changing role of non-profit health and human service provider organizations in the U.S. service delivery system. Until the past few decades, the non-profit provider organizations were largely an extension of government and government policy. Their contractual relationship was with government agencies. The services they provided and their role . . .

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