The hospital’s board and management each play a unique and critical role in the organization’s ability to fulfill its critical mission and vision. When working together in their correct roles, the partnership between the board and management can help hospitals excel in meeting the community’s needs in the best and most efficient way possible. But when the board and management step out of bounds of their respective responsibilities, the result can be disastrous for the organization’s leadership, and ultimately for the long-term success of the hospital.