Restructuring Rainbow Health Co-op
A community health cooperative is growing faster than its governance can handle. The structure that worked before is now the problem.
Duration
45 min
Difficulty
Intermediate
Stakeholders
3
Company Size
Small (20-100)
Educational Video
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Open on YouTubeOrganizational Background
Rainbow Health Co-op started as a 10-person community clinic 8 years ago and has grown to 85 staff across 3 locations. Originally run by consensus, decision-making has become paralyzed. The founding members resist any hierarchy, newer staff want clear roles, and patients are experiencing longer wait times. A recent grant of $2M requires formal governance structures the co-op doesn't have.
Key Stakeholders
Learning Objectives
- Apply the Nadler-Tushman Congruence Model to diagnose organizational alignment issues
- Assess the fit between organizational growth stage and governance structure
- Navigate value conflicts in mission-driven organizations
- Design governance recommendations that honor organizational culture
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