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Several different structures of governance exist. Deciding which structure works best to Clinicas de Salud del Pueblo requires defining problems experienced by the business, developing and agreeing on an ideal end-state, delineating alternative forecasts, identifying functional and organizational constraints, consolidating ideas, and coming to a consensus (Grossmeier, 2007). Presently Clinicas de Salud del Pueblo has a management team consisting of the CEO, the Operations Director, Medical Director, Information Technology Director, Human Resources Director, Finance Director, Pharmacist Director, Dental Director, WIC Director, and Programs Director. Additionally, It includes two boards: a Professional Membership Board and a Client Membership Board. The initial step in determining the ideal governance structure for the organization is defining the meaning of governance. Governance may be described as a shared process consisting of policy making, decision making, and top-level organizational direction. It is not an activity confined to board members only but instead a task for many leaders. In selecting a specific arrangement of governance for Clinicas de Salud del Pueblo eight general principles must be followed closely. These fundamentals include knowing what mediation is, understanding how to attain strategic ends, determining the sort of Board-CEO connection, with unity of leadership, unity of command, unity of accountability, knowing ownership needs, self-improvement, and comprehending the expense of governance (DeGroote, 2000). Utilizing the principles, the ideal governance structure to this business would be conventional or hands-on. The traditional or hands-on construction of governance is really where executives establish both eyesight and th...