At the beginning of June, the Board of the Martha's Vineyard Hospital fired its CEO. According to the Vineyard Gazette, the firing was without cause and certainly at the "will" of the board. The CEO claims that he was doing a good job and that the board had done no performance evaluation nor given cause and basically just told him to "go".
The Gazette (thankfully) continued to follow the story and reported a few days later that the board of the hospital did take a vote on firing the CEO, after the fact, and explained the basis for the firing as:
“Losing the confidence of the board is something you can’t get back. It really is a matter of trusted judgment. We were starting to go in different directions about what we thought was right for the future. In essence it was about how the hospital should govern itself. To his credit Joe took issues and ran with it. But there may have been a difference of opinion about where ultimate authority lies . . . It got more difficult about where final decisions should rest.”
Mr. Miller added: “Not in terms of the board micromanaging in any way, but in terms of where the final decision lay.”
Mr. Sweet also said Mr. Woodin had recently asked for a raise, which triggered an internal review.
“And out of that process concerns arose,” he said.
I would affirm that in my practice of supporting boards who face challenges with their CEO, "losing confidence" for whatever valid or invalid reason, is in itself a valid condition making it near impossible for a board to have a positive relationship with a CEO and subsequently, unable to continue in the relationship. As stated in this article, the CEO did no malfeasance or anything illegal - basically the relationship went sour. I would also note that the home-court advantage of the very long tenured board members and officers in particular, would likely play a part in making it difficult for any newcomer to find favor - no matter how competent.
That said, of course, the story is not over. Enter the community! Outcries over the firing (apparently the now fired CEO did a good job of positioning positively outside the board) have led to further coverage and a recognition that maybe at least part of the real problems lay with the board officers who have no term limits. Back to the Gazette:
Anthony James, MGH senior vice president for network development and integration, who is also one of five Partners representatives who sits on the Vineyard hospital board, said the affiliate boards reflect a Partners company philosophy of community input and local control. He said trustees are limited to three three-years terms, but there had been no term limits for officers until recently when hospital bylaws were changed. Mr. Sweet and Mr. Ray have been on the board since 1997. Ms. Brown has been on since 2003 and Mr. Miller has been on since 2004. Beginning next year, Mr. James said, every board member will be subject to the three-term limit, and current officers will begin to leave the board in a staggered fashion until 2021, beginning with the secretary and followed by the treasurer, vice chairman and chairman. The changed policy allows for the new chairman to serve an additional three-year term, he said. Commenting briefly on the ouster of Mr. Woodin, Mr. James said: “I think we all think this is an unfortunate series of events. In hindsight you can always say how can you do these things in a better way . . . but what we saw was a lack of alignment in terms of the vision of the board and how that was being interpreted and executed by the CEO.” He concluded: “These things happen — and I think we all recognize that in these cases it becomes a very difficult process and we certainly saw that this week.”
And now, 30 days later, the community has organized asking for more accountability and its own inclusion in decisions that are made by the board and directly affect the community (uh, pretty much all strategic decisions which include hiring and firing an executive). As we see, the community has called for their own involvement to become a central part of what informs the board before it makes its decisions. This "community engagement" demand is happening ever more frequently around the country and should serve as a reminder to nonprofit boards that they are the surrogate owners of a nonprofit on behalf of the community. Yes, they are responsible but responsible to ensure that non-taxable dollars serve the mission, in this case, the health of the community, effectively. From the Martha Vineyard community's perspective, at least as I glean from the story, the board has failed in its duty.
Here's today's installment of "what next" for the Martha Vineyard hospital:
...trustees have agreed to form a community advisory board and to add a person from the Island community to the hospital governance committee. He also said trustees have decided to hire an outside consultant to review hospital governance practices. No time frame has been set for the changes.
... two planned changes on the board of trustees will take effect in July if approved by Partners. Dr. O’Neill Britton, chief medical officer and senior vice president at MGH, and Bill Roman, manager of the Edgartown Yacht Club, will join the board.
I'm confident this will not end, at least on the part of the community, with these changes but progress is incremental.