In the above case, pick a smaller local suburban or rural hospital to become the XYZ Regional Hospital. It will bring more reality to the case if you can explore the website of the hospital your foundation is supposed to be serving. You are Jessica. Plan your new path for the Foundation, addressing the nine issues she listed above and including additional issues she probably should have listed. The board will require you to specify what you propose in each area. For example, for item 2 on her list, tell the board exactly what the new mission focus will be and how you will create and implement it. Good luck. If you successfully put this organization on the right track, there is a certainty that you will become the executive director of bigger and bigger nonprofits. You will be able to make more and more of a positive impact on the lives of those who need it most. If you fail, you will most likely end up back in a fund-raising position of a smaller organization