Weighed against these major embedded advantages, can a CEO really matter? Arguably not. Unless . . . Unless he or she sets forth an animating vision rendering the whole institution far more than the sum of its parts. Unless he or she recruits an extraordinary cadre of professional managers and complements these gifted fundraising professionals with generous, talented, galvanized volunteers. Unless he or she devotes extraordinary energy to having a felt presence all around the university or hospital and wherever graduates or former patients and their families reside. Unless he or she sets goals
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