In a previous issue of Trustee the author wrote that hospitals must re-examine board structure, size, and composition, as well as management authority and CEO/board relationships if they are to emulate the business world. (See "If Boards Mean Business, They'll Refocus the Governance Function," April 1983.) This article brings the earlier work up to date and reports the results of a survey that shows the status of those changes in one major state: Ohio.