I am interested in learning from others with respect to strategic planning.  My perspective is from large hospital systems and managed care systems. 

I am on a board of directors for a small, not-for-profit, community service organization.  This organization has quadrupled in size during the past three years.  I believe it is time to introduce some, more formal, strategic planning exercises.

How much communication should I ask from the management of the organization with respect to strategic plans.  I am used to making, minimally, a five year plan for an organization.  Is this unrealistic for the smaller orgainzation?

Thanks for lending your perspective!

Scenario

A physician is paid $30,000 a year to perform Medical Director duties related to the hospital's oncology department.  The executed agreement indicates the physician will submit time logs documenting her specific duties performed on a monthly basis.  The physician has been paid monthly without evidence of the time logs.  In addition, the physician has been paid for the last two years under an expired agreement.  A whistleblower contacts the OIG to report the breach in this contract and others.  You are the CEO.  You are anticipating paying civil and administrative penalties related to this specific breach. What is your corrective action plan to prevent this from occuring in the future?