The managerial level of an organization that is primarily responsible for setting the organization's future direction and establishing its strategic plan. Highest managerial level of the healthcare organization may be divided into two entities: executive management and the governing board. Executive Management is a Employees of the organization. Works to ensure that the organization uses its assets wisely, fulfills its current mission, and works toward achieving a meaningful vision for the future. Oversee broad functions, departments, or groups of departments. Governance is directed by state law and dictate how corporations are to be structured and run. State incorporation laws are consistent in one area: responsibility for operation of every healthcare organization ultimately lies with its board of governors, board of trustees, or board of directors.