CHAPTER TWENTY
MANAGING THE CHALLENGES OF GOVERNMENT CONTRACTS*

Stephen Rathgeb Smith

* The author would like to gratefully acknowledge the excellent research assistance of Meghan McConaughey and the input of Putnam Barber in the preparation of this chapter.

During the last forty years, government contracting with nonprofit organizations for the delivery of important public services has risen sharply. The widespread interest, in the United States and in other countries, in contracting with nonprofit organizations reflects many factors: pressure to reduce the costs of public service; broad interest in voluntarism, social innovation, and citizen and community engagement; and public management reform which seeks to improve the efficiency and effectiveness of public services through privatization, more competition, individual choice, and decentralization (Phillips and Smith, 2011; Smith and Smyth, 2010). Nonprofits also represent diverse communities and local citizens, so policymakers may also turn to nonprofits to enhance the responsiveness and representativeness of public services. Government contracts also can be attractive from the perspective of the nonprofit organization, offering greater resources, improved legitimacy in the community and the potential to have broader and deeper impact on urgent social problems or concerns (De Hoog, 1984; Grønbjerg, 1993; Kramer, 1982; Smith and Lipsky, 1993).

Significantly, though, government contracting can have profound effects on nonprofit organization governance, program innovation, and the relationship of agencies to their local communities and the citizens using their services (Smith, 2016; Smith and Lipsky, 1993). Moreover, political, economic, and organizational trends are creating much greater uncertainty for nonprofit organizations receiving such contracts than those that rely on other funding sources: competition for contracts among nonprofits and with for-profit firms is growing; government contract funds are scarcer; policymakers are expecting much higher levels of performance and accountability from nonprofits; and citizens are demanding more choice and responsiveness from nonprofits providing contracted services. In addition, governments at all levels are moving away from a reliance on contracts to support nonprofits and toward a more diverse set of financing tools, including vouchers, tax credits, tax-exempt bonds, and client-based fees for services such as Medicaid (Smith, 2016).

This chapter deals with the management challenges for nonprofit agencies created by contracting in an era of greater competition and environmental uncertainty. Potential strategies for nonprofit agencies to adopt to effectively cope with the higher accountability demands while successfully developing a sustainable, effective organization will also be discussed and highlighted. The chapter is based on extensive research on the impact of government contracting on nonprofit organizations, primarily in the fields of social services and health care, although many of the findings and management recommendations are applicable to other types of nonprofit organizations.

Background

Prior to the 1960s, nonprofit agencies in the United States were primarily dependent on private revenue from client fees, charitable donations, and endowment income. Some agencies such as child welfare organizations received public subsidies, but these agencies were nonetheless largely reliant on private funds. However, this funding mix changed dramatically in the 1960s with the rise of the federal role in social policy. As part of the War on Poverty, the federal government created a host of new programs and initiatives, including neighborhood health centers, community mental health centers, community action agencies, youth service agencies, and drug and alcohol treatment programs. Most of these new programs were implemented through government contracting with local nonprofit service organizations. Some of these agencies were entirely new; yet many existing agencies such as Catholic Charities and Lutheran Social Services also expanded their service offerings in response to the dramatic increase in federal funding support for social and health services (Smith and Lipsky, 1993).

Many nonprofit agencies were initially reluctant to accept government contracts due to concern that government funding might undermine their mission and autonomy (Kramer, 1982; Smith and Lipsky, 1993). However, most of these agencies eventually accepted government contracts. This shift occurred for several reasons. First, some federal programs were matching programs so a private agency might be able to use a 25 percent private match to obtain a 75 percent matching grant from the federal government. So at least initially, federal revenues essentially allowed the expansion of existing services. Second, some of the early federal grant programs had very loose accountability requirements, so nonprofit agencies could accept the funds without onerous compliance requirements, thus allowing substantial discretion by nonprofits on the management and implementation of their programs. Third, federal grants offered many agencies far more money than they could reasonably expect from private philanthropy and fees. Fourth, and relatedly, federal funding allowed nonprofit agencies to reduce their dependence on private donations and fees, allowing agencies in some cases to increase their services to disadvantaged and very needy clients. And fifth, many federal programs were structured as grants to state and local governments who then contracted with local agencies. Often, state and local government officials already had established relationships with local nonprofits agencies such as Catholic Charities. With the advent of federal funding, state government officials tended to simply continue these relationships and, at least initially, did not change the terms of the existing agreements between the nonprofit agency and government (Smith, 2016).

Federal spending on contracts soared in the 1960s and 1970s, through direct contracts with nonprofits and more indirectly through grants to the states which then contracted with local community organizations (Smith and Lipsky, 1993). Many state agencies relied almost exclusively on nonprofit agencies to provide services, especially new and innovative services such as community residential programs, respite care, and day treatment.

This increased federal role changed dramatically when the Reagan administration reduced federal spending on many community programs provided by nonprofits, and devolved more responsibility for federal grant programs to the states (Smith, 2012). Over time, though, federal spending rebounded, in part through the expansion of existing grant programs or via the enactment of new programs in areas such as child welfare, workforce development, and community residential programs for the homeless and disadvantaged. Through a variety of changes to existing law as well as new program initiatives, funds for social and health services provided by nonprofit agencies rose again in the late 1980s and 1990s.

Contracting with nonprofits grew in the aftermath of the landmark welfare reform legislation of 1996. As part of this legislation, the federal government created new funding for services and gave greater administrative discretion to state and local governments to spend the new money, including much greater flexibility by local administrators to shift money from cash assistance to services. At least initially, many states used the increased administrative discretion to increase contracting with local community agencies to provide various support services to individuals on welfare, including day care, welfare to work, job training, and counseling programs. Other federal programs reliant on contracting with nonprofits also increased in the late 1990s and early 2000s, including programs for at-risk youth, community service, drug and alcohol treatment, prisoner reentry, and home care.

Since the early 2000s, though, non-health spending on social programs has been in a long-term decline, especially after the 2008 recession (Gais, Dadayan, Bae, 2009; Lynch, 2014). Even before the recession, many federal social programs had essentially been either level-funded or incrementally reduced each year; for grant programs such as the Social Service Block Grant (SSBG) these resulted in a sharp drop in value over time in inflation-adjusted terms (Lynch, 2014). Federal funding for child welfare services has also declined (DeVooght, Fletcher, and Cooper, 2014, p. 2). Likewise, state government funding of key social programs declined during the 2000s after a period of sharp growth in the mid- to late-1990s (Gais, Dadayan, and Bae, 2009). With the onset of the recession of 2008, many state governments dramatically cut funding for social programs, resulting in often sharp cutbacks in staffing and services by community-based nonprofit agencies (Harrison, Eleveld, and Ahern, 2011; National Council of Nonprofits, 2010; Pettijohn and Boris, 2013). As the economy has recovered, states have been able to replace some of the lost funding; nonetheless, the recovery has been very uneven, with many states still struggling to fund their social and health programs (see, for example, Palmer and Robertson, 2016).

Two policy fields are the exception to this overall trend of cutbacks and slow recovery, albeit unevenly. First, Medicaid has emerged as a central funder for community-based, nonprofit social service programs—a trend that dates to the 1980s. But the cutbacks in federal and state funding programs like SSBG has accelerated this shift, particularly for services for the mentally ill, developmentally disabled, and at-risk youth. For instance, in 1980, most public funding for services for the developmentally disabled came from state dollars, but because of Medicaid's Home and Community Based Services waiver program, federal dollars (and the state match) through Medicaid are currently the primary funder for these services (Andrews, Grogan, Brennan, and Pollack, 2015; Braddock, Hemp, Rizzolo, Tanis, Haffer, and Wu, 2015; Ng, Harrington, Musumeci, and Reaves, 2015).

Medicaid funding for community nonprofit health agencies has also increased sharply in the last few years because of the implementation of the Affordable Care Act (ACA). The high-profile legislation offers significant federal subsidies to states that decide to expand eligibility for Medicaid. As of 2015, over half of the states have taken advantage of these subsidies and increased eligibility and services for low-income and disabled individuals (Snyder and Rudowitz, 2015). This effort has, in turn, led to sharp rises in federal funding of community health centers and other related community health programs such as substance abuse clinics.

The second policy field with growth in government funding of nonprofit organizations is early childhood and kindergarten through grade twelve (K–12) education. As states have changed their laws in recent years, the number of charter schools—largely financed by government—has risen from 1,542 in 1999–2000 to 6,440 in 2013–2014 (Public Agenda, 2014). Many of these charter schools are independent nonprofit schools, while over 30 percent of the total number of charter schools are overseen by management companies, including large nonprofit management entities like the Knowledge Is Power Program (KIPP) (Miron and Gulosino, 2013). Importantly, the growth in nonprofit charters has occurred in the context of falling overall funding for K–12 education in many states (Leachman, Albares, Masterson, and Wallace, 2016). The result for local nonprofits, including charter schools, is often underfunding and intense competition for contracts and resources.

In sum, the funding environment for nonprofits with government contracts has been very turbulent: cutbacks have often occurred with relatively little notice; state and local governments continue to face fiscal scarcity, despite the recovery of the economy; and alternative sources of revenue for nonprofits such as private philanthropy and earned income are difficult for many nonprofits to raise. Moreover, significant changes have been under way in the form government funding takes via diversification of the tools of government funding, with profound effects on the management of nonprofit organizations and their relationship to government and their communities.

Ironically though, this competitive and austere funding climate is likely to encourage continued reliance on government funding for nonprofits through contracts and other funding tools. State and local governments, eager to save money, often view contracting as a less costly way of providing needed public services. The widespread interest in social innovation and social entrepreneurship is also fueling government support through contracts with nonprofits with novel but proven program models.

A Restructured Contracting Relationship

Even before the economic crisis, nonprofit agencies receiving government contracts were facing important shifts in their funding and their relationship with other government, nonprofit and for-profit organizations as well as their host communities. These developments have profoundly affected the contracting relationship, as well as the staffs and clients of nonprofit agencies. Significantly, even though it had increased such funding until 2008, government had moved away from the traditional contracts that were the hallmark of the initial period of widespread government contracting in the 1960s and 1970s. In this earlier period, most nonprofit agencies did not really compete with other agencies for contracts. Most contracts were cost-reimbursement contracts that paid agencies for their costs based on the contract terms and budget. Reimbursement was not linked to outcomes, and most agencies recovered their costs (at least as specified in the contract). Little incentive existed for agencies to compete with other agencies since contracts were unlikely to be moved from one agency to another unless egregious problems existed.

The current contracting environment is much more competitive, with higher levels of expectation based on performance. Many government contracts with nonprofits are performance-based, with government specifying the program targets that nonprofits are required to meet in order to receive reimbursement for their services (Desai, Garabedian, and Snyder, 2012; Fraser and Whitehill, 2014; Smith, 2016; Smith and Grinker, 2004). These performance-based contracts are now widely used in many different service fields, including child welfare, mental health, workforce development, and low-income housing.

These performance-based contracts are part of a broader movement affecting public and nonprofit management called “pay-for-success” (PFS) (Corporation for National and Community Service, 2015; In the Public Interest, 2015; Roman, Walsh, Bieler, and Taxy, 2014). A relatively recent innovation in performance-based contracting is the development of “social impact bonds” (SIBs) that depend on private investors loaning money to a third-party intermediary, which then subcontracts with a local nonprofit service agency on a performance contracting basis. The project is evaluated by independent researchers and government repays the loan to investors if the performance targets are met. Despite widespread publicity to SIBS, they remain quite limited in terms of their impact on services, in part because of their complexity and high transaction costs.

Performance contracts and “pay for success” models are especially consequential because they increase organizational and revenue uncertainty and because these contracts offer at least the threat of contract termination for poor performance (although, in practice, losing contracts remains infrequent). Nonprofit service agencies also have an incentive to compete with their fellow agencies since they could potentially grow through additional contracts. Also, performance contracts are usually structured so that agencies receive graduated payments as they hit their performance targets; thus, agencies may receive less revenue than planned, reducing their available cash flow.

Increased competition for funding is also a direct and indirect effect of the restructuring of government support itself. In the big build-up of government contracting with nonprofits, government funding primarily flowed to nonprofits through block contracts for a certain levels of service. However, many current forms of government support are tied to the client rather than the agency. The most vivid example is Medicaid, which functions like a “quasi-voucher” since eligibility is tied directly to the client (Steuerle, 2000). Agencies are reimbursed for providing qualifying services to eligible clients; their reimbursement rate is a vendor rate, whereby government will pay a certain amount for a specific service regardless of the actual costs incurred by the agency. In general, Medicaid vendor rates encourage competition for clients, since it may only be possible to generate surpluses at high levels of service volume (because each new Medicaid-eligible client is more revenue for the agency at only marginally more cost). This financing arrangement is dramatically different from the traditional cost-reimbursement contract. Under the latter, agencies actually faced disincentives for service expansion because additional services added to an agency's cost without any certainty that these costs would be reimbursed.

The diversification of government support—or policy tools (Salamon, 2002; Smith, 2016)—is also evident in the growing use of vouchers for child care and housing and tax-exempt bond money to support the capital needs of nonprofit agencies. Access to bond funding can be very competitive and subject to the state budget cycle; nonetheless it has become an important source of capital financing for many nonprofit agencies providing community-based services (Calabrese and Ely, 2015).

The scarcity of contract funding, the emphasis on performance, and the growth in the number of nonprofit agencies (McKeever, 2015) fueled growing competition from for-profit social and health services firms, especially in community-based services like home care, child care, early childhood education, and mental health. Many for-profits possess some notable advantages vis-à-vis nonprofits in competition for government contracts (and private fees). For example, for-profit chains have access to capital and operate at a sufficient size to enable substantial economies of scale, allowing them to operate at least some programs more efficiently. Further, since nonprofits are mission-based and many are small and unwilling to serve certain types of clients or certain regions, the opportunities for them to cross-subsidize their operations through growth or a diversified client mix are reduced. Many community-based nonprofits may also be very ambivalent about expansion (or even lack the capacity for expansion). For-profits typically do not have these types of mission constraints and are thus more willing or able to serve a more diverse mix of clients. Finally, larger for-profits may be able to use their size and bargaining power to obtain higher rates than the small community-based nonprofits. As a result of these factors, the percentage share of the market among for-profits has been rising for the last twenty years in these community services such as home care and child care (U.S. Census Bureau, 2015).

Contracting as a Regime

This turbulent and more competitive environment for contracting is disrupting (and has the potential to further disrupt) many longstanding relationships between government and nonprofit agencies. During the development of extensive contracting in the 1960s and 1970s, contracting tended to evolve through patterned relationships and expectations between government and nonprofit agencies that could be characterized as a “contracting regime” (that is, “a set of stable relationships that transcend simple common practice and reveal assumptions about the way the world works” [Smith and Lipsky, 1993, p. 43]). The historic nonprofit-government contracting relationship could be characterized as a “regime” for the following reasons. First, regimes tend to have accepted means of resolving disputes and addressing particular problems. This is evident in the tendency to rely upon nonprofit organizations funded by government to address current social problems, and in the existence of accepted norms governing the interaction between nonprofit organizations and government. Second, the regime concept is helpful in illuminating the regularized patterns of interaction between government and nonprofit agencies, even when these nonprofit organizations are opposed or resistant to particular government regulations and mandates. Third, regimes are marked by continuity, and participants in regimes are mutually dependent. If participants depart from the regime norms, they are penalized, either by the dominant party or by third parties. Fourth, regimes are usually sustained and dominated by a powerful party. For example, in international relations, this role is performed by a country whose policies and norms are accepted by other countries in the regime (Krasner, 1982). The government-nonprofit relationship is similar; despite the mutual dependency of government and nonprofit organizations, government tends to be the more powerful in the relationship. Thus, nonprofit organizations are often in the position of being forced to accept or follow the norms and policies of government (Considine, 2000; Smith and Lipsky, 1993).

The implications of the contracting regime for nonprofit management are profound. Managers of nonprofit agencies receiving government contracts are not free agents but are linked in an ongoing relationship with government, which at once constrains their behavior as well as provides certain incentives for organizational strategy, including a susceptibility to government influence. The vulnerability of nonprofit agencies receiving government contracts reflects the important characteristics of nonprofit finance, especially in the fields of social and health services. Nonprofit agencies, especially grassroots community organizations such as battered women's shelters, poverty agencies, and youth organizations, emerge through the collective efforts of like-minded individuals interested in addressing a particular social problem. Typically, these organizations are dependent on a mix of small cash and in-kind donations. As a result, they tend to be significantly undercapitalized. Overcoming the capitalization dilemma is hampered by the preference of private donors for specific programs and projects. This undercapitalization can be exacerbated by many banks' reluctance to lend money to nonprofits, especially smaller agencies. Such constraints on building an adequate capital base make it difficult to weather disruptions in cash flow. When nonprofit organizations are young, mostly volunteer, and small, a cash flow interruption may represent a minor problem. But when a nonprofit becomes involved in a contractual arrangement with government, the implications of cash flow disruptions often are more serious. Contracting typically requires more resources, such as more paid staff with higher salaries and greater levels of professionalization (Hwang and Powell, 2009), hence much higher cash flow demands. Thus, shortfalls in client censuses, management miscues, payment delays, or unexpected expenses are much more disruptive and problematic. For some agencies, cash flow problems in the current competitive contract environment can encourage mergers—or even the outright closure of some agencies.

Importantly, the uncertainty of contract revenue has been exacerbated by changes in the structure of the government-nonprofit contracting relationship. In the early years of widespread contracting, most contracts entailed a direct relationship between government and the nonprofit agency, such as a direct contract between state or federal government and a local nonprofit social service agency. But this relationship has evolved significantly through the involvement of a wide variety of intermediary organizations. Managed care organizations are one prominent example in health and social services, including child welfare and mental health (Courtney, 2000; McBeath and Meezan, 2010). In particular, many states contract with managed care organizations (MCOs) for their Medicaid spending; these MCOs then contract with local nonprofit and for-profit service providers. This increase in intermediary relationships is evident in various public-private partnerships that have become more common in the last twenty-five years. For example, a nationwide initiative called Funders Together to End Homelessness strives to bring together the resources and expertise of multiple funders in order to develop a more coordinated and effective strategy to end homelessness (Wertheimer, 2011). Many other similar public-private partnerships exist around the country in services such as early childhood education and workforce development.

Overall, the growth of these intermediary associations has created greater turbulence and less predictability in the contracting relationship from the perspective of the nonprofit agency, thus contributing to financial challenges and uncertainty. The cash flow problem, as well as the more general challenge of generating adequate revenue, is exacerbated by a common characteristic of the contracting regime: the inability to secure contracts that fully fund the agency's costs. Given the continuing budgetary volatility faced by many state governments, government officials across the country routinely set rates for nonprofit providers at levels insufficient to cover their costs. Multiple factors account for this shortfall: a contract may have declined in inflation-adjusted terms due to government budget cuts and austerity; a nonprofit manager may have underestimated the contract implementation costs; or government may saddle the agency with unexpected expenses or fail to provide the expected revenue. In this performance-based contracting environment, the latter is a much greater possibility than in the past. Also, agency expenses may rise unexpectedly and exceed contract revenues.

Underfunded contracts put nonprofit managers in a delicate position: relinquish the contract, with its implications for staff layoffs and shrinkage of the agency, or continue with the contract, albeit at an underfunded level. Since nonprofit executives are rarely rewarded for staff layoffs and the accompanying organizational turmoil, most nonprofit executives elect to keep the contract. To compensate for revenue shortfalls from contracts, nonprofit managers often try one or more of several strategies: (1) diversify their government contracts so they can obtain greater economies of scale and mitigate their risk from any one particular contract; (2) seek private donations from individuals or corporations;( 3) obtain foundation grants; (4) increase earned income such as rental or technical assistance income; and (5) attempt to directly or indirectly tap fee income from government sources, including Medicaid, vouchers, or tax credits such as the Low Income Housing Tax Credit (LIHTC).

Obtaining additional revenue in the current economic climate is especially challenging though. Intense competition exists for private donations and government contracts, and many agencies lack the infrastructure and capacity to effectively compete for government contracts, raise private donations, or generate earned income. Consequently, large nonprofit agencies and for-profit firms have a decided competitive advantage, since they are more likely to have access to adequate credit lines or bank loans and possess the professional staff to raise private donations and launch commercial ventures.

The Challenges of Contract Renewal

The greater uncertainty of the contracting environment for nonprofits has exacerbated longstanding problems that may occur in the contract renewal process. Delays and problems in contract renewal occur for many reasons: a state legislature may be deadlocked, requiring that the state agencies suspend final action on contract renewals until the available funding for contracts is known; key government contract administrators may have left or been replaced; an election may be under way, generating funding uncertainty and job insecurity with resultant ripple effects on the contracting process.

Other reasons for delay may be more strategic. For example, government contract administrators may delay the process of contract renewal in order to gain greater compliance by nonprofit agencies with contract terms and expectations. Alternatively, government administrators may use their ability to expedite the contract-renewal process, to at least some degree, as a way of currying favor with nonprofit contract agencies. This assistance may then be remembered in future negotiations.

The uncertainties of the contract renewal process are masked somewhat by the relatively high rate of contract renewal, despite the increase in performance-based contracts. A domestic violence agency awarded a contract in 2005 is likely to still have a contract in 2015, barring egregious quality problems or major shocks to the provider system. Nonetheless, the renewal process can be highly frustrating. Nonprofit managers may be unclear as to the exact amount of the new contract. And, due to government funding cutbacks, a renewed contract might well be for a lower amount than the previous one. Also, government officials may decide to rewrite the contract upon renewal. For instance, a child welfare agency might have a contract for several years to provide counseling services to children. But a change in political priorities might lead state administrators to use contract renewal as an opportunity to restructure the agreement so that the child welfare agency, if it wants to keep the contract, would be required to provide (for example) intervention services to abused and neglected children. Other examples of substantive changes in contracts by state officials include requiring nonprofit agencies to serve a larger geographical area, giving part of a contract to another agency, reducing the administrative costs allowed on the contract, and adopting new policies on client referrals and reimbursement.

Nonprofit managers, at least theoretically, have the option of refusing to accept the terms of the contract or to abide the long delays often accompanying contract renewal. Yet, managers are often ill-positioned to challenge or refuse the contract. First, the proliferation of nonprofit (and for-profit) service agencies gives government administrators more service options (although the number of agencies varies tremendously across geographic areas). Thus, nonprofit managers know that if they resist the renegotiation of a contract, many other agencies are likely to be eager to take the contract on the terms stipulated by government. Second, competition for private charitable funds, which might serve as alternatives to contract funds, is fierce. Moreover, most foundation and United Way grants tend to be short-term and for much smaller amounts than government funds. And raising private funds with appeals to individuals is a long-term process that usually cannot substitute for lost government funds. Third, nonprofit agencies often find that the only way they can fulfill their mission to address a particular problem, such as juvenile delinquency or child abuse, is through government funding; private funding is either unavailable or inadequate for the agency's needs.

Strategic Management in an Era of Impact, Competition, and Accountability

Despite the increasingly uncertain and competitive environment for nonprofits contracting with government, many nonprofit executives are nonetheless able to develop sustainable, effective business models for their organizations. This strategic success requires sustained attention to agency governance, effective leadership, the development of broad and sustained community support, and ongoing advocacy on behalf of the agency and its clients.

Rethinking Agency Governance and Management

An effective board of directors of a nonprofit agency serves as a key connecting link between the organization and the local community. This board role is especially critical if community-based service agencies are to effectively represent their communities and service users. Yet, contracting poses complicated governance challenges for many boards. Most board members tend to be unfamiliar with contracting and the intricacies of the contracting process. Consequently, board members may be unable or unwilling to exercise effective oversight over agency contracts.

Significantly, contracting also requires the agency to develop and maintain effective new systems of accountability to document and report on expenditures and clients, almost inevitably requiring greater staff specialization and professionalization (Hwang and Powell, 2009), more formal organizational structure, and new investments in agency capacity and infrastructure. As the paid staff expands and the demands on the agency's resources grow, the board may not be well positioned to set the agenda for the agency, especially if they are highly dependent on contract revenues. The board may be relegated to a position of supporting the executive's initiatives, rather than the executive implementing the board's directives and policies. For the organization, the danger inherent in this kind of shift is that the board may encounter some unpleasant surprises. The executive, in the pursuit of contract revenues, may obligate the agency to contracts that are underfunded or ill-advised. Board involvement in the agency may wither as board members find that their governance roles are restricted. And as board involvement declines, management mistakes or morale problems may go undetected until a crisis develops.

Other types of management problems may develop due to conflicts over agency mission. For example, the board of a relatively young nonprofit may be comprised of the founding members of the organization who are deeply committed to a specific mission and vision. In some cases, to secure additional contract funds, an executive may try to steer the organization in a direction that is quite different from the board's vision for the agency. The result may be protracted negotiations between the board and staff about the agency's future. Sometimes, the outcome is the resignation of some board members or the ouster of the chief executive as the board and staff compete to define the agency's future mission. Alternatively, the executive may serve in the key role in agency governance until a crisis develops, such as inadequate cash flow, staff discontent, or lost contracts. Then, in response, the board may intervene to exert greater control and oversight over agency operations. Although the board often withdraws to its previous role as the crisis eases, in other cases the board simply may be unable to find an appropriate executive director and so the board will retain a major role in day-to-day agency management as well as the overall agenda setting for the organization.

Overall, a general tendency exists among nonprofits with substantial contracts to see a shift in influence from the board to the executive director and his or her staff, although the extent of this change will differ with organizations' individual circumstances. This change can be especially visible in new community-based organizations with roots in the informal sector of community members, neighbors, and social movements. For these organizations, professional management often represents values and policies at variance to the original purposes of the organization, and the result can be significant internal dissension

To an extent, the enhanced role of the executive and the professionalization of the staff is part of the natural process of the nonprofit organizational life cycle that entails greater formalization as a nonprofit evolves and grows (Carlson and Donohoe, 2010, pp. 119–126; Speakman Management Consulting, 2009). Thus, the challenge for nonprofits is to successfully adapt their organizations to the imperatives of professionalization and formalization attending to contracting (and organizational growth) while maintaining the commitment of staff and volunteers to their organizing mission. Critical to the successful adaptation of the organization is strengthening board governance and developing positive, productive board-staff relations. First, the board can recruit individuals with knowledge of contracting for board membership. Second, the board can develop a broad base of community support for the agency. A number of strategies exist to achieve this goal: regular community forums to engage citizen feedback; advisory committees of community members; more diverse board membership; participation by agency staff on other local committees and boards; and increased engagement with the policy process at the local, regional, or state level. And third, the board can support investments in infrastructure and capacity to help the agency to effectively manage the contracting development and implementation process. Chapter Five of this Handbook provides important additional information on organization, development, and maintenance of nonprofit governing boards.

Finding the Right Executive

Given the changing environment for contracting, the quality of executive leadership is more important than ever to the ability of nonprofits to provide effective and efficient programming. In the current era of budget scarcity, even a relatively small management mistake can create a financial crisis for the agency. Consequently, significant pressure exists on the executive director to effectively manage both the internal operations and the external network of public and private funders. Ideally, agency executives should be very knowledgeable of government contracting and financial management, as well as sensitive to the agency's mission. Given the multiple economic and organizational challenges facing executive directors, the process of selecting an executive director can often reveal underlying differences among members of the board and staff about the agency's future. Moreover, many individuals with the credentials necessary to cope with the management complexities of contracting may not be well attuned to the subtleties of the agency's relationship with its surrounding community or consumers. This situation can be exacerbated in the current era of funding cutbacks, when executive directors may need to make difficult programmatic or administrative decisions.

Given these leadership challenges, the ideal type of executive for a nonprofit service agency cannot be determined without understanding the particular characteristics and needs of the organization. And although it may no longer be sufficient to have a respected clinician with relatively little management training or experience as an executive, it is equally true that a board of directors would be in error if it simply sought an executive whose primary qualification was government contracting experience or a business management background. Instead, an agency needs to strike a balance between a concern for the efficient utilization of resources, due in part to the demands of the contracting regime, and sound financial management with a commitment to agency mission. Thus, agencies might choose executives from the government and business sectors who have also demonstrated support for the agency's mission through board and volunteer service.

Arguably, the current contracting environment also places a primacy on the ability of nonprofit executives to work collaboratively, both internally and externally. Competition and scarcity of funding mean that executive directors need to be able to work closely and productively with government contract administrators. In addition, agency executives need to be able to partner with local foundations, other nonprofits, and local businesses. Indeed, many government contracts now require agencies to collaborate with other agencies. Also, collaboration on back-office and benefit costs may help nonprofits become more efficient and better cope with funding scarcity.

The higher expectations for social impact and innovation also encourage nonprofit executives to build their internal organization to foster learning, effective problem solving, and new and creative strategies to achieve individual and “collective impact” (Kania and Kramer, 2011). This effort also calls for a strategic, forward-looking vision for the agency, rather than simply reacting to external demands or developments, including the expectations of government contract agency. Moreover, while it is certainly common for government contract administrators to specify in great detail the expectations for contracts, many contracts have vague or unclear performance expectations, at least initially, requiring that the government administrators and nonprofit leaders work together to develop appropriate performance expectations. Chapter Six of this volume presents an extensive discussion of the demands for effective executive leadership.

Broadening the Agency Constituency

Nonprofit agencies, as noted, typically represent, at their founding, the efforts of like-minded people to address a particular problem. Often these organizations are not representative of their community as a whole; many agencies are directed by people from a particular political, ideological, ethnic, or income group in a community. Indeed, many nonprofit organizations are valued for their ability to represent specialized or minority constituencies (Smith and Lipsky, 1993). This community of interest focus can become a handicap as an agency develops and obtains contracts from the government: the board may be small; broader community connections may be weak; political support may be lacking; and government priorities for the target population and clients may over time be at variance with the nonprofit's priorities.

Successful and sustainable nonprofits with government contracts are able to transcend the initial limited focus of the agency and relative lack of professionalization of the board and staff while retaining their strong mission commitment. Key to this is a diversification and broadening of the organization's constituency. Toward this end, an agency may create an affiliate organization that can help with fundraising, community support, and program visibility. Typically, these organizations are directed by the paid staff of the parent organization, but are operated primarily by volunteers. A nonprofit also may alter the composition of its board in order to engage key supporters in the oversight and governance processes of the organization. Further, an agency might join community organizations, such as the Chamber of Commerce. The regular presence of a nonprofit agency at Chamber meetings can go a long way toward creating a role for the agency as a vital and important member of the community.

An agency may also alter its rules for membership. As noted earlier, many nonprofit organizations were established by a relatively small number of people who formed the core of the initial board of directors; no official membership in the organization apart from the board and staff existed. Often, in these situations, the board of directors is self-perpetuating rather than elected by the membership. Such a board structure can work against wide and sustained community engagement. Thus, a nonprofit agency may be well served by rethinking the concept of membership and consider engaging community members and service users as members (voting or non-voting) of the organization. This approach can offer important friends of the organization a stake in the agency and help recruit new supporters and volunteers. Over time, these new members could be very helpful in mobilizing community and political support on behalf of the agency as well as promoting greater accountability. To be sure, this type of membership is not appropriate for all nonprofit agencies. Nonetheless, service agencies with roots in a local community might benefit from rethinking their membership structure.

One strategy to engage the community that may achieve some of the same goals as changes in membership is the use of advisory committees (or other more informal governance entities) as complements to the board of directors. Advisory structures can be especially helpful for specialized purposes such as strategic planning, advocacy, or a new capital campaign for the organization (Saidel, 1998; Smith, forthcoming).

Constituency development can also be achieved through strategic partnerships and collaborations with other nonprofit, public, and for-profit organizations. Partnerships with local businesses can help with private fundraising, political support for the agency, and the recruitment of volunteers and board members. Collaborations with other nonprofits can yield potential savings on administrative costs and potentially help win new grants and contracts, given the current emphasis of public and private funders on collaboration among nonprofit service agencies. The entire subject of nonprofit partnerships and collaboration is discussed in more depth in Chapter Fifteen of this volume.

It must be noted that enlarging an agency's constituency is not without risks. New members or supporters may try to change the agency's mission and lead it in new directions. An agency may trade dependency on state contract administrators for dependency on a powerful donor or group of donors. More community members may make the organization more risk-averse. Mobilizing community members can be complicated, and it is often difficult to organize a representative sample of local citizens in support of the organization. Nonetheless, greater community connections can be helpful in improving nonprofit programs despite these difficulties. Engaging with citizens in providing programmatic support can provide valuable information for program improvement and build social capital that can be a base to build donor and volunteer involvement in the agency.

Engaging the Policy Process

Prior to the advent of widespread government contracting, nonprofit service agencies tended to operate quite apart from the political process. Dependent primarily on private revenues, management decisions, and the fate of the organization were relatively disconnected from decisions made by state and local legislatures, the federal government, or governors and mayors. The practice of government contracting fundamentally changed this situation; nonprofit agencies with contracts are now inextricably connected to the political process.

Important political decisions, legislation, and administrative rulings can have a profound impact on the success of nonprofits and their leaders. For example, if a legislature refuses to allocate sufficient funds for a contract rate increase, the nonprofit may be forced to reduce staff, with the resultant implications for morale and program quality. Accountability requirements instituted by the legislature or government administrators may also have a major impact on staff priorities and activities. Contract requirements and/or funding cutbacks may require agencies to collaborate, merge, or go out of business entirely. Even relatively minor or technical changes to eligibility requirements or rate levels can have an enormous impact on the capacity of local nonprofit agencies to deliver quality services. Sometimes, nonprofits providing contract services may need special zoning permits in order to house their facilities. Often, local nonprofits receive cash and in-kind subsidies from municipalities. Special linkages with local government may also be required. For example, a nonprofit child welfare agency may need to work very closely with the local school districts, or the users of nonprofit services may need to use public transportation in order to receive agency services.

Importantly, government officials possess many tools to restructure or alter a contract in ways unfavorable to a nonprofit agency. Contract administrators may want to refer different types of clients to the agency. Or the state may want to restrict or curtail certain contract expenditures. The state may even want to end the contract altogether and award it to another agency. Personal appeals by the executive, the board of directors, or intervention by community political supporters may produce a reversal of unfavorable decisions, although many nonprofit agencies (especially smaller or newer agencies) frequently lack substantial political clout, creating a vulnerability to government influence. In short, the success of nonprofits now hinges, at least in part, on effective agency advocacy, especially at the state and local level. As a result, nonprofit executives and their boards need to be actively engaged with policymakers on an ongoing basis, including maintaining an agency's visibility and support. Thus, nonprofit boards and staff should enlist the support of local political figures, including municipal leaders and state legislators. This goal may be accomplished in part by selecting key community leaders to be agency board members. More routinely, nonprofit staff and boards should make local leaders aware of agency activities through the active use of social media, the agency's website, print mailings, and other local publications, including newspapers.

As nonprofit staff and volunteers engage in advocacy, they should also strive to represent the needs of their clients and communities, broadly defined. Nonprofit agencies receiving government contracts tend to be most involved in policy issues such as funding and regulations directly relevant to the agency itself (Mosley, 2014; Smith and Lipsky, 1993). Ideally, though, nonprofit agencies should also strive to advocate on behalf of broader user and community needs and issues, such as the lack of affordable housing, persistent poverty, and community economic development.

Despite these strong incentives for advocacy due to the dynamics of contracting, many nonprofit staff and board members are reluctant to engage in advocacy on behalf of their agency or their clients. They are wary because they fear that it might spur scrutiny from the Internal Revenue Service or other government regulators, perhaps leading to threats to their tax-exempt status or serious fines (Bass, Arons, Guinane, and Carter, 2007; Berry, 2003; Pekkanen, Smith, and Tsujinaka, 2014). Further, many agencies are quite small and lack the staff resources to actively engage in advocacy. The board members of many nonprofits tend to be attracted to board service due to their commitment to the agency's mission and services such as child welfare or homelessness. Most board members possess little formal advocacy experience. Relatedly, board members may be unfamiliar with regulations on permissible advocacy by nonprofits, especially 501(c)(3) charitable organizations. Nonprofit agencies can be effective advocates in spite of these obstacles, but to do so does require persistence and a multipronged strategy, including education of board and staff on legal issues; investment in staff with expertise on advocacy; and building positive network relationships with government officials. Chapter Fourteen of this volume provides a practical explanation of how nonprofits can effectively engage in such advocacy.

Importantly, nonprofits should work collaboratively with other nonprofits as well as through local and statewide associations and coalitions to influence government policy. Three important types of nonprofit associations and coalitions exist. The first type are mission- or service-specific associations, such as the North Carolina Association of Home Care Agencies and the Massachusetts Association of Community Mental Health Centers; these coalitions and associations tend to be quite homogeneous in terms of organizational type. The second category are statewide nonprofit associations representing all nonprofits in the state. Prominent examples include the California Association of Nonprofits and the Maryland Association of Nonprofits. Typically, these associations are heavily involved in various government contracting issues, including funding levels. These statewide associations are also represented at the national level by the National Council of Nonprofits, which advocates at the federal level and throughout the United States on important policy concerns of direct relevance to nonprofits and government contracting. Indeed, one of the top priorities of the National Council was the implementation in 2014 of a rule issue by the U.S. Office of Management and Budget (OMB) requiring that the federal government pay reasonable overhead and administrative costs to nonprofits that receive federal contracts (National Council of Nonprofits, 2016). A third type of association or coalition is a public interest organization dedicated to a particular policy cause, such as Medicaid expansion or ending homelessness. These coalitions typically attract a diverse membership and often have private foundation funding to support their goals and objectives (Boyarski, 2016). These coalitions can be quite helpful in pushing broader social policy goals as well as increased government funding—such as Medicaid expansion—that benefit nonprofit organizations and their local communities. Overall, each of these different types of associations and coalitions can help nonprofits develop broader networks in support of their agencies (Chandler and Kennedy, 2015). Statewide associations and coalitions can also assist member agencies with more operational concerns, such as insurance and liability issues, human resource problems, and bulk purchasing. To be sure, some associations are small and many may lack paid staff. Nonetheless, in an era of greater competition and funding scarcity, nonprofit associations and coalitions can be important resources for nonprofit agencies with government contracts.

Innovation and Reform in Contracting

The sharp expansion of contracting with nonprofits in the United States and beyond has been accompanied by persistent nonprofit complaints about the contracting process itself, including lack of transparency, overly burdensome regulations and reporting requirements, inappropriate performance targets, and underinvestment in infrastructure. In response, government and nonprofits have tried different types of reforms and innovations.

First, many performance-based contracts represent the imposition of specific outcome targets on nonprofit organizations with little input from these agencies. However, many performance-based contract negotiations begin with a decided lack of adequate information on the appropriate outcomes; thus, the construction of the contract can be a process of mutual discovery and problem solving. This point is another reason why nonprofits need to invest in their own capacity to manage and implement contracts; government officials may be looking to them for input. Second, a persistent lament among nonprofits is excessive regulation of nonprofit contract agency budgets, greatly limiting spending flexibility (Pettijohn and Boris, 2013). Further, the spread of performance-based contracts and “pay-for-success models” has often meant much greater attention to outcomes without a corresponding reduction in paperwork on accounting for specific line-item expenditures. Consequently, initiatives for innovation and reform in contracting have increasingly focused on identifying ways in which government can hold nonprofits accountable for expenditure of government funds while not imposing unnecessary restrictions. In many jurisdictions, officials and nonprofit agencies have been attempting to reduce regulatory burdens and at the same time achieve positive outcomes. For example, New York City has established the Health and Human Services Accelerator, which seeks to streamline the procurement process with local nonprofit (and for-profit) service providers. Many other jurisdictions have been exploring or implementing similar policies to reduce the regulatory burden of contracting (National Council of Nonprofits, 2014).

In addition, a wide variety of efforts are being devoted to more self-regulation by nonprofit service providers as a strategy to raise service standards while reducing the need for intensive government regulation. One example involves new initiatives in the area of accreditation, which typically specify a minimum standard of service that is detailed by the accrediting body. For example, nonprofit organizations in Herefordshire in the United Kingdom created their own accreditation system, which is administered by a third-party organization; government agrees to only contract with accredited agencies (Smith and Smyth, 2010). Other examples include the Commission on the Accreditation of Rehabilitation Facilities (CARF) and the Joint Commission (which accredits health care organizations). Increasingly, governments are looking to these accrediting bodies to certify minimum standards of quality in services provided by nonprofit (and sometimes for-profit) service providers in social and health care.

Also, growing interest exists in the United States and abroad in developing quality frameworks specifically tailored for nonprofit organizations. Thus, Maryland Nonprofits (2016) developed its Standards for Excellence program, which details ethical and quality guidelines for the governance and management of nonprofits. Similarly, the Charities Review Council (2014) in Minnesota has created a set of “Accountability Standards” and the Minnesota Council of Nonprofits (2014) has issued the “Principles and Practices for Nonprofit Excellence.” Relatedly, efforts are under way to strengthen the self-regulation of fundraising by nonprofits (see NCVO, 2015a, 2015b).

Further, recognition is growing among policymakers and nonprofit leaders that investment in nonprofit capacity also is essential for the delivery of sustainable and quality programs (Gregory, A. G., 2009). Indeed, since so many nonprofit organizations are now “agents” of government, one could argue that government has an obligation to support training and education and, more generally, capacity building among nonprofit agencies providing public services. Government can provide funding to associations, coalitions, and other intermediary organizations such as Maryland Nonprofits to provide technical assistance to nonprofits. Government officials can also provide direct help to nonprofits through information sessions and direct capacity building assistance to nonprofits, and they can indirectly assist nonprofits by their willingness to work collaboratively with nonprofit organizations and their representative associations on issues of mutual concern (such as rates and regulations) (National Council of Nonprofits, 2014; NCVO, 2015b; Pettijohn and Boris, 2013). Of course, a sustained collaborative effort requires an ongoing commitment of resources by government.

In support of improved nonprofit capacity, government can structure contracts to include support for reasonable administrative costs. This is especially important given the constant challenge faced by nonprofits to find sufficient funds to support their administrative infrastructure. Underfunded infrastructure is a common problem, since many government and private funders focus on program-related funding. Lacking sufficient funds to pay for an adequate administrative structure, agencies are at a disadvantage when they seek to raise private funds and compete for public grants and contracts. Insufficient infrastructure also contributes to program instability, especially among smaller community-based organizations. More generally, state and local governments can strive to more fully fund contracts to reflect reasonable costs of nonprofits (National Council of Nonprofits, 2014; NCVO, 2015b). Importantly, the U.S. Office of Management and Budget in 2014 adopted a rule requiring that U.S. federal agencies pay for legitimate administrative expenses in addition to direct program expenditures (National Council of Nonprofits, 2016).

Government can also play an important role in directly and indirectly helping nonprofit contract agencies with their capital costs. Before the financial crisis hit in 2008, many states and localities expanded nonprofit contract agencies' access to tax-exempt bonds to help them with their capital needs, such as the purchase and renovation of their facilities and new equipment (Calabrese and Ely, 2015; Human Services Council, 2015; Smith, forthcoming). To the extent that nonprofits can improve their capital position, they will be in a better position to manage their cash flow effectively and be able to develop productive relationships with government contract officials.

Government administrators, especially at the state and local level, can also help improve governance and performance among nonprofit organizations through their support of appropriate mergers and collaborations. As discussed earlier, many nonprofits are small and struggle with capacity and funding issues, creating problems with board and executive leadership. Mergers of some of these organizations could be quite helpful in resolving some of these governance problems. Nonetheless, nonprofits are often resistant to mergers, so support from government (and private funders) is often essential if mergers are actually to occur.

Importantly, these steps to enhance performance in nonprofits will be insufficient to improve the overall quality and effectiveness of publicly funded services provided by nonprofit agencies unless government takes steps to invest in its own management team and structure. In the case of contracting with nonprofits, state and local government will most assuredly fail to realize the benefits of contracting if government contract administrators are unable to monitor nonprofit performance or work effectively with nonprofits. Consequently, government agencies need contract managers with skills in negotiation and bargaining, and knowledge of management, finance, budgeting, and the organization of nonprofits. Government managers could thus benefit from executive education and training opportunities focused on contract management, nonprofit management, financial management, program evaluation, and negotiation (National Council of Nonprofits, 2014; Smith and Smyth, 2010).

Government contract managers with these skill sets would also promote more effective relationships with nonprofits, as well as support working groups and more formal arrangements among nonprofits and government, to address important sector policy and management issues. Toward this end, government and nonprofit organizations in the United Kingdom negotiated a formal agreement, called “The Compact,” outlining key principles and practices to guide their interactions at all levels of government (Compact Voice, 2010). The U.K. Compact has generated broad attention among governments and nonprofit organizations throughout the world. Some countries such as Australia have experimented with local level compacts (Casey and Dalton, 2006). Nonetheless, the basic principles of The Compact, such as regular communication and dialogue between government and the nonprofit sector and good standards of practice, can be developed through more informal relationships and partnerships at any level of government.

Nonprofits, for their part, should strive to invest in their administrative and programmatic infrastructure, including new technology and qualified administrative staff (Human Services Council, 2015; Light, 2004). The development of a private donor base can also be essential to building capacity, especially given the competition for scarce public contracts. Fundraising may not produce large benefits for the organization in the short term but, in the long term, may become very important as a way of cross-subsidizing programs inadequately funded by government contracts, and it may help build broader community support.

Conclusion

Government contracting with nonprofit agencies is in the midst of an important transition. The competition for government contracts is increasingly intense, reflecting growth in the number of agencies, coupled with the profound and broad-based interest of government and many private donors in accountability, efficiency, and results. Over time, this emphasis on performance and outcomes will produce more comparative analysis among nonprofit organizations, as well as between nonprofits and for-profits, particularly in service fields (such as home care) where these agencies directly compete. In the process, the monopoly now enjoyed by many nonprofits in their local communities is likely to be eroded or threatened by for-profit agencies or upstart nonprofit agencies. Moreover, larger nonprofit (and for-profit) contract agencies with proven track records and capacity are likely to have an edge in the competition for contracts. Further, government is likely to continue to shift at least some of its contract funding away from traditional contracts and into other, less direct funding vehicles such as vouchers, quasi-vouchers (such as Medicaid), and tax credits, further encouraging a more competitive, entrepreneurial contract culture. Amidst this competitive contracting environment, nonprofits will also need to engage in collaborative initiatives to enhance efficiency and program effectiveness, including the co-location of services; cooperative arrangements on benefits; sharing staff; and formal agreements to merge some services, yet retain separate organizations.

In short, the contracting environment is likely to remain relatively unpredictable and turbulent for the foreseeable future. Thus, nonprofits will need to adapt in ways that support both agency sustainability and program effectiveness. In the process, they will need to balance the imperative to be market-oriented in order to compete effectively for contracts with the imperative to stay true to their social mission and community orientation. Multiple revenue streams will become increasingly important, even for modest-sized agencies, and effective advocacy on behalf of the agency and its local constituencies will be vital for agency sustainability. Ongoing investments in their own capacity will be necessary for agencies, too. Nonetheless, government also needs to recognize its obligation to invest in nonprofit infrastructure and capacity and to support nonprofit contractors with equitable and fair funding. For nonprofit leaders and managers, such investments in agency capacity and good governance, coupled with sustained engagement of local citizens and stakeholders, will enable the sector to realize the promise that nonprofits offer as effective providers of vital public services in a new and dynamic environment.

References

  1. Andrews, C., Grogan, C., Brennan, M., and Pollock, H. A. Lessons from Medicaid's Divergent Paths on Mental Health and Addiction Services. Health Affairs, 2015, 34, 7, 1131–1138.
  2. Bass, G. D., Arons, D. F., Guinane, K., and Carter, M.F. Seen But Not Heard: Strengthening Nonprofit Advocacy. Washington, D.C.: Aspen Institute, 2007.
  3. Berry, J. M. A Voice for Nonprofits. Washington, DC: The Brookings Institution Press, 2003.
  4. Boyarski, L. M. Whose Voice Is Being Heard? The Role of Nonprofit Coalitions in Policy Advocacy. Unpublished doctoral dissertation. Washington, DC: Department of Government, Georgetown University, 2016.
  5. Braddock, D. L., Hemp, R. E., Rizzolo, M. C., Tanis, E. S., Haffer, L., and Wu, J. State of the States in Intellectual and Developmental Disabilities (10th ed.). Washington, DC: AAIDD, 2015.
  6. Calabrese, T. D., and Ely, T. L. Borrowing for the Public Good: The Growing Importance of Tax-Exempt Bonds for Public Charities. Nonprofit and Voluntary Sector Quarterly, 2015, 1–20.
  7. Carlson, M., and Donohoe, M. The Executive Director's Survival Guide: Thriving as a Nonprofit Leader (2nd ed.). San Francisco: Jossey-Bass, 2010.
  8. Casey, J., and Dalton, B. The Best of Times, the Worst of Times: Community-Sector Advocacy in the Age of “Compacts.” Australian Journal of Political Science, 2006, 41(1), 23–38.
  9. Chandler, J., and Kennedy, K. S. A Network Approach to Capacity Building. Washington, DC: National Council of Nonprofits, 2015.
  10. Charities Review Council. Accountability Standards. St. Paul, MN: Charities Review Council, 2014.
  11. Compact Voice. The Compact: The Coalition Government and Civil Society Organisations Working Effectively in Partnership for the Benefit of Communities and Citizens in England, 2010. www.compactvoice.org.uk/sites/default/files/the_compact.pdf.
  12. Considine, M. Contract Regimes and Reflexive Governance: Comparing Employment Service Reforms in the United Kingdom, the Netherlands, New Zealand, and Australia. Public Administration, 2000, 78(3), 613–638.
  13. Corporation for National and Community Service, Office of Research and Evaluation. State of the Pay for Success Field: Opportunities, Trends, and Recommendations. Washington, DC: author, 2015.
  14. Courtney, M. E. Managed Care and Child Welfare Services: What Are the Issues? Children and Youth Services Review, 2000, 22(2), 87–91.
  15. De Hoog, R. H. Contracting Out for Human Services: Economic, Political, and Organizational Perspectives. Albany, NY: State University of New York Press, 1984.
  16. Desai, S., Garabedian, L., and Snyder, K. Performance Based Contracts in New York City: Lessons Learned from Welfare-to-Work. Albany, NY: Rockefeller Institute of Government, 2012.
  17. DeVooght, K., Fletcher, M., Cooper, H. Federal, State, and Local Spending to Address Child Abuse and Neglect in SFY 2012, 2014. www.childtrends.org/wp-content/uploads/2014/09/2014-47ChildWelfareSpending2012.pdf.
  18. Fraser, J., and Whitehill. E. Introducing Performance-Based Contracts: A Comparison of Implementation Models. Pittsburgh, PA: Allegheny County Department of Human Services, 2014.
  19. Gais, T., Dadayan, L., and Bae, S. The Decline of States in Financing the U.S. Safety Net: Retrenchment in State and Local Social Welfare Spending, 1977–2007. Albany, NY: Rockefeller Institute of Government, 2009. www.rockinst.org/pdf/workforce_welfare_and_social_services/sws.pdf.
  20. Gregory, A. G., and Howard, D. The Nonprofit Starvation Cycle. Stanford Social Innovation Review, 2009, Fall. http://ssir.org/articles/entry/the_nonprofit_starvation_cycle.
  21. Grønbjerg, K. A. Understanding Nonprofit Funding: Managing Revenues in Social Services and Community Development Organizations. San Francisco: Jossey-Bass, 1993.
  22. Harrison, D. S., Eleveld, J., and Ahern, P. Resilient Nonprofits: How Western Washington Nonprofits Have Been Coping with the Impact of the Economic Downturn. Seattle, WA: Nancy Bell Evans Center on Nonprofits and Philanthropy, Evans School of Public Affairs, University of Washington, 2011. http://evans.uw.edu/sites/default/files/public/ResilientNonprofits2011_0.pdf.
  23. Human Services Council. New York Nonprofits in the Aftermath of FEGS: A Call to Action. New York: Human Services Council, 2015. www.capitalnewyork.com/sites/default/files/Nonprofits%20in%20the%20Aftermath%20of%20FEGS%202016.pdf.
  24. Hwang, H., and Powell, W. W. The Rationalization of Charity: The Influences of Professionalism in the Nonprofit Sector. Administrative Science Quarterly, 2009, 54, 268–298.
  25. In the Public Interest. A Guide to Evaluating Pay for Success Programs and Social Impact Bonds. Washington, DC: In the Public Interest, 2015. www.inthepublicinterest.org/wp-content/uploads/ITPI-Pay-for-Success-Guide-Dec-2015.pdf.
  26. Kania, J., and Kramer, M. Collective Impact. Stanford Social Innovation Review, 2011, Winter. http://ssir.org/articles/entry/collective_impact.
  27. Kramer, R. Voluntary Agencies in the Welfare State. Berkeley: University of California Press, 1982.
  28. Krasner, S. D. Structural Causes and Regime Consequences: Regimes as Intervening Variables. International Organization, 1982, 36, 185–205.
  29. Leachman, M., Albares, N., Masterson, K., and Wallace, M. Most States Have Cut School Funding, and Some Continue Cutting. Washington, DC: Center for Budget and Policy Priorities, 2016. www.cbpp.org/sites/default/files/atoms/files/12-10-15sfp.pdf.
  30. Light, P. C. Sustaining Nonprofit Performance: The Case for Capacity Building and the Evidence to Support It. Washington, DC: Brookings Institution, 2004.
  31. Lynch, K. E. Social Services Block Grant: Background and Funding. Washington, DC: Congressional Research Service, 2014. https://greenbook.waysandmeans.house.gov/sites/greenbook.waysandmeans.house.gov/files/CH%2010%2094-953_gb_0.pdf.
  32. Maryland Nonprofits. Standards for Excellence: An Ethics and Accountability Code for the Nonprofit Sector. Baltimore, MD: Maryland Nonprofits, 2016. http://standardsforexcellence.org/home-2/code/.
  33. McBeath, B., and Meezan, W. Governance in Motion: Service Provision and Child Welfare Outcomes in Performance-Based, Managed Care Contracting Environment. Journal of Public Administration Research and Theory, 2010, 20, Supplement 1: The State of Agents: A Special Issue (January), i101–i123.
  34. McKeever, B. S. The Nonprofit Sector in Brief 2015: Public Charities, Giving, and Volunteering. Washington, DC: Urban Institute, 2015. www.urban.org/sites/default/files/alfresco/publication-pdfs/2000497-The-Nonprofit-Sector-in-Brief-2015-Public-Charities-Giving-and-Volunteering.pdf.
  35. Minnesota Council of Nonprofits. Principles and Practice for Nonprofit Excellence. St. Paul, MN: Minnesota Council of Nonprofits, 2014. www.minnesotanonprofits.org/PrinciplesPractices.pdf.
  36. Miron, G., and Gulosino, C. Profiles of For-Profit and Nonprofit Education Management Organizations (14th ed.—2011–2012. Boulder, CO: National Education Policy Center, 2013. http://nepc.colorado.edu/files/emo-profiles-11-12.pdf.
  37. Mosley, J. From Skid Row to the Statehouse: How Nonprofit Homeless Service Providers Overcome Barriers to Policy Advocacy Involvement. In R. J. Pekkanen, S. R. Smith, and Yutaka Tsujinaka (eds.), Nonprofits and Advocacy: Engaging Communities and Governments in an Era of Retrenchment. Baltimore, MD: Johns Hopkins University Press, 2014, 107–134.
  38. National Council of Nonprofits. State Budget Crises: Ripping the Safety Net Held by Nonprofits. Washington, DC: National Council of Nonprofits, 2010. https://www.councilofnonprofits.org/sites/default/files/documents/Special-Report-State Budget-Crises-Ripping-the-Safety-Net-Held-by-Nonprofits.pdf.
  39. National Council of Nonprofits. Toward Common Sense Contracting: What Taxpayers Deserve. Washington, DC: National Council of Nonprofits, 2014. https://www.councilofnonprofits.org/sites/default/files/documents/toward-common-sense-contracting-what-taxpayers-deserve.pdf.
  40. National Council of Nonprofits. OMB Uniform Guidance. Washington, DC: National Council of Nonprofits, 2016. https://www.councilofnonprofits.org/omb-uniform-guidance.
  41. National Council of Voluntary Organisations (NCVO). A Bigger Difference: Realising the Potential of Voluntary Organisations and Volunteers. London: NCVO, 2015a. https://www.ncvo.org.uk/images/documents/policy_and_research/ncvo-manifesto 2015.pdf.
  42. National Council of Voluntary Organisations (NCVO). Regulating Fundraising for the Future: Trust in Charities, Confidence in Fundraising Regulation. London: NCVO, 2015b. https://www.ncvo.org.uk/images/documents/policy_and_research/giving_and_philanthropy/fundraising-review-report-2015.pdf.
  43. Ng, T., Harrington, C., Musumeci, M. B, and Reaves, E. L. Medicaid Home and Community-Based Services Program: 2012 Data Update. Menlo Park, CA: Kaiser Family Foundation, 2015. http://kff.org/medicaid/report/medicaid-home-and-community-based-services-programs-2012-data-update/.
  44. Palmer, E., and Robertson, C. Mississippi Fights to Keep Control of Its Beleaguered Child Welfare System. The New York Times, January 16, 2016. www.nytimes.com/2016/01/18/us/mississippi-fights-to-keep-control-of-itsbeleaguered-child-welfare-system.html.
  45. Pekkanen, R. J., Smith, S. R, and Tsujinaka, Y. (eds.). Nonprofits and Advocacy: Engaging Communities and Governments in an Era of Retrenchment. Baltimore, MD: Johns Hopkins University Press, 2014.
  46. Pettijohn, S. L., and Boris, E., with DeVita, C. J. and Fyffe, S. D. Nonprofit-Government Contracts and Grants: Findings from the 2013 National Survey. Washington, DC: Urban Institute, 2013. www.urban.org/sites/default/files/alfresco/publication-pdfs/412962-Nonprofit-Government-Contracts-and-Grants-Findings-from-the-National-Survey.PDF.
  47. Phillips, S. D., and Smith, S. R. (eds.). Governance and Regulation of the Third Sector: International Perspectives. London: Routledge, 2011.
  48. Public Agenda. Charter Schools in Perspective. Chicago: Spencer Foundation and Public Agenda, 2014. www.in-perspective.org/.
  49. Roman, J. K., Walsh, K. A., Bieler, S., and Taxy, S. Pay for Success and Social Impact Bonds: Funding the Infrastructure for Evidence-Based Change. Washington, DC: Urban Institute, 2014. www.urban.org/sites/default/files/alfresco/publication-pdfs/413150-Pay-for-Success-and-Social-Impact-Bonds-Funding-the-Infrastructure-for-Evidence-Based.PDF.
  50. Saidel, J. R. Expanding the Governance Construct: Functions and Contributions of Nonprofit Advisory Groups. Nonprofit and Voluntary Sector Quarterly, 1998, 27, 421–436.
  51. Salamon, L. M. (ed.). The Tools of Government. New York: Oxford University Press, 2002.
  52. Smith, D. C., and Grinker, W. J. The Promise and Pitfalls of Performance Based Contracting. New York: Seedco, 2004. http://seedco.org/wp-content/uploads/2011/11/The-Promise-and-Pitfalls.pdf.
  53. Smith, S. R. “The Political Economy of Contracting.” In Y. Hasenfeld (ed.), Human Services as Complex Organizations (2nd ed.). Thousand Oaks, CA: Sage, 2010, 139–160.
  54. Smith, S. R. Social Services. In L. M. Salamon (ed.), The State of Nonprofit America. Washington, DC: Brookings Institution, 2012, 192–228.
  55. Smith, S. R. Cross-Sector Nonprofit-Government: Financing. In E. Boris and C. E. Steuerle (eds.), Nonprofits and Government: Collaboration and Conflict (3rd ed.). Washington, DC: Urban Institute, forthcoming.
  56. Smith, S. R., and Lipsky, M. Nonprofits for Hire: The Welfare State in the Age of Contracting. Cambridge, MA: Harvard University Press, 1993.
  57. Smith, S. R., and Smyth, J. The Governance of Contracting Relationships: “Killing the Golden Goose,” a Third Sector Perspective. In S. Osborne (ed.), The New Public Governance? Critical Perspectives and Future Directions. London: Routledge, 2010.
  58. Snyder, L. and Rudowitz, R. Medicaid Financing: How Does It Work and What are the Implications? Menlo Park, CA: Kaiser Family Foundation, 2015. http://files.kff.org/attachment/issue-brief-medicaid-financing-how-does-it-work-and-what-are-the-implications.
  59. Speakman Management Consulting. Nonprofit Organizational Life Cycle. Atlanta, GA: Speakman Management Consulting, 2009. www.speakmanconsulting.com/go/speakman/resources/nonprofit-lifecycle-matrix.pdf.
  60. Steuerle, C. E. Common Issues for Voucher Programs. In C. E. Steuerle, V. D. Ooms, G. E. Peterson, and R. D. Reischauer (eds.), Vouchers and the Provision of Public Services, Washington, DC: Brookings Institution, 2000, 3–39.
  61. U.S. Census Bureau. Economic Census. Services Report. Washington, DC, Author, 2015.
  62. Wertheimer, D. Maximizing the Impact and Amplifying the Voice of Philanthropy. Responsive Philanthropy, 2011, Fall, 1–6. www.ncrp.org/files/rp articles/Responsive%20Philanthropy_Fall11_Homelessness.pdf.
..................Content has been hidden....................

You can't read the all page of ebook, please click here login for view all page.
Reset