A sense of urgency. Experts like John P. Kotter say it’s a key and necessary ingredient for successful organizational change. Without it, even the best designed efforts amount to little more than going through the motions.

But many nonprofits are so accustomed to working in adverse conditions – doing more with less, making compromises, and inhabiting a reality in which the stretch goal is to be “sustainable” rather than to truly thrive – that they may be desensitized to what urgency really feels like. Like the proverbial frog in the pan of boiling water, these organizations have adapted so well to an increasingly hostile environment that perhaps the impetus to do something about it comes too late.

Take strategic restructuring. It is encouraging that partnerships are now viewed as a positive strategic choice rather than an option of last resort, but the flip side is that we now see more nonprofits coming to the table with the view that collaboration is “nice, but not necessary.” Many of these are on solid enough footing to continue working on their own, but fail to recognize that this also makes them better positioned to engage in restructuring and more attractive to potential partner organizations. Lacking a sense of urgency, they may hesitate to own the process or really invest in moving it along. The risk here is that the window of opportunity to proactively choose a collaborative strategy rather than being compelled to it may not be open for long. Should they find themselves facing a real crisis, they may wish they had acted sooner.

Succession planning is another good example. Five or six years ago, reports like “The Leadership Deficit” touched off a sense of real urgency across the sector. The Boomers are retiring! Who will be left to lead our organizations? The mass exodus didn’t exactly manifest as predicted, as we all now know, but how many nonprofits have taken advantage of the reprieve as an an opportunity to engage in recruiting talent and developing leadership for when the day does come – as it surely will – when new leaders must take the helm?

Nonprofits face an increasingly complex set of challenges and opportunities, from major demographic shifts to competition from for-profit providers to political pressures and global economic uncertainty. The water’s getting warmer.

Do you feel the heat? Is it time to make a leap?

In October, the San Francisco Chronicle featured two stories featuring the merger of Haight Ashbury Free Clinics and Walden House.  Both articles recounted the drop in funding experienced by both organizations and the potential loss of services to the community. The stories also pointed out the efficiencies gained by combining administrative functions. The merged entity is expected to save approximately $1 million within a $60 million budget.

As the facilitator of this merger (and a former executive director with experience in behavioral health), the most compelling outcome was the creation of a seamless service delivery system to address the needs of clients in a more holistic way. By unifying services to address substance abuse addictions, mental illness, homelessness, and to provide job training and primary health services, this merger will help to ensure that client needs do not slip through the cracks of a fragmented delivery system.

In the mainstream dialogue about nonprofit mergers, the focus is often on efficiency and cost-savings, but ultimately these alliances must make sense from a mission perspective: How can services be integrated and provided in a more effective manner? What will payers – in this case the City and County Department of Public Health – find attractive for contracting?

The landscape of services in San Francisco is fragmented, with many separate organizations providing numerous different services addressing specific client needs.  However, in most cases, they are not comprehensive, integrated services. The merger of Haight Ashbury Free Clinics and Walden House creates a more seamless approach, such that clients do not have to go in search of services from multiple entities to get the care they need.