Technology is a technique or complex of techniques employed to alter “ — Charles Perrow

"Multiple leadership, as a stable system of goal determination and policy setting, is most likely to be found in organizations where there are multiple goals and where these goals lack precise criteria of achievement and allow considerable tolerances with regard to achievement. Organizations with a single goal [i.e., proprietary hospitals] or a clear hierarchy of goals provide little basis for multiple leadership. Multiple leadership arises because important group interests diverge, and each group has the power to protect its interests."

"For many purposes of organizational analysis technology might not be an independent variable but a dependent one."

"In a modern society, where large organizations have acquired unprecedented importance, social scientists have increasingly sought to understand the nature of organizational goals - what they are, what shapes or determines them, what their impact is upon the environment, and how they change."

"Covers the history and tradition, the precedents and established commitments involved in all past action. These limit, though not determine, the present actions that any one group may take. If any single thing deserved the designation “the institution” or “the hospital” it would be this.”"

"Some of these by-products [of official goals] may become so important to the participants who make up the institution as to constitute unofficial goals. “I would not be interested in this hospital unless it...” did something or other. “The trouble with this place is everyone is so concerned with” this or that pursuit. Where these blanks are not filled in with good patient care, teaching and research we have unofficial goals of some group or individual, and thus we have uses to which the institution is put other than the avowed ones."

"The power structure will generally dictate the operative goals of the organization."