Small credentialing programs often operate within complex organizational structures where shared governance, limited resources, and competing priorities create unique operational challenges. Successfully balancing the needs of multiple organizations while maintaining program quality requires thoughtful governance, clear communication, and practical strategies for collaboration. This session explores practical approaches for managing small programs that serve multiple stakeholders while maintaining program quality. Presenters will share real-world experiences, implementation strategies, and lessons learned from navigating shared decision-making, resource constraints, and competing organizational priorities.