Four alternative organizational structures are discussed with regard to their applicability to the reorganization of community college allied health programs. After introductory material noting the complexities, multiple interfaces, and high costs that make allied health and nursing programs prime targets for reorganization, the four models of organization are discussed: centralized, modified centralized, collegial, and decentralized. Each model is evaluated in terms of its acceptance by personnel; validity of its objectives for the program; start-up costs; and resources required for implementation and long-term success. Examples are provided of community college allied health programs using these organizational structures, and the advantages and disadvantages of each model are set forth. Administrative issues in planning for reorganization are noted, including what functions are to be centralized, where they can be put in operation, and who will manage these functions. College operations best accomplished through centralized and collegial or shared-power structures are identified, and the issue of the policy-making role of allied health professionals is explored. Finally, suggestions for implementing a reorganization are provided, stressing the importance of specifying objectives, centralizing appropriate functions, involving staff in decision making, effecting changes slowly, and seeking a variety of viewpoints. (KL)