No, they don't, and for one reason only: I'm a consultant.
When you're an outsider, they listen. When you're on staff... you're seen as a thorn in their sides.
Sometimes one of my informal jobs is to take the words of the Executive Director that NO ONE inside the organization will listen to, and regurgigate them so they will be taken seriously. I also take Exec's out to lunch so they can cry on my shoulder.