Health Center Governance

Non-profit community-based health centers operate in a constantly changing and increasingly complex environment. NACHC offers a variety of trainings and publications to help health center Board members understand the legal, administrative, financial and clinical aspects of health center governance.

Board Governance Training Events

Sessions tailored to health center Board members are offered at NACHC’s Community Health Institute and Policy & Issues Forum. 

Shared Governance Curriculum Train-the-Trainer - for PCAs! at PCA/HCCN Conference 2019 | San Diego, CA

Shared Governance Curriculum
Special Preconference Train-the-Trainer Workshop – For PCAs!
November 17, 2019 | 10:00 am – 5:00 pm Pacific time
Omni San Diego Hotel | San Diego, CA
Register online here.

Registration is now open for the Shared Governance Curriculum Train-the-Trainer convening prior to the 2019 Primary Care Association (PCA) & Health Center Controlled Network (HCCN) Conference at the Omni San Diego Hotel in San Diego, CA!
Based on input and guidance from the NACHC/PCA-TTA Advisory Group, a NACHC/PCA-TTA Subgroup on Governance is developing a shared governance curriculum on a few key topics including board responsibilities and board composition/recruitment. Interested PCAs can use this curriculum to train board members at local conferences, via webinars, or in other ways in their state or region. The train-the-trainer will introduce participants to the curriculum and provide tools for deploying it, build the capacity of staff designated by PCAs to deliver foundational training to health center boards, and serve as another way to foster peer learning around support to health center boards.

By the end of this training, participants will be able to:

  1. Identify some of the unique opportunities and challenges involved in training health center boards
  2. Develop familiarity with two modules on health center board responsibilities and board composition/recruitment that can be delivered to health center boards in your state or region
  3. Build relationships with a network of peers that provide training and consultation to health center boards


  • Susan Decker, Governance Consultant
  • Emily Heard, Director of Health Center Governance Training, National Association of Community Health Centers
  • Members of the NACHC/PCA-TTA Subgroup on Governance:
    • Cassidy Heit, Oklahoma Primary Care Association
    • Katie Henley, formerly with Community Health Center Association of Connecticut
    • Suzanne Rossel, Community Health Care Association of New York State

 Registration and Pricing Information

Registration is open to staff from Primary Care Associations (PCAs).

Early bird (until November 1, 2019): $295
Regular (after November 1, 2019): $395
Space is limited to 50 participants – register today.

Hotel Information

This training will take place at the Omni San Diego Hotel. Information on a discounted hotel room rate can be found here. The Omni is likely to sell out on the evening of Saturday, November 16. If you need alternative accommodations on Saturday, November 16, there are several additional hotels within a short distance including:

For more information, contact Emily Heard at

This project was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under cooperative agreement number U30CS16089, Technical Assistance to Community and Migrant Health Centers and Homeless for $6,375,000.00 with 12 percent of the total NCA project financed with non-federal sources. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.

Recorded Webinars and Modules

New Modules on Board Financial Oversight

Board Succession Planning

Board Chair Succession

The Board’s Role in CEO Succession Planning

Introduction to Board Service: Parts 1 and 2

Top Resources

Health Center Program Governing Board Workbook

Spanish Translation of Governance Workbook: Programa de Centros Comunitarios de Salud Libro de Ejercicios del Consejo de Gobierno

Payment Reform: Supplement to Governing Board Workbook

Governing Board Succession Planning: A Case Study on Cherry Health

Spanish Translation of Governing Board Succession Planning Case Study: Planificación de sucesión de la junta directiva de los centros de salud comunitarios: Un caso práctico sobre Cherry Health

Essential Guides to Sustainability, Succession and Transition Planning (contains information on CEO Succession and CEO Transition/Hiring)

Creating an Annual Board Work Plan

NACHC Certificate in Health Center Governance

NACHC offers a certificate program designed for Health Center Board Members who wish to follow a formal path of training and skills enhancement in the area of overall health center governance.

How do I earn certification in Health Center Governance?
To obtain certification, you must complete a total of 31 contact hours through attendance/participation in education sessions offered at NACHC’s national conferences including the Community Health Institute (CHI) and Policy & Issues Forum (P&I). One contact hour equals one hour of session time. The total 31 contact hours must be completed within three years of enrollment in the program.

Program participants must participate in the following sessions:

  • Board Member Boot Camp (5 contact hours offered at the CHI and P&I)
  • Setting the Bar: Legal Approaches to Health Center Board Compliance (2 contact hours offered at the CHI)

In addition to the required sessions listed above (Boot Camp and Setting the Bar), participants need to complete an additional 24 contact hours and may choose from other NACHC conference education sessions that are designated for contact hours in the areas of GOVERNANCE, POLICY, and ADVOCACY,* among others. Participants are encouraged to select a comprehensive course of study based on individual interests and the governance needs of the health center board on which they serve.

In addition to earning educational credits through NACHC conference attendance, participants can receive credits online via MyNACHC Learning Center (MyNACHC) at by listening to and completing audiotaped sessions associated with a conference they have attended.

How do I register or check on my progress?
To register or check your progress, visit the MyNACHC Learning Center (MyNACHC) at Log in using the email address we have on record and password. Information for the governance program will be found under the “Governance Program” tab. If you need login assistance or additional information, contact or (301) 347-0400.

*NACHC also has a Board Member Advocacy Certificate (BMAC) Program designed to educate and engage board members on advocacy and policy issues; for more information visit

For answers to health center governance questions and for more information, contact Emily Heard, Director, Health Center Governance Training, at 301-347-0400.