Board Governance

Health Center Board Training and Consultation Services
NACHC provides training and consultation services directly to individual health centers and PriPCAs hosting health center governance-focused events or programming.

Strategic Planning & Scenario Planning for Health Center Boards
During times of change and uncertainty, strategic planning and scenario planning are essential governance tools that boards and CEOs can use to anticipate risk, align decisions, and protect long‑term sustainability. This 75-minute session explores strategic planning approaches, including integrating the Health Center Needs Assessment, using KPIs for board oversight, updating plans annually, and applying scenario planning to remain responsive in a changing political and reimbursement environment. Extend the impact of this training with 30‑day access to the recording, so you can revisit the content at your convenience or view it with your full board to deepen collective learning.

Board Chair Leadership Program
Designed for new health center board chairs or those about to step into the role, this program addresses the chair role, the board chair-CEO partnership, board meeting facilitation, navigating conflict, board chair succession planning, and more. The Board Chair Leadership Program provides an interactive and action-oriented learning experience through case study-based learning and engagement with experienced board chairs and fellow participants.

Health Center Governance Summit @ CHI 2026

NACHC is excited that the first “Health Center Governance Summit” will take place at CHI 2026. This re-imagined and expanded experience for board members will feature peer networking, education sessions, and more!

Introduction to Health Center Board Roles

This program, taking place as a pre-conference session prior to NACHC’s Community Health Conference & EXPO, equips health center board members with the knowledge needed to step into their role as a board member and remain focused on the board’s governance role.

Health Center Board Orientation Toolkit
NACHC’s Health Center Board Orientation Toolkit provides everything you need to create a comprehensive, high-impact orientation for new board members. Equip your board to engage confidently and contribute immediately. 

CEO Succession Planning: A Toolkit for Boards
Only 64% of health center boards are satisfied with CEO succession planning. The CEO Succession Planning toolkit helps boards and CEOs build clear succession and backup plans for long-term stability.

Health Center Board Roles & Responsibilities*
This two-page resource discusses the three major categories of health center board roles: Strategy, Oversight & Policy, and Board Functioning. It also contains a sample statement of board responsibilities that can be customized by health centers; the sample captures both the general roles of a board and requirements of the Health Resources and Services Administration (HRSA) Health Center Program.

Health Center Board Roles and Responsibilities (eLearning)*
This eLearning course is designed for new health center board members and others wanting to learn the fundamentals about health center governance. The series provides an overview of board roles and responsibilities and is broken into the following four modules.

Tips for Effective Health Center Board Meetings*
Board meetings are critical for the board and Chief Executive Officer (CEO) to accomplish important responsibilities in a collaborative way and require a continuous cycle of planning. While the board chair and CEO set the tone, the success of a meeting depends on active participation by all board members. This resource provides information on meeting practices used by health center boards and tips for better meetings.

Health Center Board Composition, Recruitment, and Orientation*
This resource will help your board understand board composition, recruitment, and orientation and engagement. It can be read in its entirety, or boards can explore an individual topic of interest.

Tips for Boards on Health Center Workforce Challenges and Opportunities*
This guide highlights recommendations for how health center boards can support workforce challenges and opportunities through governance-level functions, including strategic planning, budgeting, and policy approval.

Clinical Issues & Health Center Boards: Family Healthy Weight Programs for Boards*
This resource discusses Family Healthy Weight Programs and how boards can support such programs through appropriate governance-level functions. This resource may also help orient new board or committee members to clinical issues.

Clinical Issues & Health Center Boards: Hypertension Management*
Board members can use this resource to learn about hypertension management and the role boards play in supporting these efforts through governance-level functions.

Innovation: What is the Board’s Role
This guide outlines the board’s role in fostering innovation at health centers and provides practical insights to help support strategic thinking, governance, and organizational growth.

Financial Sustainability: How Boards Can Respond to Financial and Reimbursement Shifts

This short resource provides ideas about how health center boards and CEOs – in collaboration with their executive teams – can assess the impact of the changing landscape on the health center’s financial position and consider strategies for sustainability.