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4. Governance
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  1. Board Authority:
    Health center governing board maintains appropriate authority to oversee the operations of the center, including:

    • Holding monthly meetings

    • Approving the health center’s grant application and budget

    • Selection/Dismissal and performance evaluation of the health center CEO

    • Selection of services to be provided and the health center’s hours of operations

    • Measuring and evaluating the organization’s progress in meeting its annual and long-term programmatic and financial goals and developing plans for the long-range viability of the organization by engaging in strategic planning, ongoing review of the organization’s mission and bylaws, evaluating patient satisfaction, and monitoring organizational assets and performance

      Note: In the case of public centers (also referred to as public entities) with co-applicant governing boards, the public center is permitted to retain authority for establishing general policies (fiscal and personnel policies) for the health center. (Section 330(k)(3)(H) of the PHS Act and 42 CFR 51c.304(d)(iii) and (iv))

    • Establishing general policies for the health center

  2. Board Composition:
    The health center governing board is composed of individuals, a majority of whom are being served by the center and, who as a group, represent the individuals being served by the center.

    • Governing board has at least 9 but no more than 25 members, as appropriate for the complexity of the organization.

    • The remaining non-consumer members of the board shall be representative of the community in which the center's service area is located and shall be selected for their expertise in community affairs, local government, finance and banking, legal affairs, trade unions, and other commercial and industrial concerns, or social service agencies within the community.

    • No more than one half of the non-consumer board members may derive more than 10% of their annual income from the health care industry.

  3. Conflict of Interest Policy:
    Bylaws or written corporate board-approved policy include provisions that prohibit conflict of interest or the appearance of conflict of interest by board members, employees, consultants, and those who furnish goods or services to the health center. No board member shall be an employee of the health center or an immediate family member of an employee (including: spouse, child, parent, brother or sister by blood or marriage of such an employee). The Chief Executive Officer may serve only as an ex-officio member of the board (45 CFR Part 74.42 and 42 CFR Part 51c.304(b), when applicable).


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