Great Boards

Promoting Excellence in Healthcare Governance

Board and committee structure

Describe the attributes that are important for an audit committee

Wilson: There are two: 1. Audit Committee members should be independent of management. No hospital employees should sit on the Audit Committee. In fact, when the Audit Committee meets with the internal and external auditors, management should be asked to leave the room. 2. Trustees who sit on the Audit Committee should be financially literate enough to interpret financial statements and engage in a meaningful discussion with the auditors.

Riley: I recommend that the board have an Audit Committee that's separate from its Finance Committee. At least one member of the Audit Committee should have substantial financial expertise. But the rest of the members should represent a cross section of your board members. Some of the best communication I've ever heard take place between an Audit Committee and an external auditor has come from board members with little financial background, who are willing to ask the proverbial dumb question.

LeFever: Members must be willing to ask questions. They need to ask the auditors point-blank to go beyond the numbers and say whether this is a company that is well run and as financially strong as the records seem to indicate.

added/updated: 1/1/2003
topic(s): Audits, Board and committee structure, Board Composition
This information comes from GreatBoards.org, the online resource for effective governance.return to top

How large should a board be?

A board should be large enough to include a diversity of the competencies it needs to exercise its responsibilities but small enough to engage in active discussion, make timely decisions and bond together as a team. Generally, 9-15 members is the ideal size range for boards of hospitals and health systems.

added/updated: 4/15/2004
topic(s): Board and committee structure, Board Composition
This information comes from GreatBoards.org, the online resource for effective governance.return to top

How often do hospital and health system boards meet?

There is a substantial amount of variance in meeting frequency. According to the 2003 survey of boards by The Governance Institute:

What are the most common committees of hospital and health system boards? According to the 2003 survey of boards by The Governance Institute, 93% of hospital and health system boards have one or more board committees. The range was one to 19 committees – with a median of five committees. The most common committees are:

added/updated: 3/22/2005
topic(s): Board and committee structure, General Governance, Meetings and information
This information comes from GreatBoards.org, the online resource for effective governance.return to top

Is it acceptable for a member of the board to double as general counsel?

Adelman: It's a huge mistake. It totally distorts the attorney/hospital relationship. I'm being asked for my unbiased advice of the pros, cons, risks, benefits and alternatives for a particular transaction. If I give that to the board, and then I turn around and vote on the decision, I've colored my advice. I'm biased. I'm saying you ought to vote how I vote.

Chresand: I would frown on that. I think it creates potential conflicts; it puts them in a less-than-objective position.

Iseman: It's a bad idea for the general counsel to sit as a member of the board. It's a conflict of interest. The general counsel needs to remain independent and to not be a part of the final decision-making process.

added/updated: 4/15/2004
topic(s): Board and committee structure, Legal Issues
This information comes from GreatBoards.org, the online resource for effective governance.return to top

Should a member of the medical staff serve on the executive compensation committee?

No. All members of the executive compensation committee should meet the board's definition for an independent director. In no way should they have any significant, or material, economic relationship with the organization. If they do, it is a conflict of interest that could be perceived to influence their decisions on CEO pay and benefits. A member of the medical staff is an "inside," non-independent director, and therefore should not be named to this committee.
added/updated: 11/15/2006
topic(s): Board and committee structure, Board Composition, Physician Issues
This information comes from GreatBoards.org, the online resource for effective governance.return to top

Should executive committees meet regularly?

On boards that are large, meet quarterly, or have geographically dispersed members, regularly scheduled executive committee meetings may be needed to provide timely oversight and decision making between board meetings. In most other circumstances, such as the typical, 14-15 member community hospital board, regular executive committee meetings run the risk of creating a powerful “in group” and engendering resentment and apathy among other members.
added/updated: 6/28/2005
topic(s): Board and committee structure, General Governance
This information comes from GreatBoards.org, the online resource for effective governance.return to top

What committees should a board have?

It depends. Some boards function as a committee of the whole, while others make extensive use of working committees.

The most common committees for boards of health systems and hospitals are:

To keep the committee structure relevant, consider abolishing all committees (except those required by law) every one to two years. Re-establish only those committees truly needed given the organization's current vision and the board's core responsibilities. Consider using task forces rather than standing committees to perform short-term projects.

added/updated: 1/1/2003
topic(s): Board and committee structure, General Governance
This information comes from GreatBoards.org, the online resource for effective governance.return to top

What does a governance committee do?

The Governance Committee is generally responsible for overseeing and making recommendations to the board with regard to:

added/updated: 4/15/2004
topic(s): Board and committee structure, Self-Assessment
This information comes from GreatBoards.org, the online resource for effective governance.return to top

What should subsidiary or affiliate boards of health systems do?

All boards should perform value-added work and not duplicate work done at another level of the organization.

In health systems with multi-tiered governance structures, it's common that local or market boards report to a parent board that has authority over finances, strategic plans, CEO appointment and even local board appointments.

Even though formal authority is vested in the parent board, local boards can be given a good deal of responsibility so they add value. The local board and its CEO should know the local market, community needs and special circumstances far better than a corporate board overseeing a national or regional system. Therefore, the local board can add value in the areas of strategic planning, quality of care, community relations and fund development. The local board should also participate in CEO evaluation.

If local boards don't have meaningful responsibilities, they won't be able to attract and retain talented trustees who could put their volunteer efforts to work elsewhere.

For more information on this subject, see "Value-added Governance in Multi-tiered Health Systems" by Barry S. Bader, available from www.governanceinstitute.com.

added/updated: 3/24/2004
topic(s): Board and committee structure, Roles and responsibilities
This information comes from GreatBoards.org, the online resource for effective governance.return to top

What should the executive committee’s charter include?

The bylaws and the committee charter should make clear whether the committee may act on behalf of the board, and whether the board must ratify its actions or just be informed. The bylaws may allow the Executive Committee to act on any matter, or they may restrict it from approving certain actions, such as sale or acquisition of subsidiaries, incurring debt greater than $1 million, removal of the CEO, or removal of board members. The committee also serves as a sounding board for the CEO on emerging, confidential and sensitive matters. Some executive committees also are responsible for CEO evaluation and compensation and for nominations and governance. In such cases, the committee should meet several times a year for those purposes.
added/updated: 6/28/2005
topic(s): Board and committee structure, General Governance, Roles and responsibilities
This information comes from GreatBoards.org, the online resource for effective governance.return to top

Who should serve on the executive committee?

The committee should include the board’s principal leaders, such as the Chair, Vice Chair, treasurer, secretary, key committee chairs, and the CEO (if she is a voting board member. Some executive committees include only the board's officers, not the chairs of key committees. Since the executive committee in many cases has authority to act on behalf of the board, it is good practice for a board to regularly assess the makeup of the executive committee.
added/updated: 6/28/2005
topic(s): Board and committee structure, General Governance
This information comes from GreatBoards.org, the online resource for effective governance.return to top

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