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Templates

The Governance Institute offers templates governance support professionals can use to help their boards with everything from meetings to evaluations.


Our template collection includes samples of basic job descriptions, committee charters, meeting agendas, performance evaluations, strategic planning tools, guidelines and policies, and much more. We will be adding to this collection on a regular basis. If there is a sample or template that you would like to have that is not included in this collection, contact The Governance Institute at (877) 712-8778 or info@governanceinstitute.com, and we can send you additional samples upon request.

Board Committee Charters →

Board Committee Charters

Academic Medical Center Research Committee Charter →

Audit Committee Charter →

Audit and Compliance Committee Charter →

Community Health & Benefit Committee Charter →

Compliance Committee Charter →

Executive Committee Charter →

Executive Compensation Committee Charter →

Finance Committee Charter →

Governance Committee Charter →

Investment Committee Charter →

Quality Committee Charter—Freestanding Hospital Board →

Quality Committee Charter—Health System Board →

Strategic Planning Committee Charter—Freestanding Hospital Board →

Strategic Planning Committee Charter—Health System Board →

Board Development Materials →

Board Development Materials

Assessment Questionnaires for Individual Board Members →

Board Attendance and Participation →

Board Chairperson Performance Evaluation →

Board Development Plan →

Board Leadership Position Descriptions →

Board Member Annual Processes →

Board Member Departure Checklist →

Board Member Education Gaps Survey →

Board Member Profile and Continuing Education Record →

Board Skills Matrix →

Board Succession Planning Grid →
Board Talent Management Matrix →

Board Work and Education Plan →

Board Work and Education Plan: Governance Committee →

CEO Multi-Rater Performance Evaluation →

CEO Performance Evaluation →

CEO Performance Evaluation (Independent Health System or Parent Organization) →

CEO Performance Evaluation (Subsidiary Hospital) →

Characteristics of a High Performing Board Member →

Competency-Based Selection Guidelines for Boards of Directors →

Continuing Board Education Schedule →

Curriculum/Structure of an Orientation Program

Education Program for Committees and the Board →

Education Session Agenda →

Governance Effectiveness Action Plan →

Individual Board Member Development Plan →

Intentional Governance Assessment →

New Board Member Evaluation →

Personal Board Leadership Development Plan →

Pre-Retreat Board Questionnaire →
System Board Education Task Force Charter →

The Governance Institute's Leadership Criteria for Physicians, Board Members, and Executives →

Worksheet: Keeping Boards Engaged between Meetings →

Board Job Descriptions →

Board Job Descriptions

Board Chairperson →

Board Secretary →

Board Treasurer →

Chief Executive Officer →

Committee Chair →

Freestanding Hospital Board →

Governance Support Person/Board Coordinator →

Health System Board →

Hospital Board within a System →

Hospital Foundation Board →
Individual Board Member →

Senior Vice President of Governance/Chief Governance Officer →

Vice Chair →

Financial Statements →

Financial Statements

Executive Compensation Philosophy Statement →

Executive Compensation Tally Sheet →

Financial Dashboard Report →

Hospital Balance Sheet →

Scorecard or Statistical Report →

Statement of Cash Flows →
Statement of Operations →

Meeting Agendas and Board Calendars →

Meeting Agendas and Board Calendars

2–3 Minute Committee Update →

30 Minute Committee Deep Dive →

Agenda for Board Self-Assessment and Improvement Retreat →

Agenda Item Submission Form →

Board Agenda Process Template →

Board and Committee Meeting Attendance Policy →

Board Calendar →

Board Meeting Agenda →

Board Meeting Agenda with Framing Questions →

Meeting Evaluation Form →

Meeting Evaluation Form (General) →

Planning Calendar (Board Agendas, Reports, and Administrative Tasks) →

Quality Committee Meeting Agenda →

System Board Meeting Calendar →
Timed Board Meeting Agenda →

Worksheet: Committee Meetings →

Policies and Guidelines →

Policies and Guidelines

Board Composition Policy →

Board Diversity Policy →

Board Leadership Succession Policy →

Community Health & Benefit Policy →

Confidentiality Policy →

Conflict-of-Interest Annual Disclosure Questionnaire →

Conflict-of-Interest Policy →

Corporate Governance Policy →

Definition of an Independent Director →

Disabling Guidelines →

Form 990 Policy Templates →

Governance Education Policy →

Independent Director Policy →

New Programs and Services Policy →

Physician Conflict of Interest Policy →

Physician Recruitment Policy →

Public Transparency Policy →

Strategic Planning Tools →

Strategic Planning Tools

Annual Strategic Planning Board Retreat →

Balanced Dashboard Scorecard →

Board and Executive Quality Dashboard →

Board Meeting Discussion to Confirm the Critical Strategic Questions →

Board Policy on Strategic Planning →

Board Strategic Planning Capabilities/Challenges Assessment Tool →

Board Visioning Retreat Objectives and Agenda →

Community Board Governance Decision Authority Matrix →

Facilitated Focus Group Session with the Board: Identifying Critical Strategic Issues →

Governance Authority Matrix →
Interactive System-Level Dashboard Report →

Measures of Caring Scorecard →

Mission and Core Values Development Retreat →

Prototype Governance Matrix →

Single-Hospital Board and Committee Structure →

Strategic Plan Framework →

Strategic Quality and Safety Plan Dashboard →

System-Level CEO Dashboard →

System-Level Comprehensive Dashboard Report →
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