Is Your Board HRSA-Compliant? Let's Find Out.
HRSA requires strict board structure, oversight, and documentation to approve or renew your FQHC status. This checklist helps you evaluate your board before they evaluate you.
Why This Matters
HRSA, FTCA, and OSV reviewers consistently cite board governance as a top failure point. Even clinics with strong programs can receive conditions — or lose designation — because of gaps in board structure or documentation.
This checklist helps you close the gaps — before they become findings.
- 01 Missing or outdated bylaws
- 02 Patient representation that doesn't meet the 51% majority requirement
- 03 No board training records or annual evaluation process
- 04 Lack of documented authority over the CEO, budget, or scope of services
- 05 Board members who are unaware of their legal responsibilities
What the Checklist Covers
Board Structure and Patient Majority
- Patient representation rules and documentation requirements
- Member roles, terms, and selection process
- Independent board member requirements
Bylaws, Authority, and Oversight
- Bylaws review and delegation of authority
- Board authority over CEO, budget, and services
- Required areas of fiduciary oversight
Meeting Records and Compliance
- Meeting frequency, minutes, and quorum documentation
- Voting records and executive session standards
- HRSA-specific board evaluation questions
OSV and FTCA Readiness
- Board training and orientation documentation
- Annual board performance evaluation process
- Mock OSV self-assessment checklist items
Who it's for
- 01Executive directors and compliance officers at FQHCs and Look-Alikes
- 02Clinic founders pursuing FQHC or Look-Alike designation
- 03Health center boards preparing for Operational Site Visits or FTCA reviews
- 04HRSA grantees approaching renewal or mid-cycle review
- 05Nonprofits converting into full-service community health centers
What You'll Walk Away With
- A printable PDF checklist organized by governance category
- Clear yes/no criteria you can review against your current board structure
- A reference guide for HRSA's patient board majority requirements
- A list of common OSV findings related to board governance — and how to prevent them
- Option to request a free board compliance review with a MedCore strategist
Send Me the Checklist
Enter your details and the PDF will land in your inbox within a few minutes.
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Don't Let Board Governance Be the Reason You Fail Your OSV.
If you'd rather have an expert walk through your board structure directly, book a 30-minute call and we'll review your documentation together.