A local chapter of ACHE


Please join us for the following Events to learn more about the FACHE Credential and Credentialing Process

Board Governor's Exam

The Board of Governors Exam begins with a short biographical data questionnaire that takes approximately five minutes to complete. There are 230 questions—200 are scored and 30 are "trial", unscored questions. Candidates will have up to six (6) hours to complete the exam. Each question has four (4) possible answers, and a candidate's score is based on the number of scored questions on the examination. The "trial" questions do not affect a candidate's score—they are included so they can be evaluated for possible use as scored questions on future examinations.

Steps for Taking the Exam

  1. Meet ALL application requirements and become authorized to sit for the Board of Governors Examination in Healthcare Management. Please note that your authorization is valid for two (2) years. If you do not take the exam within that two-year period, you will need to re-apply to advance to Fellow status.
  2. We will send you an exam registration form that explains how to register and schedule a date to take the exam.
  3. Prepare for the examination through the Board of Governors Exam Online Tutorial, the Board of Governors Exam Review course (face-to-face), the Board of Governors Exam Study Set, the Reference Manual, or local study groups.
  4. Return the exam registration form to ACHE along with the exam registration fee ($200 if you are advancing to Fellow; $350 if you are recertifying your Fellow status) when you feel prepared to take the exam. Your exam eligibility is valid through your two (2) year application period. If you do not pass the Board of Governors Exam during your two (2) year application period, you will be required to submit a new Fellow application and fee.
  5. Select an exam site:
    • For more information on site locations for computer-based testing, visit the Pearson VUE site at www.pearsonvue.com. You must submit your $200 exam registration fee to ACHE before you will be eligible to schedule your exam appointment with Pearson VUE.
    • A paper-and-pencil exam is offered at ACHE's annual Congress on Healthcare Leadership in March.

To assist you in preparing for the exam, ACHE offers a comprehensive Reference Manual for download. You may also take part in the Online Tutorial.

ACHE also offers a Board of Governors Examination Review Course. Check the Education area of ache.org for dates and locations.

Health Administration Press has assembled a collection of books to supplement the Reference Manual and help you prepare for the exam. Learn more or purchase the set.


Exam overview

The Board of Governor's Exam represents a comprehensive review and assessment of 10 key areas of knowledge:

  • Governance and Organizational Structure - This area deals with the development and analysis of the organizational structure and with delineating responsibility, authority, and accountability at all levels of the organization. Functions include the development and implementation of policies and procedures for the governance process.

  • Human Resources - This area deals with assessing the need for and the supply of professional and other personnel. Functions include recruitment, selection, training, compensation, and evaluation of such personnel and examining ways to evaluate productivity and monitor accountability for results.

  • Finance - This area deals with the planning, development, establishment, analysis, and assessment of financial management processes for an organization's capital, budget, accounting, and related reporting systems.

  • Healthcare Technology and Information Management - This covers both management information and clinical information systems, including computer-based support for management, assessing how current technologies and major innovations are changing the way healthcare executives manage, using information systems for short- and long-range planning, using clinical information systems, and information systems acquisitions.

  • Quality and Performance Improvement - This area deals with the development, implementation, and evaluation of organizational accountability including TQM/CQI programs, quality assessment and assurance philosophies, policies, programs, and procedures.

  • Laws and Regulations - This area deals with identifying and interpreting the impact of government regulations and law on the organization; identifying the need for and working with others to develop new regulations and laws; investigating, monitoring, documenting, and enforcing existing statutes; and maintaining communication and cooperation with both public and private organizations.

  • Professionalism and Ethics - Professionalism deals with the development, monitoring, and maintenance of procedures to ensure that the needs of professional staff are met. Ethics includes identifying, monitoring, and disseminating codes of professional conduct; understanding the implications of ethical decisions, providing procedures to monitor standards of behavior within the organization; and determining, maintaining, and monitoring accountability procedures.

  • Healthcare - This area includes a broad range of organizations and professions involved in the delivery of healthcare. Included are managed care models, healthcare trends, and ancillary services provided.

  • Management - This area covers general management principles, planning, organizing, directing, and controlling in addressing overall organizational objectives.

  • Business - Knowledge that pertains to specific areas/concepts of the organization (e.g., marketing, business planning, strategic planning).

Click here for sample test questions