The ACHE Board of Governors exam is newly revised to a longer and much more encompassing examination. Previously there were 170 questions with a test duration of four hours. As of August, the exam is 250 questions with a test duration of six hours. The requirements to take the Board of Governor's Exam are as follows:

  • Master's or other advanced degree

  • A healthcare management position and two years of healthcare management experience

  • Three references from Fellows, including one structured interview

  • Completed application, including payment of the $250 fee (the application is valid for three years)

To earn the FACHE credential, you must also:

  • Pass the Board of Governor's examination in Healthcare Management

  • Have three years' tenure as an ACHE member

  • Have five years' healthcare management experience

  • Complete 40 hours of continuing education credit in the prior five years, 12 hours of which must be ACHE Category I credit

  • Participate in healthcare and community/civic activities

Preparation for the Board of Governers (BOG) Exam

Advancement to Fellow (FACHE)

  • About FACHE Credential
  • Steps to Advance
  • Requirements at a Glance
  • Regulations Governing Admission, Advancement and Recertification (PDF)
  • Apply Now
  • Submit a Reference
  • Credential FAQ
  • Fellow Advancement Webinars
  • Prepare for Board of Governors Exam

  • Exam Study Resources
  • Online Tutorial
  • Exam Review Course
  • Exam Self-Study Set
  • Exam Online Community

  • Fellow Toolkit

  • Promoting Your Credential
  • Networking Opportunities
  • Leadership and Learning Opportunities
  • New Fellow Convocation

  • ACHE will notify you when you are eligible to recertify. When you are eligible, you will be given access to the online recertification application from My ACHE. The application will not be available until it is time for you to recertify.

    Is it time to recertify?

    Stay on track!Recertification Requirements

    You must have completed 24 hours of continuing education since your advancement or last recertification, (at least 12 of which are Category I ACHE education) OR you may choose to retake and pass the Board of Governors Examination.

    Exam Resources

    Steps for Taking the Exam

    1. Apply to earn Fellow status and become authorized to sit for the Board of Governors Examination in Healthcare Management. Please note that your authorization is valid for three years. If you do not take the exam within that three-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. You can either take the computer-based version or paper-and-pencil format.
    3. Prepare for the examination through local study groups, the Reference Manual (PDF), Online Tutorial, Board of Governors Exam Review course, or the Board of Governors Exam Study Set. >If you do not have Adobe Acrobat Reader, click here.
    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-whether you choose the paper-and-pencil test or the computer-based option. Please note that you must take the exam within 90 days of the date on which you paid your examination fee. After 90 days, the fee will be forfeited and you will be required to re-register.
    5. Select an exam site: >
      For information on site locations for computer-based testing, visit the Prometric Web site at You must submit your $200 exam registration fee to ACHE before you will be eligible to register with Prometric. You may cancel or reschedule your testing date without penalty until noon of the second business day prior to the scheduled appointment. After this time, you forfeit your exam registration fee.
    6. The paper-and-pencil exam is offered at ACHE's annual Congress on Healthcare Leadership in March.

    Exam Overview

    The exam begins with a short biographical data questionnaire that takes less than five minutes to complete. There are 230 questions. 200 are scored and 30 are pretest questions. Candidates will have up to six hours to complete the exam. Each question has four possible answers and a candidate's score is based on the number of scored questions on the examination. The pretest questions do not affect a candidate's score.

    Pretest questions are included in order to evaluate them for possible use as scored questions on future examinations. The pretest questions are placed throughout the examination and cannot be identified during the examination.

    Since there is no penalty for incorrect answers, it is to your advantage to answer every question, even when uncertain of the correct answer. No credit is given for questions with more than one response. Click here for sample questions from past versions of the exam.

    The 10 Knowledge Areas Covered in the Exam

    The knowledge areas identified as pivotal for the practice of healthcare management are defined below. (For more specific information on the types of questions asked for each knowledge area, click here.)

    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.


    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.


    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.


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


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

    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 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.

    Take the next step toward becoming board certified in healthcare management as an ACHE Fellow (FACHE®).

    *Images and content courtesy of ACHE

    Additional Resources

    Army-Baylor Class of 2008 ACHE Study Guide

    Setting Up a Regional Based Study Group Guide

    BOG Quiz in MS Excel


    Every June, ACHE offers a special to waive the fee for FACHE application when taking the BOG exam (two-for-one deal).

    Additional resources made available courtesy of Carrie DeKorte, PharmD, BCPS, FACHE, Assistant Director, Southern Arizona Veterans Affairs Health Care System and Mary Ann C. Witt, FACHE, Health Systems Specialist, Albany Veterans Affairs Medical Center.

    or more information about the session or advancing to Fellow, please contact either Brian DeMoss, FACHE @ or Maire Simington PhD, FACHE, President Elect @

    Apply now

    Below is a list of Affiliates who have joined ACHE, the Members who have passed the Board of Governors exam and the Fellows who have advanced or recertified since January 1 in this Chapter territory. Please take a moment to congratulate your colleagues for their commitment to advancing their healthcare careers. Use the online Affiliate Directory to obtain their contact information.


    Deborah H. Dahl, FACHE, Phoenix
    Robert D. Magnuson, FACHE, Flagstaff
    Deborah J. Martin, FACHE, Glendale

    Members who recently passed the Board of Governors Exam

    Robert Fromm Jr., MD, Phoenix

    New Members

    Ganesh Acharya, Phoenix
    Michael Alexander, Gilbert
    David E. Barger, Phoenix
    Nancy W. Bateman, Scottsdale
    Sherrie Beardsley, Gilbert
    Cheralyn T. Beaudry, PhD, Scottsdale
    Evan Burks, CPA, Mesa
    Robert S. Cartee, Fountain Hills
    Stephanie M. Chambers, RN, Phoenix
    Rona Curphy, Casa Grande
    Walter B. Davis, Tucson
    Brian D. Dessoy, Paradise Valley
    Roshanak Didehban, Phoenix
    Gerardine Dizon, RN, Phoenix
    Mark R. Doseck, Scottsdale
    Michelle L. Drawz, Marana
    Benjamin D. Farrar, Mesa
    Gary Foster, Phoenix
    Sam Fusco, Chandler
    Darin Goss, Scottsdale
    Dan Gutknecht, Glendale
    Jonathan B. Hammond, Goodyear
    J Stephen Hockins, Tucson
    Julie E. Hughes, Phoenix
    Degratious Jenkins, Sierra Vista
    Selma Kendrick, Mesa
    Jeffrey Kuchel, Tucson
    Yvonne J. Lamme, Tucson
    Debra K. Long, Phoenix
    Rev. Jennifer L. Lower, Phoenix
    CPT Serena Mukai, Sierra Vista
    Fernando F. Nascimento, Mesa
    Roland G. Peltier, Phoenix
    Debra K. Pendergast, RN, Phoenix
    Jeffrey Porter, Scottsdale
    Tracy E. Poured, Tucson
    Sandra L. Price, Phoenix
    Jonena L. Relth, Oceanside
    Melba F. Ribeiro, Flagstaff
    Carl Romero, Phoenix
    Christopher T. Sadvary, Scottsdale
    Agnes M. Samaniego, Chandler
    Paul J. Schenk, MD, PhD, Scottsdale
    Penny S. Schmiege, Sun City
    Stephen Self, PhD, Phoenix
    Sarah Shacter, Phoenix
    Connie Silverstein, Oro Valley
    Patrick A. Smith, MD, Tucson
    Donald R. Snyder, RN, Mesa
    Molly G. Stockley, Peoria
    Akash S. Taggarse, MD, Tucson
    Judith A. Tatman, RN, Tucson
    Susan L. Trace, Phoenix
    Anita Wample, Tucson
    Steve Wright, Scottsdale
    David Young, San Carlos
    Recertified Fellows
    Joseph J. DeSilva, FACHE, Scottsdale
    Saundra E. Johnson, FACHE, Phoenix
    John G. King, FACHE, Scottsdale
    Sheila A. Perry, RN, FACHE, Prescott Valley
    Lynda A. Salmond, FACHE, Oceanside
    Norman B. Spector, FACHE, Litchfield Park
    David G. Veillette, PhD, FACHE, Goodyear

    (Resources and List of new FACHE members courtesy of ACHE)