David We used community advisory boards extensively in my prior health care positions. They took time to evolve but the CABS did become important two way communication between the hospitalS and the communities each served. We did not use them for fundraising or as junior boards. We used them for information sharing and opportunities for hospital leadership to get feedback from our community constituents. The board met quarterly, and was led by each hospital’s president or chief operating officer. The agenda was typically an update on important community initiatives by the hospital most usually involving population health or access issues. We tried to have the hospital portion now more than a quarter of the agenda. The remainder of the agenda was for the other advisory board members to do education or provide information on its programs or upcoming conferences or events Besides the evolving agenda of the community advisory board , we also looked closely at the composition of the board from time to time to hopefully reflect the community. We had for example local YMCAs, public libraries, senior centers, social services organizations and representatives from local elected officials. I will say that all of this took resources both time and funding to maintain We were in the process of putting together a charter for the advisory boards that was common across the hospital system