Step one is to clearly define the foundation's mission, vision and relationship to the hospital. Board members should have a clear position description, and they should be involved in a meaningful way in fund development activities. Foundation board members need to understand why the hospital needs funds and how donated funds will be used. Foundation board members should be recruited because of their commitment and willingness to contribute time and resources, not just have their name on the letterhead. Besides raising and donating funds, some foundation board members with the time and talents can participate in the hospital's strategic planning, thus helping shape the programs and services that contributions support. But beware: strategic decisions are the responsibility of the hospital or parent board that sees the big picture. One great way to re-energize a foundation board is a self assessment and improvement process, culminating in a board retreat. For more information, see the Summer 2003 issue of the Great Boards newsletter.