Health care organizations have made significant strides in developing Enterprise Risk Management (ERM) programs, but there is still much work to be done. To facilitate this process, ASHRM has adopted an ERM definition and an ERM Framework for use in health care. This framework is based on that developed by the Council of Sponsoring Organizations of the Treadway Commission (COSO) in 2017. This white paper will graphically display the framework and describe key structural components necessary in any health care setting. Use this framework to help build consistency in your efforts to move ERM forward.