Business excellence and excellent performance realization on organizational level has been attracting many researchers in the last two decades. Business Excellence models (BEMs) and their related methodological issues subjected as well to deep investigation. However, in the state of the art literature, it has been proved that BEMs still have some methodological issues that need to be resolved. In the current paper, as part of ongoing project to evaluate BEMs’ EPRMs efficiency and effectiveness, Excellence Performance Realization Methodologies (EPRM) terminologies analyzed, and then EPRM defined. Affinity diagram used to extract the necessary information from the reviewed literature, organize it, and remove the duplicated information in order to identify the main elements of EPRMs. Based on the conducted analysis, six elements of EPRMs proposed namely Equipment, Fundamentals, Performance management, Inputs, Process, and Outputs, then conceptual framework for applying EPRMs elements proposed. The proposed framework gives an insight, to the researchers and practitioners in organizational excellence scope, about the elements need to be exist in any model/methodology adopted to realize excellent performance. For future work, the proposed elements and frameworks will be use to evaluate BEMs’ EPRMs to improve BEMs’ efficiency and effectiveness.