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Harvard Case - Fundraising at St. Camillus Hospital

"Fundraising at St. Camillus Hospital" Harvard business case study is written by Srikant M. Datar, Caitlin N. Bowler. It deals with the challenges in the field of Accounting. The case study is 10 page(s) long and it was first published on : Oct 1, 2018

At Fern Fort University, we recommend St. Camillus Hospital implement a comprehensive fundraising strategy focused on diversifying revenue streams, enhancing donor engagement, and optimizing operational efficiency. This strategy will involve a combination of traditional and innovative fundraising methods, leveraging digital platforms, and fostering strong relationships with key stakeholders.

2. Background

St. Camillus Hospital, a non-profit healthcare organization, faces a significant challenge in securing adequate funding to maintain its operations and expand its services. The hospital relies heavily on charitable donations, which have been declining in recent years. The case study highlights the hospital's struggle to balance its mission of providing quality healthcare with the need to ensure financial sustainability. The main protagonist is Sister Mary Margaret, the hospital's CEO, who is tasked with navigating this complex situation and finding a solution to secure the hospital's future.

3. Analysis of the Case Study

Financial Analysis:

  • Financial Statements: The case study provides limited financial data, but it is evident that St. Camillus Hospital faces financial constraints. The decline in donations, coupled with rising operating costs, has put pressure on the hospital's budget.
  • Cost Accounting: The hospital needs to implement a robust cost accounting system to identify areas of inefficiency and optimize resource allocation. This could involve activity-based costing to accurately allocate costs to specific services and departments.
  • Profitability: The hospital needs to analyze the profitability of its various services to identify areas for improvement and potential cost-cutting measures. This analysis should consider factors like patient mix, service utilization, and resource allocation.
  • Cash Flow: St. Camillus Hospital must ensure a healthy cash flow to meet its financial obligations. This involves managing accounts receivable, optimizing inventory management, and exploring alternative financing options.

Fundraising Strategy:

  • Diversification: The hospital should explore a variety of fundraising avenues beyond traditional donations. This could include:
    • Grant writing: Seeking grants from foundations, government agencies, and corporate sponsors.
    • Special events: Organizing fundraising events like galas, auctions, and walks.
    • Capital campaigns: Targeting major donors for specific projects or building expansions.
    • Philanthropic partnerships: Collaborating with other organizations to leverage resources and reach new donors.
  • Donor Engagement: St. Camillus Hospital needs to cultivate strong relationships with its donors. This can be achieved through:
    • Personalized communication: Regularly communicating with donors about the impact of their contributions.
    • Donor recognition: Publicly acknowledging and thanking donors for their support.
    • Volunteer opportunities: Engaging donors in volunteer activities to foster a sense of ownership.
    • Donor events: Organizing exclusive events for major donors to build stronger connections.

Operational Efficiency:

  • Cost Optimization: St. Camillus Hospital should implement cost-cutting measures without compromising quality of care. This could involve:
    • Negotiating better pricing with suppliers.
    • Optimizing staffing levels and scheduling.
    • Implementing lean management principles to eliminate waste.
  • Technology Adoption: Investing in technology can improve efficiency and enhance patient care. This could include:
    • Electronic health records (EHRs): Streamlining patient data management and improving communication.
    • Telemedicine: Expanding access to care and reducing travel costs.
    • Data analytics: Analyzing patient data to identify trends and improve care delivery.

4. Recommendations

  1. Establish a Comprehensive Fundraising Plan: Develop a detailed fundraising plan that outlines specific goals, strategies, and timelines. This plan should incorporate a diverse range of fundraising avenues, including traditional donations, grant writing, special events, capital campaigns, and philanthropic partnerships.
  2. Create a Dedicated Fundraising Team: Assemble a team of experienced fundraising professionals with expertise in donor relations, grant writing, and event management. This team should be responsible for developing and executing the fundraising plan.
  3. Implement a Robust Cost Accounting System: Adopt a cost accounting system that accurately tracks expenses and allocates costs to specific services and departments. This will allow the hospital to identify areas of inefficiency and optimize resource allocation.
  4. Leverage Technology for Fundraising and Operations: Invest in technology solutions to streamline fundraising efforts and enhance operational efficiency. This could include a donor management system, online donation platforms, and electronic health records.
  5. Enhance Donor Engagement: Develop a comprehensive donor engagement strategy that focuses on building strong relationships with current and potential donors. This should include personalized communication, donor recognition programs, volunteer opportunities, and exclusive donor events.
  6. Promote Transparency and Accountability: Ensure transparency in the hospital's financial management and fundraising activities. Publish annual reports and financial statements to build trust with donors and stakeholders.

5. Basis of Recommendations

These recommendations are based on the following considerations:

  • Core Competencies and Mission: The recommendations align with St. Camillus Hospital's mission of providing quality healthcare to the community. They aim to ensure the hospital's financial sustainability while maintaining its commitment to providing compassionate care.
  • External Customers and Internal Clients: The recommendations address the needs of both external customers (patients) and internal clients (staff and donors). They aim to improve patient care while fostering a positive work environment and building strong relationships with donors.
  • Competitors: The recommendations consider the competitive landscape in the healthcare industry. They aim to position St. Camillus Hospital as a financially viable and attractive option for patients and donors.
  • Attractiveness: The recommendations are expected to improve the hospital's financial performance and increase its fundraising capacity. This will enhance the hospital's attractiveness to potential donors and investors.

6. Conclusion

By implementing these recommendations, St. Camillus Hospital can significantly improve its fundraising capacity, enhance operational efficiency, and secure its long-term financial sustainability. This will enable the hospital to continue providing high-quality healthcare to the community and fulfill its mission.

7. Discussion

Alternatives:

  • Mergers and Acquisitions: Merging with another healthcare organization could provide access to additional resources and expertise. However, this option could also lead to job losses and a loss of control.
  • Reducing Services: Cutting back on certain services could reduce costs but could also limit access to care for patients.

Risks and Key Assumptions:

  • Economic Downturn: A decline in the economy could lead to a decrease in donations.
  • Competition: Increased competition from other healthcare providers could make it more difficult to attract patients and donors.
  • Regulatory Changes: Changes in healthcare regulations could impact the hospital's operations and financial performance.

8. Next Steps

  1. Develop a detailed implementation plan: Outline specific tasks, timelines, and responsible parties for each recommendation.
  2. Secure funding for key initiatives: Identify funding sources for technology investments, staff training, and marketing efforts.
  3. Engage stakeholders: Communicate the fundraising strategy and implementation plan to key stakeholders, including staff, donors, and the board of directors.
  4. Monitor progress and make adjustments: Track progress towards goals and make necessary adjustments to the strategy as needed.

By taking these steps, St. Camillus Hospital can successfully navigate its financial challenges and ensure a bright future for the organization.

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Case Description

St. Camillus is a fictional non-profit hospital in rural Maine facing a serious budget deficit. As Director of Marketing, Victoria Stern is building a team to modernize the hospital fundraising efforts. An interview with a promising candidate who is also a digital native forces her to confront shifting attitudes toward issues of data and privacy across generations against the backdrop of continued cybercrime and data breaches within the healthcare industry. Students grapple with the tension between data as "useful" or private within an organization. In this context they explore the ethical issues they will face around data security and data governance in their roles as managers.

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