Strategic Plan 2022-2024 Updated July 2022
CHI St. Vincent Foundation
Executive Summary In 1888, philanthropy fueled the investment in St. Vincent Infirmary, the first hospital in Central Arkansas. In 2022, we plan to build on this legacy to advance our ministry to meet the needs of the communities we serve. Our three-year strategic plan includes three main goals to build a comprehensive philanthropy program that increases donations to support CommonSpirit’s vision of health care: Raise $10,000,000 to support the strategic initiative to reimagine the CHI St. Vincent Infirmary located in Little Rock; Develop a planned giving program; and Transfer $3,000,000 in existing temporary restricted funds to the hospitals to increase impact. To do this we will create a series of opportunities for potential donors to visit the Infirmary to meet with leaders and physicians to learn how they can make an impact; we will initiate a grateful patient program for our Heart program at the Infirmary; and, we will grow our annual donor base by 10% each year. We are also committed to increasing donor interactions significantly to reach 120 per year, and plan to launch an internal messaging campaign at each of our hospitals on the impact philanthropy is making in our community. The executive leadership of the Arkansas ministry strongly supports the foundation initiatives and will be an integral part of activating our plan. This support, the long term support we continue to receive from several generous families, and the gratitude of this community for our leadership throughout the COVID pandemic, afford us an opportunity to invite donors to invest in our ministry. Our goal is to fund the capital needs of the Infirmary as we continue to grow the largest and most comprehensive heart program in the state and invest in additional behavioral health programs including the newly opened inpatient addiction unit.
Laura Cook SVP & Chief Philanthropy Officer
Kathy Taylor Market Director, Development
Tracey Chesser Director, Development
Arkansas Market Strategic Priorities There are six elements in our strategic plan designed to achieve the best possible financial performance for CHI St. Vincent. The first three elements are Incremental Improvement Elements. These elements include “supercharge” Hot Springs; differentiate and grow key services in Little Rock; and re-imagine the Physician Enterprise. The next three elements are more transformational and are more difficult, pose greater risk, and require more investment. These three elements include reconfigure the Infirmary; pursue relevance; and develop a value-based payor strategy.
Core Strategies
1
Supercharge Hot Springs
2
Differentiate and Grow Key Service Lines in LR
3
Right-size Physician Enterprise
4
Reconfigure CHI St. Vincent Infirmary
5
Pursue Relevance
6
Payer Strategy
• •
• • •
•
•
•
• •
Grow key service lines Continue to develop Hot Springs into a regional referral center for southwest AR
Specialize in CV, Ortho, Neuro, Beh. Health, and Surgical Oncology Differentiate on size, access, reputation, quality and unique services Partner Behavioral Health and renovate/relocate
Scale PE in Little Rock to the size and services offered
Develop long-range plan to reconfigure and right-size the Infirmary with a smaller and more efficient facility/ footprint
Independent hospitals, physicians, and other health care providers
Partnership development Accelerate Value Based Reimbursement
Arkansas Market Strategic Priorities Strategic Summary Continue to Leverage Value Position to Improve Commercial Mix
1
•
Value = Quality + Service/access Cost
•
ASC strategy with ortho/spine CHISV West
•
Direct to employer and value contracts through AHN
•
Primary care growth
•
Physician alignment is crucial
•
Payer partnerships
•
Ambulatory strategy to attract and retain patients and providers
Enhance #1 Position in Key Services
2
•
Cardiac services
•
Critical care
•
Neurosurgery
•
Behavioral health
Continue to reimagine CHISV Infirmary
3
•
Heart “hospital within a hospital”
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IP Addiction Recovery Unit
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IP Rehab
•
Ambulatory cancer center
Arkansas Market Strategic Priorities How Do We Get There? Big Moves Up to 17 new DTE Contracts expected FY22 Rationale: AHN and AR Children’s Care Network partnered to bring unique, value-based offering to self-funded employers
Investment
Estimated Impact (EBITDA / Other Outcomes)
No capital investment; additional staff and physicians may be needed for the growth in network lives
$6.5M annually by end of Yr 5
S. University Primary Care Practice Relocation Relocate practice to more convenient and desirable location ($4M over 2 years) (1/2 in 22 and 1/2 in 23) CHISV Infirmary Encompass Health Rehab Hospital (Joint Venture) Rationale: Expand inpatient Rehab from 80 beds (CHISV North) to 104 beds (24 at CHISV Infirmary) to serve more Rehab patients in our system.
$4M
$4.2M
TBD
$3M
$7.6M CHISV Hot Springs Cancer Center Rationale: Upgrade equipment and technology to capture additional market share in Southwest Arkansas
($5M for linear accelerator; $1M to replace PET/CT)
FY22 - $1.1M FY23 - $2.3M
($1.6M for four 3D mammo units – raised by Foundation)
FY24 – $3.6M
$8M
TBD
$10M+ (20% philanthropy)
$900K
FY25 - $4.2M
CHISV Hot Springs Critical Care Expansion Rationale: Only Level II Trauma Center in Southwest AR; external transfers in up 28% over PY and could capture more w/expansion. 14 ICU, 10 stepdown beds Cardiac Strategic Plan Rationale: Expand to accommodate continued growth of specialized cardiology services EP lab, hybrid room, critical care co-location, remodel units, new entrance, relocate amb services
Arkansas Market Strategic Priorities How Do We Get There? Big Moves
CHISV North Arkansas Neurosciences Institute (ANI) Expansion Rationale: CHISV North 2nd floor expansion to add 14 beds & 4 ORs (Phase 1 2 ORs and 2 shell) to accommodate growth; re-purpose MOB to allow for the expansion. 4 physician recruits over 2-3 years CHISV West 3rd floor build out for primary care providers ($1.5M construction and equipment, $1.2M IT, FF&E 800K) (1 provider each year 22-25. 4 total) CHISV West Ortho JV COE/ASC Rationale: Align with large group of independent physicians to coordinate care of low acuity Ortho/Spine cases; greenfield development Robots for CHISV Infirmary and CHISV Hot Springs (including ROSA robot and robotic microscope for spine) CHISV Infirmary Cancer Center Rationale: Create an ambulatory cancer center to support growing network
Investment
Estimated Impact (EBITDA / Other Outcomes)
$14M $10-11M for hospital addition of beds; OR and related expansion $3.5M
$3M annually
$3.5M
TBD
$10-15M planned microhospital/FSED $9.5M if ASC ($9M for construction and $500K for equipment) More if FSED $4.1M for robots Microscope ($475K)
$25.3M ($16.3M for construction and $9M for equipment)
TBD
TBD
FY 26 and beyond
SOAR Analysis Strengths
Opportunities
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Rich legacy dating back to 1888
•
Leverage the legacy of several retiring physicians to benefit the ministry
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Our first hospital was founded through a philanthropic gift
•
Build grateful patient program for our largest service lines - Neuro and Heart
•
Leverage halo effect from the care we provided during COVID
•
Build an effective Planned Giving Program that doesn’t exist today
•
Leverage position as leader in behavioral health resources to broaden donor base
•
Assist stakeholders in navigating their healthcare needs
•
Ensure stakeholders are the first to know about important milestones or initiatives
•
Strong relationships with market executive leaders
•
Long term relationships with several generous families
Most Outstanding Achievement Successfully raising $4 million for our Neuroscience Institute with the support of multiple donor groups, three out of state foundations, physicians and board members.
Aspirations •
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Meaningful Measures
To effectively support our ministry and hospitals with a steady stream of capital each year to support key growth initiatives
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Total Fundraising Revenue
•
Total Transfers to Supported Entities
•
Cost Per $ Raised
To be an integral part of leadership rounding to develop stronger relationships with patients
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Total gift revenue increase 10% YOY
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Increase major gift revenue by 10% YOY
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Increase the number of unique donors by 10% YOY
Strategic Plan Drivers & Goals Driver One
Goal
Build a Comprehensive Philanthropy Program that Increases Donations to Support CommonSpirit’s Vison of Health Care
Raise a minimum of $10,000,000 to support the capital needs of the Arkansas market strategic initiatives. Metric: Total temp restricted dollars raised
Goal
Launch a planned giving program to retain current donors and secure 5 planned gifts over the next three years. Metric: Total planned gifts secured
Goal
Transfer $3,000,000 of unrestricted and temporarily restricted funds to supported entities over the next three years, to increase market impact and support hospital growth. Metric: Total unrestricted and temp restricted funds transferred
Strategic Plan Drivers & Goals Driver Two
Expand Engagement and Build a Pipeline of Donors
Goal
Create eight exclusive opportunities to engage donors on-site to meet with executive leaders and physicians and learn more about our ministry and how they can make an impact. Metric: Total number of onsite programs Develop an effective grateful patient giving program for the Infirmary and increase annual giving 10% year over year.
Goal
Metric: total number of inpatient interactions Metric: Total grateful patient gifts and total grateful patient dollars raised
Goal
Increase Community 1888 membership (annual donor group >= $1,000) by 10% annually Metric: Total Annual Members
Strategic Plan Drivers & Goals Driver Three
Goal
Build a Robust Major Gifts Program
Increase the number of substantial interactions to 120 annually for our major gift officer over the next three years Metric: Total number of recorded substantive interactions
Driver Four
Goal
Create a Culture of Philanthropy
Activate an internal campaign promoting philanthropy with patients, coworkers, leaders, boards and external stakeholders. Metric: Total number of unique messages
2023 Annual Plan Tactics Driver One
Build a Comprehensive Philanthropy Program that Increases Donations to Support CommonSpirit’s Vison of Health Care Q1 Q2 Q3
Q4
Create a giving program that honors legacy physicians, board members and leaders at the Infirmary Launch a campaign effort to support the Infirmary Project • Identify top 25 donor list and schedule visits • Submit grants for construction & renovation costs • Develop local campaign post soft launch Meet with hospital leadership quarterly to identify opportunities for funds transfers Launch a Planned Giving Effort • Identify top 50 planned giving prospects within Raiser’s Edge based on age, giving history and known capacity • Create planned giving materials for distribution • Identify best practice within CommonSpirit health for launching a planned giving program
Driver Two
Expand Engagement and Build a Pipeline of Donors
Secure a minimum of $100,000 in golf sponsorships and increase ROI 10% YOY Launch annual 1888 membership campaign • Establish campaign committee and create related materials • Upsell long term members to $2,500 giving level Communicate quarterly with donors via newsletter and exclusive announcements about key initiatives and impact of philanthropy Commit to rounding on Heart inpatients a minimum of two days per week and other Infirmary inpatients as needed
Q1
Q2
Q3
Q4
Annual Plan Tactics Driver Three
Build a Robust Major Gifts Program Q1
Q2
Q3
Q4
Q1
Q2
Q3
Q4
Schedule a minimum of ten donor interactions monthly • Increase major gift dollars 20% over 2022 Create a personal major donor communication that promotes health care navigation assistance Review high capacity lapsed donors monthly and develop plan to re-engage Refresh giving opportunities in all foundation communications
Driver Four
Create a Culture of Philanthropy
Launch and evergreen internal messaging campaign at all four hospitals to increase philanthropy awareness among patients and coworkers Develop new online presence in tandem with the Dream launch Develop social media campaigns each quarter with an emphasis on philanthropy • 1Q World Gratitude Day • 2Q Year-end Giving • 3Q Heart Month • 4Q Healthcare Heroes Launch coworker campaign including materials that highlight the impact of philanthropy • Follow up campaign with quarterly blasts to new coworkers and coworkers not participating in giving
Foundation Overview Background CHI St. Vincent is a vibrant health care ministry with a legacy dating back to 1888 when the Sisters of Mercy in Hot Springs and the Sisters of Charity of Nazareth in LIttle Rock answered a call - a call to help a community in need. CHI St. Vincent’s origin is the result of community generosity during the yellow fever pandemic. The Sisters came to Little Rock on the promise and provision of Mr. and Mrs. Alexander Hager, a wealthy couple who had made a promise to God that if Little Rock was spared the yellow fever epidemic that was ravaging Memphis, they would, in gratitude, provide the funds to build a hospital. Miraculously, the yellow fever outbreak did not affect Little Rock, and the Hagers kept their vow. The first hospital in Arkansas, St. Vincent Infirmary was created. As a health system, our focus is the health and wellbeing of Arkansans. We’re committed to make CHI St. Vincent a great place to work, practice medicine, and deliver excellent, compassionate care.
Our Five Key Transformative Strategies
1
Advocate for healthy populations
FY ‘22 Facts and Figures Physician Visits.....................993,910 Inpatient Admissions........... 30,381 Total Surgeries....................... 24,407 Emergency Visits................... 80,843 Outpatient Visits..................386,554 Coworkers................................. 4,215
2
Advance a coordinated approach to care
3
4
Address everyone’s unique needs
5
Enhance consumer engagement
Inspire our staff & providers
Key Facts: •
4 hospitals across Arkansas, plus one managed hospital
•
40+ primary care locations
• 70+ specialty physician clinics
•
ultiple convenient care M clinics
• • •
Emergency & trauma care Home health services Outpatient surgery centers
•
2 managed LTACHs
CHI St. Vincent Foundation was founded in 1979. The Foundation is resolute in our commitment to providing support for our Arkansas ministry. Our vision for this community is a healthier future for all - inspired by faith, driven by innovation, and powered by our humanity.
•
Joint venture rehabilitation hospital with HealthSouth
CHI St. Vincent Morrilton
Clinton
CHI St. Vincent North
Searcy
Russellville Morrilton Conway
CHI St. Vincent Hot Springs
Newport Heber Springs
Conway Regional
Mt. Ida
We understand how the power of one can cause a ripple effect on our community. We are St. Vincent Strong, thanks to our community of donors who demonstrate human kindness with their generous support. Together, we are making a real impact on the health of the people around us.
Unity Health
Hot Springs Village
Hot Springs
Sherwood
North Little Rock
Cabot Jacksonville Scott
Little Rock
CHI St. Vincent
Malvern
Stuttgart
Glenwood
Arkadelphia Murfreesboro Nashville
Fordyce
Camden
Lonoke
Monticello
Warren
Crossett
McGehee
HOSPITALS & SPECIALISTS CARDIOLOGY PRIMARY CARE
Foundation Overview Honors and Awards
•
CHI St. Vincent named to the 2022 Fortune/Merative 15 Top Health Systems
•
#1 Heart Progam in Arkansas recognized by US News and World Report
•
Magnet Designated at CHI St. Vincent Infirmary and CHI St. Vincent Hot Springs
•
LeapFrog "A" graded for quality in patient care at CHI St. Vincent Hot Springs
•
CHI St. Vincent Infirmary holds the highest quality rating for CABGS from The Society of Thoracic Surgeons
•
CHI St. Vincent Infirmary is a Center of Excellence for TAVR & Mitraclip Heart Procedures
•
CHI St. Vincent North earns AHA Get with the Guidelines Bronze Award for Stroke Care
Foundation Overview FY22 Year One Outcomes FY22 Goals
FY22 Outcomes
Achieved?
$2,000,000 budgeted fundraising revenue
$2,554,320 achieved
Yes
$1,000,000 budgeted transfers
$2,894,560 achieved
Yes
$1,500,000 budgeted major gifts $1,830,992 achieved
Yes
600 unique donors
One planned gift budgeted
Secured 1 planned gift acknowledgement
Additional Information
Driven by 2 gifts; 1 $1M GIFT & 1 $400,000 gift. Other giving was below expectations. Unique donors not budgeted
Yes
Total of 5 gifts budgeted over 3 years; 1 in year 1 and 2 for years 2 & 3
Eight on site donor engagement activities budgeted
No on site donor activities occurred
No
COVID surges prevented from hosting on site events this fiscal year as Arkansas remained red most of FY22
60 inpatient visits budgeted
16 inpatient visits secured
No
COVID restrictions prevented inpatient visits by Foundation staff
Increase annual donors of single gift of $1,000 or higher by 10% over FY21
Annual members donating $1,000 or more fell by 20 in FY22 and $ raised fell by $5,000
No
Several donors increased their annual gift to greater than $1,000; however, total number of donors fell due to our inability to host our annual event
Increase number of substantial interactions YOY
119 substantial interactions achieved
Yes
Baseline year in 2022
Secure $100,000 in Golf Classic sponsorships
Golf classic sponsorships of $89,000 received
No
Several previous sponsors were unable to participate due to budget constraints in FY22
Foundation Overview Historical Performance Revenue St. Vincent Infirmary - Little Rock
FY22
FY21
FY20
FY19*
$664,836
$79,097
$15,527
$763,162
$76,273
$64,970
$54,767
$40,000
St. Vincent - Hot Springs
$1,380,809
$ 1,418,788
$ 1,052,012
$ 1,252,389
St. Vincent - Morrilton
$1,232,878
$1,301,615
$1,197,894
$1,026,375
St. Vincent Hot Springs Physician Practice
$0
$ 6,755
$ 22,475
$ 24,384
St. Vincent Medical Group
$0
$0
$0
$ 39,307
St. Vincent Development Foundation
$2,514,636
$ 1,476,070
$ 1,428,203
$ 4,598,137
Arkansas Market Total
$6,027,963
$ 4,347,295
$ 3,770,878
$ 7,743,755
St. Vincent North - Sherwood
* FY19 included a one time planned gift of $2,498,118 that significantly increased revenue this year.
Expenses
FY22
FY21
FY20
$ 627,900
$ 604,144
$ 621,846
$ 582,762
$ 45,844
$ 46,773
$ 93,335
$ 136,141
$ 129,237
$0
$0
$0
$ 802,980
$ 650,917
$ 715,181
$ 718,903
$ 0.13
$ 0.15
$ 0.19
$ 0.09
Fundraising Revenue Per FTE
$ 1,506,991
$ 1,086,823
$ 942,720
$ 1,935,939
Transfers to Supported Entities
$ 2,894,560
$ 2,395,786
$ 3,334,595
$ 4,714,267
3.60
3.68
4.66
6.56
Development Foundation 7900100 St. Vincent Development Foundation 7900460 National Assessment Arkansas Market Total
CP$R
Transfer Multiple
FY19*
Foundation Overview Organizational Chart Larry Schumacher VP Southeast Division
Chad Aduddell Arkansas Market CEO Kara Griffin Executive Assistant II
Office administration and gift entry
Laura Cook SVP Development & Chief Development Officer
Kathy Taylor Market Director - Development Major gifts, grants, volunteer services
Tracey Chesser Director - Development Annual giving programs, events coordinator, database lead
Susan Rima Manager - Volunteer Services (Hot Springs)
Michael Millard Market Director - Mission
Chaplain (12) Activity Coordinator (2) Cook Lead
Foundation Overview Board Membership
Barbara Bender Auxiliary President
Ray Dillon Retired
Michael Millard CHI St. Vincent
Susan Blair Bank OZK
Elizabeth Farris Retired
Wendy Saer Volunteer
Rick Blank Stephens Inc.
Rick Fleetwood Retired
Robert Seay Cromwell Architects
Matt Chandler Powell Brothers Inc.
Eliza Gaines WEHCO
John Wade Haught and Wade
Laura Cook CHI St. Vincent
Denise Hanson Colliers International
Kirby Williams Stone Bank
Chad Aduddell CEO, CHI St. Vincent
Foundation Overview Community 1888 Our healthcare heroes are St. Vincent Strong due to donor support which helps further their education and training. Our patients are St. Vincent Strong thanks to our donors' generosity in providing life-saving technology needed for Cardiology, Neurosciences, Oncology, 3D Mammography and Orthopedics. Our community is St. Vincent Strong because annual donations ensure the poor and vulnerable have access to quality health care. Together, we are improving the health of the people we serve and are empowered by our humanity to provide healthcare to every Arkansan.
Our Community 1888 members are celebrated annually at a local event.
Foundation Overview Points of Pride Here are highlights of our most recent funding initiatives. 3D Mammography Project In 2021 CHI St. Vincent Foundation surpassed our goal by raising $1,664,074, and fully funding three 3D mammography units for CHI St. Vincent Hot Springs and one 3D mammography unit for our mobile mammography bus, serving rural communities and the underserved. The Foundation received major support from the Sunderland Foundation and the Katherine C. Anthony Charitable Trust, along with Arvest Foundation, CHI St. Vincent Hot Springs Auxiliary, AR Cancer Coalition, C. Louis and Mary C. Cabe Foundation, and the Frueauff Foundation. Arkansas Neuroscience Education and Research Center CHI St. Vincent Foundation raised just over $4 million in 2019 for the new Arkansas Neuroscience Education and Research Center adjacent to the CHI St. Vincent North Hospital in Sherwood, AR. The North campus is the new home of the Arkansas Neuroscience Institute (ANI) led by Dr. Ali Krisht and his team of neurosurgeons. ANI’s mission is to lead groundbreaking advancements in the field of neuroscience to improve patient outcomes. The North campus is a regional hub for neurosurgery patients seeking life-saving treatment. The Education and Research Center is an international destination for the next generation of surgeons to learn the skills necessary to tackle the most complex cases. We are grateful for the generosity of our community. These gifts build on the 130 year legacy of our ministry of caring for Arkansans and strengthens our program for the future. Margaret Clark’s lead gift of $500,000 was instrumental in achieving our goal and in securing a $250,000 challenge grant from the J.E. and L.E. Mabee Foundation. The 150 seat auditorium in the new Education and Research Center is named the “Margaret Clark Auditorium” in honor of her generous support. The generosity of many made the vision of Dr. Krisht and CHI St. Vincent a reality.
Foundation Overview Points of Pride Foundation raises $1,600,000 in 2019 for Anthony Childbirth Center The new Anthony Childbirth Center occupies a private wing on the fourth floor of CHI St. Vincent Hot Springs which cares for more than 1,000 births each year. The $3.5-million renovation project included 12 family-centered suites where mothers can labor, deliver and recover in the same space without the need to relocate or be separated from their child at any point. That innovation allows the introduction of a 100% LDRP model that ensures each mother gets the prenatal care and access to education she needs to have a healthy delivery and provide the highest quality of care to their child after leaving the hospital.
Coworker donates art to all four Arkansas hospitals as a loving tribute This artwork represents the cycle of life and the remembrance of loved ones lost during the COVID-19 pandemic. The blooming dogwood tree symbolizes rebirth. The cardinal is often used as a symbol of a lost loved one, now in heaven. For Christians, cardinals also represent Jesus Christ: his blood, his love and the hope of life everlasting. The painting was created for each of our four hospitals by Cassie Niotis, BSRT(R,M,CT) ARRT, Clinical Coordinator for the School of Radiologic Technology.
Foundation awards coworkers with more than $550,000 in scholarships since 2016 Our foundation is dedicated to supporting our coworkers with annual scholarships to advance their education and training. In 2021 we awarded $110,000 in nursing, non-nursing, allied health and certifications scholarships to our employees. Our largest scholarships awarded afford employees up to $10,000 each to complete their nursing education. These scholarships are funded through the Nursing Excellence Scholarship endowment and the St. Vincent Auxiliary Scholarship endowment. The Vogel family has supported our coworker scholarship fund for decades including $25,000 annually in nursing scholarships. Our own employees also support our scholarship fund through our annual employee campaign. Their generosity funds an average of 12-15 $1,000 scholarships each year.
Foundation 2 St. Vincent Circle | Little Rock, Arkansas 72205 chistvincent.com