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Panel debates structure and staffing for proposed hospital foundation and citizens advisory board

2824174 · February 21, 2025
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Summary

Advisory panel reviewed interest in a citizens advisory board and considered options for forming a 501(c)(3) hospital foundation, with questions about governance, paid staff and fundraising capacity.

Panel staff reported seven expressions of interest for a proposed Citizens Advisory Board tied to the hospital project; one formal application had been approved under the process described to the panel.

Irina summarized research into how other state hospital foundations are structured. "None of them have a paid CEO or executive director, and all the operations are carried by either the board or the members of the organization," Irina said, adding that other hospitals had used pro bono lawyers to assist with formation. She described an open question about whether the foundation would employ a paid executive or rely on hospital staff to carry out finance, donor relations and administrative tasks.

Panel member Natasha (panel member) and others raised concerns about fundraising capacity and operational needs. "I'm a bit reluctant to have a 501(c)(3) and foundation and not have a single staff person," one panel member said, noting that donor stewardship, fundraising databases and a clear operational model take staff time and start‑up capital. Scott and other panelists discussed models in which hospital finance or purchasing staff handle accounting while community board members provide oversight and fundraising activities.

The panel discussed whether foundation operations might be staffed by existing hospital employees (for example, finance or development personnel) or require a funded executive director. Irina noted that in other state hospitals, the operating roles are often carried out by hospital staff rather than a separately paid CEO, and she said decisions about structure and initial capitalization will influence board recruitment.

Irina and staff asked for input on whether the panel preferred an advisory‑only board or an operational board with broader responsibilities; panel members indicated more discussion is needed and suggested forming a small working group or subgroup to flesh out options, bylaws, staffing and startup funding needs.

Separately, Irina said the team had developed a formal application and approval process for the Citizens Advisory Board and that one applicant representing a 501(c)(3) had been approved to date.