Sponsorship in evolution

Sponsorship appears to be evolving from an original model in which the sponsoring religious institute related to its facilities in a manner resembling a family business, to a model of sponsorship akin to a franchise, to a ministerial partnership. Factors leading to this evolution include tremendous changes within the religious institute itself, including decreases in the number of members and financial stability. Changes within healthcare itself--such as greater competition and declining revenues-have forced hospitals to diversify. One result of these developments has been a radical change in the "rules" of the game. Historically independent entities--hospitals, sponsors, physicians--now have to value interdependence and mutuality. In the family-run model the family (sponsor) had special privileges, as though they "owned" the business. When the number of family members dropped below that necessary to govern, administer, and staff the institute's facilities, they began to move away from the family model to the franchise model, which has more open communication, greater input to decision making by non-family members, and a shift in the family's attention from actual operations to oversight and accountability. Eventually, the franchise model began to give way to the ministerial partnership, characterized by mutuality. Both family and others have roles not only in carrying out the mission, but in actually shaping and forming it.