Prophetic Voice. Accountability for the Ministry: The Sponsor Role SR. MARY HADDAD, RSM. Accountability for the Ministry The Sponsor Role

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Prophetic Voice Accountability for the Ministry: The Sponsor Role SR. MARY HADDAD, RSM Senior Director, Sponsor Services Catholic Health Association 2 1

Ministry Christian ministry is the public activity of a baptized follower of Jesus Christ flowing from the Spirit s charism and an individual personality on behalf of a Christian community to proclaim, serve, and realize the kingdom of God. Thomas F. O Meara, O.P. 3 Definition of Sponsorship Sponsorship of a health care ministry is a formal relationship between an authorized Catholic organization and a legally formed hospital, clinic, nursing home (or other institution) entered into for the sake of sustaining and promoting Christ s healing ministry to people in need. Toward a Theology of Catholic Health Care Sponsorship A Work in Progress Catholic Health Association of the United States 4 4 2

Meaning of the Term Sponsor Main Entry: 1 spon sor Etymology: Late Latin, from Latin, guarantor, surety, from spondēre to promise. Date: 1651 1: a person or an organization that pays for or plans and carries out a project or activity; especially: one that pays the cost of a radio or television program usually in return for advertising time during its course 5 Meaning of the Term Sponsor 2: one who presents a candidate for baptism or confirmation and undertakes responsibility for the person's religious education or spiritual welfare 6 3

Meaning of the Term Sponsor 3: one who assumes responsibility for some other person or thing... 7 Concept of Sponsor A formal relationship Public dimension of the relationship Involves responsibility Requires accountability 8 4

Code of Canon Law Provides structures that enhance relationship Describes three types of persons in the Church: physical persons, moral persons and juridic persons 9 What is a Juridic Person? The rough equivalent in civil law is a corporation A legal entity of Church law with rights and responsibilities A group of persons (aggregate of persons) or things (property) dedicated to the purpose of helping the Church achieve its mission (Canon 114.1) 10 5

Development of Institutional Ministries Industrial revolution in Europe began during the 18th century Urbanization created poor socioeconomic conditions Growth of Apostolic Congregations 11 Early Foundations French Ursulines arrived in New Orleans in 1727 Responded to needs of new colonies Immigrant populations Dedicated to education, health, social and spiritual needs 12 6

Beginning of Catholic Health Care in the U.S. Early hospitals modeled on the almshouses of Europe Cared for chronically and mentally ill, aged prostitutes, alcoholic, vagrants and homeless Received those without means 13 Accountability for the Ministry The Sponsor Role Early Organizational Structure Institutions and ministry identified with the congregation Sisters governed, managed and staffed facilities Assured Catholic identity Accountable to local bishop and/or Rome 14 7

Decades of Change 15 1968 1978 1988 1996 2008 2014 2015 Catholic hospitals 796 641 616 625 621 642 645 Catholic hospitals in systems * * 444 424 537 595 603 Catholic health systems * 29 60 62 63 54 49 Single-sponsor hospitals (System and free-standing) 796 641 603 375 447 565 560 Multi-sponsor system hospitals * * 7 250 174 77 85 Lay CEOs (Hospital) 26 295 420 525 605 639 643 Religious CEOs (Hospital) 770 346 196 45 13 3 2 Sponsor (Congregations of women) 221 229 226 232 154 96 91 Sponsor (Congregations of men) 4 10 9 10 5 6 5 Dioceses serving as sponsors * * 30 42 36 32 32 Other sponsor models 0 0 6 11 11 21 21 16 8

Evolution of Sponsorship After We re Gone: Creating Sustainable Sponsorship Responsibility of Lay Leaders Public Juridic Person Little Most Family Franchise Partnership Assurance Standards Formation Infrastructure Sponsor Methods 17 Traditional Role and Responsibilities Ensure fidelity to the healing ministry of Jesus Ensure the spirit or charism is preserved and promoted Ensure the future vitality and viability of the ministry Participate with board and management in the creation of a strategic plan Provide direction and collaborate with governance in policy development and decision making 18 9

Classic list of reserved powers include: Establish mission and philosophy Approve changes to articles of incorporation and by-laws Appoint board of directors/chair and president Approve alienation (sale or transfer) of property or dissolution of the corporation Approve strategic plan/annual budget 19 20 10

Traditional Model Religious Institute Public Juridic Person Board of Trustees Management Team 21 Co-sponsorship Model Religious Institute Public Juridic Person Religious Institute Public Juridic Person Religious Institute Public Juridic Person Sponsor Council (Corporate Members) Board of Trustees 22 11

Ministerial Juridic Person Juridic Person Board of Trustees Management Team 23 System Catholic Health Initiatives Covenant Health Systems, Inc. Peace Health Trinity Health System Bon Secours Health System St. Joseph Health SCL Health Mercy SLC Health Providence Health & Services Ascension Mercy Health SSM Health Title/Date Established Catholic Health Care Federation, 1991 Covenant Health Systems, 1995 Peace Health, 1997 Catholic Health Ministries, 2000 Bon Secours Ministries, 2006 St. Joseph Health Ministry, 2006 CSA Health System Ministries, 2007 Mercy Health Ministry, 2008 Leaven Ministries, 2008 Providence Ministries, 2009 Ascension Sponsor, 2011 Partners in Catholic Health Ministries, 2013 SSM Health Ministries, 2013 24 12

Mission and Ethics Assessments Changing health care environment Role of the sponsor Role of the local ordinary 25 The Future Development of Sponsorship? Theology of the ministry of sponsorship New canonical and/or governance structures Communal dimension of ministry 26 13