Butler Health System The Guardian/Special Report to the Community:
Transparency
Need/Opportunity
They say you can't fight with newspapers because they buy ink by the
barrel, but what happens when the local newspaper not only fails to
tell the community hospital's story, but seems committed to distorting
it? The CEO of Butler Health System at the time, facing this situation,
began The Guardian,
a monthly newspaper circulated to 43,000 in the community. In partnership
with WordWrite Communications, The Guardian
became a credible source of information for the community on one of
its most important institutions, the hospital. By taking a journalistic
approach and featuring independent voices (including those of hospital
critics), The Guardian
became a key tool in proving the hospital's commitment to transparent
communications.
This became a critical asset as the hospital faced the reporting of
Form 990, a nonprofit tax form that details executive compensation,
charity care and revenue, among other information. For the 2005-2006
fiscal year, the report included the one-time retirement payout for
the former CEO, more than $2.1 million, including his last year's
salary.
Intended Audiences
Butler Health System typically mailed The
Guardian monthly to 43,000 homes. The majority
of recipients were in north central Butler County, which is the health
system's immediate target market, although it also was sent more broadly
to outlying areas. BHS also mailed The
Guardian to other key stakeholders, including
business leaders and government officials.
For the special May 2007 transparency issue, the intended audience
was more narrowly focused to reach community residents within the
circulation area of Butler's daily newspaper, which was expected to
negatively report on the Form 990 in yet another attack on the hospital's
credibility and operational competence.
The health system also mailed copies of the special issue to its employees,
whereas other issues of The Guardian
were distributed to employees at their worksite.
Objectives
Butler Health System's goal was to leverage the credibility The
Guardian had created for Butler Health System
within the community. Specifically, the special issue was a preemptive
strike. After being accused of disregarding public opinion and working
behind closed doors as it planned for a major health system expansion,
BHS wanted the special issue of The Guardian
to convey a sense of transparency. The special issue of The
Guardian allowed the hospital to be the
first to communicate the Form 990 story and demonstrate to the community
its serious approach to transparency.
In doing so, BHS leadership also sought to discredit those whom they
expected to negatively portray the executive compensation issue and
health system leadership and to preserve its own reputation.
Project Description
To address this potentially damaging communications situation, the
CEO of Butler Health System turned once again to WordWrite and The
Guardian. In a special four-page issue of
the newspaper, WordWrite literally dissected the Form 990, highlighting
the most critical aspects (including executive salaries), explaining
them in a way that aided the understanding of the community, and diminished
the opportunity for the media or critics to attack the hospital.
Employing the same journalistic approach and multiple voices that
are basic tenets of The Guardian,
WordWrite first met with health system leadership to develop an appropriate
slate of stories that would essentially "open the books"
for the public while also explaining exactly what they were seeing.
WordWrite then interviewed the key independent board member on the
board compensation committee, and principals of the firm hired by
the board to establish executive salary policies. A special two-page
centerfold reprinted key sections of the Form 990, with pullout boxes
and arrows providing context for the raw numbers required in the annual
filing.
Evaluation
The special issue of The Guardian
reached mailboxes a few days ahead of the formal filing date for the
health system's Form 990, not only giving critical stakeholders the
hospital's financial information ahead of the required date, but scooping
the local paper as well.
When the local paper did write a story about the former CEO's salary,
it included nearly a half-dozen direct references to The
Guardian, including several quotes lifted
from the paper and attributed to "the hospital publication."
Pittsburgh media also used The Guardian
as a source in reporting the story.
Thanks to Butler Health System's commitment to transparent communications,
and its partnership with WordWrite Communications, an open dialogue
with the community has been established, and as the special issue
experience demonstrates, that dialogue and commitment to transparent
communications has already defused one of the potentially most damaging
communication issues that a community hospital faces: disclosure of
its Form 990 filing.