OCTOBER 1993 VOLUME I, ISSUE 2 / $5.00 PbilanthropyJoumal M. V o?:iEiiSi5raii’' I Early diagnosis Nonprofits upbeat on Clinton health-care plan Despite some worries about how they will be affected by the process, nonprofit hospitals, health-care agencies and social- service organizations in North Carolina like what they’ve heard about President Clinton’s plans to reform the U.S. health care system. By Barbara Solow AND Katherine Noble \ A / hen it comes to health I/I/ care, North Carolina » * nonprofits are enthusi astic about reform. Although President Clinton’s plans to reform the nation’s health-care sys tem simply are a proposal, leaders of Tar Heel hospi tals, health-care associa tions and social-service agencies say they are eager to be part of the process e are going to see more competitors linking up and working arm in arm. ALAN TAYLOR Charlotte-Mecklentmrg Hospital Authority Universal health-care coverage for all U.S. citizens that includes hospital care, emergency services, hospice care and family planning. • State-established health-care alliances that could be run by nonprofits. A National Health Board would Small nonprofits, how- set spending levels for the ever, are worried about how the plan will affect their ability to provide health coverage for their employees. And some nonprofit leaders won der whether the plan provides enou^ incentive for state officials to involve the nonprofit sector in the dehvery of care. In a televised speech to the nation on Sept. 22, Clinton presented the broad outlines of a plan to bring down soaring health care costs and improve delivery of health care ser vices. The major elements of the com plex proposal, which now goes to Congress for debate, are; alliances. • A mandate that employers pay at least 80 percent of the average health-care premiums for employees. Workers would pay the rest and the government would offer assistance to low-income people, the unemployed and small businesses - including many nonprofits. Critics have called the plan unworkable, claiming the only way the government can meet its goal of halving health-care spending by 1999 is to cut medical services. Some Tar Heel hospitals already are positioning themselves to be health-care providers under the new system. In Charlotte, the parent organiza tions of Mercy Hospital, Mercy Hospital South and Carolinas Medical Center recently announced they will collaborate to avoid duplica tion of health-care services. ’While not a formal merger, the arrangement will be managed by a Look for HEALTH, page 25 Fighting addiction Addicts recover in self-run nonprofit Alcoholics and drug addicts change the people, places and things in their lives by living together in nice houses, nice neighborhoods and by learning to be responsible members of society. By Katherine Noble F acing life’s daily chal lenges can be difficult for anyone, but for the newly recovering alcoholic or drug addict, just getting through the day sober is challenge enou^. Especially if the addict is around other people who are using drugs or alcohol. But throughout North Carolina, hundreds of addicts are staying sober by living together in nei^bor- hoods lie Wilmington's Echo Farms and High Point's Hayworth Circle, working and paying the rent and the bills themselves and supporting each other emotionally as they learn to live responsible, substance-free lives. In the past two years, more than 30 Oxford Houses have sprung up from the mountains to the coast of North Carolina. In the next year, that number is expected to triple. North Carolina is home to many nonprofit, public and for-profit alco hol and drug treatment centers. Look for ADDICTS, page 21 Helping hands Volunteer Judy Biber rocks a baby in the Neonatal Intensive Care Nursery at Carolinas Medical Center. Photo by Robert Miller Volunteers pump heart and spirit into North Carolina hospit^s These days, the typical hospital volunteer does a lot more than sell gift-shop items and deliver flowers. A visit to Carolinas Medical Center in Charlotte shows the diverse duties of the more than 600 volunteers. By Barbara Solow ogerline Lee learned a hard rV lesson during her first few • » months as a volunteer at Carolinas Medical Center in Charlotte. She had grown especially fond a child of during her weekly visits to pediatric patients. But the child died, making Lee reluctant to return to Children’s Hospital. “The first week after that hap pened, I made up an excuse not to come,” says Lee, who retired in 1991 after 30 years as an elementary school teacher. “Then I realized I had to put this behind me. I came over to the hospital and saw another baby in that room with eyes as big as saucers. I picked her up and that did it. I was back.” Striking a balance between car ing and composure is a daily chal lenge faced by the hundreds of volun teers who work at the medical cen ter, the state’s second-largest after Duke Medical Center. Administrators say the more than 600 volunteers who worked at the center last year created a “continu um of care” by performing tasks that could not always be performed by paid staff members. Look for VOLUNTEERS page 20 No strings Hospital takes gift, spurns donor Julie Courts of Winston-Salem learned the hard way: If you want to set conditions on a char itable gift, you’d better make that clear to the recipient before you give the gift. By Joseph Neff The relationship between Julia Courts and Annie Penn Memorial Hospital had such a romantic begin ning. During the courtship, the hos pital dined Courts, sent her roses on Valentine’s Day, a lily at Easter and a poinsettia at Christmas. Several weeks before Christmas in 1988, Courts donated her life’s savings to the Reidsville hospital - unprompted, unsolicited and unknown to the hospital. The hospi tal directors were flabbergasted and grateful when 7,954 shares of RJR Nabisco stock arrived in their coffers - worth more than $700,000 at the time. The elderly Winston-Salem woman gave the money in memory of her grandfather, William James Courts Sr., a prominent Reidsville surgeon who served as a Confederate Army captain and sur geon. Less than a year and a half later, the romance soured, and the Look for GIFT, page 20 Careers 26 Connections 3 Grants and Gifts 19 Ideas 24 In October 18 Job Opportunities 25 Opinion 10 People 19 R.S.V.R 18 Professional Services...25 Technology 3 NONPROFITS FOUNDATIONS VOLUNTEERS \ CORPORATE GIVING Bottom line for the arts Arts organizations are stealing a chapter from business, with repackaged programs, innovative pricing and recruitment of sponsors • Page 4 Giving millions anonymously Time, money for children Volunteers boost company morale Joel Fleishman has left Charlotte's Jack Corporate employers Duke University to head a Tate has devoted r- ■ are finding that employ- New York consulting firm nearly half a ees who volunteer feel that advises anonymous century to nonprofit better about themselves clients about giving away service and leader- ^ and the companies they ■ millions of dollars. ship. His passion is helping children. work tor. • Page 6 • Page 8 Jack Tate • Page 12 J ^FUND RAISING Smedes York's public works Raleigh's former mayor is one of the Triangle's leading civic leaders and phil anthropists. Family and community keep him on the run. • Page 14