Hospital foundations and endowment funds: New tools for financing hospital research
Truffinet, Nicolas
Hospital foundations and endowment funds: New tools for financing hospital research - 2020.
3
How hospitals have evolved over the last twenty years in a context of budgetary constraints has already given rise to a large body of literature. We seek to study one transformation in particular: the introduction by the legislator in 2008 and 2009 of two fundraising tools: the endowment fund and the hospital foundation. The first, created for circumstantial reasons (to enable the Louvre to benefit from financing from Abu Dhabi for the concession of its brand), responded to a long-standing demand from leaders in the sector, who wanted to see small structures that were more manageable than foundations recognized as being useful to the public. Ten years later, the results are mixed: more than half of the university hospitals have created a fund, but the amounts collected and invested in research remain limited, and several structures have been put on hold. The legal form of the hospital foundation has only been used once to date, by the AP-HP in Paris. The question in both cases is whether it is appropriate to encourage public institutions to appeal to private generosity, to arbitrate between such funding and the possible demands of donors, and to devote staff and time to it, while the government—via the tax breaks it grants—forgoes resources where it could also increase some funding.
Hospital foundations and endowment funds: New tools for financing hospital research - 2020.
3
How hospitals have evolved over the last twenty years in a context of budgetary constraints has already given rise to a large body of literature. We seek to study one transformation in particular: the introduction by the legislator in 2008 and 2009 of two fundraising tools: the endowment fund and the hospital foundation. The first, created for circumstantial reasons (to enable the Louvre to benefit from financing from Abu Dhabi for the concession of its brand), responded to a long-standing demand from leaders in the sector, who wanted to see small structures that were more manageable than foundations recognized as being useful to the public. Ten years later, the results are mixed: more than half of the university hospitals have created a fund, but the amounts collected and invested in research remain limited, and several structures have been put on hold. The legal form of the hospital foundation has only been used once to date, by the AP-HP in Paris. The question in both cases is whether it is appropriate to encourage public institutions to appeal to private generosity, to arbitrate between such funding and the possible demands of donors, and to devote staff and time to it, while the government—via the tax breaks it grants—forgoes resources where it could also increase some funding.
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