Marin General Hospital's only path to the goal of preserving its autonomy has been through partnerships and community support.
Since a public healthcare district regained control of the safety net hospital when it split from Sutter Health in 2010, Marin has looked to the community and other healthcare organizations to maintain its independence.
Its leadership has formed an array of partnerships and joint ventures that have allowed it to control costs and improve outcomes during an era of consolidation across the healthcare industry, Marin CEO Lee Domanico said. Executives had to lead a cultural transformation emphasizing collaboration over competition as the largest hospital in Marin County, Calif., earned the trust of the San Francisco Bay Area community, he said.
Marin partnered with 12 other providers in the Bay Area to form an accountable care organization called Canopy Health established by the University of California at San Francisco. It has joint ventures with local physicians for its surgery center and imaging centers.
The organization secured a $90 million, 15-year partnership with Philips to supply medical equipment. Marin also asked for the community's help and raised $394 million in public funding through general obligation bonds for recapitalization to help pay for its new hospital.
The public's trust in Marin has been invaluable, Domanico said. "You need to be partnership- and collaboration-minded today to leverage relationships with others," he said. "It's essential."