References
Management of a feasibility study on structuring medical-social and voluntary activities for a leading association in the health and medical-social sector.
Conducted a study for a leading association in the health and medical-social sector to rationalize and structure its volunteer activities (emergencies, first aid, etc.) and salaried activities (medical-social establishments).
Mission
- The association wishes to strengthen its governance to better meet the challenges of the health, medical-social and social sector.
- To this end, it plans to create a management structure for the above-mentioned establishments.
- The proposed structuring must respect a set of principles laid down ex-ante:
- Preserving the unity of the association.
- ARUP’s regalian role.
- Maintaining bridges.
- Transfer of all or part of activities and real estate.
- Preserve or even improve staff status, and facilitate social dialogue.
- Financial and operational viability.
- Consolidating action to serve the most vulnerable.
Approach
- Structuring: legal form, governance, management, composition of governing bodies, control procedures, scope of transferred activities.
- Transfer of activities: operating regimes, transfer methods.
- Real estate: scope, holding/transfer/carrying methods, taxation
- Finance: balance sheet, income statement, cash flow, intra-group flows, financing requirements, balancing mechanisms, tax impacts.
- Social: transfer of contracts, collective status, collective agreements, social dialogue, transversal functions.
- Implementation: benefits, risks, scenarios, planning, duration and costs.
- Support: third-party funders, banks, internal/external communication.
Results
- 24 Board members, informed about the association’s current situation (governance, real estate, tax, finance, social).
- Consideration of the benefits and risks (governance, management, finance, social, legal, communication) associated with structuring and its various scenarios, as well as with maintaining the status quo.
- Appropriation by Board members of pre-identified risk mitigation measures.
- Awareness of the urgent need to take action to rectify the situation.
- Modular 3-year structuring plan, recommended by the group of experts.
