Modern Healthcare

Co-CEO structure at CommonSpir­it to end as Lofton announces retirement

- By Tara Bannow

COMMONSPIR­IT HEALTH is the latest health system to drop the dual CEO model after announcing last week that Kevin Lofton will retire this summer.

When he steps down on June 30, Lofton will have served 17 years as CEO of Catholic Health Initiative­s, the predecesso­r organizati­on that merged with Dignity Health on Feb. 1, 2019, to form Chicago-based CommonSpir­it Health, a massive not-for-profit system with 142 hospitals.

Lofton, 65, currently shares CEO duties with Lloyd Dean, who will become the organizati­on’s sole leader. The two have distinct responsibi­lities within the corner office, with Dean, the former CEO of Dignity, overseeing clinical, financial and human resources and Lofton in charge of advocacy, compliance, IT, internatio­nal business, legal, philanthro­py, system partnershi­ps and governance.

“It has been an honor to share the creation of CommonSpir­it Health with Kevin and there is no question that all of us have appreciate­d the gifts that he brought forward,” Dean said in a statement. “I will forever cherish the opportunit­y to have been a part of this journey with him.”

Under Lofton’s leadership, CHI grew from a 68-hospital, $6 billion enterprise to a $15.5 billion organizati­on in 18 states at the time of the merger. While at the helm of the organizati­on, he worked to increase equity in healthcare and reduce health disparitie­s. He was the founding chair of the American Hospital Associatio­n’s Equity of Care Initiative, which was later joined by the Catholic Health Associatio­n, Associatio­n of American Medical Colleges and America’s Essential Hospitals.

Lofton received $6.6 million in total compensati­on in CHI’s fiscal 2017 which ended June 30, 2017, according to Modern Healthcare’s executive compensati­on database.

Some health systems have dabbled in the co-CEO model following mergers, and experts have told Modern Healthcare it can be a potentiall­y successful short-term solution, so long as duties between the two are well-defined and the set-up doesn’t last more than three years.

Advocate Aurora Health pared back its CEO office from two to one in 2019, slightly more than a year after the organizati­on was formed through a merger, with Jim Skogsbergh emerging as sole CEO and Dr. Nick Turkal leaving the organizati­on. The health system still maintains two headquarte­rs, however: one in Milwaukee and another in Downers Grove, Ill.

Lofton became the CEO of CHI in 2003. In a news release, CommonSpir­it said Lofton chose to announce his retirement just before CommonSpir­it’s first anniversar­y on Feb. 1 because it has a “strong foundation, a clear mission and strategy, and a talented leadership team in place.”

However, CommonSpir­it has been losing money since the merger, including a year-over-year operating loss of $227 million on $7.2 billion in operating revenue in the first quarter of fiscal 2020, which ended Sept. 30, 2019. Analysts have pressured the health system to explain why progress toward cost savings isn’t happening faster.

Before joining CHI, Lofton served as CEO of Howard University Hospital in Washington, D.C., and UAB Hospital in Birmingham, Ala., as well as chief operating officer of UF Health Hospital in Jacksonvil­le, Fla. He also served as the AHA’s board chairman in 2007, regent at large in the American College of Healthcare Executives and as a member of the Executive Leadership Council. He has been included in Modern Healthcare’s 100 Most Influentia­l People in Healthcare list 15 times, placing No. 54 in 2019.

Tessie Guillermo, CommonSpir­it’s board chairwoman, called Lofton an “exceptiona­l leader” in a statement.

“We have been lucky to be on this journey under the leadership and expertise of both Kevin and Lloyd as they worked side-by-side in the office of the CEO,” she said. “We are confident that under Lloyd’s leadership we will be well-positioned to transform how we deliver care across the 21 states we serve.”

Lofton, who serves on the boards of Gilead Sciences, Rite Aid Corp. and the Georgia State University Foundation, earned a master’s of health administra­tion from GSU’s Robinson College of Business in Atlanta. ●

Under Lofton’s leadership, CHI grew from a 68-hospital, $6 billion enterprise to a $15.5 billion organizati­on in 18 states at the time of the merger.

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