Jul 8, 2026 · 47 min · 12 segments
Achieving transformational change is a universal goal for nonprofit leaders, but it requires more than just scaling programs or ambitious growth plans. In this episode, we dive into what it actually…
Kelly ColeGuest
Aaron SandersonGuestDouglas NelsonHostWhat has transformation meant for your organization over the last number of years?

Well, we've been on a long journey, as you know, and so some of the things that I want to share are things that have taken time to build.

So when I first was recruited about five, five and a half years ago, the hospital was wanting to build a big building.

And they thought about how much money that was going to require to build a massive, so $4 to $5 billion type building.

And at the same time, they were thinking about their research and innovation agenda and wanting to transform it.

But what we came into was an organization that had had, it was very entrepreneurial, I think, in the way that I kind of categorize it.

For about 20 years and even the last campaign, it was, I'm not sure we would have defined it as comprehensive.

And so the initial phases was really around working with the leadership team, aligning with the board around a growth plan and figuring out where do we need to fill in gaps? Where do we need to grow? Where do we need to add? How do we focus? How do we pick the right things? How do we ensure that the board understands what those right things are and get them all down on paper and get everybody aligned? And so what happened over the five years was there was huge cultural shifts, greater collaboration across the team, across divisions.

There was greater collaboration across the hospital, between the fundraisers and the hospital, shifting to data decisions.

driven decisions, shifting to a major gift team that could go out on their own and raise money with hospital leaders, not needing the CEO to be the front of every major gift solicitation.
What has transformation meant for your organization over the last number of years?

Well, we've been on a long journey, as you know, and so some of the things that I want to share are things that have taken time to build.

So when I first was recruited about five, five and a half years ago, the hospital was wanting to build a big building.

And they thought about how much money that was going to require to build a massive, so $4 to $5 billion type building.

And at the same time, they were thinking about their research and innovation agenda and wanting to transform it.

But what we came into was an organization that had had, it was very entrepreneurial, I think, in the way that I kind of categorize it.

For about 20 years and even the last campaign, it was, I'm not sure we would have defined it as comprehensive.

And so the initial phases was really around working with the leadership team, aligning with the board around a growth plan and figuring out where do we need to fill in gaps? Where do we need to grow? Where do we need to add? How do we focus? How do we pick the right things? How do we ensure that the board understands what those right things are and get them all down on paper and get everybody aligned? And so what happened over the five years was there was huge cultural shifts, greater collaboration across the team, across divisions.

There was greater collaboration across the hospital, between the fundraisers and the hospital, shifting to data decisions.

driven decisions, shifting to a major gift team that could go out on their own and raise money with hospital leaders, not needing the CEO to be the front of every major gift solicitation.
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