Many considered financial self-sustainability for a poor rural hospital an impossibility, but our first hospital in Pedro Vicente Maldonado (PVM) achieved that goal in 2007. It certainly wasn’t easy. We experimented with all sorts of revenue generating ideas to keep the hospital running, and most failed. One combination of financing mechanisms finally did work: a public-private partnership with Ecuador’s national social security system. Social security pays us for the patients in their system, and we charge other patients who are able to pay very reasonable prices. Although that public relationship has many challenges, it catalyzed our successful journey to 100% financial self-sustainability. To this day…
Fall 2018 News
