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Health-Care Career Moves-August 2017
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CEO TALK: A chat with Franciscan Companies’ Frank Smith
In this edition, I speak with Frank L. Smith Jr., who served as president and CEO of Franciscan Companies for 21 years and vice president of St. Joseph’s Hospital Health Center for 23 years. He current serves as a consultant at Franciscan. KNAUSS: Tell me a little bit about your background and how you ended
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In this edition, I speak with Frank L. Smith Jr., who served as president and CEO of Franciscan Companies for 21 years and vice president of St. Joseph’s Hospital Health Center for 23 years. He current serves as a consultant at Franciscan.
KNAUSS: Tell me a little bit about your background and how you ended up in health care.
SMITH: I came to Syracuse in 1970 to go to college at Upstate Medical University. I attended the College of Health Related Professions and received an associate degree in respiratory therapy. In 1971, I was allowed to work clinically, so I started offering patient care at St. Joseph’s Hospital. In 1972, I graduated from Upstate and worked at St. Joe’s for a year. I was later hired by Upstate Medical Center to be an instructor and I was working on my bachelor’s degree in health care administration at Empire State College. I subsequently earned a master’s degree from Syracuse University.
While at Upstate, I went from an instructor to assistant professor. I was also the clinical coordinator for the College of Health Related Professions respiratory care program. I was tenured and promoted to associate professor. In late 1983, I was asked to help St. Joseph’s Hospital as a consultant. There were some changes they wanted to make in their respiratory care program. As a result of that consulting work in 1984, I gave up my tenured position at Upstate and came on as a full-time employee at St. Joseph’s Hospital Health Center. At that time, I was director of the Respiratory Care Department.
Part of my plan, based on a paper I wrote when I was in graduate school, was preparing hospitals for prospective reimbursement. This included setting hospitals up with home care, durable medical equipment, and a lot of ambulatory care programs that hospitals traditionally didn’t have. St. Joseph’s gave me the green light to do that. It promoted me to assistant administrator. With Dr. Thomas Aiello, a pulmonologist, I started Franciscan Health Support, which was the first of Franciscan’s companies. This program was specifically designed to reduce the length of stay for patients who had chronic pulmonary disease in our hospital, which was a big problem back in those days. It continues to be a big problem.
We looked at what was available in the community, and we added a clinical touch to it. We had registered respiratory therapists going into the homes, providing their services 24-hours, 7-days-a-week on call, with a pulmonologist who was also our medical director. If we hit a problem, we could call him. We were quite successful in reducing the length of stay and providing high quality care so that people could have an improved life at home. As a result, the program kept growing. We ended up creating joint ventures with several hospitals, including Lourdes Hospital in Binghamton and St. Elizabeth’s Medical Center in Utica.
Subsequently, we set up little companies with several other hospitals in the area: Oneida, Carthage, Lewis County, and Auburn. We’re the preferred provider for just about every hospital in this area, and this region. At that point, I wore two hats: I was the vice president for St. Joseph’s Hospital, and I was the president and CEO of Franciscan Companies. About two years ago, I gave up my VP job and just focused on my job at Franciscan Companies, because I knew I was getting ready to retire. There were some things that I had to do, and wanted to do, for Franciscan.
I’m still working on some projects with Franciscan Companies now, but in January of this year, I retired. They asked me to stay on and help with the transition, and to work on some projects. My forte is strategic planning and development. I’m working with a person who is going to be doing that for Franciscan, and we’re doing a lot of different special projects. So that’s how I got here after 45 years in health care.
KNAUSS: What about health care made you so passionate to stay in it for so long and continue to do the kind of work you’re doing?
SMITH: I had a very traumatic experience when I was 10 years old. My little sister died of cancer. She was only 17 months old. It had a profound impact on my entire family, and my older sister became a nurse. She was very motivated and wanted me to also get into health care. At that time, I wanted to be a policeman — my father was a policeman. I’d come from Rome, which is a small town. At that time, you either worked in the mill, became a policeman, a teacher, or a fireman, or went to college. My mother and my sister didn’t want me to be a policeman so I ended up going to Upstate. It changed my life.
KNAUSS: What drove you to administration and management roles in health care?
SMITH: I quickly realized that the boss makes the decisions. That’s the bottom line. To eliminate barriers, to get done what needed to be done, I wanted to be the boss, but I never considered myself a boss. I considered myself the leader. I engaged my staff and colleagues to assist me, but I wanted to be able to have the ability to say, “this is what we have to do” and do it. I didn ‘t want to have to go through a bunch of barriers to get it done.
KNAUSS: Speaking of leadership, if I were to walk out of the room and ask a handful of people that you’ve managed over your career, how would they describe your leadership style?
SMITH: My employees have been very open with me over the years. I think they know that I’m very humanistic; I firmly believe that family comes first. I’ve always supported my employees in their personal lives as well as their professional lives. I’ve had to make the hard decisions, but they were fair decisions whenever I had to make them. I think they know me as being fair and very loyal. They know that I expect that loyalty back in return. Their job is to make me look good. If they make me look good, I can make them look good.
KNAUSS: Did you take on leadership roles from an early age?
SMITH: I’ve been working since I was 13. My father was a policeman and wasn’t paid well for the work that he had to do, and my mother wasn’t well. I had five sisters and I was the only boy. So, working hard has always been my priority. I decided very early on that no matter what I did, I was going to be the best at it. When I worked at a gas station, I came in at 9 p.m. and cleaned the gas station, cleaned the men’s room and the ladies room. It was the cleanest men’s room and ladies room in the city of Rome. I delivered papers and I was the best paperboy in the city. I worked in a store and I was the best bagger and best stocker in the city.
I’ve always been known to be a high achiever. I require very little sleep; I sleep about three or four hours a night. I read tremendous amounts of material just because that’s what I do at night. I’m dyslexic. A lot of people didn’t know that about me and I didn’t really learn to read the right way until I was in graduate school.
KNAUSS: Tell me a little bit about what you look for when you hire and how does that contribute to the culture that you’ve developed?
SMITH: It depends on the position. If I’m looking for a clinical physician, I look for an individual who is passionate about patient care and passionate about his/her patients. I told the following to every employee who came to work for me when I was hiring: “I want you to treat every patient as though it’s somebody you love. If you love somebody, you would do whatever you had to do to help them, and that’s the way I want you to treat your patients. They didn’t ask to be sick. They didn’t ask to be in that position. Their lives have been turned upside down. Our job is to help them and make them as comfortable as possible, and improve the quality of their life the best we can.” I told this to every employee at every orientation.
I look for people that are compassionate and really have the skills. They wouldn’t even be talking to me if they didn’t have the skills. It’s the same thing with management and the other positions. I wouldn’t waste my time talking to somebody that I wasn’t serious about hiring. What I look for from them is loyalty, because if they are loyal then they will want to do the best they can to make me look good and the organization look good. That’s what it takes. We’re a team and I tell everybody that you don’t have to know everything. Ask the question. Don’t sit back and not know something or not do something right because you don’t know the answer. Ask the question. We’re a team. There’s no such thing as a bad question or inappropriate question. With education being my background, I learned that a long time ago. Students that were asking the questions were the ones that were interested and really wanted to know more.
KNAUSS: What is the biggest frustration you’ve faced in your career?
SMITH: The biggest frustration that I’ve had working in health care all these years has been the lack of understanding people have about health care. Their perception of health care has been primarily perceived from watching television or reading a book, or maybe some intimate experience that they had. Health care has been so highly regulated over the years, especially in New York State and very highly regulated by the payers over the years. It’s very difficult for a health-care provider to strive for the best and do the best, and be able to break even. No money, no mission. I’ve always been frustrated with that.
My oldest son had an opportunity to go to medical school. The kid is brilliant. He went to an orientation and they talked about managed care. He came home and said, “Dad, I’m not going to become a doctor. I don’t want you discouraged.” He says, “I’m going to go into computers. I can help people more. I don’t have to worry about somebody telling me how to do my job, not worry about telling me how much they are going to pay me and not worry about having to harm anybody or do something wrong. I’m going to do that.” That always bothered me, but it’s the truth.
It’s very easy to point a finger at a doctor, nurse, or therapist and say they made a mistake. Well, nobody goes to work in health care and tries to make a mistake. We go to work trying to help somebody, but things have turned. The downside of health care is everybody expects it, but nobody wants to pay for it.
KNAUSS: What’s the one main point of differentiation for Franciscan Companies?
SMITH: It’s our culture. It’s more than a job. The people are here because they really want to help people. We’re a family. We treat each other like we’re family. We have our differences, but we’re a family. When one of our family members has a problem, we all have a problem. We do everything in our power to help that individual. We’re the same way with our patients. Our patients get 100 percent of all the resources we have available. That includes our physicians who are medical directors. We have five of them that we utilize to help us with our patients, to make sure we’re doing everything the best we can. I think that the culture is critical. A lot of people say we’re a family. A lot of people say we’re compassionate. A lot of people say we practice what we preach.
KNAUSS: How do you spend your free time?
SMITH: I spend as much time as I can with my wife, my children, and my grandchildren. Everybody knows that I’m a Disney World fanatic and I go to Disney World probably once a month or so.
KNAUSS: Come on, really?
SMITH: Yeah, I really do. I used to have a house down there. Instead I bought a timeshare with Disney World and it has been seventh heaven. It forced me to take vacation time, which I rarely did early in my career. Now I have a place to take my grandkids and I love it. You wake up in the morning and you don’t have to think about what you’re going to do today. You can go to any park. You can go to any pool. You can do whatever you want. You don’t have to have a plan.
About the author: Jeff Knauss is co-founder of the digital marketing agency, Digital Hyve, and has always had a passion for learning about successful executives and their stories. He also is a current board member of Byrne Dairy, the Food Bank of CNY, and Loretto Foundation. For more on Knauss, check out www.digitalhyve.com.
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Here are some recent tweets that came across the @cnybj Twitter feed, offering various business, career, personal, and digital/social-media tips. Vanessa Dunford @vaniccilondon http://ow.ly/RYeZ30e6kq1 4 tips to take control of your workplace productivity #productivity #entrepreneur #business #success #tips Kingsley @KingsleyRecruit When it comes to a #job #interview, timing is everything: http://buff.ly/2w6s8Xz #Interviewing #Tips Jane Allie
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Click here to purchase a paywall bypass link for this article.
Here are some recent tweets that came across the @cnybj Twitter feed, offering various business, career, personal, and digital/social-media tips.
Vanessa Dunford @vaniccilondon
http://ow.ly/RYeZ30e6kq1 4 tips to take control of your workplace productivity #productivity #entrepreneur #business #success #tips
Kingsley @KingsleyRecruit
When it comes to a #job #interview, timing is everything: http://buff.ly/2w6s8Xz #Interviewing #Tips
Jane Allie @JaneAllie_9294
10 #Tips On How To Use #Periscope For #Business
https://www.socialquant.net/how-to-use-periscope-for-business/?utm_source=twitter&utm_medium=social&utm_campaign=SocialWarfare … via @TheSocialQuant
Laura Harrison @inspiring_laura
6 skills that you can acquire with the help of freelancing… #freelancewriting #writer #tips
Check them out here: http://inspiringlaura.blogspot.com/2017/07/6-important-skills-you-can-acquire-with.html?spref=tw …
Hannah Morgan @careersherpa
Here’s a checklist of 20 things you need to launch your job search http://bit.ly/2tZT3qx
Mitch Mitchell @Mitch_M
“Imagination will often carry us to worlds that never were. But without it we go nowhere.” – Carl Sagan
American Heart Assoc @American_Heart
Anytime is a good time to remind yourself and loved ones what a heart attack may feel like. http://spr.ly/60188s7TK
Joanne DelBalso @JoanneLDelBalso
7 Tips to Get the Most Out of Your Social Media Campaigns – http://bit.ly/1K5oUlt
#socialmedia #marketing #socialbiz

The Raymond Corp. expands to meet forklift demand
GREENE — The sun was shining brightly in the town of DeWitt on June 9 as Michael Field, CEO of The Raymond Corp., welcomed the assembled company employees, politicians, media, and friends to a ceremony. Once the speeches ended, the attendees witnessed the official ribbon-cutting event for the new Raybuilt Center of Excellence and enjoyed
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GREENE — The sun was shining brightly in the town of DeWitt on June 9 as Michael Field, CEO of The Raymond Corp., welcomed the assembled company employees, politicians, media, and friends to a ceremony. Once the speeches ended, the attendees witnessed the official ribbon-cutting event for the new Raybuilt Center of Excellence and enjoyed guided tours of the 90,000-square-foot facility at 6581 Chrysler Lane. More than 40,000 square feet are dedicated to re-manufacturing forklifts and their components, and the remaining space serves as a leasing center.
During the ceremony, the company also announced an expansion of Raymond’s service and parts-distribution facility located two miles away at 6650 Kirkville Road. The expansion will add another 40,000 square feet to the existing building. Raybuilt, created in 1991, is a division of Raymond, and currently remanufactures more than 18,000 components annually.
“The creation of the new Raybuilt Center of Excellence will further support our continued growth, as well as support all of our customers’ evolving needs with end-to-end solutions — from forklifts to parts to leasing,” stated Field.
Industry growth
Since the “Great Recession” of 2008, Raymond Corp. has only experienced one thing — growth. When this reporter last interviewed the company’s VP for sales and marketing in December 2015, sales had increased 300 percent over the previous six years. The company was expecting to post sales of $750 million by year-end. Fast forward two years, and sales for 2017 are projected to approach $900 million.
During my 2015 interview, I toured a newly completed 47,000-square-foot addition to the facility in Greene, which serves as Raymond’s headquarters and main production facility. The addition, which included a 60-foot-high testing bay, plus some reconfiguring of the manufacturing floor freed up 60,000 square feet of badly needed production space. Raymond has added another 200,000 square feet of warehousing space located just two miles from the Greene plant. Moving the inventory to the new warehouse provided more manufacturing capacity to meet the rising demand. Raymond also has a manufacturing facility in Muscatine, Iowa.
The Raymond Corp., a part of Toyota Industries’ material-handling group, is best known for manufacturing electrical, material-handling equipment. The range of lift trucks includes forklifts, pallet trucks, pallet stackers, sideloaders, reach trucks, swing-reach trucks, and order pickers. Some of the products come with vision-guided systems. In addition to manufacturing hardware, Raymond offers software products for fleet and warehouse operations.
According to the June 2017 edition of Modern Materials Handling magazine, the global-forklift market is expected to expand at a compounded annual growth rate (CAGR) of 6.9 percent through 2021. The industry market, valued at $35.3 billion in 2014, should spike to $55.9 billion four years from now. The article states that the primary drivers of this growth are the expansion of warehouse space, growing e-commerce business, strong demand for replacement units in developed markets, and demand for low-cost forklifts in emerging markets. The trend is especially favorable to Raymond, which sells more than 85 percent of its products in the U.S.
A 2016 report by the Industrial Truck Association (ITA) shows strong demand for purchases in North America of electrical systems, masts and attachments, hydraulic components, structural weldments, and wheels and tires. The report also placed the U.S. fourth behind India, Mexico, and China for the fastest global-growth rate over the next three years. The ITA report goes on to show that U.S. factory shipments of forklifts — comprised of electric-rider, motorized-hand, and internal-combustion engine — reflect the growing demand for electric trucks over internal-combustion products.
Raymond’s growth and beginning
Field confirms the industry’s growth trend. “Our sales were up nearly 10 percent in fiscal-year 2017, and we expect continued growth this year,” says the company CEO. “E-commerce is pushing the need for more warehousing space, which means more forklifts. Not only is the demand for more forklifts growing, but the need for more pickers is also growing. Amazon has simply changed the way America does business. When a consumer’s option for a product was primarily limited to a bricks-and-mortar, retail store, distributors shipped pallets of material to the store which then put the items on shelves. Now consumers may order a toothbrush online, and the seller has to pick a single item out of inventory, package the order, and ship it. Many of our customers are transitioning from pallets to cases, requiring more frequent deliveries. While we’re pleased at Raymond with the growth trend and the acceptance of our forklifts, we’re also very pleased with the rate of growth of our software products, which is compounding at more than 10 percent annually. Customers are quickly realizing that labor costs represent 72 percent of all forklift costs over the life of the truck. That’s a real incentive to improve both fleet and warehouse management.”
The Raymond story began in 1922 when George Raymond, Sr., an efficiency expert, purchased the Lyon Iron Works in the village of Greene. The company manufactured cast-iron wheels, buckboards, and dollies for the agricultural and mercantile markets. The Iron Works owner serendipitously created the hydraulic, hand-lift truck for handling skids the same year when he went for a haircut at the barbershop adjacent to his business. According to his grandson, who related the story at the ribbon-cutting, Raymond, Sr. was fascinated by the barber’s new hydraulic chair. The barber was able to control all of the mechanical functions by virtue of a “joystick” side lever. What if he applied the same hydraulic principle to the dollies he manufactured? In order to understand how the chair worked, Raymond offered to buy one. The barber countered by renting him a chair for $10. As the story goes, Raymond dragged the chair next door, where he dismantled it and studied the hydraulic operation. When finished, he reassembled the chair and returned it to the barber shop.
More Raymond inventions followed. In 1939, Raymond, in collaboration with William House, patented the double-faced wooden pallet. In 1949, the company patented the concept of the narrow-aisle truck, an idea which was developed by Christian Gibson. The design eliminated the need for a counter-balancing chassis, which was characteristic of conventional forklifts. In 1959, the second generation of Raymonds to run the company continued new-product development with the introduction of the order selector, the Deep-Reach truck, the very narrow-aisle truck, the Swing-Reach truck, the Transtacker, and the narrow-aisle Pacer truck. The first computer-controlled drive system appeared in the 1980s, and an ergonomically advanced control handle was introduced in 1991. Today, Raymond Corp. holds more than 130 patents.
The Raymond Corp. today
Ninety-five years after Mr. Raymond’s fortuitous haircut in Greene, the original Lyon Iron Works is now a 600,000-square-foot sprawling complex plus the 200,000-square-foot distribution center on Route 12 just south of the village. The company occupies an additional 77,000 square feet in Greene and in Binghamton. The complex employs more than 1,700 people. The Muscatine, Iowa operation, which manufactures pallet trucks, comprises 200,000-plus square feet and employs more than 350. The DeWitt rebuild and leasing operations now utilize more than 80,000 square feet at the Raybuilt Center at Chrysler Lane, and the Kirkville Road service and parts center will boast more than 100,000 square feet when construction is completed. Together, the DeWitt operations employ more than 200.
“Two years ago, Greene was manufacturing more than 15,000 units annually,” intones Field. “We’re on target to produce more than 20,000 this year, and Muscatine will manufacture more than 25,000 electric units. In addition, the company will produce approximately 40,000 hand pallets. Companywide, I expect Raymond will corner a 15 percent market share of all North American [lift-truck] production. Measured against electric vehicles only, our share will exceed 20 percent. To meet these production schedules, the company is using more than 200,000 pounds of steel every day. Those production levels make Raymond a major contributor to Toyota’s $8.35 billion global-material-handling group (figures for fiscal-year 2015 revenue published in August 2016 by Modern Material Handling magazine). The company’s capital investment in plant and equipment just in the last three years totals tens of millions [of dollars].”
Attracting and retaining employees
Research & development
While much of Raymond’s capital investment is tied to plant and equipment, a major portion is reinvested in research and development.
“In order to compete against major forklift manufacturers like Crown [Equipment] and NACCO, [which manufacture Hyster and Yale trucks,] Raymond needs to be on the cutting edge of R&D,” Field says. “The company employs 200 people in R&D-related activities and reinvests about 5 percent of its revenues annually. We work very closely with area universities, such as Cornell, Binghamton, RIT, and Clarkson, offering paid internships to attract students with high potential. Last year, Toyota Handling North America launched the TMHNA University Research Program, which seeks proposals from full-time, North American professors or researchers who are applying their engineering and technical knowledge to the material-handling industry. Toyota has committed $1 million annually, and the research output is shared with the industry. This program is just the latest example of our commitment to foster more innovation to grow our industry as well as the company.”
Skilled workers
Attracting and retaining employees in the research and development department is just one challenge faced by this world-class manufacturer located in a rural setting.
“While attracting outstanding engineering talent is essential, we can’t turn out a product without assemblers, welders, machine operators, material-handling workers, electricians, painters, maintenance technicians, quality managers, and many more,” confides Field. “We compete for our talent by offering very competitive salary-and-benefit packages, tuition assistance to advance employees’ education, a family-friendly environment, and opportunities for advancement in a fast-growing company. Our human-resources department is proactive in supporting local and regional job fairs and works closely with area BOCES and high schools sponsoring on-site tours and programs. On National Manufacturing Day, we draw hundreds of students to the [Greene] plant to promote technology and engineering careers. Raymond has an outstanding cadre of employees, but … [my hat is off] to the executive team that ensures that everyone works together to consistently produce quality products.”
“At Raymond, we like to say that we don’t just build lift trucks; we offer solutions,” continues Field. “That means we’re an innovator focused on solutions for a customer’s entire operation. To accomplish this, we often reach out to industry partners such as Seegrid, which specializes in vision-guided vehicles. The result is a standard Raymond lifttruck with both man-on and man-off automated functionality. A lifttruck equipped with the vision-guided system doesn’t require lasers, tape, wires, or additional infrastructure to operate, and the automated lifttruck can learn up to 15 miles of routes in unlimited configurations. Raymond has also created a strategic alliance with Brammo [Inc.] to develop lithium-ion, alternative-energy solutions. We showcased our walkie-pallet jack last year, another example of our end-to-end warehouse solutions. Raymond is working closely with our trade associations and with NY–B.E.S.T. (New York Battery & Energy Storage Technology Consortium), funded by an initial $25 million seed-grant from NYSERDA. Robotics and energy are two major areas of our corporate concentration.”
Field grew up in the greater Syracuse area and attended the Rochester Institute of Technology, earning a bachelor’s degree in mechanical engineering in 1986. He added an MBA in international-management operations in 1995 and a master’s degree in manufacturing-systems engineering the same year, both from Boston University. Field joined Raymond in January 2004 as the VP of engineering. The company designated him as CEO in April 2015.
If George Raymond, Sr. returned to Greene today, I think he would be delighted that his name was still on the business. But I don’t think he would be surprised by the expansion of the company. Raymond, Sr. liked to tinker with new ideas in pursuit of efficiency, which translates into productivity for customers. The 130-plus company patents are testimony to the Raymond Corp.’s commitment to innovation. And I’m sure he would approve of the company motto: “Run better, manage smarter.” If Field and Raymond, Sr. were to meet, it probably wouldn’t be in the local barber shop, but rather in the R&D department in Greene where the two could talk about lithium-ion batteries, robotics, fuel cells, fly wheels, software systems, and more.
And best of all, the two could talk about Raymond’s bright prospects for continued growth. ν
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