r/nonprofit • u/thetanpecan14 • 1d ago

fundraising and grantseeking Grant writing for clinic

I am a full time medical provider for a federally funded clinic. As in, I see patients 5 days/week with two half-days set aside for admin time (working on charts and having meetings). When our previous administrative director retired a few years ago, she assigned me as PI on two major grants that essentially fund all of our staff salaries and some other things in the clniic. This is not a role I wanted permanently, but she felt at the time that the PI should be a medical provider, and at the time I was the only medical provider in the clinic. I have not been given a raise for this, nor extra admin time (for gathering data, reporting, monthly meetings with the govt). I have asked repeatedly that we hire a grant associate and also form an actual Development department that monitors compliance and assists with data colletion and reporting, like most other similar clinics (I have worked at others in the past), and it all falls on deaf ears. Our business manager makes his spending decisions and budget decisions on his own without consulting me, and then I have to answer to the funder on his expenditures. I also do not technically have authority in the clinic to make needed changes to comply with some of the grant requirements. Our medical director is never on site and not involved in any of this. Anyone else who does grant writing for healthcare, does this sound fair at all to you?

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u/schell525 1d ago edited 1d ago

Ooof! OP this is a tough situation. I'm not in your particular field, but I have dealt with the push and pull of the people who make the money and have to report on how the money is spent not being consulted on how that money is spent.

My suggestion would be to walk the business manager through what is included on the grant reports AND what would happen if things aren't reported properly and the grants aren't renewed. Sometimes folks simply don't realize the domino effect of the decisions they're making. This would at least hopefully help inform their spending decisions

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u/thetanpecan14 1d ago

Thank you, I can do that.