Latest / Becker’s Healthcare Podcast / Advancing Cancer Research and Rethinking Philanthropy with Matt Zarcufsky
Transcript
- 0:02- There's a small circle of people who truly
- 0:04- understand what it takes to lead a health
- 0:05- system right now. The decisions are enormous.
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- 0:22- Becker's fourteenth annual CEO and CFO roundtable
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- 0:28- executive level attendees
- 0:30- and nearly 400 speakers for four days built
- 0:32- around growth, financial sustainability,
- 0:35- workforce strategy, and the leadership questions that don't
- 0:38- have easy answers.
- 0:39- Join us November second through the fifth in
- 0:41- Chicago.
- 0:42- For the agenda and event details,
- 0:45- visit beckershospitalreview.com
- 0:47- and click on the events tab in the
- 0:49- upper right.
- 0:50- This is Scott Becker with the Becker's Healthcare
- 0:53- Podcast.
- 0:54- We're thrilled today to be joined by your
- 0:57- brilliant leader. We're joined today by Matt Zarkovsky,
- 1:01- and Matt is the lead at the Tower
- 1:03- Cancer Research Foundation.
- 1:06- He's a transformational
- 1:07- leader,
- 1:08- philanthropic
- 1:09- efforts, and we'll talk about what he does
- 1:12- and where the focus is today.
- 1:14- Matt, can you take a moment and introduce
- 1:16- yourself and and tell us about the Tower
- 1:18- Cancer Research Foundation?
- 1:21- Sure, Scott. Thanks for having me.
- 1:23- Tower Cancer Research Foundation was founded thirty years
- 1:25- ago here in Beverly Hills, California,
- 1:28- a group of dedicated
- 1:30- cancer,
- 1:31- oncologists and and,
- 1:33- researchers,
- 1:34- thought that they could create a nonprofit that
- 1:36- would help fund some of the research that
- 1:38- wasn't being funded
- 1:39- at the time by the NIH. Early stage
- 1:41- ideas,
- 1:43- that that that didn't attract
- 1:45- the the the big types of money, but
- 1:47- but were important to consider.
- 1:49- So
- 1:50- Tower has really acted as an angel investor,
- 1:53- so to speak, in the in the cancer
- 1:55- research space. And so we've we've we've funded
- 1:57- the cutting edge ideas, really, that young people
- 1:59- are creating on the back of nap ins,
- 2:01- but but lack the support
- 2:03- to, to bring to fruition.
- 2:05- We also,
- 2:06- about fifteen years ago, we we started
- 2:09- we we created another piece of our organization,
- 2:11- and that that work that piece is working
- 2:13- in the patient support,
- 2:16- realm. So,
- 2:17- we offer
- 2:19- a a variety of classes,
- 2:20- in nutrition
- 2:22- and
- 2:23- exercise and wellness,
- 2:25- as well as mental health,
- 2:27- support for those who are living with cancer.
- 2:31- Fantastic. And talk about your career
- 2:34- and how you got started in philanthropy
- 2:36- in in in your background, and are you
- 2:38- a Raleigh Messamino fan?
- 2:42- I am absolutely a a Raleigh fan and
- 2:44- and also a Jay Wright fan and and
- 2:46- just an overall Villanova fan. So thanks for
- 2:49- mentioning that,
- 2:50- Scott.
- 2:51- I I actually got my my beginnings in
- 2:53- philanthropy at at my Alma Loner, Villanova.
- 2:56- It's where I learned about, even though I
- 2:58- had a degree in finance, I I had
- 3:00- no desire to go sit behind a computer
- 3:02- and crunch numbers on Wall Street, and, that's
- 3:05- where I learned about nonprofits and,
- 3:07- fundraising
- 3:08- and and,
- 3:10- long before there were degrees in it.
- 3:12- And so, I've carried that forward. I'm a
- 3:15- generalist, so I've worked in all parts of
- 3:17- the sector, health care, education,
- 3:19- the arts,
- 3:20- social services, you name it. And,
- 3:23- and so, have the,
- 3:25- the wonderful opportunity to come to Tower on
- 3:28- their, on the occasion of their thirtieth anniversary
- 3:30- and and help them think about what the
- 3:32- next thirty years
- 3:33- looks like.
- 3:34- Well, thank you. And when you look at
- 3:36- how fundraising has changed over the last decade
- 3:39- or two,
- 3:40- talk to us about what you've seen. Is
- 3:42- it is there still an eighty twenty rule
- 3:45- where a lot of focus on big donors?
- 3:47- How much of it is grassroots donors? What
- 3:50- what does that look like?
- 3:52- And and does it and and how does
- 3:53- it impact the thinking and strategy of of
- 3:56- philanthropy?
- 3:58- It's really interesting. You know, a couple of
- 4:00- things that have changed. Number one is is
- 4:02- the volunteer
- 4:03- focus. You know? In the in the early
- 4:05- days,
- 4:06- you know, it was very much based on
- 4:08- volunteers
- 4:09- and the board and how you,
- 4:11- how you engage with other
- 4:13- volunteers in the community to support organizations.
- 4:17- That has changed with the number of organizations.
- 4:19- I mean, we now have almost 2,000,000 nonprofits
- 4:21- in the country. The number of organizations asking
- 4:23- for money you know, the profession
- 4:26- professionalization of fundraising has really, you know, taken
- 4:28- place and and is evolving.
- 4:30- You know, I tell a lot of folks
- 4:31- now, you know, don't don't be connectors. Don't
- 4:34- worry about making the ask, but but if
- 4:35- you can connect me to the right people
- 4:37- who are interested in our mission,
- 4:39- we'll make the right ask of them. I
- 4:40- I will do that. So so that that
- 4:42- piece of fundraising has been professionalized.
- 4:44- I think to the other point of of
- 4:46- what you're saying,
- 4:48- the eighty twenty rule, you know, it's
- 4:51- it it's still in play, although there's some
- 4:53- variations on that. But I I would say
- 4:55- one of the biggest trends we're seeing,
- 4:57- which is is is one of the biggest
- 4:59- challenges, is the the middle of the donor
- 5:02- pyramid
- 5:02- is disappearing.
- 5:04- You know, those folks who are who who
- 5:06- are once willing to give you 25 or
- 5:08- $50,000,
- 5:10- are are are are not as,
- 5:13- able to do so. And and I think
- 5:14- for a couple of reasons.
- 5:16- Number one is the good news is people
- 5:18- are living longer, but now they're not sure
- 5:20- about what supports they'll have in in forms
- 5:22- of in the forms of Social Security or
- 5:24- or Medicare.
- 5:25- They're they're not sure how much money they'll
- 5:27- need to care for themselves. And the other
- 5:29- thing is is they're they're helping their children.
- 5:31- They're quite often, especially in a place like
- 5:33- Los Angeles, they're helping their children buy homes
- 5:35- or or pay tuition or or do those
- 5:37- types of things. So so the hardest gifts
- 5:39- to come by now are really the that
- 5:42- middle of the pyramid, $2,550,000
- 5:44- dollar gifts. Then on top of that, it's
- 5:46- how do you attract the attention of the
- 5:48- uber high net worth
- 5:50- individuals. That that's another challenge that that I
- 5:52- think every organization faces. And then finally, the
- 5:56- other side of this is how do we
- 5:57- ramp up, you know, our operations and and
- 6:00- our way of thinking in the digital space?
- 6:02- We know we can raise a lot of
- 6:03- money from a lot of people. Just look
- 6:04- at what GoFundMe does every day.
- 6:07- So but what's the infrastructure
- 6:10- needed to make that happen?
- 6:12- And and that's, I think, where most nonprofits
- 6:14- are
- 6:16- sorely behind.
- 6:17- And it's what we're trying to do here
- 6:19- at Tower is to really focus on those
- 6:22- 25 and $50 gifts, but from a lot
- 6:23- of people, because LA is a big place,
- 6:25- as you know.
- 6:27- No. Thank you. And and talk about that.
- 6:29- The what what I found the most fascinating
- 6:31- is that middle of the
- 6:34- investment area, that 10 to $100,000
- 6:38- sort of gift.
- 6:39- Those people that are
- 6:42- wealthy but not ultra high net worth
- 6:45- are are fighting more stress
- 6:48- to sort of maintain their long term livelihood
- 6:51- or or lifestyle,
- 6:53- and so it does have an impact on
- 6:55- their giving. So you end up with
- 6:57- lots of people giving small gifts, a small
- 7:00- number of people giving super large gifts,
- 7:02- but this middle the the sort of middle
- 7:04- level of
- 7:06- givers,
- 7:07- what you might think of as a second
- 7:08- or third tier, but what was traditionally a
- 7:10- very important tier
- 7:12- is a tougher tier
- 7:14- because that group of people,
- 7:16- I don't know what the net worth numbers
- 7:18- are, what the income numbers are, are a
- 7:20- little bit more concerned about maintaining the lifestyle
- 7:22- for the long term, so so I have
- 7:23- to be a little more careful in their
- 7:25- giving.
- 7:26- Exactly. That that's really what it boils down
- 7:28- to. And and, you know, for us,
- 7:32- that that that's where we've really had to
- 7:34- work to change the strategy and and how
- 7:35- we're you know, not not that those people
- 7:37- are are that we're not still focused on
- 7:39- them, but it's it's it's how do we
- 7:40- focus on really all maximizing revenue from all
- 7:43- sources. By by the way, not just individuals,
- 7:45- even though they're the largest contributors, but also
- 7:47- how are we maximizing our corporate partnerships, and
- 7:49- how are we attracting new foundations?
- 7:52- For for Tower, though, we we still do
- 7:54- believe that that middle of the pyramid is
- 7:55- important, and we also believe it's where we
- 7:57- can attract some new donors
- 7:59- in the sense that what we're really striving
- 8:01- to be moving forward is sort of a
- 8:04- a a community foundation or donor advised fund
- 8:07- for cancer, if you will. It's also those
- 8:09- middle of the pyramid,
- 8:10- gifts that that,
- 8:12- you know, that that that they're they're very
- 8:14- impactful, but you don't necessarily get the attention
- 8:16- of the major research organizations.
- 8:18- And so,
- 8:19- we believe that that in creating this model
- 8:22- where we can, you know, be the intermediary,
- 8:24- so to speak, of of connecting
- 8:27- those, you know, $25.50, $100,000
- 8:29- gifts with the academic research going on, you
- 8:32- know, and and get you access to a
- 8:34- researcher and get you,
- 8:36- access to the institution to really understand what
- 8:38- they're doing and how their, you know, how
- 8:41- their research is is changing the the the
- 8:43- the landscape
- 8:44- is really a potential business opportunity for us
- 8:47- to really seize upon. This is, you know,
- 8:49- this is about re really a tower we're
- 8:51- trying to reposition ourselves for what the future
- 8:53- of cancer looks like. And that also goes
- 8:55- with the same on our patient support side.
- 8:58- You know, as cancer changes, our organization needs
- 9:00- to change with it to address what we
- 9:02- believe will be the evolving needs in the
- 9:04- lands in the, in the ecosystem.
- 9:07- Thank you so much. And and and talk
- 9:09- a bit about
- 9:11- when you look at Tower and your exciting
- 9:14- donors about Tower,
- 9:16- tell us a little bit about the pride
- 9:18- in what Tower does and some of the
- 9:20- focuses that that make it exciting for donors,
- 9:22- and and what does that look like?
- 9:25- Mhmm. Well, I I think, you know, we
- 9:26- we recently at our at our recent gala,
- 9:28- we we talked about, you know, the impact
- 9:31- that, you know, our first thirty years has
- 9:33- had,
- 9:34- in the in the landscape. I mean, and
- 9:36- most importantly, we we see that in the
- 9:38- fact that the five year survival rate for
- 9:41- those who, you know, who have cancer is
- 9:43- now over seventy percent. So the that's the
- 9:45- great news. People are living longer with cancer.
- 9:49- Now
- 9:50- the the challenge that lies ahead for us
- 9:52- is, well, what does that mean for people
- 9:53- who are living longer?
- 9:55- How do we care for them? And that's
- 9:57- what a lot
- 9:58- even major research institutions will say, well, we
- 10:01- don't know because we haven't we don't have
- 10:03- the data. We don't have the research.
- 10:05- We have a lot of ideas.
- 10:07- But but what what is the impact of
- 10:09- mental, mental health? What is the impact on
- 10:11- on your body that requires
- 10:13- exercising in a different way and eating in
- 10:15- a different way?
- 10:16- That's the new horizon for us. In addition
- 10:19- to continuing
- 10:20- to fund the research that that advances,
- 10:23- you know, what what will hopefully eventually be,
- 10:25- you know, maybe not a cure, but but,
- 10:27- you know, something really close to it. I
- 10:29- mean, that's the other the the other advances
- 10:31- that we're following. I mean, yesterday,
- 10:33- developments in vaccines for melanoma.
- 10:36- Those types of things are
- 10:39- are are really exciting for for our work,
- 10:41- and it's what excites,
- 10:42- you know, the the folks that we work
- 10:44- with is that they're they can see,
- 10:46- you know, how they're making a difference with
- 10:49- their investments.
- 10:51- That is fantastic. When you look over the
- 10:53- next year or two,
- 10:56- two questions.
- 10:57- What are you most focused and excited about?
- 11:00- And then second is,
- 11:02- what is your
- 11:04- perspective of the big changes you expect to
- 11:07- see in the philanthropic
- 11:08- world over the next couple years?
- 11:11- Okay.
- 11:12- What am I most excited about? Well, I
- 11:13- just referenced some of it. I mean, the
- 11:15- the the the research coming out all the
- 11:17- time on on new opportunities in the space,
- 11:20- vaccines in particular,
- 11:22- but but a lot of the a lot
- 11:24- of the advanced immunotherapies
- 11:26- and and,
- 11:27- things like CAR CAR RT cell,
- 11:30- research, the the the way we're able to
- 11:32- get ahead of cancer and genetically engineer cells
- 11:35- to to address it,
- 11:37- is really exciting. And I think, you know,
- 11:39- we are, we are really on the the
- 11:41- forefront
- 11:42- of some great,
- 11:44- discoveries, I would say, within the next five
- 11:45- to ten years
- 11:47- in the cancer space. I think for us,
- 11:49- I'm also really excited about,
- 11:51- again, the opportunities that come with that with
- 11:53- people living longer for our dual mission
- 11:56- to be able to support more people
- 11:59- in their as they're living longer with the
- 12:01- with the programs that they need to to
- 12:04- understand how to to to live and thrive,
- 12:07- you know, as a as a cancer survivor.
- 12:09- In philanthropy,
- 12:10- you know, I I again, I I think
- 12:12- what I'm most interested in is
- 12:15- how do we get more money into the
- 12:16- philanthropic economy, and how do we, as I
- 12:19- said earlier, how do we get those big
- 12:21- ideas out to the,
- 12:24- you know, to to the the the major
- 12:26- philanthropists?
- 12:28- I think the biggest challenge that we face
- 12:30- and the trend that I watch is, you
- 12:32- know, even though the nonprofit sector is the
- 12:34- fifth largest employer in the country, we're we're
- 12:37- really facing a a a challenge in, you
- 12:39- know, with,
- 12:40- especially in a market like Los Angeles, paying
- 12:42- living wages. You know, it used to be,
- 12:44- oh, well, they're working for charity. They'll take
- 12:45- a pay cut. Well, you just can't do
- 12:47- it. I mean, the things that have happened
- 12:49- to us, you know,
- 12:52- wages have increased. Even when we do an
- 12:53- event, the cost of food has increased, you
- 12:55- know, but labor has increased. So, you know,
- 12:58- we're facing increasing costs, and we're not able
- 13:00- to keep up with with, you know, with
- 13:02- with that and inflation.
- 13:05- You know, I mean, even if you look
- 13:07- at the overall number, 600,000,000,000
- 13:09- given away last year, and that rose, I
- 13:11- believe, at a rate of around three to
- 13:12- 4%, but yet inflation was well over that.
- 13:15- So
- 13:16- how are we how are we taking care
- 13:18- of, you know, the the the people who
- 13:20- are leading this work,
- 13:22- across the sector, but but even in the
- 13:23- research sector. There's there's some,
- 13:26- anecdotal data out there now that younger people
- 13:28- aren't going into research because it's harder to
- 13:31- find research grants,
- 13:32- and money. And that's that's why tower is
- 13:34- so important because we are willing,
- 13:37- 30 later still, to to make those, you
- 13:39- know, investments in young people with with with
- 13:42- ideas that all they need is is to
- 13:43- be given a chance to, you know, to
- 13:45- provide proof of concept to get more money.
- 13:47- But there's not a lot of tower cancer
- 13:49- research foundations out there. So I I think
- 13:52- that's the the the the the the kind
- 13:54- of trends that I'm I'm watching and, you
- 13:56- know, because I wanna be at the forefront
- 13:58- of addressing them before they before they get
- 14:00- out of hand.
- 14:02- No. Thank you so much. And and and,
- 14:04- Matt,
- 14:05- you've had this great career in the philanthropic
- 14:07- world.
- 14:08- Any advice you would give to emerging leaders
- 14:11- in the philanthropic world?
- 14:13- Yeah. I I would say, first of all,
- 14:15- for anyone who's interested in creating a nonprofit,
- 14:18- don't.
- 14:19- There there's already someone out there doing what
- 14:21- you're doing. It's find find that organization and
- 14:24- figure out how to help them do what
- 14:26- they're doing in a bigger, better way.
- 14:28- I I think the second piece is is
- 14:30- is, you know, we we have a,
- 14:33- we we have a leadership vacuum right now.
- 14:36- And and so, you know, much like the
- 14:37- tower taking a chance on a young, investigator
- 14:40- and researcher, we need to we need to
- 14:42- put our, you know, a a lot of
- 14:43- our work in the hands of a of
- 14:45- a younger generation. But with that comes
- 14:48- the the idea that we also need to
- 14:50- understand,
- 14:51- you know, what younger people are looking for
- 14:53- in the workplace, those types of things, and
- 14:54- how they're looking to be, you know, and
- 14:56- to to to make an impact.
- 14:58- One of the biggest challenges now is is
- 15:00- the the generational gaps in the workplace and
- 15:02- how to address them, you know, and that
- 15:04- can be as simple as
- 15:06- working in the office versus not working in
- 15:07- the office. And where I I don't think
- 15:09- we've done a good job, of addressing those
- 15:11- those challenges and and and, definitely something to
- 15:14- think about for, you know, my generation of
- 15:17- leaders who, you know, who are trying to
- 15:19- manage and navigate this when, ultimately, you know,
- 15:21- we're looking at, you know, having to raise
- 15:23- more money and all of the challenges behind
- 15:25- it. But I think those are the it
- 15:27- is a great career. As I said, I
- 15:29- I I I have a finance degree but
- 15:31- chose to use it in a different way.
- 15:32- And,
- 15:34- and, you know, the sector is great, and
- 15:35- the sector is important.
- 15:37- I would say, overall, Scott, too, the other
- 15:38- thing that we need to understand is is,
- 15:41- nonprofits are businesses too. We are just given
- 15:43- the ability to meet our bottom line in
- 15:45- a different way.
- 15:46- But I think that's the other thing. Bring
- 15:48- bring a business mindset to this.
- 15:51- Bring a a critical thinking, I think, is
- 15:53- the most important skill
- 15:55- and, and the ability to pivot and be
- 15:57- flexible, which I think has been a challenge
- 15:59- for a lot of the nonprofits over the
- 16:01- years.
- 16:02- Fantastic. Matt, it's remarkable what you're doing and
- 16:05- what the Tower of Cancer Research Foundation does.
- 16:08- Hey. I wanna thank you for joining us
- 16:09- today on the Becker's Healthcare podcast. Thank you
- 16:12- so much for joining us, ensuring what you
- 16:14- do. Just fantastic. Thank you. Thank you, Scott.