To engage highly experienced healthcare consultants to design, evaluate, and recommend a comprehensive consolidation strategy for the territory's two public hospitals: schneider regional medical…

The Office of Management & Budget (OMB), Executive Office of the Government of the U.S. Virgin Islands, received a $400,000 project grant from the Department of the Interior's Office of Insular Affairs under the Economic, Social, and Political Development of the Territories program (CFDA 15.875) awarded on November 6, 2025. This grant funds the engagement of highly experienced healthcare consultants to design, evaluate, and recommend a comprehensive consolidation strategy for the territory's two public hospitals: Schneider Regional Medical Center (SRMC) on St. Thomas and Governor Juan F. Luis Hospital (JFL) on St. Croix.

The consulting engagement will deliver two primary products through the September 30, 2029 completion date. First, consultants will conduct a comprehensive organizational analysis of both SRMC and JFL, reviewing existing administrative, operational, and clinical structures to identify redundancies, overlapping responsibilities, and inefficiencies that contribute to increased costs. Second, consultants will design a consolidation framework establishing governance and management structures for a unified hospital system, including organizational hierarchy, leadership roles, decision-making protocols, and lines of accountability for operating as a single entity with two campuses. This initiative supports the territory's healthcare system modernization and operational efficiency objectives.

To engage highly experienced healthcare consultants to design, evaluate, and recommend a comprehensive consolidation strategy for the territory's two public hospitals: schneider regional medical center (SRMC) on ST. Thomas and GOV. Juan F. Luis hospital (JFL) on ST. Croix. The first objective is to conduct a comprehensive organizational analysis of both SRMC and JFL. This analysis will review existing administrative, operational, and clinical structures to identify redundancies, overlapping responsibilities, and inefficiencies that contribute to increased costs. The second objective is to design a consolidation framework that establishes a governance and management structure for a unified hospital system. This framework will outline the organizational hierarchy, leadership roles, decision-making protocols, and lines of accountability for operating as a single entity with two campuses