Fr. Smith came to Saint Francis from the Episcopal Diocese of Chicago, where he served as a parish priest while working full-time as a healthcare executive in hospital systems in Wisconsin and Illinois. Through his leadership, Saint Francis has expanded its services and reach, supporting more than 31,000 families in Arkansas, Illinois, Kansas, Kentucky, Mississippi, Nebraska, Oklahoma, Texas, and Central America with a $250 million operating budget and 1,800 employees. Saint Francis also has advocacy operations in Washington, D.C. and within the United Nations in New York City. In all, Saint Francis crosses 16 Episcopal diocesan borders and is clinically engaged with children and families in 36 U.S. states and 21 other nations. Under Fr. Smith’s guidance, Saint Francis began the process of implementing the Malcom Baldridge National Quality framework in 2015. In 2017, the organization was recognized at the state level with the Missouri/Kansas Quality Award by the Midwest Excellence Institute. In 2018, Saint Francis Community Services changed its name to Saint Francis Ministries to more accurately reflect the expanded mission and vision of the organization founded by Fr. Bob three-quarters of a century ago.