Skip to:

Anchor Institutions

Can Hospitals Heal America's Communities?

Ted Howard and Tyler Norris

Healthcare’s role in creating healthy communities through increasing access to quality care, research, and grantmaking is being complemented by a higher impact approach; hospitals and integrated health systems are increasingly stepping outside of their walls to address the social, economic, and environmental conditions that contribute to poor health outcomes, shortened lives, and higher costs in the first place.  

Healthcare Small Business Gap Analysis

Jessica Bonanno, Steve Dubb, and Ted Howard

Our newest report, Healthcare Small Business Gap Analysis, prepared in partnership with New Orleans based DMM & Associates on behalf of the New Orleans Business Alliance (NOLABA), outlines procurement practices and supply chain needs of New Orleans healthcare institutions and the capacity local business to fulfill those needs. The report provides recommendations on how to leverage New Orleans’ hospitals’ $1.5 billion in procurement spending to promote greater local procurement and economic inclusion in a city where only 48 percent of African American adult males are in the formal labor force. This report is based on interviews with nearly  50 representatives from area hospitals, additional anchor buyers, technical assistance organizations, small businesses, and other public stakeholders.

The Anchor Dashboard: Aligning Institutional Practice to Meet Low-Income Community Needs

Steve Dubb, Sarah McKinley and Ted Howard

This study seeks to introduce a framework that can assist anchor institutions in understanding their impact on the community and, in particular, their impact on the welfare of low-income children and families in those communities.

Download the report and learn more about our work to help anchors measure their impact on community wealth.

 

The Anchor Mission: Leveraging the Power of Anchor Institutions to Build Community Wealth

Farzana Serang, J. Phillip Thompson and Ted Howard

This report from The Democracy Collaborative and the Department of Urban Studies and Planning at MIT focuses on the path-breaking Vision 2010 Program implemented in Cleveland and Northeast Ohio by University Hospitals System. Over a five year period, the initiative targeted more than $1 billion of procurement locally to create jobs, empower minority- and female-owned businesses, and create a “new normal” for responsible, community-focused business practices in the region.

Anchoring Hospitals In The Community

Laurie Larson
Trustee Magazine

Laurie Larson writes the article Trusteee Magazine "Anchoring hospitals in the community." In this article, Larson covers the Healthcare Anchor Network, a project of the Democracy Collaborative: 

Theirs is just one example of the work emerging from the Healthcare Anchor Network, a blooming consortium of nearly three dozen health systems launched in May 2017. The network's overarching goal is to “reach a critical mass of U.S. health systems [that are] strategically improving community health and well-being by leveraging all of their institutional assets, including intentionally integrating local economic inclusion strategies in hiring, purchasing and investing.”

HAN is the brainchild of the Democracy Collaborative, an economic development agency in Cleveland, which was launched as a “democratic renewal” research center at the University of Maryland in 2000. The collaborative has since moved well beyond its research roots, offering field activities to expand community wealth-building, hosting nationwide roundtables to discuss transformative economic development solutions, and advising local governments, foundations and anchor institutions such as health systems on new strategies for addressing the root causes of socio-economic inequity in their communities.

AECF Launches Effort to Help Universities Strengthen Local Communities

Philanthropy News Digest
Philanthropy News Digest

Philanthropy News Digest writes about the education work of The Democracy Collaborative and CUMU in "AECF Launches Effort to Help Universities Strengthen Local Communities:" 

A joint project of the Coalition of Urban and Metropolitan Universities (CUMU) and the Democracy Collaborative, which have been working with the foundation to help "anchor" institutions such as hospitals and universities use their intellectual, social, and financial assets to catalyze economic opportunity in low-income neighborhoods, the Higher Education Anchor Mission Initiative will encourage participating institutions to share insights and lessons learned in areas such as goal setting, data collection, and stakeholder engagement, with the goal of advancing their work as community anchors.

Leveling the Playing Field in City Contracting

Oscar Perry
Next City

Oscar Perry, writing for Next City, highlights the work of the Democracy Collaborative in "Leveling the Playing Field in City Contracting." In this long form piece, Perry writes about why New York City has doubled their contracts with women-and-minority-owned firm. As well as, the work of Democracy Collaborative's thought leadership, direction, and work with anchor instutitons through the Healthcare Anchor Network: 

Corporations and anchor institutions like hospitals and universities are stepping up MWBE contracting commitments and programs, too. The Democracy Collaborative, a nonprofit that does research and builds leadership around equitable, inclusive and sustainable development, has been working with anchor institutions to support more diverse contracting through the lens of building stronger local economies. In January 2017, it formed the Healthcare Anchor Network, consisting of 30 healthcare systems nationwide.

“Healthcare systems are recognizing the need for intentionality to overcome the history of discrimination,” says David Zuckerman, who manages the network. Yet such programs remain in danger of going away when there’s a leadership change, he notes.

“If you can institutionalize it, and build it into your strategic plan, that’s what’s powerful,” he says. “We’re not there yet, but I think in the next year we’re going to see more health systems build this local impact work into their strategic plans.”

One way to institutionalize it: Make it someone’s job.

“There might be an official statement that ‘we’re going to prioritize the effort to increase our spend to MWBEs,’ but it’s not any one person’s job, it’s something extra,” Zuckerman says.

Read more in Next City

Evergreen Cooperative Laundry Expands to Second Plant, More than Tripling Its Workforce

A man wearing scrubs and a hairnet operates industrial laundry machinery

CLEVELAND, OHIO — MAY 10, 2018 Evergreen Cooperative Laundry (ECL) announced a major expansion today in collaboration with Ohio’s second largest employer, taking over management of the Cleveland Clinic’s laundry facility in Cleveland’s Collinwood neighborhood. This additional location complements ECL’s original facility in Glenville. The expansion brings more than 100 new employees into the company, joining the 50 workers employed at the original laundry.

Celebrating this milestone for the workers at this employee-owned business, a proclamation from the City of Cleveland was delivered, highlighting the collaboration between ECL and Cleveland Clinic that will help strengthen and support the vitality of the local economy. “The City of Cleveland welcomes the opportunity for all businesses—new or well established—to participate and grow in our community,” said Mayor Frank G. Jackson. “Investments from employee-owned companies like Evergreen Cooperative Laundry help create more wealth for people in our neighborhoods while making our city an even more desirable place to live, work, play and do business.”

ECL is part of the Evergreen Cooperatives, a nationally celebrated network of companies in Cleveland, Ohio, that creates jobs and builds community wealth through cooperative business ownership. These businesses are located in historically disinvested neighborhoods. For Brett Jones, Executive Vice President at the Evergreen Cooperatives, “this expansion validates the core idea at the heart of the Evergreen model—that businesses owned by workers can succeed and thrive in the market, helping close the wealth gap.” Read more about Evergreen Cooperative Laundry Expands to Second Plant, More than Tripling Its Workforce...

The Alternatives: how Preston took back control – podcast

Aditya Chakrabortty
The Guardian

Presented by  and produced by  and The Alternatives: how Preston took back control – podcast. The Guardian looks at the work of the Democracy Collaborative in Preston England: 

To kick off, we hear from Preston city councillor Matthew Brown about the “Preston model”, a new approach to local procurement inspired by a similar initiative in Cleveland, Ohio. In a time of austerity and cuts, how is it that Preston is now seeing an extra £75m being spent in the city?

Listen to the podcast at the Guardian 

The Anchor Mission Playbook

Rush University Medical Center
with support from Chicago Anchors for a Strong Economy (CASE), the Civic Consulting Alliance, and The Democracy Collaborative

Anchor institutions can play a key role in helping the low-income communities they serve by better aligning their institutional resources—like hiring, purchasing, investment, and volunteer base—with the needs of those of communities. The recommendations in this “playbook,” drawn from research carried out to help Rush University Medical Center (RUMC) align around its Anchor Mission, are being published to help other hospitals and health systems accelerate their own efforts to drive institutional alignment with community needs.

Is 'Going Local' the Secret to Economic Development?

J.B. Wogan
Governing

In Governing, a look at how Mayor Ras Baraka is championing a movement to hire locally in Newark, NJ.

“We think this could take off in lots of different communities," says Ted Howard, president of the Democracy Collaborative, a national nonprofit focused on economic development in urban areas. “We’re going to be promoting it."

Hospitals Aligned for Healthy Communities: Place-based Investing

David Zuckerman and Katie Parker

Nationally, health systems have an estimated $400 billion in investment assets. Redirecting even a small portion of these resources to place-based investments would shift billions of dollars toward addressing economic and environmental disparities in local communities. It would allow institutions to more effectively improve community health and well-being, even as they continue to earn a healthy rate of return. This toolkit outlines a range of strategies for how health systems are using their investment assets to help address the resource gaps that keep communities from achieving better health and well-being.

As we learn more about what families and children need to lead healthy lives, it is clear that adverse social, economic, and environmental factors, coupled with racial disparities, prevent communities from building a culture of health. The good news is that hospitals and health systems are recognizing that they have significant, untapped assets at their disposal to help address these challenges: their investment portfolios. Through place-based investing, institutions can leverage these resources to improve their communities’ overall health and well-being. This toolkit will help you get started.

Hospitals Aligned for Healthy Communities: Inclusive, Local Sourcing

David Zuckerman and Katie Parker

Across the country, healthcare institutions are recognizing that they can creatively leverage their supply chains to address the upstream economic and environmental conditions that have the greatest impact on the health of local residents. In doing so, they can create family-supporting local jobs and build community wealth. This toolkit on local and diverse purchasing showcases examples of how hospitals and health systems are reevaluating their roles as their community’s largest purchasers, understanding that a thriving local economy is fundamental to a healthy community.

The sourcing of goods, services, and food that your hospital or health system does every day, when aligned with your mission, can help build local wealth in the communities you serve. By supporting diverse and locally owned vendors and helping to incubate new community enterprises to fill supply chain gaps, hospital and health systems like yours can leverage existing resources to drive local economic growth and build a culture of health in their communities. This toolkit can help you get started

Colorado Impact Report: Will Denver Become America’s First ‘Community Wealth’ City?

Ted Howard
Colorado Impact Report

In cities across America, a new form of local economy is emerging. Many call this growing movement “Community Wealth Building,” a framework for economic development built on principles of democratizing wealth, broadening ownership over capital, leveraging existing institutional assets to benefit place, and preventing money from leaking out of our communities. The goal is to reinforce core values such as equity, inclusion, local stability, and sustainability. A range of corporate and institutional forms, involving millions of Americans as owners and consumers, are part of this movement, including cooperatives, employee-owned companies, community financial institutions, land trusts, municipal and state ownership, impact investing, and social enterprise.

Read Ted Howard's contribution to the Colorado Impact Report

Advancing the Anchor Mission of Healthcare

Nancy Martin, on behalf of the Healthcare Anchor Network

In December 2016, leaders from 40 health systems gathered in Washington, DC to explore the potential to more fully harness their economic power to inclusively and sustainably benefit the long-term well-being of American communities. Together, they discussed best practices and strategies to advance the Anchor Mission of healthcare.

At the conclusion of the convening, the Healthcare Anchor Network was formed to support health systems collaborating nationally to accelerate learning and local implementation of economic inclusion strategies.

This report summarizes the events of that convening and next steps, inviting your hospital or health system to join the Network and help advance the Anchor Mission of healthcare in your institution, in your community, and nationally. 

Pages

Subscribe to Anchor Institutions