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Anchor InstitutionsBuilding Stronger & More Resilient CommunitiesTed HowardPresidentThe Democracy Collaborative
May 7, 2018Washington, DC
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• “Sticky capital”• Economic engines: employer and purchaser• Vested interest in surrounding communities• Typically nonprofit or public
WHY ARE ANCHOR INSTITUTIONS IMPORTANT TO COMMUNITIES?
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“Eds and Meds” Economic Impact:The United States Case
Employment 9 million+
Annual Expenditures $1 trillion+
Annual Procurement $500 billion+
Investment Portfolios/Endowments
$750 billion+
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Strategies for Deploying Economic Assets:
HospitalToolkits.org
Hospitals Aligned for Healthy Communities toolkit series:
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Healthcare Anchor Network
Healthcare Anchor Network participants
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Anchor Assets
Economic Assets• Hiring and workforce• Procurement/purchasing • Treasury and investment• Construction• Real estate and facilities
Discretionary Assets• Community benefit grants• Community health initiatives• Social & economic support services• Foundation & philanthropic initiatives
Functional Assets• Community planning &
leadership• Business & financing• Partnering capacity• Communications• Government relations• Public policy• Healthcare services• Research, data, and
technology• Diversity & inclusion• Labor-management relations• Reputation
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The anchor mission approach:
A commitment to intentionally apply an institution’s long-term, place-based economic power and human capital in partnership with community to mutually benefit the long-term well-being of both.
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Human Resources
Treasury
Government Relations
Research
Health Care ServicesProcurement
& Supply
Community Benefit
Environmental Stewardship
Labor/ Management Partnership
National Facility Services
Communications
Technology
Applying All Assets for Health
Total Health Impact
We can leverage many of our activities in key functional areas to understand the economic, environmental and social impacts.
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Dignity Health (CA, NV, & AZ) Community Investment Program: $100 million loan fund; low-interest loans – “patient lender” – for low-income communities
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• Developed local wind (14M kwh) and biogas. 100% renewable energy sourcing goal achieved.
• Set goal of 20% local food production.
• Founding member of multi-stakeholder Fifth Season farmer-consumer cooperative.
• Pursue local purchasing through local subcontracting with first-tier suppliers.
“Green” ProcurementGundersen-Lutheran Health System
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Henry Ford Health System• Transparent Sourcing Policy:
contracts of $20K or more must go out to public bid, making more contracts accessible to MBEs/WBEs
• Set purchasing target: $100M purchasing goal from MBEs and WBEs; reached $86M; purchases with 660 minority-owned suppliers
• Source Detroit: partners with other anchor institutions to drive portion of $1.6B in purchasing locally; $16.5M (about 1%) transferred to date
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University Hospitals (Cleveland, OH)Vision 2010: $1.2 billion construction and procurement over 5-year period; voluntarily set (and exceeded) goals for local spending, MWBEs
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Cleveland Clinic
4. Case Western Reserve UniversityCleveland State University
University Hospitals
CLEVELAND ANCHOR INSTITUTION PROCUREMENT$3 Billion+ Annually
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Evergreen Cooperatives: 200+ Employees, 50% Owners
Catalyzed by the Cleveland Foundation, Democracy Collaborative, City of Cleveland, others. In partnership with the city’s major anchors.
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Evergreen Energy SolutionsCleveland, OH
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Evergreen Cooperative Laundry
Cleveland, OH
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Green City GrowersCleveland, OH
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The Preston Model
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Local government
Preston: 2013
Anchor Institutions: Spend a lot of moneyEmploy a lot of people Rooted in the local area
Why anchor institutions?
Education providers
HHospitals
Private Businesses
Housing providersPolice
Voluntary and community sector
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Starting point: evidence£7
50m
Top 300 suppliers (by value) of each Anchor
Tota
l spe
nd o
f all
6 an
chor
s 12
/13
of spend leaking out of the Lancashire economy
61%
of spend within the Preston City Council boundary
5%
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The change£6
16m
Top 300 suppliers (by value) of each Anchor
Tota
l spe
nd o
f all
6 an
chor
s 16
/17
of spend leaking out of the Lancashire economy
20%
of spend within the Preston City Council boundary
18% Increase of £70million
Increase of £200million
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For more information:www.community-wealth.org
www.DemocracyCollaborative.org
Ted HowardPresident
Democracy [email protected]
Thank You