Healthcare anchor institutions often function like keystone species. They have a disproportionate influence on the health care ecosystem and on the economic infrastructure of the communities they serve. As major employers, purchasers, and investors, health systems are uniquely positioned to expand economic opportunity in the neighborhoods surrounding their hospitals. HAN member Rush University System for Health demonstrates how a strong anchor mission commitment can translate institutional assets into tangible community benefit. Central to this work is a focus on actions that deliver both immediate and lasting impact, particularly through local hiring, community investment, and inclusive procurement. Just as important are creativity and leadership that emerge not only from senior executives, but from staff across the organization and from partners in the community.
As highlighted in a recent American Medical Association article, Dr. John A. Rich, Director of the RUSH BMO Institute for Health Equity, emphasized that advancing anchor mission work often begins with internal initiative and curiosity. “Anyone who works at an organization, or works in a community, may notice that there are local businesses that are doing great work and could be partners,” he noted. “So any person in an organization might say: I found this great place.” Dr. Rich also underscored the importance of collaboration. “It’s about asking questions,” he said. “Think about other organizations in your space and ask: How can we do this together?” This perspective reflects a core principle of the anchor mission movement. Lasting community change is driven by champions at every level who are willing to see opportunity, build relationships, and act collectively to strengthen local economies and improve health outcomes.