How can hospitals support both margin and mission through investments in the social determinants of health, such as safe and affordable housing, healthy food, and stable employment? In their article for the Grantmakers in Health August newsletter (“Margin and Mission-Related Investing: How Hospitals Can Help Build Healthy Communities”), Dr. Megan Sandel and Maggie Super Church discuss these questions and argue that hospitals and health care systems can help build healthy communities through more targeted use of their investment capital.
Image by ICON Architecture
On Wednesday, August 2, the developers of Bartlett Station held a groundbreaking ceremony to celebrate new economic opportunity generated by this transformative project. Two buildings are currently under construction – one, which contains the 28 rental apartments (of a total of 60) and retail space supported by HNEF’s investment of $2.9 million, and another that will provide market and affordable homes to new homeowners. The ground floor retail space will be occupied by a grocery store tenant, providing access to fresh and healthy foods for area residents.
Bartlett Station is notable for: its scope, the number of jobs being created, the percentage of contracting jobs going to minority business enterprises, the number of jobs filled by workers of color, women, and Boston residents, and for the transformative impact this project will have in one of Boston’s most important neighborhoods.
TOD Development will bring 67 units of new housing to formerly vacant downtown parcel
On Wednesday, June 14, Governor Charlie Baker joined state housing and transit officials, local municipal officials and private sector development partners to break ground on 67 mixed-income, transit-oriented rental housing units adjacent to the Beverly Depot Commuter rail station.
110-114 Rantoul St., as the project is presnetly called, also will include ground floor retail/commercial space. It is being built on a formerly vacant site at 112 Rantoul Street and is being developed by Barnat Development.
The development will create 16 workforce housing units affordable to middle-income households, representing the first major shovel-ready redevelopment property under the Baker-Polito Administration’s “Open for Business” Real Estate Asset Leveraging (REAL) Strategy and an investment of MassHousing’s $100 million Workforce Housing Initiative.
HNEF is also supporting the project with a $4.9 million investment. In addition to MassHousing and HNEF funds, Beverly Barnat is being financed by Boston Private and the Federal Home Loan Bank of Boston.
The Federal Reserve Bank of San Francisco and the Nonprofit Finance Fund have just launched their new book, “What Matters: Investing in Results to Build Strong, Vibrant Communities.” With a foreword by former Massachusetts governor Deval Patrick, this pathbreaking book is a compilation of essays that explores what it takes to reorient social programs and funding to achieve desired outcomes. The traditional focus for funding has been on activities and outputs, but, the authors argue, this model no longer works. Measuring and accounting for the benefits of investment will yield far better results in building healthy communities and satisfying investors and other stakeholders. Achieving this shift in focus is not easy and requires collaboration among the social, business and public sectors. But that shift clearly is gaining momentum across sectors and across the country.
Maggie Super Church, CLF Ventures, has a chapter in this book: Investing in Health From the Ground Up – Building a Market for Healthy Neighborhoods, in which she states that, “In this growing and dynamic market, there is clearly enormous opportunity to drive investment toward interventions that improve population health.” She poses the question: “why it is so difficult to finance the development of healthy communities when the benefits to people, communities, and the economy are so profound?" Read her chapter and find out why.
Bridging Health & Community has just published its new report, Fostering Agency to Improve Health, Twelve Principles key to the Future of Health. Written by Pritpal Tamber & Bridget B. Kelly, co-founders of Bridging Health & Community, the report “seeks to change how we define health and how we approach health so that it goes beyond health care and public health to embrace fostering community agency.” The authors advocate for a broader definition of health to mean more than just ‘the absence of disease.’
According to the authors, their “mission is to describe the field of practice that bridges how health systems and communities can approach ‘health.’” They define the field through a set of twelve principles.
Included in the report is an abstract of Maggie Super Church’s presentation, “Trying to find community-centric business models,” about HNEF and its progress and challenges at the July 16 2016 meeting of the Creating Health Collaborative.
Ashmont, the neighborhood where HNEF's Treadmark project is being built, was featured as part of Chronicle's "Happening Hoods," series. See the clip and hear about how Treadmark fits into this neighborhood undergoing transformation.
Landing 53, a mixed-use TOD project in Braintree that HNEF is helping to finance and that will ignite transformation of the community was featured in the New England Real Estate Journal as “Project of the Month.”
That was the title of last week’s conference, convened by the Robert Wood Johnson Foundation in collaboration with AcademyHealth, which brought together a broad range of experts to explore what it takes to create a Culture of Health. Held in Louisville, Kentucky, panelists and participants discussed the role that race, the environment, public policy, the health care establishment, and others play in creating health equity. Topics included the importance of cross-sector collaboration and partnerships, innovative research and new approaches, and what will it take to advance social cohesion and grow opportunity to achieve health equity in the current sociopolitical environment. Maggie Super Church was there, representing HNEF and CLF Ventures.
Take a look Louisville’s Culture of Health Prize Story
Want to know more about what Culture of Health means, why it matters, and what it will take to get there? Click here
On December 7th, CLF Director of Research Vedette Gavin attended a meeting in Dallas, sponsored by the Robert Wood Johnson Foundation and the Urban Institute, convened to formally introduce data from the 500 Cities Project and explore how communities might use it to create a culture of health.
The 500 Cities Project is collaboration between the CDC, the Robert Wood Johnson Foundation, and the CDC Foundation. The project marks the first time that health behavior and outcome data has been made publically available at such a local level for communities across the US. It has paramount implications for the power of the Healthy Neighborhoods Research Study. The focus of the study is to understand how investing in new development projects in urban neighborhoods impacts the lives and health of people living less than 1 mile away. And locally it has paramount implications for the power of the Healthy Neighborhoods Research Study.
On Monday, October 31, Maggie Super Church, representing CLF Ventures, spoke at a standing room only session at the American Public Health Association’s (APHA) Annual Meeting in Denver. APHA’s theme for this year’s meeting was "Creating the Healthiest Nation: Ensuring the Right to Health." More than 12,000 people attended the conference.
In her presentation, titled “Neighborhood Development and Investment Strategies to Improve Health,” Maggie talked about how health outcomes are emerging as a critically important “fourth bottom line” for community investment.
Many factors, she said, are driving this growing interest: the explosion of health care costs; the scarcity of public support for affordable housing, transit, parks, and community facilities that contribute to the building blocks of healthy communities; and the alarming rise in obesity and chronic disease. These factors are focusing national attention on the built environment’s role in shaping health outcomes.
Even modest changes to the built environment can drive changes in health outcomes. Maggie explained how HNEF is designed to invest in high impact projects with potential to transform neighborhoods, strengthen community and environmental health, and promote regional equity while providing attractive returns for investors.
Landing 53, a Braintree transit-oriented real estate development (TOD) with 172 new apartments and 12,000 square feet of retail space held an official groundbreaking ceremony on September 30th at the site, which is already under construction. For this project, HNEF provided $5 million in equity gap financing.
HNEF chose to invest in Landing 53 because it met the screening criteria needed to qualify: It’s conveniently located close to public transportation and it will add workforce housing, create jobs, enhance the environment with new pedestrian walkways and other amenities, and has the potential to improve the health of the community and its residents.
Landing 53 has been in the works for three years and has been a major priority for the town, which spent $2 million to improve the area with underground utility lines and improved street lighting. The property has been underutilized, with old, semi-vacant buildings. The new development will revive the neighborhood and spur economic growth consistent with the town’s stated mission of promoting sustainable development.
On October 5th, HNEF's sponsors -- the Massachusetts Housing Investment Corporation and the Conservation Law Foundation proudly announced the Boston Foundation $1 million investment.
To date, HNEF has attracted $7 million in subordinate capital from public and philanthropic sources, including The Kresge Foundation, the Robert Wood Johnson Foundation and now the Boston Foundation, which will unlock an additional $23 million in private capital. Through this blended capital structure, the fund sponsors seek to demonstrate the ability to achieve both financial returns as well as environmental and community benefits.
“The Boston Foundation has long been a proponent of neighborhood development with health and wellness in mind,” said Paul S. Grogan, President and CEO of the foundation. “We have demonstrated our support through millions of dollars of investment in the Fairmount Corridor and Dudley Square neighborhoods. This investment of $1 million should enhance the already important work of the Massachusetts Housing Investment Corporation and the Conservation Law Foundation to create more transit-oriented developments in Boston and across the Commonwealth.”
See HNEF featured in Banker & Tradesman. The article talks about how the sponsors of HNEF are hoping that investing in just the right transit-oriented developments will boost the longevity and health of those living in some of the city's most vulnerable neighborhoods.
An event, held on July 11th for Treadmark, a new project in Boston’s Ashmont neighborhood, marks the first groundbreaking for an investment made by HNEF.
Treadmark, whose name reflects the history of the site of the former Ashmont Tire Company, will be comprised of 51 affordable rental units, 32 moderately priced ownership units, and 5,000 square feet of ground-floor retail. It’s a short walk from the Ashmont MBTA Station and across the street from another transit-oriented development completed in 2007 by the same developer, Trinity Financial.
More than 200 people gathered for the celebratory event, with speakers including Governor Charles Baker, Mayor Marty Walsh, State Senator Linda Dorcena Forry, MHIC’s Joe Flatley and several community leaders.
This event and the mixed-use, mixed-income project is very significant for HNEF because it represents precisely the type of development HNEF was created to support. Treadmark will add to the ongoing transformation of this neighborhood, near a major public transit hub. It will provide much-needed housing including rental, affordable and ownership units, strengthen the local economy with new neighborhood retail, improve walkability in the area, and foster new opportunities for local residents.
That was the title of the session sponsored by Massachusetts Smart Growth Alliance on June 2 in Worcester. Five panelists talked about how health is largely determined by zip code, and opportunities to enjoy healthy, active lifestyles – opportunities that are not equally shared. Gina Foote, Director of Fund Development for CLF Ventures at the Conservation Law Foundation, explained that HNEF was created to help address the problem. She told attendees how HNEF works to finance mixed-use, mixed income properties in communities undergoing the early stages of transformational change and how investments are likely to yield improved health outcomes over time, as well as other community and environmental benefits.
Published by the Building Healthy Places Network, this article profiles HNEF as a new investment model that can help turn neglected neighborhoods into model healthy communities. It takes a look at HNEF’s first investment, Chelsea Flats, examines how impacts are measured, and shows readers what the neighborhood looks like.
Pritpal S. Tamber, writer and founder of the Creating Health Collaborative, starts his article by saying that, “The World of real estate is beginning to understand that walking is good for property value.” Then he asks, “But is it possible to tie the value of walking to the value of real estate in a meaningful way?” He probes this trend and question with a focus on HNEF in his interview with Maggie Super Church.
Here is a good recap of a strategy session held by Grant Makers In Health to address how community metrics can be used to improve health outcomes and measure the impact of community investments. Sponsored by the Robert Wood Johnson Foundation, the convening brought together experts in the fields of health, community development, and housing, to explore new tools, hear about strategies, and network to support cross-sector collaboration.