Giving Compass' Take:

· This report from the Urban Institute features research into the barriers nonprofit hospitals and health systems face when looking for investments in housing development and provides key strategies for designing and implementing successful projects.

· What barriers and challenges do nonprofit hospitals and health systems face when it comes to investments in housing development? How can donors support developing affordable housing for patients of these facilities? 

· Check out this article about hospitals subsidizing housing for the homeless to improve health outcomes


Tackling the affordable housing crisis will require actors from every sector to finance housing development for low- and moderate-income people. We developed this guide to help nonprofit hospitals and health system understand how their institutional assets and prestige can support affordable housing development projects—and to offer practical information and encouragement to start investing in much-needed affordable housing.

The guide is informed by Urban Institute’s research examining the current practice as well as the motivations, opportunities, and barriers nonprofit hospitals and health systems face to initiating and broadening investments in housing development. Our findings suggest that while nonprofit hospitals and health systems may be increasingly aware of and involved in addressing housing concerns of their patients and communities, few invest in construction and rehabilitation projects.

This guide presents key concepts and strategies for designing and implementing housing development projects, complemented by examples and supplemental resources. We first guide the readers through steps and considerations when exploring and formulating an appropriate affordable housing investment strategy, including assessing community needs, identifying the target population, engaging community members, examining the policy context, selecting partners and internal champions, and measuring progress. We then describe concrete ways in which nonprofit hospitals and health systems can provide invaluable support and financing for affordable housing projects. These include using their financial position to enhance credit, therefore lowering borrowing risks and costs; providing in-kind resources, such as land and staff time, to help affordable housing development; and providing capital (as a grant or a direct loan) to cover construction or rehabilitation costs.

Read the full article about affordable housing investments by Kathryn Reynolds, Eva H. Allen, Martha Fedorowicz, and Joycelyn Ovalle at Urban Institute.