2024 Impact Report

Health Equity: More Urgent Now Than Ever

A Message from Our President

Dr. Ann Hwang

Ever since the Atrius Health Equity Foundation started making grants in 2023, our work feels exactly like what we were meant to do. Our mission of closing the gap in life expectancy in Eastern Massachusetts guides our work to address the most deep-seated inequities and requires us to center community wisdom and leadership as we work together toward sustainable solutions.

In just a year and a half of grantmaking, we have committed over $44 million in funding, nearly a third of the total assets we expect to invest over the Foundation’s lifespan. Our intention to spend down our assets enables us to make the large- scale investments needed for catalytic change.

Our funding approach, guided by community input, purposefully places long-term investments in communities with the lowest life expectancies. We do this because we know that where we live has an outsized impact on our health. We center the leadership of communities who have been and continue to be marginalized and underinvested in, recognizing that those closest to the challenges are also best positioned to develop solutions.

We emphasize the importance of collaboration, knowing that resources and programs should be coordinated around the needs of a person or family, not siloed and fragmented. And, finally, we focus our investments “upstream”: we aim to tackle the social and economic conditions that hinder individuals from being able to attend to their health and well-being, that increase the risk for chronic disease and poor outcomes, and that are concentrated in communities that have borne the brunt of discrimination and disinvestment.

While we enter 2025 with concern for the national and global climate, we believe that the work to knit communities and people together in common cause, toward resilience, health, and equity, is only more important and urgent. We know we are not alone in this work, and we appreciate the warm welcome that we’ve received since our inception from funders, policymakers, health care leaders, advocates, and community health champions from across the region.

As a spend-down foundation, we recognize that our time is limited and our greatest legacy comes from the lasting impacts of our work together, whether it is youth who create a healthier and more equitable future, better coordinated systems, newly forged relationships, or ideas that are co-created and spread. Especially in these challenging times, we look each day not for the harvest we can reap, but for the seeds that we can plant. We are honored to share these seeds with you.

Advancing Partnerships for Healthy Longevity in Boston

This summer, we committed $10 million for community-led coalitions to promote financial well-being in communities with poor cardiometabolic health outcomes, as part of our historic partnership with the City of Boston, Boston Public Health Commission, and Boston Community Health Collaborative.

Pictured (L-R): Mayor Michelle Wu, Vivien Morris, Dr. Ann Hwang, Dr. Bisola Ojikutu, and Michael Curry.

This is the first multi-sector partnership to launch a city-wide effort on healthy longevity, titled "Live Long and Well", to maximize years of life without disease, close gaps in communities of color, and enhance the lives of all Bostonians.

Building on community priorities, this partnership will fund collaborative approaches to economic mobility, as a way to improve cardiometabolic health. The Foundation and partners have convened a community advisory committee that is shaping a Request for Proposals, to be released in early 2025.

The Foundation is also proud to be part of a growing community of supporters of collaborative, place-based funding efforts, in alignment with the Commonwealth’s Advancing Health Equity in Massachusetts (AHEM) initiative.

Cultivating Youth-led Solutions

This year, we invested $23 million in eight grants across Eastern Massachusetts centering young people as powerful agents of change for health equity for their communities and for our state.

Youth shared insights in community design workshops.

The Youth as Health Care Change Agents program grew out of community engagement that identified youth as a priority population, and educational and economic opportunity as key levers for change.

To further ensure that this grant program reflected community needs, we supported grantees to host community design sessions with youth and families and incorporated community reviewers in the application selection process.

With this five-year investment, grantees are anchoring collaborative, community-based efforts to address pressing health priorities. These efforts provide youth with financial support, health education, and health career pathways to identify, develop, and implement solutions for their community’s health needs.

Our grant program was designed with and for youth.

Dorchester teens reviewed health data in Boston.

Lawrence youth defined health in their community.

Eliminating Medical Debt

Medical debt hurts families economically and impedes access to care. What’s more, it disproportionately affects communities of color. With one in eight Massachusetts residents facing the burden of medical debt, this year we dedicated nearly $10 million to alleviate medical debt in Eastern Massachusetts. With this funding, we aim to acquire (and relieve) nearly half a billion dollars in debt, on behalf of low- and middle-income residents of Eastern Massachusetts, while creating policies and practices to prevent future medical debt.

Our Medical Debt Initiative partners are building a powerful cross-sectoral coalition.

We believe strongly in the power of cross-sectoral collaboration. Our initiative aims to acquire and abolish patients’ medical debt, increase legal and technical support to individuals and families facing medical debt, and achieve lasting solutions to prevent medical debt through coalition building, grassroots organizing, and policy change. This initiative also provides $1 million to four financial opportunity centers to increase their capacity to help consumers with medical debt.

By uniting community wealth-building organizations with health policy and law experts, we are growing a more powerful coalition to eliminate medical debt in Eastern Massachusetts.

Our grantees are training to help families understand and address medical debt.

This initiative aims to eliminate medical debt in Eastern Massachusetts.

Thanking our Leadership

The Foundation thanks its Board and Committee members for their leadership and service. The Foundation honors the memory of Jack Connors, a founding member of the Foundation’s Board of Directors.

Monica Bharel, MD, MPH 

Renee Crichlow, MD, FAAFP (vice chair) 

Chip Flowers, Jr., Esq. 

Ann Hwang, MD (ex officio) 

Jon Kingsdale, PhD (chair)

Mary Lee, MD, MS, MACP

Robert Master, MD 

Julita Mir, MD

James Roosevelt, Jr., JD 

Vinod Sahney, PhD 

Jeffrey Sánchez, MPA 

Leslie Teso-Lichtman, MBA (treasurer)

Investment Committee: 

Kathy Cuocolo, CPA 

Jock Payten, CFA

Foundation Directors and staff enjoy visiting with program partners.