These notes include a ton of resources for sustainable and non-traditional funding sources related to housing repair.

1. Built Environment Cohort
Call #3
Monday, September 19, 2016
ATTENDEES
*Albuquerque(LeighCaswell,Michelle
Melendez,TatiyanaRodríguez)
*Baltimore - Grace, Roscoe Johnson
*Cleveland –MandyMetcalf
*Chicago- Rod ChicagoDepartmentof Health
*Des Moines – Claire Richmond
*Springfield –Sarah Page
Kelsey - AcademyHealth
Janna– PL
Kenisha–PL
Courtney – TA Coordinator
BUILD HEALTHY PLACES NETWORK
Colby Dailey, Managing Director, Build Healthy Places Network (BHPN)
About the BuildHealthy PlacesNetwork:
BasedinSan Francisco, BHPN launchedin2014 withfundingfromRWJF. BHPN connectsleadersacross
sectors,andbuildsthe knowledgebase forcollaboration byprovidingresourcesandexamplesof what
works.
 CommunityDevelopmentandPublicHealthsectorshave beenworkinginsame placeswiththe
same people,butoftennottogether.
 CommunityDevelopmentSector- $2 billionsectoristhe actionarmfor addressing social
determinantsof health andpromotinghealthequity.IthasCommunity Development
Corporations (CDCs) and Community DevelopmentFinance Institutions (CDFI’s).
 Examples of Community Developmentinvestments - healthclinics,grocerystores,affordable
housing,communitycenters.
Joining forces program with Kresge Foundation to connect BUILD grantees through
the CDC sector.
JoiningForces PlanningGrant- BHPN recognizedanopportunitytospecificallylinkthose workingonthe
builtenvironmentwith the CDCsectorinan intentional way. Theyhostedabreakfastwith the
OpportunityFinance NetworkAnnualMeetinginDetroit.
 ConnectedCDFI'sand4 Buildgrantees identified byKresge:Cleveland,Springfield,Albuquerque,
and Harris County.Small Planninggrantopportunityforthose whoattended,workwithCDFIto
developafinancingplan.Springfield,Albuquerque,andHarrisCounty were awardedPlanning
Grants.
 Opportunitytoreallytapintonewmarkettax creditdollars,new marketfundingstreams,and
packetsthat investorswouldneedaboutinvestingonprojectsBUILDare workingon.

2. Sustainable/Non-traditional Funding Sources for Housing Repair
 HealthyHomesprogram – programby the U.S. Departmentof HousingandUrban Development
(HUD) that providesgrantstolocal governmentsandotherorganizationsto assesshousing-
relatedhazardssuchas asthma andleadpoisoning.Thisnotjustlimitedtopublichousing. Check
withyourcity and countygovernmentstosee if there are anylocal agenciesthatallocate these
funds.
o Example:AlamedaCountyallocatesthese fundsthroughtheirCommunityDevelopment
Agency.Inothercities,itmightbe a city governmentorevennon-profitprogram.
 CommunityDevelopmentCorporations (CDCs)andhousingdevelopers oftenspecialize inhome
renovationlike the BedfordStuyvesant RestorationCorporationinNY.
o If you are interestedinlearningmore aboutwhatisinyour city,check outthe National
Alliance of CommunityEconomicDevelopmentAssociations orNeighborWorks togeta
bettersense of the communitydevelopmentplayersin yourarearelevantto your
project.
o Local InitiativesSupportCorporation (LISC)–CDFIworking to integratefinancing with
local CDC’sand local orgs doing thiswork.They would begood to connectto.
o BPHN Partnerfinder - find a list of LISCsand otherpartners.
o CapitalImpactPartners - nationalCDFI thatdedicatesa specific partof its mission to
assisting in financing housing forseniors.
o Enterprise CommunityPartners - nationalCDFI'sjuststarted a health and housing effort
- they haveofficesaround thecountry.
o OpportunityFinanceNetwork willhavea list of all CDFI's registered with OFN.
o The CDFI'saren't doing it directly, but they are finding waysto partnermoreand more
o CommunityLand Trusts - way forfamilies to own homes - there’sa reserve component
thatall homeownerspay into (similar to an HOA) forownersto pay forenhancements
on their propertywitha specific codeof the land trust. Many of thosealso address
health. Thatprovidesa reserve mechanismforhomeowners.
 HealthImpactAssessments - The BHPN has a blogposton how HealthImpact Assessments
(HIAs) guidedthe renovationof manufacturedhousinginCurryCounty,OR.Itmentionsapublic-
private partnershipthatwascreatedtofundhome repairs.
o QualifiedAllocationPlan - housingauthoritiesuse thesetoallocate tax creditsto
developersaround the state.
o In GA,healthimpactassessmentshave beenusedasa wayto drive policysothat
qualifiedallocation plansfromdevelopers.
o HealthyNeighborhoodsEquityFund - InMassachusetts,aHIA actuallyinformedmetrics
that an Equityfundusedforinvestinginlow income communities.Metricsare derived
directlyfromHIA.Excellentpolicylever.Tothe extentthatBUILD can influence policyin
that direction,that'sa biggermacro.
 In affordable homeownershipprograms – those runby citiesorCommunityLandTrusts –
frequentlyhomeownersare requiredtocontribute toareserve inorderto addressrepairs
includinghealthhazards. Looktothe Community LandTrustNetwork formore information.

3.  Bonds on the balletor city initiativesfor retrofitting - multifamilyandnotnecessarily
affordable housing - allowsformitigation fordifferenthealthhazards,e.g.energyefficiencyand
pestcontrol.The city isoftenthe initiator- thatcan be a voteable bondon a ballet.
 Utilitycompaniesoftenofferincentivesforenergyefficiencyprograms that can address
healthmultiple ways, e.g.installingenergyefficientairconditioning,insulation.Sometimes
utilitycompanieswillprovidegrants,orcompensation.
o Clevelandwasable topartnerwitha utility company - to workon a weatherization
program.Interestedinopportunitiesto partnerwithcities’ moderate incomeenergy
saversprogram.
 UtilizingCommunityHealthNeedsAssessments (CHNA’s) - every 3 yearsnon-profithospitals
are required to go through a CHNA processthat requiresbroad stakeholderinput. Organizations
should try to be a partof thatprocess, if notalready, to encouragea focuson prevention and
communityneeds. (Clickhere fora guideto understanding CHNAs).
o Example:Trinity Health - Transforming Community’sInitiative - $80 mil investment
through CDFI'sand their hospitalsin addressing SDHin their communities.$40 through
CDFIsand $40 through tracking obesity and smoking. View slides fromPPBNational
Meeting presentation by Bechara Choucair,MD,SeniorVice President,Safety Net
Transformation and Community Benefit,Trinity Health.
o Children'shospitals arecoming around to thisidea (especially in Ohio).They just
convened an Ohio based meeting talking abouttherole thathospitalsplay asan anchor
institution.
 Example: A children's hospitalin Philadelphia partnerswith a city to develop a
health, literacy and recreation hub – Read More.
o Example:In Samford CT, the housing authority partnered with thelocalhospitalto work
on housing contiguousto thehospital. Read More.
o How do you steer CHNA to focuson housing and notchronicdiseases?Finding entry
pointsinto CHNA processis the bestway to get started. Moreand more, hospitalsand
healthdepartments arealigning their CHNA processes.Thathasbeen a good entry place
forexpanding focuson chronicdisease.Example:in Ohio,a hospitalasked their local
CDFIto be partof the process,conversation wasfocused on affordablehousing and
accessto healthy foods.
How are BUILD Sites thinking about funding these programs?
Clevelandhada healthyhomesprogramthatcombineditwiththe cityof Clevelandweatherization
program.Targetedasthma caseswithpatientsbeingadmittedonaregularbasis.Those are not available
everyyear,sonot a source theycan reallyrelyonfor sustainability.Tryingtofindothersources - Care
Source (local healthcare insurer)tofundasthmainterventionswithlocal hospital - show Care Source
that it'sworth investingin.
In Springfield,MA,PartnersforHealthierCommunityappliedforregularhealthyhomesfunding,and
didn'tgetit lastyear,but now the citygot fundingthroughdisasterresilience aftertheywere hitbya
tornadoand qualifiedandcompetedwell inthatcompetition.Asthmacoalition,aspartof partnersfor
healthiercommunity,hasfundingthroughthat.Alsoputtingtogethera pay forsuccessprogram (like
the one beingdone in Baltimore) whole financingpackage thatisfundedbyinvestorsandrepaidby

4. hospital andinsurance if they're able toprove thatthe asthma triggerswere addressedandhealthcare
costs wentdownafterthey didremediation.Payforsuccessmodel hasalot of potential,butnotmany
people aroundthe countryhave gottenthemoff the ground.
Baltimore’sfallsreductioninitiative isengagingneighborhooddatawith greenandhealthyhome
initiatives.Gointohome andlookforhealthrelatedhome repairsspecificallyrelatedtoaging
populations.Theseorgshave moneyfromHUD,but theirgoal with the Baltimore HealthDepartment,is
to pushthose resourcestowardsindividualswithhighestriskforfalls.Theyare gettinglessandless
fundingforthese repairprograms.
Des Moinesisattemptingtominimizeasthmatriggersinhomesusingreferralsfromhospitals.Looking
at waysto sustainthe program. Currentlyuse PolkCountyHousingTrustFunddollars.Came tothe
board to presenthealthyhomeswhentheywonthe BUILDgrant. Goal is to preserve affordablehousing
that residentsare currentlyin. The Boardhas beensupportive andtheywill continue tosustainit.They
are lookingforfundingtomaintainotheraspectsof programs.TalkingwithMCOsandstate Medicaid
office.
Conclusion and next steps
 Folksare encouraged toshare successesand opportunities withBHPN sotheycan learn
aboutthese kindsof partnershipsandliftupexamplesof whatworks.
 BuildHealthyPlacesNetworkwillbe hostinga#NetworkCommonson October5 at 10 a.m.
PT featuringthe BUILD Granteeswhohave usedtheir JoiningForcesPlanningGrants (via
Kresge) topartnerdirectlywith CommunityDevelopmentFinancial
Institutions (CDFIs). Springfield,HarrisCounty,andAlbuquerqueare participating.Register
here.