How Johnson & Johnson is Accelerating a Health Equity Mindset: the Business Match Fund

How Johnson & Johnson is Accelerating a Health Equity Mindset: the Business Match Fund

In the U.S., health disparities for people of color relative to White individuals include higher rates of illness and death and less access to quality care. In response to longstanding and systemic healthcare inequities, Johnson & Johnson (“J&J”) launched its “Our Race to Health Equity” initiative (“ORTHE”) in November 2020. The bold under-taking “aspires to help eradicate racial and social injustice as a public health threat by eliminating health inequities for people of color” with a $100 million commitment over five years.

The company will invest half of ORTHE’s $100 million through external grants, programs, and initiatives by 2025. To embed a health equity mindset into J&J’s everyday business practice and strategy, J&J has also committed to driving change from within their large enterprise, allocating $50 million over five years to a Business Match Fund (“BMF”). The BMF is an incubator and catalyst for alignment at all levels of J&J by providing dollar-for-dollar co-investment alongside business units seeking to advance a health equity-oriented initiative in the United States. 

This case study details how Johnson & Johnson designed and executed the Business Match Fund to accelerate the adoption of a health equity focus across its divisions and, consequently, to seed large-scale organizational change. Their approach includes five core elements, explored further in the report:

  1. Design a funding approach that promotes innovation, long-term thinking, and engagement
  2. Use a varied toolkit to invite applications from across the enterprise
  3. Administer a layered and inclusive review process to select fund recipients
  4. Track impact centrally and regularly, leaving room for flexibility
  5. Tell the story of catalyzed impact internally and externally

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Corporate engagement with HBCUs

Corporate engagement with HBCUs

The Supreme Court’s 2023 decision to strike down affirmative action in higher education may result in decreased racial diversity at public and private colleges, making the role of historically Black colleges and universities (HBCUs) even more vital in advancing opportunities for students of color. Their impact today is essential, and applications for enrollment are increasing, yet HBCU funding is lacking in comparison with other higher education institutions. 

In response to member interest, NationSwell reviewed the available data on HBCU funding levels (historical and current), their benefits to individuals and communities, and the most common forms of partnership between companies and schools. We’re pleased to share a summary of what we learned in the hopes that it helps our member organizations better understand their opportunity to support HBCUs.


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The state of play: Corporate sustainability

The state of play: Corporate sustainability

As climate change creates a growing risk to companies’ financial stability, sustainability programs offer a competitive advantage for businesses across size and sector. Those who are ahead of the curve are making bold commitments, deepening expertise, collaborating effectively, and greening their workforces. The most resolute business leaders will continue to push forward their strategies against political backlash. For them, it is a moment of opportunity not hesitancy. 

In this report, we help leaders get up to speed and check their progress against the latest macro trends, policy and regulatory developments (U.S. and E.U.), and pace-setting organizations.

The trends: 

  • Corporate climate commitments and leadership accountability are on the rise. But the rate of progress remains well behind what’s needed to achieve 2050 goals. 
  • Political and legislative activity are creating cross-pressures on sustainability work. But stakeholder activism remains a strong tailwind. 
  • New innovations and collaborations reflect a growing supply chain playbook. Companies know that Scope 3 impact cannot be ignored. 
  • Jobs–both existing and new–are becoming greener. Employers and workers are both driving the transition. 
  • Water and biodiversity are making big moves toward the center of corporate interest. Pending emissions disclosure rules remain top of mind.

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Seven critical design choices for corporate impact investors

Seven critical design choices for corporate impact investors

EXECUTIVE BRIEFING

As the global impact investing market surpasses $1 trillion USD, a small yet growing number of companies are adopting the strategy.

Corporate impact investors are motivated by the limitations of traditional philanthropy to fundamentally alter the structural disadvantages of capital markets, the desire to diversify their social impact strategies, the proven possibility of competitive financial returns, and intensifying pressure on the private sector to help finance the UN Sustainable Development Goals (SDGs).

Regardless of their motivation, what these enterprising companies are discovering is a world of opportunity and constraint, one that requires intentionality and conviction when designing an impact investing approach that best serves the organization and its goals.

To support the aspirations of would-be and nascent corporate impact investors, NationSwell went behind the curtain with four successful and well-established leaders in the space. We dug deep into their investment philosophies, models, and mechanics with the intent to pinpoint the most fundamental design choices that determine a program’s shape and direction.

This report summarizes our learnings from these four investors, organized around a short but load-bearing list of questions that any new corporate impact investor will need to resolve with clarity. Each question is followed by further explanation of its significance, illustrations of how the four model organizations answered it for their own purposes, and additional guidance from NationSwell on how to approach the choices at hand.

The seven fundamental design choices:

  • What is your impact investment thesis and how does it align with company priorities?
  • Where do your investments originate within the enterprise?
  • Are you investing directly in companies or indirectly through funds and intermediaries?
  • How are you reaching beyond traditional networks to source investment leads?
  • Who should be at the table when making investment decisions in order to optimize for efficacy and efficiency?
  • What will be your level of involvement with investments after cutting a check?
  • How will you measure and report the impact made through your investments?

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The state of play: U.S. philanthropy

The state of play: U.S. philanthropy

Philanthropy provides risk-tolerant capital in a way that government and business cannot. It is a necessary ingredient to solving the world’s social and environmental problems. A new wave of giving that can propel projects forward with equity and justice at the fore is increasingly contingent on funders not only donating their financial resources but also embedding the values of trust-based approaches into their overall strategy. This trend report describes five key trends for U.S. philanthropy in 2022:

The trends: 

  • Funders have increased their giving over the last two years, sometimes significantly, but growth in nominal giving hides the fact that funders are donating less of what they earn
  • Trust-based philanthropy found its foothold in the midst of crisis; today, funders are sustaining and evolving those principles
  • Funders are doing more to prioritize racial and social justice in their giving, yet BIPOC voices remain too marginalized in decision-making 
  • Funders are realizing philanthropy’s potential to support climate interventions, but their actual investments are incommensurate to the challenge
  • Collaborative approaches are gaining momentum and proving their impact, even among institutional funders; collective investing models adopt a power sharing approach, taking learnings from individual giving as well as trust- and place-based initiatives

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How the Bush Foundation’s $100 million community trust funds are decolonizing philanthropy

How the Bush Foundation’s $100 million community trust funds are decolonizing philanthropy

Spurred by the global resurgence of the movement to demand bolder action against structural racism, the Bush Foundation designed an innovative approach to redistribute wealth to Black and Native American communities. Called community trust funds, the model disburses $100 million dollars through two steward organizations from these communities. Those steward organizations will use the trust funds to support educational attainment, home ownership, and entrepreneurial opportunities for individuals. The full report describes the Bush Foundation’s Community Trust Fund approach in five steps:

  • Issue a social impact bond to dramatically increase funding capacity.

By relying on debt financing to fund new grants, the foundation was able to urgently increase its support to the Native American and Black communities while still investing in other projects using their endowed assets.

  • Engage directly with community members to design a funding strategy.

The Bush Foundation structured a deep engagement process with 28 community members including leaders, elders, and experts on reparations and philanthropy. Their guidance helped the organization arrive at a community trust fund model for investing the $100M bond proceeds in Native American and Black individuals.

  • Invite expressions of interest from potential steward organizations.

The Bush Foundation cast a wide and inclusive net to invite interest from potential steward organizations. Their request for proposals focused on organizations’ capacity to credibly steward the funds and their demonstrated ability to engage deeply with community members in informing their work.

  • Select two steward organizations with guidance from community members.

The Bush Foundation recruited a representative community panel with understanding of the lived experiences and needs of the Black and Native American community to advise their selection process by interviewing finalist organizations. They helped identify NDN Collective and Nexus Community Partners as the two steward organizations for $50M community trust funds.

  • Provide initial funding and guidelines to steward organizations for their program design phase.

The Bush Foundation provided an up front $500,000 to each steward organization to support their work designing a grantmaking program for each community trust fund, as well as support around grant management, evaluation, and legal issues. The design phase funding is in addition to the $50M each steward organization will receive to seed their community trust fund.


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Four imperatives for centering communities in philanthropy

Four imperatives for centering communities in philanthropy

EXECUTIVE BRIEFING

Traditional approaches to philanthropy are rooted in power imbalances that reinforce closed networks of social and financial capital. These networks make equity elusive and instead perpetuate behaviors that systemically constrain access to resources for historically underrepresented communities. 

Spurred by stakeholders’ newly impassioned demand for equity, justice, and change, we now find ourselves at the precipice of a new era of philanthropy. But to fully harness the potential and possibility of this moment in our evolution, the philanthropic sector must acknowledge that the inequities of its past are inextricable from the inefficiencies of its systems — systems that, by and large, eschewed voices from the communities that philanthropy purports to serve. 

Philanthropies achieve their biggest impact when they act as the intermediary that can help empower local communities toward their own self-determination. In order to make good on the promise of this new era, leaders behind philanthropic efforts and at the top of philanthropic organizations must place the communities they serve at the very center of every aspect of their work. This briefing provides strategic guidance to funders — anchored around four imperatives — for shifting philanthropic power toward communities. 

The Four Imperatives: 

  • Show up intellectually, physically, and emotionally in the community 
  • Radically alter the way funding decisions are made
  • Invest holistically in grantees’ financial and social well-being
  • Empower communities to own their data, metrics, and reporting

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