The life-expectancy gap separating the healthiest and wealthiest American communities from their poorest and sickest counterparts, is projected to reach an unprecedented 35 years by 2025. The need to tackle the structural inequalities that undermine health and longevity is urgent. Nonprofit teaching hospitals have long recognized their vital importance as "anchor institutions" in communities. A growing number of these institutions have begun to leverage their extensive resources strategically—lending expertise, capital, and influence to make a meaningful impact on the health of their communities. By adopting the stance known as an “anchor strategy,” these organizations prioritize local hiring, investment in local businesses, and deep engagement with the communities they serve for the purpose of building community wealth that translates into increased health outcomes and ultimately healthy longevity.