Across both rural and urban areas, the shortage of care workers is becoming more acute. Health systems are particularly well-placed to make a difference with regard to the multiple challenges faced by the care work sector. Hospitals and health systems could use their status as anchor institutions to leverage their substantial economic resources towards community health and well-being. Anchors could extend that commitment to inclusive local hiring and local procurement by partnering with existing local homecare organizations or directly contracting a homecare workforce themselves.