9 Small City Anchor Institutions • Context national average, with a reliance index of 1.39. Its reliance poses a serious risk; if Erie’s medical institutions were to close, the community would struggle to survive. These institutions are shrinking in capacity, enrollment, and funding, and their imminent closures will have detrimental effects on the community’s well-being, job opportunities, and access to care. A similar dynamic is at play 90 miles south in Sharon, Pennsylvania. The Shenango Valley region depends on Sharon Regional Medical Center as a central economic and healthcare anchor. Following its bankruptcy and closure, Tenor Health Foundation stepped in to Co-Lab Cities, Eds & Meds as Share of Total Workforce, 1993–2023 10% 15% 20% 25% 30% 35% 40% 1993 2003 2013 2023 Lehigh Co. Allentown Northampton Co. Bethlehem Bucks Co.† Doylestown Erie Crawford Co. Meadville Westmoreland Co. Greensburg Washtenaw Co.‡ Ann Arbor Providence Co. Providence S. Central CT New Haven Middletown Western CT§ Stamford Bridgeport PA Counties MI / RI / CT Source: County Business Patterns, U.S. Census Bureau. NAICS 61+62. † Bucks Co. 2013: paid employees only. ‡ Washtenaw Co.: 2013 unavailable. § Western CT & Gr. Bridgeport: shared Fairfield Co. source data 1993–2013. Erie Co. Gr. Bridgeport§
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