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Can the Local Food Movement Scale Up to Meet the Demand of Hospitals and Other Big Purchasers?

Hospitals and their fellow institutional purchasers will play a major role in moving the local food movement beyond farmers’ markets.

The following article first appeared in the Nation. For more great content from the Nation, sign up for their email newsletters here.


At dawn, at the loading dock behind the kitchen at St. Joseph Mercy Hospital of Ann Arbor, Michigan, small lift loaders and handcarts trundle boxes from food trucks to storage rooms.  The perishables go straight to immense walk-in refrigerators packed with processed produce—buckets of cubed melons, bags of pre-washed lettuce, packages of onions diced by the quarter-, half-, and three-quarter inch.


That St. Joe’s executive chef can peel open a three-pound bag of diced onions and dump it into the steel cauldron he calls a soup pot is an efficiency triumph of no small consequence. Preparing the soup du jour from whole ingredients—all sixty-five gallons of it—would take hours of chopping.

When you’re making soup for 600, changing your grocery list can quickly get complicated. Hospitals like St. Joe’s are emerging as the next frontier of the local food movement, but they are struggling to navigate the tensions between their new food goals and their reliance on standardized, low-cost products delivered dependably day in and day out. The question is, Can the local food movement scale up to meet institutional demand without losing sight of its original values?


Last fall, as part of the hospital’s sustainable food efforts, St. Joe’s loading dock had a new visitor. Farmer Richard Andres arrived from just down the road with 200 pounds of his green beans—local, organic, and grown by a family farmer. They were a point of pride for the hospital’s good food advocates, including CEO Rob Casalou and chief clinical dietitian Lisa McDowell. Like Farm to School initiatives, which are flourishing with support from Michelle Obama’s anti-obesity campaign, St. Joe’s sees enthusiasm for fresh local produce as a way to encourage healthier eating while supporting local farm economies.

In the kitchen, however, Andres’s superbly fresh beans meant eight hours of washing, snipping and slicing. Even St. Joe’s food purchasing coordinator sidled out from behind her computer to help get the job done. “Nobody understands how long it takes to prepare certain things,” says Executive Chef Ryan Kendall. “If it’s from a major food distributor, it comes in ready to rock and roll.”

Farmers’ markets have long been the darlings of the local food movement, but the bags of goods exchanging hands at some 7,000 locations nationwide represent less than 1 percent of total US agricultural production. Meanwhile, vast quantities of food crisscross the nation in the industrial food supply stream, quietly showing up, day after day, at the loading docks of the largest food buyers.

“Farmers’ markets are an important part of building local food systems,” says James Barham, an agricultural economist at the US Department of Agriculture, “but more fundamental change will come from connecting small and mid-sized local farmers with institutional purchasers that are expressing ever more demand for sustainable food.” Even small shifts in institutions’ purchasing can have major consequences. An average hospital food budget can run upwards of $4 million, while the healthcare sector as a whole commands $12 billion worth of food and beverage purchases annually.

Buying food at that scale means relying on certain industrial-style standards. To tap the institutional market, local food advocates would do well to learn about the workings of the mysterious middle ground of wholesalers, processors and distributors that move the majority of food from farm to fork. Efficiency and convenience reign in this realm. The online ordering form for St. Joe’s main distributor, Gordon Food Service, is the ultimate in one-stop-shopping (hence the common industry term “broadline” distributor). Chicken noodle soup, hamburger patties, paper plates, orange juice—just click and you shall receive. Most orders show up at St. Joe’s loading dock within twenty four hours by way of a Gordon truck.

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