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Understanding the Strength of Shared Stewardship

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Over the past few decades, stewards have been increasingly recognized for the critical role they play in the movement to thrive together. This is largely because the work they do advances the vital conditions we all need to thrive.

If we want to effectively grow and sustain the movement to thrive together, we must understand how much stewardship is taking hold and to what extent the necessary capacities for stewardship exist. This page provides an overview of how we can do that.

Three people sit at a wooden table, writing in notebooks. Only their hands and arms are visible, with sunlight shining on the table.
Close-up of four water droplets lined up along the central vein of a green leaf.
Two people embrace in a hug in a crowded indoor setting, with others standing nearby.
A woman stands in front of a seated group, holding up a tablet displaying a presentation in a meeting room with a brick wall background.
Three people discuss a chart with colored dots on a window, while two others stand conversing in the background of a modern office space.

Stewards are people or organizations who work with others to create conditions that all people need to thrive together, beginning with those who are struggling and suffering. By strengthening stewardship, those working to build healthy, equitable communities can shift levers—such as organizational strategies, policies, resource flows, and power dynamics—that ultimately expand vital conditions.

Fortunately, a core set of stewardship practices has become increasingly well-defined. Together with thousands of collaborators, ReThink Health has identified essential stewardship practices that can generate lasting change in virtually any setting. These practices involve shifts in mindsets and behaviors—thinking and acting in ways that foster interdependence by connecting across differences, creating transformative opportunities, and learning and adapting.

Measuring Stewardship Across America

To understand the extent of stewardship values, priorities, and practices across the United States, ReThink Health, in partnership with the RAND Corporation and with support from the Robert Wood Johnson Foundation, conducted the first-ever Pulse Check on Shared Stewardship.

Fielded between October 2020 and July 2021, during the COVID-19 pandemic, the survey provides rare and timely insights about stewarding well-being in a period of significant threat and opportunity. It captures insights from 348 leaders across eight types of organizations, including public health departments, hospitals, nonprofit organizations, and multi-sector partnerships. The organizations were selected from a nationally representative sample across the U.S.

Key Insights

The results from the Pulse Check survey revealed encouraging signs about stewardship in America and clarify the need to build capacities to advance the movement to thrive together:


  • Over 90% of respondents affirmed core stewardship values, such as the belief that purpose in life should extend beyond oneself and that people and organizations should use their resources to create conditions for all to thrive.
  • 78% recognized that opportunities for people to live their best possible lives are not equally shared in their communities.
  • 44% would prioritize vital conditions, while 32% would prioritize urgent services. Even during a national crisis, many respondents emphasized that investments to expand vital conditions should be the higher priority right now (in terms of everyone’s time, money, and effort).
  • 45% favor being creative with existing resources, rather than seeking additional resources first. Even though more resources would undoubtedly help, nearly half (45%) believe most problems can be improved by being more creative with existing resources.
How Much Do You Agree With the Following Statements? (n=348)
People and organizations should use their wealth to create conditions where all people can thrive
A teal rectangle with a dark blue vertical stripe on the right contains the number 92 in white and the number 8 in dark blue.
Every person should feel they have power to help shape the world they live in
A turquoise rectangle with the white number 99 on the right and a dark blue number 1 slightly to the right of it.
Purpose in life must be larger than both oneself and ones’ organization
A turquoise horizontal bar with the number 95 in white on the right end and a small navy section displaying the number 5 in dark blue.

Somewhat or Strongly Agree
Neither Agree nor Disagree; Somewhat or Strongly Disagree

Source: Erickson, Jane, et al. 2022. “2021 Pulse Check on Shared Stewardship for Thriving Together Across America.” ReThink Health.

However, challenges remain, especially regarding perspectives about how to approach the work of building thriving communities:

  • Only 26% identified systemic change as their organization’s most important goal.
  • Just 38% rated their community’s working relationships as highly effective.
To What Extent Does Your Organization Consider System Change in Your Community to Be a Goal? (n=348)
A pie chart with four segments labeled 60%, 26%, 9%, and 5%, each shown in different colors. The 60% segment is the largest.
It is not something we talk about
It does not play an important role
It is one of our goals, but not our most important one
It is our most important goal
Source: Erickson, Jane, et al. 2022. “2021 Pulse Check on Shared Stewardship for Thriving Together Across America.” ReThink Health.

To what extent are working relationships across organizations in your community effective? (n=348)
Pie chart with three segments showing 54%, 38%, and 8%, each in different colors. No additional labels or context provided.
Low Effectiveness
Moderate Effectiveness
High Effectiveness
Source: Erickson, Jane, et al. 2022. “2021 Pulse Check on Shared Stewardship for Thriving Together Across America.” ReThink Health.

The Path Forward

The Pulse Check survey also measured stewardship diffusion—the commitment to stewardship values, priorities, and practices—using a summary score with scale of 0 to 100. Encouragingly, about one-third of respondents stand out as stronger stewards (75+). Taken as a whole, this degree of diffusion is encouraging: it indicates that the values, priorities, and practices of stewardship are broadly familiar and widely endorsed.


To What Extent Has Stewardship Diffused Across the Country? (n=348)
Bar chart showing stewardship diffusion scores: 15% weak (score 20–40), 53% moderate (score 40–70), and 32% strong (score 70–100), with a dashed trend line.
Source: Erickson, Jane, et al. 2022. “2021 Pulse Check on Shared Stewardship for Thriving Together Across America.” ReThink Health.

These findings point to a clear opportunity: while stewardship values are widely recognized, efforts must now focus on enhancing stewards’ capacity to apply these practices more effectively. For instance, stronger stewards were much more likely than their peers to prefer investments that prioritize those who have the most to gain.

Stronger Stewards Prefer to Invest Equitably (n=348)

For all people to thrive, invest more resources among those with the most to gain.

A pie chart showing 68% agree in dark blue and 32% agree in teal.
Stronger Stewards
Others

Source: Milstein, Bobby, et al. 2022. “Shared Stewardship: Who is Willing To Invest In People And Places With The Most To Gain?” Health Affairs.

Strengthening stewardship—within individuals, organizations, and across networks—is perhaps the most critical step toward advancing the movement to thrive together. By deepening collaboration and prioritizing systemic change, we can create communities where everyone has the opportunity to thrive.

Stories From the Movement

Check out Stories from the Movement—another way to help us to understand the extent to which, and how, we are thriving together through shared stewardship.