Looking to make “a high impact really quickly,” Hornstein said he and other PAGE organizers have been focused on building local procurement of commodities and medical services since giving PAGE an intentionally low-key start a few years ago in the Office of the City Controller, where he was director of financial and policy analysis before joining the Economy League a year ago. Part of the thinking, Hornstein said, was that “the service sector is already highly localized. The University of Pennsylvania is not going to import a company from Virginia to do their facilities services."