Sustainability
A mutual challenge requiring new strategies
- by Mary Vallier-Kaplan

Sustainability challenges the foundation and the grantee alike. This challenge arises from sustainability’s nebulous definition. Additionally, there are unclear expectations between both parties as well as the ill-defined best practices in our field. The good news: we each no longer need to suffer in silent angst. Instead, we can discuss sustainability at the start of a project, replacing the dreaded, negative difference of opinion about “why now?” when the grant ends. There is currently an increase in research, analysis, and dialogue between funders and grantees nationally, statewide and at the individual grantee level. Here at the Endowment for Health, we’re attempting with our grantees to unravel this mystery for both parties. This partnership will eventually result in a better understanding of the critically important but elusive task of sustainability. It will ensure that the hard-won progress of our mutual work continues over time – the true definition of sustainability.
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Where Are They Now?
Learning from the Endowment's Study of Project Sustainability
- by Karen Horsch
 Since its founding in 2001, the Endowment for Health has made 523 grants totaling $23 million to help realize its mission to “improve the health and reduce the burden of illness of the people of New Hampshire, especially the vulnerable and underserved.” Like many foundations, the Endowment funds projects that test new ideas and models with the hope that, if successful, these will continue after the initial grant investment ends. Like many foundations the Endowment hopes to learn how to better support grantees so that their work can be sustained.
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Tiger Treatment Center
A model of sustainability
- by Susan Bryant
The Tiger Treatment Center (TTC), a school-based health center and program of New London Hospital, was started with a grant from the Endowment for Health in 2002. The Center opened in the fall of 2003 with the goal of providing comprehensive and preventive health services to students in a high-need New Hampshire school district at the Newport Middle High School. Its goal: to improve student health, behavior and academic achievement.
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Kim Firth is one of "40 Under Forty"

The Endowment’s own Kim Firth has been selected by the Union Leader as one of 40 up and coming people, all under the age of 40, who are making a difference in our state. This year's 40 will be honored when the Business and Industry Association of New Hampshire hosts a recognition ceremony.
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Resources on Sustainability
Developing a “theory of sustainability”, page 23-25 End Games: The Challenge of Sustainability, The Annie E Casey Foundation
Exit Strategies – factors for success, page 7 Community Fund research
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