Stanford Social Innovation Review

Stanford Social Innovation Review is an award-winning magazine covering best strategies for nonprofits, foundations, and socially responsible businesses. Published quarterly by the Stanford Graduate School of Business.

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Choosing Mission Over Money

The Institute for OneWorld Health has discovered that addressing the world’s most menacing health threats sometimes means leaving money on the table. The organization, which is the nation’s first nonprofit pharmaceutical company, develops medications to tackle diseases in the developing world. Because drug development can take as many as 10 years from drawing board to regulatory approval, OneWorld Health has chosen to focus solely on its mission.

After the Asian tsunami, though, wealthy donors and well-known foundations offered OneWorld Health hefty sums to do emergency work in Asia. Michael MacHarg had to say no. “It’s tough," notes MacHarg, who, as…

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