For most startups, “growth” refers to securing investment, increasing sales, and figuring out the right business model. For a new foundation, however, growth means something different. The funding is already assured, and the job of the organization is to steward that funding wisely. The course we’re charting is not toward profitability but toward achieving our mission. In 2015, the Michigan Health Endowment Fund took on that challenge, putting in place the organizational structure to ensure we can fulfill our responsibility to the residents of Michigan.