 Sustainability -- Achieving positive public health impact and continuing that impact over time (regardless of how that is funded)  Financial sustainability -- The minimization of financial vulnerability in order to sustain franchise operations. This could be via diversifying the subsidy/funding base, increasing cost recovery, increasing efficiency, etc. It does not mean eliminating donor subsidy. PSI Definitions page 1

Financial Sustainability Goals for Social Franchising 1.A health care system that serves the poor will ALWAYS require subsidies. 2.We can increase the financial sustainability of the franchise model through efficient use of limited subsidies. 1.A commercial franchise model will achieve the highest degree of efficiency.