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What Breaks If You’re Not Here?

March 16, 2026 by joshjacobson

What Breaks If You’re Not Here?

Josh Jacobson, social impact expert at Next Stage Consulting.

Josh Jacobson

March 16, 2026

Imagine being a nail trying to justify your existence while holding up a house that’s on fire.

The people who run social good institutions that provide direct services are accustomed to justifying their existence primarily through the lens of their own mission. Organizations are accountable for the things they can directly control, regardless of the broader context in which their work unfolds. That's simply the logic of cost-benefit analysis.

Most cases for support follow this structure. The argument is built around the direct impact an organization creates, typically measured through three familiar metrics: quality, cost, and impact.

Quality reflects the excellence with which programming is developed and delivered. Cost measures the efficiency with which financial and human resources are deployed. Impact focuses on outcomes, both immediate and long-term.

Impact, of course, is the tricky one.

Organizations can typically provide pre- and post-assessment data demonstrating the effects of their services immediately after implementation. But very few institutions have the financial resources required to track outcomes across multiple years. Instead, one-time holistic studies establish an evidence base, and organizations extrapolate from there.

And yet we all know something else is true: no organization's work exists in isolation. 

An affordable housing initiative depends on a strong workforce pipeline. Economic mobility programs rely on healthcare providers, childcare systems, transportation networks, and dozens of other actors operating in tandem.

That is why it is called the social safety net.

So what happens when holes begin to form in the net? What happens to a community when parts of that infrastructure begin to fail?

A Different Set of Questions

The contraction of federal support for health and human services – Medicaid redetermination chief among them – is already reshaping the landscape for nearly every mission-driven institution. As resources decline and demand grows, an uncomfortable question is surfacing.

"In a diminished system, how do we determine which organizations are truly essential?"

The answer cannot rely solely on the traditional metrics organizations use to evaluate themselves. Those measures describe the work happening inside an organization's walls. The coming period will require a clearer understanding of how each organization fits into the broader ecosystem of services that sustain a community.

Put differently: are your outcomes preconditions for someone else's outcomes? If so, can you say that clearly – to funders, to partners, to the community?

Three emerging qualities will increasingly define which organizations can answer that question well: trust, proximity, and connectivity.

  • Trust: In a disrupted system, the organizations with the greatest leverage will be those trusted by the communities they serve. Trust functions as a form of social currency. It creates the ability to mobilize people, communicate effectively during moments of uncertainty, and help communities adapt as systems change.

    Trust also expands an organization's potential beyond its current programming. The question shifts from "What services do you provide today?" to "What are you capable of helping a community accomplish tomorrow?"

    Think about the organizations in your community that people turn to first when something goes wrong – not because of their programming, but because of the relationship. That's the asset we're describing.

  • Proximity: As institutional systems become strained, the organizations closest to the community will matter more than ever. Referral networks may weaken as capacity declines, leaving residents to rely on organizations that are already embedded in their neighborhoods.

    Proximity shows up through mobile services, programming located in partner sites, neighborhood representation, and trusted local advocates who understand the lived experience of the people they serve. Combined with trust, proximity becomes something organizations can describe to funders and partners as a tangible asset – a network that extends their reach and the reach of others.

  • Connectivity: Connectivity reflects the strength of an organization's relationships within the broader service ecosystem. It includes referral networks, cross-sector partnerships, and the collaborative scaffolding that allows organizations to work together to solve complex challenges.

    This form of connectivity rests on a different kind of trust – the trust earned among peer organizations. It is the confidence that partners have in one another's ability to collaborate, share responsibility, and move quickly when conditions require new ways of working.

    When peer organizations trust you enough to refer their own constituents to your services – and you trust them enough to do the same – you've built something that can't be easily replicated or replaced. That kind of connectivity is what makes an organization structurally important to a community, not just programmatically active in one.

Preparing for What Comes Next

Organizations accustomed to evaluating their work strictly through the lens of internal performance may face a difficult adjustment in the years ahead. The institutions most likely to endure will be those able to articulate their role within the larger network of services that sustain a community.

"What breaks if you are not here?"

That question forces a deeper answer than traditional metrics allow. It invites organizations to describe how their work enables the success of others – employers, schools, housing systems, local governments, and fellow nonprofits.

If you want to prepare for what lies ahead, start by evaluating your organization against these questions:

  • How trusted are you by the communities you serve? 
  • How proximate are you to the people most affected by the challenges you aim to solve? 
  • And how connected are you to the partners who make systemic solutions possible?

Those answers will increasingly shape which organizations endure in a period of contraction.

This month's Impact Insider features our case study on Charlotte Community Health Clinic, an organization that put these principles into practice — repositioning itself from a healthcare provider into a foundational partner in Charlotte's community development ecosystem. Read the full case study here.


If you need help assessing your position, developing a strategy, or preparing your organization for the next phase of this work, we would be glad to help guide the process. Reach out to us to start the conversation.

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