The Piramal Foundation was launched by diversfied Indian conglomerate, the Piramal Group, to improve the healthcare services and quality of education of India's economically and socially disadvantaged. The foundation operates under three verticals-'Piramal Foundation for Education Leadership' (PFEL) for improvements in student learning outcomes; 'Swasthya' for healthcare; and 'Sarvajal' for safe drinking water. Over the years, the Foundation has directly and indirectly benefitted nearly 90 million lives, yet its management team find themselves in a quandary. With finite resources, mostly provided by the Piramal Group, they wonder if they ought to only grow existing programs that show the most promise. They also wonder how to attract more external funding and how to further embed their programs into government platforms in order to create impact at scale.