Pay for Success

GHHI’s Pay for Success (PFS) program advances PFS financing to reduce childhood asthma through healthy home-based interventions.

GHHI is currently leading a cohort of 11 PFS projects with healthcare, service provider and government partners in jurisdictions across the country. Five projects are feasibility studies funded by the Corporation for National and Community Services’ Social Innovation Fund. Five additional PFS projects are funded by the Robert Wood Johnson Foundation. One project in Baltimore has moved from feasibility to the transaction structuring phase.

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Recent PFS Publications and Tools

Pay for Success Financing to Improve Asthma Outcomes - Lessons Learned from Two Feasibility Cohorts (January 2017) In this resource, GHHI shares lessons learned to date from its portfolio of asthma PFS projects.

Determining the Feasibility of Pay for Success Projects This document provides an overview of GHHI’s PFS feasibility rubric tool. 

GHHI’s Pay for Success Toolkit Templates, worksheets, questionnaires and other tools useful to practitioners interested in exploring PFS as a pathway toward sustainable funding for social programs that deliver proven results.

GHHI’s Economic Modeling Handbook – Pay for Success Feasibility Study This handbook outlines the process for conducting economic feasibility analysis for a potential PFS transaction, using projected underlying economics of a comprehensive asthma management program.

GHHI’s Pay for Success Term Sheet Template Use this template to set terms of a contract to finance a PFS transaction.

Introduction to Pay for Success Financing (PowerPoint)

GHHI and PFS - Outcomes-based funding for effective asthma interventions (PowerPoint)




As a proud recipient of a grant from the Corporation for National and Community Service’s Social Innovation Fund (SIF), Green & Healthy Homes Initiative will provide developmental support to SIF-funded Pay for Success (PFS) projects. We will provide cash subgrants and pro bono technical assistance services to projects that address the social determinants of health in low-income communities. 

We will select up to five PFS projects to participate as subrecipients in a cohort over the course of 12 months. Green & Healthy Homes Initiative (GHHI) will select PFS projects funded by the SIF that are in any phase of development and meet other eligibility criteria outlined in the RFP. The combined value of cash and technical assistance services (federal and match share) will be between $250,000 and $430,000 for each project. GHHI will offer technical assistance for developmental support in the following areas:

·         Data support

·         Economic analysis

·         Payment mechanism analysis

·         Service delivery model support

·         Evaluation planning

·         Capital raising and transaction structuring

Application materials:

Request for Proposals

Powered by the Social Innovation Fund (SIF)
The mission of the Corporation for National and Community Service (CNCS) is to improve lives, strengthen communities, and foster civic engagement through service and volunteering. Through SIF, CNCS has augmented its traditional activities with an enhanced focus on identifying and growing innovative, evidence-based approaches to our nation’s challenges. 



GHHI’s first PFS site began in Baltimore in 2014, and is a transaction among GHHI, funders, and the Johns Hopkins Hospital and Healthcare System focused on healthy homes services for asthma patients. In 2015, GHHI and our partners began work on similar asthma PFS projects in five U.S. cities through a $1.01 million grant from the federal Corporation for National and Community Services’ (CNCS’) Social Innovation Fund.

In 2016 The Robert Wood Johnson Foundation awarded GHHI a $1.8 million grant to expand our PFS program to five new U.S. cities and to support our operating capacity.

Today GHHI has 11 PFS program sites exploring promising projects benefitting low-income children with asthma. Current partners include:

  • New York, NY: Affinity Health Plan

  • Houston, TX: UnitedHealthcare and Baylor College of Medicine

  • Philadelphia, PA: Health Partners Plans, St. Christopher Hospital, and Philadelphia Department of Public Health

  • The State of Rhode Island and Rhode Island Housing

  • Chicago, IL: Presence Health and Elevate Energy

  • Buffalo, NY: YourCare Health Plan and the Community Foundation for Greater Buffalo

  • Grand Rapids, MI: Spectrum Health, Health Net of West Michigan, the Asthma Network of West Michigan and Healthy Homes Coalition of West Michigan

  • Memphis, TN: Le Bonheur Children’s Hospital, Habitat for Humanity of Greater Memphis, and Memphis ChiLD

  • Salt Lake City, UT: University of Utah Health Plans and Salt Lake County Office of Regional Development

  • Springfield, MA: Baystate Health, Partners for a Healthier Communities, Revitalize CDC, and Springfield Office of Housing

GHHI Feasibility Overview - Buffalo, NY

GHHI Feasibility Overview - Grand Rapids, MI

GHHI Feasibility Overview - Memphis, TN

GHHI Feasibility Overview - Salt Lake City, UT

GHHI Feasibility Overview - Springfield, MA


What is Pay for Success?

Pay for Success (PFS) models focus on the results that a social service causes, rather than funding based solely on the delivery of services. A social impact bond, or SIB, is an innovative financing tool for addressing the time gap that occurs from when the service needs to be financed and when the impact, or success of that service occurs. In its most basic form, private investors participating in a PFS model pay the upfront costs for providing social services and government agencies or private institutions repay investors with a return on their investment if the program achieves agreed-upon outcomes (such as decreased healthcare expenditures).

Why Focus on Asthma?

Asthma is a chronic condition with a high burden in terms of cost and societal impact; more than 25 million Americans suffer from asthma, including 7 million children (1 in 11). According to the Robert Wood Johnson Foundation, 40 percent of all incidents of asthma are attributable to home-based environmental health hazards, but currently no federal healthcare programs provide resources to address them, making it an ideal opportunity for transformational impact through PFS.

More Information


Learn more about the Corporation for National & Community Service's Social Innovation Fund:

Corporation for National & Community Service              Social Innovation Fund

Learn more about the Robert Wood Johnson Foundation: 


Contact us

Contact the GHHI National Program Office for more information on the Initiative and how to bring the green and healthy housing movement to your city. Call 410-534-6447 for more information or send your questions to

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