The case features a non-profit organization in crisis: a local cancer-support centre faces many constraints but has few options. The organization is committed to improving the lives of families affected by cancer by providing free services to its members and funding its small full-time staff through donations. However, its compassionate mission and its financial viability appear to be at odds, with every additional program sinking the small non-profit further into a long-term financial shortfall and additional financial constraints curtailing its growth. As Wellspring London’s main provider gets ready to cut the organization loose, students must overcome the either-or dilemma and develop an integrative-thinking solution. Also available is the supplement case Wellspring: The YMCA Proposal (B), 9B13M132.