Marrulut Eniit Assisted Living (MEAL), also known as “Grandma’s House,” was facing significant challenges to continuing its operation. In November 2010, MEAL engaged Agnew::Beck to develop a clear plan to achieve long-term sustainability. Working closely with the State of Alaska’s Senior and Disabilities Services, Rural Long Term Care Coordinator, Agnew::Beck analyzed the current business model, provided recommendations for establishing sustainable operations and assisted with the development of an operations plan to implement those recommendations. Agnew::Beck also helped the program director to secure an operating grant from Senior and Disabilities Services to subsidize operations.