The Reciprocity Foundation works with homeless youth in New York City. Like many other nonprofits, it works tirelessly to make a deep and highly focused impact on a relatively small population. Its founders believe that transforming the lives of 90 young people in a profound and long-lasting way is more meaningful than working with thousands of young people in a superficial way. They worry that if an organization like theirs attempts to expand—by opening new locations in New York State or...

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