When people think about philanthropy, they often think about the moment a grant is awarded. The announcement is made. The funding is secured. Photos are taken. Everyone celebrates. Then what? That question doesn't get nearly enough attention. In biomedical research, a grant is rarely the finish line. More often, it's the starting point. Discoveries don't happen on a predictable schedule, and meaningful scientific progress almost never fits neatly into a two- or three-ye