A new report from the Center for Effective Philanthropy explores how foundation practices have shifted in the last 18 For three decades the Archstone Foundation has focused investments on improving the care and experience of people with serious illness. Their portfolio has championed numerous palliative care and end-of-life initiatives at the local, state, and national levels. Reflecting on this body of grantmaking, the foundation has released a new legacy report that examines this work, grantee achievements, and the enduring impact of this investment.