Business skills are nothing new to nonprofit organizations. They have always had many of the same concerns as traditional businesses -- personnel issues, fiscal management, even name identification -- and have been adept at squeezing the most out of a dollar. But the shift of responsibility from the federal government to local levels has upped the ante. Suddenly, the market is urging community organizations to become entrepreneurs, to create innovative reimbursement and promotional plans to attract new funding sources and become self-sustaining. Communities are being asked to contribute to health and social services that, for decades, were an entitlement given at no cost. Now they must engage residents, who benefit from these services, as partners in facing the new challenges. To help with this transition to a different nonprofit model, the Foundation is funding strong technical assistance programs, including developing computer and other information systems, and supporting workshops and training sessions to enhance management skills and help with long-range planning. Too often, these important components of management have not been funded. The survival of nonprofit organizations has often depended on their ability to respond to immediate problems, and they have not had the resources for strategic planning and evaluation. Sometimes organizations have requested very specific help or training, such as in Los Angeles, where Public Counsel gives direct, pro bono legal assistance to community clinics. Or organizations help one another: In Oakland, the chief financial officer of Asian Health Services has helped organize training for her peers in other clinics to deal with managed-care issues. One of the most successful at making this rough transition has been the Daly City Youth Health Center, which formed an alliance with local schools to get off-site locations for teen reproductive and mental health services, and found creative reimbursement sources to become self-sustaining. Now in its third year, more than 60 percent of medical and reproductive health visits are reimbursable through Medi-Cal or other providers, and the program has seen an increase in contraceptive use.