Michael Pirron, 38
The health-care management and consulting company has an unusual business model, even for socially conscious enterprises, where double- and triple-bottom lines are the norm: 100% of its profits goes to the free clinic systems in Virginia. "We are a for-profit company with no ownership," says CEO Pirron, who adds: "We maximize profits for the community." To earn revenue, nine-employee Impact Makers works with medical management companies and health plans to construct disease management programs, as well as to perform IT work, systems consulting, and program audits. One of its big social goals is to provide free medication through its primary nonprofit partner RXpartnership.org, which donates insulin, asthma, and heart medication, among other things, to clinics that give health care to the uninsured. In 2008, Impact donated $9,000, based on about $300,000 in revenue. In 2009, it forecasts about double the revenue, from which it hopes to donate close to $40,000. Impact also donates pro bono consulting work to its partner, equivalent to 10% of its total annual hours.