%0 Journal Article %T Sustainability drivers of Canada¡¯s most health %A J. Ross Graham %A Patti-Jean Naylor %J Healthcare Management Forum %@ 2352-3883 %D 2019 %R 10.1177/0840470418820546 %X Sustaining large health promotion interventions in hospitals is notoriously difficult, and our understanding of sustainability enablers remains peripheral. This case study examined sustainability of Canada¡¯s largest hospital based health promotion facility: The Wellness Institute at Seven Oaks General Hospital in Winnipeg. Seven sustainability enablers were identified: (1) Community support and ownership; (2) Consistent, supportive, visionary leadership; (3) Well-managed operations; (4) Limited service overlap and duplication; (5) Alignment with the healthcare system; (6) Consistent, professional staffing; (7) Leading-edge facilities and services. Four sustainability barriers were identified: (1) Alignment with the healthcare system; (2) Limited funding; (3) Service duplication; (4) Sub-optimal location. Results can support leaders with future planning and implementation of health promotion programming %U https://journals.sagepub.com/doi/full/10.1177/0840470418820546