Why Healthcare billionaire Judy Faulkner plans to give it all away

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Led by her youngest daughter Shana Dall’Osto, Epic founder and CEO Judy Faulkner will soon grant around US$100 million to hundreds of nonprofits annually from her family foundation, Roots & Wings.

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When Warren Buffett called, Judy Faulkner agreed to meet him in Omaha for dinner. 

Faulkner, the billionaire founder and CEO of Verona, Wisconsin-based medical records giant Epic Systems, had also made her fortune in the Midwest. In a dining room at the Happy Hollow Club, Buffett made a pitch for her to sign The Giving Pledge, a commitment by the world’s wealthiest people to give away most of their money to charitable causes. “I thought, since I’m trying to give away my money, it’d be nice to work with people who have been doing this,” Faulkner, 81, says. 

Faulkner, who Forbes estimates is worth US$7.7 billion, signed the pledge in 2015, but she didn’t formalise her philanthropic plans until 2019, when she established Seattle-based Roots & Wings. That family foundation is run by Faulkner’s youngest daughter, Shana Dall’Osto, 45, who was born in 1979 – the same year Epic was founded. Despite Faulkner’s wishes that all three of her children become computer programmers like herself (only one did), Dall’Osto instead joined the Peace Corps, then AmeriCorps and later a children’s literacy nonprofit before getting a master’s degree in nonprofit management. 

Over the past five years, Roots & Wings has quietly given US$200 million to 320 organisations focused on various aspects of early childhood development.  Dall’Osto says the foundation has been ramping up its grant-making as Faulkner wants “to do more of her giving while she’s living.” Within the next few years, she estimates Root & Wings will start granting around US$100 million annually to organisations across the US focused on health, education and the well-being of kids and their families. “One of our goals is for children to have a strong start in life so they can reach their full potential,” Dall’Osto says. “We see that strong start as the roots and their full potential as the wings.” 

Shana Dall’Osto (center) with Roots & Wings staff in Seattle, WA (Arlene Chambers)

Throughout her career, Faulkner has bucked convention in how she conducts business. While most of her competitors have used outside money and acquisitions to drive software development, Epic, which had US$4.9 billion in revenue in 2023, has always been privately held and developed its own products. Faulkner and her daughter also take a unique approach to philanthropy. Rather than forcing nonprofits through a labour-intensive vetting process and then dictating how grant money can be used, Roots & Wings operates on the idea that the organisations doing the work know best. “If you’re going to give them money, trust them and let them decide what’s right,” says Faulkner. 

The term for this practice is trust-based philanthropy – a growing movement to shift the traditional top-down power dynamics that have defined centuries of charitable giving, most prominently practised by MacKenzie Scott, who has given away US$17.3 billion without restrictions. Rather than contorting their efforts to fit the specifications of a funder’s vision, nonprofits instead receive unrestricted, multi-year grants with minimal reporting requirements. 

Elisha Smith Arillaga, the vice president for research at The Center For Effective Philanthropy, says this is about allocating responsibility. “Is the onus on the grantee to fill out the application, or is it on the grant-maker to do their due diligence ahead of time and then decide they trust the organisation enough to invest in it?” 

Roots & Wings’ decision not to place restrictions on how its funding can be used is rooted in Dall’Osto’s first-hand experience working at a literacy nonprofit, which struggled to pay its staff because grant money was restricted to expanding reading programs but prohibited paying the people who would deliver them. “There’s a saying that a gift comes with a bow, and a grant comes with strings,” she says. “If the funds can only go to programs and can’t go to overhead, then that creates this nonprofit starvation cycle, where they can’t be healthy and grow.” 

Ruth Schmidt, executive director of the Wisconsin Early Childhood Association, remembers receiving a call from Dall’Osto in April 2021. There was no talk of money. Instead, they discussed the impact of the COVID-19 pandemic on childcare programs and “all of the nitty-gritty messiness of the system of early care and education.” 

A few months later, Roots & Wings offered Schmidt US$50,000 for general operating support. In the following months, the grant was increased – to US$200,000, then US$400,000, and finally US$2 million. Schmidt said those flexible funds gave her organisation “remarkable breathing room.” Instead of endlessly chasing money to fund basic operations, the Wisconsin Early Childhood Association had the resources to plan for growth and decided to invest more in the staffing and policy research needed to advocate for child care as a “public good” worthy of government investment, similar to public school. 


As a longtime software engineer, Faulkner is as methodical in her approach to philanthropy as she is in business. Her philanthropy pilot project began in 2012 with the Magic Pebble Foundation, which gave about US$1.5 million per year to around 100 groups in the eight years it ran. “It was a way for us as a family to learn about philanthropy and community needs,” says Dall’Osto. 

In 2019, Faulkner told Dall’Osto she was ready to do more. Though she had agreed to donate 99% of her assets to philanthropy through the Giving Pledge, most of her wealth was tied up in Epic stock. Faulkner owns nearly half of the company and is worried that a big sell-off might destabilise it. So, she established a trust to govern the stock sell-back process in increments of around US$100 million each year. Epic buys back the shares, which are then offered to its employees, and the proceeds go to Roots & Wings. 

Judy Faulkner holding her daughter Shana Dall’Osto in 1979. (Courtesy of Shana Dall’Osto)

Roots & Wings launched in early 2020 with the first US$100 million disbursement as its endowment. When the pandemic hit a few weeks later, Dall’Osto and the organisation’s only other employee managed to get “50 grants out the door, no application needed,” she says. Since then, they’ve continued this quick and largely painless practice. By doing extensive due diligence on a nonprofit before a first phone call, they can often offer a grant by the time everyone hangs up. 

In 2020, Roots & Wings granted US$15 million to 115 organisations. In 2024, Dall’Osto estimates the foundation will grant US$67 million to 305 organisations, with the idea that it will steadily increase to giving out US$100 million per year within the next five years and possibly as soon as 2027. 

While some Giving Pledge signers, like Duty Free Shoppers billionaire Chuck Feeney, pledged to give away all of their wealth within their lifetime, Roots & Wings will continue beyond Faulkner’s death. Dall’Osto said the foundation averages giving out 10% to 15% distribution of total assets each year. 

That’s far above what most foundations distribute, often just the 5% minimum the IRS requires to maintain nonprofit tax status. Foundations also often adhere to this threshold to exist in perpetuity since 5% is around the annual investment return they could make on an endowment. 

Because Roots & Wings keeps increasing the number of dollars out the door, it will eventually run out of money. It would take nearly 80 years for Faulkner to give away US$7.7 billion in annual US$100 million increments and much longer than that for Roots & Wings to spend it down when considering annual investment returns and the 15% distribution. Dall’Osto wouldn’t give a specific time frame other than “we expect to continue giving for many years to come.” 

With seven staff and two consultants, she said Roots & Wings will remain a “lean” and “learning” organisation that prioritises listening to the community’s needs. While trust-based philanthropy has been criticised in some circles for lacking strategy and accountability, Leslie Huber, strategic engagement director at Way Forward Resources, a Wisconsin-based food pantry and housing assistance nonprofit, said that’s not true in her experience. With Roots & Wings, “we don’t feel like the accountability piece is gone,” she says. “It’s the way that they do it. Through that relationship building instead of paper pushing.” 

Dall’Osto hopes other funders will follow suit and let nonprofits take charge instead of getting bogged down in bloated bureaucracy. “It’s better to get the money into the community, and it’s better to fund a bunch of organisations and take the risk that maybe one might not be as successful as possible,” she said. “But the majority of them will do good things and will continue to help and save lives.” 

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