Results from the fourth year of MIT SMR's research collaboration with the Boston Consulting Group have found that managers who say sustainability has caused their organization to change its business model are also more likely to say that the organization's sustainability activities have added to profits. Respondents to the survey who changed their business model also generated profits from their sustainability-related activities.The survey results suggest that business model change, top management support, collaboration with customers and having a business case are associated with creating economic value from sustainability activities and decisions. Ninety percent of all managers who said their companies have all these characteristics also say that their sustainability activities add to their profits.The authors' research suggests several ways in which companies can become more effective at connecting business model change with sustainability-based profits. Based on the behavior of Sustainability-Driven innovators, they make three recommendations for how managers can improve their odds of profiting from their sustainability activities.