The University of San Francisco’s School of Management received a clean AACSB International accreditation extension after what reviewers described as substantial progress despite significant financial pressure. AACSB reviewers delivered the verdict after a site visit, calling the school’s work on societal impact an exemplar and warning leadership about the sustainability of added budget cuts. The AACSB International Board of Directors later voted to extend accreditation, marking the first clean review for the School of Management since 2011. USF President Salvador D. Aceves cited the school’s navigation of financial challenges, a landmark undergraduate curriculum redesign, and strong student outcomes. For business programs facing budget constraints and faculty workload risks, the case underscores how accreditation decisions increasingly weigh not only compliance but also whether transformation initiatives can be sustained without burnout.