24 Years of Planting Change

Cultural Competency / Health Workforce / PRIME

Cultural Competency

TCE leads philanthropic efforts to diversify the health workforce and advocate for language access improvements in the health system.

Cultural Competency

The system’s healthcare workforce is highly unrepresentative of the state’s population, its financing is misaligned- incentivizing volume over value or health outcomes – and a strong power imbalance exists between physicians and patients and communities.

The California Endowment has undertaken several initiatives to fix this misalignment and imbalance.

The 21st Century Pathways to Health Careers initiative allocated grants to support statewide and local programs that create career paths in healthcare for youth in grades 7-16.

The initiative is organized around three strategic goals and outcomes: increased career opportunities in healthcare for young Californians, especially boys and young men of color; a health workforce populated by local residents in frontline jobs supporting primary care, community-based prevention, patient-centered medical homes, and integrated and coordinated care models; and a larger and more skilled healthcare workforce able to provide high-quality, culturally responsive, and linguistically competent primary care and community health services in places of greatest need.

We also focused on supporting high-quality workforce development programs that enabled healthcare workers to improve their skills and prepare for high demand occupations in the public healthcare sector while training community health workers and medical assistants, enabling them to be better integrated into the state’s health services system.

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  • $78.2M

    to CA organizations working to boost the size and diversity of the state's healthcare workforce

“Whether the culprit is COVID-19, or Influenza, or Tuberculosis, or Smallpox – the public’s health is best protected when ALL are welcome and covered in the system.”

DR. ROBERT K. ROSS President & CEO, The California Endowment
  • Cultural Competency
  • Cultural Competency

Browse Other Changes Planted by Dr. Ross

Building Healthy Communities

Building Healthy Communities $1B invested over 10 years

Health4All

Health4All 38.6 million lives impacted

Youth Awards

Youth Awards 37 total awards given

Schools Not Prisons

Schools Not Prisons & BMOC Millions reached since 2016

Farmworker Health

Farmworker Health $50M initiative

TCE Grant Making 2023

TCE Grant Making 2023 $381M awarded

Parks for All

Parks for All Hundreds of millions leveraged for parks investments in CA

Youth on the Board

Youth on the Board 1st of large foundations in US to have youth on the board

Childhood Obesity Freshworks

Childhood Obesity & Freshworks $272M to expand access to fresh and healthy foods in low-income communities

CHIS

CHIS 20,000 households interviewed annually to find health gaps in CA

Kids Health Coverage Campaign

Kids Health Coverage Campaign $4M to help enroll children in health programs

TCE Headquarters

TCE Headquarters 125,000+ use our facilities every year

View All

Wishing Wall

Miyihah-Tlakilte Dr. Ross -
On behalf of Anawakalmekak and the Gabrielino shoshone nation. Much love on your journey.

Dr. Ross,
You are an amazing person/soul! Wish you the best retirement!

Thank you for your leadership and keeping justice at the center of LA philanthropy!

Thank you Dr. Ross for impacting so many people and our community.
- Vida Mobile Clinic

Thank you for believing in us and the opportunities your faith in us have afforded so many. We wish tenfold those blessings on you.
- Alf LaMont

Thank you for all that you’ve done! Please enjoy your retirement. You deserve it!
- Martha Dina Arguello & PSR-LA

Dr. Ross,
I love you!! Thank you for being a servant to the people. Lives are better because you came into the world.

Thank you for seeding so much change in the world, Dr. Ross!

Bob,
Fortunate to have such a powerful voice & thought leader at TCE.
- Sherry

Thank you, Dr. Ross, for all the love you have given to this world. You have paved the way to continue making change.
- Veronica

Bob,
Don’t be a stranger.
Love you,
- Ray

Bob -
I love you and always will. Now come and join my board!
- Kim Lewis

Rosetta Henderson Bloom again

Dr. Ross! Congrats on your transition. I am grateful for the opportunity to have grown up with your support. You inspired me to chase my dreams.
- Corleone (BMoC)

Best wishes for the next act!
- Joel

Bob -
It’s been an honor to work with you through the years. Love you very much!

Bob -
“Dr. Ross” - thank you for your leadership, support, and contributions towards health equity and health justice.
With gratitude,
- Ignatius Bau

Bobbie -
May God continue to order your steps. He;s not finished with you yet.

I wish that you receive as much as you’ve provided to so many.
Much love,
- Steve Delgado

Dr. Bob -
Enjoy this next chapter in your life. I wish you joy!
- Jim Crouch

Unveiling Our
2025 Annual
Report

The California Endowment is proud to present our 2025 annual report. Read about the work we are supporting and our partners who are changing California to a state of belonging and inclusion.

View Report
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