24 Years of Planting Change

Building Healthy Communities

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Building Healthy Communities

Building Healthy Communities (BHC) successfully built community power across the state with the goal of working towards a California where all people have the opportunity to thrive.

Building Healthy Communities

As a signature program of The California Endowment, BHC combined 10 years of continuous funding in 14 historically disinvested communities with state-level and regional policy campaigns and coalition building.

During this time, we learned it begins and ends with people power. This is the most important lesson we’ve learned in and over a decade of BHC evaluation, and is the guiding north star from which we continue to do our work.

This wasn’t our initial hypothesis. Yet 10 years of listening and responding to our partners, questioning and testing our assumptions, and being flexible as we learned is what ultimately brought us here.

BHC shifted the narrative toward a deeper understanding of systemic inequities and the potential of people power to transform them. As we worked in local communities, we gathered data to evaluate in real time and sought feedback on our role as a funder and change-maker in order to become a more effective leader.

The lessons learned help us be more provocative in our questions, and more confident in our assumptions about how change happens.

All in all, BHC was a novel approach to health improvement that encompassed the social determinants of health and led to our focus on power building to promote systems change and advance racial equity.

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  • 14

    Communities Transformed
  • 1,526

    Policy, System & Physical Wins
  • $1B

    Invested Over 10 Years

“Racial injustice, structural inequality are made by the human hand. Which means that they can be dismantled by the human hand. Dismantled by human leadership, human action, human voice, human advocacy, human activism.”

DR. ROBERT K. ROSS President & CEO, The California Endowment
  • Building Healthy Communities
  • Building Healthy Communities
  • Building Healthy Communities
  • Building Healthy Communities
  • Building Healthy Communities
  • Building Healthy Communities

Browse Other Changes Planted by Dr. Ross

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

Cultural Competency

Cultural Competency/Health Workforce/PRIME $78.2M to CA organizations working to boost the size and diversity of the state's healthcare workforce

TCE Headquarters

TCE Headquarters 125,000+ use our facilities every year

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Wishing Wall

Dr. Ross,
Thank you for being unwavering and clear about TCE’s purpose. Thank you for always listening and learning and dreaming about what could be.
Forever grateful,
- Mia Bolton

Best wishes, Dr. Ross! I hope your days are filled with all the things that make you happy.

Dr. Ross,
Best wishes on your journey. Thank you for everything!
-SAJE

Bob,
We can’t thank you enough. Our wish is that you take some time to do what you want to do.
You’ve done so much for others. It’s time to DO YOU!
God bless,
- Steve & Jenn

Bob bravo! What a magnificent legacy!
My best,
- Anne

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

Dr. Ross,
Well wishes on this next adventure! Enjoy this time!
- Stephanie Ghayouri

With deepest gratitude for all of your service, your love, & leadership. May you have abundant joy and connection and all good things.
- Sharon

Dang Bob! You really leaving? You really reading all this good stuff?! Ok man! Among so many of the things I already said, you baaaad, Dude. Much love!

Wishing you good health and lots of laughter!

Dear Bob,
Well done, good and faithful servant! Remember: you don’t get to retire from Saint Marks - ever.
- Carri

All the best to the world’s greatest boss & mentor. Thank you for your leadership, advice, and support these last 16 years!
- Dan DeLeon

Dr. Ross,
Wishing you all of the joy and relaxation you well deserve. Thank you for everything!
- Alyric Bell (UNITE-LA)

Dear Dr. Ross,
We wish you the best in retirement although we know you will stay busy take time to enjoy family.
- From the Avilas

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

Thank you for all the great work bringing health and wellness to California.
- Alan Pullman

Dearest Bob,
I will forever appreciate how you have welcomed and vouched for me in philanthropy. And there’s still time for you to get us that $5mil!
- Shane

Dear Bob,
I have learned and grown so much during my time at TCE and with you. Thank you for everything.
- Karthik

Thank you, Bob! THis Center for Strategic Partnership thrives because you helped nurture the value of partnerships. I will be forever grateful to you and for you. Plus I love that you are not shy about spirituality.

Dearest Dr. Ross,
May you be happy in the next phase of your life.
- Susan

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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