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

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

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

Love you, Bob! Keep killing the game!

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

The force is strong in our family.
- D. Wash

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!

Dr. Ross! You are a blessing and have changed the world we live in. Thank you.
- H.S.F.

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

Bob:
Thanks for 24 years of service to TCE and all Californians! Enjoy your new adventures!

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

Dr. Ross,
Deep gratitude for your leadership and commitment to equity and justice.

It’s been a blessing to us and the movement to have you. Wishing you lots of love in your next chapter.

Thank you for doing the true work of a doctor… HEALING! I heard you speak early in my career and was very inspired. Thank you!
- Leslie Johnson (Community Coalition)

Love you brother!

Wishing you well in all things, Bob. Preach on!
- John F.

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

Wishing you a happy and blessed retirement.
Love,
- David & Pei

Celebrate your new life!!
Our very best,
- Lew & Mary

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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