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

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

Mil gracias from planned parenthood! We love you!

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

Dr. Ross,
Thank you for all your hard work. Wishing you tons of reset and peace, Dr. Ross.
- Nancy Nunez

Dr. Ross,
Thank you for your unwavering support of the HCA and the BHC. You made a difference in the world, and supported us to do the same.
In gratitude,
- Yvonne Maria Jimenez
NLSLA

Happy times and thanks for all you have done for me.

Dear Bob,
Thank you for your incredible and bold leadership for equity and justice! It has catalyzed so much and the ripple effects will be felt for longer than you can imagine. Thanks also for being a personal inspiration to me and our organization’s work. We’ll all try to carry on the pathway you forged. Best wishes in all your next endeavors.
Yours,
- Alex Rossides

Love you brother!

Dr. Ross,
I hope you have some amazing adventures planned. Enjoy!
- Andrea Williams (Southside Coalition)

Bob,
Thank you for all the good trouble you made and extending a hand to join you.
With love,
- Hanh Cao Yu

Dr. Ross -
I learned so much from you and loved working together on op-eds, etc… After a break, I think you have a book in you.

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

Wishing you all the love you can handle…. And wonderful memories of years at TCE!
- Elwood

You are an inspiration! Thank you for everything.
- Ted

Bob!
Rest. Relax. Renew. Have fun…
- Kisha Grove

Bob!
Sending love and thanks to you - a role model for the good.
- Robin

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

Enjoy & have fun. God bless you!
- Elizabeth Tabita

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

Dr. Ross
Thanks for your years of unwavering leadership. We are better for all your efforts.
- Craig Martinez

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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