Cultural Competency / Health Workforce / PRIME
TCE leads philanthropic efforts to diversify the health workforce and advocate for language access improvements in the health system.
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
Browse Other Changes Planted by Dr. Ross
Building Healthy Communities $1B invested over 10 years
Health4All 38.6 million lives impacted
Youth Awards 37 total awards given
Schools Not Prisons & BMOC Millions reached since 2016
Farmworker Health $50M initiative
TCE Grant Making 2023 $381M awarded
Parks for All Hundreds of millions leveraged for parks investments in CA
Youth on the Board 1st of large foundations in US to have youth on the board
Childhood Obesity & Freshworks $272M to expand access to fresh and healthy foods in low-income communities
CHIS 20,000 households interviewed annually to find health gaps in CA
Kids Health Coverage Campaign $4M to help enroll children in health programs
TCE Headquarters 125,000+ use our facilities every year
Wishing Wall
Dr. Ross,
Best wishes on your journey. Thank you for everything!
-SAJE
May you spend many days on the beach. Best Wishes, Winnie
Love you, Bob! Keep killing the game!
Dr. Ross,
I love you!! Thank you for being a servant to the people. Lives are better because you came into the world.
Bob,
Fortunate to have such a powerful voice & thought leader at TCE.
- Sherry
Wishing you good health and lots of laughter!
Dr. Ross! You are a blessing and have changed the world we live in. Thank you.
- H.S.F.
Congratulations on a wonderful 24 years of impact! May God bless you and keep you!
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
Thank you for all the great work bringing health and wellness to California.
- Alan Pullman
Congratulations on a long and impactful career! Best wishes for your next stage of life!
Best,
- Amy
POWER
For many years, I have known how special you are! Thanks.
Dear Bob,
I have learned and grown so much during my time at TCE and with you. Thank you for everything.
- Karthik
Bobbie -
May God continue to order your steps. He;s not finished with you yet.
Happiest wishes for a joyous and peaceful retirement after an amazing and productive career! Come back to visit TCE!
- Diana Yang
Thank you for your guidance and leadership!
Dr. Ross,
Wishing you the best time ever spent.
I wish you all the best. Hopefully I will see you around the bowl more!
- Virginia Mosqueda
Dear Dr. Ross,
Wishing you joy, peace, and more free time than you know what to do with. I love you!
- Marc P.
RKR - sooooo wonderful to gather this evening to celebrate you! The honor and privilege of knowing you is more than I can describe. Hoping we will be sure to connect as you go.
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