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

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

You inspired me to keep endeavoring in education even when it's hard. Thank you.

Bob -
With huge appreciation for an example of excellence, humility, and grace.
Best wishes.

Thank you for being a mentor and inspiration. You have truly made a difference in California and the world.

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

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

Dr. Ross,
Wishing you special times with your daughter. Relax and enjoy the beach.
Love,
- Marie P.

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

Dr. Ross!
You are fantastic!

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

Bob,
We wish you good health, adventure, and lots of love in your life’s journey.
- Julie & Pete Brown

We wish you well wishes.
- Brotherhood Crusade

Dr. Ross,
Thank you very much for all your efforts. You’ve planted many seeds and tended greatly to your community. I’m immensely grateful for your work. Take a moment to appreciate yourself. Thank you!

Dr. Ross,
Wishing you the best time ever spent.

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

Thank you for all your work!
- Olga (FBHC)

A tu salud! Con cariño y respeto.

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
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