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

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

Thank you Dr. Ross for impacting so many people and our community.
- Vida Mobile Clinic

Dr. Ross,
Wish you peace and reflective joy brother.
- Efrain Escobedo

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

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

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

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

Rosetta Henderson Bloom again

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

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

Congratulations on a long and impactful career! Best wishes for your next stage of life!
Best,
- Amy
POWER

Job well done! Now it’s time to take some ‘bob’ time. We love and appreciate you!
- Arnold & Karen Perkins

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

Blessings upon blessings! Looking forward to all your journey takes you!

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!

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

We are forever grateful for your tireless work to make CA a beloved community for all! Si se puede!
With deep appreciation,
- Mayra Alvarez & The Children’s Partnership team

Hey Bob!
Best wishes for what’s next! Love you!

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

Best wishes!
- Melinda Smith and the Helpguide team

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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