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

Bob,
We can’t thank you enough. Our wish is that you take some time to do what you want to do.
You’ve done so much for others. It’s time to DO YOU!
God bless,
- Steve & Jenn

Love you, Bob! Keep killing the game!

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

On behalf of Music Changing Lives, we want to extend our deepest gratitude for your unwavering support and dedication. Your commitment to nurturing and inspiring young minds through philanthropy is truly transformative. May you continue to touch lives & bring harmony to our communities. We are blessed to have you as a part of our journey.
- Josiah (Music Changing Lives)

Mil gracias from planned parenthood! We love you!

All the blessings in the world for your much deserved retirement. Thank you for your commitment to equity.
- Pico California

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

Bob -
I love you and always will. Now come and join my board!
- Kim Lewis

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

Love you brother!

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

Dr. Ross,
Wishing you a magical abundant retirement.
- Nikki

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

Dearest Bob,
I will forever appreciate how you have welcomed and vouched for me in philanthropy. And there’s still time for you to get us that $5mil!
- Shane

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.

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

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

Thank you for all your support for the ACA, #Health4All, and everything else.

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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