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.

flower graphics
  • $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 for your leadership and keeping justice at the center of LA philanthropy!

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

Dr. Ross,
The seeds you planted will bloom for generations to come!

Dr. Ross -
The man who helped me to dream in decades! Thank you for your leadership and example of courage. You’ve made us all better!
- Kaci Patterson

Dr. Ross,
I love you!! Thank you for being a servant to the people. Lives are better because you came into the world.

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)

May the force be with you in your new journey!
- Revolve Impact

Dr. Ross,
Thank you for all that you have done to advance justice and equity in our communities.

Dr. Ross,
I hope this next chapter fills you up as you get to witness the work and people you have nurtured for all these years.

Dr. Ross! Congrats on your transition. I am grateful for the opportunity to have grown up with your support. You inspired me to chase my dreams.
- Corleone (BMoC)

Best wishes for the next act!
- Joel

Bob -
It’s been an honor to work with you through the years. Love you very much!

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

Blessed to be a part of your celebration and life, Bob!

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

I wish you all the best. Hopefully I will see you around the bowl more!
- Virginia Mosqueda

Wishing you an abundance of love, harmony, health, and happiness.

Dr. Ross,
You instilled so much confidence in me by choosing me to be on the board. You truly have no idea about the trajectory my life will go on. Thank you immensely and I wish you all the best.

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
annual-report-footer-image-2025