We work to achieve long term, sustainable change.

We invest our grantmaking dollars to support systems change efforts. We recognize the power that already exists in communities and support their efforts to improve health, education, and economic outcomes.

Our Local Impact and Health Improvement program areas are structured around strategic goals. We invest at the program, community, town, county, and state level to foster long-term change. Our efforts are focused on three key bodies of work—Equitable Access to Care, Equitable Health Outcomes, and Inclusive Economy—as well as our special initiatives of Great Expectations and Healthy Places NC (which has wrapped its 10 year cycle and evolved into regional work).


Health Improvement in North Carolina

We invest in solutions that improve health for residents of North Carolina. We support equitable access to care, work to build equitable health systems, and invest in rural health solutions.

Healthy Places NC

We invest in the power and capacity of rural residents to address the health issues impacting their communities and advocate for systems change at the local, regional, and state level.


Local Impact in Forsyth County

We’re committed to improving the quality of life in Forsyth County—our own backyard. We work for broadly shared prosperity, health, and educational opportunities for every resident.


Great Expectations

We work closely with the community to ensure children in Forsyth County enter kindergarten ready to learn and leave set for success.