We focus on outcomes, rather than issues to achieve long-term and sustainable change.

We support promising programs, systems change work, and innovative ideas that help residents and communities thrive, increase equitable access to health care, and achieve equitable health 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 most intensive efforts are focused on two long-term, place-based special initiatives—Healthy Places NC and Great Expectations—and three key bodies of work—Equitable Access to Care, Equitable Health Outcomes, and Inclusive Economy.


Now Is The Time

What if everyone in North Carolina had all that they needed to be healthy and achieve their dreams? Trust president, Dr. Laura Gerald, envisions how philanthropy can work for systems change to achieve racial equity.

Program Area

Health Improvement in North Carolina

We’re working to support health solutions that lead to increased access to care and equitable health outcomes in areas with great need across the state.

Special Initiative

Healthy Places NC

We work closely with communities to improve health and overall quality of life in seven rural North Carolina counties.

Program Area

Local Impact in Forsyth County

We’re working with the community to foster an inclusive economy that listens to, empowers, and supports residents who have historically and even intentionally been denied economic opportunities.

Special Initiative

Great Expectations

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