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- 5 - accessHealthNews.net January 2024 Volume 10 | Issue No. 80 The REACH Healthcare Foundation's mis- sion is to advance health equity through coverage and care for underserved peo- ple. A regional foundation granting about $4.5 million annually, REACH recently cel- ebrated its 20th anniversary. To mark this milestone, Board and staff leadership re- flected on the foundation's evolution from a highly politicized health care conversion foundation at its inception to a philan- thropy striving to reshape its actions and practices to reflect a more reparative ap- proach focused squarely on health equity. The journey has been long and, at times, tenuous, and continues to evolve. It has been joyful, inspiring, messy, painful, and exhausting. As the CEO and Vice President of Programs, we would like to share some of the lessons learned along the way and the internal and external changes made in the hopes of becoming a better partner to our grantees. Since its earliest grantmaking days, REACH has prided itself on being transparent and "fair." At the time, this meant having firm rules that applied to all, exhaustive guide- lines, lengthy applications and review processes, specific eligibility requirements, and a high rating on GlassPockets. We en- gaged in rigorous strategic planning, im- plemented philanthropic "best practices," and were upfront and unapologetic about our funding priorities and the strategies we advanced. The Board and staff generally felt positively about our efforts to be ac- cessible and approachable while demysti- fying the grantmaking process. Like most funders, we always received far more requests than we could possibly fund but were relatively satisfied we were "do- ing good where we could." What we were not paying attention to was who was not seeking us out as a funding partner, partic- ularly those preemptively excluded from consideration due to onerous funder prac- tices. Our reckoning began in 2018 with a port- folio review and the resulting realization that Black-led, Black-serving organizations were embarrassingly absent from our in- vestments. Our Senior Program Officer sought to understand why and what could be done to rectify this wrong. Further, the Board would need to be brought along in its understanding that REACH had fallen short in investing and partnering with lead- ers in the Black community within our ser- vice area. Our most recent results from the Center for Effective Philanthropy's Grantee Perception Report, which included participants from the CBV pilot, also give us encouragement that we are moving in the right direction.

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