Nonprofit organizations are known for their resilience and determination. “Making it work” in the face of inconsistent funding, limited resources, and increasing need is common for community-based providers. This was true even before the drastic shifts in public funding and policy we witnessed in 2025.

Nonprofits have always been an essential part of delivering the health and social services that hold our community together. But the nonprofit sector has been undervalued and under-resourced for decades. That disinvestment has left those important agencies, and the sector as a whole, vulnerable in moments like this.

The inevitable results of that instability will be fractured and disappearing services, increased costs for care and services, and a sicker community.

We have the opportunity in this moment not to just fix current problems or fill in gaps, but to work together to create a better future for the long run—to imagine better.

In this report, we’re proud to share how we’re collaborating with our grantee-partners to imagine better for the people we serve.

• Instead of retrofitting services for older adults and their caregivers, we’re building health systems where respecting their needs and perspectives is standard practice.
• Instead of individual nonprofits working on their own with few resources, we’re breaking down silos so agencies can share strengths, learn from each other, and deliver care more effectively—together.
• Instead of patchwork, hard-to-get services for parents and young children, we’re advocating for policies, funding, and infrastructure so that every child gets the care they need to thrive.
• Instead of widening the disparities in our health care system based on race, class, and neighborhood, we’re working to strengthen community health centers where high-quality, affordable care is for everyone.

Imagining and achieving better isn’t a simple process; it’s a long-term commitment and hard, complex work, especially in a year like 2025. But we remain focused with our partners on building stronger leaders, agencies, and systems for healthier communities.

Believing in a better future for everyone is the only way forward.

Sincerely,