Access to Healthcare

Increase access to comprehensive primary and preventive healthcare

Houston Endowment believes all residents should have access to high-quality, comprehensive clinical care, regardless of their income or the neighborhood they call home. A substantial portion of residents do not have health insurance, and are thus less likely to access the care they need in the most appropriate setting. Further, greater Houston’s community-based system for primary, preventive, mental health and substance abuse services is inadequate to meet demand. Houston Endowment invests in efforts to expand access and improve the quality and efficiency of essential care.

The foundation currently engages in efforts to:

  • Coordinate across providers to improve the quality, accessibility and sustainability of the community clinic system;
  • Align systems and policies to increase access to mental and behavioral health services; and
  • Encourage stakeholders to ensure health insurance coverage for under-resourced populations.

Effective Systems of Support

Align systems of support to provide efficient and effective services for under-resourced populations

Houston Endowment seeks to improve the systems and policies addressing under-resourced populations across the region, with a particular focus on addressing adverse childhood experiences – potentially traumatic events such as abuse, neglect or exposure to challenging family circumstances – that can have negative, lasting effects on health and well-being. We are especially interested in multi-system initiatives with the potential to positively influence regional policies and practices.

The foundation currently engages in efforts to:

  • Strengthen the social safety net for all children and under-resourced populations;
  • Support effective centers of community; and
  • Support proof-of-concept initiatives with potential to increase the efficiency and effectiveness of systems that enhance the well-being of the children of greater Houston.


The foundation currently works in the following areas:

  • Domestic violence
  • Homelessness
  • Immigration
  • Justice reform
  • Juvenile welfare
  • Reproductive health

Resilient Communities

Foster resilient communities

Living in a community with access to safe and stable housing, healthy food, green spaces, high-quality education, support services and opportunities for civic engagement is necessary for personal well-being and resilience. Houston Endowment seeks to improve the well-being of people in greater Houston by helping communities strengthen and leverage their assets and mitigate the social and environmental factors that have a significant negative impact on residents.

The foundation currently engages in efforts to:

  • Mitigate barriers to health and social well-being through systems and policy change; and
  • Work collaboratively to address multiple challenges within a particular community.