This evaluation brief outlines how the Community Clinics Initiative (CCI), a joint project of Tides and The California Endowment, has been successful in effecting broad and deep social change within the community-clinics field in California.

In addition to a description of CCI’s impacts and the evaluation design, the brief discusses critical factors that emerged for achieving deep, systems-level changes, and offers some summary reflections. These factors and reflections can inform the design and implementation of other philanthropic initiatives and grantmaking efforts.