The California Endowment (TCE) is actively moving the needle toward health equity through its support of national health reform, changes in school discipline policies and focused attention on the urgent needs of boys and men of color. Its primary grantmaking strategy, Building Healthy Communities (BHC), funds both statewide policy advocacy and targeted investments in 14 communities across California. By investing in efforts to build community power and also directly engaging in advocacy, TCE exemplifies strategic, social justice philanthropy at its best. However, some of TCE's grantmaking practices limit its grantees' effectiveness. To expand its impact, TCE could provide more general operating support, build nonprofit advocacy capacity and better align the large foundation's many efforts.