This article details how The Colorado Trust transformed its grantmaking to achieve health equity by shifting from nonprofit-led to community-led processes. Recognizing limited fundamental change from previous approaches, the Trust dissolved its program department and replaced program officers with "community partners." Resident groups now identify local needs and disperse funding, shifting power from funder to community in both grantmaking and evaluation. This disruption led to internal changes and re-evaluated relationships with nonprofits, emphasizing diversity, equity, and inclusion.
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