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The Community Clinics Initiative (CCI), a unique collaboration between Tides and The California Endowment, began in 1999 to provide resources, evidence-based programming and evaluation, education and training to support community health centers and clinics. Through information sharing and major grants, CCI acts as a catalyst to strengthen California's community clinics and health centers to improve health outcomes in underserved communities. The state's community clinics offer high quality, low- and no-cost care, often in rural and inner city areas, providing a lifeline for millions of uninsured and underinsured Californians.