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The Bay Area Global Health Alliance’s 2025 Annual Meeting on June 5 brought together a diverse community of leaders, innovators, funders, and implementers at a pivotal time for global health. Held under Chatham House Rules to encourage open, candid dialogue, the convening reflected the urgency and complexity of a sector facing major funding cuts. Despite the challenges, there was a strong call to action across the community — to do bold things and reimagine the future, acknowledging the millions of lives depending on it.