The cakes are often chocolate, frosted and decorated with delicate sugared leaves. For many recipients, especially those who are isolated and low-income, it may be the only birthday gift they will receive, delivered to their door along with regular nutritious meals as they battle life-threatening or chronic illnesses.
It's a tradition that started through the loving care of Bill Rowe.
Founder of the nonprofit Open Arms of Minnesota, Rowe cooked and hand-delivered meals to friends living with AIDS starting in the mid-1980s. As his personal mission expanded into a full-fledged organization, he continued to take special note of birthdays by delivering cakes.
Rowe died in a nursing facility in Chicago on Feb. 16. He was 89.
The nonprofit organization is still celebrating clients' birthdays, though now it has a $2.5 million budget, 30 staff members and 5,000 volunteers. It delivers about 500,000 meals annually, including to people with cancer, multiple sclerosis and other diseases.
While cooking elaborate meals was Rowe's way of showing his love, friends and family said, he led a life that was far from quiet domesticity.
Raised in Southern California, he was drafted into the Army near the end of World War II and served in Japan after the war ended. He then went to college, got married and enrolled in the London School of Economics, where he studied cultural and social movements. He and his wife crossed the English Channel in 1952 and drove a Ford Anglia 4,000 miles to Mumbai, India, where he helped build a school.
Divorced the next year, he enrolled in doctoral study at Cornell University and returned to India to study village life. He married again in 1962 when he was a lecturer at the University of California-Berkeley.