2017 ANNUAL REPORT

DEAR HIGH RISK HOPE FAMILY,Thanks to High Risk Hope’s loyal donors, volunteers, board members, staff and families, 2017 proved to be a record-breaking year on all fronts. This year, we received our largest single donation ever from Jersey Mike’s Subs through the Month of Giving, which raised $100,000 for HRH. Our HRH Baby Calendar was featured on Today.com where it received an overwhelmingly positive response from inspired families nationwide. We celebrated our sixth birthday, hired three new employees, had a record-breaking 850 Tot Trotters, and hit the $1 million mark for funds raised since HRH’s founding in 2011. Most importantly, HRH supported 1,750 families experiencing high risk pregnancy and premature birth in Florida and California this year.

The impact HRH has on these families is apparent in the countless parents who connect with us, sometimes while still in the hospital, wanting to support others experiencing the same harrowing journey. Each of the 13 HRH Calendar Baby families, when asked why they entered the contest, responded with a resounding “to give other families hope.” But perhaps the biggest honor came from a HRH family with limited means who so passionately wanted to give back, that they chose their one monthly family dinner out to be on the Day of Giving at Jersey Mike’s Subs when 100% of sales were donated back to HRH.

While HRH has touched the lives of over 6,700 families since 2011, tens of thousands more need our support as the premature birth rate in America continues to rise. HRH remains the only nonprofit in the nation that supports both women on hospital bed rest and families with premature infants in the NICU. With your continued support in 2018, HRH hopes to expand to several new hospitals across Florida reaching 750 more families in crisis. Thank you for your commitment to improving the health outcomes of premature babies in this community.

Sincerely,

Heather Barrow Founder and Board Chair

2017 Board of Directors Heather BarrowSusie BrayElizabeth CarrereKate DeSantisTracie DominoBetsy GrahamKerri KibbeyLauren Companioni Strahan, DMDAlfonso Vargas, MD

2017 Advisory CommitteeBennett Barrow, CFPPaul Dolcimascolo, CFPShirin KanjiBrent KriegshauserPrestin Weidner

Our MissionHigh Risk Hope® is a for purpose organization that provides support, encouragement, information, and resources to women and families who are experiencing a high risk pregnancy resulting in hospital bed rest, potential premature birth, and neonatal intensive care after delivery.

HRH PRODUCED LIFE-CHANGING RESULTS IN 2017

cover photo by TheGalleryStudios.com

6 HOSPITALS SUPPORTED IN

FLORIDA AND CALIFORNIA

16 HRH CALENDAR

BABIES

286 VOLUNTEER HOURS

300 DEDICATED VOLUNTEERS

350 HIGH RISK

PREGNANCIES PROLONGED

850 TOT TROTTERS

1,500 NICU FAMILIES SUPPORTED

17,699

JERSEY MIKE’S SUBS EATEN$430,000 IN CASH AND IN-KIND DONATIONS

PRICELESS LIFELONG IMPACT FOR PREMATURE INFANTS AND THEIR FAMILIES

Bailey Nicholas Executive Director

Jersey Mike’s Subs Month of Giving HRH was the Jersey Mike’s Subs 2017 Month of Giving partner for 30+ West Central Florida locations. Thanks to this community and our Jersey Mike’s Subs restaurant owners, HRH received $100,000 from the 2017 Month of Giving and was invited back for 2018!

HRH Baby Calendar The fourth annual HRH Calendar Baby contest was a huge success! 47 babies entered, and 25,627 votes were tallied to select the HRH babies featured in this year’s calendar which will be delivered to over 2,000 families in 2018. Today.com loved our calendar so much, they did a feature article spotlighting our calendar and the HRH families’ inspirational stories.

Tot Trot HRH’s fifth annual Tot Trot presented by Jersey Mike’s Subs was held in November in Tampa in conjunction with World Prematurity Day. A record number 850 Tot Trotters walked, ran, and strolled down the Miracle Mile, helping to raise over $71,000.

HRH Team HRH added three incredible team members in 2017. Sasha Smith began in January as our Program Coordinator. In the fall, HRH welcomed Kerri Kibbey as Director of Special Events, Marketing and Public Relations and Shannon Oras as Development Coordinator. All three have become crucial to achieving HRH’s mission, and you can expect great things to come!

HIGH RISK HOPE HIGHLIGHTS

Give Day Tampa Bay For the fourth year in a row, HRH topped the leaderboard of 500 regional nonprofits on Give Day Tampa Bay, raising $80,000 from 350 donors and winning $3,500 in prizes. Thanks to our exclusive partnership with Hyde Park Village, hundreds of HRH supporters came to the Village to shop with their HRH shopping pass and celebrate at HRH’s story time and a private Pirate and Princess meet and greet.

NICU Milestone Cards HRH added NICU Milestone Cards to our NICU Napsacks in 2017, and they have quickly become a HRH family favorite. The cards help document every step in a preemie’s journey and celebrate their progress. NICU milestones range from first time being held to becoming a NICU grad.

PATRON ($50,000 - $100,000) Jersey Mike’s Subs ⌘

BENEFACTORS ($20,000 - $49,999)Legacy Foundation Fund TCWA Wealth The White Family Foundation

ICONS ($10,000 - $19,999)13 Ugly Men Heather and Bennett Barrow HEROES ($5,000 – $9,999)Mr. and Mrs. Alston M. BarrowBaycare St. Joseph’s Women’s Hospital ⌘ Capitol ConsultingTate and Blake CasperThe Children’s Board of Hillsborough CountyBetsy and Drew Graham Harrod Healthcare Development ⌘Howard JenkinsOutback BowlPam and Les Muma, in memory of Jennifer Leigh MumaPrometheus Franchise Restaurant Holdings, LLC

GUARDIANS ($2,500 - $4,999)Doreen and Jack BrayKristi and Mario CabiaoThe Community Foundation of Tampa BayHush Hush Little Baby ⌘Eleanor and Buck McInnisRichland ⌘Socius FoundationSouth Tampa Kids Dental Krewe ⌘

PROTECTORS ($1,000 - $2,499)Academic Alliance in Dermatology ⌘Dr. and Mrs. Thomas AbrunzoElizabeth and Christopher CarrereTara and Whalen ClarkDavid Weekley Homes ⌘Ferman Motor Car Company ⌘Franklin Street Financial ⌘Hyundai of New Port Richey ⌘Johns Hopkins All Children’s Hospital ⌘ New York Life Foundation

New York Yankees Tampa Foundation ⌘Presbyterian Church of NovatoPublix Super Markets Charities ⌘Raymond James Real Estate Investment Banking ⌘Trina and Ron ReuePat and Bill SnedTampa General Hospital ⌘ Tower Radiology Centers ⌘The Wawa Foundation

CHAMPIONS ($500 - $999)Abdoney Orthodontics Shannon BakerTrish BerchtoldEmily and Roderick CarmodyElizabeth and Michael CarrereAmy and Michael CorcellDeBartolo Family Foundation Sally HolcombHyde Park VillageSwathi and Shirin KanjiMichael LevinJessica and Chris LinbergShirley MaxwellJames McAuleyMcIlwain Family Dentistry Orion Risk Management Insurance Services, Inc.Kay and Tom RankinLauren and Nate SwensonTodd TimmermanSusan and John TouchtonTrina TurkBethsy and Alfonso Vargas, MDVineyard Vines Retail, LLC

ADVOCATES ($250 - $499)JoAnna M. AndriolaAnonymousMary and Jim AzzarelliMerritt and Alston BarrowKaryn and Kyle BerschJaime and Chris BrewerLucy and Tom BrowningSuzanne BrownsteinKaren CarmodyJackie and Aaron CarricatoKris and Charles ChunnLauren Companioni Strahan and TJ StrahanKate and Dane DeSantisJessica and Paul DolcimascoloHeather EisenmannJennifer Eisenberg and Jeff FabianJennifer Fecowycz

First Christian ChurchFlorida State FenceSusan and Matthew GentileAshley and David GermainSara and Rogers HaydonMargaret and David HenslerHoly Family Catholic SchoolCaroline and Dennis JonesKerri and Justin KibbeyMegan and Josh KuderBrooke LaytonKenneth LeeGail and Tyson LykesCrystal and Kaivon MadaniDushan MartinasekJames McAuleyJohn McNamaraSandy and Bob MerrimanJennifer and Greg MillmanSusan and John MuellerBailey and Richard NicholasPublix Super Markets, Inc.Laura and Jeff RoySarah WatkinsJohn H. SchaferDiane and Richard SheffieldShumaker Loop & Kendrick FoundationStephanie Skinner and Thomas GerstenbergerBetty and David StreetTampa Bay Lightning FoundationCarin and Chris ThomleyMarzy and John TroutmanCatie and Clay WitherspoonThe Woman’s Group

SUPPORTERS (up to $249)John AbramMeredith and Chris AbrunzoKevin AckermannMiguel AcostaCarrie AdamsKari and Todd AdamsHeather AdamsonPatricia AdessoErin AebelLinda AikenVictoria and Adam AlaeeAshley AlstonJaimee AlvarezCarla AlvarezMarta and Romillo AlvarezAmazonSmileBess AndersonBrittany AndersonCindy AndersonMarie AndersonMaggie Anderson

Megan AndersonPaige Andree Mountford- JohnstonKelly AndrewsMarla AndrewsErin and Jay AnnisApple Hospitality ReitCarrie ArantTanya ArcillaNatalie and Scott AubryMatt AudasMaria AzuajeMelisa BaileyCroley Todd BairdSamantha BallardJulie and Robert BaneyRuth BantherEmily BarberLetty BartoszekMagdalena BasilottoLinda BassAshley and Brad BasslerJennifer BatesConnie BauerJoetta BauerDr. Marnie BauerTiffany BaumanBrianna BeanChristine BeaulieuLauren BeckamannInes BednarMarcela BedoyaChristopher BellucciPamela BenderAmber and Kevin BennettKatherine BensonRoxana BernalesAshley BerridgePat and Mark BerriganSusan BerschLori BerubeLinda BeverBecky and Brent BiggerCheryl BlackLynn BlackledgeMcKenzie and Eric BlankenshipLorna BluesteinJanis BolhofnerBradley BondKristine BoosLinda BradwayMargeret Mary BradyJolene BrantBen BratlandPatricia and Frank BrawleySusie and Matt BrayAngela Lemont-Bresnahan and TJ BresnahanAnne BresnahanDeborah Bresnahan

Linda BresnahanWhitney BrewerJana and Jeff BridgeJoanne and Keith BrinkLoni BrissendenJessica and Matt BrittenHeather BrooksAmy and Joseph BrunKathryn BryantJennifer BryantNicole BurdetteKayla BurtonLinda ButcherRebecca BybelMaureen CacioppoAmanda CaldwellSusan CappelliniVivian CappelloLinda CarforeLauren CarlanJessica CarlinErin CarlsonMelanie CarmiliJenni CarrollKatherine CarrollMeg CarterDelma CastroLauren CatoeSarah CauleyRenee ChangJoanna ChapmanCarol CheaneyLinda CheongRon ChristaldiChristen ChristianSusan ChristieErik ClaudioErica and Scott CliffordMatthew CloutierDestiny CochranDebi CohoonNorbert CointepoixDennis CombeePaige ComerEd and Maria ComeyPatricia and George CompanioniAnne and Carleton ComptonLauren and Dick ComptonJoanne CondonNancy CondonEve CondronKelly and Hunter ConeErin CookSharrell CooperJen CordeauLaura CordellKim CorderLiz CorderRosana Correa

High Risk Hope extends our deepest gratitude to these generous donors who are committed to making a difference in the lives of the tiniest and most vulnerable newborns.DONOR LIST

Deborah CorteseCindy and David CoxCourtney CoxCraving DonutsLinda CrawfordCarie CrockettNancy CrouthersBette and Bill CrownStacey CrumSara CunninghamPorter CusmanoRichard CutterKatherine DanielVirginia Daniel and Michael GarciaMichelle DavenportJulie DavisNatalie and Mark DavisWilliam DayMichael DebitettoDena DeDiegoLorey DeebMolly DelanKathleen DelaneyKatherine and Ryan DelmanChris DenomeLinda DetmanLinda DeTommassoGreta and B.J. DevelleTriparna and Gert-Jan DevreedeNatalie DiastiDeborah DillonPam and Brett DiversTracie DominoDeborah DonnellyDoormetTimothy DowlingMillie and Jason DowneyBecky DreisbachLisa and Bryan DreisbachVirginia DreisbachKaren DuffeyDuke Energy FoudationLiz DunnFrancine DupuisMichele DurlingJoanne DwyerGeoff DyceLori and Jerry DyerMeredith EdwardsLisa EganJoseph EisenburgJennifer EisenburgMary ElliottKareyann EllisonHeather ElwellAbbe EnsmingerKatherine EppleJosephine EsperanzaMiriam EspinozaMichael EspositoBetsy and Julio EsquivelLucy Esteves

Emily FabianFaedo on the GoBritany FalgioneBrynne FarrellKelly and Alejandro FernandezJenelle FerryJanice FewlassCindy FilkoSean FillinghamBritt FioritiCynthia FleeceJordan FlemingFlorida Delta Rho Chapter of Alpha Delta KappaChristine FojacoChristine FoleyTania ForsmanAntoinette ForsythFrancesca and Richard ForsythColleen and David FosnoughCherie FosterLouisa FrancisErin FrazierCarol FreemanGlenn FreemanRobyn and Michael FrelichRobin and Adam FriedmanJulianne and Jason FrostMary FrostFreya FullerVicki FultonHeather FurmanSusan GageZoe and Joseph GallinaLauren GalloDawn GalloglyFlora GalvezSerena GandhiAnna GarciaAshlie and PJ GardnerGasparilla Distance Classic Association, INC.Christina GibbsMarva and Ron GibsonThe Girls with Curls BakeryTammy GirouxDenise GlassJudith GlasserGordon GloverKate GoadBrad GoldfingerAndrew GoletzSamantha GombosMelissa GonzalesDarlene GoodfellowRachel Goodman and Mike SweattNanda GowdaAnsley and Jamie GraffHolly GraffRebecca GraffAdaire Graham

Paul GrahamChristen GrayCourtney GreenAmy GreeneRobin GriffinShana GrudskyKristie and Greg GutierrezMelissa GutierrezMichelle H.Katie HabgoodMichelle HackneyHaley HaightLouise HamelCara HanrahanMelissa HansenKay HarperStacey and Mike HarrisonKim HartneyKayda HawkerJaime and Christoper HeaverinJoyce HeaverinJay HeidelBecky and Paul HeimJennifer HendersonJulia HendricksonBarbara HenrySusan HenslerAlexandra HernandezDianne HerrickPaul HerrickJennifer HettingerPatty HinszMichelle and Raymond HintsonJames HodgeGina HoerigJaime HoevenJanet HoffnagleErin HolcombeJudy and Mark HollisDenise and John HollyMildred HooperVictoria HornickJessica HornofMeghan HorstKathleen HorvathElla HorvickLaura HottensteinChristine and Justin HoustonBarbara HubbardDoug HuebnerAcquanetta HuntPerrin Hunter MatheisBridget HurtPatricia HutchinsonJamie HynesI WANNA WOK, Inc.Lisa IltisIndia HicksKaley InfieldJayne IreneKristina IsacksenSergey Ivanenko

J. McLaughlinThe Jacobs FamilyCindi JacobsenSarah Jacobsen CappsShirley JacquesMolly JamesAnna JeffersJamie JenkinsJimmy’s Slider TruckNurdan JohnsinghRebecca JohnsonTiana JonesSarah JordanVanessa JorgeKelly JorgensenJanet JosopersadJust Smokin’ BBQ, Inc.Juxtapose Apparel & StudioNishi KabariaShannon KalmbachKaryn Bersch EmbroideryAllison KastnerJennifer KatkoCortney KellerDayna KempgensKendra ScottLori and Tom KerstingCheryl KilcoyneKandis and Adam KingKelly KirbyJulia KittnerTiffany and Steven KleberTara Knauss-WilgaThomas KnerlSarah KodadekKona Ice of TampaYoko KonoJaime KontzMegan KopmanJillian and Trey KorhnBrenda KorhnDeborah KotchDavid KrambBlakely and Brent KriegshauserCatherine and Anthony KriegshauserLillian KublerKellee KudzinskiMaryanne KurtzKimberly LackeyLinda LanceYvette and Keith LaneRebecca LaytonCarrie LeeElizabeth and Ryan LeeAmelia LeeMary LeisgangJenny LeistlWilliam LeonardRachel LewisNicole and Carlos LiendoLieser Skaff AlexanderAlexis Lipton

Judy LodgeKaren LodgeJennifer LombardiMaria LopezShannon LynchShelia LynchElizabeth and Ben MackieTara and Erik MadarisChristine Maestri & Michael Festing-SmithJoyce and Frank MaioXiomara MaganaMaggie on the MoveJanet MalinChristie MalloryKrishna ManikondaMegan ManningPeg ManochiArlene and Marvin MargolCynthia MarovichChris MarshErin and Joe MarshburnKristin and John MarshburnGladys P MartinStephanie MartinezSusannah and Russell MathewsHeather MatthewsNatalie MavarJames McCartanDeborah McClureJulianne McKeelAndrew McKennaJoe McKennaStephanie McKinlayMelissa McMillanMargaret McNamaraStephanie and Dustin McQuillanMedela, LLCLauren MeinhardtPaul MelikianBryce MelvinJaclyn MendelsohnCharlie MenegatosChristine MennesDiana MerkelAnnette and Michael MessinaMargaret and Bob MetzMary Katherine MeyerBeth MeyersMartina MillerSherrie and Andy MillerJennifer and Grey MillmanNiki MininghamDorthea MinnickMonica MirasolaEric MoffittDavid MohylaKat and John MolinariMOMS Club WestchaseJaileen Lidia MonjeAndrea MooreBlaine Moore

FINANCIAL RESULTSJoanna MooreJessica MoralesJudy MoreShannon MoscaAllison MoscatoRon MosherLorraine MoyleKitty MonroeSherrie MuellerMeredith and Trey MuellerAaron MurphyAlisha MurphyWilliam A. MurphyKimberly MurrayPaige and Ryan MurtaghAmy NathJanine and Zachary NewardMaria NewtonCourtney and Richard NicholasEsther NicholasTrisha and Matt NicholasMelissa and Patrick O’ConnorKristina O’KelleyMegan Odroniec and John SchillingJacqueline OefingerAnna OrrVeronica OrrickMonica OspinaMargaret PackerMarcy PainterPavan PancholyRenu ParkerMaria PassannanteSonal PatelSummer PattersonStefanny PazminoLaurie PellitoMelinda PendinoSally PerlaElizabeth Ann PeteKailei PicciottiTerrie and Tim PfeifferAnne PhillipsKevin PigeonPinellas County Estate Planning CouncilJeannie and Alfred PisanoKate PletcherPopalicious Kettle CornSusanne PowersAlison PrestonEmily and Philip PrestonMarie PrestonTrisha PrimianoPromokNatassja Prose

Prudential Financial, Inc.Natalie PutmanMichelle PykaKyle QueenanNuve QuincheAlysa QuitorianoBridget RaineySamanta RamsahoyeMeredith RandallKatie and Ari RaviLaura Ann RebelsJoe ReddenUma ReddyStacey ReedLindsey ReeseKathryn ReevesKatie and Blake RehbergVeronica RhoadesAnne K. RiceRafinal RichardsonBetsy and Matthew RickettsRiddle on the GriddleJulianne and Josef RillStacy RiouxGabrielle RiveraMichael RobbinsJodi RobertTaryn RobertsAnne RobertsonCourtney RobinsonEmily RobinsonKathy RodriguezHannah RodgersTeresa RogersMax RomanaggiNatalie RomerAlisha RorebeckAudrey RoseJesse RubenAmanda RupansinghAmy and Chris SabaDr. Ronald SadlowskiWilliam SadlowskiAmanda Arnold SansonePamela SantamariaKelly SantosMark SarshaAnderson and Tony SassoAllison ScanlinDebbie SchmidleSheri SchobertLindsey and Matt SchuckPenny and James ShultzStephanie SchultzBarbara SchwartzSusan ScottToni and John ScullyRachel Ann Seckinger

Lana SenawiJessica ShahadyDiane SharpMelissa and Steve SheltonDayna SheppardElizabeth and Chris ShiparskiLolo SidermanAnna SillsJanet and Jon SimmonsJennifer SimmonsMelanie SkijusMonica SmalleyBrittany SmithCarol SmithKelly and Darrell SmithSasha and Jeff SmithLindsey SnyderMelissa and Thomas SnyderMatthew SpenceClyde SquiresAllison and Lamarcus StaintonGyneth StanleyJanet StephensonStacy and Scott StevensonNancy and Michael StewartSommer StilesMichaela and Ryan StraussStreet SurferSugar and Ice and All Things NiceSwor Women’s CareBrittany and John TaftShelia TaylorJanelle and Duffy ThaxtonAmanda ThomasKathryn ThomasLauren ThomasGina ThompsonKelly ThompsonJohn TiecheBarbie and Matt TilmanDenise TiniChristy TobiasNanci TokachJason TomascikJessica ToranRobin and Jim TourlakisJoAnne TuckerSuzanne TudorThe Twisted IndianKelsey UnsworthAmy and Dan VansickleLeslie VeigaKendra VelillaAshley VollmerCaroline VostrejsPaige Vurpillat

Jessica WaguespackLaura WalkerAnna WantaHeather WareheimJames WareheimAudrey WarrenEric WarrenJessica and Doug WatermanCarrie WattsBeth WawrzaszekConnie WeathersAndrea WebbNancy WebberMegan and Prestin WeidnerLiz WelchHaley WellsCate WellsAndrew WerdineJackie WhalenKristy WhelessJosephine WhitePaul WhitingKelsey WhitmerEugenia and Howard WhitsettAnne and David WilliamsTina WilsonKim WinkerKathleen WolfeHope WootenBrian WrightDenise WrightAnne and Greg YadleyMark YeomanKevin WrightSarah YodzisAnne YorkAlison and Tom YoungAshley and Jojo YoungKerri and Nate ZettelStephanie Zummo

CORPORATE IN-KINDAlliSongs For TotsBell ShoalsBoomer LoomersBreakout Products, LLCBuddy Brew Hyde Park VillageBusch Gardens Tampa BayCaspers Company ⌘Christ The King ChurchCinebistro Hyde ParkCox Media Group ⌘Disney WorldDJ Jake Dela Cruz ⌘Dow ElectronicsFit4Mom ⌘First United Methodist

Church of BrandonFresco Foods, Inc.The Gallery Studios ⌘Girl Scout Troop 2867Hulafrog ⌘I Love Ewe BoutiqueIurato Law FirmKaryn Bersch EmbroideryKendra ScottKucera PropertiesThe Ladies of Timber Oaks Community AssociationLivy’s HopeLove N StitchesMedLife at USFThe Mommy Spot ⌘MOPS Immanuel LutheranNeedlefish Yarns of VeniceNew York Yankees Tampa Foundation ⌘Nicks Nic NacksOn SwannParties with CharacterPDQ ⌘Rachel’s BranchRichland ⌘Sensory 5 ⌘St. John’s Episcopal ChurchSt. Lawrence Catholic ChurchStressed Out StudiosTampa Bay Crochet ClubTampa Bay Parenting ⌘Tampa Bay RaysTampa Bay Times ⌘TCWA Wealth WTSP 10 News ⌘

CORPORATE MATCHAlliance BertsteinMerck & CoUBS Financial ServicesUnited Health Group

Donor Designations⌘ 2017 Tot Trot Sponsor

2017 HRH Baby Calendar Sponsor

This list includes donations made from 01/01/2017 – 12/31/2017. If we have inadvertently omitted or misspelled your name, please accept our apologies and notify us at info@highriskhope.org.

FINANCIAL RESULTS

14% Special Events

6% Management & General

STATEMENT OF FINANCIAL POSITION, December 31, 2017

STATEMENT OF ACTIVITIES, for the year ended December 31, 2017

SUPPORT& REVENUE

EXPENSES

ASSETSCash Equipment

TOTAL ASSETS

PUBLIC SUPPORT AND REVENUEContributions Special Events (net)Online store sales (net)

TOTAL PUBLIC SUPPORT

0.5% Online Store

16% Fundraising & Development

85.5% Contributions

78% Program Expenses

NET ASSETSUnrestricted Temporarily Restricted

TOTAL NET ASSETS

TOTAL LIABILITIES AND NET ASSETS

CHANGE IN NET ASSETSNet assets at the beginning of the year Net assets at end of year

LIABILITIES & NET ASSETSLiabilities Accounts Payable

TOTAL LIABILITIES

EXPENSESProgram ExpensesManagement and General Fundraising and Development

TOTAL EXPENSES

$322,743$9,330

$332,073

$343,054$55,307

$2,203

$400,564

$301,885$17,112

$318,997

$332,073

$51,275$267,722$318,997

$0$13,076

$13,076

$272,558$22,149$55,090

$349,797

High Risk Hope Headquarters 1702 N. Avenida Republica de Cuba, Tampa, FL 33605Additional HRH Locations Orange County, CA · Sarasota, FL · St. Petersburg, FL 813.247.5483 · www.highriskhope.org · www.tottrot.org · info@highriskhope.org

Adeline’s mom had preeclampsia and was on hospital bed rest for 3 weeks at Sarasota Memorial Hospital before her lab work showed signs of kidney failure. Doctors delivered Adeline via C-section at 32 weeks, 2 days. She spent 21 days in the NICU as a grower/feeder, never once needing oxygen! Adeline Karys is her family’s little miracle and now at 1-year-old she is full of personality and wonder.

Adeline’s mom, Stephanie said, "HRH's support was one of the only things that kept my head above water during THE scariest time in my life. The calendar helped me count the days, and the little heroes and their stories gave me hope that it would all be okay. The shampoo, conditioner and the rest of the toiletries, as small as that seems, made a huge difference. Those daily showers reminded me that I wasn't becoming part of that hospital bed. The pens and coloring book were the ice breaker when my 9-year-old daughter and 3-year-old son were apprehensive of sitting next to me because of all the cords hooked up to me. The blanket was a comfort at night when I was alone and separated from my family. It made it much easier to fall asleep. And most of all the visit from the HRH volunteers, their smiles and testimonies of hope and victory were water to my parched stamina. Thank you for all you do! And I will continue to do all I can do to give back to such an organization that impacted myself and my family as much as they did."

HRH BABY ADELINE

photos by TheGalleryStudios.com

ABOUT HIGH RISK HOPE

This year, High Risk Hope (HRH) will serve 700 pregnant women on hospital bed rest and 2,000 premature infants, but many more need our services. Over 22,500 babies (10%) will be born prematurely in Florida in 2018. With your help, we can give more families the support they need during their hospitalization for a high risk pregnancy or after the birth of a premature infant. We cannot do it without you, so we are asking you to get involved. You can join the fight for preemies by becoming a HRH Baby Calendar or Tot Trot Sponsor and make an impact that will last a lifetime for babies in our state.

4

$400,000+ 300350

1,500 PRICELESS

HOSPITALS SUPPORTED IN FLORIDA (Tampa General Hospital, St. Joseph’s Women’s Hospital, Johns Hopkins All Children’s Hospital, and Sarasota Memorial Health Care System)

IN CASH AND IN-KIND DONATIONS

DEDICATED VOLUNTEERS

HIGH RISK PREGNANCIES PROLONGED

NICU FAMILIES SUPPORTED

LIFELONG IMPACT FOR PREMATURE INFANTS AND THEIR FAMILIES

HRH PRODUCED LIFE-CHANGING RESULTS IN 2017

OUR MISSIONHigh Risk Hope® is a 501(c)(3) for purpose organization that provides support, encouragement, information, and resources to women and families who are experiencing a high risk pregnancy resulting in hospital bed rest, potential premature birth, and neonatal intensive care after delivery.

BOARD OF DIRECTORSBennett Barrow, CFPHeather BarrowSusie BrayElizabeth Carrere Kate DeSantisPaul Dolcimascolo, CFP Tracie DominoBetsy GrahamCourtney Robinson Lauren Companioni Strahan, DMDAlfonso Vargas, MD

CONTACT 1702 N. Avenida Republica de Cuba Tampa, FL 33605 813.247.5483 info@highriskhope.orgwww.highriskhope.org www.tottrot.org

© 2018 High Risk Hope, Inc.photos by TheGalleryStudios.com

In 2017, High Risk Hope (HRH) held the fourth annual HRH Calendar Baby contest in Tampa. 47 HRH babies were nominated for a place in the online voting competition. The 13 children who received the most votes between 8/1/17 and 8/21/17 won the coveted HRH Calendar Baby title. Each winner’s professional photo and inspirational story were featured in the 2018 HRH Baby Calendar.

HRH BABY CALENDAR SPONSORSHIP

SPONSOR A MONTH$500

• Company logo on the sponsored month

• Company logo/link on the HRH Calendar Baby online voting contest

Only 12 available

52,425 contest website views

HRH BABY CALENDAR BY THE NUMBERS

300 calendars sold to HRH online store customers

1,850 calendars delivered to patients at local hospitals

47 HRH Baby Calendar Contestants

25,627 online votes

IN-KIND SPONSORSHIPSPhotography Photography services and digital images

Graphic Design Calendar and online voting contest design

In-Kind Sponsorship recognition includes Company logo/link on the HRH Calendar Baby online voting contest. Additional benefits will be determined based on the value of donated services.

SOLD

HRH 6TH ANNUAL TOT TROT SPONSORSHIP

Saturday, November 3, 2018 | 9:30 a.m. | Gadsden Park | 6901 S. MacDill Ave., Tampa, FL 33611

Media Sponsor

Desired media sponsors include print ads, television interviews/ads, web ads, social media posts/ads, radio interviews/ads, and outdoor billboards

Entertainment Sponsor

Desired entertainment sponsors include DJ, bounce house, character appearances, photographer, sports teams and videographer

Refreshment Sponsor Refreshment Sponsor provides breakfast/lunch, snacks, or beverages for 800 –1,000 Tot Trotters

The High Risk Hope Tot Trot is an annual family friendly 3K that raises funds to benefit High Risk Hope. November is prematurity awareness month across the globe, and you can join the fight to prolong high risk pregnancies and improve the outcomes for premature infants in our state.

Only 10 availableOnly 1 available Unlimited available

Only 3 availableOnly 1 available

Only 2 available

Only 1 available

Only 4 available Only 3 availableOnly 6 available

In-Kind Sponsors Benefits vary based on total value of in-kind donation.

$10,000 Presenting Sponsor

• The HRH Tot Trot Presented by {Your Company}

• Prominent logo on all Tot Trot marketing materials, participant items and donor board

• Logo/link on Tot Trot and HRH websites, Facebook and Twitter pages

• Company tent with banner at Tot Trot• Promotional items at tent and in

race bags

• Right of first refusal for 2019 Tot Trot Presenting Sponsorship

• 20 Tot Trot registrationsSOLD$7,000 Wall of Hope Sponsor

Includes all Activity Tent Sponsor benefits plus• Logo on Wall of Hope • Wall of Hope is displayed at additional

events throughout the year, including Give Day Tampa Bay

• 9 additional Tot Trot Registrations (15 Total)

$5,000 Race T-Shirt, Safety Tent Sponsor

Includes all Activity Tent Sponsor benefits plus• Logo on sleeve and back of Tot Trot t-shirts,

logo on mandatory event wristbands• 6 additional Tot Trot registrations (12 total)

$3,000 Race Item Sponsor

Includes all Activity Tent Sponsor benefits plus• Logo on race bags, medals, or Miracle Mile• 2 additional Tot Trot registrations (6 total)

$1,750 Activity Tent Sponsor

Includes all Healthy Baby Sponsor benefits plus• Company activity tent with banner at Tot

Trot• Logo on event map• Company’s promotional items at tent• HRH or Company representatives may

staff tent

$2,000 Family Lounge

• Enclosed Tent with banner at Tot Trot• Outfit the space• Logo on event map• Company’s promotional items at tent• HRH or Company representatives may

staff tent• 4 Tot Trot Registrations

$1,000 Healthy Baby Sponsor

• Company’s promotional items included in race bags

• Logo on Tot Trot t-shirts• Logo/link on Tot Trot website• Recognition on donor board and in

newsletter• 4 Tot Trot registrations

HRH 2018 SPONSORSHIP FORM

PAYMENT INFORMATION

○ Enclosed is my check made payable to High Risk Hope

○ I will submit my payment securely online for the HRH Tot Trot Sponsorship at www.tottrot.org ○ I will submit my payment securely online for the HRH Baby Calendar Sponsorship at www.highriskhope.org

High Risk Hope has multiple print and media deadlines, so the earlier sponsors commit to partner with us, the more coverage you will receive.

Signature

Date

SELECT SPONSORSHIP LEVEL

High Risk Hope Baby Calendar

○ Sponsor A Month ($500)

○ Photography • Graphic Design (In-Kind)*

High Risk Hope Tot Trot

○ Presenting Sponsor ($10,000)

○ Wall of Hope Sponsor ($7,000)

○ Race T-Shirt/Safety Tent ($5,000) (circle one)

○ Race Bag/Medal/Miracle Mile Sponsor ($3,000) (circle one)

○ Family Lounge Sponsor ($2,000)

○ Activity Tent Sponsor ($1,750)

○ Healthy Baby Sponsor ($1,000)

○ Media Sponsor* (In-Kind)

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Please fax completed form to 813.354.3474, email to kerri@highriskhope.org or mail to: High Risk Hope at 1702 N. Avenida Republica de Cuba, Tampa, FL 33605

High Risk Hope, Inc. (FEIN: 27-5129716, FL registration number: CH34727) is a §501(c)(3) publicly supported nonprofit organization and acknowledges that no goods or services were provided to you in return for your contribution and no portion of your gift was retained by a professional solicitor. Your contribution is tax deductible to the extent allowable by law. A COPY OF THE OFFICIAL AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE (800-435-7351) WITHIN THE STATE. REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL, OR RECOMMENDATION BY THE STATE.

2017 MARKETING COLLATERAL

850+ Tot Trotters

189,499 HRH and Tot Trot

website hits

972,000 print ad

impressions

10K HRH and Tot Trot

likes

1,650 HRH and Tot Trot

followers

2 Tot Trot TV news stories

468 ads across 6

radio stations

E X P O S U R E

Activity Tent Sponsor

Tot Trot MapTot Trot T-Shirt

Tot Trot Ads Race Medal Sponsor

Wall of Hope & Miracle Mile

the heartbeatISSUE 10, WINTER 2017

Tamika Forteau became pregnant with twins at the age of 23. She had just returned from Italy after studying abroad for six weeks as part of her studies at the University of South Florida and had begun her final semester when she learned the news. She was extremely nervous as she was deemed high risk due to being pregnant with twins. Tamika continued to see both her OB and high-risk doctor throughout her pregnancy. She graduated from USF in May 2016 with her bachelor’s degree while 30 weeks pregnant with twins. At her doctor’s appointment hours after graduation, she learned that she had a shortened cervix. The doctor explained she would have to be on bed rest for the remainder of her pregnancy. This was a very emotional time as she wasn’t used to depending on other people. At 32 weeks pregnant, her water broke. She was scared and not prepared for her babies to come along so soon. By the time she arrived at the hospital, she was 4 cm dilated, and in a matter of hours, her beautiful baby girls were born. Both babies spent 30 days in the St. Joseph's Women’s Hospital NICU. Taliya and Aria are Tamika’s blessings. They are now happy and healthy 15 month-old toddlers who are constantly on the move.

Patient Quotes: “High Risk Hope is just an amazing organization. The thoughtful volunteers prepare and deliver these gift totes with compassion and reassuring smiles. Even though we had a lengthy stay, and saw many other families come and go, it was great to be reminded that we were not alone in this journey. And the stories and pictures of other HRH babies/families in the calendar give me hope daily that things will get easier and will get better!” –Megan, hospital bedrest, daughter born 29 weeks, 147 days NICU, Johns Hopkins All Children's Hospital (first NICU bag recipient!)

Board of DirectorsHeather Barrow

Susie Bray

Elizabeth Carrere

Kate DeSantis

Tracie Domino

Betsy Graham

Lauren Companioni Strahan, DMD

Alfonso Vargas, MDA

Our Mission High Risk Hope® is a for purpose organization that provides support, encouragement, information, and resources to women and families who are experiencing a high risk pregnancy resulting in hospital bed rest, potential premature birth, and neonatal intensive care after delivery.

Our HospitalsCalifornia Pacific Medical Center

Hoag Hospital Newport Beach

Johns Hopkins All Children’s Hospital

Tampa General Hospital

Sarasota Memorial Healthcare System

St. Joseph’s Women’s Hospital

Patient Spotlight: Taliya and Aria Faison

High Risk Hope’s A-Team!Serving as both the Executive Director and Board Chair since founding High Risk Hope (HRH) in 2011, it has been my dream to find the perfect person to take over as Executive Director. HRH has grown tremendously during the past six and a half years, from no employees and a few volunteers serving only one hospital and a few hundred patients to four employees and 100 volunteers serving six hospitals (with several new ones in the works) and 2,500 patients every year. We have raised over $1.25 million and helped 6,500 families in crisis thanks to the support of our loyal donors.

One of the families HRH supported in 2014 is the Nicholas Family. Bailey Nicholas was pregnant with twins when she was admitted to St. Joseph’s Women’s Hospital and placed on hospital bedrest for preeclampsia, where she received a HRH Bed Rest Basket. After four weeks in the hospital, a spike in blood pressure caused her to have Henry and Nora six weeks early. The babies spent several weeks in the neonatal intensive care unit, where they each received a HRH NICU Napsack™. Once their entire family was healthy and home, Bailey began volunteering at HRH, delivering bags to patients and helping with various fundraising initiatives. I was so impressed with Bailey’s fundraising, nonprofit leadership skills and passion for HRH, that I asked her to join our team in 2015 to oversee fundraising and special events. She was a stay at home mom with her twins at the time, and not in the market for a job. Thankfully, Bailey accepted because it was her dream to work for the organization that helped her family during their crisis.

Bailey has exceeded my expectations ever since. She is hard working, creative, intelligent, driven, honest, caring and truly has our HRH families’ best interests at heart. She is willing to try anything (Belly Flop For Babies) to elevate HRH’s presence in the community. She sets high but attainable goals for herself and the HRH team and ensures we exceed them. Bailey has never met a stranger and sees every interaction with another person as a chance to tell them about the wonderful things we are doing at HRH. She has developed strong relationships with HRH hospital partners, with several of them inviting her to serve on hospital committees. All of these traits combined convinced me that I had finally found the person I could trust with my third baby, HRH. Earlier this year I spoke with Bailey

about what I hoped would be her future as the Executive Director of HRH. She didn’t hesitate in accepting the challenge and has worked hard every day during our transition to prove that she is exactly the leader I hoped she would be in this role.

I had a similar conversation with Kerri Kibbey. Kerri is also a bed rest and NICU mom and has been a HRH Board member since 2012. She was one of our first ten volunteers after tracking me down at the hospital, shortly after her daughter was discharged from the NICU, because she wanted to become involved. Kerri has been extremely involved at HRH over the years and is the brains behind some of our biggest events, including the Tot Trot. Her husband’s job took their family to Miami two years ago, but they received unexpected news over the summer that he was needed back in Tampa in September. I jumped on the opportunity to see if Kerri would be interested in transitioning roles at HRH to become our Director of Special Events, Marketing and Public Relations. I believe Kerri saw her exceptional potential to help serve more HRH families through the growth of our revenue streams as clearly as I did and happily accepted this new role. She brings experience, knowledge, and compassion to this position and knows more about certain aspects of HRH than I do! Kerri was made for this position and we can all expect only great things from her.

In 2011, never in my wildest dreams did I foresee HRH growing to the organization it is today. Fast-forward to 2017 and I can dream much bigger, because I now know what the High Risk Hope family is capable of. Bailey and Kerri’s leadership of our A- team will enable HRH to reach thousands of families in the future. I can’t wait to see what they will accomplish.

Heather BarrowFounder and Chair, Board of Directors

HOLIDAY FUNDRAISING GOAL: $15,000 TO HELP FUND HRH’S FUTURE EXPANSION EFFORTS

Jersey Mike’s Subs Grand Opening Fundraiser Jersey Mike’s Subs opened a new location in Tarpon Springs, and they chose to support HRH in their Grand Opening Fundraiser, donating a total of $1,400 to HRH. We are grateful for the continued support Jersey Mike’s Subs provides.

Fall FestivalThe Hyde Park Village Fall Festival benefiting High Risk Hope raised $6,300 for HRH programs! Attendees enjoyed live music, food trucks, kid activities and hunting for the perfect pumpkin in the pumpkin patch. We would not have been able to staff the event without the amazing volunteers from Franklin Street, Delta Gamma, and the Krewe of Grace O’Malley, as well as dozens of other HRH volunteers. Thank you for volunteering your time. Thanks as well to all of our HRH families who came out to enjoy the festival.

2017 Tot TrotHigh Risk Hope’s 5th Annual Tot Trot presented by Jersey Mike's Subs was held on November 11th at Gadsden Park in Tampa in correlation with Prematurity Awareness Month. WTSP 10 News anchor Courtney Robinson kicked off the family-friendly 3K and over 850 trotters walked, ran, and strolled to raise awareness about the premature birth epidemic and celebrate how far our HRH VIPs (very important preemies) have come. Congratulations to our Top Fundraiser winner Jennifer Fabian who raised $2,000. The team banner competition was a tight one, but Team Kassidy snagged a win and took home the trophy for the second year in a row. Thank you to our Tot Trotters, sponsors, donors and volunteers who helped us raise over $71,000.

13 Ugly Men 80s Party The legendary 13 Ugly Men brought the 80s back to life at Pattinis of South Tampa with a rockin’ 80s Party that benefited High Risk Hope. The 13 Ugly Men raised $13,000 to support HRH’s families in crisis. These guys really know how to party with a purpose.

2017 Summer & Fall Event Success

2018 HRH Baby Calendar

This year’s HRH Calendar Baby Contest was a huge success thanks to the dozens of families that submitted their babies to the contest. Over 26,000 votes were placed online to select the 13 babies featured in the 2018 HRH Baby Calendar. Thank you to The Gallery Studios, Sensory 5, and our calendar sponsors for donating the time and funds needed to photograph, design, and print this incredible source of inspiration for our future HRH families. Please visit the HRH online store to purchase your inspirational 2018 calendar for $20. They make perfect stocking stuffers.

SJWH NICU ReunionThe St. Joseph's Women's Hospital NICU Reunion was held in October. It was so fun to see how much our HRH VIPs have grown! Thank you to all of our families that stopped by our table.

photo by TheGalleryStudios.com

BABIES2018

Books for BabiesHRH is collecting new or gently used books in celebration of our 7th birthday on February 16, 2018. These books are given to our families of premature babies being treated in the NICU. HRH needs 2,500 or more books to ensure every preemie we serve receives at least one book during 2018. This is a wonderful opportunity to have your entire family involved through planning a book drive at your child’s school, cleaning out books from your children’s bookshelf, or raising money for HRH to purchase new books. We have added an Amazon wish list this year that you can purchase from or share with your friends and family. Go to ‘Find a List or Registry’ and type in ‘High Risk Hope’. These books can be shipped directly to our HRH office. If you would like to drop off books or organize a book drive, email info@highriskhope.org.

Jersey Mike’s Subs Month of GivingWe are thrilled to announce that HRH has been selected as the Jersey Mike's Subs 2018 Month of Giving partner for 30+ West Central Florida locations. The 2017 Month of Giving raised $100,000 for HRH, and we were invited back for a second year. Jersey Mike’s Subs locations will collect donations for HRH from their customers the entire month of March and donate 100% of total sales to HRH on Wednesday, March 28th. There are several ways you can help HRH be successful during the Month of Giving. The simplest way is to eat at Jersey Mike’s Subs throughout the month of March, but especially eat a sub (or two) on March 28th. If your office has luncheons during March, Jersey Mike’s Subs has an excellent catering menu. We also will need dozens of HRH Ambassadors to assist us in covering the Jersey Mike’s Subs locations on March 28th. Please email kerri@highriskhope.org if you are interested.

Give Day Tampa BayGive Day Tampa Bay is a 24-hour online giving competition hosted by The Community Foundation of Tampa Bay to raise support and awareness for local nonprofits. For the fourth straight year, HRH is partnering exclusively with Hyde Park Village. Participating restaurants and retailers will offer HRH Give Day Tampa Bay donors exclusive discounts on May 1st. HRH also has several fun events planned throughout the day. Email info@highriskhope.org if you would like more information on Give Day Tampa Bay.

Giving Challenge in SarasotaThe Giving Challenge is a 24-hour online giving competition hosted by The Community Foundation of Sarasota County. The Giving Challenge, in partnership with The Patterson Foundation, was formed with four main goals in mind: generate community excitement about charitable giving, demonstrate that everyone can be a philanthropist, heighten awareness about local choices in giving, and infuse dollars and opportunities beyond the dollar for local nonprofit organizations. The Giving Challenge will be held May 1st-2nd, noon to noon. Email info@highriskhope.org if you would like more information on the Giving Challenge.

SAVE THE DATE for 2018 Spring Events!

JUN 1st-30th

CALENDAR BABY

SUBMISSIONS

MAY 1st

GIVE DAY TAMPA BAY

FEB 16th

BOOKS FOR

BABIES

MAR 28th

JERSEY MIKE’S SUBS

MONTH OF GIVING

GIVING CHALLENGE

IN SARASOTA

MAY 1st-2nd

KNITTERSHRH always needs baby hats and blankets. They are the NICU Napsack items treasured most by our families. We accept these items year-round (delivered or mailed) to all HRH locations.

EVENT COMMITTEESHelp plan and execute one of our annual events to raise funds for HRH and celebrate our HRH families! The current committee opportunities include Give Day Tampa Bay, The Giving Challenge Sarasota and the Tot Trot.

BAG ASSEMBLIESAssemble Bed Rest Baskets and NICU Napsacks™ by yourself or with friends or co-workers.

HOSPITAL DELIVERIESAttend hospital volunteer orientation and deliver Bed Rest Baskets and NICU Napsacks™ to HRH hospital partners.

HRH TeamHigh Risk Hope is growing and so has our staff. We have a great team in place to carry out the mission of HRH and continue to expand our services to more families in crisis. These are the faces of HRH that you will see throughout the year.

Left to right: Sasha Smith, Program Coordinator; Shannon Oras, Development Coordinator; Bailey Nicholas, Executive Director; Kerri Kibbey, Director of Marketing, Special Events & Public Relations

2018 HRH VOLUNTEER Opportunities

Hospital Deliveries

Bag Assemblies

Event Committees

Knitters

Email info@highriskhope.org for more information on these great opportunities. Maybe you could be our next Hospital Hero!

“The best way to find yourself is to lose yourself in the service of others.” – Ghandi

1702 N. Avenida Republica de Cuba Tampa, FL 33605

NONPROFIT ORG.U.S. POSTAGE

PAIDTAMPA, FLORIDAPERMIT NO. 1894

High Risk Hope 1702 N. Avenida Republica de Cuba, Tampa, FL 33605 P 813.247.5483 · info@highriskhope.org · www.highriskhope.org · www.tottrot.org

Preemie Birthdays are a Big DealYour HRH Family would love to send your VIP (Very Important Preemie) a card on his or her birthday! Email your child’s name, birthday and hospital story to info@highriskhope.org.

Calling all Knitters

Are you a knitter? Do you know someone who knits or crochets? We would love to have 24” x 24” knitted baby blankets to include in each of our NICU Napsacks™. If you are interested in donating blankets, please email info@highriskhope.org. Thank you for sharing your talents to bundle our preemies.

Rate

RACE & ETHNICITY IN FLORIDA

Disparity ratio

Change from baseline

The March of Dimes disparity ratio measures and tracks progress towards the elimination of racial/ethnic disparities in preterm birth. It is based on Healthy People 2020 methodology and compares the group with the lowest preterm birth rate to the average for all other groups. Progress is evaluated by comparing the current disparity ratio to a

baseline disparity ratio. A lower disparity ratio is better, with a disparity ratio of 1 indicating no disparity.

1.17

No ImprovementIn Florida, the preterm birth rate among black women is 49% higher than

the rate among all other women.

County Grade Preterm birth rate Change in rate from previous year

Broward C 10.3% Worsened

Duval F 11.5% Worsened

Hillsborough D 10.4% Worsened

Miami-Dade C 9.6% Improved

Orange D 10.5% Worsened

Palm Beach C 9.9% Worsened

Counties with the greatest number of births are graded based on their 2015 preterm birth rates.

COUNTIES

Premature Birth Report Card grades are assigned by comparing the 2016 preterm birth rate in a state or locality to the March of Dimes goal of 8.1 percent by 2020. The Report Card highlights priority areas for action with county and racial/ethnic disparities data and a disparity ratio. Report Cards are intended to spur action to improve equity and reduce preterm birth, with the goal of giving every mother and baby a fair chance for a healthy pregnancy and birth.

C10.1%

2017 PREMATURE BIRTH REPORT CARDPreterm Birth Rate Grade

FloridaPercentage of live births that are preterm

Percentage of live births in 2013-2015 (average) that are preterm

Rac

e/E

thni

city

0 2 4 6 8 10 12 14

13.4

9.1

9.0

9.0Hispanic

White

Asian/Pacific Islander

Black

For details on data sources and calculations, see Technical Notes. For more information on how we are working to reduce premature birth, visit www.marchofdimes.org.

marchofdimes.org/reportcard

2007 2016

10.9 11.210.6 10.5 10.3 10.2 10.0 9.9 10.0 10.1

PRETERM BIRTH: DEFINITION AND SOURCEPremature or preterm birth is birth less than 37 weeks gestation based on the obstetric estimate of gestational age. Data used in this report card came from the National Center for Health Statistics (NCHS) natality files, as compiled from data provided by the 57 vital statistics jurisdictions through the Vital Statistics Cooperative Program. This national data source was used so that data are comparable for each state and jurisdiction-specific report card. Data provided on the report card may differ from data obtained directly from state or local health departments and vital statistics agencies, due to timing of data submission and handling of missing data. The preterm birth rate shown at the top of the report card was calculated from the NCHS 2016 final natality data. Preterm birth rates in the trend graph are from the NCHS 2007-2016 final natality data. County preterm birth rates are from the NCHS 2015 final natality data. Preterm birth rates for bridged racial and ethnic categories were calculated from NCHS 2013-2015 final natality data. Preterm birth rates were calculated as the number of preterm births divided by the number of live births with known gestational age multiplied by 100.

PRETERM BIRTH BY RACE/ETHNICITY OF THE MOTHERMother’s race and Hispanic ethnicity are reported separately on birth certificates. Rates for Hispanic women include all bridged racial categories (white, black, American Indian/Alaska Native, and Asian/Pacific Islander). Rates for non-Hispanic women are classified according to race. The Asian/Pacific Islander category includes Native Hawaiian. In order to provide stable rates, racial and ethnic groups are shown on the report card if the group had 20 or more preterm births in each year from 2010-2015. To calculate preterm birth rates on the report card, three years of data were aggregated (2013-2015). Preterm birth rates for not stated/unknown race are not shown on the report card.

GradePreterm birth rate rangeScoring criteria

APreterm birth rate less than or equal to 8.1%Score less than or equal to 0.0

BPreterm birth rate of 8.2% to 9.2%Score greater than 0.0, but less than or equal to 1.0

CPreterm birth rate of 9.3% to 10.3%Score greater than 1.0, but less than or equal to 2.0

DPreterm birth rate of 10.4% to 11.4%Score greater than 2.0, but less than or equal to 3.0

FPreterm birth rate greater than or equal to 11.5%Score greater than 3.0

GRADING METHODOLOGYGrade ranges were established in 2015 based on standard deviations of final 2014 state and District of Columbia preterm birth rates away from the March of Dimes goal of 8.1% by 2020. Grades were determined using the following scoring formula: (preterm birth rate of each jurisdiction – 8.1%) / standard deviation of final 2014 state and District of Columbia preterm birth rates. The resulting scores were rounded to one decimal place and assigned a grade. See the table for details.

marchofdimes.org/reportcard

© 2017 March of Dimes Foundation

2017 PREMATURE BIRTH REPORT CARD

PRETERM BIRTH BY COUNTYReport cards for states and jurisdictions, except District of Columbia, display up to 6 counties with the greatest number of live births. Counties are not displayed if the number of preterm births is less than 20. Counties are ordered alphabetically. Grades were assigned based on criteria described above. Change from previous year was assessed by comparing the 2015 county preterm birth rate to the 2014 rate.

PRETERM BIRTH DISPARITY MEASURESThe March of Dimes disparity ratio is based on Healthy People 2020 methodology and provides a measure of the differences, or disparities, in preterm birth rates across racial/ethnic groups within a geographic area.1 The disparity ratio compares the racial/ethnic group with the lowest preterm birth rate (comparison group) to the average of the preterm birth rate for all other groups.

To calculate the disparity ratio, the 2013-2015 preterm birth rates for all groups (excluding the comparison group) were averaged and divided by the 2013-2015 comparison group preterm birth rate. The comparison group is the racial/ethnic group with the lowest six-year aggregate preterm birth rate (2010-2015) among groups that had 20 or more preterm births in all years from 2010-2015. A disparity ratio was calculated for each U.S. state (excluding Maine, Puerto Rico, Vermont, and West Virginia), the District of Columbia, and the total U.S. A lower disparity ratio is better, with a disparity ratio of 1 indicating no disparity.

Progress towards eliminating racial and ethnic disparities was evaluated by comparing the 2013-2015 disparity ratio to a baseline (2010-2012) disparity ratio. Change between time periods was assessed for statistical significance at the 0.05 level using the approach recommended by Healthy People 2020.1 If the disparity ratio significantly improved because the average preterm birth rate for all other groups got better, we displayed “Improved” on the report card. If the disparity ratio significantly worsened because the lowest group got better or the average of all other groups got worse, we displayed “Worsened” on the report card. If the disparity ratio did not significantly change, we displayed “No Improvement” on the report card.

The report card also provides the percent difference between the racial/ethnic group with the 2013-2015 highest preterm birth rate compared to the combined 2013-2015 preterm birth rate among women in all other racial/ethnic groups. This percent difference was calculated using only the racial/ethnic groups displayed on the state or jurisdiction-specific report card. This difference was calculated for each U.S. state with adequate numbers and the District of Columbia.

CALCULATIONSAll calculations were conducted by the March of Dimes Perinatal Data Center.

TECHNICAL NOTES

1Talih M, Huang DT. Measuring progress toward target attainment and the elimination of health disparities in Healthy People 2020. Healthy People Statistical Notes, no 27. Hyattsville, MD: National Center for Health Statistics. 2016.