Florida Keys Healthy Start Coalition Inc.

aka FKHSC/The Coalition   |   Key West, FL   |  www.keyshealthystart.org

Mission

The Florida Keys Healthy Start Coalition unites people and resources to improve the health and well-being of pregnant women, children, and their families in Monroe County.

Ruling year info

1993

Chief Executive Officer

Ms. Arianna Nesbitt

Main address

PO Box 6166

Key West, FL 33041 USA

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Formerly known as

Monroe County Perinatal Network

EIN

65-0051482

NTEE code info

Health (General and Financing) (E80)

Family Services (P40)

Alliance/Advocacy Organizations (O01)

IRS filing requirement

This organization is required to file an IRS Form 990 or 990-EZ.

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Communication

Programs and results

What we aim to solve

SOURCE: Self-reported by organization

The Florida Keys Healthy Start Coalition specifically helps families before, during, and after pregnancy to ensure babies are born healthy to prepared parents. Families in the Keys are frequently at significant risk for poor birth outcomes and developmental delays due to increased health and/or social risks and a lack of access to services and care. This reality is further exacerbated by a high cost of living, limited community resources, rural and unique island geography, and low wages requiring many to work multiple jobs in order to meet minimal financial needs. Through our five core programs we address poor maternal health, infant mortality and morbidity, prematurity and low birth weight, infant malnutrition, birth defects, developmental delays, social and behavioral difficulties in young children, parenting, and safety. Through our services we are able to address the challenges that prevent babies and families from a healthy start and to and to break cycles for the next generation.

Our programs

SOURCE: Self-reported by organization

What are the organization's current programs, how do they measure success, and who do the programs serve?

Healthy Start

Identifies potential social, medical, or behavioral risks to healthy birth outcomes and provides appropriate interventions to reduce those risks through intensive case management by multilingual care coordinators. Individual services are tailored to a family’s needs and include care coordination, assistance accessing prenatal care and transportation to service providers, nutritional and breastfeeding support, and parent education. These services are vital to ensuring babies are born into our community fully developed and to prepared families.

Population(s) Served
Infants and toddlers
Women and girls
Parents

Provides subsidized prenatal medical care, transportation to appointments, mental health services addressing Perinatal Mood and Anxiety Disorders (PMAD), childbirth education, and breastfeeding/lactation support.

Population(s) Served
Infants and toddlers
Parents
Women and girls
Families

Helps parents and caregivers to provide a safe environment to raise their children through the provision of education, support, and safety supplies. We address vehicle and bike safety, safe sleep practices, water and pool safety, home environment safety, and poison safety. The Coalition participates in community events targeting those least likely to receive other services throughout Monroe County and offers additional services by appointment. This holistic approach fosters a developing child’s sense of safety and security, improving their physical and mental health well-being.

Population(s) Served
Families
Parents
Children
Infants and toddlers

Facilitates family health and education for parents and the community and addresses early childhood development and education through Tot Time, Wiggles & Giggles, and Nurture Your Newborn groups. Our Keys to Growing Kids programs help make sure children are ready and thriving by the time they enter kindergarten. We also provide education, advocacy, and outreach to all people living in the Keys about maternal and child health.

Population(s) Served
Infants and toddlers
Families
Children
Parents

Addresses the immediate and long-term support needs for Keys parents and families facing the loss of a child of any age. Immediate support is offered to families in crisis and includes mental health resources, assistance with arrangements, logistical support for families, and more. Long-term support includes support group meetings, wellness activities, and hosting a network of mothers and families facing this tragedy.

Population(s) Served
Families
Parents
Infants and toddlers
Children

Keys To Supporting Families is our newest program, addressing client assistance and nutrition support with baby supplies such as diapers, stroller, formula, and baby food. Through the provision of items/supplies, we are able to teach families about their proper use and allow their finite resources to be used to cover other costs and needs. We are working to add Adopt A Grandparent (intergenerational mentorship) and Parent Coaching programs.

Population(s) Served
Parents
Families
Infants and toddlers
Children

Where we work

Our results

SOURCE: Self-reported by organization

How does this organization measure their results? It's a hard question but an important one.

Number of clients served

This metric is no longer tracked.
Totals By Year
Population(s) Served

Infants and toddlers, Families, Parents

Type of Metric

Output - describing our activities and reach

Direction of Success

Increasing

Number of Healthy Start services provided

This metric is no longer tracked.
Totals By Year
Population(s) Served

Infants and toddlers, Families, Parents

Related Program

Healthy Start

Type of Metric

Output - describing our activities and reach

Direction of Success

Increasing

Number of Keys to Growing Kids early childhood education groups held

This metric is no longer tracked.
Totals By Year
Population(s) Served

Infants and toddlers, Families, Parents

Related Program

Keys to Growing Kids

Type of Metric

Output - describing our activities and reach

Direction of Success

Increasing

Goals & Strategy

SOURCE: Self-reported by organization

Learn about the organization's key goals, strategies, capabilities, and progress.

Charting impact

Four powerful questions that require reflection about what really matters - results.

The Florida Keys Healthy Start Coalition seeks to ensure that every child has a healthy start in life and continues to develop to their full potential. The Coalition has 4 primary goals:

- Assure that the existing barriers to maternal and infant health care in Monroe County are minimized
- Promote and protect the health and well-being of all pregnant women, children, and their families in the Florida Keys
- Establish partnerships to promote coordinated community-based care for pregnant women, children and their families
- Provide education, outreach, and advocacy on topics relating to maternal child health and parenting

Our 2020-2023 Strategic Plan outlines an additional 4 priority areas. These goals were established to guide the Coalition in optimally serving the needs of families and the community over the coming years.

- Maintain current programs and services
- Address the shortage of maternal and child health professionals
- Develop family well-being support opportunities
- Strengthen organizational structure through next-level business growth

The Coalition will maintain current programs and services by:
- ensuring all current programming is available county-wide
- engaging in yearly evaluation of current programming

The Coalition will address the shortage of maternal and child health professionals by:
- addressing transportation challenges to minimize this barrier to care
- launching a pilot doula program to provide additional care ensuring support and education is available before, during, and after childbirth and allowing for an increase in time for our current medical providers
- engaging in intentional planning with Coalition members and key partners to vet and create longer-term solutions to obstetrician/pediatrician, midwife, and other maternal and child health provider shortage
- convening with community partners to strategize the development of a birth center with pediatric services

The Coalition will develop family well-being support opportunities by:
- conducting research on program design, initiating pilots, reassessing, adjusting, and implementing programming county-wide
- partnering with other non-profit agencies to address mental health provider crisis

The Coalition will strengthen organizational structure through next-level business growth by:
- expanding marketing and public relations to showcase the Coalition’s brand and tell its story
- assessing and managing risks
- engaging in diversified fundraising activities to improve sustainability and expand resource capacity
- engaging in the annual evaluation of all programs

The Coalition has a 29-year track record of demonstrated success in meeting the unique needs of families in our community. Stable Coalition leadership, ongoing community needs assessment leading to programmatic innovation, and diversification of funding for sustainability provide the framework to support effective maternal and child health policy and practices in Monroe County. Through the diversity of funding, we have been able to keep all of our programming free, donation-based, or sliding-scale payment plans in order to ensure families of all income levels have access to support.

It is the Coalition’s responsibility to bring partners to the table on maternal and child health issues. The staff, board, and members of the Coalition know the people in our community and it is through partnerships and lasting relationships with families, medical professionals, government agencies, and other non-profit organizations that we have built trust over the years and continue our reputation of putting the mothers, babies, and families first in the Keys.

Every year we provide assistance to over 75% of the 650-700 babies born in Monroe County. When women discover they are pregnant, they reach out to the Coalition for guidance and invite us into their homes. We have a nine-month window of opportunity to discover what challenges they are experiencing and work to connect them with support and resources before the baby is born. Working with families from the very beginning allows us to help them make tremendous changes in their lives and prevent more serious interventions down the road.

The Coalition’s 29 years of serving families in the Keys has contributed to healthy infants, prepared parents, and the overall well-being of families in our community. The Coalition was founded in 1992 as an outgrowth/extension of the previously named Monroe County Perinatal Network, whose main goal was to provide needed prenatal and infant care services to the community. MCPN received very little funding and operated primarily on volunteer efforts to provide services. Over the years we have grown from a small non-profit with a limited scope to being the organization community members trust and rely upon to solve problems.

Strategic planning and long-range goal setting allow us to deal with the challenges of right now while looking ahead at how we can change the landscape of healthcare. In the past three years we have grown each of our core programs to meet the needs of families in our community.
- Increased reach: In 2019, the Coalition served 2,316 unique individuals through our five core programs—a steady increase from 717 clients in 2017 and 1,886 clients in 2018
- Healthy Start: In 2019 this program provided 17,643 services to 803 women, infants, and children
- Healthy Babies: In 2019, 20 women and their unborn children received 10 subsidized prenatal care appointments resulting in healthy births
- Keys to Kids Safety: In 2019, the Coalition provided 185 reduced or no cost children’s car seats, over 210 free child and toddler bicycle helmets, and more than 50 pack ‘n’ play bed systems, along with proper education and when appropriate, installation
- Keys to Growing Kids: Hosted 134 Tot Time, Wiggles & Giggles, and Nurture Your Newborn groups providing early childhood education and parenting support

We will continue to launch new needed pilots and initiatives, expand into different locations, gather partners to discuss collaborative responses to community challenges, and monitor the health and well-being of pregnant women, infants, and their families in the Florida Keys.

How we listen

SOURCE: Self-reported by organization

Seeking feedback from people served makes programs more responsive and effective. Here’s how this organization is listening.

done We shared information about our current feedback practices.
  • How is your organization collecting feedback from the people you serve?

    SMS text surveys, Electronic surveys (by email, tablet, etc.), Paper surveys, Focus groups or interviews (by phone or in person), Case management notes, Community meetings/Town halls, Constituent (client or resident, etc.) advisory committees, Suggestion box/email,

  • How is your organization using feedback from the people you serve?

    To identify and remedy poor client service experiences, To identify bright spots and enhance positive service experiences, To make fundamental changes to our programs and/or operations, To inform the development of new programs/projects, To identify where we are less inclusive or equitable across demographic groups, To strengthen relationships with the people we serve, To understand people's needs and how we can help them achieve their goals,

  • With whom is the organization sharing feedback?

    The people we serve, Our staff, Our board, Our funders, Our community partners,

  • Which of the following feedback practices does your organization routinely carry out?

    We collect feedback from the people we serve at least annually, We take steps to get feedback from marginalized or under-represented people, We aim to collect feedback from as many people we serve as possible, We take steps to ensure people feel comfortable being honest with us, We look for patterns in feedback based on demographics (e.g., race, age, gender, etc.), We look for patterns in feedback based on people’s interactions with us (e.g., site, frequency of service, etc.), We engage the people who provide feedback in looking for ways we can improve in response, We act on the feedback we receive, We tell the people who gave us feedback how we acted on their feedback, We ask the people who gave us feedback how well they think we responded,

  • What challenges does the organization face when collecting feedback?

    It is difficult to get the people we serve to respond to requests for feedback, It is difficult to find the ongoing funding to support feedback collection,

Financials

Florida Keys Healthy Start Coalition Inc.
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Operations

The people, governance practices, and partners that make the organization tick.

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Connect with nonprofit leaders

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  • Analyze a variety of pre-calculated financial metrics
  • Access beautifully interactive analysis and comparison tools
  • Compare nonprofit financials to similar organizations

Want to see how you can enhance your nonprofit research and unlock more insights? Learn More about GuideStar Pro.

Florida Keys Healthy Start Coalition Inc.

Board of directors
as of 4/29/2021
SOURCE: Self-reported by organization
Board chair

Erin Muir

FL Keys History and Discovery Foundation

Term: 2019 - 2021

Sharon Ward

Island Women's Health

Brynn Morey

UF IFAS Monroe County Extension

Nicole Manning, BSN, RN, CRN

Lower Keys Medical Center

Christine Helms

Mariner's Hospital, Tavernier, FL

Cheryl Cottrell

Mariner's Hospital, Tavernier, FL

Mike Forster

Islamorada Councilman

Melanie Youschak

Keys Pediatrics

Ryan Barnett

Key West Chiropractic

Stanley Sack

CHI

Laurie Dunn

Early Learning Coalition

Board leadership practices

SOURCE: Self-reported by organization

GuideStar worked with BoardSource, the national leader in nonprofit board leadership and governance, to create this section.

  • Board orientation and education
    Does the board conduct a formal orientation for new board members and require all board members to sign a written agreement regarding their roles, responsibilities, and expectations? Yes
  • CEO oversight
    Has the board conducted a formal, written assessment of the chief executive within the past year ? Yes
  • Ethics and transparency
    Have the board and senior staff reviewed the conflict-of-interest policy and completed and signed disclosure statements in the past year? Yes
  • Board composition
    Does the board ensure an inclusive board member recruitment process that results in diversity of thought and leadership? Yes
  • Board performance
    Has the board conducted a formal, written self-assessment of its performance within the past three years? Yes

Organizational demographics

SOURCE: Self-reported; last updated 04/29/2021

Who works and leads organizations that serve our diverse communities? GuideStar partnered on this section with CHANGE Philanthropy and Equity in the Center.

Leadership

The organization's leader identifies as:

Race & ethnicity
White/Caucasian/European
Gender identity
Female, Not transgender (cisgender)
Sexual orientation
Gay, Lesbian, Bisexual, or other sexual orientations in the LGBTQIA+ community
Disability status
Person without a disability

Race & ethnicity

Gender identity

 

Sexual orientation

Disability

We do not display disability information for organizations with fewer than 15 staff.

Equity strategies

Last updated: 04/28/2021

Policies and practices developed in partnership with Equity in the Center, a project that works to shift mindsets, practices, and systems within the social sector to increase racial equity. Learn more

Data
  • We review compensation data across the organization (and by staff levels) to identify disparities by race.
  • We ask team members to identify racial disparities in their programs and / or portfolios.
  • We analyze disaggregated data and root causes of race disparities that impact the organization's programs, portfolios, and the populations served.
  • We disaggregate data to adjust programming goals to keep pace with changing needs of the communities we support.
  • We employ non-traditional ways of gathering feedback on programs and trainings, which may include interviews, roundtables, and external reviews with/by community stakeholders.
  • We disaggregate data by demographics, including race, in every policy and program measured.
  • We have long-term strategic plans and measurable goals for creating a culture such that one’s race identity has no influence on how they fare within the organization.
Policies and processes
  • We use a vetting process to identify vendors and partners that share our commitment to race equity.
  • We have a promotion process that anticipates and mitigates implicit and explicit biases about people of color serving in leadership positions.
  • We seek individuals from various race backgrounds for board and executive director/CEO positions within our organization.
  • We have community representation at the board level, either on the board itself or through a community advisory board.
  • We help senior leadership understand how to be inclusive leaders with learning approaches that emphasize reflection, iteration, and adaptability.
  • We measure and then disaggregate job satisfaction and retention data by race, function, level, and/or team.
  • We engage everyone, from the board to staff levels of the organization, in race equity work and ensure that individuals understand their roles in creating culture such that one’s race identity has no influence on how they fare within the organization.