Leading the Way for Children s Health

July 2012 - June 2013 Annual Report Leading the Way for Children’s Health Advancing a Healthier Agenda 2013 was a very exciting time for me to join...
Author: Marcia Hunt
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July 2012 - June 2013 Annual Report

Leading the Way for Children’s Health

Advancing a Healthier Agenda 2013 was a very exciting time for me to join the Alliance for a Healthier Generation as its new Chief Executive Officer. For the first time in three decades, we are starting to see some data indicating that, for some populations in some states and localities, the incredibly high rates of child obesity are starting to decline. The declines are modest and, for the most part, not evident in the populations at highest risk. However, after two decades of consistent increases in child obesity rates, followed by a number of years in which the rates stayed flat, any declines are a cause for celebration. After celebrating, we need to get back to work. In order to avoid catastrophic public health and economic consequences, we must dramatically reduce our current high rates of child obesity. And we need to do it across all populations.

scientist, I’ve long admired the Alliance’s sciencebased, multi-component approach that builds the capacity of key social institutions to transform the environments in which our children live, learn and play. As this annual report will clearly demonstrate, the Alliance’s visionary leadership in child obesity prevention led to many remarkable accomplishments in the past year: • The Alliance made enormous progress in its strategic goal of activating four key societal

" I chose to join the Alliance for a Healthier Generation because I believe it has contributed enormously to the progress being made in child obesity prevention.

"

As a Centers for Disease Control and Prevention

systems: schools, out-of-school-time programs, healthcare and industry. • The Healthy Schools Program continued to grow as the nation’s largest in-school obesity prevention network. Extraordinary new partnerships and generous grants paved the way for what was the largest year of growth in the program’s history. There are more than 18,000 participating schools creating healthy campuses where kids can learn more and flourish.

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Advancing a Healthier Agenda

Nearly 1 in 3 children in the U.S. is overweight or obese

33% • The Alliance’s innovative Healthy Out-of-School Time initiative also saw dramatic growth. We’re pioneering healthy improvements in the foods, beverages and physical activity offered to millions of children before and after school. And our Healthier Generation Benefit is giving more than 2.7 million kids access to dietary counseling and obesity-related medical visits. • Finally, new agreements with large food companies are expanding healthy, affordable food options to students. All of the Alliance’s programs are carefully evaluated, so we can understand their impact and contribute to the science base for child obesity prevention. Moving forward, the Alliance for a Healthier Generation remains resolute in its pursuit of a multifaceted, holistic approach to ending childhood obesity. The Alliance is well poised to achieve its goal to support more than 30,000 schools across the nation as they transform into healthier places; to increase access to healthier foods and physical activity for tens of thousands of youth in out-of-school time settings; to extend healthcare benefits related to the prevention and treatment of childhood obesity to millions of children; and to continue working with companies to make healthier choices the easier choices for kids and families. With support from our board of directors and founding organizations, and with your ongoing investment and collaboration, we can make the environments in which our children live, learn and play healthier places. We can reverse the child obesity epidemic and make the next generation a healthier generation. Sincerely,

Dr. Howell Wechsler Chief Executive Officer

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New Leadership at the Helm Founded by the American Heart Association and the Clinton Foundation, the Alliance for a Healthier Generation works to address one of the nation’s leading public health threats—childhood obesity

Members of the Alliance for a Healthier Generation Board of Directors (as of June 2013) were:

—with strong guidance from its board of directors and through the leadership of its chief executive officer and talented staff. In May 2013, the Alliance for a Healthier Generation named Dr. Howell Wechsler to serve as the chief executive officer, succeeding Dr. Ginny Ehrlich. Dr. Wechsler is a respected thought leader in childhood obesity prevention who brings extraordinary

Bruce Lindsey

Nancy Brown

William J. Bryant

Wendell Pierce

Chairman Chairman of the Board of the Clinton Foundation

CEO of the American Heart Association

expertise to the Alliance. For nine years prior, he was director of the Division of Adolescent and School Health at the Centers for Disease Control and Prevention (CDC). In his leadership role at the Alliance for a Healthier Generation, he provides vision, direction and stewardship to nearly 120 professional staff across the nation working to empower youth through healthy lifestyles.

Attorney & Shareholder of Dominick Feld Hyde, p.c.

Actor and Principal of Sterling Farms Grocery Stores

Bruce R. Lindsey, chairman of the Clinton Foundation, was elected to serve as chairman of the Alliance for a Healthier Generation Board of Directors. In addition, new board members include Wendell Pierce, notable actor, entrepreneur and activist in the fight against childhood obesity; and Joan Werner, director of client services in the Fixed Income Department of New York Life Investments and treasurer of 100 Women in Hedge Funds. Also new to the Board was Nancy Brown, CEO of the American

David P. Faxon, md

Joan Werner

Trooper Sanders

Scott M. Curran

Vice Chair of Medicine for Strategic Planning at Brigham & Women’s Hospital & Senior Lecturer at Harvard Medical School

Director of Client Services in the Fixed Income Dept. of New York Life Investments & Treasurer of 100 Women in Hedge Funds

Heart Association, the Alliance’s co-founding organization.

“I applaud the Alliance for their innovative solutions which now reach more than eleven million students nationwide, and which will benefit an ever-growing number of young people in the future.”

Senior Advisor at Hello Wallet and Founder, Wise Whisper Consulting

Nancy Brown, Chief Executive Officer of the American Heart Association and Alliance Board Member

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Deputy General Counsel of the Clinton Foundation

Leading the Way to a Healthier Generation:

Healthy Schools

18,000 schools in all 50 states creating healthier environments (as of June 2013)

Healthy Schools Program Experiences Unprecedented Growth From July 2012 to June 2013, the number of schools participating in the Alliance for a Healthier Generation’s Healthy Schools Program increased by 27 percent. As of June 2013, more than 18,000 participating schools are serving 11 million students across the country. The program’s rapid growth was largely Obama’s Let’s Move! Program and by several new grants that enabled the Alliance to significantly expand the work of its Healthy Schools Program. Schools enrolled in the Healthy Schools Program have access to national experts, onsite and virtual training, professional development opportunities, a customer support center, and online resources and tools. This support guides schools through a 6-step improvement process to create healthier school environments. Schools that are implementing a large portion of the Alliance’s best practice criteria are honored at the annual Healthy Schools Program Forum in Little Rock, Ark. At the October 2012 Forum, Alliance co-founder President Bill Clinton stood alongside partners from the American Heart Association and Robert Wood Johnson Foundation to laud 251 high-performing schools for becoming healthier places for students to learn and staff to work.

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President Bill Clinton’s remarks at the 2012 Healthy Schools Program Forum.

" The urgency to reverse childhood obesity for millions of children and teens drives us to seek innovative solutions. The Healthy Schools Program shows us that schoolbased interventions work, and that every school can find ways to create healthier environments for students and staff.

"

fueled by a new strategic alliance with First Lady Michelle

president bill Clinton

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Leading the Way to a Healthier Generation: Healthy Schools

In addition, President Clinton shared promising findings from the first peer-reviewed evaluation of the Healthy Schools Program. Key findings, some of which were published in the CDC’s Preventing Chronic Diseases journal: • Many schools with predominantly low-income student populations succeeded in improving their healthrelated policies and practices, demonstrating that all schools can make changes aimed at creating a healthier environment. • Training and professional development hasten the implementation of key school-based practices and policies to encourage regular physical activity and better nutrition. • There are promising indications that when schools implement the Healthy Schools Program, students’ diet and weight improve.

At the request of First Lady Michelle Obama, the Alliance for a Healthier Generation joined an unprecedented public-private partnership to manage the development and implementation of “Let’s Move! Active Schools.” More than 3,300 schools signed up to get moving through June 2013. The initiative was developed to help schools create active environments where students get 60 minutes of physical activity before, during and after school, a goal closely aligned with the Healthy Schools Program. Partners include government agencies such as the President’s Council on Fitness, Sports and Nutrition and the U.S. Department of Education; private sector organizations such as Nike and Kaiser Permanente; and non-governmental organizations such as the American Alliance for Health, Physical Education, Recreation & Dance, the Partnership for a Healthier America, Child Obesity

" With each passing year, schools feel like it’s just getting harder to find the time, the money and the will to help our kids be active. But just because it’s hard doesn’t mean we should stop trying—it means we should try harder.

"

Alliance Teams-Up to “Move” Schools

First Lady Michelle Obama At the launch of Let’s Move! Active Schools

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Leading the Way to a Healthier Generation: Healthy Schools

180 and GENYouth. PCFSN, AAHPERD and the Alliance lead the day-to-day management of the initiative. Let’s Move! Active Schools uses the Alliance’s proven six-step continuous improvement process for making incremental practice and policy changes. In addition, the Alliance’s Web-based tools and resources help the schools to increase student physical activity levels. This approach resulted in more than 3,300 schools signing up to get moving through June 2013. The First Lady has called on school staff, families and communities to work together to reach an ambitious goal of engaging 50,000 schools in this program over the next five years. New Grants Fuel School Growth The Alliance’s Healthy Schools Program was the recipient of a significant new grant from Kaiser Permanente of $5.3 million. Combined with a $7.4 million received last year from the JPB Foundation, the Healthy Schools Program was able to expand into new regions such as South Dakota, Hawaii and the Navajo Nation, while intensifying outreach and support in existing markets. The funding supports implementation and external evaluation of the Healthy Schools Program in the new regions. The evaluation components are designed to examine program implementation and the effectiveness of the Healthy Schools Program as an obesity prevention program, and to better understand how to support schools as they implement improvements in school nutrition, physical activity and staff wellness. Leaders Pave the Way in Schools Nationwide The Alliance for a Healthier Generation recognizes that the success of its Healthy Schools Program in any school is usually driven by a “champion” or school leader known as a Healthy Schools Program Ambassador. This might be a superintendent, principal, physical education or health teacher, child nutrition director or parent. The Alliance honored 18 such leaders from across the country for their

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diligence in improving access to healthy food and beverages and increasing daily physical activity at their schools. These innovators are trained to serve as local and national advocates to spread the word Healthy Schools Program Ambassadors at work.

about the importance of the Alliance’s work and school-based efforts to prevent child obesity.

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Leading the Way to a Healthier Generation: Healthy Schools

" Two thumbs up to the USDA. Getting the rule issued, however, is just the first step. We welcome the opportunity to help schools across the country implement the smart snack rule on their campuses. The Alliance for a Healthier Generation played a critical role in the adoption of historic new national nutrition standards for snack foods and beverages sold in schools. The standards

"

New USDA Guidelines Get Support

Dr. howell wechsler Chief Executive Officer, Alliance for a Healthier Generation

were released by the U.S. Department of Agriculture in June 2013. When the nutrition standards are implemented for the 2014-15 school year, it will be the first time schools across the nation will be required to offer only healthy food and beverage choices. The USDA standards are closely aligned with the Competitive Foods and Beverage Guidelines that the Alliance developed in 2006 to improve the nutritional quality of school meals, as well as the items sold in vending machines, a la carte lines (items sold individually in the cafeteria) and school stores. Since 2006, the Alliance for a Healthier Generation has worked with thousands of schools to successfully implement these science-based nutrition guidelines. They focus on the promotion of nutrient-rich foods including fat-free and low-fat dairy products and placed limits on calories, fat, saturated fat, trans fat, sugar and sodium. In addition, the Alliance’s landmark agreements with food and beverage companies to improve the nutritional quality of what they sell to schools helped make it feasible for USDA to adopt its standards. Getting more than 100,000 schools across the nation to implement the USDA standards will be challenging, but the Alliance stands ready to assist USDA with its unparalleled experience and expertise in helping schools improve their nutrition environments.

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Leading the Way to a Healthier Generation:

Working with Communities 155 out-of-school time providers encouraging kids to eat better and move more (as of June 2013)

Spreading Good Health to the Out-of-School Time Sector The Alliance is committed to supporting out-of-school time providers through our Healthy Out-of-School Time Framework to create healthier conditions by improving nutrition and physical activity and engaging youth in the process. The Walmart Foundation supported the Alliance for a Healthier with a two-year, $1.5 million grant that led to a major expansion in sites receiving training and technical assistance. Out-of-school time sites include afterschool programs, community centers, summer camps and faith-based programs. The grant allowed the Alliance to expand field staff in eight metropolitan areas to help out-of-school time programs increase children’s access to nutritious snacks and meals and meaningful opportunities to engage in physical activity. The number of out-of-school time sites served by Alliance technical assistance providers increased from 30 to more than 150. With partners like Walmart, the Alliance for a Healthier Generation is working to create long-term capacity in outof-school time settings across the nation to implement the National AfterSchool Association’s Healthy Eating and Physical Activity Standards. An additional component of the Walmart funding was an investment in building a HOST website where participating out-of-school time sites can access the HOST framework and other supporting tools and online resources.

" The Alliance’s Healthy Out-of-School Time Framework combines science and action into a great package that will help kids develop into healthy, happy, caring adults. One of the most important things we can do is help youth make healthy choices for themselves and their communities.

"

Generation’s Healthy Out-of-School Time (HOST) initiative

Dr. Jean Wiecha Senior Scientist, RTI International

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Leading the Way to a Healthier Generation:

Working with Industry

100 companies selling healthier options across the country (as of June 2013)

Team Healthier Generation Grows Team Healthier Generation is a

Industry Groups Offer Healthier Options

fundraising program to motivate and support athletic and endurance

The Alliance for a Healthier

event participants. By joining, anyone

Generation brokers and

can achieve their fitness goals,

implements voluntary

network with team members across

agreements with leaders in

the country and raise funds to end

the food, beverage, fitness and

childhood obesity.

healthcare industries to change the landscape of access to

After a successful inaugural event at the 2011 NYC Marathon, Team

products and services that

Healthier Generation continued to

facilitate healthier lifestyles.

grow as the Alliance for a Healthier

The Alliance expanded its efforts to serve healthier school meals at more affordable prices by entering into new agreements with ConAgra Foods, Tyson Foods, Inc., ARYZTA, Horizon Software International and NutriKids. The companies pledged to set national prices for healthier items that meet the Alliance’s science-based standards for nutrition at prices no more than 10 percent greater

Generation’s premier national endurance training and fundraising initiative. In 2012, Team Healthier Generation experienced tremendous growth with teams across the country inspired to action. In addition, the Holualoa

than less- healthy comparable products. In addition, the

Tucson

companies set a goal to increase the sales of compliant

Marathon, in

products to at least 50 percent of their entire school sales

its 19th year,

within five years.

selected the

This groundbreaking approach to engaging industry in the fight against childhood obesity has resulted in agreements with 15 of the leading food manufacturers that provide school meals across the country. Their success is critical to ensuring that our children have greater access to healthier

Alliance for a Healthier Generation as the official national charity of the 2012 Tucson Marathon and Tucson Marathon Family Fitness Fest.

and more affordable food and beverage options.

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Leading the Way to a Healthier Generation:

Striving for Impact at the Doctor’s Office 2.7 million children across the country accessing healthcare benefits (as of June 2013)

Insurance Redesign Benefits Kids Until recently, most healthcare professionals have been unable to work with families around the prevention, assessment and treatment of childhood obesity. That changed when the Alliance for a Healthier Generation launched the Healthier Generation Benefit in 2009.

than 22 companies working with 56,000 providers offering the health services benefit to more than 2.7 million kids. The Alliance introduced the benefit in 2009 as a critical strategy to changing the way the healthcare industry prevented and treated childhood obesity. Youth who are covered by the benefit have access to at least four annual visits with a primary care provider and at least four annual visits with a registered dietitian. From its inception, the Healthier Generation Benefit has been evaluated by researchers at Emory University’s Rollins School of Public Health to ensure its utilization and effectiveness. Recent findings indicate that the benefit has been successful in expanding healthcare coverage for obesity services, with all participating organizations being able to implement and offer the coverage. Also, the benefit was described as an innovative way to address childhood obesity by the National Business Group on Health, the Bipartisan Policy Council on Health Affairs and in a special edition of The Journal of Obesity.

" The Healthier Generation Benefit is groundbreaking in that the findings are relevant to many preventive health goals and can be used to improve the effectiveness of future efforts to promote preventive care through insurance redesign.

"

The Alliance’s Healthier Generation Benefit includes more

dr. Kimberly J. Rask Associate Professor in the Department of Health Policy and Management at Emory’s Rollins School of Public Health

2012-13 Annual Report - Alliance for a Healthier Generation - 10

Leading the Way to a Healthier Generation:

Brand & Cause Marketing

Alliance Brand Gets a Boost Building on the organization’s seven years of growth and measured impact in the fight against childhood obesity, the

Brita donated more than $25,000 worth of Brita Bottles and Brita Bottles for Kids to schools and out-of-school time sites across the country.

Alliance for a Healthier Generation refreshed its brand identity and website to broaden its reach and engagement with key audiences. The redesign also enabled the Alliance to provide higher-quality online support for parents and stakeholders leading obesity prevention programs in their communities. Market research leading up to the re-branding confirmed that the Alliance’s stakeholders value its high-quality programs and services, ability to be nimble and collaborative spirit. The Alliance used this valuable information to create a new, contemporary brand.

In addition, several cause marketing efforts were launched to increase the awareness of our brand and raise funds for the cause. Technology company Jawbone teamed up with the Alliance for a Healthier Generation to dedicate an UP® physical activity monitoring band to support childhood health and inspire healthy habits at an early age. For each special edition orange UP band sold, Jawbone donated $20 to support the Alliance’s work to end child obesity. Additionally, Brita, the water filtration company, joined forces with the Alliance to encourage kids to swap out sugary beverages and drink more water. As part of its commitment, Brita donated more than $25,000 worth of Brita

For each special edition orange UP band sold, Jawbone donated $20 to support the Alliance’s work to end child obesity.

Bottles and Brita Bottles for Kids to schools and out-of-school time sites across the country.

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Alliance All Star Power Chef Lorena Garcia Cooks for the Cause With one in three kids in America overweight or obese, Venezuelan-born chef, restaurateur, TV host and author Lorena Garcia was determined to do her part to end the epidemic. Garcia was one of 12 competing chefs on “Top Chef Masters” and her selected charity partner was the Alliance for a Healthier Generation. Garcia raised $27,500 in support of the Alliance and created four healthy school lunch recipes available at no cost to schools participating in the Alliance’s Healthy Schools Program. Of the Alliance, Garcia said, “We share the same goal to educate families to make healthier choices and ultimately help reduce the childhood obesity rate in this country.”

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Celebrity chef Lorena Garcia thanks the Alliance’s supporters.

Rachael Ray Makes it a Healthier Day for Kids In October 2012, best-selling author and daytime television show host Rachael Ray launched a “Rachael Ray’s Yum-o! Healthy School Lunch Contest” in partnership with the Alliance that asked school chefs from around the country to submit an innovative, delicious, healthy school lunch that meets or exceeds the new USDA school lunch guidelines. The winning recipe was “Pozole con Pescado,” submitted by Donnie Barclift from Oakland Unified School District in Oakland, Calif. It was a zesty tomato broth with kale and other vegetables, served with a piece of seasoned and roasted fish on top and a side of diced melons with lime, mint and basil. “School food service professionals are doing incredible things to serve nutritious, flavorful meals,” Ray said. “We were Yum-o! Healthy School Contest Winner: Pozole con Pescado

thrilled with the creative, healthy recipes submitted for the contest and congratulate Donnie and the other finalists!”

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Youth Advisory Board Extraordinary Youth Lead Twenty-one passionate and committed young people raised their voices against childhood obesity and inspired their friends, schools and communities to live healthier lives by committing to serve on the Alliance’s 2012-2013 Youth Advisory Board. As the only youth-led advisory group in the country focused on childhood obesity issues, the board embodies the Alliance’s strong belief that young people play a crucial role in engaging and educating their peers and in creating healthier communities. The Alliance for a Healthier Generation relies on the Youth Advisory Board to share thoughts and ideas with the organization on how best to inspire young people to make healthy behavior changes and become leaders and advocates for healthy eating and physical activity. Members of the Alliance’s Youth Advisory Board in 2012-2013 were: Rogelio Bejarano, 17 Van Nuys, Calif.

Ashlyn Pinkins, 17 Gretna, La.

Zach Dell, 16 Austin, Texas

Anita Rao, 16 Pearland, Texas

Guido Dominguez, 12 Miami Beach, Fla.

Chloe Rosen, 17 Concord, Mass.

Major Dukes, 13 Greensboro, Ga.

Miranda Rosen, 17 Henderson, Nev.

Jodi Evans, 9 Bowie, Md.

Bobby Sena, 10 Orlando, Fla.

Akansha Jain, 17 Omaha, Neb.

Sarwat Siddiqui, 17 Staten Island, N.Y.

Danyel Jonnson, 12 Sanosteel Tonatchi, N.M.

Katie Stagliano, 14 Summerville, S.C.

Bodhi Lovely, 11 Russellville, Ark.

Mataio Swain, 15 Charlestown, W. Va.

Daniel Muller, 17 Weston, Conn.

Haile Thomas, 11 Tucson, Ariz.

Ethan Oro, 15 Menlo Park, Calif. Joe Bear Ortiz, 16 Conifer, Colo. Kyle Ortmeier, 18 Faulkton, S.D.

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Youth Advisory Board Live Well Omaha Go Teams Alliance for a Healthier Generation Youth Advisory Board member Akansha Jain, a high school senior from Omaha, Neb., dedicated her time to creating an active and healthy living awareness campaign for her service learning project called Live Well Omaha Go Teams. With the help of her peers, Akansha increased awareness about childhood obesity and how to combat this national epidemic in the greater Omaha region. They partnered with several afterschool programs and community groups to speak with over 300 younger kids and engage in fun and interactive activities that included nutrition education and physical activity. Key partners included community organizations like the Boys & Girls Club, YMCA, and Girls Inc., as well as parents, teachers and school administrators.

Grow to Give Alliance for a Healthier Generation Youth Advisory Board member Bobby Sena, a 10 year-old from Orlando, Fla., focused his service learning project on creating a school garden at West Creek Elementary School. He received grants from Disney and Katie’s Krops (a non-profit started by another Youth Advisory Board member) to fund his project and recruited youths to help build garden beds on Global Youth Service Day in April 2013. Students were given lessons on nutrition and how to care for a growing garden. This led to many students growing their own gardens at home while maintaining the garden at the school. Students at West Creek Elementary are making healthier choices, and the school has increased the number of students in the healthy afterschool club who participate in physical activities. More students participated in school sports this past year and brought healthier snacks and lunches to school because of Bobby’s garden.

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Youth Advisory Board EmpowerKids2Teach Alliance for a Healthier Generation Youth Advisory Board member Ethan Oro implemented the empowerME4Life curriculum to third- and fourthgraders at Green Oaks Elementary in East Palo Alto, Calif. It’s an eight-week healthy living course created by the Alliance for a Healthier Generation. East Palo Alto has a very diverse school district where 61 percent of the students are Englishlanguage learners, only 22 percent read at grade level and 80 percent come from lowincome families.

Ethan used a $1000 United Health Heroes YSA (Youth Service America) grant to help implement the course and to purchase sports equipment for the kids to use in the afterschool program. This year, with an additional YSA Grant, Ethan brought the curriculum to two schools in the district, Green Oaks and Casatño School. As part of this expansion he recruited Stanford University students to teach the curriculum. Ethan then partnered with Collective Roots, a non-profit organization, to build teaching garden beds for students to creatively learn about nutrition. This activity increased students’ knowledge of and motivation to improve their eating habits. In addition, one of the schools decided to teach a voluntary garden class for students during the summer with plans to continue the curriculum and garden for the following school year.

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Financials The goal of the Alliance for a Healthier Generation is to reduce the prevalence of childhood obesity and to empower kids nationwide to make healthy lifestyle choices. The Alliance works to positively affect the places that make a difference in a child's health: homes, schools, doctor's offices and communities. This report displays the financial activities of the Alliance during the fiscal year ending in June 30, 2013.

Revenue

fy 2013

Grants

10,567,246

Government grants

95,114

Contributions

384,214

Grants from related parties

777,220

Contributions from related parties

4,000,000

Consulting fees

113,363

In-kind contributions

391,996

Interest and other income

43,050

Totals

16,372,203

Expenses

fy 2013

Salaries and fringe

9,207,842

Travel and meetings

1,784,537

Professional services

1,082,630

Office and other expenses

691,239

Technology

384,516

Depreciation

226,885

Grant awards and stipends

116,452

Totals

13,494,101

expense breakdown Total Program expenses

11,004,218

Total Administrative expenses

1,939,149

Total Fundraising expenses

550,734

Totals

13,494,101

2012-13 Annual Report - Alliance for a Healthier Generation - 16

Thank You to Our Funders Grants and Contributions Over $1,000,000

Grants and Contributions From $50,000 to $99,999

American Heart Association

Anonymous

Clinton Foundation

Brita

East Bay Community Foundation—Kaiser Permanente National Community Benefit Fund

Reebok Foundation Steele Foundation*

JPB Foundation Kessler Family Fund** Michael and Susan Dell Foundation* Robert Wood Johnson Foundation Walmart Foundation Grants and Contributions From $500,000 to $999,999 Desert Healthcare Foundation Health Foundation of South Florida NIKE, Inc. Sanofi Grants and Contributions From $100,000 to $499,999 Broward Regional Health Planning Council, Inc. Cellular One** Cornerstone

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Watch some thank you messages from our Youth Advisory Board, Ambassadors, celebrities, school and out-of-school time students and staff

Dream Fund at UCLA* Health Care Foundation of Greater Kansas City* Helios Education Foundation* PKF Consulting USA The California Endowment

* Assigned by the American Heart Association ** Assigned by the Clinton Foundation Note: Total gift may cover multiple years

Virginia G. Piper Charitable Trust*

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Addendum:

Important News Beyond FY2013 Below are notable developments that occurred after July 2013 that will be highlighted in next year’s annual report: • In September 2013, McDonald’s partnered with the Alliance for a Healthier Generation to increase customers’ access to fruit and vegetables and help families and children to make informed choices in keeping with balanced lifestyles. McDonalds commits to: Provide customers a choice of a side salad, fruit or vegetable as a substitute for French fries in value meals

Ensure 100% of all advertising directed to children to include a fun nutrition or children’s well-being message

Promote and feature only water, milk and juice OR

as the beverage in Happy Meals on menu boards and in-store and external advertising

(Salad, fruit or vegetable option will vary per participating market)

Offer new fruit, vegetable, low/reduced fat dairy or water options in the Happy Meal and generate excitement for produce and dairy

Read the press release from the McDonalds announcement

• 100 percent of the 267 schools honored at the 2013 Healthy Schools Forum are meeting or exceeding updated federal nutrition standards and serving healthy food to students. Read the press release from the Forum • As of November 2013, more than 20,000 schools are participating in the Alliance’s Healthy Schools Program

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At the 2013 Healthy Schools Program Forum, President Clinton recognizes Principal Juan Munoz of Wilkerson Elementary in El Monte City, CA, winner of the Gold National Recognition Award.

2012-13 Annual Report - Alliance for a Healthier Generation - 18

/HealthierGeneration /HealthierGen HealthierGeneration.org

Fou n d e d by: