The Jefferson Regional Foundation (JRF) focuses on the communities in the southern suburbs of Allegheny County with a mission of health and wellness for all. These communities encompass a range of conditions (urban, suburban, and rural) that each face unique challenges. These communities are growing, and growing more diverse, which may require a realignment of services and resources within the foundation’s service area. Fourth Economy is developing a series of Issue Briefs, Surprise in Suburbs, to identify emerging trends that may impact the service providers supported by JRF.