SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
Medium right arrow Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
Medium right arrow Attach to Form 990.
Medium right arrow Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2022
Open to Public Inspection
Name of the organization
Phoenix Children's Hospital
 
Employer identification number

86-0422559
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
 
No
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
 
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . . 		    2,141,186 0 2,141,186 0.18 %
b Medicaid (from Worksheet 3, column a) . . . . .     594,341,255 508,051,858 86,289,397 7.31 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .     29,830,755 5,938,766 23,891,989 2.02 %
d Total Financial Assistance and Means-Tested Government Programs . . . . . 0 0 626,313,196 513,990,624 112,322,572 9.52 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     20,520,529 8,478,881 12,041,648 1.02 %
f Health professions education (from Worksheet 5) . . .     35,607,822 12,954,666 22,653,156 1.92 %
g Subsidized health services (from Worksheet 6) . . . .     14,211,907 7,020,249 7,191,658 0.61 %
h Research (from Worksheet 7) .     13,019,055 9,905,204 3,113,851 0.26 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     3,670,743 288,378 3,382,365 0.29 %
j Total. Other Benefits . . 0 0 87,030,056 38,647,378 48,382,678 4.10 %
k Total. Add lines 7d and 7j . 0 0 713,343,252 552,638,002 160,705,250 13.62 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing         0 0 %
2 Economic development         0 0 %
3 Community support         0 0 %
4 Environmental improvements         0 0 %
5 Leadership development and
training for community members		         0 0 %
6 Coalition building         0 0 %
7 Community health improvement advocacy     6,509,417 274,927 6,234,490 0.53 %
8 Workforce development         0 0 %
9 Other         0 0 %
10 Total 0 0 6,509,417 274,927 6,234,490 0.53 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
449,898
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
449,898
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
5,129,499
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
9,876,756
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-4,747,257
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

 

No
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?2Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility) 		Licensed Hospital General Medical and Surgical Children's Hospital Teaching Hospital Critical Access Hospital Research Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 PHOENIX CHILDREN'S HOSPITAL
1919 E THOMAS ROAD
PHOENIX,AZ850167710
https://www.phoenixchildrens.org/
SH3107 		    X       X     A
2 PHOENIX CHILDREN'S-MERCY GILBERT CTR
3555 S VAL VISTA DRIVE
GILBERT,AZ85297
WWW.DIGNITYHEALTH.ORG/MERCYGILBERT/
SH6849 		    X             A
Schedule H (Form 990) 2022
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Schedule H (Form 990) 2022
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Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
A
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		 
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 22
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): https://www.phoenixchildrens.org/files/inline-files/Phoenix%20Children's%20Community%20Health%20Need
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2022
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Schedule H (Form 990) 2022
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
A
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
https://www.phoenixchildrens.org/
b
https://www.phoenixchildrens.org/
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2022
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Schedule H (Form 990) 2022
Page 6
Part VFacility Information (continued)

Billing and Collections
A
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2022
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Schedule H (Form 990) 2022
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
A
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2022
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Schedule H (Form 990) 2022
Page 8
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
Schedule H, Part V, Section B, Line 3E THE CHNA REPORT IDENTIFIES THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND DESCRIBES THE PROCESS BY WHICH THEY WERE IDENTIFIED AND PRIORITIZED. THE IDENTIFIED NEEDS ARE REPORTED AND PRIORITIZED ON PAGE 5 OF THE REPORT. A SUMMARY OF THE PROCESS TO IDENTIFY AND PRIORITIZE THE COMMUNITY HEALTH NEEDS CAN BE FOUND STARTING ON PAGE 28 OF THE REPORT.
Schedule H, Part V, Section B, Line 5 Facility A, 1 Facility A, 1 - PHOENIX CHILDREN'S HOSPITAL ("PCH") AND PHOENIX CHILDREN'S-MERCY GILBERT CENTER ("PCMGC"). THE ACA REQUIREMENTS ARE MIRRORED IN THE PHAB STANDARD MANDATING THAT HEALTH DEPARTMENTS PARTICIPATE IN OR CONDUCT A COMMUNITY HEALTH ASSESSMENT EVERY THREE TO FIVE YEARS. OTHER PHAB STANDARDS REQUIRE HEALTH DEPARTMENTS TO CONDUCT A COMPREHENSIVE PLANNING PROCESS RESULTING IN A COMMUNITY HEALTH IMPROVEMENT PLAN AND TO IMPLEMENT STRATEGIES TO IMPROVE ACCESS TO HEALTHCARE. FEDERALLY FUNDED COMMUNITY HEALTH CENTERS MUST ENSURE THEIR TARGET COMMUNITIES ARE OF HIGH NEED AND ADDRESS THE SHORTAGE OF HEALTH SERVICES THAT ARE OCCURRING WITHIN THESE COMMUNITIES. THE SIMILAR REQUIREMENTS FROM IRS, PHAB AND THE FEDERALLY FUNDED HEALTH CENTER REQUIREMENTS PUT FORTH BY THE HHS PROVIDES AN OPPORTUNITY TO CATALYZE STRONGER COLLABORATION AND BETTER SHARED MEASUREMENT SYSTEMS AMONG HOSPITALS, HEALTH CENTERS AND HEALTH DEPARTMENTS. ADDITIONALLY, LIMITED RESOURCES FOR COMPREHENSIVE HEALTH ASSESSMENTS AND THE MOVE TOWARD NEW POPULATION HEALTH MODELS HAVE CREATED THE NEED FOR AN ORGANIZED, COLLABORATIVE PUBLIC-PRIVATE APPROACH FOR CONDUCTING ASSESSMENTS. MARICOPA COUNTY HOSPITALS AND HEALTH CENTERS PLAY SIGNIFICANT ROLES IN THE REGION'S OVERALL ECONOMY AND HEALTH. IN ADDITION TO PROVIDING SAFE AND HIGH-QUALITY MEDICAL CARE, THESE INSTITUTIONS WORK TO IMPROVE REGIONAL HEALTH THROUGH PROGRAMS THAT PROMOTE HEALTH IN RESPONSE TO IDENTIFIED COMMUNITY NEEDS. MOREOVER, HEALTHCARE PARTNERS ARE OFTEN SERVING THE SAME OR PORTIONS OF THE SAME COMMUNITIES ACROSS MARICOPA COUNTY. AS A RESULT, BANNER HEALTH, DIGNITY HEALTH, MAYO CLINIC, NATIVE HEALTH, NEIGHBORHOOD OUTREACH ACCESS TO HEALTH, PHOENIX CHILDREN'S HOSPITAL, VALLEYWISE HEALTH AND VITALYST HEALTH FOUNDATION HAVE JOINED FORCES WITH MCDPH TO IDENTIFY THE COMMUNITIES' STRENGTHS AND GREATEST NEEDS IN A CHNA. THE CHNA UTILIZES A MIXED-METHODS APPROACH THAT INCLUDES THE COLLECTION OF PRIMARY AND SECONDARY DATA FROM COMMUNITY INPUT, FOCUS GROUPS, SURVEYS AND MEETINGS WITH COMMUNITY STAKEHOLDERS. THE PROCESS WAS ITERATIVE AS BOTH THE PRIMARY AND SECONDARY DATA WERE USED TO HELP INFORM EACH OTHER. THE ADVANTAGE OF USING THIS APPROACH IS THAT IT VALIDATES DATA BY CROSS-VERIFYING FROM A MULTITUDE OF SOURCES. PRIMARY DATA COLLECTION THE FIRST ROUND OF COMMUNITY DATA COLLECTION OCCURRED IN FALL 2019 AND INVOLVED A COMMUNITY SURVEY AS WELL AS A SERIES OF FOCUS GROUPS. MCDPH CONTRACTED WITH ASU'S SOUTHWEST INTERDISCIPLINARY RESEARCH CENTER TO CONDUCT THE FOCUS GROUP ANALYSIS. IN RESPONSE TO SEVERE CHANGES IN THE COMMUNITY HEALTH LANDSCAPE DUE TO THE COVID-19 PANDEMIC, A SUPPLEMENTAL SURVEY AND FOCUS GROUP CYCLE WAS CONDUCTED IN THE SUMMER 2021. ADDITIONALLY, PHOENIX CHILDREN'S CONDUCTED A PHOENIX CHILDREN'S CHNA SURVEY, WHICH INVOLVED INTERNAL AND EXTERNAL GROUPS TO BETTER UNDERSTAND THE HEALTH AND SPECIFIC NEEDS OF THE COMMUNITY SERVED. THESE DATA SOURCES ARE INCLUDED IN THIS ASSESSMENT TO PROVIDE A ROBUST EVALUATION OF COMMUNITY NEEDS, BOTH BEFORE AND DURING THE PANDEMIC. 2019 COORDINATED COMMUNITY HEALTH NEEDS ASSESSMENT FOCUS GROUPS (APPENDIX C) A TOTAL OF 52 FOCUS GROUPS WERE CONDUCTED BETWEEN AUGUST 2018 AND DECEMBER 2019 WITH MEDICALLY UNDERSERVED POPULATIONS ACROSS MARICOPA COUNTY, INCLUDING YOUTH IN THE THIRD AND FINAL CYCLE. THE GROUPS CONSISTED OF SPECIFIC ETHNIC GROUPS: (1) AFRICAN AMERICAN, (2) NATIVE AMERICAN, (3) CONGOLESE, (4) HISPANIC AND (5) FILIPINO. OTHER GROUPS REPRESENTED WERE: (6) HOMELESS POPULATIONS, (7) LESBIAN, GAY, BISEXUAL, TRANSGENDER, AND QUESTIONING (LGBTQ+) PERSONS INCLUDING VETERANS AND MIGRANT SEASONAL FARMWORKERS, (8) PEOPLE WHO'VE BEEN INCARCERATED, (9) PEOPLE IN RURAL COMMUNITIES, (10) NEW PARENTS, AND (11) PARENTS OF CHILDREN WITH SPECIAL HEALTHCARE NEEDS. SIX GROUPS WERE CONDUCTED IN SPANISH, ONE IN MANDARIN, ONE IN SWAHILI AND THE REMAINDER IN ENGLISH. THE FOCUS GROUP DESIGN AND EXECUTION PROCEEDED THROUGH FIVE PHASES: (1) INITIAL REVIEW OF LITERATURE; (2) FOCUS GROUP DISCUSSION GUIDE DEVELOPMENT; (3) FOCUS GROUP RECRUITMENT; (4) FOCUS GROUP DATA COLLECTION; AND (5) REPORT WRITING AND PRESENTATION OF FINDINGS. FOCUS GROUP PARTICIPANTS WERE ASKED TO COMPLETE A SURVEY THAT ASSESSED A VARIETY OF FACTORS THAT COULD HAVE AN IMPORTANT IMPACT ON INDIVIDUAL AND COMMUNITY HEALTH AND QUALITY OF LIFE. THESE WERE MAINLY CLOSED-ENDED QUESTIONS TO AUGMENT THE FOCUS GROUP DISCUSSIONS. THE FOCUS GROUP DATA WERE ANALYZED AND ORGANIZED THEMATICALLY TO HIGHLIGHT PREVALENT IDEAS ACROSS THE GROUPS AS WELL AS SURPRISING/UNIQUE RESPONSES FROM PARTICULAR FOCUS GROUPS.
Schedule H, Part V, Section B, Line 5 Facility A, 2 Facility A, 2 - PHOENIX CHILDREN'S HOSPITAL ("PCH") AND PHOENIX CHILDREN'S-MERCY GILBERT CENTER ("PCMGC") CONTINUED. COVID-19 FOCUS GROUPS (APPENDIX C) BETWEEN FEBRUARY AND JUNE 2021, A SERIES OF 33 FOCUS GROUPS WERE CONDUCTED, WHICH INCLUDED 186 PARTICIPANTS ACROSS VARIOUS COMMUNITY REGIONS, SERVICE PROVIDERS AND INDIVIDUAL RESIDENTS TO BETTER UNDERSTAND THE IMPACT OF COVID-19 ON MARICOPA COUNTY RESIDENTS. THE FOCUS GROUPS INCLUDED COMMUNITY MEMBERS FROM FIVE GEOGRAPHIC MARICOPA COUNTY LOCATIONS BASED ON THE FOLLOWING GROUPS: (1) OLDER ADULTS; SPECIFIC ETHNIC GROUPS (2) AFRICAN AMERICAN; (3) HISPANICS/LATINO; (4) NATIVE AMERICAN; (5) ASIAN AMERICAN; (6) ETHNIC MINORITY YOUNG ADULTS; (7) LESBIAN, GAY, BISEXUAL, TRANSGENDER, AND QUESTIONING (LGBTQ+) PERSONS; (8) VETERANS; (9) NEW PARENTS; (10) PARENTS OF YOUNG CHILDREN, AND (11) REFUGEES. FOCUS GROUPS HELPED TO IDENTIFY AND ADDRESS HEALTH NEEDS, RESOURCE ALLOCATION AND LONG-TERM SERVICES NEEDED FOR COVID-19 RESPONSE EFFORTS. MEMBERS OF THE COMMUNITY REPRESENTING SUBGROUPS, DEFINED AS GROUPS WITH UNIQUE ATTRIBUTES (RACE AND ETHNICITY, AGE, SEX, CULTURE, LIFESTYLE OR RESIDENTS OF A PARTICULAR AREA OF MARICOPA COUNTY), WERE RECRUITED TO PARTICIPATE IN FOCUS GROUPS. A STANDARD PROTOCOL WAS USED FOR ALL FOCUS GROUPS. (SEE APPENDIX B) TO UNDERSTAND THE EXPERIENCES OF THESE COMMUNITY MEMBERS AS THEY RELATE TO THE IMPACT OF COVID-19 ON MARICOPA COUNTY RESIDENTS. THE FOCUS GROUPS EXPLORED THE TOPICS OF COVID-19 IMPACT, BARRIERS, CONCERNS, MESSAGING, TRUST IN PUBLIC HEALTH, VACCINE INTENT, VACCINE CHOICES AND VACCINE HESITANCY. PARTICIPANTS ALSO SPENT A GREAT DEAL OF TIME DISCUSSING HEALTHCARE, OBSTACLES TO CARE, ACCESS TO FOOD, FINANCIAL WELL-BEING AND QUALITY OF LIFE. TO COMPLEMENT THE FOCUS GROUPS, 158 RESPONDENTS (MOST BUT NOT ALL OF WHOM PARTICIPATED IN THE FOCUS GROUPS) COMPLETED AN ONLINE ANONYMOUS QUESTIONNAIRE THAT ASKED ABOUT COVID-19 CONCERNS, SOCIAL DETERMINANTS OF HEALTH, MEDICAL TRUST AND MENTAL AND PHYSICAL HEALTH. PARTICIPANTS DISCUSSED DECLINES IN MENTAL HEALTH AND PHYSICAL HEALTH AND BARRIERS TO THE VACCINE AS WELL AS VACCINE HESITANCY AND CONFUSION. SUGGESTIONS WERE OFFERED FOR MESSAGES AND FOR WHO WOULD INFLUENCE THEIR VACCINE DECISIONS, NOTING THAT ONE SIZE DOES NOT FIT ALL. THE FOCUS GROUP DATA WERE ANALYZED AND ORGANIZED THEMATICALLY TO HIGHLIGHT PREVALENT IDEAS ACROSS THE GROUPS AS WELL AS SURPRISING/UNIQUE RESPONSES FROM PARTICULAR FOCUS GROUP. 2019 MARICOPA COUNTY COMMUNITY HEALTH ASSESSMENT COMMUNITY SURVEY (APPENDIX C) BETWEEN FEBRUARY AND JUNE 2019, MCDPH COLLECTED COMMUNITY SURVEYS FROM RESIDENTS AND PROFESSIONALS WITHIN MARICOPA COUNTY. THIS SURVEY IS PART OF THE COORDINATED MARICOPA COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT (CCHNA) DESIGNED TO IDENTIFY PRIORITY HEALTH ISSUES, RESOURCES AND BARRIERS TO CARE WITHIN MARICOPA COUNTY THROUGH A COMMUNITY-DRIVEN PROCESS KNOWN AS MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP). A TOTAL OF 22 SURVEY QUESTIONS WERE INCLUDED, ORGANIZED BY THE FOLLOWING SECTIONS: PHYSICAL AND MENTAL HEALTH, HEALTHCARE AND LIVING EXPENSES, BARRIERS AND STRENGTHS OF THE COMMUNITY, AND HEALTH AND WELLNESS OF THE COMMUNITY. THE SURVEY QUESTIONNAIRE WAS ORIGINALLY DEVELOPED BY THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS (NACCHO). THE SURVEY WAS MODIFIED FROM ITS ORIGINAL VERSION BY PHOENIX CHILDREN'S, MEMBERS OF THE SYNAPSE COALITION, A GROUP OF NONPROFIT HOSPITALS AND FEDERALLY QUALIFIED HEALTHCARE PROVIDERS, THE HIPMC AND MCDPH STAFF. RESPONSE OPTIONS WERE EXPANDED FROM THE ORIGINAL FORMAT TO INCLUDE ADDITIONAL HEALTH ISSUES AND SOCIAL DETERMINANTS OF HEALTH. THE QUESTIONNAIRE WAS PROVIDED ON A DIGITAL PLATFORM USING QUALTRICS IN ADDITION TO A PAPER FORMAT. ALL SURVEYS WERE PROVIDED IN ENGLISH AND SPANISH. THERE WAS MINIMAL REQUEST FOR ADDITIONAL LANGUAGE TRANSLATIONS, SO WE WORKED WITH PARTNERS WHO WERE ABLE TO ASSIST INDIVIDUALS AS TRANSLATORS TO COMPLETE THE SURVEY. THE GOAL FOR THE COMMUNITY SURVEY WAS 15,000 RESPONSES. HOWEVER, ONCE ALL DATA WAS CLEANED TO ENSURE USABILITY, A TOTAL OF 11,893 SURVEYS WERE COLLECTED FROM COMMUNITY RESIDENTS AGED 14 AND OLDER. THE DIGITAL SURVEY WAS SENT OUT VIA EXTENSIVE COMMUNITY PARTNER NETWORKS THROUGHOUT MARICOPA COUNTY, HOSPITAL/HEALTHCARE SYSTEMS, MUNICIPALITIES, SCHOOL DISTRICTS, SOCIAL MEDIA AND OUR INTERNAL PROGRAMS ALLOWING US TO MAXIMIZE RESOURCES. THE SURVEY WAS WIDELY PUBLICIZED WITH COMMUNITY AND HEALTHCARE PARTNERS PRIOR TO MARCH 1, 2019, TO SECURE THE PRESENCE AT COMMUNITY EVENTS AND PROVIDE ONLINE ADVERTISEMENT TO REDIRECT INDIVIDUALS TO THE SURVEY.
Schedule H, Part V, Section B, Line 6a Facility A, 1 Facility A, 1 - PHOENIX CHILDREN'S HOSPITAL ("PCH") AND PHOENIX CHILDREN'S-MERCY GILBERT CENTER ("PCMGC"). PCH AND PCMGC CONDUCTED A JOINT COMMUNITY HEALTH NEEDS ASSESSMENT.
Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - PHOENIX CHILDREN'S HOSPITAL ("PCH") AND PHOENIX CHILDREN'S-MERCY GILBERT CENTER ("PCMGC"). THE CHNA, WHICH CAN BE FOUND AT THE ABOVE WEBSITE, DESCRIBES THE MOST SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND THE STRATEGY TO ADDRESS EACH NEED IDENTIFIED. THERE ARE NO NEEDS THAT ARE NOT BEING ADDRESSED.
Schedule H, Part V, Section B, Line 13 Facility A, 1 Facility A, 1 - PHOENIX CHILDREN'S HOSPITAL ("PCH") AND PHOENIX CHILDREN'S-MERCY GILBERT CENTER ("PCMGC"). FINANCIAL ASSISTANCE WILL BE DETERMINED BASED ON BEST AVAILABLE INFORMATION AFTER ALL EFFORTS TO CONTACT THE PATIENT AND OBTAIN FINANCIAL INFORMATION HAVE BEEN EXHAUSTED. DETERMINATION MAY BE MADE DURING THE COLLECTIONS PROCESS IF EFFORTS TO COLLECT INFORMATION ARE EXHAUSTED AT THAT TIME. FACTORS USED TO DETERMINE PRESUMED FINANCIAL ASSISTANCE COULD INCLUDE ONE OR ALL OF THE FOLLOWING: -FINANCIAL APPLICATIONS; -OUT OF COUNTRY ADDRESSES WITHOUT PROPER SECTION 1011 DOCUMENTATION; -INABILITY TO CONTACT FAMILIES BY PHONE OR MAIL (DISCONNECTED PHONES AND RETURNED MAIL); -A CREDIT SCORE OF 600 OR BELOW WITH THE INABILITY TO PAY; -NON-QUALIFYING EVENT WITH AHCCCS DENIAL; -HOMELESS GUARANTOR/RESPONSIBLE PARTY; -INCARCERATED GUARANTOR/RESPONSIBLE PARTY; -MEDICAID ACCOUNTS-EXHAUSTED DAYS/BENEFITS/NON-COVERED DAYS; AND -FES COVERAGE.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2022
Page 9
Schedule H (Form 990) 2022
Page 9
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?38
Name and address Type of Facility (describe)
1 Rosenberg Children's Medical Plaza
1920 E Cambridge Ave
Phoenix,AZ85006 		Surgery Center
2 Phoenix Children's Mercy Gilbert Specialty Care
3420 S Mercy Rd Suite 205 Medical O
ffice Bldg 1
Gilbert,AZ85298 		Specialty Care
3 Phoenix Children's Mercy Gilbert Specialty Care - NEST
3420 S Mercy Rd Suite 205 Medical O
ffice Bldg 1
Gilbert,AZ85298 		Specialty Care
4 Phoenix Children's East Valley Surgery Center
5131 E Southern Ave
Mesa,AZ85206 		Surgery Center
5 Barrow Neurological Institute at Phoenix Children's Hospital
1919 E Thomas Rd
Phoenix,AZ85016 		Specialty Care
6 Phoenix Children's Cardiology
1919 E Thomas Rd
Phoenix,AZ85016 		Cardiology
7 Phoenix Children's Southwest Valley Urgent Care
1665 N Avondale Blvd
Avondale,AZ85392 		Specialty & Urgent Care
8 Phoenix Children's Southwest Valley Specialty Care Center
1665 N Avondale Blvd
Avondale,AZ85392 		Specialty Care
9 Phoenix Children's Specialty Clinic - Mercy Gilbert Medical Center
3370 S Mercy Rd Medical Office Bldg
2
Gilbert,AZ85297 		Specialty Care
10 Phoenix Children's Ophthalmology ENT - West Phoenix
9250 W Thomas Rd Suite 320
Phoenix,AZ85037 		Specialty Care
11 Phoenix Children's East Valley Urgent Care
5131 E Southern Ave
Mesa,AZ85206 		Specialty & Urgent Care
12 Phoenix Children's Ophthalmology Southwest Mesa
2045 S Vineyard Bldg 3 Suite 137
Mesa,AZ85210 		Specialty Care
13 Phoenix Children's Ophthalmology Glendale
6320 W Union Hills Dr Suite 230 Bld
g A
Glendale,AZ85308 		Specialty Care
14 Phoenix Children's Specialty Care - Tucson
5983 E Grant Rd Suite 201
Tucson,AZ85712 		Specialty Care
15 Phoenix Children's East Valley Specialty Care Center
5131 E Southern Ave
Mesa,AZ85206 		Specialty Care
16 PHOENIX CHILDREN'S HOSPITAL DIVISION OF PRIMARY COMPLEX CARE AND ADOLESCENT
MEDICINE
1919 E THOMAS RD
PHOENIX,AZ85016 		SPECIALTY CARE
17 Phoenix Children's Ophthalmology Scottsdale
20201 N Scottsdale Healthcare Dr Su
ite 150
Scottsdale,AZ85255 		Specialty Care
18 Phoenix Children's Northwest Valley Urgent Care
20325 N 51st Ave
Glendale,AZ85308 		Specialty & Urgent Care
19 Phoenix Children's Scottsdale Specialty Care Center
6990 E Shea Blvd
Scottsdale,AZ85254 		Specialty Care
20 Phoenix Children's Scottsdale Urgent Care
6990 E Shea Blvd
Scottsdale,AZ85254 		Specialty & Urgent Care
21 Phoenix Children's Northwest Valley Specialty Care Center
20325 N 51st Ave
Glendale,AZ85308 		Specialty Care
22 Phoenix Children's Ophthalmology ENT West Mesa
2045 S Vineyard Bldg 3 Suite 137
Mesa,AZ85210 		Specialty Care
23 Phoenix Children's Mercy Gilbert Pediatric Outpatient Rehab Center
3420 S Mercy Rd Suite 121 Medical O
ffice Bldg 1
Gilbert,AZ85298 		Rehab Center
24 Phoenix Children's Sports Medicine PT - Gilbert
3530 S Val Vista Dr Suite B205
Gilbert,AZ85297 		Specialty Care
25 Phoenix Children's Sports Medicine PT - Phoenix
4215 E Bell Rd Suite 100
Phoenix,AZ85032 		Specialty Care
26 Phoenix Children's ENTOtolaryngology - Mesa
2045 S Vineyard Bldg 3 Suite 137
Mesa,AZ85210 		Specialty Care
27 Phoenix Children's Outpatient Audiology - Mercy Gilbert Medical Center
3420 S Mercy Rd Suite 224
Gilbert,AZ85297 		Specialty Care
28 Phoenix Children's ENTOtolaryngology West Valley
9250 W Thomas Rd Suite 320
Phoenix,AZ85037 		Specialty Care
29 Phoenix Children's Pediatrics - Gilbert
2550 E Guadalupe Rd Suite 115
Gilbert,AZ85234 		General Pediatrics Office
30 Phoenix Children's Cardiology - Scottsdale
10250 N 92nd Suite 212
Scottsdale,AZ85254 		Cardiology
31 Phoenix Children's Pediatrics - Tempe
6301 S McClintock Dr Suite 101
Tempe,AZ85283 		General Pediatrics Office
32 Phoenix Children's Pediatrics - Paradise Valley
4848 E Cactus Rd Suite 620
Scottsdale,AZ85254 		General Pediatrics Office
33 Phoenix Children's Specialty Care at St Joseph's
124 W Thomas Rd Suite 320
Phoenix,AZ85013 		Specialty Care
34 Phoenix Children's Pediatrics - San Tan
3592 S Atherton Blvd Suite 101
Gilbert,AZ85297 		General Pediatrics Office
35 Phoenix Children's Pediatrics
1501 N Gilbert Rd Suite 203
Gilbert,AZ85234 		General Pediatrics Office
36 Phoenix Children's Pediatrics - Cottonwood
800 Cove Pkwy
Cottonwood,AZ86326 		General Pediatrics Office
37 Phoenix Children's Pediatrics - Dobson Village
205 S Dobson Rd Suite 1
Chandler,AZ85224 		General Pediatrics Office
38 Phoenix Children's Hospital - Division of Primary Complex Care and Adolesce
nt Medicine
1919 E Thomas Rd
Phoenix,AZ85016 		Specialty Care
39 Phoenix Children's Pediatrics - San Tan Village
1790 E Boston St Suite 101
Gilbert,AZ85295 		General Pediatrics Office
40 Phoenix Children's Pediatrics - Chandler
60 S Kyrene Rd Suite 1
Chandler,AZ85226 		General Pediatrics Office
41 Phoenix Children's Specialty Care - Arrowhead
18555 N 79th Ave Suite E-105
Glendale,AZ85308 		Specialty Care
42 Phoenix Children's Pediatrics - North Phoenix
3805 E Bell Rd Suite 5100
Phoenix,AZ85032 		General Pediatrics Office
43 Phoenix Children's Pediatrics - Scottsdale
5425 E Bell Rd Suite 145
Scottsdale,AZ85254 		General Pediatrics Office
44 Phoenix Children's Cardiology - Sierra Vista
155 Calle Portal Suite 700
Sierra Vista,AZ85635 		Cardiology
45 Phoenix Children's Cardiology - Safford
2115 W 16th St
Safford,AZ85546 		Cardiology
46 Phoenix Children's Cardiology - Douglas
815 15th St
Douglas,AZ85607 		Cardiology
47 Phoenix Children's Sports Medicine PT Avondale
765 N 114th Ave Suite 101
Avondale,AZ85323 		Specialty Care
48 Phoenix Childrens Sports Medicine at Bell Bank Park
6321 S Ellsworth Rd Suite 114
Mesa,AZ85212 		Specialty Care
49 Phoenix Childrens Urgent Care at Bell Bank Park
6321 S Ellsworth Rd Suite 114
Mesa,AZ85212 		Specialty & Urgent Care
50 Phoenix Children's Sports Physical Therapy Peoria
18969 N 83rd Ave Suite 4
Peoria,AZ85382 		Specialty Care
Schedule H (Form 990) 2022
Page 10
Schedule H (Form 990) 2022
Page 10
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
Schedule H, Part I, Line 7g Subsidized Health Services DIRECT COSTS ATTRIBUTABLE TO THE PHYSICIAN CLINIC WERE USED.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance THE COST TO CHARGE RATIO USED TO CALCULATE THE AMOUNTS REPORTED IN LINE 7 WERE CALCULATED USING WORKSHEET 2.
Schedule H, Part II Community Building Activities MEDICAL INTERPRETER/TRANSLATION SERVICES CLEAR COMMUNICATION BETWEEN PATIENTS AND PROVIDERS AND HELP TO SOLVE AN URGENT HEALTH AND SAFETY ISSUE. PHOENIX CHILDREN'S MEDICAL INTERPRETER/TRANSLATOR PROGRAM IS THE NATIONAL MODEL TO IMPROVE COMMUNICATION AND SAFETY WITH THE HISPANIC POPULATION AT 20 CHILDREN'S HOSPITALS. MEDICAL INTERPRETER TRAINERS FROM NATIONAL AND LOCAL HOSPITALS GATHERED AT PHOENIX CHILDREN'S FOR TRAINING DESIGNED TO IMPROVE COMMUNICATION AND SAFETY FOR PATIENTS AND THEIR FAMILIES. ATTENDEES WERE TRAINED IN TEACHING BILINGUAL HEALTHCARE WORKERS MEDICAL TERMS, INTERPRETING PROTOCOL AND MULTICULTURAL UNDERSTANDING. SINCE 2001, THE HOSPITAL HAS TRAINED NEARLY 1,000 STUDENTS IN MEDICAL TERMINOLOGY, INTERPRETING ETHICS, LEADERSHIP, CULTURAL DIFFERENCES AND TEAM BUILDING.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount THE METHODOLOGY USED WAS TO TAKE TOTAL BAD DEBT CHARGES WRITTEN OFF MULTIPLIED BY THE HOSPITAL COST-TO-CHARGE RATIO.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote PAGE 16 OF THE AUDITED FINANCIAL STATEMENTS CONTAINS THE FOOTNOTE THAT ADDRESSES ALLOWANCE FOR DOUBTFUL ACCOUNTS.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE COSTS WERE CALCULATED USING THE COST TO CHARGE RATIO DERIVED FROM THE AUDITED FINANCIAL STATEMENTS. ANY SHORTFALL OF REVENUE OVER THE COST TO PROVIDE CARE WHICH IS CALCULATED USING THE HOSPITAL'S COST TO CHARGE RATIO SHOULD BE CONSIDERED CHARITY CARE. CONSISTENT WITH PCH'S MISSION TO DELIVER COMPASSIONATE, HIGH QUALITY, AFFORDABLE HEALTH CARE SERVICES AND TO ADVOCATE FOR THOSE WHO ARE POOR AND DISENFRANCHISED, PCH STRIVES TO ENSURE THAT THE FINANCIAL CAPACITY OF PEOPLE WHO NEED HEALTH CARE SERVICES DOES NOT PREVENT THEM FROM SEEKING OR RECEIVING CARE. PCH ACCEPTS PAYMENT FOR THE DIFFERENCE BETWEEN THE COST OF SERVICES A PERSON RECEIVES AND THE AMOUNT RECEIVED TO PROVIDE THESE SERVICES, THUS RELIEVING BURDENS ON THE GOVERNMENT.
Schedule H, Part V, Section B, Line 16a FAP website A - PHOENIX CHILDREN'S HOSPITAL: Line 16a URL: https://www.phoenixchildrens.org/;
Schedule H, Part V, Section B, Line 16b FAP Application website A - PHOENIX CHILDREN'S HOSPITAL: Line 16b URL: https://www.phoenixchildrens.org/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - PHOENIX CHILDREN'S HOSPITAL: Line 16c URL: https://www.phoenixchildrens.org/;
Schedule H, Part VI, Line 2 Needs assessment COMMUNITY NEEDS ARE DETERMINED VIA AN ASSESSMENT OF MULTIPLE STAKEHOLDERS, STATE AND FEDERAL GOVERNMENT REPORTS, AND PATIENT DATA. PRIORITIES AND PROGRAMS ARE DEVELOPED TO SERVE THESE DEMONSTRATED NEEDS, WITH A SPECIAL FOCUS ON POPULATIONS THAT ARE KNOWN TO HAVE DIFFICULTY ACCESSING CARE AND PROGRAMS THAT IMPROVE OVERALL PEDIATRIC HEALTH AND SAFETY.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance FINANCIAL COUNSELORS ARE AVAILABLE TO ASSIST PATIENTS WITH INSURANCE COMPANIES, STATE AGENCIES, ACCESS TO PCH DISCOUNTED CARE OR APPLYING FOR THE HOSPITAL'S CHARITY CARE POLICY. INFORMATION REGARDING THE CHARITY CARE POLICY IS AVAILABLE ON OUR WEB SITE. FINANCIAL COUNSELORS INTERVIEW PARENTS OF CHILDREN WHO ARE UNINSURED AND UNDERINSURED. AHCCCS APPLICATIONS ARE INITIATED BY PCH ON BEHALF OF THE PATIENTS AND IF THE PARENTS DO NOT QUALIFY, FINANCIAL COUNSELORS PROCEED WITH THE FINANCIAL ASSISTANCE PROCESS.
Schedule H, Part VI, Line 4 Community information THE GEOGRAPHIC AREA FOR THIS CHNA IS MARICOPA COUNTY, THE COMMON COMMUNITY FOR ALL PARTNERS PARTICIPATING IN THE SYNAPSE PARTNERSHIP. ALTHOUGH THE POPULATION SERVED BY PHOENIX CHILDREN'S IN ARIZONA EXTENDS BEYOND COUNTY LINES AND STATE BORDERS, A MAJORITY OF PATIENTS LIVE WITHIN MARICOPA COUNTY. THE REMAINING PERCENTAGE OF PHOENIX CHILDREN'S PATIENTS ARE FROM OTHER COMMUNITIES IN ARIZONA, THE SURROUNDING STATES OF THE SOUTHWEST AND A SMALLER, YET SIGNIFICANT NUMBER OF INTERNATIONAL PATIENTS. MARICOPA COUNTY IS THE FOURTH MOST POPULOUS COUNTY IN THE U.S. WITH AN ESTIMATED POPULATION OF FOUR MILLION AND GROWING, MARICOPA COUNTY IS HOME TO WELL OVER HALF OF ARIZONA'S RESIDENTS. MARICOPA COUNTY ENCOMPASSES 9,224 SQUARE MILES, INCLUDES 27 CITIES AND TOWNS AS WELL AS THE WHOLE OR PART OF FIVE SOVEREIGN NATIVE AMERICAN RESERVATIONS.
Schedule H, Part VI, Line 5 Promotion of community health THE HEALTH NEEDS PRIORITIZATION PROCESS BEGAN WITH AN INITIAL REVIEW AND ANALYSIS OF PRIMARY AND SECONDARY DATA SOURCES. PRIMARY SOURCES INCLUDED DATA FROM THE 2019 AND 2021 COMMUNITY SURVEY AND FOCUS GROUP SESSIONS AS WELL AS PHOENIX CHILDREN'S CHNA SURVEY. SECONDARY SOURCES INCLUDED DATA DERIVED FROM COUNTY INPATIENT HOSPITALIZATION, EMERGENCY DEPARTMENT AND DEATH RATES TO ASSEMBLE 19 TOTAL HEALTH INDICATORS. ADDITIONALLY, EXTERNAL DATA SOURCES SUCH AS THE NATIONAL SURVEY OF CHILDREN'S HEALTH, KIDS COUNT DATA CENTER AND POLICYMAP WERE UTILIZED TO ANALYZE AND HIGHLIGHT 11 SOCIAL INDICATORS. THE HEALTH AND SOCIAL INDICATORS WERE ESTABLISHED IN BY PHOENIX CHILDREN'S STEERING COMMITTEE AND CONFIRMED BY SURVEYING THEIR INTERNAL AND EXTERNAL STAKEHOLDERS. SELECTED INDICATORS OF INTEREST HAVE DEMONSTRATED KNOWN DISPARITIES WHEN BROKEN OUT BY RACE/ ETHNICITY, GENDER AND AGE. PHOENIX CHILDREN'S PARTNERED WITH SYNAPSE PARTNERS, HIPMC AND THE MCDPH TO ASSESS THE HEALTH NEEDS OF MARICOPA COUNTY RESIDENTS. INTERNAL COMMITTEES AND WORKGROUPS OF PHOENIX CHILDREN'S STAKEHOLDERS AND COMMUNITY STAKEHOLDERS CONTRIBUTED TO THE PRIORITIZATION PROCESS. 1. COMMUNITY HEALTH NEEDS IDENTIFIED THROUGH THIS PROCESS WERE FILTERED THROUGH PHOENIX CHILDREN'S CHNA STEERING COMMITTEE 2. COMMUNITY CONSTITUENTS (INTERNAL AND EXTERNAL) CONFIRMED THE PRIORITIZED HEALTH NEEDS AND PROVIDED VALUABLE FEEDBACK ON HOW PHOENIX CHILDREN'S CAN ADDRESS THESE HEALTH NEEDS THROUGH IMPLEMENTATION STRATEGIES. 3. PHOENIX CHILDREN'S CHNA STEERING COMMITTEE REVIEWED AND ANALYZED THE IMPLEMENTATION STRATEGIES IDENTIFIED IN THE COMMUNITY SURVEY. THIS GROUP FINALIZED IMPLEMENTATION STRATEGIES TO ADDRESS THESE HEALTH NEEDS. 4. PHOENIX CHILDREN'S CHNA STEERING COMMITTEE APPROVED THE HEALTH FOCUS AREAS AND IMPLEMENTATION STRATEGIES, COMPLETED THE DRAFT CHNA REPORT AND SUBMITTED THE REPORT TO THE PHOENIX CHILDREN'S BOARD OF DIRECTORS FOR APPROVAL. 5. PHOENIX CHILDREN'S BOARD OF DIRECTORS APPROVED THE CHNA ON OCTOBER 27, 2022, FOR THE 2023-2025 CYCLE. FOCUSING ON EQUITY BECOMES CRUCIAL TO IMPROVING HEALTH AND HEALTHCARE - EQUITY OF ACCESS, TREATMENT AND OUTCOMES. HEALTH EQUITY IS REALIZED WHEN EACH INDIVIDUAL HAS A FAIR OPPORTUNITY TO ACHIEVE THEIR FULL HEALTH POTENTIAL. HEALTH DATA SHOWS THAT RACIAL AND ETHNIC MINORITY GROUPS EXPERIENCE HIGHER RATES OF ILLNESS AND DEATH ACROSS A WIDE RANGE OF HEALTH CONDITIONS WHEN COMPARED TO THEIR WHITE COUNTERPARTS. ADDRESSING THE FAIRWAY BETWEEN RACIAL INEQUITIES AND POOR HEALTH OUTCOMES HELPS BRIDGE THE HEALTH EQUITY GAP. MCDPH AND PHOENIX CHILDREN'S UTILIZED A HEALTH EQUITY LENS TO INVESTIGATE DISPARITIES IN HEALTH AND WELL-BEING BASED ON RACE, GENDER, AGE, ECONOMIC STATUS AND OTHER SOCIAL FACTORS. THESE DIFFERENCES ARE DETAILED THROUGHOUT THE REPORT, TO PROVIDE A FRAMEWORK FOR NEXT STEPS IN ADDRESSING WAYS IN WHICH THE SOCIAL AND BUILT ENVIRONMENTS IMPACT HEALTH. THE FOLLOWING TOP HEALTH NEEDS WERE IDENTIFIED: ACCESS TO CARE, BEHAVIORAL HEALTH AND INJURY PREVENTION (UNINTENTIONAL/INTENTIONAL INJURIES). BASED ON THE IDENTIFIED TOP HEALTH NEEDS, APPROVAL WAS GRANTED FROM KEY STAKEHOLDERS TO MOVE FORWARD WITH THE FOCUS OF THREE SIGNIFICANT HEALTH NEEDS. DESCRIPTION OF PRIORITIZED COMMUNITY HEALTH NEEDS PHOENIX CHILDREN'S THREE PRIORITIZED COMMUNITY HEALTH FOCUS AREAS: ACCESS TO CARE, BEHAVIORAL HEALTH AND INJURY PREVENTION (UNINTENTIONAL/INTENTIONAL INJURIES), WHICH ARE DIRECTLY REFLECTIVE OF THE PRIMARY/SECONDARY DATA AND KEY STAKEHOLDER (CLINICAL, NON-CLINICAL AND COMMUNITY PARTNERS) FEEDBACK. ALL PRIORITIZED COMMUNITY HEALTH NEEDS SERVE AS A STARTING POINT TO GUIDE PHOENIX CHILDREN'S PROGRAMS, RESOURCES AND HEALTHCARE THAT IMPACTS THE COMMUNITY IN THESE HIGH-NEED AREAS. SUMMARY OF PRIORITIZED NEEDS SIMILAR TO THE 2019 CHNA, ACCESS TO CARE, BEHAVIORAL HEALTH AND INJURY PREVENTION REMAINED PRIORITY AREAS FOR PHOENIX CHILDREN'S. THE FOLLOWING STATEMENTS SUMMARIZE EACH OF THE PRIORITIZED NEEDS. ACCESS TO CARE * ACCESS TO CARE SIGNIFICANTLY IMPACTS CHILDREN'S OVERALL PHYSICAL AND MENTAL HEALTH, GROWTH AND THEIR CAPACITY TO REACH THEIR FULL POTENTIAL. OF THOSE UNDER THE AGE OF 19, 34.5% UTILIZED MEDICAID IN 2020. IN MARICOPA COUNTY, 9% OF CHILDREN UNDER THE AGE OF 19 ARE UNINSURED. CHILDREN WITHOUT ACCESS TO CARE MAY SUFFER LONG-TERM HARM, ENDING UP IN POORER HEALTH, WITH LESS EDUCATIONAL ATTAINMENT AND FINANCIAL SECURITY IN ADULTHOOD. IN THE 2021 COVID-19 FOCUS GROUPS, PARTICIPANTS EXPRESSED THAT THE LARGEST HEALTH CHALLENGES THEY EXPERIENCED WERE GETTING NEEDED HEALTHCARE.VI IN THE 2021 COVID-19 IMPACT SURVEY, MARICOPA COUNTY RESIDENTS AGED 12 TO 17 YEARS NOTED THAT SINCE MARCH OF 2020, THEIR TOP THREE BARRIERS TO SEEKING OR ACCESSING HEALTHCARE WAS FEAR OF EXPOSURE TO COVID-19 IN A HEALTHCARE SETTING, DIFFICULTY FINDING THE RIGHT PROVIDER FOR THEIR CARE, AND HAVING NOT ENOUGH HEALTH INSURANCE COVERAGE. BEHAVIORAL HEALTH * ACCORDING TO THE CENTERS FOR MEDICARE AND MEDICAID SERVICES, "BEHAVIORAL HEALTH INCLUDES THE EMOTIONS AND BEHAVIORS THAT AFFECT YOUR OVERALL WELL-BEING." OVER THE PAST FEW YEARS, CHILDREN AND YOUTH HAVE BEEN EXPERIENCING INCREASED MENTAL HEALTH CRISES - WHICH HAVE BEEN EXACERBATED BY THE PANDEMIC. PRIOR TO COVID-19, THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) FOUND THAT 1 IN 5 CHILDREN HAD A MENTAL DISORDER, BUT ONLY 20% OF THOSE CHILDREN RECEIVED CARE FROM A MENTAL HEALTH PROVIDER. FROM MARCH TO OCTOBER 2020, MENTAL HEALTH-RELATED EMERGENCY DEPARTMENT (ED) VISITS INCREASED BY 24% FOR CHILDREN AGED 5 TO 11 YEARS AND 31% FOR THOSE AGED 12 TO 17 YEARS COMPARED WITH 2019 ED VISITS. IN THE 2021 COVID-19 IMPACT SURVEY, PARTICIPANTS AGED 12 TO 17 YEARS IDENTIFIED MENTAL HEALTH CHALLENGES AS THE NUMBER ONE ISSUE IMPACTING COMMUNITY OVERALL HEALTH AND WELLNESS. THIS WAS ECHOED BY THE 2021 FOCUS GROUP PARTICIPANTS WHO REPORTED DECLINES IN MENTAL HEALTH COMPARED TO 2019 (BEFORE COVID-19) DUE TO ISOLATION, DEPRESSION AND ANXIETY. INJURY PREVENTION (UNINTENTIONAL/INTENTIONAL INJURIES) * PREVENTABLE INJURIES ARE THE NUMBER ONE LEADING CAUSE OF DEATH AMONG CHILDREN IN THE U.S. MANY UNINTENTIONAL INJURIES ARE PREVENTABLE AND CAUSED BY MOTOR VEHICLE CRASHES AND FALLS. THE LEADING CAUSES OF INTENTIONAL INJURIES ARE GUN VIOLENCE AND PHYSICAL ASSAULT. UNINTENTIONAL INJURIES ARE THE LEADING CAUSE OF DEATH AND DISABILITY AMONG ADOLESCENTS. ACCORDING TO HEALTHY PEOPLE 2020, "BEYOND THEIR IMMEDIATE HEALTH CONSEQUENCES, INJURIES AND VIOLENCE PLAY A SIGNIFICANT ROLE ON THE HEALTH AND WELL-BEING OF INDIVIDUALS BY CONTRIBUTING TO PREMATURE DEATH, YEARS OF POTENTIAL LIFE LOST, DISABILITY, POOR MENTAL HEALTH, HIGH MEDICAL COSTS AND LOST PRODUCTIVITY." DEVELOPING INITIATIVES TO PREVENT INJURIES ARE IMPORTANT TO KEEPING PEOPLE SAFE IN THEIR SCHOOLS, HOMES, WORKPLACES AND COMMUNITIES. IN MARICOPA COUNTY, UNINTENTIONAL INJURY WAS RANKED THIRD, HOMICIDE FOURTH AND SUICIDE FIFTH AS LEADING CAUSES OF DEATH AMONG YOUTH AGED 18 YEARS AND YOUNGER.
Schedule H, Part VI, Line 6 Affiliated health care system THE PURPOSE OF THIS CHNA IS TO IDENTIFY AND PRIORITIZE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY SERVED BY PHOENIX CHILDREN'S. THE PRIORITIES IDENTIFIED IN THIS REPORT HELP TO GUIDE THE ORGANIZATION'S COMMUNITY HEALTH IMPROVEMENT PROGRAMS AND COMMUNITY BENEFIT ACTIVITIES AS WELL AS ITS COLLABORATIVE EFFORTS WITH OTHER ORGANIZATIONS THAT SHARE A MISSION TO IMPROVE THE HEALTH OF CHILDREN. ORGANIZATIONAL COMMITMENT THE ACA REQUIREMENTS ARE MIRRORED IN THE PHAB STANDARD MANDATING THAT HEALTH DEPARTMENTS PARTICIPATE IN OR CONDUCT A COMMUNITY HEALTH ASSESSMENT EVERY THREE TO FIVE YEARS. OTHER PHAB STANDARDS REQUIRE HEALTH DEPARTMENTS TO CONDUCT A COMPREHENSIVE PLANNING PROCESS RESULTING IN A COMMUNITY HEALTH IMPROVEMENT PLAN AND IMPLEMENT STRATEGIES TO IMPROVE ACCESS TO HEALTHCARE. FEDERALLY FUNDED COMMUNITY HEALTH CENTERS MUST ENSURE THEIR TARGET COMMUNITIES ARE OF HIGH NEED AND ADDRESS THE SHORTAGE OF HEALTH SERVICES THAT ARE OCCURRING WITHIN THESE COMMUNITIES. THE SIMILAR REQUIREMENTS FROM IRS, PHAB AND THE FEDERALLY FUNDED HEALTH CENTER REQUIREMENTS PUT FORTH BY THE HHS PROVIDE AN OPPORTUNITY TO CATALYZE STRONGER COLLABORATION AND BETTER SHARED MEASUREMENT SYSTEMS AMONG HOSPITALS, HEALTH CENTERS AND HEALTH DEPARTMENTS. ADDITIONALLY, LIMITED RESOURCES FOR COMPREHENSIVE HEALTH ASSESSMENTS AND THE MOVE TOWARD NEW POPULATION HEALTH MODELS HAVE CREATED THE NEED FOR AN ORGANIZED, COLLABORATIVE PUBLIC-PRIVATE APPROACH FOR CONDUCTING ASSESSMENTS. MARICOPA COUNTY HOSPITALS, HEALTH CENTERS AND CLINICS PLAY SIGNIFICANT ROLES IN THE REGION'S OVERALL ECONOMY AND HEALTH. IN ADDITION TO PROVIDING SAFE AND HIGH-QUALITY MEDICAL CARE, THESE INSTITUTIONS WORK TO IMPROVE REGIONAL HEALTH THROUGH PROGRAMS THAT PROMOTE HEALTH IN RESPONSE TO IDENTIFIED COMMUNITY NEEDS. MOREOVER, HEALTHCARE PARTNERS ARE OFTEN SERVING THE SAME OR PORTIONS OF THE SAME COMMUNITIES ACROSS MARICOPA COUNTY. AS A RESULT, BANNER HEALTH, DIGNITY HEALTH, MAYO CLINIC, NATIVE HEALTH, NEIGHBORHOOD OUTREACH ACCESS TO HEALTH, PHOENIX CHILDREN'S, VALLEYWISE HEALTH AND VITALYST HEALTH FOUNDATION HAVE JOINED FORCES WITH MCDPH, SYNAPSE COALITION AND HIPMC TO IDENTIFY COMMUNITY STRENGTHS AND GREATEST NEEDS IN A COORDINATED COMMUNITY HEALTH NEEDS ASSESSMENT.
Schedule H (Form 990) 2022
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