4A (Expenses $ 894194118 including grants of $ 32500) (Revenue $ 1220755746)
"SEE SCHEDULE O AS ARIZONA'S ONLY LICENSED, FREESTANDING, NONPROFIT CHILDREN'S HOSPITAL, PHOENIX CHILDREN'S HOSPITAL (THE HOSPITAL) OPERATES WITH THE MISSION TO PROVIDE HOPE, HEALING, AND THE BEST HEALTHCARE FOR CHILDREN AND THEIR FAMILIES, AS WELL AS THE VISION THAT THE HOSPITAL WILL EARN NATIONAL RECOGNITION FOR PEDIATRIC CARE, INNOVATIVE RESEARCH, MEDICAL EDUCATION AND ADVOCACY. THE HOSPITAL HAS THE GOAL OF DEVELOPING A PEDIATRIC-FOCUSED, INTEGRATED DELIVERY SYSTEM FOR MARICOPA COUNTY AND ARIZONA. THE HOSPITAL PROVIDES CARE TO THE STATE'S PEDIATRIC PATIENTS IN MORE THAN 75 SUBSPECIALTIES AND INCLUDES 7 CENTERS OF EXCELLENCE OFFERING INTERDISCIPLINARY CARE: CENTER FOR CANCER AND BLOOD DISORDERS AND INFUSION CENTER, PHOENIX CHILDREN'S HEART CENTER, BARROW NEUROLOGICAL INSTITUTE AT PHOENIX CHILDREN'S HOSPITAL, CENTER FOR PEDIATRIC ORTHOPEDICS, LEVEL I PEDIATRIC TRAUMA CENTER, LEVEL IV NEWBORN INTENSIVE CARE UNIT, AND PHOENIX CHILDREN'S HOSPITAL SURGICAL PROGRAMS. THE HOSPITAL IS ONE OF THE COUNTRY'S LARGEST AND BUSIEST CHILDREN'S HOSPITALS, WITH 457 LICENSED BEDS AND A MEDICAL STAFF OF OVER 1,100 PRACTITIONERS. IN ADDITION TO THE HOSPITAL'S MAIN CAMPUS NEAR DOWNTOWN PHOENIX, ARIZONA, THE HOSPITAL PROVIDES CLINICAL SERVICES THROUGH ITS NETWORK OF INTEGRATED PHYSICIANS IN APPROXIMATELY 100 PRACTICE SITES THROUGHOUT MARICOPA COUNTY, THE PRIMARY SERVICE AREA OF THE HOSPITAL. THE HOSPITAL ALSO PROVIDES SPECIALTY PEDIATRIC SERVICES IN TUCSON, YUMA, FLAGSTAFF, MESA, SCOTTSDALE, GLENDALE, AND AVONDALE. AFFILIATES OF THE HOSPITAL INCLUDE THE PHOENIX CHILDREN'S HOSPITAL FOUNDATION (THE FOUNDATION); ARIZONA CHILDREN'S RISK SOLUTIONS (FORMERLY CAMBRIDGE ARIZONA INSURANCE COMPANY) (THE CAPTIVE); PHOENIX CHILDREN'S CARE NETWORK (PCCN); PHOENIX CHILDREN'S PROPERTY DEVELOPMENT, LLC (PCPD); AND PHOENIX CHILDREN'S CARDIOLOGY DIAGNOSTICS, LLC (PCCD), COLLECTIVELY REFERRED TO AS THE COMPANY. AS HOSPITAL VOLUMES HAVE GROWN, PCH HAS BEEN ABLE TO PROVIDE MORE SUBSPECIALIZED CARE THROUGH INVESTMENTS IN SPECIALIZED MEDICAL STAFF AND TECHNOLOGY. TODAY THE ORGANIZATION FOCUSES INVESTMENT ON THE SEVEN CENTERS OF EXCELLENCE (""COES"") TO IMPROVE ACCESS TO CARE FOR THE CHILDREN IN ARIZONA AND THE SOUTHWESTERN UNITED STATES. SINCE 2011, THE HOSPITAL HAS BEEN RECOGNIZED ANNUALLY AS ONE OF THE TOP 50 PEDIATRIC HOSPITALS IN THE UNITED STATES, ACCORDING TO THE U.S. NEWS & WORLD REPORT SURVEY OF CHILDREN'S HOSPITALS AND IS CURRENTLY RANKED IN ALL 10 SPECIALTIES THAT ARE EVALUATED FOR PEDIATRIC HOSPITALS. PCH BEGAN WITH FOUR COES BUT HAS EXPANDED TO SEVEN COES OFFERING INTERDISCIPLINARY CARE, EACH OF WHICH IS DESCRIBED BELOW. ADDITIONALLY, IN 2019, PCH WAS DESIGNATED BY THE AMERICAN COLLEGE OF SURGEONS AS A CHILDREN'S SURGERY VERIFICATION LEVEL 1 PROGRAM. THE PHOENIX CHILDREN'S HEART CENTER IS ONE OF ONLY ELEVEN PROGRAMS IN THE NATION TO RECEIVE A THREE-STAR RATING, THE HIGHEST LEVEL OF DISTINCTION, FROM THE SOCIETY OF THORACIC SURGEONS CONGENITAL HEART SURGERY DATABASE. SINCE THE PROGRAM'S INCEPTION, THE HEART TEAM HAS PERFORMED OVER 115 HEART TRANSPLANTS, INCLUDING THE YOUNGEST CHILD EVER TO RECEIVE A TOTAL ARTIFICIAL HEART TRANSPLANT. THE CVICU WAS RECENTLY EXPANDED FROM 24 TO 48 BEDS. IN DECEMBER OF 2020, THE HOSPITAL BECAME THE ONLY ARIZONA HOSPITAL AND ONE OF ONLY 38 IN THE NATION TO RECEIVE ACCREDITATION FROM THE ADULT CONGENITAL HEART ASSOCIATION. THE CENTER FOR CANCER AND BLOOD DISORDERS AND INFUSION CENTER AT PCH IS THE LARGEST PEDIATRIC PROVIDER OF HEMATOLOGY AND ONCOLOGY SERVICES IN ARIZONA WITH 15 PRIVATE INFUSION ROOMS, 6 QUICK INFUSION ROOMS AND 6 BLOOD DRAW SPACES. IT IS THE ONLY FOUNDATION FOR THE ACCREDITATION OF CELLULAR THERAPY (""FACT"") ACCREDITED PROGRAM IN THE STATE AND THE ONLY FREE-STANDING PEDIATRIC HOSPITAL IN THE STATE WITH A BLOOD AND BONE MARROW TRANSPLANT PROGRAM IN PARTNERSHIP WITH THE MAYO CLINIC. THE PROGRAM IS RANKED IN THE TOP FIVE PERCENT OF PROGRAMS FOR ONE-YEAR SURVIVAL FOR PATIENTS WITH FIRST ALLOGENEIC STEM CELL TRANSPLANTS. THE CENTER FOR CANCER AND BLOOD DISORDERS AND INFUSION CENTER IS ALSO THE ONLY LOCATION IN ARIZONA WHERE CHILDREN LIVING WITH CANCER CAN PARTICIPATE IN PHASE I CLINICAL TRIALS, GIVING THEM ACCESS TO THE LATEST BREAKTHROUGH THERAPIES. BARROW NEUROLOGICAL INSTITUTE AT PCH IS THE ONLY PROGRAM IN THE SOUTHWEST, AND ONE OF THE FEW IN THE COUNTRY, TO OFFER LASER ABLATION SURGERY FOR EPILEPSY AND BRAIN TUMORS. BARROW NEUROLOGICAL INSTITUTE ALSO MAINTAINS RESEARCH LABS, A LEVEL 4 EPILEPSY PROGRAM AND PROVIDES COVERAGE FOR THE ONLY NEURO-NICU IN ARIZONA, WHICH PROVIDES LIFE-SAVING TREATMENT TO NEWBORNS WHO HAVE SUFFERED BIRTH-RELATED BRAIN INJURY. THE PHOENIX CHILDREN'S CENTER FOR PEDIATRIC ORTHOPEDIC SURGERY IS A STATEWIDE REFERRAL CENTER FOR CHILD AND ADOLESCENT MUSCULOSKELETAL PROBLEMS. THESE INCLUDE SPINAL DEFORMITY AND SCOLIOSIS, LEG-LENGTH DISCREPANCY, INFECTIONS, MUSCULOSKELETAL ONCOLOGY AND THOSE RELATED TO MUSCULAR DYSTROPHY AND CEREBRAL PALSY. THE PEDIATRIC SPINE SURGERY PROGRAM IS THE PREMIER PROGRAM IN THE STATE, OFFERING STATE-OF-THE-ART ELECTRO-OPTICAL SYSTEM IMAGING. PHOENIX CHILDREN'S HOSPITAL LEVEL IV NEWBORN INTENSIVE CARE UNIT HAS 33 LICENSED NICU BEDS. THE NICU IS THE ONLY LEVEL IV NURSERY IN THE STATE AND PCH CARES FOR THE MOST COMPLEX NEWBORNS. MANY OF THE CHILDREN IN THE NICU DRAW ON THE STRENGTH OF OTHER PCH RELATED PROGRAMS. FOR EXAMPLE, THE MEDICAL AND SURGICAL CAPABILITIES OF THE HEART CENTER FOR CHILDREN BORN WITH SERIOUS CONGENITAL HEART ISSUES ARE OFTEN PART OF A PERSON'S CARE FROM THE TIME THEY ARE ADMITTED TO THE NICU UNTIL THE PATIENT HAS GROWN INTO ADULTHOOD. THE NEONATOLOGY PROGRAM CONTINUES TO GROW AS A RESULT OF THE STRATEGIC EXPANSION FOR MOTHER-BABY CARE. IN 2020, PCH BEGAN TO EMPLOY NEONATOLOGISTS, EXPANDING NEONATOLOGY COVERAGE AND MEDICAL MANAGEMENT FROM PCH TO DIGNITY HEALTH HOSPITALS, INCLUDING MGMC, CRMC, AND MOST RECENTLY ST. JOSEPH HOSPITAL AND MEDICAL CENTER. PCH MANAGES 110 NICU BEDS FOR DIGNITY HEALTH. WHEN THE NEW PCH - EV HOSPITAL OPENS, THE NICU PROGRAM AT MGMC WILL TRANSITION TO PCH - EV AND GROW BY 50 BEDS. WITHIN FOUR YEARS, PCH WILL HAVE GROWN ITS NEONATOLOGY PROGRAM TO SERVICE TO 193 NICU BEDS. THE PROGRAM CONTINUES TO BUILD SUPPORT THROUGH PCH'S NATIONALLY RANKED ARIZONA FETAL CARE NETWORK THAT PROVIDES MULTIDISCIPLINARY MEDICAL AND SURGICAL SERVICES AND CARE COORDINATION FOR MOTHERS AND THEIR UNBORN BABIES. THIS GIVES PCH A UNIQUE OPPORTUNITY TO BEGIN PROVIDING SUPPORT TO FAMILIES BEFORE THEIR TIME IN THE NICU. THE PHOENIX CHILDREN'S HOSPITAL LEVEL I PEDIATRIC TRAUMA CENTER (WHICH INCLUDES A STATE-OF-THE-ART NEW EMERGENCY DEPARTMENT) IS THE ONLY LEVEL I PEDIATRIC TRAUMA CENTER IN THE STATE, AND ONE OF ONLY 35 SUCH CENTERS IN THE UNITED STATES. THE APPROXIMATELY 42,000 SQUARE-FOOT CENTER HAS 75 EXAM ROOMS AND ACCOMMODATES BETWEEN 100,000 AND 125,000 VISITS ANNUALLY. IT IS ALSO HOME TO THE ONLY PHILIPS IQON SPECTRAL CT SCANNER APPROVED FOR PEDIATRIC CLINICAL USE IN THE COUNTRY. PHOENIX CHILDREN'S HOSPITAL SURGICAL PROGRAM IS ONE OF 33 DESIGNATED LEVEL 1 CHILDREN'S SURGERY VERIFICATION PROGRAMS IN THE UNITED STATES. THE AMERICAN COLLEGE OF SURGEONS, IN COLLABORATION WITH THE TASK FORCE FOR CHILDREN'S SURGICAL CARE, DEVELOPED STANDARDS TO IMPROVE SURGICAL CARE FOR PEDIATRIC SURGICAL PATIENTS. THESE STANDARDS HAVE LED THE DEVELOPMENT OF THE CHILDREN'S SURGERY VERIFICATION PROGRAM AND ARE THE NATION'S FIRST AND ONLY MULTISPECIALTY STANDARDS FOR CHILDREN'S SURGICAL CARE. THE HOSPITAL IS NATIONALLY RECOGNIZED FOR THE HIGH QUALITY OF ITS MEDICAL SERVICES IN MANY OTHER SPECIALIZED PRACTICES AS WELL. FOR EXAMPLE, THE CYSTIC FIBROSIS CENTER AT THE HOSPITAL WAS THE FIRST PROGRAM IN THE STATE TO BE CERTIFIED BY THE NATIONAL CYSTIC FIBROSIS FOUNDATION. IN ADDITION TO THE TRANSPLANTATION PROGRAMS DESCRIBED ABOVE, THE HOSPITAL ALSO HAS HIGHLY RATED PROGRAMS IN LIVER AND KIDNEY TRANSPLANTATION. PCH'S PECTUS PROGRAM FOR CHEST WALL RECONSTRUCTION IS THE LARGEST IN THE NATION AND ONE OF THE LARGEST IN THE WORLD. DOCTORS AND NURSES ARE VITAL COMPONENTS OF THE PERSONALIZED CARE TEAM PHOENIX CHILDREN'S PROVIDES EACH OF ITS CHILDREN. EQUALLY IMPORTANT TO THE HOSPITAL'S PHILOSOPHY OF CARE IS THE FAMILY: MOTHERS, FATHERS, SIBLINGS, GRANDPARENTS AND OTHER MEMBERS OF A FAMILY'S SUPPORT SYSTEM. IT'S THOSE FAMILY MEMBERS WHO ARE THE PRIMARY CAREGIVERS AND PROVIDE THE STRENGTH AND SUPPORT REQUIRED TO HELP OUR YOUNG PATIENTS RECOVER FROM ILLNESS AND INJURY. THEY PARTNER WITH THE HOSPITAL'S TEAM TO HELP DEVELOP A PLAN OF TREATMENT THAT BEST FITS THEIR PERSONAL SITUATIONS."

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 ON PAGE 21 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 PROCESS OF CONDUCTING THIS ASSESSMENT BEGAN WITH A REVIEW OF APPROXIMATELY 100 INDICATORS TO MEASURE HEALTH OUTCOMES AND ASSOCIATED HEALTH FACTORS OF MARICOPA COUNTY RESIDENTS. THE INDICATORS INCLUDED DEMOGRAPHIC DATA, SOCIAL AND ECONOMIC FACTORS, HEALTH BEHAVIORS, PHYSICAL ENVIRONMENT, HEALTH CARE AND HEALTH OUTCOMES. HEALTH NEEDS WERE IDENTIFIED THROUGH THE COMBINED ANALYSIS OF SECONDARY DATA AND COMMUNITY INPUT. BASED ON THE REVIEW OF THE SECONDARY DATA, A CONSULTANT TEAM DEVELOPED A PRIMARY DATA COLLECTION GUIDE USED IN FOCUS GROUPS WITH REPRESENTATIVES OF MINORITY AND UNDERSERVED POPULATIONS WHO IDENTIFIED COMMUNITY CONCERNS AND ASSETS. SURVEYS WERE COLLECTED FROM KEY INFORMANTS TO HELP DETERMINE COMMUNITY NEEDS AND PRIORITIES. ADDITIONALLY, MEETINGS WERE HELD WITH STAKEHOLDERS. TO BE CONSIDERED A HEALTH NEED, A HEALTH OUTCOME OR FACTOR MUST MEET TWO CRITERIA. FIRST, EXISTING DATA MUST DEMONSTRATE A WORSENING TREND IN RECENT YEARS OR INDICATE AN APPARENT HEALTH DISPARITY. SECOND, THE HEALTH OUTCOME OR FACTOR HAD TO BE MENTIONED IN A SUBSTANTIAL WAY IN FOCUS GROUPS AND KEY STAKEHOLDER MEETINGS. PHOENIX CHILDREN'S PARTNERED WITH SYNAPSE PARTNERS, THE HEALTH IMPROVEMENT PARTNERSHIP OF MARICOPA COUNTY (HIPMC) AND THE MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH (MCDPH) TO ASSESS THE HEALTH NEEDS OF MARICOPA COUNTY RESIDENTS. INTERNAL COMMITTEES AND WORKGROUPS OF INTERNAL 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 COMMUNITY CONSTITUENTS (INTERNAL AND EXTERNAL) THROUGH A SURVEY TO ARRIVE AT A PRIORITIZED RANKING OF HEALTH NEEDS. 2. PHOENIX CHILDREN'S CHNA CLINICAL WORKGROUP REVIEWED AND ANALYZED THE TOP HEALTH NEEDS IDENTIFIED IN THE COMMUNITY SURVEY. THIS GROUP ALSO CONSTRUCTED IMPLEMENTATION STRATEGIES TO ADDRESS THESE HEALTH NEEDS. 3. PHOENIX CHILDREN'S CHNA EXECUTIVE STEERING COMMITTEE APPROVED THE FOCUS AREAS AND IMPLEMENTATION STRATEGIES, COMPILED THE DRAFT CHNA REPORT AND SUBMITTED THE REPORT TO THE PHOENIX CHILDREN'S BOARD OF DIRECTORS FOR APPROVAL. 4. PHOENIX CHILDREN'S BOARD OF DIRECTORS APPROVED THE CHNA."

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, 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: WWW.PHOENIXCHILDRENS.ORG;

Schedule H, Part V, Section B, Line 16b FAP Application website
A - PHOENIX CHILDREN'S HOSPITAL: Line 16b URL: WWW.PHOENIXCHILDRENS.ORG;

Schedule H, Part V, Section B, Line 16c FAP plain language summary website
A - PHOENIX CHILDREN'S HOSPITAL: Line 16c URL: 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 CCHNA COLLABORATIVE. MARICOPA COUNTY IS THE FOURTH MOST POPULOUS COUNTY IN THE UNITED STATES. WITH AN ESTIMATED POPULATION OF OVER 4 MILLION AND GROWING, MARICOPA COUNTY IS HOME TO WELL OVER HALF OF ARIZONA'S RESIDENTS. MARICOPA COUNTY ENCOMPASSES THE GREATER PHOENIX AREA, WITH 9,224 SQUARE MILES, 27 CITIES AND TOWNS, AS WELL AS THE WHOLE OR PART OF FIVE SOVEREIGN AMERICAN INDIAN RESERVATIONS. MARICOPA COUNTY IS ETHNICALLY AND CULTURALLY DIVERSE, HOME TO MORE THAN 1.4 MILLION HISPANICS (31% OF ALL RESIDENTS), 277,000 AFRICAN AMERICANS, 202,000 ASIAN AMERICANS, AND 123,000 AMERICAN INDIANS. ACCORDING TO THE U.S. CENSUS BUREAU, 14% PERCENT OF THE POPULATION DOES NOT HAVE A HIGH SCHOOL DIPLOMA, 17% ARE LIVING BELOW THE FEDERAL POVERTY LEVEL, AND OVER 530,000 ARE UNINSURED.

Schedule H, Part VI, Line 5 Promotion of community health
THE FOLLOWING STATEMENTS SUMMARIZE EACH OF THE AREAS OF PRIORITY FOR PHOENIX CHILDREN'S AND ARE BASED ON DATA AND INFORMATION GATHERED THROUGH THE CHNA. 1. ACCESS TO CARE: FOCUS GROUP PARTICIPANTS OVERWHELMINGLY BELIEVE THAT ACCESS TO CARE IS AN IMPORTANT ISSUE FOR YOUTH AND ADULTS IN THE COMMUNITY. WITHIN MARICOPA COUNTY, ONE OUT OF EVERY SIX RESIDENTS LACK HEALTH INSURANCE AND 12% OF CHILDREN UNDER THE AGE OF 18 ARE NOT INSURED. NEARLY 30% UTILIZE PUBLICLY FUNDED HEALTH INSURANCE PROGRAMS. THE NUMBER OF ADULTS REPORTING THEY HAVE A USUAL SOURCE OF HEALTH CARE IS DECREASING, WITH ONE OUT OF EVERY THREE REPORTING THEY DO NOT HAVE A REGULAR DOCTOR THEY SEE FOR CARE. HAVING A PRIMARY CARE PROVIDER (PCP) AS THE USUAL SOURCE OF CARE IS ESPECIALLY IMPORTANT. PCP'S CAN DEVELOP MEANINGFUL AND SUSTAINED RELATIONSHIPS WITH PATIENTS AND PROVIDE INTEGRATED SERVICES WHILE PRACTICING IN THE CONTEXT OF FAMILY AND COMMUNITY. 2. MENTAL HEALTH: IN MARICOPA COUNTY, MENTAL HEALTH WAS RANKED AS THE MOST IMPORTANT HEALTH PROBLEM IMPACTING THE COMMUNITY BY KEY INFORMANTS (HEALTH OR COMMUNITY EXPERTS FAMILIAR WITH TARGET POPULATIONS AND GEOGRAPHIC AREAS WITHIN PHOENIX CHILDREN'S PRIMARY SERVICE AREAS). THIS WAS ECHOED BY PARTICIPANTS IN FOCUS GROUPS WHO BELIEVED MENTAL HEALTH WAS ONE OF TOP HEALTH ISSUES IMPACTING COMMUNITY RESIDENTS. RATES FOR OVERALL MENTAL HEALTH EMERGENCY DEPARTMENT VISITS, NON-DRUG INDUCED MENTAL DISORDERS (INCLUDING SCHIZOPHRENIC DISORDER, DELUSIONAL DISORDER, MANIC OR BIPOLAR DISORDER, MAJOR DEPRESSIVE DISORDER, PERSISTENT MOOD DISORDER, ANXIETY DISORDER, PTSD, DISSOCIATIVE AND CONVERSION DISORDER, DEMENTIAS, DELUSIONAL DISORDERS, PERSONALITY DISORDERS, ADJUSTMENT DISORDERS), INPATIENT HOSPITALIZATIONS AND SUICIDE HAVE INCREASED FROM 2016 TO 2017.

Schedule H, Part VI, Line 6 Affiliated health care system
IN 2011, PCH ENTERED A STRATEGIC ALLIANCE WITH DIGNITY HEALTHCARE. BY COMBINING OUR PEDIATRIC PROGRAMS, WE ELEVATE THE OVERALL PEDIATRIC CARE OFFERED IN THE STATE OF ARIZONA AND ACHIEVE A LEVEL THAT WILL BE ON PAR WITH LEADING CHILDREN'S HOSPITALS MORE QUICKLY AND EFFICIENTLY THAN DOING SO ALONE. THIS STRATEGIC ALLIANCE WITH DIGNITY WILL HELP US TO: - IMPROVE ACCESS TO HIGHER QUALITY PEDIATRIC HEALTHCARE SERVICES IN A COST EFFECTIVE MANNER, WHICH IS ESSENTIAL IN THIS ECONOMIC ENVIRONMENT - ENHANCE RECRUITMENT AND DEVELOPMENT OF RESOURCES FOR NEW AND EXISTING HOSPITAL SERVICES AND PROGRAMS - MAINTAIN AND ENHANCE MEDICAL SERVICES FOR THE UNDERSERVED - DEVELOP COMPREHENSIVE PROGRAMS AND REGIONAL CENTERS OF EXCELLENCE - MEET THE NEEDS OF THE TREMENDOUS GROWTH IN DEMAND FOR PEDIATRIC HEALTHCARE SERVICES IN ARIZONA - SUPPORT OUR VISION TO BE THE PRIMARY AND TRUSTED RESOURCE FOR THE DEVELOPMENT OF PUBLIC POLICY RELATED TO CHILDREN'S HEALTHCARE IN ARIZONA - ACCELERATE THE DEVELOPMENT OF RESEARCH PROGRAMS.