TABLE OF CONTENTS MESSAGE FROM THE CEO AND BOARD CHAIR
03
AACHC BOARD OF DIRECTORS
04
CONNECT
05
AACHC FULL MEMBERS
06
AACHC ASSOCIATE MEMBERS
07
AACHC SPONSORS
07
COVID-19
08
HEALTHCARE HEROES
10
STATEWIDE IMPACT
11
QUALITY OF CARE METRICS
12
FINANCIAL SUSTAINABILITY
13
MISSION, VISION, & GRANT SUPPORT
14
TRAINING AND TECHNICAL ASSISTANCE
15
HEALTH CENTER CONTROLLED NETWORK
16
OUTREACH AND ENROLLMENT SERVICES
17
WORKFORCE
18
POLICY AND LEGISLATIVE AGENDA
19
QUALITY AND CLINICAL PROGRAMS
20
RURAL HEALTH
21
HEALTH CENTER MAP
22
Disclaimer: This publication is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $1,762,597, with 0% financed with non-governmental sources. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government. For more information, please visit HRSA.gov.
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MESSAGE FROM THE AACHC CEO AND BOARD CHAIR Hello and thank you for your interest in Arizona’s Health Center program and our Annual Report. No one will dispute 2020 was a year of unprecedented changes and challenges for our country as we continue to battle COVID-19. We have certainly never heard, “you’re on mute,” more than in the past year! While challenges came in all sizes and from unexpected places, the Arizona Alliance for Community Health Centers and its members addressed them all. Never before in the history of the Health Center program have we faced a pandemic like COVID-19. But just like the many natural disasters encountered over past decades, Arizona’s Health Centers stood tall and rose to the challenge. From the start, we mobilized our Health Centers to assure our communities received the needed care including providing critical COVID-19 testing sites around the state. Alliance staff spearheaded work with our state partners to bring millions of dollars in funding to support these testing sites. At the same time, staff worked with Direct Relief, Protect Arizona, Arizona Coalition for Healthcare Emergency Response (AzCHER) and many other organizations to deliver vital Personal Protection Equipment (PPE) across the state to assure our providers and staff could do their jobs as safely as possible. We cannot thank these and many more of our partners enough for their efforts. None of this work could have been accomplished without Arizona Health Centers’ own Health Care Heroes. From providing frontline workers for testing sites to completely changing how patient care is delivered, our Health Care Heroes delivered! The dedication of these selfless individuals is a testament to the Health Center program and truly makes Arizona a better place to live. The Health Center program mission to increase access to care remains strong and growing. The most recent Uniform Data Set (UDS) indicated significant increases in patients to nearly 750,000 patients served, or 1 in 10 Arizonans. Our Health Centers continue to expand into new communities as well as add needed services including dental, behavioral health and substance use disorder. Most importantly, Health Centers migrated to new and innovative services such as telehealth to assure our patients continue to have access to their healthcare provider during the pandemic. 2020 was also a year of change in leadership for the Alliance. After over a decade as Chief Executive Officer, John McDonald retired. On behalf of Alliance staff and all our Health Centers, we wish John a wonderful retirement. His work will not be forgotten. He left the Alliance and Arizona’s Health Center program in a better place from when he started. As you look through our 2020 Annual Report, we hope you are encouraged by the work the Alliance is doing to improve the lives of all people living in Arizona. We look forward to partnering with you to continue these efforts in 2021.
Shawn Frick President and Chief Executive Officer, Arizona Alliance for Community Health Centers and Collaborative Ventures Network
Christopher Hansen Chief Executive Officer, Canyonlands Healthcare, 2020 AACHC Board President 03
AACHC BOARD OF DIRECTORS OFFICERS CHAIR
Christopher Hansen, MHA, Chief Executive Officer, Canyonlands Healthcare
VICE CHAIR
John Swagert, MD, Chief Executive Officer, Mountain Park Health Center
TREASURER
Anne Newland, MD, MPH, Chief Executive Officer, North Country HealthCare
SECRETARY
Peggy Chase, Chief Executive Officer, Terros Health
MEMBERS AT LARGE
David Rogers, MBA, Chief Executive Officer, Sunset Health Ed Sicurello, Chief Executive Officer, Mariposa Community Health Center
CVN CHAIR
Clinton Kuntz, DBH, Chief Executive Officer, MHC Healthcare
BOARD MEMBERS Barbara Harding, BAN, RN, MPA, PAHM, CCM Senior Vice President of Ambulatory Services Valleywise Health
Lynette Bonar, RN, MBA, BSN Chief Executive Officer Tuba City Regional Health Care Corporation
Blaine Bandi, MLS, MHSA Chief Executive Officer Wesley Community & Health Center
Nancy Johnson, RN, PhD Chief Executive Officer El Rio Health
Carmen Heredia, LMSW, CPHQ Chief Executive Officer Valle del Sol
Pedro Cons Chief Executive Officer Adelante Healthcare
Jeff Axtell, M Ed Chief Executive Officer Native Americans for Community Action
Rodolfo Jimenez, DO, MBA Chief Executive Officer United Community Health Center
Jonathan Leonard Chief Executive Officer Desert Senita Community Health Center
Sharon Rickman, MPA Executive Director Community Health Center of Yavapai
Jonathan Melk, MD Chief Executive Officer/ Chief Medical Officer Chiricahua Community Health Center
Travis Robinette Chief Executive Officer, Sun Life Family Health Center
Laura Larson-Huffaker, MC, LPC Chief Executive Officer Horizon Health and Wellness Linda Ross, MBA, MPM Chief Executive Officer Circle the City
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Walter Murillo Chief Executive Officer Native Health Wendy Armendariz, MBA Chief Executive Officer Neighborhood Outreach Access to Health (NOAH)
HOW TO CONNECT WITH US
AT WWW.AACHC.ORG, YOU CAN FIND AND VIEW:
Staff Directory
A Health Center Near You
Job Openings at Health Centers
Programs & Services
Upcoming Training Events
SIGN UP FOR OUR NEWSLETTER: BIT.LY/AACHCNEWSLETTER
FIND US ON SOCIAL MEDIA:
CONTACT US: 700 E. JEFFERSON ST, SUITE 100 PHOENIX, AZ 85034 602.253.0090 INFO@AACHC.ORG 05
AACHC FULL MEMBERS
Tuba City Regional Health Care Corporation
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AACHC ASSOCIATE MEMBERS
AACHC PREMIER SPONSORS
AACHC ANNUAL SPONSORS
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PCA AND HEALTH CENTER ROLE IN COVID-19
$41,028,136 Federal Funding to Health Centers
Purchase Personal Protective Equipment Provide COVID Testing Perform Community Outreach and Education Maintain Access to Primary Care Services Provide Vaccination Services
$8,500,000 State Funding to Health Centers
Operate COVID testing sites in both rural and urban communities Purchase Vaccine Cold Storage
Senator Kyrsten Sinema's office made possible a $35,000 in-kind donation of Personal Protective Equipment (PPE) from General Dynamics
Sorted and packed by Alliance staff
Flew donated PPE to all health centers outside of Maricopa and Pima counties
ADDITIONAL SUPPORT:
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30,000 SURGICAL MASKS
OVER $100,000 IN PPE
10 POWERED AIR PURIFYING RESPIRATORS (PAPR)
$250,000 COVID GRANTS
22,000 ADULT AND CHILDREN'S MASKS FOR HEALTH CENTER PATIENTS
PCA AND HEALTH CENTER ROLE IN COVID-19 2020 ARIZONA FINDINGS ON HEALTH CENTERS' RESPONSE TO COVID-19 As of January 1, 2021
88% 11.2%
100%
Item 1 100%
Health Centers in Arizona respond to weekly surveys to share with HRSA how they are responding to the COVID-19 pandemic. All 23 Health Centers have contributed data during 2020, though responses are not always weekly.
Item 1 88.8%
Arizona's Health Centers continue to adapt to meet the needs of their communities
have the ability to test for COVID-19
have drive-up/walk up testing capacity, virus detection
In 2020, at AZ Health Centers:
126,689 patients were tested 21,627 patients tested positive
In the first month of the pandemic (04.03.2020)
Health Center Weekly Visits Compared to Pre-COVID 19 Weekly Visits 70%
22% of health center staff are unable to report to work due to COVID-19
18 health center sites temporarily closed due to COVID19
55% of visits occurred virtually
At the end of 2020 (12.31.2020)
Health Center Weekly Visits Compared to Pre-COVID 19 Weekly Visits 86%
5% of health center staff are unable to report to work due to COVID-19
7 health center sites remain temporarily closed due to COVID19
35% of visits occurred virtually
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2020 HEALTHCARE HEROES 2020 INNOVATION AWARD
Brandon Abbott, DO, MPH, FAAP, North Country HealthCare
2020 LEGISLATOR OF THE YEAR
Representative Regina E. Cobb, DDS
2020 PRECEPTOR OF THE YEAR
Brian Goodman, DO, North Country HealthCare
2020 LEGISLATOR OF THE YEAR
Senator Kate Brophy McGee
2020 LIFETIME ACHIEVEMENT AWARD
Kurt R. Sheppard, Valle del Sol
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STATEWIDE IMPACT
IMPACT OF ARIZONA'S HEALTH CENTERS IN 2019, 23 HEALTH CENTERS SERVED:
Primary Healthcare for All
743,108 TOTAL PATIENTS AT OVER 175 SITES
1 IN 10 ARIZONANS ALMOST 1 IN 4 MEDICAID (AHCCCS) ENROLLEES
163,823
Patients Best Served in Languages Other than English
176,188
Individuals in or adjacent to Public Housing
34,005
Individuals Experiencing Homelessness
18,280
15,784
10,975
Gender and Sexual Minorities
Veterans
Agricultural Workers or Dependents
87% OF PATIENTS ARE LOWINCOME 39%
46%
IN 2019, AZ HEALTH CENTERS EMPLOYED: 6716 FULL TIME EQUIVALENTS, INCLUSIVE OF 1259 MEDICAL PROFESSIONALS* 25%
17%
12%
9%
8%
5%
*Nurse practitioners, Pharmacists, Dentists, Behavioral Health Specialists, Physician Assistants, Dental Hygienists, Certified Midwives, Psychologists/Psychiatrists, MDs, DOs
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QUALITY/UDS
QUALITY METRICS Arizona's Health Centers provide quality healthcare services for people in local communities throughout Arizona, regardless of insurance status. They strive to promote healthy communities in a variety of urban and rural locations around the state.
35%
40%
26%
IN 2020, 23 HEALTH CENTERS RECEIVED QUALITY IMPROVEMENT AWARDS TOTALING $1,891,190* 2019 ARIZONA HEALTH CENTER DATA (UDS) - HIGHLIGHTS
66% of patients with sealants to first molars (age 6-9)
81% of patients screened for depression and had a follow-up plan if needed (age 12+)
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81%
79%
73%
of patients with HIV were seen within 90 days of first diagnosis
of patients with asthma had an appropriate plan (age 5-64)
of pregnant women had a first visit within their first trimester
88%
78%
of patients assessed for tobacco use and provided intervention (age 18+)
of children assessed and provided info on nutrition and physical activity (age 3-17)
71% of adults with BMI screening and followup plan (age 18+)
FINANCIAL SUSTAINABILITY FUNDING SOURCES Member Dues 4% PCA Base Grant 24.8%
Events 5%
Azara Participation 9.9%
Other Federal Grants 7.9%
HCCN Pass-through Grant 9.9%
Administrative Contracts 23.8% Navigator Grant 6.9%
PARTNERING FOR HEALTH CENTER SUSTAINABILITY AACHC also serves as a Group Purchasing Organization (GPO) to leverage economies of scale to increase cost savings and increased sustainability for our health centers and members. In 2020, we welcomed Compliatric to our GPO program:
LEARN ABOUT ALL OUR GPO PARTNERS AT: WWW.AACHC.ORG/SERVICES/GPOS 13
MISSION, VISION, AND GRANT SUPPORT Strategic Plan & Measures of Success Mission - Values - Advocacy
HRSA Primary Care Association Cooperative Agreement (PCA Base Grant)
HRSA Health Center Controlled Network COVID Supplemental Funding
Navigator Cooperative Agreement Connecting Kids to Coverage
State Area Health Education Center (AHEC) for Central Arizona UofA Health Opportunities Pathways to Excellence (AZ HOPE) ADHS Workforce
Primary Care Association
Health Center Controlled Network
Outreach & Enrollment
Workforce
Health Center Program Requirements ADDITIONAL GRANT PROGRAMS TO ADVANCE THE GOALS OF THE FOUR PILLARS SUBSTANCE USE DISORDER
ORAL HEALTH
HRSA Rural Communities Opioid Response ProgramImplementation HRSA Rural Communities Opioid Response ProgramPlanning Canyonlands/HRSA AZRWHN Rural Opioid Health Program Maricopa County Dept of Public Health/CDC Overdose to Data Action
Denver Health/HRSA Oral Health Integration within the Maternal and Child Health Safety Net DentaQuest Partnership: Transforming the Oral Health Safety Net DentaQuest Partnership: Community Oral Health Transformation Oral Health Progress and Equity Network (OPEN)
QUALITY IMPROVEMENT
SOCIAL DETERMINANTS OF HEALTH
ADHS/CDC Diabetes, Heart Disease, and Stroke Prevention
DOJ Rural Community Health Center Domestic Violence and Sexual Assault Program
ADHS/CMS Cancer Prevention and Control Program
ACESDV Sexual Violence Training for Community Health Workers
Dignity Health Cancer Care Coordination
ADHS COVID Testing Sites ADHS COVID Vaccine Cold Storage
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TRAINING AND TECHNICAL ASSISTANCE AACHC offers many opportunities for training and technical assistance to support our four core pillars - PCA Base Grant, HCCN, Outreach & Enrollment, and Workforce, as well as all supporting programs. After February of 2020, we pivoted to virtual learning for all events due to the pandemic in order to continue to provide valuable education opportunities.
HIGHLIGHTS 40 TRAINING OPPORTUNITIES WITH OVER 1,750 ATTENDEES
9 RECRUITMENT AND RETENTION TRAININGS 6 SUD/OUD TREATMENT AND PREVENTION WEBINARS
6 WEBINARS FOR MEDICAL & DENTAL ASSISTANTS AND CHWS
ANNUAL CONFERENCE WITH OVER 150 ATTENDEES
4 PART WEBINAR SERIES AROUND BILLING AND CODING
OTHER TOPICS: Implementing Virtual Well-Child Checks Vaccines Health Information Technology Suicide Prevention Outreach and Enrollment Strategies
Board Governance Prep Train-the-Trainer Changing Operations & Patient Care Resilience in the Time of COVID-19 Medicare Cost Reporting Coordinating Services for Migrant and Seasonal Agricultural Workers
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HEALTH CENTER CONTROLLED NETWORK
The Network, made up of 28 Health Centers in Arizona and Nevada, is focused on leveraging the use of Health Information Technology tools, Data Analysis, and Integration to:
COVID Supplemental Funding: Created Business Intelligence Self-Service Dashboards (tri-state, AZ, NV, UT) to track data analytics around COVID-19, based on identified needs around data-based emergency response, tracking of clinical measures, and decision-making processes.
HCCN also developed Clinical Guidelines for research-based customized workflows to meet the needs of Health Centers while providing patient care during COVID-19.
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OUTREACH AND ENROLLMENT SERVICES
Outreach and Enrollment (O&E) provides support and technical assistance to all AACHC members and receives funding from CMS Navigator and Connecting Kids to Coverage programs. The O&E department focuses on healthcare coverage and access, increasing health literacy and equity in local communities. Activities below reflect both grant programs which consist of 11 sub-recipients (8 are Health Centers). In addition to providing direct services to consumers, the O&E department provided trainings, marketing/messaging materials (generating over 1.8 million media/outreach impressions), and resources/tools to sub-recipients and other community partners.
ENROLLMENT SERVICES 602
Marketplace
26,716
AHCCCS
434
Partial enrollment
5,398
SNAP
4,205
WIC 0
10,000
20,000
30,000
OTHER ACTIVITIES 800# Calls
4,809
General inquiries
9,883 19,974
Specific inquiries Health Ins Literacy
1,234
Referrals
2,304 0
5,000
10,000
15,000
LANGUAGES OTHER THAN ENGLISH Spanish
20,000
11,704
1,805
Vietnamese Cantonese
132
Mandarin
49
Other
86 0
2,500
5,000
7,500
10,000
12,500
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WORKFORCE HRSA HEALTH PROFESSIONS EDUCATION & TRAINING INITIATIVE Goal: By 2023 Health Centers will have workforce plans in alignment with the Health Professions Education & Training (HP-ET) initiative that expose health and allied health professions students, trainees, and residents to education and training programs, inclusive of programs in place to facilitate post graduate training and/or GME accreditation.
239
RESPONDENTS FROM 18 HEALTH CENTERS HAVE PARTICIPATED IN READINESS TO TRAIN ASSESSMENT TOOL (RTAT) AS A STARTING PLACE FOR WORKFORCE PLAN DEVELOPMENT
72
NATIONAL HEALTH SERVICE CORPS SCHOLARS AND PRIMARY CARE STUDENTS ASSISTED IN RECRUITMENT AND PLACEMENT DECISIONS
1,188
PRIMARY CARE PROVIDERS EXPRESSED INTEREST IN ARIZONA'S PRACTICE SITES, THROUGH THE RECRUITMENT AND RETENTION NETWORK, 3RNET (SPONSORED BY ADHS, OFFICE OF RURAL HEALTH, AND AACHC)
19 POST-GRADUATES ASSISTED IN SECURING CLINICAL ROTATIONS 81 ONLINE HEALTH CENTER CLINICAL ROTATION APPLICATIONS
CENTRAL ARIZONA AREA HEALTH EDUCATION CENTER (CAAHEC) CAAHEC improves access to quality healthcare by improving the supply, diversity, and distribution of healthcare professionals. This program is one of five regional AHECs and serves the counties of Maricopa, Pinal, and Yavapai.
PATHWAYS PROGRAM Co-hosted Future Health Leaders Summer Camp, reaching 300 high school students, with 150 students completing the weeklong curriculum Partnered on 23 events with local universities reaching 872 students Partnered with Health Occupation Students of America Clubs, enrolling 169 students
COMMUNITY BASED EXPERIENTIAL TRAINING (CBET) Provided direct support to 81 students in Rural Health Professions Program, AHEC Scholars Program, and COVID-19 AHEC SCHOLARS program Facilitated placements for 52 graduate and undergraduate students Added six Health Centers in MyClinical Exchange (MCE) platform
PROVIDED 27 CONTINUING EDUCATION ACTIVITIES REACHING 1,274 HEALTH CARE PROFESSIONALS ACROSS THE STATE PROVIDED CONTINUING EDUCATION CREDITS TO 288 INDIVIDUALS, VALUED AT $8900
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POLICY AND LEGISLATIVE AGENDA 2020 LEGISLATIVE AGENDA Retaining KidsCare Medicaid oral health coverage for pregnant women Telehealth parity for commercial health plan reimbursement Engage in opioid epidemic laws and regulations Monitor the Affordable Care Act, Medicaid and 1332 waivers on alternative health plans Work with The Arizona Partnership for Immunizations (TAPI) and the Arizona Department of Health Services on vaccine issues regarding the vaccine exemption request for public school enrollment
2021 LEGISLATIVE AGENDA Establishing an FQHC Arizona Medicaid GME program for FQHCs with GME accreditation Educating the legislature and public on the importance of adult vaccinations and encouraging providers to enter the administration of vaccines in the state database (ASIIS reporting for adult vaccines including COVID-19) Assisting the AZ Commerce Authority with securing funding from the state budget for expansion of broadband services and improving internet access and services Supporting Legislation that will ensure permanent continuation of coverage of telehealth and audio-only telephonic services including Medicaid, Medicare and commercial reimbursement for the services Extending telephonic codes past the extension of the public health emergency and identifying the Medicaid codes we would like to maintain (AHCCCS not the Legislature) Monitoring legislation on SDOH (Housing, food insecurity, transportation, etc.)
SIGN UP FOR LEGISLATIVE UPDATES AT: WWW.AACHC.ORG/SERVICES/PUBLIC-MEDIA-RELATIONS 19
QUALITY IMPROVEMENT (QI) PROGRAMS FOCUS AREAS Integration of Oral Health & Primary Care Oral Health Measurement Framework Substance Use Disorder/Opioid Use Disorder Prevention, Treatment and Recovery Infrastructure Chronic Disease Prevention & Management Cancer Prevention & Early Detection
Hosted a virtual QI workshop on effective chronic disease management during COVID-19 attended by over 80 Health Center team members and supported heart disease QI projects at eight Health Centers
Helped facilitate 2 systems-level changes, including SDOH screening implementation and Medication Assisted Treatment Program Development
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Secured over $450,000 in funding to be distributed to our Health Centers to support a variety of clinical and QI initiatives
Supported the distribution of over 7,700 Naloxone kits in rural communities across the state and completion of 25 trainings on overdose prevention strategies and stigma
RURAL HEALTH PROGRAMS ARIZONA RURAL WOMEN'S HEALTH NETWORK (AZRWHN) AZRWHN is a collaborative partnership that works towards addressing issues in Arizona's rural areas that affect women and their family members.
Mission: To build our network partners' capacity to cultivate and promote innovative policies, practices, and services that improve the health of women in rural Arizona
Implemented Screening, Brief Intervention, and Referral to Treatment (SBIRT) in 7 rural communities that are served by Canyonlands Healthcare throughout northern and eastern Arizona
In partnership with ACESDV, revised Sexual Violence Training Curriculum for Community Health Workers and conducted two online trainings
Recently awarded a Rural Communities Opioid Response Planning Grant
RURAL COMMUNITY HEALTH CENTER DOMESTIC VIOLENCE ADVOCACY PROGRAM Four Advocates in rural communities in northern and southern Arizona: Holbrook; North Country HealthCare Springerville/Round Valley; North Country HealthCare Nogales; Mariposa Community Health Center Elfrida; Chiricahua Community Health Centers, Inc.
2,234
COMMUNITY MEMBERS/INDIVIDUALS RECEIVED TRAINING OR EDUCATION AROUND DOMESTIC VIOLENCE OR SEXUAL ASSAULT AT 80 EVENTS
25,315 HEALTH CENTER PATIENTS SCREENED OR PROVIDED INFORMATION ON DOMESTIC AND SEXUAL VIOLENCE
285
VICTIMS ASSISTED WITH ADVOCACY SERVICES (EMERGENCY ASSISTANCE, ORDERS OF PROTECTION, ETC)
1,503
TOTAL NUMBER OF SERVICES PROVIDED TO VICTIMS AND SECONDARY VICTIMS
344 SECONDARY VICTIMS SERVED
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ARIZONA'S HEALTH CENTERS
Adelante Healthcare (9) Canyonlands Healthcare (9) Chiricahua Community Health Centers (8) Circle the City (3) Community Health Centers of Yavapai (3) Creek Valley Clinic (1) Desert Senita Community Health Center (3) El Rio Health (12) Horizon Health and Wellness (5) Mariposa Community Health Center (5) MHC Healthcare (16) Mountain Park Health Center (8) NATIVE HEALTH (3) Neighborhood Outreach Access to Health (NOAH) (9) North Country HealthCare (13) Sun Life Family Health Center (14) Sunset Health (6) Terros Health (4) Tuba City Regional Health Care Corporation (1) United Community Health Center (10) Valle del Sol (6) Valleywise Health (12) Wesley Community & Health Centers (2)
CONGRESSIONAL DISTRICT ONE • Canyonlands Healthcare (8) • Desert Senita Community Health Center (1) • Horizon Health and Wellness (2) • MHC Healthcare (5) • North Country HealthCare (8) • Sun Life Family Health Center (10) • Tuba City Regional Health Care Corporation (2) CONGRESSIONAL DISTRICT TWO • Chiricahua Community Health Centers (8) • El Rio Health (2) • MHC Healthcare (9) • United Community Health Center (7) CONGRESSIONAL DISTRICT THREE • Adelante Healthcare (2) • Desert Senita Community Health Center (2) • El Rio Health (9) • Mariposa Community Health Center (5) • MHC Healthcare (2) Adelante Healthcare (10) •Canyonlands Sunset Health Healthcare (9) (5) Chiricahua Community Health Centers (14) the City (6) Community Health Center (3) •CircleUnited Community Health Centers of Yavapai (3) Valley Health •CreekValle del Center Sol (1) (1) Desert Senita Community Health Center (3) Rio Health (11) •ElHorizon Valleywise Health (1) Health and Wellness (7) Mariposa Community DISTRICT Health Center (4) CONGRESSIONAL FOUR MHC Healthcare (16) Park HealthHealthcare Center (7) •Mountain Adelante (1) NATIVE HEALTH (3) Neighborhood Outreach Access to Health •(NOAH) Canyonlands Healthcare (1) (9) Country HealthCare (15) •North Health Center of Yavapai (3) SunCommunity Life Family Health Center (14) Sunset Health (11) •Terros Creek Valley Clinic (1) Health (4) City Regional Health Care Corporation (1) •Tuba Horizon United Community Health Health Centerand (10) Wellness (2) Valle del Sol (5) •Valleywise North Country HealthCare (5) Health (14) Wesley Community & Health Centers (2) • Sun Life Family Health Center (2) • Sunset Health (2) CONGRESSIONAL DISTRICT FIVE • Horizon Health and Wellness (1) • Terros Health (1) CONGRESSIONAL DISTRICT SIX • Adelante Healthcare (1) • Neighborhood Outreach Access to Health (5) CONGRESSIONAL DISTRICT SEVEN • Adelante Healthcare (1) • Circle the City (5) • Mountain Park Health Center (6) • Terros Health (2) • Valle del Sol (3) • Valleywise Health (6) • Wesley Community & Health Center (2) CONGRESSIONAL DISTRICT EIGHT • Adelante Healthcare (4) • Mountain Park Health Center (1) • Neighborhood Outreach Access to Health (2) • Terros Health (1) • Valleywise Health (1) CONGRESSIONAL DISTRICT NINE • Adelante Healthcare (1) • Mountain Park Health Center (1) • NATIVE HEALTH (3) • Neighborhood Outreach Access to Health (2) • Sun Life Family Health Center (1) • Valle del Sol (2) • Valleywise Health (3)