PHOENIX CHILDRENS HOSPITAL FOUNDATION.PDF

Last updated: 02/26/2018
General information
Organization Phoenix Children's Hospital Foundation
Contact First name Angela
Contact Last name Gordillo
Contact e-mail grants@phoenixchildrens.com
Contact phone number 6029332686
Address
Street 2929 E. Camelback Rd. #122
City Phoenix
State AZ
ZIP Code 85016
From what tribe is the Gila River Indian Community
organization requesting the
grant?
Total grant amount request 291685
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The Gila River Indian Community offers multi-year awards. If your organization is
requesting a multi-year grant for this project or program from the Gila River Indian
Community, enter the amount to be requested each year.
Amount
Year 1 (Gila River Indian
291685
Community Grants Only)
Year 2 (Gila River Indian
Community Grants Only)
Year 3 (Gila River Indian
Community Grants Only)
Year 4 (Gila River Indian
Community Grants Only)
Year 5 (Gila River Indian
Community Grants Only)
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Gila River Indian Community Grant Application
Grant Cycle 2018
Cover Sheet
Municipality Information
1. Date of Application: 2/16/2018 (NOTE: Click or use up/down arrow keys to move among fields)
2. Name of City, Town or County: Maricopa County
3. Mayor (City or Town) or Board of Supervisor’s Chairman (County): Steve Chucri
4. Mailing Address: 301 W. Jefferson Ave., Suite 960
5. City: Phoenix State: Arizona Zip Code: 85003
6. Acknowledgement of Submission by Authorized Municipality Representative:
Typed Name/Title: Zachary Wolfe, Finance Department Signature:
Applicant Information
7. Department/Organization Name: Phoenix Children’s Hospital Foundation
8. Is this a 501c non‐profit Organization? No Yes If yes, attach IRS Determination Letter
9. Application Contact Person: Angela Gordillo Title: Grants Coordinator
10. Phone Number: 602‐933‐2686
11. Mailing Address: 2929 E. Camelback Rd. #122
12. City: Phoenix State: Arizona Zip Code: 85016
13. Email Address: grants@phoenixchildrens.com Website Address: https://phoenixchildrensfoundation.org/
Project Information
14. Project Name: Homeless Youth Outreach Crews n’ Healthmobile
15. Purpose of Grant: To replace the 18 year old mobile medical unit that delivers medical services to homeless
children and youth
16. Priority Funding Area Healthcare
17. Annual amount requested $291,685
18. Number of years that funding is requested 1
19. Total amount requested (annual amount x $291,685
number of years)
We have received funding from GRIC in the past –
20. Has your organization received past funding 2010 ‐ $150,00
from GRIC? If yes, list each year and amount 2013 ‐ $181,495
2016 ‐ $100,000
21. Geographic area served Mariccopa County; Arizona; Southwest region
For Office Use Only:
Data Entry Receipt Evaluation
Outcome  Approval Recommended/Amount $  Denial

Gila River Indian Community Grant Application
Grant Cycle 2018
Narrative
Please structure your proposal to provide the following information in the order indicated. Provide the narrative in
paragraph form in the text field provided. Please be thorough but strive for brevity.
1. Briefly describe the organization’s history, mission and goals.
Since 1983, the mission of Phoenix Children’s Hospital (PCH) has been to provide hope, healing and the best possible
health care to children. Phoenix Children's is the only freestanding pediatric hospital in Arizona, and is the sixth largest
children’s hospital in the nation. Phoenix Children’s offers comprehensive health care and support services to more than
148,000 children and their families each year within 75 pediatric subspecialties. The Emergency Department serves an
astonishing 80,000 children annually. For the seventh consecutive year, the Hospital was nationally recognized by U.S.
News & World Report for our premier treatment and facilities. The six Centers of Excellence at Phoenix Children’s
feature the Hospital's largest clinical programs, and represent the very finest in pediatric healthcare in Arizona,
including: Barrow Neurological Institute at Phoenix Children's , Center for Cancer and Blood Disorders, Children's Heart
Center, Center for Pediatric Orthopedics, Newborn Intensive Care Unit (NICU) and the Level One Pediatric Trauma
Center.
Today, Phoenix Children’s is recognized as the indispensable regional provider of high acuity care for patients with
medically complex conditions. Moving forward, the Hospital is working to achieve world‐class status by dedicating
resources to the following:
• Physician‐Scientists – the recruitment of renowned physicians with unique skill sets to combine the integration of
cutting‐edge research into present day patient care
• Discovery – we will transform pediatric care, creating new therapies through participation in collaborative
consortiums, clinical trials and research
• Innovation – revolutionary advancements in pediatric methodologies, treatments and medicine will enhance and
improve patient outcomes
• Destination Medicine – building our stellar reputation, premier care will attract patients across the globe for complex
medical treatment
2. If the applying organization is non‐municipal or a non‐profit 501c, please describe your relationship with Arizona
municipalities including past and present support, whether through partnerships, collaborations, in‐kind
contributions, grants, tax‐based funding or other. Describe the supporting municipality’s role in this project. If
the applying organization is a municipality governmental sub‐division please enter the text “Not applicable.”
Maricopa County has served as a fiscal pass‐through for Gila River Indian Community grants awarded to
Phoenix Children’s in 2010, 2013 and 2016. Phoenix Children’s also worked with Maricopa County to submit
12% tribal gaming grants to Gila River Indian Community in 2015. Phoenix Children’s receives federal grant
support through Maricopa for clinical services, most recently a multi‐year award for the Adolescent Health
Champion Model initiative.
3. Describe the proposed project and planned goals and activities.

Gila River Indian Community Grant Application
Grant Cycle 2018
Through collaborative efforts between Phoenix Children’s and local partners serving homeless children and families, the
Homeless Youth Outreach (HYO) program’s Crews’n Healthmobiles take urgently needed health care right to where so
many of our children tragically seek out survival – the streets. HYO provides care to children and youth through three
Mobile Medical Units (MMUs; two running concurrently with one acting as a back‐up when another is out for repairs or
maintenance) and three fixed sites. The program conducts 28 weekly clinics serving homeless children throughout the
Valley. Over the past 18 years, collaborative partnerships were developed with shelters, schools, and drop‐in centers to
provide comprehensive health screenings, medical treatment, medical/community referral, financial advocacy, access to
community outreach and wellness programs, and behavioral health services. The collaborative service model allows for
comprehensive services via partnerships with other youth serving organizations where each organization provides
services and makes connections to resources in their respective areas of expertise. The program treats infants, children
and youth from birth through the age of 24‐years‐old experiencing homelessness, or who are at‐risk of experiencing
homelessness. Patients are provided with care and treatment regardless of insurance status and ability to pay. The
Mobile Medical Units travel to areas where homeless and at‐risk children, adolescents and young adults are known to
gather.
The Mobile Medical Units are dispatched in rotation five days a week traveling to clinics spanning 30 miles across the
Phoenix Metropolitan area, from Glendale to Tempe, for the majority of the year in a very hot climate. Each Mobile
Medical Unit features state‐of‐the‐art technology and is equipped with exam rooms, an intake area, a pharmacy, a
laboratory, and a triage area. An entire medical clinic fits into each mobile unit—including temperature sensitive
hospital equipment, a laboratory and pharmacy, refrigerators and freezers, and an entire IT infrastructure, which are all
power dependent. Oftentimes during the summer months, our units and/or generators will shut down—forcing the
cancellation of clinics and subsequently, patient care. The extreme Arizona summers accelerate the wear and tear on
the mobile units. Thelongest serving Crews’n Healthmobile is 18 years old and must be replaced in order to maintain
safe, consistent usage.
It is imperative to maintain fully operational and reliable MMUs to deliver health care directly to areas where homeless
and at‐risk youth are living, being educated, being fed, and where they are receiving services. Bringing these critical
services directly to this vulnerable population differentiates HYO from other clinics. It impacts our ability to provide
reliable and consistent clinics. Canceling a clinic due to the inoperability of a MMU is a tragic consequence. The youth we
serve have immediate medical and behavioral health needs that can impact the community, too. The chance of these
young patients finding transportation, scheduling an appointment, and navigating their way to another clinic for care is
very slim.
With the purchase of a new mobile unit, we anticipate a decrease in the number of cancelled clinics due to mobile
maintenance or repairs needed, especially on extreme heat advisory days. Additionally, as new partnerships are
cultivated with additional organizations serving the youth population, the reliability of mobile units allows HYO to
entertain the possibility of expanding mobile clinic locations.
4. Describe how the proposed project satisfies one or more of the priority funding areas identified by the Gila River
Indian Community.
HYO brings immediate health care to children who are homeless or at risk of being homeless. Providing medical services
to historically underserved children and youth, the HYO program strongly aligns with Gila River Indian Community’s
priority area of Healthcare. By providing more comprehensive primary and preventative health care, we are decreasing
the numbers of visits to urgent care centers and emergency departments for illnesses. Often these are illnesses that can
be managed by a primary care provider for treatment. This model serves to both increase individual and overall
community health and decrease community cost.

Gila River Indian Community Grant Application
Grant Cycle 2018
5. Identify the needs/problems to be addressed, target population and number of people to be served by the
project.
Arizona communities suffer one of the highest instances of childhood homelessness in the country, with nearly 30,000
youth experiencing homelessness in the state. Children who are homeless experience more health problems than their
peers. They visit hospital emergency rooms more frequently and are exposed to more health stressors than peers with
stable housing. While we may not be able to combat all of the risk factors that lead to homelessness, Phoenix Children‘s
is the optimal provider of primary and preventative medical care to children affected by homelessness. The mission of
the Homeless Youth Outreach (HYO) Program is to provide hope and holistic health care with respect and heart to
homeless and at risk children and youth.
In addition to Arizona having one of the highest instances of homelessness in children and youth in the nation, Phoenix
has also been identified as one of the top 20 human trafficking jurisdictions in the nation, adding an additional layer of
complexity to caring for this vulnerable population. Many young victims of human trafficking eventually find themselves
homeless and in need of an array of services. The HYO program’s most recent fixed‐site clinic established at the Phoenix
Dream Center serves the medical needs of young survivors of human trafficking. At the Phoenix Dream Center, a high
concentration of this population is served. The Center’s campus features a dedicated floor in which to house and
provide services to these young ladies (18+) and their infants. A high concentration of this same population visits the
mobile clinic site, StreetLight USA, where our patients range in age from as young as 11 years old to 17. These youth are
more often than not in the State’s custody and placed in the care of StreetLight’s caseworkers. We serve this site once
per week via our Crews’n Healthmobile.
Last year the HYO program served more than 1,500 patients, providing 11,175 clinical encounters including physician,
nurse, behavioral health, specialty and case management. Over the years we’ve seen numbers as high as 2,200 patients
and more than 14,000 encounters.
6. Define the project as a new or continuing program.
The HYO program has been in existence for 18 years. This request represents a one‐time purchase of a new
Mobile Medical Unit so the program can continue to provide uninterrupted services.
7. Provide a brief timeline including start and finish dates. Indicate if the timeline is flexible.
1.00 Submit proposal and time event schedule to Maricopa County (pass through agency)
February 27, 2018
Upon approval from Maricopa County, submit proposal to Gila River Indan Community
March 30, 2018
2.00 Move forward with RFP for build, purchase and contract
3 months from notification of award. Entering into a contract to build and purchase is contingent upon
secured funding for both the vehicle purchase and the medical outfitting of the mobile unit.

Gila River Indian Community Grant Application
Grant Cycle 2018
3.00 Execute Purchase Agreement and initiate build
Delivery is approximately 120 days or less from receipt of initial 40% deposit. Terms are 40% down to
place the order, 40% when the shell is complete, and the 20% final balance due upon satisfactory
acceptance at completion on day of delivery. Build start date is also contingent upon availability of the
chassis. Special order of the appropriate chassis could delay build start date.
4.00 Fully stock mobile medical unit and provide letter of intent to ADHS for Survey.
1 month after delivery of vehicle
5.00 Undergo ADHS Survey
Within 90 days of Letter of Intent
6.00 Submission of Final Time‐Event Report to GRIC
Upon 30 days of licensing
8. Identify other organizations, partners or funders participating in the project and their roles.
The HYO program has largely relied on philanthropic funding for operations since its inception in 2000. As the needs and
the program expanded, the HYO program has been able to secure funding from various sources for operations and new
programming. The Bob and Renee Parsons Foundation has provided funding for the addition of mental health services.
The Hickey Family Foundation and Children’s Health Fund each provide support for a portion of operations. In an effort
to fund the new Mobile Medical Unit, program administrators will continue to solicit funders which have an alignment
with the HYO program’s mission and understand how integral the mobility of our services to this population remains.
HYO partners with several organizations to reach and serve homeless youth. Its comprehensive service model engages
other child serving organizations in an effort to ensure successful outcomes. These partners include:
Children First Leadership Academy: This K‐8 local charter school serves students whose families are at the federal
poverty line and vast majority of the students are homeless or at risk of homelessness.
1 n 10: Provides empowering programs that promote self‐expression, self‐acceptance, and healthy life choices in LGBTQ
youth.
Phoenix Dream Center: Serves homeless, low‐income, at risk youth, individuals and families by providing resources and
supportive services to achieve self‐sufficiency.
Sequoia Choice Precision High School: Students at this school are primarily disconnected and at risk adolescents, many
living doubled up, without parents or whose statuses are undocumented.
St. Matthew School: All students and their families served are living at or below the federal poverty line. All students
receive full or partial scholarships to cover the costs of private education.

Gila River Indian Community Grant Application
Grant Cycle 2018
Sojourner Center: Provides shelter and support services to women and children affected by domestic violence.
StreetLight USA: A 24‐hour residential home for girls ages 11‐17 who have been victims of child sex trafficking and/or
sexual exploitation with the majority being in custody of the Department of Child Safety.
Tumbleweed Phoenix Resource Center: Provides showers, meals, laundry and case management for young adults aged
18‐25.
UMOM New Day Centers: Arizona’s Largest Family Shelter; HYO operates a Wellness Center that includes three exam
rooms and a procedure room. The Crews’n Healthmobiles also provide care to youth served by UMOM’s Tumbleweed
programming including Hazelwood Youth Shelter, Open Hands and the Earll Youth Shelter.
Vista Colina, CASS Emergency Shelter: Provides shelter to homeless families in an apartment‐style complex for up to 120
days.
Youth Development Institute: Provides rehabilitation and treatment services for youth and their families.
Arizona Center for Youth Resources: Provides underserved youth programing through education, skill building and
employment.
9. Would you be able to implement the proposed plan if your organization received partial funding for this project?
We would be grateful for any level of support from the Gila River Indian Community that would help replace the 2001
Mobile Medical Unit. Should partial funding be granted, all monies would be allocated to the down payment of the new
unit. A full award of $291,685.00 will help secure a new unit to avoid service interruption and will secure your legacy
through naming recognition on the Medical Mobile Unit. Additional funding sources to support the medical outfitting of
the mobile unit will be pursued for an anticipated $64,546.00.
10. Describe your plan for project financial sustainability beyond the grant period. If this is a program/project
previously funded by the Gila River Indian Community describe efforts made towards the previously described
sustainability plan.
The purchase of a new Mobile Medical Unit is a one‐time cost. The new unit will serve as the program’s newest Crews’n
Healthmobile, allowing the 18‐year‐old mobile unit to be retired as it is at the end of its anticipated life expectancy, and
the ongoing cost of continued repairs is no longer fiscally responsible. Historically, the HYO program has relied heavily
on philanthropic support for operations. The HYO Program has evolved to include eligibility services to provide Medicaid
to our eligible patients. This allows us to bill for services and incorporate reimbursement into operating revenue. With
the addition of reimbursement of services, the HYO budget is now a mix of both operating revenue and philanthropic
funds, creating a more sustainable model. Despite our best efforts, there will always be patients that are uninsured or
uninsurable. The HYO program will not turn these children away. The program’s model of using philanthropic funds to
cover the cost of services and programming that are not reimbursable allows all children the ability to receive the care
they need regardless of their insurance status and ability to pay. We have demonstrated consistently that by providing
comprehensive primary and preventative health care to children experiencing homelessness, the numbers of visits to

Gila River Indian Community Grant Application
Grant Cycle 2018
urgent care and emergency departments for illnesses are decreased, all while simultaneously identifying children not
receiving care who desperately need interventions. This model serves to enhance individual and community health and
decrease public cost. Thank you for your consideration of this critical service to the most vulnerable in our midst.
11. Describe your plan to document progress and results.
When all funding is secured for the new Mobile Medical Unit and medical outfitting, the build out will be monitored for
adherence to the purchase agreement. Once the Mobile Medical Unit is operational and meets licensing requirements,
the HYO program will track patient services per existing measures. The HYO program is regularly evaluated for program
impact and effectiveness of services. Evaluation criteria includes measures such as number of children served, referral
adherence (the degree to which children take their medications as prescribed and families attend necessary medical
clinics for their child), number of health and developmental screenings provided, number of children who are up‐to‐date
on their vaccines, and other relevant health outcome data (for example, the degree to which a child’s asthma symptoms
are being controlled). This data is recorded through the Program’s electronic medical record by the Registered Nurse
and mobile medical unit staff.
Program effectiveness is measured in several ways. The program measures success by tracking the number of patient
visits as well as the number of services provided through electronic medical records. Additionally, as the program
continues to expand throughout metropolitan Phoenix, staff can reach and retain new patients by building a local
provider referral base, establish a rapport and trust with youth, and improve their knowledge of local transportation
(i.e.‐purchasing bus passes and assisting with bus routes). The program is a model that has proven incredible success
and has been replicated to serve even more of Arizona’s homeless children and youth.
With a new Medical Mobile Unit, a decrease in the number of cancelled clinics is anticipated. The number of cancelled
clinics due to maintenance issues will be recorded and compared to data from previous years. Additionally, we will
monitor the number of additional mobile clinics added to the weekly schedule, as a newer, more reliable unit will allow
us to possibly increase capacity.
12. Indicate any application to and/or awards made by a tribe other than the Gila River Indian Community for state
shared revenues for this and any other project for the past five (5) years. If this information is included in a
separate attachment, please indicate that here.
Since 2010, Phoenix Children’s Hospital has partnered with the Gila River Indian Community (GRIC), the Salt
River Pima Maricopa Indian Community (SRPMIC), the Tohono O’odham Nation and the Fort McDowell
Yavapai Nation to enhance and expand our facilities and pediatric medical subspecialty services. Most
recently, Gila River Indian Community generously awarded $100,000 to support the Condition Critical:
Emergency Department Expansion Campaign in 2016. GRIC also awarded $181,495.50 in 2013 to support the
Bombeck Dialysis Center and Camp Maska. Phoenix Children’s was grateful to receive a 2015 12%

Gila River Indian Community Grant Application
Grant Cycle 2018
distribution grant award of $130,000 from SRPMIC to support both the Condition Critical: Emergency
Department Expansion Campaign and to significantly grow clinical and patient support services within the
Cardiometabolic risk Assessment, Research and Education (CARE) Program. The Salt River Pima Maricopa
Indian Community has also awarded the following 12% distribution funds: $175,000 in 2013 for CARE
Program; $150,000 in 2014 for CARE Program and The Cerebral Palsy and Spina Bifida Clinic; and $130,000 in
2016 for CARE Program. An application to Tohono O’odham Nation in 2016 to support the Center for Cancer
and Blood Disorders was denied. In 2013, Fort McDowell Yavapai Nation awarded a $4,000 12% distribution
grant in support of our Palliative Care Program and in 2017 they awarded $30,000 to name the Fort
McDowell Yavapai Nation Diabetes Resource Collection in our patient health library. This request to Gila
River Indian Community represents Phoenix Children’s only submission to any tribe for a naming opportunity
on the new Crews’n Healthmobile.

Gila River Indian Community Grant Application
Grant Cycle 2018
Project Budget
Budget Period: 11/01/2018 – 10/31/2019
For each budget item listed here please provide a narrative description on the following Project Budget Detail page.
Proposed Budget Expense Amount Amount In Kind Total Budget
(list each budget item) requested from requested or contributions
GRIC secured from
other funders
1. Vehicle $291,685.00 $0 $0 $0
2. Equipment $0 $64,546.00 $0 $0
3. Click here to enter text. $0 $0 $0 $0
4. Click here to enter text. $0 $0 $0 $0
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8. Click here to enter text. $0 $0 $0 $0
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10. Click here to enter text. $0 $0 $0 $0
11. Click here to enter text. $0 $0 $0 $0
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Total Budget $0 $0 $0 $356,231.00

Gila River Indian Community Grant Application
Grant Cycle 2018
Project Budget Detail
Please provide a narrative description for each of the project budget items listed on the previous page. Include the
dollar figure and how it was derived.
1. Vehicle – The total cost of the vehicle and shell is $291,685. The vehicle and shell are constructed in preparation for
the equipment outfitting that will transform it from a vehicle to a mobile medical unit, or “doctor’s office on wheels.”
The vehicle will be wrapped and will include recognition of Gila River Indian Community for their generous contribution.
The vehicle cost was derived from actuals, and an allotment for inflation, of HYO’s most recent mobile unit purchase
that was constructed in 2014. This proposal is for a mobile unit almost identical to the unit purchased in 2014.
2. Equipment – The total equipment cost is $64,546. This cost includes the custom build out and equipment required to
ensure the mobile medical unit is in adherence with licensing requirements for providing medical treatment in a mobile
unit. Equipment includes: vaccine, pharmaceutical and laboratory grade refrigeration units; fire extinguisher; otoscope;
ophthalmoscope; scale; stadiometer; exam tables; physician tools; vitals machine; vision screener; audiometer; clinitek;
centrifuge; accuchek; AED; thermometer; and O2 tank. Costs were derived from actuals of the medical outfitting for a
mobile unit constructed in 2014.
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Gila River Indian Community Grant Application
Grant Cycle 2018
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