Maricopa County Special Health Care District

Maricopa County Special Health Care District, doing business as Valleywise Health, is a U.S. local government–owned public teaching hospital and safety-net health care system based in Phoenix, Arizona, that operates as a federal grant recipient delivering integrated behavioral health, primary care, and specialized medical services to low-income and underserved populations across Maricopa County. Valleywise Health acts as a prime grant recipient in 57% of its federal award footprint and as a sub-recipient in 43%, with no federal contracting activity.

Valleywise Health's federal work centers on community health delivery and behavioral health expansion through the Department of Health and Human Services. As a prime recipient, the organization holds a $487,500 Substance Abuse and Mental Health Services Administration (SAMHSA) grant awarded September 30, 2026, under the Comprehensive Community Mental Health Services for Children with Serious Emotional Disturbances program (CFDA 93.104) to implement the Outreach, Assessment & Support for Intervention in Early Psychosis (OASIS) initiative, serving youth and young adults ages 12–25 at clinical high risk for psychosis across Maricopa County through September 29, 2030. Additional prime grants include a $100,000 FY 2024 Behavioral Health Service Expansion grant from the Bureau of Primary Health Care (awarded September 1, 2024, completing August 31, 2026) addressing mental health and substance use disorder gaps in Arizona; a postdoctoral training grant from the Bureau of Health Professionals (awarded July 1, 2025, completing June 30, 2030) in general, pediatric, and public health dentistry and dental hygiene; and a Quality Improvement Fund Justice Involved grant from the Bureau of Primary Health Care (awarded December 1, 2024, completing November 30, 2026) to create the Valleywise Health Justice Collaborative, serving justice-involved populations facing health barriers upon community re-entry. Earlier prime grants include FY 2023 Bridge Access Program (awarded September 1, 2023), FY 2023 Expanding COVID-19 Vaccination (awarded December 1, 2022), and Teaching Health Center Planning and Development Program (awarded December 1, 2021).

As a sub-recipient, Valleywise Health draws principal funding from Arizona Department of Health Services and Arizona Department of Economic Security for HIV prevention, family planning, home visiting programs, and refugee medical assistance. The organization serves as sub-recipient under multiple Arizona state and county pass-through awards for HIV opt-out testing, PrEP navigation, care coordination for HIV-positive individuals, maternal and child health programs, and refugee cash and medical assistance reimbursement. Sub-grant work also includes clinical research participation through partnerships with Arizona State University, University of Arizona, UCLA, and Vanderbilt University Medical Center on infectious disease surveillance, cancer prevention screening, obesity research, and immunotherapy management.

Customer concentration by award count shows diversity across federal health agencies: the Department of Justice US Marshals Service AZ leads with 13 awards ($554 thousand combined potential value), followed by HHS Health Resources and Services Administration (12 awards), HHS Bureau of Prisons Federal Correctional Institution Phoenix (11 awards, $205 thousand), HHS Centers for Disease Control and Prevention (11 awards), and HHS Administration for Children and Families (11 awards). By dollar magnitude, HHS Indian Health Service dominates at 10 awards with $4.5 million in combined potential value, representing 88% of total combined potential value across the portfolio. The top parent vehicle is Indefinite Delivery Contract HHSI247201700002I, with 5 task orders carrying $1.5 million in combined potential value.

Valleywise Health's federal award activity has grown from one award in 2022 to eighteen in 2025, with thirteen awards in 2026. The organization reports 122 total awards across all federal sources with combined potential value of $6 million, though combined obligated dollars reach $137.7 million, reflecting extensive invoiced performance on completed and ongoing grants. Within the next twenty-four months, two awards reach ultimate completion dates and face recompete. By category, general medical and surgical hospitals account for 29 of the organization's awards; temporary help services represent 6 awards; other individual and family services account for 2 awards. Primary Service Classifications concentrate in medical-managed healthcare (14 awards), health R&D services and other experimental development (9 awards), pediatric medicine (9 awards), and other medical services (8 awards).