Arizona County Profiles Handbook 2018

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Arizona Joshua by C. Edward Brice (CC BY-NC 2.0)

Office of Infectious Disease Services

Bureau of Epidemiology and Disease Control Arizona Department of Health Services

150 North 18th Avenue, Phoenix, AZ 85007

February 2018

January 2018

Arizona County Profile Handbook 2018

Table of Contents

Introduction ……………………………………………………………………………………….….2

County Profiles ……………………………………………………………………………………….3

Apache County……………………………………………………………………….…………….…………3 Cochise County…………………………………………………………………………………..……….....5 Coconino County……………………………………………………………….………………………..….7 Gila County……………………………………………………………………………………..…………..….9 Graham County……………………………………………………………………………….…………...11 Greenlee County…………………………………………………………………………..…………….…13 La Paz County…………………………………………………………………………………………….....15 Maricopa County…………………………………………………………………………………..……...17 Mohave County…………………………………………………………………………………………….26 Navajo County ………………………………………………………………………………………………28 Pima County……………………………………………………………………………………..…………..30 Pinal County………………………………………………………………………………………..…….….32 Santa Cruz County…………………………………………………………………………………..….…34 Yavapai County……………………………………………………………………………………………..36 Yuma County………………………………………………………………………………………………...38

Appendix……………………………………………………………………………………….………40

Numerical data (population and demographic indicators)…………………….…..….41 Numerical data (economic and healthcare indicators)………………………..………...42 Agriculture and employment non-numeric data……………………….……………………43

Authors and Acknowledgments………………………………………………….……….…44

Introduction

This report was created as a tool for ADHS staff to learn more about the counties in Arizona. We felt this was important since most staff interact with county health department partners as part of their job but often have limited prior knowledge about the state and its 15 counties.

Each of the 15 ‘county profiles’ found in the following pages contain:

 A summary of selected indicators for population demographics, economic activities and a list of major county landmarks.  A map showing the county, its health department and the main towns and hospitals, accompanied by a profile of the county including the seal, county seat, tribal reservations, county health department contact detail and web site, and a section showing selected health indicators.

The indicators used in each profile and their sources can be found together in a summary table at the end of the report useful for comparison across counties.

Apache County

Spider Rock, Canyon De Chelly by Robert Young (CC BY-NC 2.0)

Population Demographics Activity Profile

73,112 total population (6th lowest in AZ) Major Attractions: Petrified Forest, Chinle, Window Rock, and Four Corners 6.4 people/square mile (3rd lowest population Monument. density in AZ)

6.9% of the population under 5 years of age th Top 3 Employers: (6 highest in AZ) Fort Defiance Hospital, Indian Health Services, and Navajo Nation 14.2% of the population over 65 years of age Top 3 Employment types: th Healthcare & social assistance, educational services, (4 lowest rate in state) accommodation & food services

4.2% veterans population (2nd lowest in AZ) total travel spending: (3rd lowest in AZ) $121 million

33.2% in poverty (highest poverty rate in AZ) $24 million market value of agricultural products sold rd $32,460 average household income (3 lowest in AZ) (lowest average household income in AZ) Top 3 agricultural products by sales (in descending order):

Quotes 1.7% foreign born population (lowest in AZ) 75.4% of the population American Indian (highest in AZ) vegetables cattle sheep 18.0% of the population white (2nd lowest in AZ)

Health Sector County Seat: St. Johns

Other major cities: Springerville, 17.5% of population under 65 without health nd Eagar insurance (2 highest in AZ)

Tribal Reservations: Navajo Nation, White Ratio of population to primary care physicians: Mountain Apache Tribe, Zuni 3,420:1 (2nd highest ratio in AZ)

County Health Department Number of licensed short term, critical access and Apache County Public Health Services District children’s hospitals in Apache County: 4 323 S. Mountain Ave.  Dhhs Phs Naihs Chinle Comprehensive Health Springerville, Arizona 85938 Care Facility  Fort Defiance Indian Hospital Phone number: (928) 337-4364  Sage Memorial Hospital  White Mountain Regional Medical Center Web site: http://www.co.apache.az.us/health/

Cochise County

Chiricahua National Monument by Denny Armstrong (CC BY 2.0)

Population Demographics Activity Profile

125,770 total population (8th largest in AZ) Major Attractions: Tombstone, AZ trail, Coronado National Forest, Bisbee, 21.3 people/square mile (7th highest population Chiricahua National Monument density in AZ)

6.1% of the population under 5 years of age th Top 3 Employers: (8 highest in AZ) Fort Huachuca, Cochise County, Sierra Vista Unified School District 21.3% of the population over 65 years of age (5th highest rate in state) Top 3 Employment Types: Public administration, healthcare & social assistance, retail trade, 14.6% veteran’s population (highest in AZ)

th $350 million total travel spending: (8 largest in AZ) 21.1% in poverty (5th highest poverty rate in AZ)

$45,075 average household income (8th highest household income in state) $149 million market value of agricultural products sold (7th largest in AZ)

Top 3 agricultural products by sales (in descending order): Quotes 11.4% foreign born population (5th highest in AZ) 55.7% of the population white (7th highest in AZ) 35.0% of the population Hispanic/Latino ( th highest in AZ) 5 grains & beans fruits & nuts hay

Health Sector County Seat: Bisbee

Other major towns: Benson, Douglas, 10.7% of population under 65 without health nd Sierra Vista insurance (2 lowest in AZ)

Ratio of population to primary care physicians: County Health Department 2,160:1 (7th highest ratio in AZ) Cochise Health and Social Services 1415 Melody Lane Dr. Number of licensed short term, critical access and Bisbee, Arizona 85603 children’s hospitals in Cochise County: 4  Benson Hospital Corporation Phone number: (520) 432-9400  Canyon Vista Medical Center  Copper Queen Community Hospital Web site: https://www.cochise.az.gov/health-and-  Northern Cochise Community Hospital social-services/home

What Locals Say about Cochise County: “Cochise County is a friendly and dynamic place to live, with diversity of cultures as well as geographic and ecological diversity. Outdoor activities are abundant and every town, municipality and city offers something different for you to see and experience.”

Coconino County

Screaming_monkey (CC BY-SA 2.0) Grand Canyon National Park by Reuben Francis Cornel (CC BY-SA 2.0)

Population Demographics Activity Profile

140,908 total population (7th largest in AZ) Major Natural Attractions: Grand Canyon National Park, Antelope Canyon, Glen 7.2 people/square mile (4th lowest population Canyon, Slide Rock State Park density in AZ)

5.8% of the population under 5 years of age th Top 3 Employers: (4 lowest in AZ) Northern Arizona University, Flagstaff Medical Center, W.L. Gore & Associates 11.9% of the population over 65 years of age (2nd lowest rate in state) Top 3 Employment Types: accommodation & food service, educational services, healthcare & social assistance 5.3% veteran’s population (3rd lowest in AZ)

rd $1,171 million total travel spending*: (3 largest in AZ) 17.8% in poverty (5th lowest poverty rate in AZ)

$50,234 average household income (4th highest household income in state) $25 million market value of agricultural products sold th (4 lowest in AZ)

Top 3 agricultural products by sales (in descending order): Quotes 4.8% foreign born population (6th lowest in AZ) 54.7% of the population white (8th highest in AZ)

27.5% of the population American Indian rd (3 highest in AZ) cattle sheep vegetables

Health Sector County Seat: Flagstaff

Other major cities: Page, Sedona 14.6% of population under 65 without health th (Sedona is shared between Yavapai and insurance (6 highest in AZ) Coconino counties) Ratio of population to primary care physicians Tribal Reservations: Havasupai Tribe, 1,240:1 (2nd lowest ratio in AZ) Hopi Tribe, Hualapai Tribe, Kaibab-Paiute Tribe, Navajo Nation, San Juan Southern Paiute Tribe Number of licensed short term, critical access and children’s hospitals in Coconino County: 3 County Health Department  Flagstaff Medical Center Coconino County Public Health Services District  Page Hospital 2625 N King St.  Tuba City Regional Health Care Corporation Flagstaff, Arizona 86004

Phone number: (928) 679-7272

Web site: http://www.coconino.az.gov/221/Health

What locals say about Coconino County: “Situated in Northern Arizona, Coconino County is described as diverse, unique, historic, sacred, beautiful and friendly. Coconino County is home to spectacular landscapes. Visitors from

around the world are drawn to the region's natural beauty and cultural diversity. Home to several climates and unique terrain, Coconino County offers a challenging opportunity for public health practitioners.”

Gila County

Mogollon Rim by Deborah Lee Soltesz (CC0 1.0)

Population Demographics Activity Profile

th Major Attractions: 53,556 total population (5 smallest in AZ) Tonto National Monument, the Mogollon Rim, Tonto 11.3 people/square mile (7th lowest population Natural Bridge State Park, Coolidge Dam, Roosevelt Dam density in AZ) and Roosevelt Lake

5.9% of the population under 5 years of age th Top 3 Employers: (6 lowest in AZ) Gila County, Freeport-McMoRan, U.S. Forest Service

27.9% of the population over 65 years of age th Top 3 Employment Types: (4 highest rate in state) healthcare & social assistance, retail trade, educational services

10.6% veteran’s population (5th highest in AZ)

$279 million total travel spending: (5th smallest in AZ)

20.3% in poverty (7th highest poverty rate in AZ)

$40,593 average household income $4 million market value of agricultural products sold th (6 lowest average household income in state) (smallest in AZ)

Top 3 agricultural products by sales (in descending order): Quotes

4.3% foreign born population (3rd lowest in AZ)

rd 62.8% of the population white (3 highest in AZ)

18.6% of the population Hispanic/Latino cattle grains & beans other animal products (6th highest in AZ)

County Seat: Globe Health Sector

Other major cities: Payson 13.6% of population under 65 without health insurance (8th highest in AZ) Tribal Reservations: Tonto Apache, San Carlos Apache Ratio of population to primary care physicians: White Mountain Apache th 1,970:1 (7 lowest ratio in AZ) County Health Department Number of licensed short term, critical access and Gila County Health Services children’s hospitals in Gila County: 3 5515 S Apache Ave.  Banner Payson Medical Center Globe, Arizona 85501  Cobre Valley Regional Center Phone number: (928) 402-8811  San Carlos Apache Health Care Corporation

Website: http://www.gilacountyaz.gov/government/health_ and_emergency_services/health_services/index.ph p

Graham County

Safford Grids and Mount Graham by E Burk (CC BY 2.0)

Population Demographics Activity Profile

37,599 total population (3rd smallest in AZ) Major Attractions: Mt. Graham, Coronado National Forest, Roper Lake State 8.1 people/square mile (5th lowest population Park, Dankworth Ponds, Discovery Park (Aker and Mount density in AZ) Graham International observatories).

7.5% of the population under 5 years of age nd (2 highest in AZ) Top 3 Employers: Freeport McMoRan Copper & Gold Inc., Arizona Department of Corrections, Mount Graham Regional Medical Center 13.0% of the population over 65 years of age rd (3 lowest rate in state) Top 3 Employment Types: Educational Services, Retail Trade, and Health Care &

Social Assistance 5.9% veteran’s population (4th lowest in AZ) $9 million total travel spending*: (lowest in AZ)

*shared with Greenlee County

22.9% in poverty (4th highest poverty rate in AZ)

$47,442 average household income $170 million market value of agricultural products sold th (6th highest average household income in state) (7 largest in AZ)

Top 3 agricultural products by sales (in descending order): Quotes 4.8% foreign born population (6th lowest in AZ)

th 51.0% of the population white (6 lowest in AZ)

32.6% of the population Hispanic/Latino cattle fruits, nuts & berries hay (6th highest in AZ)

County Seat: Safford Health Sector

Other major cities: Pima, Thatcher 11.6 % of population under 65 without health insurance (3rd highest rate in AZ) Tribal Reservations: San Carlos Apache Ratio of population to primary care physicians: 1,810:1 th (6 lowest ratio in AZ) County Health Department Graham County Department of Health Services Number of licensed short term, critical access and 826 W Main St. children’s hospitals in Graham County: 1 Safford, Arizona 85546  Mt. Graham Regional Medical Center

Phone number: (928) 428-1962

Web site: http://www.graham.az.gov/health- department/

County Health Department’s Clinics

Greenlee County

Morenci Copper Mine Photo: Tom Blackwell (CC BY-NC 2.0)

Population Demographics Activity Profile

9,613 total population (lowest in AZ) Major Natural Attractions: Apache-Sitgreaves National Forest, Gila Box Riparian 4.6 people/square mile (lowest population National Conservation Area density in AZ)

7.7% of the population under 5 years of age Top Employer: (highest in AZ) Freeport McMoRan Copper & Gold Inc.

11.9% of the population over 65 years of age Top 3 Employment Types: (lowest rate in state) construction & extraction, installation, maintenance &

repair, administrative

7.5% veteran’s population (8th highest in AZ)

$9 million total travel spending*: (smallest in AZ) *shared with Graham County 12.0% in poverty (lowest poverty rate in AZ)

$51,813 average household income (2nd highest average household income in state) $9.7 million market value of agricultural products sold (2nd smallest in AZ)

Top 3 agricultural products by sales (in descending order): Quotes 4.6% foreign born population (4th lowest in AZ)

th 47.4 % of the population white (5 lowest in AZ)

46.1% of the population Hispanic/Latino (3rd highest in AZ) hay sheep horses

County Seat: Clifton Health Sector

Other major cities: Duncan 7.3% of population under 65 without health insurance (lowest in AZ) Tribal Reservations: None. Ratio of population to primary care physicians: 2,340:1

(6th highest ratio in AZ) County Health Department Greenlee County Health Department Number of licensed short term, critical access and 253 5th St. children’s hospitals in Greenlee County: 0 Clifton, Arizona 85533

Phone number: (928) 865-2601

Web site: https://www.co.greenlee.az.us/health/

What Locals Say about Greenlee County: “Greenlee County is close knit, everyone knows each other. It is a great place to raise a family with its slow paced lifestyle and light traffic. We are the home to Geronimo’s birthplace. We have the largest open-pit copper mine in all of North America.” “I like the fact that I don’t have to deal with stressful traffic! I also like being able go for rides and enjoy the outdoors, including the San Francisco River or the numerous mountains that surround us, without having to drive for hours to get there.”

La Paz County

Bill Williams River National Wildlife Refuge by Matt Kieffer (CC BY-SA 2.0)

Population Demographics Activity Profile

20,317 total population (2nd smallest in AZ) Major Natural Attractions: Buckskin Mountain State Park, Parker Dam, Kofa 4.6 people/square mile (lowest population National Wildlife Refuge, Bill Williams River National density in AZ) Wildlife Refuge

4.9% of the population under 5 years of age rd Top 3 Employers: (3 lowest in AZ) Gasoline stations, General medical and surgical hospitals, Traveler accommodation

37.8% of the population over 65 years of age (highest rate in state) Top 3 Employment Types: Accommodation & Food service, Agriculture & Forestry, Public Administration 12.2% veteran’s population (2nd highest in AZ)

th 24.8% in poverty (3rd highest poverty rate in AZ) $142 million total travel spending*: (4 smallest in AZ) $183 million market value of agricultural products sold $36,321 average household income th (2nd lowest household income in state) (6 largest in AZ)

Top 3 agricultural products by sales (in descending order): Quotes 11.4% foreign born population (6th lowest in AZ)

th 57.5% of the population white (5 highest in AZ)

hay cotton grains & beans 26.9% of the population Hispanic/Latino th (7 lowest in AZ)

County Seat: Parker Health Sector

Other major cities: Quartzsite 21.2% of population under 65 without health Tribal Reservations: insurance (highest rate in AZ) Colorado River Tribes Ratio of population to primary care physicians:

rd County Health Department 2,890:1 (3 highest ratio in AZ) La Paz County Health Department 1112 S Joshua Ave. Number of licensed short term, critical access and Parker, Arizona 85344 children’s hospitals in La Paz County: 2  Colorado River Service Unit, Indian Health Services Phone number: (928) 669-1100  La Paz Regional Hospital

Web site: http://www.lpchd.com/

County Health Department’s Clinics What Locals Say about La Paz County: “…La Paz County is stunningly beautiful. The drive on the AZ95 past the Bill Williams River (between Lake Havasu City and Parker) is unique – on one side are the mighty Colorado River and California mountains, and on the other side are strangely shaped cliffs and hills pushing against wide sky… I wish people knew that this place really has a sense of community, with all of the gifts and challenges that that entails.”

Maricopa County

Phoenix Skyline by Emily Barney (CC BY-NC 2.0)

Population Demographics Activity Profile

4,242,997 total population (largest in AZ) Major Attractions: Arizona State Capitol, Camelback Mountain, Desert people/square mile (highest population 414.9 Botanical Garden, Phoenix Zoo, Heard Museum, Phoenix density in AZ) Art Museum, South Mountain Park

6.6% of the population under 5 years of age th (7 highest in AZ) Top Employers: State of Arizona, Wal-Mart Stores Inc., Banner Health

14.6% of the population over 65 years of age (6th lowest rate in state) Top 3 Employment Types: Healthcare & social assistance, Retail Trade, Accommodation & Food Service

th 6.1% veteran’s population (5 lowest in AZ)

$12 billion total travel spending*: (largest in AZ)

15.0% in poverty (3rd lowest poverty rate in AZ) $1 billion market value of agricultural products sold (largest in AZ) $55,676 average household income (highest average household income in state) Top 3 agricultural products by sales (in descending order): Quotes 14.8% foreign born population (3rd highest in AZ)

56.1 % of the population white (6th highest in AZ)

30.7% of the population Hispanic/Latino cow's milk nursery/greenhouse hay

(7th highest in AZ)

SEE INSETS AND Hospital List ON THE NEXT PAGES

County Seat: Phoenix Health Sector Other major cities: Avondale, Mesa, 12.5% of population under 65 without health Glendale, Tempe, Scottsdale insurance (5th lowest in AZ)

Tribal Reservations: Ratio of population to primary care physicians: Fort McDowell Yavapai Nation, Salt River Pima- rd Maricopa Indian Community, Gila Bend (Tohono 1,420:1 (3 lowest ratio in AZ) O'odham), Gila River Indian Community Number of licensed short term, critical access and

children’s hospitals in Maricopa County: 47 County Health Department  5 Abrazo Campuses Maricopa County Department of Public Health  9 Banner Medical Centers 4041 N Central Ave. Phoenix, Arizona 85012  IHS Phoenix Indian Medical Center Phone number: (602) 506-6900  Mayo Clinic Hospital  Phoenix Children’s Hospital

 4 Scottsdale Medical Centers, etc. Web site: http://www.maricopa.gov/publichealth For a complete see Hospital List after the maps

What locals said about Maricopa County: “Living in Maricopa County means opportunity, not only for career but also experiences. There are a lot of nearby activities available like hiking, running, and large sporting events…. Maricopa County is unique in its large geographical size & population. ”

EAST VALLEY

For Hospital Name see HOSPITAL LIST

EAST VALLEY/SCOTTSDALE

For Hospital Name see HOSPITAL LIST

WEST VALLEY

For Hospital Name see HOSPITAL LIST

PHOENIX

For Hospital Name see HOSPITAL LIST

PHOENIX (zoomed in)

For Hospital Name see HOSPITAL LIST

HOSPITAL LIST ID NAME ADDRESS CITY 1 LOS NINOS HOSPITAL, INC. 2303 EAST THOMAS PHOENIX 2 PHOENIX CHILDREN'S HOSPITAL 1919 EAST THOMAS ROAD PHOENIX 3 HACIENDA CHILDREN'S HOSPITAL, INC. 610 WEST JEROME AVENUE MESA 4 PHOENIX CHILDREN'S HOSPITAL - MERCY GILBERT MED CT 3555 SOUTH VAL VISTA DRIVE GILBERT 8 WICKENBURG COMMUNITY HOSPITAL 520 ROSE LANE WICKENBURG 27 VA HOSP CARL T HAYDEN VA MEDICAL CENTER 650 EAST INDIAN SCHOOL RD PHOENIX 28 US AIR FORCE HOSP WILLIAMS AFB CHANDLER 29 US AIR FORCE HOSP - CLOSED LUKE AFB GLENDALE 68 BANNER - UNIVERSITY MEDICAL CENTER PHOENIX 1111 EAST MCDOWELL ROAD PHOENIX 69 ST LUKE'S MEDICAL CENTER 1800 EAST VAN BUREN STREET PHOENIX 70 MARICOPA MEDICAL CENTER 2601 EAST ROOSEVELT STREET PHOENIX 71 O.A.S.I.S. HOSPITAL 750 NORTH 40TH STREET PHOENIX 72 ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER 350 WEST THOMAS ROAD PHOENIX 73 ABRAZO CENTRAL CAMPUS 2000 WEST BETHANY HOME ROAD PHOENIX 74 CORE INSTITUTE SPECIALTY HOSPITAL, THE 6501 NORTH 19TH AVENUE PHOENIX 75 ABRAZO ARIZONA HEART HOSPITAL 1930 EAST THOMAS ROAD PHOENIX 76 PHOENIX INDIAN MEDICAL CENTER 4212 NORTH 16TH STREET PHOENIX 77 JOHN C. LINCOLN MEDICAL CENTER 250 EAST DUNLAP AVENUE PHOENIX 78 HONORHEALTH DEER VALLEY MEDICAL CENTER 19829 NORTH 27TH AVENUE PHOENIX 79 ABRAZO MARYVALE CAMPUS 5102 WEST CAMPBELL AVENUE PHOENIX 80 ABRAZO SCOTTSDALE CAMPUS 3929 EAST BELL ROAD PHOENIX 81 BANNER ESTRELLA MEDICAL CENTER 9201 WEST THOMAS ROAD PHOENIX 82 MAYO CLINIC HOSPITAL 5777 EAST MAYO BOULEVARD PHOENIX 86 BANNER DESERT MEDICAL CENTER 1400 SOUTH DOBSON ROAD MESA 87 ARIZONA SPINE AND JOINT HOSPITAL 4620 EAST BASELINE ROAD MESA 88 BANNER HEART HOSPITAL 6750 EAST BAYWOOD AVENUE MESA 89 BANNER BAYWOOD MEDICAL CENTER 6644 EAST BAYWOOD AVENUE MESA 90 MOUNTAIN VISTA MEDICAL CENTER, LP 1301 SOUTH CRISMON ROAD MESA 92 ARIZONA ORTHOPEDIC AND SURGICAL SPECIALITY HOSP 2905 WEST WARNER ROAD, SUITE 1 CHANDLER 93 CHANDLER REGIONAL MEDICAL CENTER 1955 WEST FRYE ROAD CHANDLER 94 BANNER GATEWAY MEDICAL CENTER 1900 NORTH HIGLEY ROAD GILBERT 95 GREENBAUM SPECIALITY SURGICAL HOSPITAL 3535 NORTH SCOTTSDALE ROAD SCOTTSDALE

96 SCOTTSDALE OSBORN MEDICAL CENTER 7400 EAST OSBORN ROAD SCOTTSDALE 97 SCOTTSDALE LIBERTY HOSPITAL 17500 NORTH PERIMETER DRIVE SCOTTSDALE 98 SCOTTSDALE THOMPSON PEAK MEDICAL CENTER 7400 EAST THOMPSON PEAK PARKWAY SCOTTSDALE 99 SCOTTSDALE SHEA MEDICAL CENTER 9003 EAST SHEA BOULEVARD SCOTTSDALE 100 TEMPE ST LUKE'S HOSPITAL, A CAMPUS OF ST LUKE'S ME 1500 SOUTH MILL AVENUE TEMPE 101 GILBERT HOSPITAL 5656 SOUTH POWER ROAD GILBERT 102 MERCY GILBERT MEDICAL CENTER 3555 SOUTH VAL VISTA DRIVE GILBERT 103 BANNER THUNDERBIRD MEDICAL CENTER 5555 WEST THUNDERBIRD ROAD GLENDALE 104 ST JOSEPH'S WESTGATE MEDICAL CENTER (030024) 7300 NORTH 99TH AVENUE GLENDALE 105 ABRAZO ARROWHEAD CAMPUS 18701 NORTH 67TH AVENUE GLENDALE 106 WESTERN REGIONAL MEDICAL CENTER 14200 WEST CELEBRATE LIFE WAY GOODYEAR 107 DIGNITY HEALTH - ARIZONA GENERAL HOSPITAL 7171 SOUTH 51ST AVENUE LAVEEN 108 BANNER BOSWELL MEDICAL CENTER 10401 WEST THUNDERBIRD BOULEVARD SUN CITY 110 BANNER DEL E. WEBB MEDICAL CENTER 14502 WEST MEEKER BOULEVARD SUN CITY WEST 111 ABRAZO WEST CAMPUS 13677 WEST MCDOWELL ROAD GOODYEAR

Mohave County

Sunset at Lake Havasu by B. Whaley (CC BY-NC 2.0)

Population Demographics Activity Profile

205,249 total population (5th largest in AZ) Major Attractions: Grand Canyon National Park, Hoover Dam, Hualapai 15.0 people/square mile (8th highest population Mountain Park, Lake Havasu State Park, Lake Mead, Lake density in AZ) Mohave, London Bridge, Parashant National Monument. SARA Park 4.5% of the population under 5 years of age nd (2 lowest in AZ) Top 3 Employers

American Woodmark Corporation, Sterilite Corporation, 28.6% of the population over 65 years of age McKee Foods Corporation (3rd highest rate in state)

Top 3 Employment Types: 11.9% veteran’s population (4th highest in AZ) Retail trade, Healthcare & Social Assistance, Accommodation & Food Service

18.3% in poverty (7th lowest poverty rate in AZ) $583 million total travel spending: (7th largest in AZ)

$39,856 average household income $30 million market value of agricultural products sold (5th lowest household income in state) (5th smallest in AZ)

Top 3 agricultural products by sales (in descending order): 7.3% foreign born population (8th lowest in AZ)

77.7% of the population white (2nd highest in AZ)

16.2% of the population Hispanic/Latino hay cattle cotton (5th lowest in AZ)

County Seat: Kingman Health Sector

Other major cities: Bullhead City, 14.0% of population under 65 without health Lake Havasu City, Colorado City th insurance (7 lowest in AZ)

Tribal Reservations: Fort Mojave Indian Tribe, Ratio of population to primary care physicians: Hualapai Tribe, Kaibab-Paiute Tribe th 1,990:1 (8 highest ratio in AZ) County Health Department Number of licensed short term, critical access and Mohave County Department of Public Health children’s hospitals in Mohave County: 4 700 Beale St.  Kingman, Arizona 86401 Havasu Regional Medical Center  Kingman Regional Medical Center Phone number: (928) 753-0743  Valley View Medical Center  Western Arizona Regional Medical Center Web site: https://www.mohavecounty.us/ContentPage.aspx?id=1 27&cid=153

What Locals Say about Mohave County: “People love the pure vastness and diversity of the landscape. It’s not only geographically very large, but we have everything from canyons (including part of the Grand Canyon!), mountains, deserts, lakes and rivers--so many beautiful and unique landscapes.” “People love boating, skiing, and water-sport activities on Lake Havasu, Lake Mohave and the Colorado River.” “Many parts of our county have a rich history in mining, farming, ranching and the railroads…. brand new cities (Lake Havasu (1963) and Bullhead City) as well as very old, historic settlements—plus ancient tribal lands.” 27

Navajo County

Merrick Butte, Monument Valley by Mattia Panciroli (CC BY-NC-ND 2.0)

Population Demographics Activity Profile

110,026 total population (7th smallest in AZ) Major Natural Attractions: Monument Valley, Navajo National Monument, Petrified 10.8 people/square mile (6th lowest population Forest, Apache-Sitgreaves National Forest density in AZ)

7.2% of the population under 5 years of age Top 3 Employers: th (4 highest in AZ) Government, Summit Healthcare Regional Medical Center, Forest Energy Corporation

16.9% of the population over 65 years of age Top 3 Employment Types: (6th lowest rate in state) Healthcare & Social Assistance, Retail Trade, Educational Services

th 6.4% veteran’s population (6 lowest in AZ)

$310 million total travel spending (7th largest in AZ)

28.2% in poverty (2nd highest poverty rate in AZ) $64 million market value of agricultural products sold $36,868 average household income (7th largest in AZ) (3rd lowest household income in state) Top 3 agricultural products by sales (in descending order):

2.7% foreign born population (2nd lowest in AZ)

46.2% of the population American Indian (2nd highest in AZ) vegetables sheep horses

41.2% of the population white (4th lowest in AZ)

County Seat: Holbrook Health Sector

Other major cities: Show Low, Winslow 15.6% of population under 65 without health th Tribal Reservations: insurance (4 highest rate in AZ) White Mountain Apache, Navajo Nation, Hopi Tribe, San Juan Southern Paiute Tribe Ratio of population to primary care physicians: 1,520:1 (4th lowest ratio in AZ) County Health Department Navajo County Public Health Service District Number of licensed short term, critical access and 600 N 9th Pl. children’s hospitals in Navajo County: 4 Show Low, Arizona 85901  DHEW IND HLTH SV & MNTH HLTH ADM (Whiteriver PHS Indian Hospital) Phone number: (928) 532-6050  Hopi Health Care Center  Little Colorado Medical Center  Summit Healthcare Association Web site:

http://www.navajocountyaz.gov/Departments/Public- Health-Services

What Locals Say about Navajo County: “The landscape changes with each region. While we have open deserts with mesas and buttes we also have high mountains with snow, plenty of rivers and lakes, as well as pines for as far as the eye can see. Some of the most remote areas exist in the White Mountains, where elk, bears, and deer live. Being a rural region, many people must improvise and make do with what’s available. It’s a very industrious community.”

Pima County

Mount Lemmon by Nelo Hotsuma (CC BY-NC-ND 2.0)

Population Demographics Activity Profile Major Attractions: 1,016,206 total population (2nd largest in AZ) Arizona-Sonora Desert Museum, Mount Lemmon, 106.7 people/square mile (2nd highest in AZ) Saguaro National Park, Old Tucson Studios, Tohono Chul Park 5.8% of the population under 5 years of age

(4th lowest in AZ) Top 3 Employers:

University of Arizona, Raytheon Missile Systems, United

19.1% of the population over 65 years of age States Air Force th (7 highest rate in AZ)

Top 3 Employment Types:

Healthcare & Social Assistance, Retail Trade, and 8.6% veteran’s population (6th highest in AZ) Educational Services

18.2% in poverty (6th lowest poverty rate in AZ) $2,815 million total travel spending: (2nd largest in AZ) $46,764 average household income th $97 million market value of agricultural products sold (6 highest household income in state) (7th largest in AZ)

Top 3 agricultural products by sales (in descending order): Quotes 12.9% foreign born population (4th lowest in AZ)

4.3% of the population American Indian (8th highest in AZ)

cotton hay horses 52.5% of the population white (7th highest in AZ)

Health Sector County Seat: Tucson 12.2% of population under 65 without health insurance (4th lowest in AZ) Other major cities: Oro Valley, Sahuarita Ratio of population to primary care physicians: 1,220:1 (Lowest ratio in AZ) Tribal Reservations: Pascua Yaqui Tribe, Tohono O'odham Nation, San Xavier Tohono Number of licensed short term, critical access and O'odham children’s hospitals in Pima County: 11  2 Banner-University Medical Centers County Health Department  Green Valley Hospital Pima County Health Department  Northwest Medical Center 3950 S Country Club Rd.  St. Joseph’s Hospital Tucson, Arizona 85714  St. Mary’s Hospital  TMC Geropsychiatric Center at Handmaker  Tohono O’Odham Nation Health Care, Sells Hospital Phone number: (520) 724-7797  Tucson Medical Center  VA Hospital Southern Arizona Web site: http://webcms.pima.gov/health/  US Airforce Hospital

Pinal County

Cotton Field in Florence, Arizona by Midnight Believer (CC BY-NC-ND 2.0)

Population Demographics Activity Profile

418,540 total population (3rd largest in AZ) Major Attractions: Biosphere 2, Casa Grande Ruins National Monument, 70.0 people/square mile (3rd highest in AZ) Coronado National Forest, Lost Dutchman State Park, Tonto National Forest

5.9% of the population under 5 years of age th (7 lowest in AZ) Top 3 Employers: Abbott's Ross Products, ASARCO, Corrections Corporation of America (CCA) 20.0% of the population over 65 years of age

(6th highest in AZ)

Top 3 Employment Types: Healthcare & Social Assistance, Retail Trade, 8.3% veteran’s population (7th highest in AZ) Manufacturing

th 15.4% in poverty (4th lowest in AZ) $643 million total travel spending*: (6 largest in AZ)

$51,190 average household income $927 million market value of agricultural products sold (3rd highest in AZ) th (4 largest in AZ)

Top 3 agricultural products by sales (in descending order): th 9.9% foreign born population (7 highest in AZ) Quotes

57.8% of the population white (4th highest in AZ)

29.4% of the population Hispanic/Latino th cattle cow’s milk cotton (8 highest in AZ)

County Seat: Florence Health Sector

Other major cities: Apache Junction, 12.6% of population under 65 without health th Casa Grande, Coolidge, Eloy, Maricopa insurance (6 lowest rate in AZ)

Tribal Reservations: Ak-Chin Indian Community, Ratio of population to primary care physicians: Gila River Indian Community, Tohono O'odham 5,660:1 (Highest ratio in AZ) Nation, San Carlos Apache Tribe Number of licensed short term, critical access and County Health Department children’s hospitals in Pinal County: 5 Pinal County Public Health  Banner Casa Grande Medical Center 971 N. Jason Lopez Circle  Banner Goldfield Medical Center Florence, Arizona 85132  Banner Ironwood Medical Center

 Florence Hospital at Anthem, LLC Phone number: (866) 960-0633  Gila River HealthCare Corporation (Huhu Kam Web site: Memorial Hospital) http://www.pinalcountyaz.gov/publichealth/Pages/hom e.aspx

Santa Cruz County

Patagonia Lake State Park by Alan Schmierer

Population Demographics Activity Profile

45,985 total population (4th smallest in AZ) Major Attractions: Coronado National Forest, Las Cienegas National 38.3 people/square mile (4th highest population Conservation Area, Madera Canyon, Mount Wrightson, density in AZ) Patagonia Lake State Park, Pena Blanca State Park, Parker Canyon Lake, Tumacácori National Historical Park 6.9% of the population under 5 years of age th (4 highest in AZ) Top Employers:

Government, Green Valley Hospital 17.3% of the population over 65 years of age (7th lowest in AZ) Top 3 Employment Types: Retail Trade, Educational Services, Wholesale Trade

4.0% veteran’s population (lowest in AZ)

$307 million total travel spending*: (6th smallest in AZ)

th 20.9% in poverty (6 highest poverty rate in AZ) $38,941 average household income $14 million market value of agricultural products sold nd (4th lowest household income in state) (2 smallest in AZ) Top 3 agricultural products by sales (in descending order):

Quotes 32.6% foreign born population (highest in AZ)

83.3% of the population Hispanic/Latino (highest in AZ) cattle horses fruits & nuts

15.1% of the population white (lowest in AZ)

County Seat: Nogales Health Sector

Other major cities: Patagonia, 15.0% of population under 65 without health insurance Kino Springs, Rio Rico, Sonoita th (5 highest rate in AZ)

Tribal Reservations: none Ratio of population to primary care physicians:

2,590:1 (4th highest ratio in AZ) County Health Department

Santa Cruz County Public Health Department Number of licensed short term, critical access and 2150 N. Congress Dr. children’s hospitals in Santa Cruz County: 1 Nogales, Arizona 85621  Holy Cross Hospital

Phone number: (520) 375-7900

Web site: http://www.santacruzhealth.org/HSAHome.aspx

What Locals Say about Santa Cruz County:

“Santa Cruz County is not only unique because of the international border; it has beautiful landscapes, wildlife, and is home to some of the earliest settlers to come into the country.”

Yavapai County

Montezuma Castle National Monument by Trevor Huxham (CC BY-NC-ND 2.0)

Population Demographics Activity Profile

225,562 total population (4th largest in AZ) Major Natural Attractions: Bell Rock, Cathedral Rock, Coconino National Forest, 26.0 people/square mile (6th highest population Montezuma Castle National Monument, Red Rock State density in AZ) Park

4.3 % of the population under 5 years of age (lowest in AZ) Top 3 Employers: Yavapai Regional Medical Center, a Lockheed Martin training center, Superior Industries

30.1% of the population over 65 years of age nd (2 highest rate in state) Top 3 Employment Types: Healthcare & Social Assistance, Retail Trade,

Accommodation & Food Service 12.0% veteran’s population (3rd highest in AZ)

th $745 million total travel spending: (4 largest in AZ) 13.3% in poverty (2nd lowest poverty rate in AZ) $41 million market value of agricultural products sold $46,638 average household income th th (6 smallest in AZ) (7 highest household income in state) Top 3 agricultural products by sales (in descending order):

Quotes 6.7% foreign born population (7th lowest in AZ)

of the population white (highest in AZ) 80.8% cattle nursery/greenhouse horses

14.4% of the population Hispanic/Latino th (4 lowest in AZ)

County Seat: Prescott Health Sector

Other major towns: Camp Verde, 13.2% of population under 65 without health insurance th Chino Valley, Jerome, Prescott Valley, (7 lowest rate in AZ)

Cottonwood, Sedona *Sedona is split between Yavapai and Coconino counties Ratio of population to primary care physicians: th Tribal Reservations: Yavapai-Prescott Indian Tribe, 1,610:1 (5 lowest ratio in AZ)

Yavapai-Apache Nation

Number of licensed short term, critical access and County Health Department children’s hospitals in Yavapai County: 4 Yavapai County Community Health Services  Verde Valley Medical Center 1090 Commerce Dr.  Yavapai Regional Medical Center – East Campus Prescott, Arizona 86305  Yavapai Regional Medical Center – West Phone number: (928) 771-3122 Campus  Prescott VA Medical Center. Web site: www.yavapaihealth.com

What Locals Say about Yavapai County: “Yavapai County’s seat, Prescott, originally the first capital of the Arizona territory, is consistently ranked one of the best places to retire due to the abundance of culture, nice weather, and industry.”

Yuma County

Rows of Romaine in Yuma, AZ by Fronteras Desk (CC BY-NC-ND 2.0)

Population Demographics Activity Profile

205,631 total population (5th largest in AZ) Major Attractions: Fort Yuma, Gateway Park, Kofa National Wildlife Refuge, 35.5 people/square mile (5th highest population West Wetlands Park, Yuma Quartermaster Depot State density in AZ) Historic Park

7.3% of the population under 5 years of age rd (3 highest in AZ) Top Employers: Marine Corps Station Yuma

18.5% of the population over 65 years of age Top 3 Employment Types: (8th highest rate in state) Public Administration, Healthcare & Social Assistance, Retail Trade

7.2% veteran’s population (7th lowest in AZ) $665 million total travel spending: (5th largest in AZ)

19.3% in poverty (8th highest poverty rate in AZ) $985 million market value of agricultural products sold nd $41,467 average household income (2 largest in AZ) (7th lowest household income in state)

Top 3 agricultural products by sales (in descending order): Quotes 26.9% foreign born population (2nd highest in AZ)

62.8% of the population Hispanic/Latino (2nd highest in AZ) vegetables hay grains & beans 31.9% of the population white (3rd lowest in AZ)

County Seat: Yuma Health Sector

Other major cities: San Luis, 17.4% of population under 65 without health insurance Somerton, Wellton (3rd highest rate in AZ)

Tribal Reservations: Fort Yuma-Quechan Tribe, Ratio of population to primary care physicians: Cocopah Indian Tribe 2,510:1 (5th highest ratio in AZ)

County Health Department Number of licensed short term, critical access and Yuma County Public Health Service District children’s hospitals in Yuma County: 2 th 2200 W. 28 St.  Yuma Regional Medical Center Yuma, Arizona 85364  US Army Hospital-Yuma

Phone number: (928) 317-4550 Web site: http://www.yumacountyaz.gov/government/healt h-district

Appendix –Data Sources

Numerical data (population and demographic indicators) included in the county profiles. Access the Excel file here.

Total Population/ Population Population Veterans In poverty Median Foreign Caucasian African Hispanic American Asian population square mile under age over age (%) (%) Household born (%) American / Latino Indian (%) (%) 5 (%) 65 (%) Income persons (%) (%) (%)

Apache 73,112 6.4 6.9 14.2 4.2 33.2 $32,460 1.7 18.0 0.1 5.9 75.4 0.4 Cochise 125,770 21.3 6.1 21.3 14.6 21.1 $45,075 11.4 55.7 4.6 35.0 1.8 2.2 Coconino 140,908 7.2 5.8 11.9 5.3 17.8 $50,234 4.8 54.7 1.4 13.8 27.5 1.9 Gila 53,556 11.3 5.9 27.9 10.6 20.3 $40,593 4.3 62.8 0.8 18.6 17.2 0.9 Graham 37,599 8.1 7.5 13.0 5.9 22.9 $47,442 4.8 51.0 2.0 32.6 14.0 0.7 Greenlee 9,613 4.6 7.7 11.9 7.5 12.0 $51,813 4.6 47.4 2.0 46.1 3.7 0.9 La Paz 20,317 4.6 4.9 37.8 12.2 24.8 $36,321 11.4 57.5 1.2 26.9 18.5 0.9 Maricopa 4,242,997 414.9 6.6 14.6 6.1 15.0 $55,676 14.8 56.1 6.0 30.7 2.8 4.3 Mohave 205,249 15.0 4.5 28.6 11.9 18.3 $39,856 7.3 77.7 1.2 16.2 3.0 1.2 Navajo 110,026 10.8 7.2 16.9 6.4 28.2 $36,868 2.7 41.2 0.9 11.2 46.2 0.7 Pima 1,016,206 106.7 5.8 19.1 8.6 18.2 $46,764 12.9 52.5 4.1 36.8 4.3 4.3 Pinal 418,540 70.0 5.9 20.0 8.3 15.4 $51,190 9.9 57.8 5.0 29.4 6.6 1.9 Santa Cruz 45,985 38.3 6.9 17.3 4.0 20.9 $38,941 32.6 15.1 0.9 83.3 1.4 0.7 Yavapai 225,562 26.0 4.3 30.1 12.0 13.3 $46,638 6.7 80.8 0.9 14.4 2.1 1.1 Yuma 205,631 35.5 7.3 18.5 7.2 19.3 $41,467 26.9 31.9 2.7 62.8 2.3 1.5 Arizona 6,931,071 56.3 6.3 16.9 7.29 17.4 $50,255 13.5 55.5 4.9 30.9 5.4 3.4

Within each column, red blocks are the biggest numbers; green are the smallest.

Data Sources: www.census.gov if not otherwise indicated. (Accessed during November 2017-January 2018, data were pulled under the QuickFacts table for the specific county; data included the 2010 census data and the 2016 census estimates.)

Numerical data (economic and healthcare indicators) included in the county profiles. Access the Excel file here.

Total travel Agri. products Without health Ratio of population to Number of PCPs Number of spending ($M) sold ($M) insurance under age primary care *4 hospitals *1 *2 65 (%) *3 physicians*4 *5 Apache $121 $24 17.5 3,420 21 5 Cochise $350 $149 10.7 2,160 59 8 Coconino $1,171 $25 14.6 1,240 111 6 Gila $279 $4 13.6 1,970 27 4 Graham $9 $170 11.6 1,810 21 3 Greenlee $9 $9.7 7.3 2,340 4 0 La Paz $142 $183 21.2 2,890 7 2 Maricopa $12,683 $1,003 12.5 1,420 2886 47 Mohave $583 $30 14.0 1,990 102 5 Navajo $310 $64 15.6 1,520 71 6 Pima $2,815 $97 12.2 1,220 824 20 Pinal $643 $927 12.6 5,660 71 10 Santa Cruz $307 $14 15.0 2,590 18 1 Yavapai $745 $41 13.2 1,610 136 7 Yuma $665 $985 17.4 2,510 81 1 Arizona $20,832 $3,725 12.8 1,520 4439 125

Within each column, red blocks are the biggest numbers; green are the smallest. Data Sources: *1: https://tourism.az.gov/sites/default/files/AZImp14pSepRev2.pdf (2014 data, page 39-52; Total travel spending is the total direct spending generated by visitors in lodging, food services, recreation, transportation and retail businesses. Total travel spending is shared for Graham and Greenlee County). *2: https://www.agcensus.usda.gov/Publications/2012/Online_Resources/County_Profiles/Arizona/ (Market value of agricultural products sold ($1,000) found on page 2 of the 2012 county profiles found at this link.) *3 www.census.gov if not otherwise indicated (accessed during November 2017-Januray 2018, data were pulled under the QuickFacts table for the specific county; data included the 2010 census data and the 2016 census estimates). *4: http://www.countyhealthrankings.org/app/arizona/2017/measure/factors/4/map (2017 County Health Rankings; a lower ratio of population to primary care physicians means that each physician has a smaller population to care for). *5: http://www.azdhs.gov/licensing/medical-facilities/index.php#consumers-databases (accessed during November 2017).

Agriculture and employment non-numeric data included in the county profiles.

Top 3 Agricultural Products by Top 3 Employers *2 Top 3 Employment Types *3 Sales *1 Apache vegetables/melons, cattle/calves, Ft. Defiance Hospital, Indian Health healthcare & social assistance, educational sheep/milk Services, Navajo Nation services, public admin Cochise grains/beans, fruits/nuts, other Fort Huachuca, Cochise County, Sierra public admin, healthcare & social assistance, crops/hay Vista Unified School District retail trade Coconino cattle/calves, sheep/milk, Northern Arizona University, Flagstaff accommodation & food service, educational vegetables/melons Medical Center, W.L. Gore services, healthcare & social assistance Gila cattle/calves, grains/beans, other Gila County Government, Freeport- healthcare & social assistance, retail trade, animal products McMoRan Copper educational services Graham grains/beans, cattle/calves, other Freeport-McMoRan Copper & Gold Educational Services, Retail Trade, Healthcare crops/hay Inc., Arizona Department of & Social Assistance Corrections, Mount Graham Regional Medical Center Greenlee other crops/hay, sheep/milk, horses Freeport-McMoRan Copper & Gold Inc. construction & extraction, maintenance & repair, administrative La Paz other crops/hay, cotton, grains/beans Gasoline stations, General medical and accommodation & food service, agriculture, surgical hospitals, Traveler forestry accommodation Maricopa milk from cows, nursery/greenhouse, State of Arizona, Wal-Mart Stores, Inc., healthcare & social assistance, retail trade, other crops/hay Banner Health. City of Phoenix accommodation & food service Mohave other crops/hay, cattle/calves, cotton American Woodmark Corporation, retail trade, healthcare & social assistance, Sterilite Corporation, McKee Foods accommodation & food service Corporation Navajo vegetables/melons, sheep/milk, horses Government, Summit Healthcare healthcare & social assistance, retail trade, Regional Medical Center, Forest Energy educational services Corporation

Top 3 Agricultural Products by Top 3 Employers *2 Top 3 Employment Types *3 Sales *1 Pima cotton, other crops/hay, horses U of A, Raytheon Missile Systems, Air healthcare & social assistance, retail trade, Force educational services Pinal cattle/calves, milk from cows, cotton Abbott's Ross Products, ASARCO, healthcare & social assistance, retail trade, Corrections Corporation of America manufacturing (CCA) Santa Cruz cattle/calves, horses, fruits/nuts Planetary Formulas, Plantronics Inc. retail trade, educational services, wholesale Yavapai cattle/calves, nursery/greenhouse, Yavapai Regional Medical Center, healthcare & social assistance, retail trade, vegetables/melons Lockheed Martin training center; accommodation & food service Superior Industries Yuma vegetables/melons, other crops/hay, Marine Air Corps Station Yuma public admin, healthcare & social assistance, grains/beans retail trade

Data Sources:

*1 https://www.agcensus.usda.gov/Publications/2012/Online_Resources/County_Profiles/Arizona/ (under 'Values of Sales by Commodity Group on page 2 of the county profile) *2 Various sources unique to each county *3 https://datausa.io/

Authors and Acknowledgments

The Arizona County Profile Handbook was created by Nina Herz (student in Microbiology) with supervision from Irene Ruberto (Surveillance Epidemiologist), Rachel Perry (Cross-Cutting Epidemiologist) and Laura Erhart (Surveillance Epidemiologist) from the Office of Infectious Disease Services. We would like to thank the county health departments for providing quotes about their county, included in the second page of most profiles.