Force for Health · PHIT™ · Built on the FY2026-27 Recommended Budget
Pima County Prevention ROI & Impact Calculator
Model a per-resident prevention investment live — every number below is anchored to Pima County's own budget of record. Move the sliders; the return moves with them.
$1.81B
FY2026-27 total expenditures
$1,655.40
county spend per resident / yr
1,093,761
residents (Census 2025)
$57.1M
Health Dept · ~$11.5M is prevention
Set the investment
Defaults reflect the modeled $1/head, 5-year base case.
$1.00
5 years
5.6×
25%
8%
2.5%
100%
Slide left to model a co-investor (e.g. a health plan) covering part of the ask — the county's net cost drops while reach stays the same.
The return
A 5-year, $1/head partnership.
$1,093,761
Annual ask
$5,468,805
Over the term
0.060%
of the county's total budget
1.92%
of the Health Dept budget
Annual impact ripple
Reached
Engaged
Activated
$25.2M
net benefit over 5 years · $30.6M return on $5.5M invested (5.6× · system-wide)
$5,468,805
County's net cost after coalition split
$40
Cost per activated resident / yr
💰 It may not even need new money
Opioid Abatement — 14.04% of Health ≈ $8.0M/yr; prevention education is an allowable use.
Community Outreach, Prevention & Education — already ~$11.5M/yr (20.19% of Health). Amplify it, don't start it.
One Pima Initiative — funded by General Fund + grants + opioid settlement; names "improve public health" and "restore the Chuck Huckelberry Loop."
Detainee & Crisis Systems — $44.9M/yr: prevention that reduces crisis contact returns directly to the county.
County employee health costs — a self-funded plan the county pays for.
Workforce pipeline — Community & Workforce Development is $67.2M; a healthier, credentialed talent base.
Library, Parks & Kino utilization — programming that fills venues the county already funds.
Straight talk on ROI (say this before the analyst does): Much of prevention's medical savings accrues system-wide — to Medicaid/AHCCCS and health plans — not only the county general fund. The ROI multipliers above are published, system-wide benchmarks. The county-captured line items on the right are where Pima's own budget benefits, and they're the reason a payer like Banner – University Family Care is a natural co-investor: the entity that captures the medical savings helps fund the work. Slide "County share" left to see it.
Sources: FY2026-27 Pima County Administrator Recommended Budget Book (transmitted Apr 17, 2026) · U.S. Census Bureau Pima County population estimate 2025 (1,093,761) · Trust for America's Health, Prevention for a Healthier America ($10/head → $5.60 per $1 within 5 yrs) · ROI of community health workers: a systematic review, The Lancet Regional Health–Americas (median $2.12 per $1) · multi-study public-health ROI review (~$14 per $1). Funnel rates are tunable planning assumptions, not guarantees; returns depend on program design and execution.