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        <PersonNm>Margie Traylor</PersonNm>
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        <PersonNm>Kathleen Wade</PersonNm>
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        <PersonNm>Mike Welborn</PersonNm>
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        <PersonNm>DAVID DAMORE</PersonNm>
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        <PersonNm>SHANNON FOX FRASER</PersonNm>
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        <PersonNm>ALICE POPE</PersonNm>
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        <PersonNm>GARY BAKER</PersonNm>
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        <PersonNm>WENDY CRAWFORD</PersonNm>
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        <PersonNm>GLYNN HOLLIS</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>STEPHANIE JACKSON md</PersonNm>
        <TitleTxt>SVP/CHIEF QUALITY OFFICER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN NEIL md</PersonNm>
        <TitleTxt>SVP/CHIEF PHYSICIAN EXECUTIVE</TitleTxt>
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        <PersonNm>KIMBERLY POST</PersonNm>
        <TitleTxt>SVP/CEO HOSPITALS/CCO</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID PRICE</PersonNm>
        <TitleTxt>NORTHERN REGION HOSPITAL CEO</TitleTxt>
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        <PersonNm>CHARLES SCULLY</PersonNm>
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        <PersonNm>RICHARD SILVER MD</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID RIZIK md</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES SWAIN md</PersonNm>
        <TitleTxt>BARIATRIC SURGEON</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>AMAR THOSANI md</PersonNm>
        <TitleTxt>GI PHYSICIAN</TitleTxt>
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        <PersonNm>JOSEPH FARES md</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MEHUL PATEL md</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>NATHAN ANSPACH</PersonNm>
        <TitleTxt>FORMER CEO, PHYSICIAN NETWORK</TitleTxt>
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        <PersonNm>JON BARTLETT</PersonNm>
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        <PersonNm>RHONDA FORSYTH</PersonNm>
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        <PersonNm>JOHN HARRINGTON JR</PersonNm>
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        <PersonNm>ALAN KELLY</PersonNm>
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        <PersonNm>DAVID LAMPARTER</PersonNm>
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        <PersonNm>BRUCE PEARSON</PersonNm>
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        <ContractorName>
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        <ContractorName>
          <PersonNm>BARROW NEUROSURGICAL ASSOCIATES LTD</PersonNm>
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          <PersonNm>DEVENNEY GROUP LTD</PersonNm>
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        <ContractorName>
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      <ProgramServiceRevenueGrp>
        <Desc>Food Service Revenue</Desc>
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      <FundraisingDirectExpensesAmt>0</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncmFromFundraisingEvtGrp>
      <GamingGrossIncomeAmt>0</GamingGrossIncomeAmt>
      <GamingDirectExpensesAmt>0</GamingDirectExpensesAmt>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeFromGamingGrp>
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      <CostOfGoodsSoldAmt>0</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
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      <OtherRevenueTotalAmt>0</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>2022983964</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1956440134</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>17535</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>54767213</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
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        <ProgramServicesAmt>6434651</ProgramServicesAmt>
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      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>0</TotalAmt>
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      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
        <TotalAmt>0</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>8442973</TotalAmt>
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        <ManagementAndGeneralAmt>8442973</ManagementAndGeneralAmt>
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      <CompDisqualPersonsGrp>
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        <ManagementAndGeneralAmt>13831900</ManagementAndGeneralAmt>
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        <FundraisingAmt>0</FundraisingAmt>
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      <FeesForSrvcInvstMgmntFeesGrp>
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        <ManagementAndGeneralAmt>1764885</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
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      </AdvertisingGrp>
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      </OfficeExpensesGrp>
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        <ManagementAndGeneralAmt>5252188</ManagementAndGeneralAmt>
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      </InformationTechnologyGrp>
      <RoyaltiesGrp>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </RoyaltiesGrp>
      <OccupancyGrp>
        <TotalAmt>35688257</TotalAmt>
        <ProgramServicesAmt>29985274</ProgramServicesAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>1247163</ProgramServicesAmt>
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      <PymtTravelEntrtnmntPubOfclGrp>
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      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
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      <PaymentsToAffiliatesGrp>
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        <ProgramServicesAmt>271673648</ProgramServicesAmt>
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      <OtherExpensesGrp>
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      <OtherExpensesGrp>
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      <AllOtherExpensesGrp>
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      <CashNonInterestBearingGrp>
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      <RcvblFromDisqualifiedPrsnGrp>
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      <OthNotesLoansReceivableNetGrp>
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        <EOYAmt>801424798</EOYAmt>
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        <EOYAmt>1015714349</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>2258694352</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
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      <NetUnrlzdGainsLossesInvstAmt>-68025969</NetUnrlzdGainsLossesInvstAmt>
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      <PriorPeriodAdjustmentsAmt>-323585</PriorPeriodAdjustmentsAmt>
      <OtherChangesInNetAssetsAmt>4731845</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
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      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
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      <TotalDirectLobbyingGrp />
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      <OtherExemptPurposeExpendGrp />
      <TotalExemptPurposeExpendGrp />
      <LobbyingNontaxableAmountGrp />
      <GrassrootsNontaxableGrp />
      <TotLbbyngGrassrootMnsNonTxGrp />
      <TotLbbyExpendMnsLbbyngNonTxGrp />
      <VolunteersInd>false</VolunteersInd>
      <PaidStaffOrManagementInd>true</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MediaAdvertisementsAmt>0</MediaAdvertisementsAmt>
      <MailingsMembersInd>false</MailingsMembersInd>
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      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
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      <GrantsOtherOrganizationsInd>true</GrantsOtherOrganizationsInd>
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      <DirectContactLegislatorsInd>true</DirectContactLegislatorsInd>
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      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
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      <OtherActivitiesInd>true</OtherActivitiesInd>
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      <TotalLobbyingExpendituresAmt>211895</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE C, PART II-B, LINEs 1b and 1g</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SCOTTSDALE HEALTHCARE HOSPITALS (DBA HONORHEALTH) BOARD APPROVES AN ANNUAL ADVOCACY AGENDA WHICH OUTLINES PRIORITIES AND PROVIDES DIRECTION on healthcare-related issues. HONORHEALTH ENGAGED ONE INDEPENDENT CONTRACTOR TO PROVIDE LOBBYING SUPPORT SERVICES AT THE FEDERAL, STATE AND LOCAL LEVEL IN SUPPORT OF ITS MISSION. ADDITIONALLY, A PORTION OF HONORHEALTH'S VP OF GOVERNMENT &amp; COMMUNITY AFFAIRS TIME IS DEDICATED TO ADVANCING HONORHEALTH'S PRIORITIES BY REGULARLY MEETING WITH REPRESENTATIVES OF THE FEDERAL AGENCIES, THE UNITED STATES CONGRESS, THE ARIZONA STATE LEGISLATURE, THE GOVERNOR'S OFFICE, THE ARIZONA DEPARTMENT OF HEALTH SERVICES AND CITY GOVERNMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE C, PART II-B, LINE 1F</FormAndLineReferenceDesc>
        <ExplanationTxt>HONORHEALTH GRANTED $5,000 TO OTHER ORGANIZATIONS IN FURTHERANCE OF ITS MISSION TO PROVIDE HEALTH CARE, RESOURCES, &amp; COMMUNITY PROGRAMS THAT BENEFIT THE UNDERSERVED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE C, PART II-B, LINE 1I</FormAndLineReferenceDesc>
        <ExplanationTxt>HONORHEALTH PAYS MEMBERSHIP DUES TO MEMBER ASSOCIATIONS. A PORTION OF THESE DUES, $64,687, IS ATTRIBUTABLE TO LOBBYING EXPENSES FOR HEALTHCARE ISSUES AND INCLUDED IN THE AMOUNT REPORTED ON LINE 1I.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
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      <HeldWorksArtGrp />
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      <CYMinus4YrEndwmtFundGrp />
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        <BookValueAmt>111553615</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
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        <OtherCostOrOtherBasisAmt>526329105</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>292097342</DepreciationAmt>
        <BookValueAmt>234231763</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
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        <DepreciationAmt>21313406</DepreciationAmt>
        <BookValueAmt>23181987</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
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        <DepreciationAmt>820375504</DepreciationAmt>
        <BookValueAmt>379860894</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
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        <DepreciationAmt>36651648</DepreciationAmt>
        <BookValueAmt>52596539</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>801424798</TotalBookValueLandBuildingsAmt>
      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Rate Swap</Desc>
        <Amt>26133153</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Deferred Comp Reserve</Desc>
        <Amt>22077437</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER LIABILITIES</Desc>
        <Amt>2303387</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ARIZONA CENTER FOR CANCER CARE</Desc>
        <Amt>1572500</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>CAPITAL LEASE</Desc>
        <Amt>203106</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>52289583</TotalLiabilityAmt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART X, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT HAS EVALUATED ITS INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleF documentId="IRS990ScheduleF">
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        <RegionTxt>Central America and the Caribbean</RegionTxt>
        <TypeOfActivitiesConductedTxt>Program Services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>CAPTIVE INSURANCE</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>10825424</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>Central America and the Caribbean</RegionTxt>
        <TypeOfActivitiesConductedTxt>Investments</TypeOfActivitiesConductedTxt>
        <RegionTotalExpendituresAmt>33942579</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <SubtotalSpentAmt>44768003</SubtotalSpentAmt>
      <TotalSpentAmt>44768003</TotalSpentAmt>
      <TransferToForeignCorpInd>true</TransferToForeignCorpInd>
      <InterestInForeignTrustInd>false</InterestInForeignTrustInd>
      <ForeignCorpOwnershipInd>true</ForeignCorpOwnershipInd>
      <PassiveForeignInvestmestCoInd>false</PassiveForeignInvestmestCoInd>
      <ForeignPartnershipInd>false</ForeignPartnershipInd>
      <BoycottCountriesInd>false</BoycottCountriesInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE F, PART I, LINE 3, COLUMN (F)</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AMOUNT REPORTED IN COLUMN (F) IS DETERMINED BASED ON THE ACCRUAL METHOD OF ACCOUNTING.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleF>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
      <FinancialAssistancePolicyInd>true</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>true</WrittenPolicyInd>
      <MostHospitalsPolicyInd>X</MostHospitalsPolicyInd>
      <FPGReferenceFreeCareInd>true</FPGReferenceFreeCareInd>
      <Percent200Ind>X</Percent200Ind>
      <FPGReferenceDiscountedCareInd>true</FPGReferenceDiscountedCareInd>
      <DiscountedCareOthPercentageGrp>
        <OtherInd>X</OtherInd>
        <DiscountedCareOtherPct>500.</DiscountedCareOtherPct>
      </DiscountedCareOthPercentageGrp>
      <FreeCareMedicallyIndigentInd>false</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>true</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>true</ExpensesExceedBudgetInd>
      <UnableToProvideCareInd>false</UnableToProvideCareInd>
      <AnnualCommunityBnftReportInd>true</AnnualCommunityBnftReportInd>
      <ReportPublicallyAvailableInd>true</ReportPublicallyAvailableInd>
      <FinancialAssistanceAtCostTyp>
        <TotalCommunityBenefitExpnsAmt>53820642</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>0</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>53820642</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.02890</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedMedicaidGrp>
        <TotalCommunityBenefitExpnsAmt>302667530</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>160159015</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>142508515</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.07650</TotalExpensePct>
      </UnreimbursedMedicaidGrp>
      <TotalFinancialAssistanceTyp>
        <TotalCommunityBenefitExpnsAmt>356488172</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>160159015</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>196329157</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.10540</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <CommunityHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>1207175</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>6740</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>1200435</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00060</TotalExpensePct>
      </CommunityHealthServicesGrp>
      <HealthProfessionsEducationGrp>
        <TotalCommunityBenefitExpnsAmt>17745021</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>0</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>17745021</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00950</TotalExpensePct>
      </HealthProfessionsEducationGrp>
      <SubsidizedHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>1912</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>1912</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </SubsidizedHealthServicesGrp>
      <ResearchGrp>
        <TotalCommunityBenefitExpnsAmt>1473309</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>1473309</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00080</TotalExpensePct>
      </ResearchGrp>
      <CashAndInKindContributionsGrp>
        <TotalCommunityBenefitExpnsAmt>6782034</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>6782034</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00360</TotalExpensePct>
      </CashAndInKindContributionsGrp>
      <TotalOtherBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>27209451</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>6740</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>27202711</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.01450</TotalExpensePct>
      </TotalOtherBenefitsGrp>
      <TotalCommunityBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>383697623</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>160165755</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>223531868</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.11990</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <EconomicDevelopmentGrp>
        <TotalCommunityBenefitExpnsAmt>3750</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>3750</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </EconomicDevelopmentGrp>
      <CommunitySupportGrp>
        <TotalCommunityBenefitExpnsAmt>3750</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>3750</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </CommunitySupportGrp>
      <EnvironmentalImprovementsGrp>
        <TotalCommunityBenefitExpnsAmt>700758</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>700758</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00040</TotalExpensePct>
      </EnvironmentalImprovementsGrp>
      <LeadershipDevelopmentGrp>
        <TotalCommunityBenefitExpnsAmt>15450</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>15450</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </LeadershipDevelopmentGrp>
      <CoalitionBuildingGrp>
        <TotalCommunityBenefitExpnsAmt>1989797</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>1989797</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00110</TotalExpensePct>
      </CoalitionBuildingGrp>
      <HealthImprovementAdvocacyGrp>
        <TotalCommunityBenefitExpnsAmt>13050</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>13050</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </HealthImprovementAdvocacyGrp>
      <WorkforceDevelopmentGrp>
        <TotalCommunityBenefitExpnsAmt>145137</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>145137</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00010</TotalExpensePct>
      </WorkforceDevelopmentGrp>
      <TotalCommuntityBuildingActyGrp>
        <TotalCommunityBenefitExpnsAmt>2871692</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>2871692</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00160</TotalExpensePct>
      </TotalCommuntityBuildingActyGrp>
      <BadDebtExpenseReportedInd>false</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>13706570</BadDebtExpenseAmt>
      <BadDebtExpenseAttributableAmt>5647107</BadDebtExpenseAttributableAmt>
      <ReimbursedByMedicareAmt>336515126</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>359556910</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>-23041784</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <OtherInd>X</OtherInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
      <ManagementCoAndJntVenturesGrp>
        <EntityName>
          <BusinessNameLine1Txt>SLCS LLC thru 718</BusinessNameLine1Txt>
        </EntityName>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <OrgProfitOrOwnershipPct>0.51</OrgProfitOrOwnershipPct>
        <PhysiciansProfitOrOwnershipPct>0.49</PhysiciansProfitOrOwnershipPct>
      </ManagementCoAndJntVenturesGrp>
      <HospitalFacilitiesCnt>7</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>HONORHEALTH SCOTTSDALE SHEA MED CTR</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>9003 E SHEA BOULEVARD</AddressLine1Txt>
          <CityNm>Scottsdale</CityNm>
          <StateAbbreviationCd>AZ</StateAbbreviationCd>
          <ZIPCd>85260</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.HONORHEALTH.COM</WebsiteAddressTxt>
        <StateLicenseNum>H0154</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <TeachingHospitalInd>X</TeachingHospitalInd>
        <ResearchFacilityInd>X</ResearchFacilityInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
        <FacilityReportingGroupCd>A</FacilityReportingGroupCd>
      </HospitalFacilitiesGrp>
      <HospitalFacilitiesGrp>
        <FacilityNum>2</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>HONORHEALTH SCOTTSDALE OSBORN MED CTR</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>7400 E OSBORN ROAD</AddressLine1Txt>
          <CityNm>scottsdale</CityNm>
          <StateAbbreviationCd>AZ</StateAbbreviationCd>
          <ZIPCd>85251</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.HONORHEALTH.COM</WebsiteAddressTxt>
        <StateLicenseNum>H0107</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <TeachingHospitalInd>X</TeachingHospitalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
        <FacilityReportingGroupCd>A</FacilityReportingGroupCd>
      </HospitalFacilitiesGrp>
      <HospitalFacilitiesGrp>
        <FacilityNum>3</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>HONORHEALTH JOHN C LINCOLN MED CTR</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>250 E DUNLAP AVENUE</AddressLine1Txt>
          <CityNm>PHOENIX</CityNm>
          <StateAbbreviationCd>AZ</StateAbbreviationCd>
          <ZIPCd>85020</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.HONORHEALTH.COM</WebsiteAddressTxt>
        <StateLicenseNum>H0077</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <TeachingHospitalInd>X</TeachingHospitalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
        <FacilityReportingGroupCd>A</FacilityReportingGroupCd>
      </HospitalFacilitiesGrp>
      <HospitalFacilitiesGrp>
        <FacilityNum>4</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>HONORHEALTH DEER VALLEY MED CTR</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>19829 N 27TH AVENUE</AddressLine1Txt>
          <CityNm>PHOENIX</CityNm>
          <StateAbbreviationCd>AZ</StateAbbreviationCd>
          <ZIPCd>85027</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.HONORHEALTH.COM</WebsiteAddressTxt>
        <StateLicenseNum>H0167</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
        <FacilityReportingGroupCd>A</FacilityReportingGroupCd>
      </HospitalFacilitiesGrp>
      <HospitalFacilitiesGrp>
        <FacilityNum>5</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>HONORHEALTH SCOTTSDALE THOMPSON PEAK</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>7400 E THOMPSON PEAK PKWY</AddressLine1Txt>
          <CityNm>SCOTTSDALE</CityNm>
          <StateAbbreviationCd>AZ</StateAbbreviationCd>
          <ZIPCd>85255</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.HONORHEALTH.COM</WebsiteAddressTxt>
        <StateLicenseNum>H4267</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
        <FacilityReportingGroupCd>A</FacilityReportingGroupCd>
      </HospitalFacilitiesGrp>
      <HospitalFacilitiesGrp>
        <FacilityNum>6</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>HONORHEALTH REHABILITATION HOSPITAL</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>8850 E PIMA CENTER PKWY</AddressLine1Txt>
          <CityNm>SCOTTSDALE</CityNm>
          <StateAbbreviationCd>AZ</StateAbbreviationCd>
          <ZIPCd>85258</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>www.honorhealth-rehab.com</WebsiteAddressTxt>
        <StateLicenseNum>SH5682</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <OtherDesc>SPECIALTY CARE - REHABILITATION</OtherDesc>
      </HospitalFacilitiesGrp>
      <HospitalFacilitiesGrp>
        <FacilityNum>7</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>HONORHEALTH GREENBAUM SPECIALTY SURG</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>3535 N SCOTTSDALE ROAD</AddressLine1Txt>
          <CityNm>SCOTTSDALE</CityNm>
          <StateAbbreviationCd>AZ</StateAbbreviationCd>
          <ZIPCd>85251</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.HONORHEALTH.COM</WebsiteAddressTxt>
        <StateLicenseNum>SH3394</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <FacilityReportingGroupCd>A</FacilityReportingGroupCd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>A</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>18</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>false</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>false</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>SEE SCHEDULE H, PART V, SECTION C</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>19</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>false</StrategyPostedWebsiteInd>
        <StrategyAttachedInd>true</StrategyAttachedInd>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>200.</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>500.</FPGFamilyIncmLmtDscntCarePct>
        <IncomeLevelCriteriaInd>X</IncomeLevelCriteriaInd>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>SEE SCHEDULE H, PART V, SECTION C</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>SEE SCHEDULE H, PART V, SECTION C</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>SEE SCH H, PART V, SECTION C</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <OtherPublicityInd>X</OtherPublicityInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <OtherActionsTakenInd>X</OtherActionsTakenInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <LookBackMedicarePrivateInd>X</LookBackMedicarePrivateInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>HONORHEALTH REHABILITATION HOSPITAL</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>6</FacilityNum>
        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>18</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>false</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>false</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>SEE SCHEDULE H, PART V, SECTION C</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>19</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>false</StrategyPostedWebsiteInd>
        <StrategyAttachedInd>true</StrategyAttachedInd>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>200.</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>500.</FPGFamilyIncmLmtDscntCarePct>
        <IncomeLevelCriteriaInd>X</IncomeLevelCriteriaInd>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>SEE SCHEDULE H, PART V, SECTION C</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>SEE SCHEDULE H, PART V, SECTION C</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>SEE SCH H, PART V, SECTION C</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <OtherPublicityInd>X</OtherPublicityInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <OtherActionsTakenInd>X</OtherActionsTakenInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <LookBackMedicareInd>X</LookBackMedicareInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>A SINGLE SCHEDULE H, PART V, SECTION B WAS COMPLETED FOR FACILITY</FormAndLineReferenceDesc>
        <ExplanationTxt>REPORTING GROUP A. THE FOLLOWING HOSPITAL FACILITIES ARE INCLUDED IN FACILITY REPORTING GROUP A (LINES 1-5, AND 7): 1. HONORHEALTH SCOTTSDALE SHEA MEDICAL CENTER 2. HONORHEALTH SCOTTSDALE OSBORN MEDICAL CENTER 3. HONORHEALTH JOHN C. LINCOLN MEDICAL CENTER 4. HONORHEALTH DEER VALLEY MEDICAL CENTER 5. HONORHEALTH SCOTTSDALE THOMPSON PEAK MEDICAL CENTER 7. HONORHEALTH GREENBAUM SURGICAL SPECIALTY HOSPITAL THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 3E APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A AND HONORHEALTH REHABILITATION HOSPITAL: THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND ARE IDENTIFIED THROUGH THE Community Health Needs Assessments (CHNA).</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A AND HONORHEALTH REHABILITATION HOSPITAL: HONORHEALTH CONTRACTED WITH SG2, WESTGROUP RESEARCH AND SURVEY SAMPLE INTERNATIONAL TO CONDUCT THE PRIMARY RESEARCH. COMMUNITY INPUT WAS PROVIDED BY A BROAD RANGE OF COMMUNITY MEMBERS THROUGH THE USE OF KEY INFORMANT INTERVIEWS, FOCUS GROUPS, AND A MULTI-MODAL CONSUMER SURVEY OF 571 COMMUNITY RESIDENTS. INDIVIDUALS WITH KNOWLEDGE, INFORMATION, AND EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY WERE CONSULTED. THESE INDIVIDUALS INCLUDED REPRESENTATIVES FROM STATE OR COUNTY PUBLIC HEALTH DEPARTMENTS AS WELL AS LEADERS, REPRESENTATIVES AND MEMBERS OF VULNERABLE POPULATIONS (INCLUDING MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS) AND OTHER INDIVIDUALS WITH STRONG EXPERTISE OF LOCAL HEALTH NEEDS. FURTHERMORE, TO ENSURE INPUT FROM COMMUNITY MEMBERS AS WELL AS VULNERABLE POPULATIONS, A MULTI-MODAL SURVEY WAS DISTRIBUTED THROUGH A TARGETED AUDIENCE PANEL AS WELL AS IN PERSON AT VARIOUS KEY COMMUNITY HEALTH ACCESS POINTS. KEY INFORMANT INTERVIEWS SG2 CONDUCTED PRIMARY RESEARCH VIA KEY INFORMANT INTERVIEWS WITH 19 INDIVIDUALS FROM VARIOUS ORGANIZATIONS. KEY INFORMANTS INCLUDED COMMUNITY AND PUBLIC HEALTH REPRESENTATIVES FROM ORGANIZATIONS SUCH AS MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH, WASHINGTON ELEMENTARY SCHOOL DISTRICT, VITALYST HEALTH FOUNDATION, ARIZONA ALLIANCE FOR COMMUNITY HEALTH CENTERS, NEIGHBORHOOD OUTREACH TO ACCESS HEALTH (NOAH), HONORHEALTH, AND OTHERS. EXPERTS WERE INTERVIEWED IN PERSON OR BY TELEPHONE FOR APPROXIMATELY ONE HOUR. EXPERTS WERE ASKED TO IDENTIFY THE TOP NEEDS OF THEIR CONSTITUENCIES, INCLUDING SPECIFIC POPULATIONS, COMMUNITIES, OR AREAS WITH GREATER HEALTH NEEDS; DRIVERS OF HEALTH NEEDS, INCLUDING SOCIAL DETERMINANTS OF HEALTH; BARRIERS TO ACCESSING HEALTH CARE; AND SUGGESTED SOLUTIONS FOR THE HEALTH NEEDS THEY IDENTIFIED, INCLUDING EXISTING RESOURCES, DEVELOPMENT OF NEW RESOURCES, OR COMMUNITY PARTNERSHIPS. STAKEHOLDERS WITHIN HONORHEALTH WERE ASKED ADDITIONAL QUESTIONS PERTAINING TO THEIR FACILITY OR SYSTEM ROLE, INCLUDING AVAILABLE SERVICES, GAPS IN SERVICES, BARRIERS PATIENTS ENCOUNTER WHEN SEEKING CARE, AND CURRENT AND HISTORICAL EFFORTS BY THE FACILITY TO ADDRESS HEALTH DISPARITIES. FOCUS GROUPS WESTGROUP RESEARCH CONDUCTED FOUR FOCUS GROUP SESSIONS TO GAIN FURTHER COMMUNITY INPUT FROM RESIDENTS ABOUT THEIR HEALTH NEEDS, PERCEIVED BARRIERS TO ACCESS, AND AWARENESS OF COMMUNITY RESOURCES. THE DISCUSSION INCLUDED THE IDENTIFICATION OF CHARACTERISTICS NEEDED FOR A COMMUNITY TO BE HEALTHY, IMPORTANT HEALTH NEEDS IN EACH GEOGRAPHIC COMMUNITY, AWARENESS AND ACCESSIBILITY OF RESOURCES AVAILABLE TO ADDRESS THOSE NEEDS, AND THE ROLE OF THE HEALTHCARE ORGANIZATION IN ADDRESSING UNMET NEEDS. FOCUS GROUP PARTICIPANTS WERE RECRUITED TO ENSURE GEOGRAPHICAL REPRESENTATION ACROSS THE THREE COMMUNITIES AS WELL AS THE NOAH (NEIGHBORHOOD OUTREACH ACCESS TO HEALTH) SERVICE AREA. FURTHERMORE, DEMOGRAPHIC CHARACTERISTICS SUCH AS AGE, HOUSEHOLD INCOME, AND PRIMARY LANGUAGE SPOKEN WERE USED TO TARGET SIGNIFICANT POPULATIONS ACROSS EACH FOCUS GROUP AND TO SURVEY DIFFERENCES IN HEALTH NEEDS BASED ON RESPONDENT SOCIOECONOMIC FACTORS. THE FOCUS GROUPS INCLUDED COMMUNITY MEMBERS THAT WERE FROM LOW-INCOME AND POTENTIALLY MEDICALLY UNDERSERVED AREAS, AS WELL AS THOSE THAT MAY BE LINGUISTICALLY ISOLATED, UNDERINSURED OR UNINSURED. ADDITIONALLY, ONE FOCUS GROUP WAS CONDUCTED IN SPANISH TO ENSURE INCLUSION OF SPANISH-SPEAKERS ACROSS THE COMMUNITIES SERVED BY HONORHEALTH AND NOAH. CONSUMER SURVEY A MULTI-MODAL COMMUNITY HEALTH NEEDS SURVEY INSTRUMENT WAS DEVELOPED AND DISTRIBUTED ONLINE AND VIA HARD COPY IN PERSON. THE APPENDIX CONTAINS A DETAILED SUMMARY OF THE SURVEY FINDINGS, RESPONDENT DEMOGRAPHICS, AND QUESTIONNAIRE USED. ONLINE SURVEY AN ONLINE SURVEY TO RESPONDENTS LIVING WITHIN THE HONORHEALTH AND NOAH SERVICE AREAS WAS ADMINISTERED. THE SURVEY SAMPLE WAS CENSUS-BALANCED BY AGE AND GENDER TO ENSURE A RELATIVELY REPRESENTATIVE SAMPLE OF THE POPULATION (ADULTS AGED 18+), CONSISTING OF 389 RESPONSES. IN-PERSON SURVEY IN ORDER TO ENSURE COMMUNITY INPUT FROM INDIVIDUALS THAT MAY LACK THE MEANS OR ABILITY TO ACCESS THE INTERNET, INCLUDING VULNERABLE OR DISADVANTAGED POPULATIONS, A CONDENSED PAPER SURVEY WAS DISTRIBUTED IN PERSON AT VARIOUS COMMUNITY HEALTH ACCESS POINTS WITHIN THE COMMUNITY. THE SURVEY WAS OFFERED IN ENGLISH AND SPANISH TO BE AS INCLUSIVE OF COMMUNITY RESIDENTS AS POSSIBLE WITH 182 COMPLETED RESPONSES RECEIVED. WRITTEN COMMENTS HONORHEALTH PUBLISHED THE PREVIOUS CHNA ONLINE AND PROVIDED THE PUBLIC AN OPPORTUNITY TO SUBMIT QUESTIONS OR FEEDBACK BY EMAILING COMMUNITYBENEFIT@HONORHEALTH.COM. AT THE TIME OF THIS CHNA REPORT, HONORHEALTH HAS NOT RECEIVED ANY WRITTEN COMMENTS. HONORHEALTH WILL CONTINUE TO TRACK ANY FEEDBACK TO ENSURE RELEVANT INPUT IS CONSIDERED AND ADDRESSED.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A: THE 2018 COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE AT THE FOLLOWING WEBSITE: HTTPS://WWW.HONORHEALTH.COM/COMMUNITY/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-N EEDS-ASSESSMENT THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 7A APPLIES TO HONORHEALTH REHABILITATION HOSPITAL: THE 2018 COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE AT THE FOLLOWING WEBSITE: https://www.honorhealth-rehab.com/about/</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A AND HONORHEALTH REHABILITATION HOSPITAL: HONORHEALTH IDENTIFIED 5 NEEDS AT ALL LICENSED FACILITIES: -Mental Health (including substance abuse and homelessness) -Access to Care -Chronic Diseases -Access to Healthy Food/Food Insecurity -Maternal and Child Health (including domestic violence) HONORHEALTH ALIGNED THE IMPLEMENTATION STRATEGY WITH THE ORGANIZATIONS STRATEGIC PLAN. THE IMPLEMENTATION STRATEGY WAS APPROVED BY THE BOARD OF DIRECTORS FOR HONORHEALTH ON APRIL 23, 2019. TO ADDRESS THE MENTAL HEALTH NEEDS OF THE COMMUNITY, HONORHEALTH IS WORKING WITH LOCAL PARTNERS, INCLUDING NOAH AND CIRCLE THE CITY, TO ENSURE PATIENTS ARE RECEIVING TIMELY REFERRALS FOR BEHAVIORAL AND SUBSTANCE ABUSE SERVICES. HONORHEALTH IS ALSO WORKING WITH THE MEDICAL GROUP TO IMPROVE EARLY DETECTION OF DEPRESSION THROUGH THE ROUTINE ADMINISTRATION OF THE PHQ-9 QUESTIONNAIRE. HONORHEALTH ALSO CONTINUES TO PROVIDE SERVICES THROUGH THE ADULT DAY HEALTHCARE AT DESERT MISSION. TO IMPROVE ACCESS TO CARE, HONORHEALTH IS WORKING WITH NOAH AND CIRCLE THE CITY TO IMPROVE FOLLOWUP CARE POST DISCHARGE FOR PATIENTS WITHOUT A PRIMARY CARE PROVIDER. WORK WILL ALSO FOCUS ON PREVENTING AVOIDABLE READMISSIONS. TO REDUCE INAPPROPRIATE HOSPITAL UTILIZATION, HONORHEALTH IS EXPANDING BOTH TELEMEDICINE CAPABILITIES AND URGENT CARE LOCATIONS FOR LOW ACUITY EMERGENT HEALTHCARE NEEDS. TO ADDRESS BOTH THE ACCESS AND MENTAL HEALTH CARE NEEDS OF HONORHEALTH COMMUNITY MEMBERS, HONORHEALTH IS DEVELOPING A NEW BEHAVIORAL HEALTH HOSPITAL. THIS WILL INCREASE THE NUMBER OF INPATIENT BEDS WITHIN MARICOPA COUNTY AND DECREASE THE TIME TO SERVICE FOR BEHAVIORAL HEALTHCARE PATIENTS. TO MEET THE CHRONIC DISEASE HEALTHCARE NEEDS OF HONORHEALTH COMMUNITY MEMBERS, HONORHEALTH WILL WORK WITH NOAH TO ENSURE PATIENTS ARE RECEIVING TIMELY SCREENINGS FOR CHRONIC DISEASES. HONORHEALTH WILL ALSO WORK WITH INNOVATION CARE PARTNERS AND WITH CASE MANAGEMENT TO BETTER MANAGE CHRONIC DISEASE PATIENTS BY ASSISTING PATIENTS BEING DISCHARGED WITH TRANSITIONAL CARE. HONORHEALTH HAS A LONG HISTORY OF ADDRESSING FOOD INSECURITY WITH ITS COMMUNITY MEMBERS. HONORHEALTH WILL CONTINUE TO PROVIDE SERVICES THROUGH its DESERT MISSION FOOD BANK BY PROVIDING SNACK PACKS FOR LOW-INCOME CHILDREN, EMERGENCY FOOD BOXES, NUTRITION CLASSES, AND FOOD BOXES TO SENIOR CENTERS. HONORHEALTH, ALONG WITH NOAH, WILL SCREEN PATIENTS FOR FOOD INSECURITY AND CONNECT IDENTIFIED PATIENTS TO RESOURCES. HONORHEALTH ALSO HAS A FARMSTAND PROGRAM THAT IS OPEN TO EMPLOYEES AND COMMUNITY MEMBERS. THE PROGRAM OFFERS FRESH, LOCAL PRODUCE AT AFFORDABLE PRICES. HONORHEALTH WILL ALSO ADDRESS FOOD INSECURITY THROUGH CONTINUAL SUPPORT OF COMMUNITY GARDENS. TO ADDRESS THE MATERNAL AND CHILD HEALTHCARE NEEDS, HONORHEALTH OFFERS EARLY CHILDHOOD EDUCATION AT THE LINCOLN LEARNING CENTER. HonorHealth will also offer trauma outreach classes at local schools focusing on healthy behaviors to prevent pediatric trauma by improving awareness of alcohol, drugs, risk taking behaviors, seatbelt usage and distracted driving. THROUGH its FORENSIC NURSE EXAMINER PROGRAM, HONORHEALTH WILL PROVIDE FORENSIC EXAMS AND SCREEN FOR HUMAN TRAFFICKING IN ADDITION TO SCREENING WOMEN FOR MENTAL HEALTH NEEDS. FINALLY, HONORHEALTH WILL DEVELOP A MIDWIFE PROGRAM TO MEET THE DEMANDS OF THE COMMUNITY. WHILE STILL IMPORTANT TO COMMUNITY HEALTH, OTHER IDENTIFIED NEEDS RECEIVED LOWER PRIORITY SCORES FROM SYSTEM AND COMMUNITY LEADERSHIP, DUE IN PART TO A LACK OF ALIGNMENT WITH HONORHEALTHS RESOURCES, SERVICE OFFERINGS, OR VISION AS A HEALTHCARE PROVIDER. AS SUCH, THESE NEEDS WILL NOT BE ADDRESSED DIRECTLY BY HONORHEALTH. HOWEVER, HONORHEALTH WILL CONTINUE TO REFER COMMUNITY MEMBERS TO APPROPRIATE EXISTING COMMUNITY RESOURCES TO MEET THESE NEEDS, WHICH INCLUDE UNINTENTIONAL INJURY, POVERTY, VACCINE-PREVENTABLE DISEASE, EARLY CHILDHOOD EDUCATION, SEXUAL HEALTH, ACCESS TO DENTAL CARE, PUBLIC TRANSPORTATION AND LANGUAGE BARRIERS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINES 16A,</FormAndLineReferenceDesc>
        <ExplanationTxt>16B AND 16C APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A: THE FINANCIAL ASSISTANCE POLICY (FAP), APPLICATION, AND A PLAIN LANGUAGE SUMMARY OF THE FAP ARE AVAILABLE AT THE FOLLOWING WEBSITE: HTTPS://WWW.HONORHEALTH.COM/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-POLICY THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINES 16A, 16B AND 16C APPLIES TO HONORHEALTH REHABILITATION HOSPITAL: https://www.honorhealth-rehab.com/referral-sources/financial-assistance/</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 16J</FormAndLineReferenceDesc>
        <ExplanationTxt>APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A AND HONORHEALTH REHABILITATION HOSPITAL: ALL PATIENTS ARE PROVIDED A THOROUGH EXPLANATION OF: (1) THE DOCUMENTATION REQUIRED TO BE CONSIDERED FOR FINANCIAL ASSISTANCE, (2) THE GUIDELINES ON THE PROGRAM, AND (3) THE PERCENTAGE DISCOUNTS AVAILABLE BASED ON FAMILY SIZE, INCOME AND BALANCE OF THE ACCOUNT.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 20e</FormAndLineReferenceDesc>
        <ExplanationTxt>APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A AND HONORHEALTH REHABILITATION HOSPITAL: The hospital facilities no longer engage in any ECAS and Have cancelled all credit bureau reporting in 2018.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>97</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth Heart Group - Shea</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>10101 N 92nd Street Suite 101</AddressLine1Txt>
            <CityNm>Scottsdale</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85258</ZIPCd>
          </USAddress>
          <FacilityTxt>Cardiology</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth Heart Institute - JCL</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>9250 N 3rd Street Suite 3010</AddressLine1Txt>
            <CityNm>Phoenix</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85020</ZIPCd>
          </USAddress>
          <FacilityTxt>Cardiology</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth Med Group-Saguaro Lab Dept</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>18404 N Tatum Boulevard Suite 101</AddressLine1Txt>
            <CityNm>Phoenix</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85032</ZIPCd>
          </USAddress>
          <FacilityTxt>Lab</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth Gastroenterology-N Valley</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>19646 N 27th Avenue Suite 201</AddressLine1Txt>
            <CityNm>Phoenix</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85027</ZIPCd>
          </USAddress>
          <FacilityTxt>Gastroenterology</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth Medical Group-Saguaro</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>18404 N Tatum Boulevard Suite 101</AddressLine1Txt>
            <CityNm>Phoenix</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85032</ZIPCd>
          </USAddress>
          <FacilityTxt>Primary Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth Phoenix Neurological</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>5090 N 40th Street 250</AddressLine1Txt>
            <CityNm>Phoenix</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85018</ZIPCd>
          </USAddress>
          <FacilityTxt>Neurological</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth Heart Institute - Arrowhead</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>6220 W Bell Road Suite 120</AddressLine1Txt>
            <CityNm>Glendale</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85308</ZIPCd>
          </USAddress>
          <FacilityTxt>Cardiology</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth Gastroenterology-Shea</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>10210 N 92nd Street Suite 202</AddressLine1Txt>
            <CityNm>Scottsdale</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85258</ZIPCd>
          </USAddress>
          <FacilityTxt>Gastroenterology</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BHRC - Breast Imaging Specialists AZ</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>19646 N 27th Avenue Suite 205</AddressLine1Txt>
            <CityNm>Phoenix</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85027</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Imaging</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth Gastroenterology-Thompson Pk</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>20401 N 73rd Street Suite 210</AddressLine1Txt>
            <CityNm>Scottsdale</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85255</ZIPCd>
          </USAddress>
          <FacilityTxt>Gastroenterology</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth Medical Group-Thompson Peak</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>20401 N 73rd Street Suite 105</AddressLine1Txt>
            <CityNm>Scottsdale</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85255</ZIPCd>
          </USAddress>
          <FacilityTxt>Primary Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth Medical Group - Gavilan Peak</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3648 W Anthem Way Building A-100</AddressLine1Txt>
            <CityNm>Anthem</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85086</ZIPCd>
          </USAddress>
          <FacilityTxt>Primary Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth Medical Group-McKellips</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1124 E McKellips Road Suite 110</AddressLine1Txt>
            <CityNm>Mesa</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85203</ZIPCd>
          </USAddress>
          <FacilityTxt>Primary Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth Medical Group-Arcadia 100</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4840 E Indian School Road 100</AddressLine1Txt>
            <CityNm>Phoenix</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85018</ZIPCd>
          </USAddress>
          <FacilityTxt>Primary Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth Gastroenterology - Osborn</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3501 N Scottsdale Road Suite 320</AddressLine1Txt>
            <CityNm>Scottsdale</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85251</ZIPCd>
          </USAddress>
          <FacilityTxt>Gastroenterology</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth Medical Group-West Bell</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>6220 W Bell Road Suite 100</AddressLine1Txt>
            <CityNm>Glendale</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85308</ZIPCd>
          </USAddress>
          <FacilityTxt>Primary Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth Surgical &amp; Trauma Specialist</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>7351 E Osborn Road Suite 200B</AddressLine1Txt>
            <CityNm>Scottsdale</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85251</ZIPCd>
          </USAddress>
          <FacilityTxt>Surgical and Trauma</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth Medical Group-Deer Valley</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>19636 N 27th Avenue Suite 308</AddressLine1Txt>
            <CityNm>Phoenix</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85027</ZIPCd>
          </USAddress>
          <FacilityTxt>Primary Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth Medical Group-W Union Hills</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>6320 W Union Hills Dr Bldg B Ste</AddressLine1Txt>
            <CityNm>Glendale</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85308</ZIPCd>
          </USAddress>
          <FacilityTxt>Primary Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth Bariatric Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>10210 N 92nd Street Suite 101</AddressLine1Txt>
            <CityNm>Scottsdale</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85258</ZIPCd>
          </USAddress>
          <FacilityTxt>Bariatric Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth Medical Group-Mescal</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>10900 N Scottsdale Road Suite 603</AddressLine1Txt>
            <CityNm>Scottsdale</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85254</ZIPCd>
          </USAddress>
          <FacilityTxt>Primary Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth Medical Group-Indian School</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4131 N 24th Street Suite B-102</AddressLine1Txt>
            <CityNm>Phoenix</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85016</ZIPCd>
          </USAddress>
          <FacilityTxt>Primary Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth Vascular Surgery</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>7351 E Osborn Road Suite 200B</AddressLine1Txt>
            <CityNm>Scottsdale</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85251</ZIPCd>
          </USAddress>
          <FacilityTxt>Vascular</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth Medical Group-Osborn</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>7351 E Osborn Road Suite 100</AddressLine1Txt>
            <CityNm>Scottsdale</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85251</ZIPCd>
          </USAddress>
          <FacilityTxt>Primary Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth Medical Group-North Phoenix</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>9100 N 2nd Street Suite 121</AddressLine1Txt>
            <CityNm>Phoenix</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85020</ZIPCd>
          </USAddress>
          <FacilityTxt>Primary Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth Medical Group-Del Lago</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>10230 W Happy Valley Parkway</AddressLine1Txt>
            <CityNm>Peoria</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85383</ZIPCd>
          </USAddress>
          <FacilityTxt>Primary Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth Medical Group - Shea</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>10301 N 92nd Street Suite B201</AddressLine1Txt>
            <CityNm>Scottsdale</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85258</ZIPCd>
          </USAddress>
          <FacilityTxt>Primary Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth Medical Group-Dynamite</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4712 E Dynamite boulevard</AddressLine1Txt>
            <CityNm>Cave Creek</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85331</ZIPCd>
          </USAddress>
          <FacilityTxt>Primary Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth Med Grp-McDowell Mtn Ranch</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>10419 E McDowell Mtn Ranch Rd Ste</AddressLine1Txt>
            <CityNm>Scottsdale</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85255</ZIPCd>
          </USAddress>
          <FacilityTxt>Primary Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth Medical Group-West Tempe</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1626 S Priest Drive Suite 104</AddressLine1Txt>
            <CityNm>Tempe</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85281</ZIPCd>
          </USAddress>
          <FacilityTxt>Primary Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth Med Group-Paradise Valley</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>5010 E Shea Blvd Suite D100</AddressLine1Txt>
            <CityNm>Scottsdale</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85254</ZIPCd>
          </USAddress>
          <FacilityTxt>Primary Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth Medical Group-Cave Creek</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>20330 N Cave Creek Road Suite 160</AddressLine1Txt>
            <CityNm>Phoenix</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85024</ZIPCd>
          </USAddress>
          <FacilityTxt>Primary Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth Medical Group-Hatcher</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>9327 N 3rd Street Suite 100</AddressLine1Txt>
            <CityNm>Phoenix</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85020</ZIPCd>
          </USAddress>
          <FacilityTxt>Primary Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth Medical Group-North Peoria</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>21681 N 77th Avenue Suite 1410</AddressLine1Txt>
            <CityNm>Peoria</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85382</ZIPCd>
          </USAddress>
          <FacilityTxt>Primary Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth Medical Group-Tramonto</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>34975 N North Valley Parkway Suit</AddressLine1Txt>
            <CityNm>Phoenix</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85086</ZIPCd>
          </USAddress>
          <FacilityTxt>Primary Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth Osborn Spine Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3621 N Wells Fargo Avenue</AddressLine1Txt>
            <CityNm>Scottsdale</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85251</ZIPCd>
          </USAddress>
          <FacilityTxt>Spine</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth Medical Group-27th Avenue</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>19841 N 27th Avenue Suite 101</AddressLine1Txt>
            <CityNm>Phoenix</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85027</ZIPCd>
          </USAddress>
          <FacilityTxt>Primary Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth Medical Group - South Tempe</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1761 E Warner Road Suite 2</AddressLine1Txt>
            <CityNm>Tempe</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85284</ZIPCd>
          </USAddress>
          <FacilityTxt>Primary Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth ENT</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>9250 N 3rd Street Suite 2030</AddressLine1Txt>
            <CityNm>Phoenix</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85020</ZIPCd>
          </USAddress>
          <FacilityTxt>ENT</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth Heart Institute - Tatum</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>18404 N Tatum BOULEVARD Suite 201</AddressLine1Txt>
            <CityNm>Phoenix</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85032</ZIPCd>
          </USAddress>
          <FacilityTxt>Cardiology</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth Medical Group - Carefree</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>34525 N Scottsdale Road</AddressLine1Txt>
            <CityNm>Scottsdale</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85266</ZIPCd>
          </USAddress>
          <FacilityTxt>Primary Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth Medical Group - Jomax</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>10900 N Scottsdale Road Suite 603</AddressLine1Txt>
            <CityNm>Scottsdale</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85254</ZIPCd>
          </USAddress>
          <FacilityTxt>Primary Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth Neurology - Shea</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>10250 N 92nd Street 304</AddressLine1Txt>
            <CityNm>Scottsdale</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85258</ZIPCd>
          </USAddress>
          <FacilityTxt>Neurological</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth Pulmonology</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>9100 N 2nd Street Suite 121</AddressLine1Txt>
            <CityNm>Phoenix</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85020</ZIPCd>
          </USAddress>
          <FacilityTxt>pulmonology</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth Medical Group-W Thunderbird</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>9191 W Thunderbird Road Suite D-1</AddressLine1Txt>
            <CityNm>Peoria</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85381</ZIPCd>
          </USAddress>
          <FacilityTxt>Primary Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth Medical Group-Marina Heights</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>450 E Rio Salado Pkwy Suite 110</AddressLine1Txt>
            <CityNm>Tempe</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85281</ZIPCd>
          </USAddress>
          <FacilityTxt>Primary Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth Inpatient Psychiatry</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>10250 N 92nd Street Suite 304</AddressLine1Txt>
            <CityNm>Scottsdale</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85258</ZIPCd>
          </USAddress>
          <FacilityTxt>Inpatient Psychiatry</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth Medical Group-Behavioral Med</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4131 N 24th Street Suite B-102</AddressLine1Txt>
            <CityNm>Phoenix</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85016</ZIPCd>
          </USAddress>
          <FacilityTxt>Behavioral Medicine</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth Medical Group - Bethany Home</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1515 E Bethany Home Road 120A</AddressLine1Txt>
            <CityNm>Phoenix</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85014</ZIPCd>
          </USAddress>
          <FacilityTxt>Primary Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth Neurology - John C Lincoln</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>250 E DUNLAP AVEnue</AddressLine1Txt>
            <CityNm>Phoenix</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85020</ZIPCd>
          </USAddress>
          <FacilityTxt>Neurological</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth Rheumatology</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>6220 W Bell Road Ste 130</AddressLine1Txt>
            <CityNm>Glendale</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85308</ZIPCd>
          </USAddress>
          <FacilityTxt>Rheumatology</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth Med Grp-Urgent Care Gavilan</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3648 W Anthem Way Building A-100C</AddressLine1Txt>
            <CityNm>Anthem</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85086</ZIPCd>
          </USAddress>
          <FacilityTxt>Urgent Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth Med Gr-Urgent Care W Bell Rd</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>6220 West Bell Road Suite 100C</AddressLine1Txt>
            <CityNm>Glendale</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85308</ZIPCd>
          </USAddress>
          <FacilityTxt>Urgent Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth Medical Group-Seventh Street</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>5333 N Seventh Street Suite 305B</AddressLine1Txt>
            <CityNm>Phoenix</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85014</ZIPCd>
          </USAddress>
          <FacilityTxt>Primary Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth Med Gr - Urgent Care Saguaro</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>18404 N Tatum Boulevard Suite 101</AddressLine1Txt>
            <CityNm>Phoenix</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85032</ZIPCd>
          </USAddress>
          <FacilityTxt>Urgent Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth Med grp-urgent care del lago</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>10230 W Happy Valley Parkway ste</AddressLine1Txt>
            <CityNm>Peoria</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85383</ZIPCd>
          </USAddress>
          <FacilityTxt>Urgent Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth Anthem Radiology</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3648 W Anthem Way Bldg A-100</AddressLine1Txt>
            <CityNm>Anthem</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85086</ZIPCd>
          </USAddress>
          <FacilityTxt>radiology</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth Audiology</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>18404 N Tatum Blvd Suite 101</AddressLine1Txt>
            <CityNm>Phoenix</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85032</ZIPCd>
          </USAddress>
          <FacilityTxt>audiology</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth Heart Institute -Deer Valley</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>19829 N 27TH AVEnue</AddressLine1Txt>
            <CityNm>PHOENIX</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85027</ZIPCd>
          </USAddress>
          <FacilityTxt>Cardiology</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth Physical Medicine and Rehab</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>various locations</AddressLine1Txt>
            <CityNm>Phoenix</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85016</ZIPCd>
          </USAddress>
          <FacilityTxt>Rehab</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth Med Gr-Urg Care Bethany Home</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1515 E Bethany Home Road 120B</AddressLine1Txt>
            <CityNm>Phoenix</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85014</ZIPCd>
          </USAddress>
          <FacilityTxt>Urgent Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth Medical Group - Moon Valley</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>750 E Thunderbird Road Suite 3</AddressLine1Txt>
            <CityNm>Phoenix</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85022</ZIPCd>
          </USAddress>
          <FacilityTxt>Primary Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth Medical Group-Chaparral</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>5111 N Scottsdale Road 143</AddressLine1Txt>
            <CityNm>Scottsdale</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85250</ZIPCd>
          </USAddress>
          <FacilityTxt>Primary Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth Med Gr-Radiology Bethany hm</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1515 E Bethany Home Road 120C</AddressLine1Txt>
            <CityNm>Phoenix</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85014</ZIPCd>
          </USAddress>
          <FacilityTxt>radiology</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth Medical Group-Tatum</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>18404 N Tatum Boulevard Suite 102</AddressLine1Txt>
            <CityNm>Phoenix</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85032</ZIPCd>
          </USAddress>
          <FacilityTxt>Primary Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth VGPCCN - Avondale</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>10320 W McDowell Building H</AddressLine1Txt>
            <CityNm>Avondale</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85392</ZIPCd>
          </USAddress>
          <FacilityTxt>Oncology</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth VGPCCN - Glendale</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>5750 W Thunderbird suite C300</AddressLine1Txt>
            <CityNm>Glendale</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85306</ZIPCd>
          </USAddress>
          <FacilityTxt>Oncology</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth VGPCCN - Gilbert</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3645 S Rome Street suite 209</AddressLine1Txt>
            <CityNm>Gilbert</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85297</ZIPCd>
          </USAddress>
          <FacilityTxt>Oncology</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth VGPCCN - Chandler</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1110 S Dobson road suite 1</AddressLine1Txt>
            <CityNm>Chandler</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85286</ZIPCd>
          </USAddress>
          <FacilityTxt>Oncology</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth VGPCCN - South Scottsdale</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3501 N Scottsdale road suite 300</AddressLine1Txt>
            <CityNm>Scottsdale</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85251</ZIPCd>
          </USAddress>
          <FacilityTxt>Oncology</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth VGPCCN - North Scottsdale</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>21803 N Scottsdale road suite 110</AddressLine1Txt>
            <CityNm>Scottsdale</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85255</ZIPCd>
          </USAddress>
          <FacilityTxt>Oncology</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth VGPCCN - JCL</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>9250 E Third Street suite 3010</AddressLine1Txt>
            <CityNm>Phoenix</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85020</ZIPCd>
          </USAddress>
          <FacilityTxt>Oncology</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth VGPCCN - Deer Valley</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>19646 N 27th avenue suite 301</AddressLine1Txt>
            <CityNm>Phoenix</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85027</ZIPCd>
          </USAddress>
          <FacilityTxt>Oncology</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth VGPCCN - Midtown</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4131 n 24th Street suite B102</AddressLine1Txt>
            <CityNm>Phoenix</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85016</ZIPCd>
          </USAddress>
          <FacilityTxt>Oncology</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth VGPCCN - Anthem</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3468 W Anthem Way</AddressLine1Txt>
            <CityNm>Anthem</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85086</ZIPCd>
          </USAddress>
          <FacilityTxt>Oncology</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth VGPCCN - Wickenburg</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>519 Rose Lane</AddressLine1Txt>
            <CityNm>Wickenburg</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85390</ZIPCd>
          </USAddress>
          <FacilityTxt>Oncology</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth VGPCCN - Fountain Hills</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>16838 E Palisades Blvd Suite 152A</AddressLine1Txt>
            <CityNm>Fountain Hills</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85268</ZIPCd>
          </USAddress>
          <FacilityTxt>Oncology</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth VGPCCN - Mesa</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1124 E McKellips Road Suite 110</AddressLine1Txt>
            <CityNm>MESA</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85203</ZIPCd>
          </USAddress>
          <FacilityTxt>Oncology</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth VGPCCN - Shea</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>9003 E Shea Boulevard</AddressLine1Txt>
            <CityNm>SCOTTSDALE</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85260</ZIPCd>
          </USAddress>
          <FacilityTxt>Oncology</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth VGPCCN - Surprise</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>14674 W Mountain View Suite 105</AddressLine1Txt>
            <CityNm>Surprise</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85374</ZIPCd>
          </USAddress>
          <FacilityTxt>Oncology</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HonorHealth VGPCCN - Pinnacle</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>9055 E Del Camino Drive Suite 100</AddressLine1Txt>
            <CityNm>Scottsdale</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85258</ZIPCd>
          </USAddress>
          <FacilityTxt>Oncology</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>North Valley Surgery Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>8901 E Raintree Drive Suite 100</AddressLine1Txt>
            <CityNm>Scottsdale</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85258</ZIPCd>
          </USAddress>
          <FacilityTxt>Surgery Center</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Biltmore Surgical Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2222 E Highland avenue Suite 100</AddressLine1Txt>
            <CityNm>Phoenix</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85016</ZIPCd>
          </USAddress>
          <FacilityTxt>Surgery Center</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Paramount Surgery Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1114 S Higley road Suite 101</AddressLine1Txt>
            <CityNm>Mesa</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85206</ZIPCd>
          </USAddress>
          <FacilityTxt>Surgery Center</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Scottsdale Medical Imaging MTV</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>9220 E Mountain View road Suite 1</AddressLine1Txt>
            <CityNm>Scottsdale</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85258</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Imaging</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Scottsdale Medical Imaging TPK</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>20201 N Scottsdale Healthcare Ste</AddressLine1Txt>
            <CityNm>Scottsdale</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85255</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Imaging</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Scottsdale Medical Imaging SIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3501 N Scottsdale road Suite 130</AddressLine1Txt>
            <CityNm>Scottsdale</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85251</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Imaging</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Scottsdale Medical Imaging TAS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>10575 N Tatum blvd Suite C-128</AddressLine1Txt>
            <CityNm>Paradise Valley</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85253</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Imaging</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Scottsdale Medical Imaging Gilbert Mercy</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3645 S Rome street Suite 101</AddressLine1Txt>
            <CityNm>Gilbert</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85297</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Imaging</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Scottsdale Medical Imaging - N Highland</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2222 E Highland avenue Suite 120</AddressLine1Txt>
            <CityNm>Phoenix</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85016</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Imaging</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Scottsdale Medical Imaging TC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>7301 E 2nd street Suite 112</AddressLine1Txt>
            <CityNm>Scottsdale</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85251</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Imaging</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Scottsdale Medical Imaging FH</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>16838 E Palisades boulevard Suite</AddressLine1Txt>
            <CityNm>Fountain Hills</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85268</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Imaging</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Scottsdale Medical Imaging NMRI</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>9003 E Shea boulevard</AddressLine1Txt>
            <CityNm>Scottsdale</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85258</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Imaging</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Scottsdale Medical Imaging DSR</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>20940 N Tatum Blvd Bldg B Ste 39</AddressLine1Txt>
            <CityNm>Scottsdale</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85255</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Imaging</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Scottsdale Medical Imaging NIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>10290 N 92nd street Ste 100</AddressLine1Txt>
            <CityNm>Scottsdale</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85258</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Imaging</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Scottsdale Medical Imaging CF</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>33755 N Scottsdale road Ste 120</AddressLine1Txt>
            <CityNm>Scottsdale</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85262</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Imaging</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Scottsdale Medical Imaging</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1052 East McKellips Road</AddressLine1Txt>
            <CityNm>MESA</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85203</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Imaging</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART I, LINE 6A</FormAndLineReferenceDesc>
        <ExplanationTxt>HONORHEALTH PREPARED A COMMUNITY BENEFIT REPORT FOR THE PERIOD BEGINNING JANUARY 1, 2018 AND ENDING DECEMBER 31, 2018, THE ANNUAL REPORT HIGHLIGHTS SOME OF THE COMMUNITY BENEFIT ACTIVITIES DONE THROUGHOUT THE FISCAL YEAR. HONORHEALTH PROVIDES COMPREHENSIVE CANCER TREATMENT, CLINICAL TRIALS, AND PREVENTION, AND SUPPORT SERVICES IN COLLABORATION WITH LEADING SCIENTIFIC RESEARCHERS AND COMMUNITY ONCOLOGISTS AT THE VIRGINIA G. PIPER CANCER CENTER AND THE BREAST HEALTH RESEARCH CENTER. SERVICES SUCH AS SUPPORT GROUPS AND NUTRITION COUNSELING THROUGH THE BREAST HEALTH RESEARCH CENTER SERVES OVER 7,000 INDIVIDUALS. MORE THAN 175 COMMUNITY PROGRAMS WERE PROVIDED IN 2018 INCLUDING CANCER RISK, CANCER PREVENTION AND EDUCATION, CANCER SUPPORT GROUPS, AND NUTRITIONAL EDUCATION. THE CENTER'S CANCER CARE COORDINATORS HELP PATIENTS AND FAMILIES AT NO CHARGE BY PROVIDING NEW PATIENT RESOURCES, ONGOING SUPPORT, EDUCATIONAL INFORMATION, AND REFERRALS TO MORE THAN 275 PEOPLE EACH WEEK. THE CENTER ALSO OFFERS AN IN-DEPTH CANCER SURVIVORSHIP PROGRAM. FINALLY, THE CENTER'S CREATIVE ARTS BODY, MIND, AND SPIRIT PROGRAM SAW MORE THAN 8,000 PARTICIPANTS IN 2018. HONORHEALTHS MILITARY PARTNERSHIP ENABLES MEDICAL PERSONNEL FROM ALL BRANCHES OF THE ARMED FORCES TO GAIN SKILLS AND EXPERIENCE NEEDED TO PERFORM SUCCESSFULLY ON COMBAT OR HUMANITARIAN MISSIONS. SINCE ITS BEGINNING IN 2004, THE MILITARY PARTNERSHIP HAS PROVIDED TRAINING TO MORE THAN 3,000 PARTICIPANTS. THE TRAINING INCLUDES HANDS-ON LEARNING THROUGH HIGH-TECH HUMAN PATIENT SIMULATORS, EXPERT LECTURES BY SPECIALIST PHYSICIANS AND CLINICIANS, CLINICAL ROTATIONS AT HONORHEALTH, MARICOPA INTEGRATED HOSPITAL SYSTEMS, AND LUKE AIR FORCE BASE. THE PARTNERSHIP ENSURES THAT MEDICAL PROFESSIONALS ARE READY AND ABLE TO ASSIST AT DISASTER SITES AND HUMANITARIAN MISSIONS AROUND THE WORLD AND BUILDS RELATIONSHIPS BETWEEN HONORHEALTH AND MILITARY BRANCHES THAT CAN BE BENEFICIAL IN POTENTIAL LOCAL EMERGENCY RESPONSE SITUATIONS. THE PROGRAM ALSO PROVIDES TRAINING TO LOCAL PARAMEDICS AND FIREFIGHTERS. HONORHEALTH PROVIDES HEALTH CAREER EDUCATION THROUGH ITS WORKFORCE DEVELOPMENT, PROFESSIONAL NURSING EDUCATION, AND GRADUATE MEDICAL EDUCATION. THROUGH PARTNERSHIPS WITH EIGHT COLLEGIATE PARTNERS, INCLUDING SCOTTSDALE COMMUNITY COLLEGE AND GRAND CANYON UNIVERSITY. HONORHEALTH ALSO PROVIDED 4 PART-TIME FACULTY AT LOCAL COLLEGES TO PREPARE FUTURE HEALTHCARE PROVIDERS. IN TOTAL $403,561 IN LOAN ASSISTANCE BENEFITS WERE PROVIDED TO 165 STAFF MEMBERS. MORE THAN 285 FAMILY PHYSICIANS HAVE GRADUATED FROM OUR FAMILY MEDICINE RESIDENCY PROGRAM, WITH MANY OF THEM REMAINING IN ARIZONA TO PRACTICE. 2018 WAS THE FIFTH YEAR OF THE GENERAL SURGERY RESIDENCY PROGRAM, THE THIRD YEAR FOR THE INTERNAL MEDICINE RESIDENCY PROGRAM, AND THE FIRST YEAR FOR THE DERMATOLOGY AND PHYSICAL MEDICINE AND REHABILITATION RESIDENCY PROGRAM. HONORHEALTH HAS A PHARMACY RESIDENCY PROGRAM THAT PROVIDES VALUABLE LEARNING TO LICENSED PHARMACISTS INTERESTED IN BECOMING HOSPITAL PHARMACISTS OR CLINICAL PHARMACY SPECIALISTS. TO ADDRESS THE INCREASING CONCERN OF OPIOID AND OTHER DRUG OVERUSE, HONORHEALTH ALSO STARTED AN ADDICTION MEDICINE FELLOWSHIP IN 2018. HONORHEALTHS LONGEVITY INSTITUTE FOCUSES ON THE UNIQUE NEEDS OF THE SENIOR POPULATION. WITH AN ESTIMATED 1 IN 8 COMMUNITY RESIDENTS OVER THE AGE OF 65 YEARS, PROVIDING EDUCATION AND SCREENINGS WILL ENABLE THIS POPULATION TO AGE HEALTHILY AT HOME. BESIDES PROGRAMS DESIGNED TO KEEP THIS POPULATION HEALTHY, THE LONGEVITY INSTITUTE ALSO PROVIDES EDUCATION AND GUIDANCE FOR END OF LIFE PLANNING SUCH AS ADVANCED DIRECTIVES. WOMEN'S HEALTH SERVICES IS A DEPARTMENT THAT FOCUSES ON THE UNIQUE NEEDS OF WOMEN. THEIR MOMS ON THE MOVE (M.O.M) IS A PROGRAM FOR SOCIAL INTERACTION, SUPPORT AND PRACTICAL INFORMATION FOR NEW MOTHERS. IN 2018, MORE THAN 1,100 NEW MOMS PARTICIPATED. WOMEN'S HEALTH SERVICES ALSO CONDUCTS SCREENINGS FOR OSTEOPOROSIS AND HEART DISEASE; CONDUCTING 14 BONE DENSITY SCREENINGS AND 16 HEART SCREENINGS IN 2018. FINALLY, THIS DEPARTMENT OFFERS SUPPORT AND EDUCATION FORUMS TO EMPOWER WOMEN TO ENGAGE IN THEIR HEALTH THROUGH EDUCATION TO INCREASE UNDERSTANDING OF DISEASES AND OTHER HEALTH CONDITIONS UNIQUE TO WOMEN. IN 2018, WOMENS HEALTH SERVICES OFFERED SAFE SITTER EDUCATIONAL TRAINING FOR TEENAGERS, PROVIDING WITH THE TOOLS AND KNOWLEDGE TO KEEP YOUNGER CHILDREN SAFE WHILE BABYSITTING. THE THREE HONORHEALTH TRAUMA CENTERS PROVIDED INJURY PREVENTION EDUCATION AND TRAININGS AT HEALTH FAIRS AND OTHER GATHERINGS TO NUMEROUS INDIVIDUALS. THE TRAUMA PROGRAMS WERE A SPONSOR FOR THE TACKLE TRAUMA 5K THAT OCCURRED THE MORNING OF SUPER BOWL XL. HONORHEALTH ALSO CONTINUED TO OFFER "MATTER OF BALANCE" CLASSES TO SENIORS THROUGH ITS TRAUMA EDUCATION AND THE LONGEVITY INSTITUTE. HONORHEALTH FOUNDATION PROVIDES FINANCIAL SUPPORT FOR MANY OF THE EFFORTS PUT FORTH BY HONORHEALTH. THE FOUNDATIONS SUPPORT PROVIDES ASSISTANCE TO PATIENTS AND THEIR FAMILIES THROUGH THE VIRGINIA G. PIPER CANCER CENTER, NOAH, AND DESERT MISSION, INC. DESERT MISSION, INC., ADDRESSES THE COMMUNITY'S BROADER HEALTH NEEDS. IN RETURN, THE NETWORK PROVIDES IN-KIND ADMINISTRATIVE SUPPORT FOR SERVICES SUCH AS INFORMATION TECHNOLOGY, HUMAN RESOURCES, FUNDRAISING, AND ACCOUNTING. DESERT MISSION FOOD BANK PROVIDES EMERGENCY FOOD AND FOOD SECURITY PROGRAMS TO MORE THAN 14,000 FAMILIES WITH THROUGH THE PROVISION OF THE FOLLOWING: 44,133 EMERGENCY FOOD BOXES TO INDIVIDUALS AND FAMILIES AT OR BELOW 185 PERCENT OF THE FEDERAL POVERTY LEVEL, AREA SCHOOL CHILDREN RECEIVED 22,981 SNACK PACS OR PACKAGES OF KID-FRIENDLY FOOD FOR LOW-INCOME CHILDREN AT RISK FOR GOING HUNGRY OVER THE WEEKEND FOR CHILDREN WHO RELY ON THE FEDERAL FREE AND REDUCED BREAKFAST/LUNCH PROGRAM TO MEET THEIR NUTRITIONAL NEEDS. DESERT MISSION, INC. COLLABORATED WITH JOHN C LINCOLN MEDICAL CENTER TO SCREEN PATIENTS WITH PREDETERMINED HEALTH CONDITIONS TO IDENTIFY FOOD INSECURITY. IDENTIFIED PATIENTS WERE PROVIDED WITH A HEALTH APPROPRIATE FOOD BOX AT DISCHARGE. LINCOLN LEARNING CENTER OFFERS QUALITY CHILDCARE FOR CHILDREN AGES 6 WEEKS TO 12 YEARS. LINCOLN LEARNING CENTER IS ACCREDITED BY THE NATIONAL ACADEMY OF EARLY CHILDHOOD PROGRAMS (NAEYC). IN 2018, 33 PERCENT OF CHILDREN ENROLLED AT LINCOLN LEARNING CENTER ATTENDED ON SCHOLARSHIP. IN 2018, DESERT MISSION, INC. CONTINUED TO PILOT THE FINANCIAL RESILIENCY PROGRAM. IN 2017, A FORMAL PARTNERSHIP WITH LOCAL INITIATIVE SUPPORT CORPORATION (LISC) WAS FORMED TO PROVIDE TECHNICAL ASSISTANCE AND TRAINING SUPPORT IN THE AREA OF FINANCIAL COACHING AND ASSET BUILDING. THE PARTNERSHIP WITH ST. JOSEPH THE WORKER CONTINUES TO PROVIDE EMPLOYMENT SERVICES, AND IN 2018 HELPED 162 DESERT MISSION CLIENTS RECEIVE employment. THE DESERT MISSION ADULT DAY HEALTH CARE PROVIDES ENRICHMENT ACTIVITIES FOR OLDER ADULTS AND THOSE PHYSICALLY OR COGNITIVELY CHALLENGED IN an AFFORDABLE, SECURE ENVIRONMENT. THE CENTER SERVES AS A RESOURCE FOR FAMILIES TO OBTAIN RESPITE CARE FROM CAREGIVING RESPONSIBILITIES. IN 2018, THE CENTER HAD 9,170 DAILY VISITS FROM 103 PARTICIPANTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>LINE 7A/7B: THE COST-TO-CHARGE WORKSHEETS FROM THE FORM 990 SCHEDULE INSTRUCTIONS WERE USED TO COMPLETE THESE LINES. LINE 7E: COMMUNITY HEALTH IMPROVEMENT COSTS WERE BASED ON AVERAGE SALARIES FOR EACH DEPARTMENT AND THE NUMBER OF EMPLOYEE HOURS DEVOTED TO COMMUNITY HEALTH IMPROVEMENT PROGRAMS. NON-SALARY DIRECT AND INDIRECT COSTS WERE ADDED WHEN APPLICABLE. LINE 7F: HEALTH PROFESSION EDUCATION COSTS WERE BASED ON AVERAGE SALARIES AND HOURS DEVOTED BY STAFF IN TRAINING STUDENTS. STUDENTS INCLUDE NURSES, PHYSICIANS, PHARMACISTS, AND THERAPISTS. LINE 7G: SUBSIDIZED HEALTH CARE INCLUDES THE LOST INCOME FROM THE SERVICES. LOST INCOME MAY INCLUDE THE COST OF SALARIES AND THE COST OF EQUIPMENT. LINE 7H: Research includes the salaries of research staff and funding for specific research programs. LINE 7I: CASH AND IN-KIND SERVICES INCLUDE ANY DONATIONS, GRANTS, OR SPONSORSHIPS. IF A DONATION IS NON-MONETARY, A PRICE IS ESTIMATED FOR THE GOOD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART II</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMMUNITY BUILDING ACTIVITIES THAT HONORHEALTH PROVIDES SEEK TO IMPROVE THE HEALTH OF THE COMMUNITIES SERVED BY ADDRESSING BOTH THE SOCIAL AND HEALTHCARE NEEDS. Desert Mission, Inc. HELPS FACILITATE THE DEVELOPMENT OF COMMUNITY, HOUSING, AND BUSINESS IN THE NORTH VALLEY OF PHOENIX ARIZONA. Desert Mission, Inc. PRIMARILY FOCUSES ON NEIGHBORHOOD REVITALIZATION THROUGH AFFORDABLE HOUSING DEVELOPMENT, BLIGHT ELIMINATION, AND OWNER OCCUPIED- HOME REHABILITATION. Desert Mission, Inc. ALSO PROVIDES LEADERSHIP AND SUPPORT IN DEVELOPING THE BUSINESS CORRIDOR AROUND THE JOHN C. LINCOLN MEDICAL CENTER CAMPUS. HONORHEALTH BEGAN WORK WITH COMMUNITY PARTNERS WITHIN THE SUNNYSLOPE COMMUNITY TO ADDRESS ECONOMIC DEVELOPMENT. WITH LOCAL BUSINESSES, THE FAITH COMMUNITY AND OTHER NON-PROFITS, HONORHEALTH IS ADDRESSING THE HOMELESS POPULATION AND THE UNIQUE NEEDS OF THAT POPULATION. HONORHEALTH EXECUTIVE STAFF PROVIDES LEADERSHIP ON BOARDS AND COMMITTEES THROUGH THE PHOENIX METROPOLITAN COMMUNITY. THEIR LEADERSHIP HELPS WITH THE ECONOMIC GROWTH OF THE METROPOLITAN AREA, MAKING IT AN ATTRACTIVE SITE FOR BUSINESS. IN ADDITION, HONORHEALTH SUPPORTED INITIATIVES AND ORGANIZATIONS WITH A FOCUS ON THE SOCIAL DETERMINANTS OF HEALTH, LIKE A RECENT TRANSPORTATION PLAN FOR THE CITY OF PHOENIX. THE MILITARY PARTNERSHIP DEMONSTRATES HONORHEALTHS CONTINUAL COMMITMENT TO TRAINING THE MILITARY FOR SUCCESSFUL COMBAT MISSIONS AT OUR LEVEL I TRAUMA center AT SCOTTSDALE OSBORN MEDICAL CENTER. HONORHEALTH ALSO PROVIDES SUPPORT AND TRAINING TO PREPARE STUDENTS FOR CAREERS IN THE HEALTHCARE SECTOR. THOUGH THE JOBS FOR ARIZONA GRADUATES PROGRAM, HIGH SCHOOL STUDENTS FROM TITLE 1 SCHOOLS ARE GIVEN THE OPPORTUNITY TO LEARN ABOUT THE HEALTHCARE SECTOR. HONORHEALTH STAFF ACT AS MENTORS AND PRECEPTORS TO STUDENT INTERNS, FELLOWS, AND RESIDENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>NET PATIENT ACCOUNTS RECEIVABLE AND NET PATIENT SERVICE REVENUE HAVE BEEN ADJUSTED TO THE ESTIMATED AMOUNTS EXPECTED TO BE RECEIVED. THESE ESTIMATED AMOUNTS ARE SUBJECT TO FURTHER ADJUSTMENTS UPON REVIEW BY THIRD-PARTY PAYORS. BAD DEBT IS DETERMINED BY THE PATIENT'S OUTSTANDING ACCOUNT BALANCE ON THE DAY THEIR ACCOUNT IS TRANSFERRED TO A BAD DEBT STATUS. THE OUTSTANDING ACCOUNT BALANCE CONSISTS OF GROSS REVENUE LESS ANY CONTRACTUAL ADJUSTMENTS AND PAYMENTS POSTED TO THE ACCOUNT. PAYMENTS MADE AFTER THE ACCOUNT IS IN A BAD DEBT STATUS ARE CONSIDERED RECOVERIES AND WILL REDUCE THE BAD DEBT AMOUNT WHEN PAYMENTS ARE RECEIVED. SCHEDULE H, PART III, LINE 3 THE COST OF BAD DEBT EXPENSE IS DETERMINED USING THE NETWORK'S CALCULATED COST TO CHARGE RATIO APPLIED TO REPORTED GROSS CHARGES WRITTEN OFF DURING THE YEAR. USING A SAMPLE OF ACCOUNTS WRITTEN OFF DURING THE YEAR, THE NETWORK HAS ESTIMATED THAT APPROXIMATELY 41.2% OF BAD DEBT WAS ATTRIBUTED TO PATIENTS ELIGIBLE UNDER THE NETWORK'S FINANCIAL ASSISTANCE POLICY. A NUMBER OF PATIENTS ARE TRULY UNABLE TO PAY THEIR OUT-OF-POCKET LIABILITY, BUT DO NOT COMPLETE THE PROCESS REQUIRED TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. THESE PATIENTS WOULD QUALIFY FOR CHARITY CARE IF THEY COMPLETED THE PAPERWORK, SO THE BAD DEBT EXPENSE ASSOCIATED WITH TREATING THEM IS TREATED AS COMMUNITY BENEFIT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOOTNOTE THAT DESCRIBES BAD DEBT IS ON PAGE 9 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 8</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AMOUNT ON PART III, LINE 6 IS FROM THE MEDICARE COST REPORTS FILED BY THE ORGANIZATION. THE ENTIRE SHORTFALL REPORTED ON PART III, LINE 7 IS A COMMUNITY BENEFIT. THE RATIONALE FOR INCLUDING MEDICARE LOSSES AS COMMUNITY BENEFIT LIES IN THE NETWORK'S BELIEF THAT, BASED ON IRS REVENUE RULING 69-545, SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS SUCH AS MEDICARE IS AN INDICATOR THAT THE NETWORK'S HOSPITALS OPERATE TO PROMOTE THE HEALTH OF THE COMMUNITY AND THEREFORE PROVIDES A COMMUNITY BENEFIT. THE NETWORK ALSO BELIEVES THAT TAX-EXEMPT HOSPITALS PLAY A VITAL ROLE IN PROVIDING THE ELDERLY WITH ACCESS TO HEALTHCARE SERVICES THEY MIGHT OTHERWISE BE DENIED BY FOR-PROFIT AND SPECIALTY HOSPITALS THAT FOCUS ON HIGH-MARGIN SERVICES OR THAT WOULD HAVE TO BE PROVIDED DIRECTLY BY THE FEDERAL GOVERNMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 9B</FormAndLineReferenceDesc>
        <ExplanationTxt>PURSUANT TO HONORHEALTH'S FINANCIAL ASSISTANCE POLICY, HONORHEALTH WILL NOT PURSUE LEGAL ACTION FOR NON-PAYMENT OF BILLS AGAINST FINANCIAL ASSISTANCE PATIENTS WHO HAVE CLEARLY DEMONSTRATED THAT THEY HAVE NEITHER SUFFICIENT INCOME NOR ASSETS TO MEET THEIR FINANCIAL OBLIGATION. HONORHEALTH WILL NOT EXECUTE A LIEN BY FORCING THE SALE OR FORECLOSURE OF A FINANCIAL ASSISTANCE PATIENT'S PRIMARY RESIDENCE TO PAY FOR AN OUTSTANDING MEDICAL BILL. HONORHEALTH WILL NOT USE BODY ATTACHMENT TO REQUIRE THE FINANCIAL ASSISTANCE PATIENT OR RESPONSIBLE PARTY TO APPEAR IN COURT. HONORHEALTH MAY REPORT FINANCIAL ASSISTANCE PATIENTS TO CREDIT RATING AGENCIES WHEN THEY FAIL TO HONOR THEIR REDUCED PAYMENT PLANS AND THERE IS EVIDENCE THAT THE FINANCIAL ASSISTANCE PATIENT HAS SUFFICIENT INCOME OR ASSETS TO SATISFY HIS OBLIGATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>HONORHEALTH PARTNERS WITH OTHER ORGANIZATIONS CONDUCTING ASSESSMENTS. THIS INCLUDEs THE MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH AND THE ARIZONA DEPARTMENT OF HEALTH SERVICES. HONORHEALTH IS A PARTNER WITH THE HEALTH IMPROVEMENT PARTNERSHIP OF MARICOPA COUNTY. HONORHEALTH STAFF ATTEND QUARTERLY MEETINGS WITH OTHER PARTNERS TO IDENTIFY STRATEGIES THAT WILL IMPROVE THE HEALTH OF MARICOPA COUNTY RESIDENTS. HONORHEALTH ALSO WORKS CLOSELY WITH noah, a FEDERALLY QUALIFIED HEALTH CENTER. THROUGH THIS PARTNERSHIP, HONORHEALTH STAFF PROVIDE RESOURCES TO NOAH TO ASSIST IN ASSESSMENTS. HONORHEALTH STAFF ALSO HELP NOAH IDENTIFY AREAS WITHIN MARICOPA COUNTY THAT MAY BENEFIT from opening A NOAH CLINIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>HONORHEALTH, THROUGH ITS FINANCIAL ASSISTANCE POLICIES, PROVIDES ASSISTANCE FOR THOSE FROM 200-500% OF THE FEDERAL POVERTY LEVEL BASED ON THE VERIFICATION OF THE PATIENT'S FINANCIAL STATUS. ALL PATIENTS ARE NOTIFIED DURING THEIR ADMISSION PROCESS OF HONORHEALTH'S FINANCIAL ASSISTANCE POLICY. THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGH HONORHEALTH'S WEBSITE WWW.HONORHEALTH.COM. BROCHURES ARE AVAILABLE IN ALL PUBLIC AREAS OF THE HOSPITALS. OUR PATIENTS MAY REQUEST TO SPEAK WITH A FINANCE REPRESENTATIVE AT ANY TIME BEFORE, DURING OR AFTER THEIR STAY IN ONE OF HONORHEALTH'S FACILITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>HONORHEALTHS GEOGRAPHIC AREA IS COMPRISED OF 56 ZIP CODES THAT COVER THE NORTHEAST QUADRANT OF METROPOLITAN PHOENIX. THE BORDERS INCLUDE THE TONTO NATIONAL FOREST TO THE NORTH, HIGHWAY 202 AND THE I-10 TO THE SOUTH, THE SALT-RIVER PIMA COMMUNITY TO THE EAST, AND EXTENDS BEYOND THE I-17 TO THE WEST. SPECIFIC CITIES AND TOWNS SERVED INCLUDE SCOTTSDALE, PARADISE VALLEY, NORTHEAST PHOENIX, CAREFREE, CAVE CREEK, GLENDALE, ANTHEM, PEORIA, RIO VERDE, FOUNTAIN HILLS, NORTHWEST MESA, AND NORTHEAST TEMPE. IN ADDITION, THE SERVICE AREA INCLUDES THE SALT-RIVER PIMA AND FORT MCDOWELL NATIVE AMERICAN COMMUNITIES. IN 2018, THE ESTIMATED POPULATION OF THE SERVICE AREA WAS 1.9 MILLION PEOPLE. THE POPULATION IS 50% FEMALE, 61.9% WHITE, 25.2% HISPANIC, 4.3% BLACK, 2.0% AMERICAN INDIAN, 4.1% ASIAN/PACIFIC ISLANDER, AND 2.5% REPORTING 2 OR MORE RACES. AGE WISE, THE POPULATION IS 22% UNDER 18 YEARS OF AGE, 14% 15-24, 14.7% 25-34, 25.3% 35-54, 12.5% 55-64, AND 15.2% 65 AND OLDER. THE MEDIAN AGE WAS 37.5 YEARS WHILE 33.7% OF THE POPULATION HAS A BACHELOR'S DEGREE OR GREATER, ANOTHER 31.7% HAS A HIGH SCHOOL DIPLOMA OR LESS. THE DISTRIBUTION OF INCOME SHOWS A WIDE RANGE WITH 18.3% MAKING LESS THAN $25,000/YEAR WHILE 31.1% HAVE AN INCOME OVER $100,000. THE OVERALL MEDIAN INCOME WAS $58,984. RESIDENTS IN THE JOHN C. LINCOLN AND SCOTTSDALE OSBORN MEDICAL CENTER SERVICE AREA TEND TO BE LESS EDUCATED AND LESS AFFLUENT COMPARED TO THE SERVICE AREAS OF THE OTHER HOSPITALS THAT MAKE UP HONORHEALTH. AN ESTIMATED 11.5% OF FAMILIES IN THE SERVICE AREA LIVE AT OR BELOW THE FEDERAL POVERTY LEVEL. BESIDES HONORHEALTH, THERE ARE SEVERAL OTHER HOSPITALS LOCATED WITHIN THE SERVICE AREA AND ADDITIONAL HOSPITALS THAT WHILE NOT IN THE SERVICE AREA, HAVE OVERLAPPING SERVICE AREAS. HOSPITALS LOCATED WITHIN THE SERVICE AREA INCLUDE MAYO CLINIC HOSPITAL, ABRAZO SCOTTSDALE, AND TEMPE ST. LUKE'S. HOSPITALS THAT SHARE SERVICE AREA INCLUDE, MARICOPA MEDICAL CENTER, AND Banner - University Medical Center Phoenix. FINALLY, THERE ARE THREE SPECIAL POPULATION HOSPITALS THAT MAY PROVIDE SERVICES TO RESIDENTS LIVING IN THE HONORHEALTH SERVICE AREA. THOSE ARE PHOENIX CHILDREN'S HOSPITAL, CARL T. HAYDEN VETERAN'S ADMINISTRATION HOSPITAL, AND PHOENIX INDIAN MEDICAL CENTER. WITHIN THE HONORHEALTH SERVICE AREA; THERE ARE SEVEN FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS/POPULATIONS. THE PHOENIX CENTRAL, SOUTH CENTRAL PHOENIX AND NORTH TEMPE SERVICE AREAS ARE WITHIN THE SCOTTSDALE OSBORN MEDICAL CENTER SERVICE AREA. THE PARADISE VALLEY DESIGNATED AREA IS WITHIN THE HONORHEALTH SHEA MEDICAL CENTER SERVICE AREA AND THE SCOTTSDALE THOMPSON PEAK MEDICAL CENTER SERVICE AREA. THE JOHN C. LINCOLN MEDICAL CENTER SERVICE AREA INCLUDES GLENDALE, PHOENIX CENTRAL, AND SUNNYSLOPE. DEER VALLEY MEDICAL CENTER ALSO SERVES THE SUNNYSLOPE MEDICALLY UNDERSERVED AREA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>HONORHEALTH PROMOTES COMMUNITY HEALTH THOUGH AN ONGOING SERIES OF FREE MEDICAL SEMINARS ON TOPICS SUCH AS BREAST CANCER, DIABETES SELF-MANAGEMENT, AND SCREENINGS FOR CONDITIONS INCLUDING STROKE AND CARDIAC. HONORHEALTH provides meeting space for FREE SUPPORT GROUPS THAT MEET MONTHLY in order to support PATIENTS AND CAREGIVERS FOR DIFFERENT DISEASES INCLUDING DIABETES, CANCER, AND STROKE. IN ADDITION, SUPPORT GROUPS FOR NEW PARENTS ARE AVAILABLE. HONORHEALTH ALSO PARTNERS WITH OTHER COMMUNITY ORGANIZATIONS TO PROMOTE SAFETY, DISEASE PREVENTION AND HEALTH EDUCATION. OUR TRAUMA SERVICES PROGRAM PROVIDES SAFETY EDUCATION FOR TEENAGERS AND CONTINUING MEDICAL EDUCATION FOR PHYSICIANS AND FIRST RESPONDERS. HELPING HIGH SCHOOL GRADUATES SEEKING JOB PLACEMENT AT HONORHEALTH IS A HIGH PRIORITY AND GIVES THESE GRADUATES ACCESS TO HONORHEALTH'S TUITION REIMBURSEMENT PROGRAM, HELPING THEM FURTHER THEIR EDUCATION. ADDITIONALLY, OUR DESERT MISSION, INC. PROGRAMS HAVE PROVIDED OUTREACH SERVICES SINCE THE LATE 1920S TO ADDRESS THE PHYSICAL AND SOCIAL NEEDS OF FAMILIES IN PHOENIX. THIS INCLUDES PROVIDING FOOD THROUGH THE DESERT MISSION FOOD BANK, EARLY CHILDHOOD EDUCATION AT THE LINCOLN LEARNING CENTER, ELDERLY CARE THROUGH THE ADULT DAY HEALTH CARE PROGRAM, AND FINANCIAL SUPPORT AND EDUCATION THROUGH DESERT MISSION, INC. IN 2018, DESERT MISSION SERVED MORE THAN 15,000 CLIENTS. HONORHEALTH PARTNERS WITH THE FEDERALLY QUALIFIED HEALTH CENTER NOAH TO ENSURE THAT OUR VULNERABLE COMMUNITY MEMBERS RECEIVE QUALITY HEALTHCARE; MEDICAL, DENTAL, AND BEHAVIORAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>HONORHEALTH PUBLISHES A COMMUNITY BENEFIT REPORT ONLY IN THE STATE OF ARIZONA. THE STATE OF ARIZONA DOES NOT REQUIRE FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>DISCLOSURES IN ACCORDANCE WITH REVENUE PROCEDURE 2015-21:</FormAndLineReferenceDesc>
        <ExplanationTxt>HONORHEALTH REHABILITATION HOSPITAL (HOSPITAL) IS COMPLIANT WITH THE SECTION 501(R) STATUTE AND HAS MADE A GOOD-FAITH EFFORT TO BE FULLY COMPLIANT WITH THE REQUIREMENTS OF THE SECTION 501(R) REGULATIONS. AS PART OF THIS EFFORT AND WITH THE ASSISTANCE OF AN OUTSIDE ACCOUNTING FIRM, THE HOSPITAL REVIEWED ITS FINANCIAL ASSISTANCE POLICY (FAP), PLAIN LANGUAGE SUMMARY OF THE FAP (PLS), THE FAP APPLICATION, AND 2015 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR ANY AREAS OF IMPROVEMENT IN SEPTEMBER OF 2018. DURING THIS SELF-EVALUATION PROCESS, THE HOSPITAL IDENTIFIED SOME TEMPORARY GAPS IN COMPLIANCE WITH THE REGULATIONS. In September 2018, the hospital revised its FAP, PLS and FAP application in order to address all of the identified issues. THE HOSPITAL HAS NOT IDENTIFIED ANY PERSONS DIRECTLY AFFECTED BY THE TEMPORARY GAPS IN COMPLIANCE. THEY RELATED PRIMARILY TO THE SPECIFICITY OF INFORMATION CONTAINED IN DOCUMENTS THAT ARE NOT TYPICALLY REFERENCED BY PATIENTS. THE HOSPITAL WAS PROVIDING FINANCIAL ASSISTANCE AS PART OF A FORMAL PROGRAM THAT WAS CLEARLY COMMUNICATED TO PATIENTS, AND THE PATIENTS OF THE HOSPITAL WERE PATIENTS OF HONORHEALTHS OTHER HOSPITAL FACILITIES WHO RECEIVED INFORMATION ABOUT HONORHEALTHS FINANCIAL ASSISTANCE PROGRAM AS PART OF THEIR PRIOR VISITS. THROUGH THE HOSPITALS REVIEW OF ITS FAP, IT IDENTIFIED THE FOLLOWING GAPS IN COMPLIANCE AND AREAS WHERE INFORMATION COULD BE MORE CLEARLY COMMUNICATED. (1) THE FAP DID NOT CONTAIN LANGUAGE SPECIFYING THAT INDIVIDUALS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE POLICY WOULD NOT BE CHARGED MORE FOR MEDICALLY NECESSARY CARE THAN THE AMOUNT GENERALLY BILLED (AGB) TO INDIVIDUALS WHO HAVE INSURANCE COVERING THAT CARE. THE FAP ALSO DID NOT INCLUDE A DESCRIPTION OF THE METHOD USED TO CALCULATE AGB. (2) THE FAP OR FAP APPLICATION DID NOT LIST A TELEPHONE NUMBER AND PHYSICAL LOCATION WHERE AN INDIVIDUAL CAN GET INFORMATION ABOUT, AND REQUEST ASSISTANCE WITH COMPLETING, THE FAP APPLICATION. (3) THE FAP DID NOT FULLY DESCRIBE THE ACTIONS, INCLUDING THE PROCESS, REASONABLE EFFORTS TAKEN AND TIMEFRAMES, HOSPITAL OR ITS COLLECTION AGENCIES MAY TAKE IF A BILL IS NOT PAID. THE FAP ALSO DID NOT EXPLICITLY STATE THE DEPARTMENT RESPONSIBLE FOR ENSURING THE REASONABLE EFFORTS REQUIREMENTS WERE MET. (4) THE FAP DID NOT SPECIFY THE INDIVIDUAL NAME, PRACTICE GROUP NAME OR CATEGORY OF CARE OF PROVIDERS THAT GIVE MEDICALLY NECESSARY CARE IN THE HOSPITAL FACILITIES AND WHETHER OR NOT THE PROVIDERS ARE COVERED BY HOSPITALS FAP. (5) A PLS WAS NOT AVAILABLE AND THUS DID NOT CONTAIN ALL THE REQUIRED LANGUAGE. (6) THE FAP, PLS AND THE FAP APPLICATION, AS WELL AS THEIR TRANSLATIONS, WERE NOT ALL POSTED ON THE HOSPITALS WEBSITE. (7) THE PLS WAS NOT PROVIDED TO ALL HOSPITAL PATIENTS AS PART OF THE INTAKE OR DISCHARGE PROCESS. (8) A PLS WAS NOT PROVIDED AT LEAST 30 DAYS PRIOR TO INITIATING ECAS. THE HOSPITAL CORRECTED THE ITEMS ABOVE AS FOLLOWS. THE HOSPITAL BEGAN THE PROCESS OF REVISING THE FAP AND PLS FOR THE ABOVE LISTED ITEMS IMMEDIATELY FOLLOWING THE SEPTEMBER REVIEW. A REVISED FAP AND PLS CONTAINING IMPROVED INFORMATION AND CORRECTING THE AREAS OF NON-COMPLIANCE WAS FORMALLY ADOPTED BY THE BOARD IN SEPTEMBER OF 2018. IN ADDITION, THE PLS IS BEING OFFERED TO ALL PATIENTS AT REGISTRATION, IS INCLUDED WITH ALL BILLING STATEMENTS, AND IS AVAILABLE UPON REQUEST AND WITHOUT CHARGE IN PUBLIC LOCATIONS IN THE HOSPITAL AND BY MAIL. THE REVISED FAP, PLS AND RELATED TRANSLATED DOCUMENTS ARE AVAILABLE AT THE BELOW WEBSITE: HTTPS://WWW.HONORHEALTH-REHAB.COM/REFERRAL-SOURCES/FINANCIAL-ASSISTANCE/ AS PART OF ITS REVIEW OF THE 2015 CHNA, THE FOLLOWING GAP IN COMPLIANCE WAS IDENTIFIED. (1) THE MOST RECENTLY CONDUCTED CHNA WAS POSTED ON THE MAIN HONORHEALTH WEBSITE BUT WAS NOT POSTED ON THE HOSPITALS WEBSITE. ONLY ONE CHNA HAS BEEN CONDUCTED DUE TO THE EFFECTIVE DATE OF WHEN HOSPITAL BECAME SUBJECT TO SECTION 501(R). THE HOSPITAL CORRECTED THE ITEM BY POSTING A LINK TO CHNA ON ITS WEBSITE. HTTPS://WWW.HONORHEALTH-REHAB.COM/ABOUT/ THE HOSPITAL WILL CONTINUE TO MONITOR ITS COMPLIANCE WITH THE SECTION 501(R) REGULATIONS AND PROCEDURES HAVE BEEN PUT IN PLACE TO MAINTAIN COMPLIANCE THROUGH PERIODIC REVIEWS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HONORHEALTH FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>8125 N HAYDEN ROAD</AddressLine1Txt>
          <CityNm>SCOTTSDALE</CityNm>
          <StateAbbreviationCd>AZ</StateAbbreviationCd>
          <ZIPCd>85258</ZIPCd>
        </USAddress>
        <RecipientEIN>742355411</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>4626418</CashGrantAmt>
        <PurposeOfGrantTxt>Program Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NEIGHBORHOOD OUTREACH ACCESS TO HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3634 N DRINKWATER</AddressLine1Txt>
          <CityNm>SCOTTSDALE</CityNm>
          <StateAbbreviationCd>AZ</StateAbbreviationCd>
          <ZIPCd>85251</ZIPCd>
        </USAddress>
        <RecipientEIN>273188239</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>1200000</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAM SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>AMERICAN HEART ASSOCIATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>727 GREENVILLE AVENUE</AddressLine1Txt>
          <CityNm>DALLAS</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75231</ZIPCd>
        </USAddress>
        <RecipientEIN>135613797</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>11500</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAM SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Junior Achievement of Arizona</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>636 W Southern Avenue</AddressLine1Txt>
          <CityNm>TEMPE</CityNm>
          <StateAbbreviationCd>AZ</StateAbbreviationCd>
          <ZIPCd>85282</ZIPCd>
        </USAddress>
        <RecipientEIN>860184349</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAM SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SCOTTSDALE CHARROS INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>10533 E LAKEVIEW DRIVE</AddressLine1Txt>
          <CityNm>SCOTTSDALE</CityNm>
          <StateAbbreviationCd>AZ</StateAbbreviationCd>
          <ZIPCd>85258</ZIPCd>
        </USAddress>
        <RecipientEIN>866052796</RecipientEIN>
        <IRCSectionDesc>501(C)(6)</IRCSectionDesc>
        <CashGrantAmt>12500</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAM SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SCOTTSDALE CHAMBER OF COMMERCE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>7501 E MCCORMICK PKWY</AddressLine1Txt>
          <CityNm>SCOTTSDALE</CityNm>
          <StateAbbreviationCd>AZ</StateAbbreviationCd>
          <ZIPCd>85258</ZIPCd>
        </USAddress>
        <RecipientEIN>860113143</RecipientEIN>
        <IRCSectionDesc>501(C)(6)</IRCSectionDesc>
        <CashGrantAmt>6500</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAM SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Desert MIssion INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>8125 n hayden road</AddressLine1Txt>
          <CityNm>scottsdale</CityNm>
          <StateAbbreviationCd>AZ</StateAbbreviationCd>
          <ZIPCd>85258</ZIPCd>
        </USAddress>
        <RecipientEIN>860046963</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>463833</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAM SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>5</Total501c3OrgCnt>
      <TotalOtherOrgCnt>2</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, PART I, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>SCOTTSDALE HEALTHCARE HOSPITALS (DBA HONORHEALTH) ALLOCATES FUNDS TO THE COMMUNITY STEWARDSHIP DIVISION FOR USE OF SPONSORSHIPS THROUGHOUT THE COMMUNITY. EXECUTIVES, DIRECTORS, AND MANAGERS SEND REQUESTS FOR APPROVAL. THE SPONSORSHIPS ARE GENERALLY THROUGH THE CHARITY'S FUND RAISING ACTIVITIES. HONORHEALTH ATTENDS THE EVENTS TO ENSURE MONEY IS BEING UTILIZED AS REQUESTED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <IdemnificationGrossUpPmtsInd>X</IdemnificationGrossUpPmtsInd>
      <WrittenPolicyRefTAndEExpnssInd>true</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>true</SubstantiationRequiredInd>
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MEHUL PATEL md</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>663360</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>46567</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>2423</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>11000</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>35291</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>758641</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NATHAN ANSPACH</PersonNm>
        <TitleTxt>FORMER CEO, PHYSICIAN NETWORK</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>500261</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>500261</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JON BARTLETT</PersonNm>
        <TitleTxt>FORMER VP/CEO, HH JCL</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>455000</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>455000</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RHONDA FORSYTH</PersonNm>
        <TitleTxt>FORMER PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>891912</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>891912</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN HARRINGTON JR</PersonNm>
        <TitleTxt>Former SVP/CEO, DVMC</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>443914</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>443914</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ALAN KELLY</PersonNm>
        <TitleTxt>FORMER SVP/CHIEF LEGAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>111465</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>111465</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID LAMPARTER</PersonNm>
        <TitleTxt>FORMER VP/ENTERPRISE PROJ MGMT</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>486063</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>486063</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRUCE PEARSON</PersonNm>
        <TitleTxt>FORMER SVP/OPP STRAT &amp; TRANS</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>571818</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>571818</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>TAX GROSS-UP PAYMENTS - THESE ARE PAYMENTS FOR: 1) EMPLOYEES RECEIVING A TAXABLE AWARD, GIFT, OR GIFT CERTIFICATE; 2) PAYMENTS MADE ON BEHALF OF STAFF TO VENDORS DUE TO A CRISIS; OR 3) GROUP TERM LIFE EXCESS BENEFIT OF $50,000. IT IS AVAILABLE TO ANY RANK OF EMPLOYEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAY DURING 2018 (INCLUDED IN SCHEDULE J, PART II, COLUMN B(III)): NATHAN ANSPACH $500,261 JON BARTLETT $455,000 RHONDA FORSYTH $891,912 JOHN HARRINGTON JR. $443,914 ALAN KELLY $111,465 DAVID LAMPARTER $486,063 BRUCE PEARSON $571,750 CHARLES SCULLY $112,834</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>HONORHEALTH OFFERS CERTAIN EXECUTIVES A NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). IT IS INTENDED THAT THIS PLAN BE AN INELIGIBLE DEFERRED COMPENSATION PLAN UNDER THE PROVISIONS OF CODE SECTION 457(F) AND BE OPERATED IN COMPLIANCE WITH CODE SECTION 409A. THE DESIGN OF THE SERP IS SUCH THAT IT PROVIDES A MECHANISM FOR RESTORATION OF DEFERRED RETIREMENT THAT OTHERWISE WOULD BE LOST TO THE EXECUTIVES DUE TO MANDATORY CAP ON DEFERRALS WITHIN THE QUALIFIED RETIREMENT PLAN OFFERED TO OTHER EMPLOYEES OF HONORHEALTH. THE SERP IS ALSO DESIGNED TO DISCOURAGE EXECUTIVE TURNOVER, WHICH COULD HAMPER ORGANIZATIONAL STABILITY AND SUSTAINABILITY, THROUGH THE SERVICE REQUIREMENTS THAT AN EXECUTIVE MUST MEET IN ORDER TO RECEIVE BENEFITS FROM THIS PLAN. THE ANNUAL VALUE OF EACH EXECUTIVE'S PARTICIPATION IN THE PLAN IS TAKEN INTO CONSIDERATION AS PART OF THE CALCULATION OF TOTAL COMPENSATION WHEN TESTED AGAINST THE MARKET FOR REASONABLENESS. DEFERRED COMPENSATION, REPORTED IN SCHEDULE J, PART II, COLUMN (C), INCLUDES THE INCREASE IN VALUE OF THE SERP ACCOUNT, INCLUDING TAX DEFERRED CONTRIBUTIONS AND EARNINGS. THE FOLLOWING INDIVIDUALS EXPERIENCED A TAXABLE VESTING EVENT DURING THE YEAR AS FOLLOWS. THESE AMOUNTS WERE INCLUDED IN COLUMN (B)(III) AS TAXABLE WAGES. ANY PORTION OF THE DISTRIBUTION THAT WAS PREVIOUSLY REPORTED ON A PRIOR 990 AS DEFERRED HAS BEEN REPORTED IN COLUMN (F). GARY BAKER $47,105 WENDY CRAWFORD $60,252 TODD LAPORTE $66,182 KIMBERLY POST $35,289 DAVID PRICE $32,905 RICHARD SILVER, MD $73,835</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>Certain Executives and Management team members are eligible for a short and long term incentive that is based on organizational and individual performance. Performance is defined by set parameters and goals. Plans are administered by HonorHealths Chief Human Resources Officer and Compensation team. All incentive metrics and payouts are approved by the Board Compensation Committee. Certain physicians are eligible for a bonus based on organizational and individual performance.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>THE IDA OF THE CITY OF SCOTTSDALE AZ</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>860494636</BondIssuerEIN>
        <CUSIPNum>810472EX4</CUSIPNum>
        <BondIssuedDt>2006-05-25</BondIssuedDt>
        <IssuePriceAmt>175800000</IssuePriceAmt>
        <PurposeDesc>SEE PART VI</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>THE IDA OF THE CITY OF SCOTTSDALE AZ</BusinessNameLine1Txt>
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        <BondIssuerEIN>860494636</BondIssuerEIN>
        <CUSIPNum>810472FWS</CUSIPNum>
        <BondIssuedDt>2008-06-04</BondIssuedDt>
        <IssuePriceAmt>151350684</IssuePriceAmt>
        <PurposeDesc>REFUND OF 5/25/06 &amp; 8/1/07 BONDS</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>THE IDA OF THE CITY OF SCOTTSDALE AZ</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>860494636</BondIssuerEIN>
        <CUSIPNum>810472GBO</CUSIPNum>
        <BondIssuedDt>2010-08-26</BondIssuedDt>
        <IssuePriceAmt>109852372</IssuePriceAmt>
        <PurposeDesc>SEE PART VI</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>ARIZONA HEALTH FACILITIES AUTHORITY</BusinessNameLine1Txt>
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        <BondIssuedDt>2014-12-23</BondIssuedDt>
        <IssuePriceAmt>342354232</IssuePriceAmt>
        <PurposeDesc>SEE PART VI</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>86100000</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>175800000</TotalProceedsAmt>
        <InReserveFundAmt>0</InReserveFundAmt>
        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
        <RefundingEscrowAmt>0</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>1365670</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>12683620</CreditEnhancementAmt>
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        <CapitalExpendituresAmt>73404529</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>88346181</OtherSpentProceedsAmt>
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        <SubstantialCompletionYr>2010</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
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        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
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        <IssuanceCostsFromProceedsAmt>1911360</IssuanceCostsFromProceedsAmt>
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        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>0</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>149439324</OtherSpentProceedsAmt>
        <UnspentAmt>0</UnspentAmt>
        <SubstantialCompletionYr>2008</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
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      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <RetiredAmt>51502372</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>109852372</TotalProceedsAmt>
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        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
        <RefundingEscrowAmt>0</RefundingEscrowAmt>
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        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>0</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>109852372</OtherSpentProceedsAmt>
        <UnspentAmt>0</UnspentAmt>
        <SubstantialCompletionYr>2010</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <RetiredAmt>57624232</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
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        <InReserveFundAmt>0</InReserveFundAmt>
        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
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        <IssuanceCostsFromProceedsAmt>3330985</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>75000000</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>264023247</OtherSpentProceedsAmt>
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        <SubstantialCompletionYr>2014</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>true</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
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        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0</PrivateBusUseByOthersPct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0</PrivateBusUseByOthersPct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0</PrivateBusUseByOthersPct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>true</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.00558</PrivateBusUseByOthersPct>
        <TotalPrivateBusinessUsePct>0.00558</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>true</NoRebateDueInd>
        <VariableRateIssueInd>true</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </HedgeProviderName>
        <GrossProceedsInvestedInGICInd>true</GrossProceedsInvestedInGICInd>
        <GICProviderName>
          <BusinessNameLine1Txt>MRGN STNLYCITIMBIA</BusinessNameLine1Txt>
        </GICProviderName>
        <TermOfGICPct>8.</TermOfGICPct>
        <RegulatorySafeHarborStsfdInd>true</RegulatorySafeHarborStsfdInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>true</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </HedgeProviderName>
        <GICProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </GICProviderName>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>true</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </HedgeProviderName>
        <GrossProceedsInvestedInGICInd>true</GrossProceedsInvestedInGICInd>
        <GICProviderName>
          <BusinessNameLine1Txt>MRGN STNLYCITIMBIA</BusinessNameLine1Txt>
        </GICProviderName>
        <TermOfGICPct>8.</TermOfGICPct>
        <RegulatorySafeHarborStsfdInd>true</RegulatorySafeHarborStsfdInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>true</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </HedgeProviderName>
        <GICProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </GICProviderName>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>.</FormAndLineReferenceDesc>
        <ExplanationTxt>Schedule K, Part I, COLUMN (F) BOND A - FINANCE NEW MONEY PROJECTS AND REFUND 7/8/93, 6/11/03 AND 6/25/03 BONDS. BOND C - Conversion of Series 2006C-E through current refunding of 5/25/06 bonds. BOND D - FINANCE CAPITAL IMPROVEMENTS and refund the following bond issuances: Series 2005, 2005B, 2007 and 2012 and a portion of 2008A. SCHEDULE K, PART IV, LINE 2C BOND A - THE REBATE COMPUTATION WAS PERFORMED IN MARCH, 2018 BOND B - THE REBATE COMPUTATION WAS PERFORMED IN MARCH, 2018 BOND c - THE REBATE COMPUTATION WAS PERFORMED IN MARCH, 2018 BOND D - THE REBATE COMPUTATION WAS PERFORMED IN APRIL, 2018 BOND A (2015 BONDS) - THE REBATE COMPUTATION WAS PERFORMED IN APRIL, 2018</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleK documentId="IRS990ScheduleKN1">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>ARIZONA HEALTH FACILITIES AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>860453292</BondIssuerEIN>
        <CUSIPNum>000000000</CUSIPNum>
        <BondIssuedDt>2015-11-16</BondIssuedDt>
        <IssuePriceAmt>47740000</IssuePriceAmt>
        <PurposeDesc>REFUNDING OF 2006D-E BONDS</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>THE IDA OF THE COUNTY OF MARICOPA</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>860445263</BondIssuerEIN>
        <CUSIPNum>000000000</CUSIPNum>
        <BondIssuedDt>2017-08-31</BondIssuedDt>
        <IssuePriceAmt>60000000</IssuePriceAmt>
        <PurposeDesc>FINANCE NEW MONEY PROJECTS</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>THE IDA OF THE COUNTY OF MARICOPA</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>860445263</BondIssuerEIN>
        <CUSIPNum>000000000</CUSIPNum>
        <BondIssuedDt>2017-11-16</BondIssuedDt>
        <IssuePriceAmt>30000000</IssuePriceAmt>
        <PurposeDesc>FINANCE NEW MONEY PROJECTS</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>0</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>47740000</TotalProceedsAmt>
        <InReserveFundAmt>0</InReserveFundAmt>
        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
        <RefundingEscrowAmt>0</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>538384</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>0</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>47201616</OtherSpentProceedsAmt>
        <UnspentAmt>0</UnspentAmt>
        <SubstantialCompletionYr>2015</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <RetiredAmt>57973918</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>60000000</TotalProceedsAmt>
        <InReserveFundAmt>0</InReserveFundAmt>
        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
        <RefundingEscrowAmt>0</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>95000</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>59905000</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>0</OtherSpentProceedsAmt>
        <UnspentAmt>0</UnspentAmt>
        <SubstantialCompletionYr>2017</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>false</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <RetiredAmt>0</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>30000000</TotalProceedsAmt>
        <InReserveFundAmt>0</InReserveFundAmt>
        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
        <RefundingEscrowAmt>0</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>56000</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>29944000</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>0</OtherSpentProceedsAmt>
        <UnspentAmt>0</UnspentAmt>
        <SubstantialCompletionYr>2017</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>false</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>true</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.03530</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.00000</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.03530</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0</PrivateBusUseByOthersPct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0</PrivateBusUseByOthersPct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>true</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </HedgeProviderName>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GICProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </GICProviderName>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>true</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </HedgeProviderName>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GICProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </GICProviderName>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>true</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </HedgeProviderName>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GICProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </GICProviderName>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>LEE SILVER</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DAUGHTER OF KEY EMPLOYEE</RelationshipDescriptionTxt>
        <TransactionAmt>67924</TransactionAmt>
        <TransactionDesc>EMPLOYEE COMPENSATION</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>LINDSEY WRIGHT</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DAUGHTER OF KEY EMPLOYEE</RelationshipDescriptionTxt>
        <TransactionAmt>40375</TransactionAmt>
        <TransactionDesc>EMPLOYEE COMPENSATION</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>MARIA RUBIO</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SISTER OF BOARD MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>105985</TransactionAmt>
        <TransactionDesc>EMPLOYEE COMPENSATION</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>INDEPENDENT HOSPITALISTS LLC</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SEE PART V</RelationshipDescriptionTxt>
        <TransactionAmt>1054608</TransactionAmt>
        <TransactionDesc>PHYSICIAN SERVICES</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE L, PART IV, COLUMN (B), LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>INDEPENDENT HOSPITALISTS, LLC IS AN ENTITY WHICH IS MORE THAN 35% OWNED BY A BOARD MEMBER (SORIANO).</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART I, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>SCOTTSDALE HEALTHCARE HOSPITALS (DBA HONORHEALTH) VOLUNTEERS PARTNER WITH OUR HOSPITAL STAFF TO PROVIDE PATIENT AND FAMILY SERVICES AT OUR FIVE CAMPUSES. THEIR PERSONALIZED SERVICE TO EACH PATIENT AND FAMILY MEMBERS CONTRIBUTES TO THEIR WORLD CLASS HEALTHCARE EXPERIENCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>FORMED AFTER THE MERGER OF SCOTTSDALE HEALTHCARE AND JOHN C. LINCOLN HEALTH NETWORK, HONORHEALTH IS A NON-PROFIT HEALTH SYSTEM WITH FIVE ACUTE-CARE HOSPITALS, SIX EMERGENCY DEPARTMENTS - ONE OF THEM A FREESTANDING CENTER IN NORTH PHOENIX - AND THREE LEVEL I TRAUMA CENTERS. HONORHEALTH'S MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF THOSE WE SERVE. HONORHEALTH'S FIVE ACUTE CARE HOSPITALS HAVE ACHIEVED MAGNET DESIGNATION FROM THE AMERICAN NURSES CREDENTIALING CENTER. THIS PRESTIGIOUS RECOGNITION ENSURES THAT PATIENTS RECEIVE THE GOLD STANDARD FOR NURSING CARE, AN HONOR EARNED BY ONLY 8 PERCENT OF THE NATION'S HOSPITALS. MAGNET IS CONSIDERED THE HIGHEST RECOGNITION FOR NURSING EXCELLENCE. THE HEALTH SYSTEM ENCOMPASSES MORE THAN 13,600 EMPLOYEES, APPROXIMATELY 3,400 PHYSICIANS ON ITS MEDICAL STAFF AND APPROXIMATELY 3,000 VOLUNTEERS. HONORHEALTH'S HOSPITAL CAMPUSES ARE: HONORHEALTH JOHN C. LINCOLN MEDICAL CENTER: WITH 262 BEDS, THIS HOSPITAL SERVES NORTH CENTRAL PHOENIX, IS A LEADER IN ROBOTIC AND SCARLESS SURGERY AND OFFERS EXTENSIVE CARDIAC IMAGING AND HEART SERVICES. RECOGNIZED AS AN AMERICAN COLLEGE OF SURGEONS-VERIFIED LEVEL I TRAUMA CENTER SERVING SEVERELY INJURED PATIENTS, THE HOSPITAL ALSO PROVIDES A CARE PROGRAM FOR TRAUMA PATIENTS AGE 60 AND OLDER. THE HOSPITAL IS A CARDIAC ARREST CENTER CERTIFIED BY THE ARIZONA DEPARTMENT OF HEALTH SERVICES AND A PRIMARY STROKE CENTER. OTHER SERVICES INCLUDE MEDICAL/SURGICAL CARE; INTENSIVE CARE UNIT; CARDIOVASCULAR INTENSIVE AND PROGRESSIVE CARE; CARDIAC, ORTHOPEDIC AND CARDIAC SURGERY; NEUROSURGERY; UROLOGY; NEUROLOGY; RECONSTRUCTIVE SURGERY, AND INPATIENT AND OUTPATIENT MEDICAL IMAGING. ON THE CAMPUS ARE: - INPATIENT AND OUTPATIENT REHABILITATION SERVICES - AN OUTPATIENT SURGERY CENTER - A SATELLITE BREAST HEALTH AND RESEARCH CENTER - A GENERAL SURGERY RESIDENCY PROGRAM HONORHEALTH DEER VALLEY MEDICAL CENTER: THE 204-BED HOSPITAL SERVES THE RAPIDLY GROWING NORTHERN PHOENIX AREA AS WELL AS COMMUNITIES TO THE NORTH ALONG INTERSTATE 17, INCLUDING ANTHEM, NEW RIVER AND BLACK CANYON CITY. THE HOSPITAL IS HOME TO THE BREAST HEALTH AND RESEARCH CENTER, WHICH OFFERS ADVANCED DIAGNOSTIC TECHNOLOGY THAT INCLUDES 3-D DIGITAL MAMMOGRAPHY, AN ON-SITE MRI, BONE DENSITY SCREENINGS, BODY COMPOSITION ASSESSMENTS AND CARE COORDINATION. DEER VALLEY MEDICAL CENTER IS A CARDIAC ARREST CENTER CERTIFIED BY THE ARIZONA DEPARTMENT OF HEALTH SERVICES AND A PRIMARY STROKE CENTER. THE FACILITY PROVIDES A WIDE RANGE OF STATE-OF-THE-ART INPATIENT AND OUTPATIENT SERVICES INCLUDING: A LEVEL I TRAUMA CENTER; A CARE PROGRAM FOR TRAUMA PATIENTS AGE 60 AND OLDER; A CHILDREN'S EMERGENCY CENTER AND INPATIENT PEDIATRIC UNIT; A COMPLETE RANGE OF PERSONALIZED INPATIENT AND OUTPATIENT CARE; EMERGENCY CARE; A CRITICAL CARE UNIT; A PROGRESSIVE CARDIAC CARE UNIT; AN ORTHOPEDIC UNIT; CANCER CARE; MEDICAL/SURGICAL AND TELEMETRY UNITS AND AN OUTPATIENT SURGERY CENTER. GENERAL SURGERY RESIDENTS TRAIN HERE AND AT HONORHEALTH JOHN C. LINCOLN MEDICAL CENTER. HONORHEALTH SCOTTSDALE OSBORN MEDICAL CENTER: THIS 325-BED, FULL-SERVICE HOSPITAL IS KNOWN FOR ITS TRAUMA, ORTHOPEDICS, NEUROSURGERY, NEUROSCIENCES, CARDIOVASCULAR SERVICES AND CRITICAL CARE. THE HOSPITAL IS AN AMERICAN COLLEGE OF SURGEONS-VERIFIED LEVEL I TRAUMA CENTER, A CARDIAC ARREST CENTER CERTIFIED BY THE ARIZONA DEPARTMENT OF HEALTH SERVICES AND A PRIMARY STROKE CENTER. THE HOSPITAL OFFERS A COMPLETE RANGE OF PERSONALIZED INPATIENT AND OUTPATIENT CARE INCLUDING MEDICAL/SURGICAL CARE; EMERGENCY ROOM; INTENSIVE CARE; CARDIOVASCULAR INTENSIVE AND PROGRESSIVE CARE; CARDIAC, ORTHOPEDIC AND CARDIAC SURGERY; NEUROSURGERY; UROLOGY; CANCER CARE; NEUROLOGY; RECONSTRUCTIVE SURGERY, INPATIENT AND OUTPATIENT REHABILITATION SERVICES, HOME HEALTHCARE, WOUND MANAGEMENT, AND INPATIENT AND OUTPATIENT MEDICAL IMAGING. ON THE CAMPUS ARE: - A FAMILY BIRTHING CENTER AND NEONATAL UNIT - THE GREENBAUM SURGICAL SPECIALTY HOSPITAL, FOCUSING ON SUCH GENERAL SURGERIES SUCH AS EAR, NOSE AND THROAT, UROLOGY AND GYNECOLOGY - A FAMILY MEDICINE RESIDENCY PROGRAM - A TRAUMA/MEDICAL TRAINING CENTER FOR THE U.S. MILITARY HONORHEALTH SCOTTSDALE SHEA MEDICAL CENTER: WITH 427 BEDS, THE SHEA HOSPITAL IS KNOWN FOR ITS ONCOLOGY CARE, TOTAL JOINT REPLACEMENT CENTER, AND CARDIOLOGY AND ORTHOPEDIC SERVICES. THE FACILITY ALSO HAS A BARIATRIC SURGERY CENTER OF EXCELLENCE. THE HOSPITAL IS A CARDIAC ARREST CENTER CERTIFIED BY THE ARIZONA DEPARTMENT OF HEALTH SERVICES. THE FACILITY OFFERS A COMPLETE RANGE OF PERSONALIZED INPATIENT AND OUTPATIENT CARE INCLUDING MEDICAL/SURGICAL CARE; EMERGENCY ROOM; INTENSIVE CARE; CARDIOVASCULAR INTENSIVE AND PROGRESSIVE CARE; CARDIAC, ORTHOPEDIC AND CARDIAC SURGERY; NEUROSURGERY; UROLOGY; CANCER CARE; NEUROLOGY; HOME HEALTHCARE; INPATIENT AND OUTPATIENT REHABILITATION SERVICES, DIABETES EDUCATION, AND INPATIENT AND OUTPATIENT MEDICAL IMAGING. THE HOSPITAL HAS A DEDICATED PEDIATRIC EMERGENCY DEPARTMENT AND PEDIATRIC ICU. WOMEN'S SERVICES INCLUDE MATERNITY AND A LEVEL III NEONATAL ICU. ON THE CAMPUS ARE: - THE VIRGINIA G. PIPER CANCER CENTER: ACCREDITED BY THE COMMISSION ON CANCER OF THE AMERICAN COLLEGE OF SURGEONS, IT OFFERS AN INNOVATIVE COMBINATION OF COMMUNITY ONCOLOGY SERVICES AND ACADEMIC MEDICINE. - THE HONORHEALTH RESEARCH INSTITUTE, WHICH IS A LEADER IN GENOMIC CANCER RESEARCH. OTHER MAJOR FOCUS AREAS OF RESEARCH ARE CANCER, HEART AND VASCULAR, BARIATRICS, NEUROLOGY, AND TRAUMA. - THE VIRGINIA G. PIPER SURGERY CENTER: OFFERS A RANGE OF OUTPATIENT SURGERIES AND SHORT INPATIENT STAYS WHEN NEEDED AND SUPPORT SERVICES. - BONE MARROW TRANSPLANT PROGRAM. HONORHEALTH SCOTTSDALE THOMPSON PEAK MEDICAL CENTER: WITH 120 BEDS, THE HOSPITAL PROVIDES INTENSIVE CARE AS WELL AS CANCER, UROLOGY, GYNECOLOGY, ORTHOPEDICS AND EMERGENCY CARE. THE FACILITY IS A CARDIAC ARREST CENTER CERTIFIED BY THE ARIZONA DEPARTMENT OF HEALTH SERVICES AND PROVIDES MINIMALLY INVASIVE GENERAL SURGERY; VASCULAR SURGERY; UROLOGY; GYNECOLOGY/ONCOLOGY; AND SPINAL SURGERY. IT ALSO HAS AN ORTHOPEDIC INSTITUTE AND AN INTERNAL MEDICINE RESIDENCY PROGRAM. HONORHEALTH SONORAN HEALTH AND EMERGENCY CENTER: THE FREESTANDING EMERGENCY CENTER IN NORTH PHOENIX, OFF INTERSTATE 17, OFFERS EMERGENCY CARE 24 HOURS A DAY, SEVEN DAYS A WEEK, TO PEOPLE OF ALL AGES. IN ADDITION TO EMERGENCY CARE, THE CENTER PROVIDES BREAST HEALTH AND MEDICAL IMAGING. THE SATELLITE BREAST HEALTH AND RESEARCH CENTER LOCATION OFFERS STATE-OF-THE-ART DIAGNOSTIC TOOLS WITH 3-D MAMMOGRAPHY. OTHER SERVICES INCLUDE BONE DENSITY SCREENINGS, BODY COMPOSITION ASSESSMENTS AND CARE COORDINATION. In September 2020, HonorHealth will add its sixth medical center, the Sonoran Crossing Medical Center, to its health system. Located at Interstate 17 and Dove Valley Road in north Phoenix, the three-story, 210,000-square-foot facility will be built on the campus that currently houses the Sonoran Health and Emergency Center. Groundbreaking took place December 5, 2018. THE HONORHEALTH VIRGINIA G. PIPER CANCER CARE NETWORK: THIS INTEGRATED NETWORK PROVIDES CANCER CARE AT ITS FIVE ACUTE CARE HOSPITALS AND MULTIPLE OUTPATIENT CARE LOCATIONS ACROSS METRO PHOENIX. THE HONORHEALTH MEDICAL GROUP: ENCOMPASSES MORE THAN 60 PRIMARY CARE AND SPECIALTY PRACTICES throughout THE METRO PHOENIX AREA. ACCOUNTABLE CARE ORGANIZATIONS (ACO): HONORHEALTH HAS TWO ACOS - JOHN C. LINCOLN ACCOUNTABLE CARE ORGANIZATION, LLC AND SCOTTSDALE HEALTH PARTNERS, LLC DBA INNOVATION CARE PARTNERS. AN ACO IS AN ORGANIZATION THAT INCLUDES A GROUP OF HEALTH CARE PROVIDERS WHO COLLABORATE AND AGREE TO SHARE RESPONSIBILITY FOR THE TOTAL COST AND QUALITY OF CARE FOR A DESIGNATED GROUP OF PATIENTS OVER A PERIOD OF time. hONORHEALTH HAS SERVED THE COMMUNITY FOR MORE THAN 70 YEARS THROUGH OUTREACH PROGRAMS SUCH AS DESERT MISSION, THE HONORHEALTH FOUNDATION, AND THROUGH ITS AFFILIATION WITH NOAH. DESERT MISSION, INC.: PROVIDES COMMUNITY SERVICES FOR THE VULNERABLE IN THE COMMUNITY, INCLUDING A FOOD BANK, LINCOLN LEARNING CENTER, ADULT DAY HEALTH CARE AND LIVING WELL: FINANCIAL CAREER AND HOME SUCCESS. NOAH: NOAH OPERATES AS AN INDEPENDENT 501(C)(3) ORGANIZATION AND PROVIDES AFFORDABLE, QUALITY CARE FOR UNDERSERVED INDIVIDUALS AT COMMUNITY HEALTH CENTERS. HONORHEALTH FOUNDATION: PROVIDES THE PHILANTHROPY TO SUPPORT, ENHANCE AND GROW HONORHEALTH. HONORHEALTH'S BOARD OF DIRECTORS IS MADE UP OF COMMUNITY LEADERS. HONORHEALTH MAINTAINS AN OPEN MEDICAL STAFF POLICY, PARTICIPATES IN MEDICARE AND MEDICAID PROGRAMS AS WELL AS OTHER GOVERNMENT HEALTH PROGRAMS. HONORHEALTH'S EMERGENCY ROOMS AND TRAUMA CARE CENTERS ARE OPEN TO PATIENTS REGARDLESS OF ABILITY TO PAY, PURSUANT TO ITS FINANCIAL ASSISTANCE POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>HONORHEALTH HAS AN EXECUTIVE COMMITTEE. THE HONORHEALTH CHAIR AND VICE CHAIR SERVE AS THE CHAIR AND VICE CHAIR OF THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE HAS THE POWER AND AUTHORITY OF THE BOARD OF DIRECTORS TO TRANSACT ALL REGULAR BUSINESS OF THE CORPORATION AND SUCH OTHER MATTERS AS MAY BE DELEGATED TO IT BY THE BOARD DIRECTORS IN THE INTERVALS BETWEEN MEETINGS OF THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE TAX RETURN INFORMATION IS GATHERED BY THE FINANCE TEAM FROM VARIOUS SOURCES WITHIN THE ORGANIZATION INCLUDING HUMAN RESOURCES, PAYROLL, AND THE LEGAL DEPARTMENT. THE INFORMATION IS REVIEWED BY THE DIRECTOR TAX &amp; TREASURY AND PROVIDED TO AN ACCOUNTING FIRM THAT PREPARES THE RETURNS. AN INITIAL DRAFT OF THE FORM 990 IS SUBMITTED TO THE NETWORK CONTROLLER, VP FINANCE, GENERAL COUNSEL AND VP REVENUE CYCLE FOR REVIEW. COMMENTS FROM THOSE INDIVIDUALS ARE CONSIDERED AND INCORPORATED INTO A FINAL DRAFT. THE FINAL DRAFT IS THEN MADE AVAILABLE TO ALL BOARD MEMBERS AND ANY CHANGES FROM THE BOARD REVIEW ARE INCORPORATED PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>HonorHealth monitors and enforces compliance with its conflict of interest policy through education and annual/ongoing reporting. Each year, HonorHealth conducts an annual conflict of interest review. This process requires all directors, officers and key employees to complete a conflict of interest disclosure statement. The Audit &amp; Compliance Services Department will review all reported disclosures, discuss with and/or request additional information regarding any potential conflict from the disclosing party, if appropriate, and determine, in consultation with the HonorHealths General Counsel, whether a actual or perceived conflict of interest exists. If the reported disclosure can be managed in such a way that a conflict of interest does not present itself, or can be reasonably assured of such, the Audit &amp; Compliance Services Department will derive a management plan to address it, which is shared with and agreed upon by the disclosing party. If the reported disclosure cannot be managed in such a way to avoid a conflict, the Audit &amp; Compliance Services Department will discuss options for addressing the conflict with HonorHealths General Counsel, which may result in discontinuance of relationship with HonorHealth, removal from the Board or governing board committees, removal from an employment role, termination of a contractual agreement or other such actions to eliminate the conflict with HonorHealths business. The Audit &amp; Compliance Committee of the HonorHealth Board receives an annual summary of all disclosed potential or actual conflicts to ensure they have been reviewed and processed in accordance with the HonorHealth conflict of interest policy.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINES 15A &amp; 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>AN EXECUTIVE COMPENSATION CONSULTANT CONDUCTS DETAILED MARKET ANALYSIS FOR EXECUTIVE CASH COMPENSATION. THE CONSULTANT UTILIZES AVAILABLE PUBLISHED HEALTHCARE SURVEY SOURCES. EXECUTIVE POSITIONS ARE MATCHED TO APPROPRIATE SURVEY POSITIONS BASED ON JOB CONTENT, DUTIES AND SCOPE OF RESPONSIBILITY. SURVEY DATA IS MATCHED FROM ORGANIZATIONS OF SIMILAR SIZE AND SCOPE. RESULTS OF THE STUDY ARE SHARED WITH THE BOARD FOR APPROVAL. THE STUDY WAS LAST COMPLETED IN 2018.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>DOCUMENTS ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST TO THE HONORHEALTH NETWORK CONTROLLER AT: 8125 N. HAYDEN ROAD, SCOTTSDALE, AZ 85258</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN VALUE OF HEDGE RATE SWAP $ 4,722,630 EQUITY TRANSFERS (NET) $ 9,215 ================================== ============ TOTAL $ 4,731,845</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        <ShareOfEOYAssetsAmt>0</ShareOfEOYAssetsAmt>
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          <BusinessNameLine1Txt>UNION HILLS PAIN PARTNERS LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
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          <AddressLine1Txt>27271 LAS RAMBLAS SUITE 350</AddressLine1Txt>
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        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>SHC ASC LLC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
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        <ShareOfEOYAssetsAmt>0</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SCOTTSDALE LINCOLN CLINICAL</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>SEE PART VII</AddressLine1Txt>
          <CityNm>SCOTTTSDALE</CityNm>
          <StateAbbreviationCd>AZ</StateAbbreviationCd>
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        <LegalDomicileStateCd>AZ</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>SHH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>RELATED</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>305218</ShareOfTotalIncomeAmt>
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        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <UBICodeVAmt>0</UBICodeVAmt>
        <GeneralOrManagingPartnerInd>true</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.51000</OwnershipPct>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>HONORHEALTH CAPTIVE INSURANCE EXCHANGE</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <ForeignAddress>
          <AddressLine1Txt>PO BOX 1085 5TH FLOOR</AddressLine1Txt>
          <CityNm>KY</CityNm>
          <ProvinceOrStateNm>GEORGE TOWN GRAND</ProvinceOrStateNm>
          <CountryCd>CJ</CountryCd>
          <ForeignPostalCd>KY1-1102</ForeignPostalCd>
        </ForeignAddress>
        <PrimaryActivitiesTxt>CAPTIVE INS.</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SHH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>FOREIGN</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>11538625</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>52796063</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SCOTTSDALE HEALTHCARE MSO INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>8125 N HAYDEN ROAD</AddressLine1Txt>
          <CityNm>SCOTTSDALE</CityNm>
          <StateAbbreviationCd>AZ</StateAbbreviationCd>
          <ZIPCd>85258</ZIPCd>
        </USAddress>
        <EIN>860512895</EIN>
        <PrimaryActivitiesTxt>MSO</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>AZ</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SHC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C CORP</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>0</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>0</ShareOfEOYAssetsAmt>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SONORAN CROSSING OWNERS ASSOCIATION</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>8125 N HAYDEN ROAD</AddressLine1Txt>
          <CityNm>SCOTTSDALE</CityNm>
          <StateAbbreviationCd>AZ</StateAbbreviationCd>
          <ZIPCd>85258</ZIPCd>
        </USAddress>
        <EIN>463554413</EIN>
        <PrimaryActivitiesTxt>OWNERS ASSOC.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>AZ</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>SHh</BusinessNameLine1Txt>
        </DirectControllingEntityName>
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        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>true</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>true</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>true</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>true</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HONORHEALTH FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>b</TransactionTypeTxt>
        <InvolvedAmt>4626418</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HONORHEALTH FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>c</TransactionTypeTxt>
        <InvolvedAmt>11759082</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HONORHEALTH CAPTIVE INSURANCE EXCHANGE</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>r</TransactionTypeTxt>
        <InvolvedAmt>10825424</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HONORHEALTH CAPTIVE INSURANCE EXCHANGE</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>f</TransactionTypeTxt>
        <InvolvedAmt>4900000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>DESERT MISSION INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>b</TransactionTypeTxt>
        <InvolvedAmt>463833</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GLOBALREHAB - SCOTTSDALE LLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>A</TransactionTypeTxt>
        <InvolvedAmt>84000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE R, PART I, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>JOHN C. LINCOLN ACO, LLC'S INCOME AND ASSETS ARE INCLUDED IN SCOTTSDALE HEALTH PARTNER'S ("SHP") BOOKS. THE AMOUNTS REPORTED IN COLUMN (D) AND (E) REPRESENT ALL INCOME AND ASSETS OF SHP FOR 2018.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE R, PART III, COLUMN (A)</FormAndLineReferenceDesc>
        <ExplanationTxt>Scottsdale healthcare asc, llc Ein: 27-1450828 Address: 8125 n. Hayden road, scottsdale, az 85258 Globalrehab-scottsdale, llc Ein: 27-4160293 Address: 4714 gettysburg road, mechanicsburg, pa 17055 Scottsdale surgical partners, llc Ein: 20-1808351 Address: 9522 e. san salvador, scottsdale, az 85258 Biltmore surgical partners, llc Ein: 26-4509307 Address: 27271 las ramblas, suite 350, mission viejo, ca 92691 Union hills pain partners, llc Ein: 47-3325492 Address: 27271 las ramblas, suite 350, mission viejo, ca 92691 Scottsdale lincoln clinical specialists, llc (thru 7/18) Ein: 47-5332541 Address: 8125 n. Hayden road, scottsdale, az 85258</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>