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        <EOY>2640000</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>285117818</BOY>
        <EOY>315077058</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>243055512</BOY>
        <EOY>251988287</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
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      <PermanentlyRestrictedNetAssets>
        <BOY>3402436</BOY>
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      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>248034717</BOY>
        <EOY>260821971</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>533152535</BOY>
        <EOY>575899029</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>20932012</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>-8144758</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>true</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>true</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
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    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
      <TotalGrassrootsLobbying />
      <TotalDirectLobbying />
      <TotalLobbyingExpenditures />
      <OtherExemptPurposeExpenditures />
      <TotalExemptPurposeExpenditures />
      <LobbyingNontaxableAmount />
      <GrassrootsNontaxableAmount />
      <TotLobbyingGrassrootMinusNonTx />
      <TotLobbyExpendMnsLobbyingNontx />
      <Volunteers>false</Volunteers>
      <PaidStaffOrManagement>false</PaidStaffOrManagement>
      <MediaAdvertisements>false</MediaAdvertisements>
      <MailingsMembers>false</MailingsMembers>
      <PublicationsOrBroadcast>false</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>false</GrantsOtherOrganizations>
      <DirectContactLegislators>false</DirectContactLegislators>
      <RalliesDemonstrations>false</RalliesDemonstrations>
      <OtherActivities>true</OtherActivities>
      <OtherActivitiesAmount>38216</OtherActivitiesAmount>
      <TotalLobbyingExpendituresIIB>38216</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>false</NotDescribedIn501c3>
      <Form990ScheduleCPartIV>
        <Identifier>LOBBYING EXPENSE</Identifier>
        <ReturnReference>SCHEDULE C, PART II-B, LINE 1G</ReturnReference>
        <Explanation>JOHN C LINCOLN HEALTH NETWORK PAYS DUES TO AHA AND AZHHA IN WHICH A PORTION OF THE DUES IS ATTRIBUTABLE TO LOBBYING. THE AMOUNT SHOWN ON THIS LINE IS THAT PERCENTAGE.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
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        <InvestmentEarningsOrLosses>722660</InvestmentEarningsOrLosses>
        <OtherExpenditures>68282</OtherExpenditures>
        <EndOfYearBalance>5254651</EndOfYearBalance>
      </CurrentYearMinus2Years>
      <CurrentYearMinus3Years>
        <BeginningOfYearBalance>4664970</BeginningOfYearBalance>
        <Contributions>882571</Contributions>
        <InvestmentEarningsOrLosses>-1073766</InvestmentEarningsOrLosses>
        <OtherExpenditures>148346</OtherExpenditures>
        <EndOfYearBalance>4325429</EndOfYearBalance>
      </CurrentYearMinus3Years>
      <BoardDesignatedEOYBalance>0.27420</BoardDesignatedEOYBalance>
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      <EndowmentsHeldByUnrelatedOrgs>false</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>false</EndowmentsHeldByRelatedOrgs>
      <Land>
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        <BookValue>21776717</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>245589100</OtherCostOrOtherBasis>
        <Depreciation>91449051</Depreciation>
        <BookValue>154140049</BookValue>
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      <LeaseholdImprovements>
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        <BookValue>8480035</BookValue>
      </LeaseholdImprovements>
      <Equipment>
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        <BookValue>38946600</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>33516845</OtherCostOrOtherBasis>
        <BookValue>33516845</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>256860246</TotalOfBookValueLandBuildings>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>LT NOTE PAYABLE - DESERT MOUNTAIN</Description>
        <Amount>2640000</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>2640000</TotalOfAmounts>
      <TotalRevenue>480948959</TotalRevenue>
      <TotalExpenses>460016947</TotalExpenses>
      <ExcessOrDeficitForYear>20932012</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>-8127747</NetUnrealizedGLOnInvestments>
      <OtherAmount>-17011</OtherAmount>
      <TotalAdjustments>-8144758</TotalAdjustments>
      <ExcessOrDeficitPerFS>12787254</ExcessOrDeficitPerFS>
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      <NetUnrealizedGainsInvestments>-8127747</NetUnrealizedGainsInvestments>
      <OtherRevenues>-17011</OtherRevenues>
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      <ExpensesNotRptdOnFinStmt>-619747</ExpensesNotRptdOnFinStmt>
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      <Form990ScheduleDPartXIV>
        <Identifier>INTENDED USE OF ENDOWMENT FUNDS</Identifier>
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        <Explanation>THE ENDOWMENT FUNDS CONSIST OF EIGHT INDIVIDUAL FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES RELATED TO THE EXEMPT PURPOSE OF THE ORGANIZATION. THE FUNDS ARE TO BE USED TO SUPPORT THE ACTIVITIES WITHIN DEER VALLEY HOSPITAL, NORTH MOUNTAIN HOSPITAL AND ADMINISTRATION. THE TERM ENDOWMENTS HAVE BEEN RESTRICTED BY THE DONOR FOR A SPECIFIC TIME PERIOD OR PURPOSE.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
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        <Explanation>MANAGEMENT HAS EVALUATED THEIR 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.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>OTHER ADJUSTMENTS TO NET ASSETS</Identifier>
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        <Explanation>CHANGE IN INTEREST IN FOUNDATION $ 4,515,572 LOSS ON IMPAIRMENT OF OPERATING LEASES (4,532,583) ----------- $( 17,011) ===========</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>OTHER REVENUE ON BOOKS NOT ON RETURN</Identifier>
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        <Explanation>CHANGE IN INTEREST IN FOUNDATION $ 4,515,572 LOSS ON IMPAIRMENT OF OPERATING LEASES (4,532,583) ----------- $( 17,011) ===========</Explanation>
      </Form990ScheduleDPartXIV>
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        <Identifier>OTHER REVENUE ON RETURN NOT ON BOOKS</Identifier>
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      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>OTHER EXPENSES ON RETURN NOT ON BOOKS</Identifier>
        <ReturnReference>SCHEDULE D, PART XIII, LINE 4B</ReturnReference>
        <Explanation>RENTAL EXPENSES $(619,747)</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleF documentId="IRS990ScheduleF">
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        <Region>Central America and the Caribbean</Region>
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      </AcctsActvsOutUSTable>
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      <TotalAmountSpent>4641610</TotalAmountSpent>
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      <InterestInForeignTrust>false</InterestInForeignTrust>
      <OwnForeignCorp>false</OwnForeignCorp>
      <PassiveForeignInvestCo>false</PassiveForeignInvestCo>
      <ForeignPartnership>false</ForeignPartnership>
      <BoycottCountries>false</BoycottCountries>
      <Form990ScheduleFPartV>
        <Identifier>INVESTMENTS</Identifier>
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      </Form990ScheduleFPartV>
    </IRS990ScheduleF>
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      <TotalCommunityBenefits>
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        </Name>
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          <State>AZ</State>
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          <Name>
            <BusinessNameLine1>SAGUARO FAMILY PRACTICE</BusinessNameLine1>
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            <State>AZ</State>
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        <OtherFacilities>
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            <BusinessNameLine1>DEER VALLEY FAMILY PRACTICE</BusinessNameLine1>
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            <State>AZ</State>
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          </Address>
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        <OtherFacilities>
          <Name>
            <BusinessNameLine1>NORTH VALLEY GASTROENTEROLOGY</BusinessNameLine1>
          </Name>
          <Address>
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            <State>AZ</State>
            <ZIPCode>85027</ZIPCode>
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        <OtherFacilities>
          <Name>
            <BusinessNameLine1>ARCADIA FAMILY CLINIC</BusinessNameLine1>
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            <City>PHOENIX</City>
            <State>AZ</State>
            <ZIPCode>85016</ZIPCode>
          </Address>
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        <OtherFacilities>
          <Name>
            <BusinessNameLine1>NORTH PHOENIX MEDICAL CLINIC</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>9100 N 2ND STREET SUITE 121</AddressLine1>
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            <State>AZ</State>
            <ZIPCode>85020</ZIPCode>
          </Address>
          <FacilityType>PHYSICIAN CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>DEER VALLEY MEDICAL</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>6202 W BELL ROAD SUITE 5</AddressLine1>
            <City>GLENDALE</City>
            <State>AZ</State>
            <ZIPCode>85308</ZIPCode>
          </Address>
          <FacilityType>PHYSICIAN CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>DYNAMITE CREEK MEDICAL CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>4712 E DYNAMITE BOULEVARD</AddressLine1>
            <City>CAVE CREEK</City>
            <State>AZ</State>
            <ZIPCode>85331</ZIPCode>
          </Address>
          <FacilityType>PHYSICIAN CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>GAVILAN PEAK FAMILY PRACTICE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>3648 W ANTHEM WAY BUILDING A-100</AddressLine1>
            <City>ANTHEM</City>
            <State>AZ</State>
            <ZIPCode>85086</ZIPCode>
          </Address>
          <FacilityType>PHYSICIAN CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>JOHN C LINCOLN CARE FOR WOMEN DEER VLY</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>19646 N 27TH AVENUE SUITE 301</AddressLine1>
            <City>PHOENIX</City>
            <State>AZ</State>
            <ZIPCode>85027</ZIPCode>
          </Address>
          <FacilityType>PHYSICIAN CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>JOHN C LINCOLN URGENT CARE AT ANTHEM</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>3648 W ANTHEM WAY BLDG A-100</AddressLine1>
            <City>ANTHEM</City>
            <State>AZ</State>
            <ZIPCode>85086</ZIPCode>
          </Address>
          <FacilityType>PHYSICIAN CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>NORTH VALLEY INTERNAL MEDICINE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>18404 N TATUM BOULEVARD SUITE 102</AddressLine1>
            <City>PHOENIX</City>
            <State>AZ</State>
            <ZIPCode>85032</ZIPCode>
          </Address>
          <FacilityType>PHYSICIAN CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>HARBOR POINTE INTERNAL MEDICINE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>5859 W TALAVI BOULEVARD SUITE 165</AddressLine1>
            <City>GLENDALE</City>
            <State>AZ</State>
            <ZIPCode>85306</ZIPCode>
          </Address>
          <FacilityType>PHYSICIAN CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SUN VALLEY NEUROLOGY</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>9225 N 3RD STREET SUITE 103</AddressLine1>
            <City>PHOENIX</City>
            <State>AZ</State>
            <ZIPCode>85020</ZIPCode>
          </Address>
          <FacilityType>PHYSICIAN CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>JOHN C LINCOLN DEARING FAMILY MEDICINE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>19841 N 27TH AVENUE SUITE 101</AddressLine1>
            <City>PHOENIX</City>
            <State>AZ</State>
            <ZIPCode>85027</ZIPCode>
          </Address>
          <FacilityType>PHYSICIAN CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>NORTH VALLEY AUDIOLOGY</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>18404 N TATUM BOULEVARD SUITE 101</AddressLine1>
            <City>PHOENIX</City>
            <State>AZ</State>
            <ZIPCode>85032</ZIPCode>
          </Address>
          <FacilityType>PHYSICIAN CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>JOHN C LINCOLN YOUR FAMILY MEDICINE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>6320 W UNION HILLS DR BLDG B STE</AddressLine1>
            <City>GLENDALE</City>
            <State>AZ</State>
            <ZIPCode>85308</ZIPCode>
          </Address>
          <FacilityType>PHYSICIAN CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SQUAW PEAK FAMILY MEDICINE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>9327 N 3RD STREET SUITE 100</AddressLine1>
            <City>PHOENIX</City>
            <State>AZ</State>
            <ZIPCode>85020</ZIPCode>
          </Address>
          <FacilityType>PHYSICIAN CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>DEL LAGO FAMILY MEDICINE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>20470 N LAKE PLEASANT ROAD SUITE</AddressLine1>
            <City>PEORIA</City>
            <State>AZ</State>
            <ZIPCode>85382</ZIPCode>
          </Address>
          <FacilityType>PHYSICIAN CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>COMPREHENSIVE PHYSICAL MEDICINE &amp; REHAB</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>9250 N 3RD STREET SUITE 2007</AddressLine1>
            <City>PHOENIX</City>
            <State>AZ</State>
            <ZIPCode>85020</ZIPCode>
          </Address>
          <FacilityType>PHYSICIAN CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>JOHN C LINCOLN AT THE BEATITUDES</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1668 W GLENDALE AVENUE SUITE 128</AddressLine1>
            <City>PHOENIX</City>
            <State>AZ</State>
            <ZIPCode>85021</ZIPCode>
          </Address>
          <FacilityType>PHYSICIAN CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SUN VALLEY FAMILY MEDICINE II</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>5040 N 15TH AVENUE SUITE 202</AddressLine1>
            <City>PHOENIX</City>
            <State>AZ</State>
            <ZIPCode>85015</ZIPCode>
          </Address>
          <FacilityType>PHYSICIAN CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>JOHN C LINCOLN CARE FOR WOMEN NORTH MTN</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>9225 N 3RD STREET SUITE 103</AddressLine1>
            <City>PHOENIX</City>
            <State>AZ</State>
            <ZIPCode>85020</ZIPCode>
          </Address>
          <FacilityType>PHYSICIAN CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>NEW RIVER MEDICAL OFFICE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>46641 NORTH BLACK CANYON HWY SUITE</AddressLine1>
            <City>NEW RIVER</City>
            <State>AZ</State>
            <ZIPCode>85087</ZIPCode>
          </Address>
          <FacilityType>PHYSICIAN CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>CALAVAR FAMILY MEDICINE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>3525 W CALAVAR ROAD</AddressLine1>
            <City>PHOENIX</City>
            <State>AZ</State>
            <ZIPCode>85053</ZIPCode>
          </Address>
          <FacilityType>PHYSICIAN CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>JOHN C LINCOLN YOUR FAMILY WELLNESS</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>6320 W UNION HILLS DR BLDG B STE</AddressLine1>
            <City>GLENDALE</City>
            <State>AZ</State>
            <ZIPCode>85308</ZIPCode>
          </Address>
          <FacilityType>PHYSICIAN CLINIC</FacilityType>
        </OtherFacilities>
      </Form990ScheduleHPartVSectionC>
      <Form990ScheduleHPartVI>
        <Identifier>COSTING METHODOLOGY</Identifier>
        <ReturnReference>SCHEDULE H, PART I, LINE 7</ReturnReference>
        <Explanation>THE NETWORK USED A COST-TO-CHARGE RATIO TO COMPUTE LINE 7A. THE COST-TO-CHARGE RATIO FOR LINE 7A WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. LINE 7B AND 7G COSTS WERE DERIVED FROM THE NETWORK'S COST ACCOUNTING SYSTEM. THE COST ACCOUNTING SYSTEM ADDRESSES ALL PATIENT SEGMENTS. COSTS FOR LINES 7E, 7F, AND 7I WERE DERIVED FROM INFORMATION WITHIN THE GENERAL LEDGER OR OTHER FINANCIAL INFORMATION RELATED TO THE SPECIFIC TYPES OF SERVICES PROVIDED TO THE COMMUNITY.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>BAD DEBT</Identifier>
        <ReturnReference>SCHEDULE H, PART III, LINE 4</ReturnReference>
        <Explanation>AUDIT FOOTNOTE: ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE NETWORK ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE NETWORK ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAS NOT YET PAID, OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE NETWORK RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED OR PROVIDED BY POLICY) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. METHODOLOGY FOR CALCULATING BAD DEBT: THE NETWORK REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS, AND OTHERS. THE NETWORK PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION, AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE NETWORK BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE ORDINARILY DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND ARE SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE PATIENT OR ACCOUNT. 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 60% OF BAD DEBT WAS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE NETWORK'S CHARITY CARE 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 CHARITY CARE POLICY. THESE PATIENTS WOULD QUALIFY FOR CHARITY CARE IF THEY COMPLETED THE PAPERWORK, SO THE BAD DEBT EXPENSE ASSOCIATED WITH TREATING THEM SHOULD BE TREATED AS COMMUNITY BENEFIT.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>MEDICARE COSTING METHODOLOGY</Identifier>
        <ReturnReference>SCHEDULE H, PART III, LINE 8</ReturnReference>
        <Explanation>THE AMOUNT ON PART III, LINE 6 IS FROM THE MEDICARE COSTS 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>JOHN C LINCOLN HOSPITAL - NORTH MOUNTAIN (1)</Identifier>
        <ReturnReference>SCHEDULE H, PART V, SECTION B, LINE 11H</ReturnReference>
        <Explanation>THE NETWORK WILL ALSO CONSIDER PERSONAL APPEALS RELATED TO THE FACTS AND CIRCUMSTANCES OF A PATIENT'S SITUATION IN DETERMINING AMOUNTS CHARGED TO THOSE PATIENTS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>JOHN C LINCOLN HOSPITAL - NORTH MOUNTAIN (1)</Identifier>
        <ReturnReference>SCHEDULE H, PART V, SECTION B, LINE 13G</ReturnReference>
        <Explanation>THE NETWORK ALSO ENCOURAGES PATIENTS ON ITS CONDITIONS OF ADMISSION STATEMENT AND BILLING STATEMENTS TO CONTACT OUR FINANCIAL PROFESSIONALS FOR HELP IN APPLYING FOR FEDERAL, STATE AND NETWORK FINANCIAL ASSISTANCE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>JOHN C LINCOLN HOSPITAL - NORTH MOUNTAIN (1)</Identifier>
        <ReturnReference>SCHEDULE H, PART V, SECTION B, LINE 19D</ReturnReference>
        <Explanation>THE NETWORK USES A TIERED FINANCIAL ASSISTANCE POLICY TO DETERMINE THE AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE. BASIC FINANCIAL ASSISTANCE AVAILABLE TO ALL INDIVIDUALS ATTESTING TO INCOME LESS THAN 500% OF FEDERAL POVERTY LEVEL (FPL) IS A 75% DISCOUNT. IN ADDITION TO THIS DISCOUNT, A SLIDING SCALE FROM 10%-100% DISCOUNT IS THEN AVAILABLE TO THOSE PROVIDING DOCUMENTATION OF INCOME BETWEEN 200%-425% OF FPL. OUR POLICY ALSO ALLOWS OUR MANAGEMENT TO EXTEND ASSISTANCE IN INDIVIDUAL CASES BASED ON FACTS AND CIRCUMSTANCES.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>JOHN C LINCOLN HOSPITAL - DEER VALLEY (2)</Identifier>
        <ReturnReference>SCHEDULE H, PART V, SECTION B, LINE 11H</ReturnReference>
        <Explanation>THE NETWORK WILL ALSO CONSIDER PERSONAL APPEALS RELATED TO THE FACTS AND CIRCUMSTANCES OF A PATIENT'S SITUATION IN DETERMINING AMOUNTS CHARGED TO THOSE PATIENTS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>JOHN C LINCOLN HOSPITAL - DEER VALLEY (2)</Identifier>
        <ReturnReference>SCHEDULE H, PART V, SECTION B, LINE 13G</ReturnReference>
        <Explanation>THE NETWORK ALSO ENCOURAGES PATIENTS ON ITS CONDITIONS OF ADMISSION STATEMENT AND BILLING STATEMENTS TO CONTACT OUR FINANCIAL PROFESSIONALS FOR HELP IN APPLYING FOR FEDERAL, STATE AND NETWORK FINANCIAL ASSISTANCE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>JOHN C LINCOLN HOSPITAL - DEER VALLEY (2)</Identifier>
        <ReturnReference>SCHEDULE H, PART V, SECTION B, LINE 19D</ReturnReference>
        <Explanation>THE NETWORK USES A TIERED FINANCIAL ASSISTANCE POLICY TO DETERMINE THE AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE. BASIC FINANCIAL ASSISTANCE AVAILABLE TO ALL INDIVIDUALS ATTESTING TO INCOME LESS THAN 500% OF FPL IS A 75% DISCOUNT. IN ADDITION TO THIS DISCOUNT, A SLIDING SCALE FROM 10%-100% DISCOUNT IS THEN AVAILABLE TO THOSE PROVIDING DOCUMENTATION OF INCOME BETWEEN 200%-425% OF FPL. OUR POLICY ALSO ALLOWS OUR MANAGEMENT TO EXTEND ASSISTANCE IN INDIVIDUAL CASES BASED ON FACTS AND CIRCUMSTANCES.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>NEEDS ASSESSMENT</Identifier>
        <ReturnReference>SCHEDULE H, PART VI, LINE 2</ReturnReference>
        <Explanation>JOHN C. LINCOLN HEALTH NETWORK PERIODICALLY CONDUCTS COMMUNITY NEEDS ASSESSMENTS WITH THE ASSISTANCE OF EXTERNAL CONSULTANTS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE</Identifier>
        <ReturnReference>SCHEDULE H, PART VI, LINE 3</ReturnReference>
        <Explanation>THE CONDITIONS OF ADMISSION ADVISES PATIENTS OF THE ORGANIZATION'S PAYMENT EXPECTATIONS AND ALSO ADVISES THEM TO NOTIFY US IMMEDIATELY SO WE CAN EVALUATE THEIR SITUATION AND HELP THEM OBTAIN BENEFITS OR ASSISTANCE. ADDITIONALLY, WE INCLUDE SIMILAR VERBIAGE ON OUR STATEMENTS, COLLECTION LETTERS, AND ON OUR WEBSITE SO THEY CAN APPLY FOR ASSISTANCE. IN-HOUSE FINANCIAL COUNSELORS TALK WITH PATIENTS AND ADVISE THEM OF THEIR OPTIONS. WE ALSO RETAIN OUTSIDE VENDORS TO FOLLOW UP WITH PATIENTS TO OBTAIN MEDICAID COVERAGE FOR TREAT AND RELEASE CASES.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>COMMUNITY INFORMATION</Identifier>
        <ReturnReference>SCHEDULE H, PART VI, LINE 4</ReturnReference>
        <Explanation>JOHN C. LINCOLN HEALTH NETWORK HAS ALWAYS BEEN A LOCALLY BASED, LOCALLY OWNED NOT-FOR-PROFIT HEALTH CARE ORGANIZATION SERVING THE PEOPLE IN NORTH CENTRAL PHOENIX AND THE NORTH VALLEY ALONG THE I-17 CORRIDOR THROUGH MARICOPA AND SOUTHERN YAVAPAI COUNTIES. WE PROVIDE THE HIGHEST QUALITY EMERGENCY MEDICAL CARE THROUGH OUR LEVEL I TRAUMA CENTER; OUR VIRGINIA G. PIPER PEDIATRIC CENTER OF EXCELLENCE, WHICH INCLUDES OUR MENDY'S PLACE CHILDREN'S EMERGENCY CENTER AND KIDSZONE INPATIENT PEDIATRIC UNIT; AND A COMPLETE RANGE OF PERSONALIZED INPATIENT AND OUTPATIENT CARE. AT JOHN C. LINCOLN NORTH MOUNTAIN HOSPITAL, THE QUALITY OF PATIENT CARE WAS FIRST IN THE VALLEY TO EARN AND RETAIN MAGNET RECOGNITION FROM THE AMERICAN NURSES ASSOCIATION. OUR BREAST HEALTH AND RESEARCH CENTER IS A MODEL FOR THE INDUSTRY, PROVIDING A COMPLETE RANGE OF BREAST DISEASE DIAGNOSTIC CARE AND COORDINATED REFERRAL FOR FOLLOW-UP CARE. WE PROVIDE OUTREACH SERVICES TO THE MOST VULNERABLE MEMBERS OF OUR COMMUNITY THROUGH JOHN C. LINCOLN'S DESERT MISSION FOOD BANK, CHILDREN'S DENTAL CLINIC, COMMUNITY HEALTH CENTER, MARLEY HOUSE BEHAVIORAL HEALTH CENTER AND NEIGHBORHOOD RENEWAL. IN 2011, DESERT MISSION SERVED 34,757 CLIENTS - AN INCREASE OF NEARLY 5,000 INDIVIDUALS REPRESENTING A 15 PERCENT INCREASE FROM 2010. ONE HUNDRED PERCENT OF THOSE ACCESSING DESERT MISSION'S MEDICAL, DENTAL AND BEHAVIORAL HEALTH SERVICES WERE UNINSURED OR MEDICAID ELIGIBLE. ABOUT 44 PERCENT OF THOSE SERVED BY DESERT MISSION ARE CHILDREN AND THE ELDERLY (UNDER AGE 18 OR OVER AGE 64). JUST OVER 39 PERCENT WERE UNINSURED, AND ALMOST 59 PERCENT WERE MINORITIES. EIGHTY PERCENT OF OUR CLIENTS LIVE IN HOUSEHOLDS WHERE INCOME WAS AT OR BELOW 100 PERCENT OF FEDERAL POVERTY LEVEL. (CURRENTLY, 100 PERCENT OF FEDERAL POVERTY LEVEL FOR A FAMILY OF FOUR IS $23,050.) OF THE 19,680 ADULT CLIENTS SEEN FOR EMERGENCY FOOD ASSISTANCE IN 2011, 70 PERCENT WERE UNEMPLOYED. INDIVIDUALS AND FAMILIES ARE REFERRED TO THE DESERT MISSION BY OTHER COMMUNITY AGENCIES, FAITH-BASED COMMUNITIES, SCHOOLS AND THEIR NEIGHBORS. EIGHTEEN PERCENT OF DESERT MISSION'S CLIENTS ACCESSED MORE THAN ONE TYPE OF ITS SAFETY-NET SERVICES DURING THE YEAR - FOR EXAMPLE, EMERGENCY FOOD AND DENTAL CARE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PROMOTION OF COMMUNITY HEALTH</Identifier>
        <ReturnReference>SCHEDULE H, PART VI, LINE 5</ReturnReference>
        <Explanation>JOHN C. LINCOLN PROMOTES COMMUNITY HEALTH THOUGH AN ONGOING SERIES OF FREE MEDICAL SEMINARS ON TOPICS SUCH AS UTERINE FIBROID EMBOLIZATION, INFLAMMATORY BREAST CANCER, JOINT PAIN, LYMPHEDEMA, VARICOSE VEINS, INTEGRATIVE MEDICINE, COLORECTAL CANCER, DIABETES SELF-MANAGEMENT, AND SCREENINGS FOR CONDITIONS INCLUDING STROKE, HEARING, AND GENERAL HEALTH. FREE SUPPORT GROUPS THAT MEET MONTHLY IN JOHN C. LINCOLN'S FACILITIES SERVE CAREGIVERS, INTERSTITIAL CYSTITIS, DIABETES, AND SIX SEPARATE BREAST CANCER GROUPS. JOHN C. LINCOLN 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. ADDITIONALLY, OUR DESERT MISSION PROGRAMS SINCE THE LATE 1920S HAVE PROVIDED OUTREACH SERVICES TO PROMOTE THE HEALTH OF OUR COMMUNITY. TODAY, HEALTH NEEDS ARE SERVED THROUGH DESERT MISSION FOOD BANK, CHILDREN'S DENTAL CLINIC (WHICH ADDITIONALLY SENDS STAFF TO EDUCATE AND SCREEN SCHOOL CHILDREN), AND COMMUNITY HEALTH CENTER FOR FAMILIES.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>AFFILIATED HEALTH CARE SYSTEM</Identifier>
        <ReturnReference>SCHEDULE H, PART VI, LINE 6</ReturnReference>
        <Explanation>THE JOHN C. LINCOLN HEALTH NETWORK IS THE PARENT ORGANIZATION OF SEVERAL NONPROFIT CORPORATIONS SERVING THE NORTH PHOENIX COMMUNITY. DESERT MISSION, INC., ROUNDS OUT THE HOSPITAL'S CORE HEALTH CARE BUSINESS BY ADDRESSING 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. THOSE COSTS TOTALING $1,093,000 ARE REPORTED AS COMMUNITY BENEFIT ON SCHEDULE H, PART I, LINE 7I. -COMMUNITY HEALTH CENTER PROVIDES HEALTH CARE SERVICES SUCH AS WELLNESS CHECKUPS, IMMUNIZATIONS, AND OTHER PRIMARY CARE SERVICES AT A DISCOUNTED FEE BASED ON A FAMILY'S INCOME OR ABILITY TO PAY. IN 2011, OUR COMMUNITY HEALTH CENTER HAD 4,913 PATIENT VISITS AND 97 PERCENT OF CHILDREN AGED 11 THROUGH 15 HAD COMPLETE IMMUNIZATIONS. THE AVERAGE COST PER VISIT WAS $174, DOWN FROM $181 IN 2010. -CHILDREN'S DENTAL CLINIC PROVIDES LOW-COST AND FREE DENTAL CARE FOR UNINSURED CHILDREN THROUGH A STAFF THAT INCLUDES MORE THAN 50 VOLUNTEER DENTISTS AND HYGIENISTS. IN 2011, OUR CHILDREN'S DENTAL CLINIC FURNISHED 3,161 DENTAL VISITS, AND PERFORMED 14,655 DENTAL PROCEDURES. THERE WERE 7,746 STUDENTS IN 16 LOCAL SCHOOLS WHO WERE SCREENED FOR DENTAL DISEASE AND GIVEN A TOOTHBRUSH, TOOTHPASTE AND DENTAL FLOSS. -DESERT MISSION FOOD BANK PROVIDES EMERGENCY FOOD AND FOOD SECURITY PROGRAMS TO 35,000 FAMILIES WITH CHILDREN. IN 2011, THE FOOD BANK DISTRIBUTED 2.2 MILLION POUNDS OF DONATED FOOD TO THE COMMUNITY, INCLUDING 36,391 EMERGENCY FOOD BOXES. AREA SCHOOL KIDS RECEIVED 27,293 SNACK PACS. -MARLEY HOUSE BEHAVIORAL HEALTH CLINIC WORKS WITH FAMILIES WHOSE CHILDREN ARE AT RISK OF CHILD ABUSE AND NEGLECT. IN 2011, VISITS TO MARLEY HOUSE INCREASED NEARLY 15 PERCENT. THE BEHAVIORAL HEALTH CLINIC PROVIDED 1,719 COUNSELING SESSIONS TO 294 FAMILIES. -LINCOLN LEARNING CENTER IS A NAEYC NATIONALLY ACCREDITED ACADEMY OF EARLY CHILDHOOD PROGRAMS THAT OFFER QUALITY CARE AND EDUCATION FOR CHILDREN AGED 6 WEEKS TO 12 YEARS. IN 2011, LINCOLN LEARNING CENTER HAD 428 CHILDREN ENROLLED; 47 OF THESE RECEIVED FINANCIAL ASSISTANCE. -DESERT MISSION NEIGHBORHOOD RENEWAL (DMNR) IS COMMITTED TO FACILITATING THE DEVELOPMENT OF COMMUNITY, HOUSING AND BUSINESS IN THE NORTH VALLEY OF PHOENIX, ARIZONA. DMNR PRIMARILY FOCUSES ON NEIGHBORHOOD REVITALIZATION THROUGH AFFORDABLE HOUSING DEVELOPMENT, BLIGHT ELIMINATION AND OWNER-OCCUPIED HOME REHABILITATION. DMNR ALSO PROVIDES LEADERSHIP AND SUPPORT IN DEVELOPING THE BUSINESS CORRIDOR AROUND THE JOHN C. LINCOLN NORTH MOUNTAIN HOSPITAL CAMPUS. NEIGHBORHOOD RENEWAL COUNSELED 326 FAMILIES ON HOUSING, AND HELPED 70 HOMEBUYERS LEVERAGE MORE THAN $6.7 MILLION IN FIRST MORTGAGES. THE NETWORK PROVIDED APPROXIMATELY $62,000 OF ADMINISTRATIVE SUPPORT TO DMNR IN 2011. -JOHN C. LINCOLN HEALTH FOUNDATION SUPPORTS THE NETWORK AND ITS AFFILIATES WITH FUNDRAISING SERVICES. IN ADDITION TO RAISING AND ADMINISTERING FUNDS TO SUPPORT NETWORK PROGRAMS, IN 2011 THE FOUNDATION DISTRIBUTED APPROXIMATELY $233,749 TO LOCAL NONPROFIT ORGANIZATIONS THROUGH COMMUNITY GRANTS.</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <RecordsMaintained>true</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>DESERT MISSION INC</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>9201 N 5TH STREET</AddressLine1>
          <City>PHOENIX</City>
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          <BusinessNameLine1>INDUSTRIAL DEV AUTHORITY OF CITY OF GLENDALE AZ</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>860447234</IssuerEIN>
        <CUSIPNumber>378282BLO</CUSIPNumber>
        <DateIssued>2005-06-08</DateIssued>
        <IssuePrice>47305136</IssuePrice>
        <DescriptionOfPurpose>SEE PART VI</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>INDUSTRIAL DEV AUTHORITY OF CITY OF GLENDALE AZ</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>860447234</IssuerEIN>
        <CUSIPNumber>378282CPO</CUSIPNumber>
        <DateIssued>2005-12-02</DateIssued>
        <IssuePrice>60851680</IssuePrice>
        <DescriptionOfPurpose>SEE PART VI</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>ARIZONA HEALTH FACILITIES AUTHORITY</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>860453292</IssuerEIN>
        <DateIssued>2006-12-22</DateIssued>
        <IssuePrice>28225895</IssuePrice>
        <DescriptionOfPurpose>LEASE PURCHASE AGREEMENT</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>INDUSTRIAL DEV AUTHORITY OF CITY OF GLENDALE AZ</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>860447234</IssuerEIN>
        <CUSIPNumber>378282DR5</CUSIPNumber>
        <DateIssued>2007-04-25</DateIssued>
        <IssuePrice>77615738</IssuePrice>
        <DescriptionOfPurpose>SEE PART VI</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <AmountRetired>3280000</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>47305136</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>6177663</RefundingEscrow>
        <IssuanceCostsFromProceeds>554132</IssuanceCostsFromProceeds>
        <CreditEnhancement>0</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>37333577</CapitalExpenditures>
        <OtherSpentProceeds>0</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <YearOfSubstCompletion>2008</YearOfSubstCompletion>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <AmountRetired>1000000</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>60851680</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>47159449</RefundingEscrow>
        <IssuanceCostsFromProceeds>611558</IssuanceCostsFromProceeds>
        <CreditEnhancement>0</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>13080673</CapitalExpenditures>
        <OtherSpentProceeds>0</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <YearOfSubstCompletion>2007</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>true</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <AmountRetired>0</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>28225895</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>0</RefundingEscrow>
        <IssuanceCostsFromProceeds>0</IssuanceCostsFromProceeds>
        <CreditEnhancement>0</CreditEnhancement>
        <WorkingCapitalExpenditures>28225895</WorkingCapitalExpenditures>
        <CapitalExpenditures>0</CapitalExpenditures>
        <OtherSpentProceeds>0</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <YearOfSubstCompletion>2007</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <AmountRetired>8545000</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>77615738</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <CapitalizedInterest>429564</CapitalizedInterest>
        <RefundingEscrow>40885685</RefundingEscrow>
        <IssuanceCostsFromProceeds>0</IssuanceCostsFromProceeds>
        <CreditEnhancement>690323</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>35570436</CapitalExpenditures>
        <OtherSpentProceeds>0</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <YearOfSubstCompletion>2010</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>true</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfHedgeProvider>
        <GrossProceedsInvestedInGIC>true</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>ROYAL BANK OF CANADA</BusinessNameLine1>
        </NameOfGICProvider>
        <TermOfGIC>1.67</TermOfGIC>
        <RegulatorySafeHarborSatisfied>true</RegulatorySafeHarborSatisfied>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfHedgeProvider>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfGICProvider>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfHedgeProvider>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfGICProvider>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfHedgeProvider>
        <GrossProceedsInvestedInGIC>true</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>RABOBANK</BusinessNameLine1>
        </NameOfGICProvider>
        <TermOfGIC>2.75</TermOfGIC>
        <RegulatorySafeHarborSatisfied>true</RegulatorySafeHarborSatisfied>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <FedTaxRequirementsCompliance>X</FedTaxRequirementsCompliance>
      <Form990ScheduleKPartVI>
        <Identifier>SEE SCHEDULE O</Identifier>
        <ReturnReference>0</ReturnReference>
      </Form990ScheduleKPartVI>
    </IRS990ScheduleK>
    <IRS990ScheduleK documentId="IRS990ScheduleKN1">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>ARIZONA HEALTH FACILITIES AUTHORITY</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>860453292</IssuerEIN>
        <DateIssued>2010-12-17</DateIssued>
        <IssuePrice>11000000</IssuePrice>
        <DescriptionOfPurpose>LEASE PURCHASE AGREEMENT</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>ARIZONA HEALTH FACILITIES AUTHORITY</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>860453292</IssuerEIN>
        <DateIssued>2011-05-12</DateIssued>
        <IssuePrice>20050000</IssuePrice>
        <DescriptionOfPurpose>LEASE PURCHASE AGREEMENT</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>ARIZONA HEALTH FACILITIES AUTHORITY</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>860453292</IssuerEIN>
        <DateIssued>2011-05-31</DateIssued>
        <IssuePrice>5000000</IssuePrice>
        <DescriptionOfPurpose>LEASE PURCHASE AGREEMENT</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <AmountRetired>0</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>11000000</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>0</RefundingEscrow>
        <IssuanceCostsFromProceeds>39000</IssuanceCostsFromProceeds>
        <CreditEnhancement>0</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>10961000</CapitalExpenditures>
        <OtherSpentProceeds>0</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <YearOfSubstCompletion>2011</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <AmountRetired>0</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>20050000</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>0</RefundingEscrow>
        <IssuanceCostsFromProceeds>93500</IssuanceCostsFromProceeds>
        <CreditEnhancement>0</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>13950728</CapitalExpenditures>
        <OtherSpentProceeds>0</OtherSpentProceeds>
        <AmountUnspent>6005772</AmountUnspent>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <AmountRetired>0</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>5000000</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>0</RefundingEscrow>
        <IssuanceCostsFromProceeds>10500</IssuanceCostsFromProceeds>
        <CreditEnhancement>0</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>3428837</CapitalExpenditures>
        <OtherSpentProceeds>0</OtherSpentProceeds>
        <AmountUnspent>1560663</AmountUnspent>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfHedgeProvider>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfGICProvider>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfHedgeProvider>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfGICProvider>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfHedgeProvider>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfGICProvider>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>KATHRYN BLAIR</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>FAMILY MEMBER</Relationship>
        <AmountOfTransaction>42880</AmountOfTransaction>
        <DescriptionOfTransaction>WAGES</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>DAVID FAUX</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>FAMILY MEMBER</Relationship>
        <AmountOfTransaction>22430</AmountOfTransaction>
        <DescriptionOfTransaction>WAGES</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>MARISCAL WEEKS MCINTYRE FRIEDLA</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE PART V</Relationship>
        <AmountOfTransaction>181796</AmountOfTransaction>
        <DescriptionOfTransaction>INDEPENDENT CONTR. ARRANGEMENT</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>EMCARE PHX EMERGENCY PHYSICIANS</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>ENT&gt;5% OWNED BY BD MEMBER</Relationship>
        <AmountOfTransaction>196800</AmountOfTransaction>
        <DescriptionOfTransaction>INDEPENDENT CONTR. ARRANGEMENT</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartV>
        <Identifier>RELATIONSHIP BETWEEN INTEREST PERSON AND ORGANIZATION</Identifier>
        <ReturnReference>SCHEDULE L, PART IV, LINE 3, COLUMN (B)</ReturnReference>
        <Explanation>MARISCAL, WEEKS, MCINTYRE &amp; FRIEDLANDER IS AN ENTITY WHICH IS MORE THAN 5% OWNED BY A BOARD MEMBER.</Explanation>
      </Form990ScheduleLPartV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>VOLUNTEERS</Identifier>
        <ReturnReference>FORM 990, PART I, LINE 6</ReturnReference>
        <Explanation>THE TOTAL NUMBER OF VOLUNTEER HOURS FOR THE JOHN C. LINCOLN HEALTH NETWORK: JOHN C LINCOLN HOSPITAL - DEER VALLEY: 69,275 HOURS JOHN C LINCOLN HOSPITAL - NORTH MOUNTAIN: 82,829 HOURS DESERT MISSION: 42,387 HOURS</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ORGANIZATION'S MISSION</Identifier>
        <ReturnReference>FORM 990, PART III, LINE 1</ReturnReference>
        <Explanation>JOHN C. LINCOLN HEALTH NETWORK IS A LOCAL NOT-FOR-PROFIT HEALTH AND HUMAN SERVICES ORGANIZATION SERVING THE NORTH VALLEY OF PHOENIX, ARIZONA. IN 2007, THE ORGANIZATION CELEBRATED A MAJOR MILESTONE: 80 YEARS OF CARING FOR ITS COMMUNITY. IN ITS MORE THAN 80 YEARS OF GROWTH, THE HEALTH NETWORK HAS EXPANDED ITS SERVICE TERRITORY AND HAS BECOME A WELL-REGARDED ORGANIZATION THAT HAS RECENTLY BEEN HONORED BY INDEPENDENT EXPERTS FOR EXCELLENCE IN: HOSPITAL PERFORMANCE, NURSING CARE, COMMUNITY SERVICE, BUSINESS ETHICS, AND WORK ENVIRONMENT. SUCH HONORS HAVE BEEN BESTOWED ON THE NETWORK BY PRESTIGIOUS ORGANIZATIONS SUCH AS THE AMERICAN HOSPITAL ASSOCIATION, THE AMERICAN NURSES ASSOCIATION, THE NATIONAL CRITICAL-CARE NURSES ASSOCIATION, THE U.S. DEPARTMENT OF HEALTH &amp; HUMAN SERVICES, THE ARIZONA STATE QUALITY ALLIANCE, THE BETTER BUSINESS BUREAU OF CENTRAL AND NORTHERN ARIZONA, AND THE GREAT PLACES TO WORK INSTITUTE. OUR MISSION: JOHN C. LINCOLN HEALTH NETWORK EXISTS BECAUSE OUR FOUNDERS COULD NOT BE IDLE WHEN THEY SAW THE DIGNITY AND POTENTIAL OF OTHERS THREATENED BY ILLNESS OR SOCIAL CIRCUMSTANCE. THEY WORKED TO IMPROVE CONDITIONS. SO MUST WE TODAY. TRUE TO THE LEGACY WE'VE PROUDLY INHERITED, OUR MISSION IS TO ASSIST EACH PERSON ENTRUSTED TO OUR CARE TO ENJOY THE HIGHEST QUALITY HEALTH CARE POSSIBLE AND TO WORK WITH OTHERS TO BUILD HEALTHY COMMUNITIES. WE DO THIS BECAUSE WE BELIEVE IN THE VALUE OF EACH PERSON WE ARE HONORED TO SERVE AND BECAUSE WE BELIEVE HELPING PEOPLE IS AN ENRICHING EXPERIENCE WORTHY OF OUR BEST EFFORTS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PROGRAM SERVICE ACTIVITIES</Identifier>
        <ReturnReference>FORM 990, PART III, LINE 4A</ReturnReference>
        <Explanation>THE NOT-FOR-PROFIT JOHN C. LINCOLN HEALTH NETWORK IS COMPOSED OF MORE THAN 3,800 EMPLOYEES WITH A MEDICAL STAFF OF MORE THAN 1,100 PHYSICIANS. IT INCLUDES: JOHN C. LINCOLN DEER VALLEY HOSPITAL - JOHN C. LINCOLN DEER VALLEY HOSPITAL IS A 203-BED COMMUNITY HOSPITAL THAT WAS HONORED FOR ITS EXCELLENCE BY THE ARIZONA STATE QUALITY ALLIANCE WITH ITS PRESTIGIOUS ARIZONA PIONEER AWARD FOR QUALITY. THE HOSPITAL SERVES THE RAPIDLY EXPANDING NORTHERN PHOENIX METROPOLITAN AREA AS WELL AS COMMUNITIES TO THE NORTH ALONG INTERSTATE 17, INCLUDING NEW RIVER, BLACK CANYON CITY AND ANTHEM. THE HOSPITAL HAS A MEDICAL STAFF OF MORE THAN 700 PHYSICIANS REPRESENTING ALL MAJOR MEDICAL SPECIALTIES AND A CLINICAL STAFF OF MORE THAN 1,300 HEALTH CARE PROFESSIONALS OFFERING A WIDE RANGE OF INPATIENT AND OUTPATIENT SERVICES INCLUDING: A 24-HOUR, 35-BED EMERGENCY DEPARTMENT DESIGNED TO SERVE UP TO 60,000 PATIENTS PER YEAR; RADIATION ONCOLOGY AND MRI IN A MEDICAL IMAGING AND ONCOLOGY UNIT; THE VIRGINIA G. PIPER PEDIATRIC CENTER OF EXCELLENCE WHICH INCLUDES OUR MENDY'S PLACE CHILDREN'S EMERGENCY CENTER AND KIDSZONE INPATIENT PEDIATRIC UNIT, AND A COMPLETE RANGE OF PERSONALIZED INPATIENT AND OUTPATIENT CARE; A 32-BED CRITICAL CARE UNIT; A 30-BED PROGRESSIVE CARDIAC CARE UNIT WITH OUTPATIENT CARDIAC REHABILITATION; AND A 30-BED ORTHOPEDIC UNIT FOR PATIENTS UNDERGOING JOINT REPLACEMENTS; INPATIENT AND OUTPATIENT ARTHROSCOPIC AND OTHER ORTHOPEDIC PROCEDURES. ALL INPATIENT CARE UNITS ARE DESIGNED WITH NURSES' WORK STATIONS LOCATED OUTSIDE EVERY PATIENT ROOM, ENABLING NURSES TO STAY CLOSE TO THEIR PATIENTS. INPATIENT AND OUTPATIENT GENERAL AND LAPAROSCOPIC SURGERY FEATURING STATE-OF-THE-ART EQUIPMENT AND MINIMALLY INVASIVE PROCEDURES; CARDIAC CARE INCLUDING TRADITIONAL OPEN-HEART AND "BEATING HEART" SURGERY; A MODERN DIAGNOSTIC; AND INTERVENTIONAL CARDIAC CATHETERIZATION LAB, ELECTROPHYSIOLOGY STUDIES, HAS RECEIVED FULL ACCREDITATION AS A HEART FAILURE CENTER, WAS RECOGNIZED AS A QUEST 2011 TOP PERFORMING HOSPITAL AND WAS NAMED A BLUE DISTINCTION CENTER FOR KNEE AND HIP REPLACEMENT; DIGITAL NUCLEAR, COMPUTED TOMOGRAPHY AND MAGNETIC RESONANCE MEDICAL IMAGING; PHARMACY, RESPIRATORY, LABORATORY, ENDOSCOPY, SOCIAL SERVICES AND NUTRITIONAL SERVICES. THE BREAST HEALTH AND RESEARCH CENTER, WITH ADVANCED DIAGNOSTIC AND THERAPEUTIC TECHNOLOGY INCLUDING 3-D AND 2-D DIGITAL MAMMOGRAPHY, ULTRASOUND, NEEDLE BIOPSIES, MRI AND PATIENT EDUCATION FOR DETECTION AND TREATMENT OF BREAST CANCER. DIAGNOSIS OF OSTEOPOROSIS AND BODY MASS ANALYSIS IS ALSO OFFERED. BREAST CANCER CARE IS ENHANCED WITH GUIDANCE, ASSISTANCE AND EDUCATION FROM A PATIENT CARE COORDINATOR AND AN OUTREACH AND PATIENT RESOURCE COORDINATOR. THE BREAST HEALTH AND RESEARCH CENTER RECEIVED THE BREAST IMAGING CENTER OF EXCELLENCE AND IS ONE OF SEVEN ORGANIZATIONS NATIONWIDE TO PARTNER WITH THE CDC TO BRING EDUCATION AND SUPPORT SERVICES TO YOUNG (&lt;45) CANCER SURVIVORS AND THEIR FAMILIES TO REDUCE MORTALITY. JOHN C. LINCOLN NORTH MOUNTAIN HOSPITAL - JOHN C. LINCOLN NORTH MOUNTAIN HOSPITAL IS A 266-BED COMMUNITY HOSPITAL, PROVIDING A COMPREHENSIVE RANGE OF SERVICES TO MEET THE NEEDS OF PATIENTS IN NORTH CENTRAL PHOENIX IN WAYS FEW OTHER COMMUNITY HOSPITALS CAN MATCH. THE QUALITY OF ITS PATIENT CARE ENABLED NORTH MOUNTAIN TO BECOME THE FIRST HOSPITAL IN THE VALLEY DESIGNATED AND REDESIGNATED "MAGNET" BY THE AMERICAN NURSES ASSOCIATION. IT WAS THE FIRST HOSPITAL IN ARIZONA WHOSE INTENSIVE CARE UNIT EARNED THE BEACON AWARD FROM THE AMERICAN CRITICAL-CARE NURSES ASSOCIATION (ACCN), AND THE ONLY ONE WHOSE CARDIOVASCULAR INTENSIVE CARE UNIT ALSO EARNED THE ACCN'S BEACON AWARD. SOME 770 PHYSICIANS AND MORE THAN 1,600 DEDICATED HEALTH CARE PROFESSIONALS PROVIDE THE FOLLOWING SERVICES: LEVEL I TRAUMA CENTER WITH FOUR TRAUMA BAYS AND FOUR MAJOR MEDICAL ROOMS IS ONE OF SIX 24/7 TRAUMA CENTERS IN THE METROPOLITAN PHOENIX AREA AND THE CLOSEST ONE SERVING THE MOST SEVERELY INJURED IN THE NORTH VALLEY, NORTHERN ARIZONA AND PARTS OF SOUTHEAST CALIFORNIA, SOUTHERN NEVADA AND UTAH, AND NORTHWEST NEW MEXICO; AN EMERGENCY DEPARTMENT WITH 30 PRIVATE ROOMS THAT PROVIDE 24-HOUR CARE FOR A WIDE VARIETY OF INJURED AND ILL PEOPLE, AN EXPEDITED CARE PROGRAM FOR TRAUMA PATIENTS 60 AND OLDER AND A SEVEN-BED FAST TRACK UNIT FOR LESS SEVERELY ILL OR INJURED PATIENTS; CARDIAC CARE INCLUDING TRADITIONAL OPEN-HEART AND "BEATING HEART" SURGERY, A MODERN DIAGNOSTIC AND INTERVENTIONAL CARDIAC CATHETERIZATION LAB, ELECTROPHYSIOLOGY STUDIES, ACCREDITATION AS BOTH A CARDIAC ARREST CENTER AND AS A CHEST PAIN CENTER WITH PCI, WAS RECOGNIZED AS A QUEST 2011 TOP PERFORMING HOSPITAL, HAS RECEIVED FULL ACCREDITATION AS A HEART FAILURE CENTER, A WAS NAMED IN THE US NEWS &amp; WORLD REPORT BEST HOSPITALS, AND AS A PRIMARY STROKE CENTER; TRAUMA SURGERY, NEUROSURGERY AND RECONSTRUCTIVE SURGERY, AS WELL AS GENERAL AND LAPAROSCOPIC SURGERY; GENERAL, UROLOGICAL AND GYNECOLOGICAL ROBOTIC SURGERY WITH THE DA VINCI SURGICAL SYSTEM; INPATIENT MED/SURG CARE, INTENSIVE CARE, CARDIOVASCULAR INTENSIVE CARE AND PROGRESSIVE CARDIOVASCULAR CARE; ORTHOPEDIC CARE FOR PATIENTS UNDERGOING JOINT REPLACEMENTS; INPATIENT AND OUTPATIENT ARTHROSCOPIC AND OTHER ORTHOPEDIC PROCEDURES; DIGITAL NUCLEAR, COMPUTED TOMOGRAPHY AND MAGNETIC RESONANCE MEDICAL IMAGING; PHARMACY; PULMONARY AND RESPIRATORY; LABORATORY; ENDOSCOPY; AND SOCIAL SERVICES AND NUTRITIONAL SERVICES. PRIMARY CARE CENTERS: JOHN C. LINCOLN HEALTH CENTER AT ANTHEM JOHN C. LINCOLN HEALTH CENTER ON TATUM BOULEVARD IMMEDIATE CARE AT SAGUARO FAMILY PRACTICE PHYSICIAN NETWORK - JOHN C. LINCOLN'S PHYSICIAN AND ALLIED HEALTH CARE PARTNERS IN 26 PRIMARY AND SPECIALTY CARE PRACTICES THAT ARE PART OF THE HEALTH NETWORK. THESE INCLUDE: FAMILY PRACTICES: ARCADIA FAMILY CLINIC, BEATITUDES CAMPUS, CARE FOR WOMEN DEER VALLEY, CARE FOR WOMEN NORTH MOUNTAIN, DEARING FAMILY MEDICINE, DEER VALLEY FAMILY PRACTICE, DEER VALLEY MEDICAL, DYNAMITE CREEK MEDICAL CENTER, GAVILAN PEAK FAMILY PRACTICE, SAGUARO FAMILY PRACTICE, CALAVAR FAMILY MEDICINE, DEL LAGO FAMILY MEDICINE, YOUR FAMILY MEDICINE, NEW RIVER MEDICAL OFFICE, NORTH PHOENIX MEDICAL CLINIC, YOUR FAMILY WELLNESS, SQUAW PEAK FAMILY MEDICINE, SUN VALLEY FAMILY MEDICINE, AND TRAMONTO CROSSING FAMILY MEDICINE. INTERNAL MEDICINE PRACTICES: HARBOR POINTE INTERNAL MEDICINE, NORTH PHOENIX MEDICAL CLINIC AND NORTH VALLEY INTERNAL MEDICINE. SPECIALTY PRACTICES: JOHN C. LINCOLN URGENT CARE AT ANTHEM, IMMEDIATE CARE AT SAGUARO FAMILY PRACTICE, NORTH VALLEY AUDIOLOGY, AND NORTH VALLEY GASTROENTEROLOGY. ACCOUNTABLE CARE ORGANIZATION - 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. DESERT MISSION - AN ORGANIZATION THAT PROVIDES COMMUNITY SERVICES, INCLUDING THE ONLY HOSPITAL-BASED FOOD BANK IN ARIZONA, THE COMMUNITY HEALTH CENTER, MARLEY HOUSE FOR BEHAVIORAL HEALTH AND FAMILY ASSISTANCE, LINCOLN LEARNING CENTER, ADULT DAY HEALTH AND CHILDREN'S DENTAL CLINIC. JOHN C. LINCOLN HEALTH FOUNDATION - THE PHILANTHROPIC AND FUNDRAISING BRANCH OF THE NETWORK THAT SUPPORTS THE ORGANIZATION'S CHARITABLE AND MEDICAL MISSION. DESERT MISSION NEIGHBORHOOD RENEWAL - AN ORGANIZATION THAT PROVIDES LOW-INCOME FAMILIES WITH AFFORDABLE HOUSING ALTERNATIVES AND WORKS WITH OTHER COMMUNITY ORGANIZATIONS TO IMPROVE THE QUALITY OF LIFE IN JOHN C. LINCOLN'S COMMUNITY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>EXECUTIVE COMMITTEE</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 1A</ReturnReference>
        <Explanation>PURSUANT TO THE BYLAWS, THE EXECUTIVE COMMITTEE HAS THE POWER AND AUTHORITY OF THE BOARD TO TRANSACT ALL REGULAR BUSINESS OF THE ORGANIZATION AND SUCH OTHER MATTERS AS MAY BE DELEGATED TO IT IN THE INTERVALS BETWEEN MEETINGS OF THE BOARD SUBJECT TO ANY PRIOR LIMITATION IMPOSED BY THE BOARD OR BY STATUTE. MATTERS OF MAJOR IMPORTANCE BROUGHT BEFORE THE EXECUTIVE COMMITTEE SHALL BE REFERRED TO THE BOARD AND ALL ACTIONS OF THE EXECUTIVE COMMITTEE SHALL BE REPORTED AT THE NEXT REGULAR MEETING OF THE BOARD. SPECIFIC DUTIES OF THIS COMMITTEE SHALL INCLUDE THE FOLLOWING: (A) ANNUALLY REVIEW AND EVALUATE THE PRESIDENT'S PERFORMANCE BASED ON CRITERIA OUTLINED IN THE PRESIDENT'S JOB DESCRIPTION. THIS EVALUATION IS TO BE DONE IN CONCERT WITH THE EXECUTIVE COMPENSATION COMMITTEE; (B) REVIEW AND EVALUATE THE CORPORATE COMPLIANCE PROGRAM; (C) DEVELOP AND RECOMMEND LAND AND FACILITY PLANS APPLICABLE TO THE CORPORATION AND ITS AFFILIATES; (D) REVIEW AND MONITOR ALL MAJOR BUILDING AND REMODELING PLANS AND PROJECTS FOR THE CORPORATION AND ALL ITS AFFILIATES; (E) REVIEW AND RECOMMEND TO THE APPROPRIATE BOARD PROPERTY ACQUISITION, DISPOSITION AND DEVELOPMENT PROPOSALS; AND (F) OVERSEE THE STRATEGIC PLANNING OF THE CORPORATION AND MAKE RECOMMENDATIONS FOR ACTION TO THE BOARD. THE EXECUTIVE COMMITTEE CONSISTS OF NO MORE THAN 9 MEMBERS AND SHALL INCLUDE THE CHAIRMAN, THE VICE CHAIRMAN, THE SECRETARY/TREASURER, THE CHAIRMAN OF THE FINANCE COMMITTEE, THE CHAIRMAN OF THE QUALITY AND SAFETY COMMITTEE, AND THE PRESIDENT.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PROCESS TO REVIEW THE FORM 990</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 11B</ReturnReference>
        <Explanation>THE FORM 990 IS PREPARED BY A THIRD PARTY. THE FORM 990 GOES THROUGH A DETAILED REVIEW INTERNALLY BY THE CONTROLLER AND ASSISTANT CONTROLLER. ONCE THIS PROCESS IS COMPLETE THE RETURN IS REVIEWED BY THE CFO AND THE AUDIT COMMITTEE. ONCE THE RETURN HAS GONE THROUGH THIS REVIEW, THE FINAL FORM 990 WILL BE DISTRIBUTED VIA EMAIL TO EACH MEMBER OF THE BOARD OF DIRECTORS WITH A RECOMMENDATION TO FILE THE RETURN WITH THE IRS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 12C</ReturnReference>
        <Explanation>THE CONFLICT OF INTEREST POLICY AND DISCLOSURE FORM IS SENT TO EVERY BOARD MEMBER, CORPORATE OFFICER, EXECUTIVE AND KEY EMPLOYEE ON AN ANNUAL BASIS. THE INFORMATION FROM COMPLETED DISCLOSURE FORMS IS REVIEWED BY THE NETWORK AUDIT COMMITTEE FOR THE PURPOSES OF DETERMINING INDEPENDENCE. ADDITIONALLY, THE NETWORK'S COMPLIANCE COMMITTEE REVIEWS ALL EMPLOYEE DISCLOSURES. A SUMMARY REPORT OF THE DISCLOSURES AND THE AUDIT COMMITTEE'S RECOMMENDATIONS RELATED TO INDEPENDENCE ARE SUBMITTED TO THE NETWORK BOARD FOR APPROVAL. THE CONFLICT OF INTEREST POLICY REQUIRES VOLUNTEERS AND STAFF TO SELF-REPORT CONFLICTS AT THE TIME THEY ARISE AND COMPLETE AN UPDATED DISCLOSURE FORM. DURING THE COURSE OF COMMITTEE OR BOARD MEETINGS, BOARD MEMBERS DISCLOSE ANY CONFLICTS RELATED TO THE AGENDA ITEM/DISCUSSION AND ABSTAIN FROM VOTING. WHENEVER APPROPRIATE, THE BOARD MEMBER WOULD BE EXCUSED FROM THE ROOM DURING DISCUSSION AND VOTING. IF A BOARD MEMBER IS INTERESTED IN CONDUCTING BUSINESS WITH JCLHN, THE CONFLICT OF INTEREST POLICY REQUIRES HIM OR HER TO INITIATE THAT PROCESS THROUGH THE NETWORK CEO AND NOT ANY OTHER EXECUTIVE OR EMPLOYEE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PROCESS FOR COMPENSATION OF CEO, OTHER OFFICERS AND KEY EMPLOYEES</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 15A AND 15B</ReturnReference>
        <Explanation>JOHN C. LINCOLN HEALTH NETWORK USES A COMPENSATION COMMITTEE COMPRISED OF INDEPENDENT DIRECTORS THAT OVERSEES ALL ASPECTS OF COMPENSATION PAID TO THE CEO AND OTHER EXECUTIVES. ANNUALLY, THE COMMITTEE ASSESSES THE PERFORMANCE OF THE CEO AND RECOMMENDS TO THE BOARD THE CEO'S COMPENSATION. ADDITIONALLY, THE COMMITTEE EVALUATES THE ORGANIZATION'S COMPENSATION PHILOSOPHY AND ESTABLISHES PERMISSIBLE RANGES OF COMPENSATION FOR ALL EXECUTIVES. THE COMMITTEE ENGAGES A NATIONALLY RECOGNIZED INDEPENDENT CONSULTANT WHO PROVIDES ADVICE BASED ON COMPENSATION SURVEYS OF ORGANIZATIONS WITH A SIMILAR SIZE AND SCOPE OF SERVICES TO JOHN C. LINCOLN HEALTH NETWORK. THE CONSULTANT PROVIDES A WRITTEN ATTESTATION OF INDEPENDENCE AND REPORTS ONLY TO THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. THE CEO IS NOT A MEMBER OF THIS COMMITTEE, BUT WILL BE CALLED ON TO ASSESS AND REPORT ON SENIOR EXECUTIVE PERFORMANCE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, &amp; FIN STMTS TO GEN PUBLIC</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 19</ReturnReference>
        <Explanation>THE ORGANIZATION CONSIDERS REQUESTS FOR FINANCIAL STATEMENTS, GOVERNING DOCUMENTS OR THE CONFLICT OF INTEREST POLICY ON A CASE BY CASE BASIS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED TO RELATED ORGANIZATIONS</Identifier>
        <ReturnReference>FORM 990, PART VII</ReturnReference>
        <Explanation>RHONDA FORSYTH ALSO SERVES AS AN OFFICER AND BOARD MEMBER OF DESERT MISSION, INC. (DM), JOHN C. LINCOLN HEALTH FOUNDATION (JCLHF), AND DESERT MISSION NEIGHBORHOOD RENEWAL (DMNR). SHE DEVOTES 1 HOUR TO DM, 1 HOUR TO JCLHF AND 1 HOUR TO DMNR. DAVID LAMPARTER ALSO SERVES AS AN OFFICER OF DESERT MISSION, INC. (DM), JOHN C. LINCOLN HEALTH FOUNDATION (JCLHF), AND DESERT MISSION NEIGHBORHOOD RENEWAL (DMNR). HE DEVOTES 1 HOUR TO DM, 1 HOUR TO JCLHF AND 1 HOUR TO DMNR. CINDY HALLMAN ALSO SERVES AS A KEY EMPLOYEE OF DESERT MISSION, INC. (DM) AND DESERT MISSION NEIGHBORHOOD RENEWAL (DMNR). SHE DEVOTES 30 HOURS TO DM AND 6 HOURS TO DMNR. MARCIA MINTZ ALSO SERVES AS AN OFFICER OF JOHN C. LINCOLN HEALTH FOUNDATION (JCLHF). SHE DEVOTES 39 HOURS TO JCLHF. SHEILA GERRY ALSO SERVES AS A BOARD MEMBER OF DESERT MISSION NEIGHBORHOOD RENEWAL (DMNR). SHE DEVOTES 1 HOUR TO DMNR.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER CHANGES IN NET ASSETS</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5</ReturnReference>
        <Explanation>NET UNREALIZED LOSSES ON INVESTMENTS $(8,127,747) CHANGE IN INTEREST IN FOUNDATION 4,515,572 LOSS ON IMPAIRMENT OF OPERATING LEASES (4,532,583) ----------- $(8,144,758) ===========</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>SUPPLEMENTAL SCHEDULE K INFORMATION</Identifier>
        <ReturnReference>SCHEDULE K, PART VI</ReturnReference>
        <Explanation>DESCRIPTION OF PURPOSE SCHEDULE K (1), PART I, LINE A, COLUMN (F) REFUND THE REMAINING SERIES 1994 BONDS, PROVIDE CAPITAL AND PROJECT FUNDING FOR REMODELING AND EXPANSION OF NORTH MOUNTAIN HOSPITAL AND PAY COSTS INCIDENTAL TO THEIR ISSUANCE. DESCRIPTION OF PURPOSE SCHEDULE K (1), PART I, LINE B, COLUMN (F) REFUND THE REMAINING SERIES 2000 AND 2002 BONDS, PROVIDE CAPITAL AND PROJECT FUNDING FOR REMODELING AND EXPANSION OF NORTH MOUNTAIN HOSPITAL AND DEER VALLEY HOSPITAL AND PAY COSTS INCIDENTAL TO THEIR ISSUANCE. DESCRIPTION OF PURPOSE SCHEDULE K (1), PART I, LINE D, COLUMN (F) REFUND THE SERIES 1997B BONDS AND PARTIALLY REFUND A PORTION OF SERIES 2002 BONDS, PROVIDE CAPITAL AND PROJECT FUNDING FOR REMODELING AND EXPANSION OF NORTH MOUNTAIN HOSPITAL AND DEER VALLEY HOSPITAL AND PAY COSTS INCIDENTAL TO THEIR ISSUANCE.</Explanation>
      </GeneralExplanation>
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      <LoansOrGuaranteesFromOtherOrg>true</LoansOrGuaranteesFromOtherOrg>
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      <ExchangeOfAssets>false</ExchangeOfAssets>
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      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>true</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>true</SharingOfFacilities>
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      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
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        <MethodOfAmtDetermination>CASH</MethodOfAmtDetermination>
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</Return>