Civic Intelligence

Honorhealth

990 • Fiscal year 2015 • EIN 86-0181654

Jan 01, 2015 to Dec 31, 2015 • Filed on Nov 09, 2016

Refreshing map…

8125 N Hayden RoadScottsdale, AZ 85258

(480) 882-4000

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

50th percentile

0.39x

Higher debt load relative to assets than 50% of similar nonprofits.

2015 filings • 501(c)3 • $1B+ nonprofits • Source year 2015

Liabilities / Revenue

20th percentile

0.36x

Higher debt load relative to revenue than 20% of similar nonprofits.

2015 filings • 501(c)3 • $1B+ nonprofits • Source year 2015

Net Margin

29th percentile

3.6%

Higher net margin than 29% of similar nonprofits.

2015 filings • 501(c)3 • $1B+ nonprofits • Source year 2015

Top Officer Pay

69th percentile

$2,456,701

Higher top officer pay than 69% of similar nonprofits.

Top officer pay equals 0.2% of source-year revenue.

2015 filings • 501(c)3 • $1B+ nonprofits • Source year 2015

Asset Growth

16th percentile

-2.3%

Faster asset growth than 16% of similar nonprofits.

2015 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2014 to 2015

Revenue Growth

97th percentile

73%

Faster revenue growth than 97% of similar nonprofits.

2015 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2014 to 2015

Assets

Down

$1,447,432,360

Down $34,570,629 (-2.3%) from 2014

Net Assets

Up

$889,351,824

Up $37,524,046 (+4.4%) from 2014

Liabilities

Down

$558,080,536

Down $72,094,675 (-11%) from 2014

Revenue

Up

$1,557,542,683

Up $657,486,111 (+73%) from 2014

Expenses

Up

$1,501,372,787

Up $627,198,895 (+72%) from 2014

Net Income

Up

$56,169,896

Up $30,287,216 (+117%) from 2014

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$6.0B$4.0B$2.0B$0Assets 2012: $495,596,515Liabilities 2012: $53,984,247Net Assets 2012: $441,612,2682012Assets 2013: $543,977,708Liabilities 2013: $66,760,728Net Assets 2013: $477,216,9802013Assets 2014: $1,482,002,989Liabilities 2014: $630,175,211Net Assets 2014: $851,827,7782014Assets 2015: $1,447,432,360Liabilities 2015: $558,080,536Net Assets 2015: $889,351,8242015Assets 2016: $1,974,626,282Liabilities 2016: $966,307,525Net Assets 2016: $1,008,318,7572016Assets 2017: $2,150,717,945Liabilities 2017: $1,003,065,950Net Assets 2017: $1,147,651,9952017Assets 2018: $2,258,694,352Liabilities 2018: $1,015,714,349Net Assets 2018: $1,242,980,0032018Assets 2019: $2,751,945,163Liabilities 2019: $1,312,763,624Net Assets 2019: $1,439,181,5392019Assets 2020: $3,183,780,029Liabilities 2020: $1,559,294,974Net Assets 2020: $1,624,485,0552020Assets 2021: $3,510,408,010Liabilities 2021: $1,624,223,202Net Assets 2021: $1,886,184,8082021Assets 2022: $3,369,239,878Liabilities 2022: $1,482,017,065Net Assets 2022: $1,887,222,8132022Assets 2024: $4,846,825,388Liabilities 2024: $2,354,429,881Net Assets 2024: $2,492,395,5072024

Highlighted filing

2015

Assets$1,447,432,360
Liabilities$558,080,536
Net Assets$889,351,824

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$4.0B$3.0B$2.0B$1.0B$0Expenses 2012: $879,285,4882012Expenses 2013: $828,774,6602013Revenue 2014: $900,056,572Expenses 2014: $874,173,892Net Income 2014: $25,882,6802014Revenue 2015: $1,557,542,683Expenses 2015: $1,501,372,787Net Income 2015: $56,169,8962015Revenue 2016: $1,706,522,765Expenses 2016: $1,659,493,396Net Income 2016: $47,029,3692016Revenue 2017: $1,817,566,724Expenses 2017: $1,772,927,099Net Income 2017: $44,639,6252017Revenue 2018: $2,022,983,964Expenses 2018: $1,864,038,247Net Income 2018: $158,945,7172018Revenue 2019: $2,153,551,601Expenses 2019: $1,994,958,531Net Income 2019: $158,593,0702019Revenue 2020: $2,173,432,823Expenses 2020: $2,019,880,907Net Income 2020: $153,551,9162020Revenue 2021: $2,554,167,187Expenses 2021: $2,334,689,609Net Income 2021: $219,477,5782021Revenue 2022: $2,780,163,245Expenses 2022: $2,583,390,245Net Income 2022: $196,773,0002022Revenue 2024: $3,455,315,312Expenses 2024: $3,179,359,771Net Income 2024: $275,955,5412024

Highlighted filing

2015

Revenue$1,557,542,683
Expenses$1,501,372,787
Net Income$56,169,896
Jump To
Filing Snapshot
Filing Period
Jan 1, 2015 to Dec 31, 2015
Signed
Nov 9, 2016
Return Version
2015v2.1
Gross Receipts
$1,558,706,225
Mission and Program Overview

Mission

Honorhealth's mission is to improve the health and well-being of those we serve.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$645,206,127$628,704,615▼ $16,501,512
Accounts Receivable$206,368,343$262,173,150▲ $55,804,807
Investments in Publicly Traded Securities$166,886,309$173,059,507▲ $6,173,198
Inventories for Sale or Use$44,184,793$44,665,229▲ $480,436
Savings and Temporary Cash Investments$81,368,500$23,378,036▼ $57,990,464
Investments Program Related$22,174,425$22,416,617▲ $242,192
Prepaid Expenses and Deferred Charges$14,038,736$20,109,020▲ $6,070,284
Investments Other Securities$14,685,627$7,288,088▼ $7,397,539
Cash and Non-Interest-Bearing Accounts$5,790,082$0▼ $5,790,082
Other Notes and Loans Receivable, Net$2,757,268$1,039,622▼ $1,717,646
Pledges and Grants Receivable$324,462$0▼ $324,462
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Intangible Assets$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$1,482,002,989$1,447,432,360▼ $34,570,629
Other Assets Total$278,218,317$264,598,476▼ $13,619,841
Liabilities
Tax Exempt Bond Liabilities$423,332,758$336,809,742▼ $86,523,016
Accounts Payable and Accrued Expenses$156,313,381$121,416,535▼ $34,896,846
Mortgage Notes Payable Secured by Investment Property$608,922$80,962,147▲ $80,353,225
Other Liabilities$45,239,133$14,421,675▼ $30,817,458
Deferred Revenue$4,681,017$4,470,437▼ $210,580
Grants Payable$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Escrow Account Liability$0$0→ $0
Total Liabilities$630,175,211$558,080,536▼ $72,094,675
Net Assets / Fund Balance
Unrestricted Net Assets$844,757,272$883,472,774▲ $38,715,502
Permanently Rstr Net Assets$3,374,347$3,364,347▼ $10,000
Temporarily Rstr Net Assets$3,696,159$2,514,703▼ $1,181,456
Total Net Assets Fund Balance$851,827,778$889,351,824▲ $37,524,046
Total Liabilities and Net Assets / Fund Balance$1,482,002,989$1,447,432,360▼ $34,570,629

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$368,505,159$443,826,536$812,331,695
Equipment$151,800,219$353,262,663$505,062,882
Other Land Buildings$42,645,551$43,294,188$85,939,739
Land$60,395,385-$60,395,385
Leasehold Improvements$5,358,301$9,567,597$14,925,898
Other Assets Org$303,350--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2015$6,213,603-▼ $56,175$1,113,842$5,034,149
2014$6,186,252$225▲ $215,407$177,466$6,213,603
2013$5,321,536$25▲ $992,659$117,734$6,186,252
2012$5,370,303$350▲ $342,048$380,070$5,321,536
2011$5,854,813$2,285▼ $237,069$236,868$5,370,303
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
THOMAS SadvaryDirector/CEO, HonorhealthFT$1,061,565$1,395,136$2,456,701
Gary BakerSVP/operationsFT$434,505$1,760,191$2,194,696
Todd LaPorteEvp/chief Admin OfficerFT$628,281$1,339,717$1,967,998
Kimberly A PostSVP/CCOFT$377,098$1,180,509$1,557,607
Rhonda ForsythDirector/pres, HonorhealthFT$875,923$410,331$1,286,254
David Rizik MdMedical DirectorFT$962,271$61,211$1,023,482
Alan KellySVP/General CounselFT$425,969$424,082$850,051
Carol Henderson MCCUNESVP/chief Talent OfficerFT$103,705$725,093$828,798
Joseph Fares MdPhysicianFT$778,496$18,781$797,277
David LamparterIntegration OfficerFT$443,291$347,122$790,413
Frank Mitchell MdMedical DirectorFT$533,165$245,229$778,394
Bruce PearsonSVP/COOFT$555,910$218,288$774,198
Jeffrey Van Lier Ribbink MdSurgical OncologistFT$465,910$303,585$769,495
James Swain MdBariatric SurgeonFT$366,727$335,549$702,276
James Burke MDSVP/chief Physician ExecutiveFT$17,715$636,456$654,171
Rich Silver MDSVP Population ManagementFT$472,299$172,691$644,990
John Harrington JRSVP/OperationsFT$426,594$201,297$627,891
Nathan AnspachSVP/CEO Physician NetworkFT$440,204$181,121$621,325
Chuck ScullySVP/CIOFT$382,144$107,357$489,501
Joanne ClavelleSVP/CCOFT$346,486$141,804$488,290
Alaina ChabrierVP Marketing & CommunicationsFT$277,721$113,844$391,565
Stephanie Jackson MDVP Quality/CMOFT$187,392$43,632$231,024
John Neil MDSVP/CPEFT$187,182$21,764$208,946
Elena Sibley MDDirector-$62,000-$62,000
Karrie Francois MDDirector-$48,325-$48,325
Steve WheelerDirector/Chairman-$45,600-$45,600
Drew BrownDirector-$42,560-$42,560
Frank PughDirector/Vice Chair-$42,560-$42,560
Maria Divina Soriano MDDirector-$42,560-$42,560
Michael StanleyDirector/Treasurer-$42,560-$42,560
Pete HathawayDirector-$42,560-$42,560
Richard SilvermanDirector-$42,560-$42,560
Brad GazawayDirector-$40,280-$40,280
Richard P FoxDirector-$40,280-$40,280
John GrottingDirector/Secretary-$38,000-$38,000
Julie Arvo MacKenzieDirector-$38,000-$38,000
Kathleen WadeDirector-$38,000-$38,000
Kathryn Jo LincolnDirector-$38,000-$38,000
Larry SeayDirector-$38,000-$38,000
Margie TraylorDirector-$38,000-$38,000
Mike WelbornDirector-$38,000-$38,000
Raymond BartonDirector-$38,000-$38,000

Highest Paid Contractors

ContractorServicesLocationCompensation
ConvergeOne IncIT ConsultingNW 5806 PO BOX 1450, Minneapolis, MN 55485$11,402,359
Epic Systems CorpIT Consulting1979 Mily Way, Verona, WI 53593$8,226,895
Dpr ConstructionContruction services222 N 44th Steet, Phoenix, AZ 85034$5,754,281
Kitchell Contractors Inc of AZContruction services1707 E Highland Suite 200, Phoenix, AZ 85016$5,730,010
Crothall Laundry ServicesLaundry ServicesPO BOX 742268, Atlanta, GA 30374$4,184,196
Revenue and Support

Revenue Composition

Contributions and Grants
$11,876,813
Program Service Revenue
$1,535,928,354
Investment Income
$7,592,166
Other Revenue
$2,145,350
Change in Net Assets
$56,169,896
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$837,425,548
Salaries, Compensation, and Employee Benefits$662,971,321
Grants and Similar Amounts Paid$975,918
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$455,416,005$85,436,682-$540,852,687
Fees for Services Management$133,173,283$24,983,495-$158,156,778
Fees for Services Other$126,181,158$23,671,762-$149,852,920
Depreciation Depletion$56,858,180$10,666,674-$67,524,854
Other Employee Benefits$40,190,568$7,539,807-$47,730,375
Payroll Taxes$32,889,274$6,170,074-$39,059,348
Occupancy$23,257,724$4,363,182-$27,620,906
Interest$20,663,927$3,876,582-$24,540,509
All Other Expenses$18,086,989$3,393,145-$21,480,134
Current Officers, Directors, Trustees, and Key Employees-$17,849,938-$17,849,938
Pension Plan Contributions$14,327,040$2,687,773-$17,014,813
Office Expenses$12,245,486$2,297,270-$14,542,756
Other Expenses$4,582,204$859,628-$5,441,832
Fees for Services Legal-$4,244,984-$4,244,984
Insurance$2,605,071$488,715-$3,093,786
Advertising$2,243,949$420,968-$2,664,917
Information Technology$2,194,133$411,622-$2,605,755
Travel$1,152,259$216,165-$1,368,424
Grants to Domestic Orgs$975,918--$975,918
Comp Disqual Persons$464,160--$464,160
Conferences and Meetings$338,971$63,591-$402,562
Fees for Services Accounting-$185,901-$185,901
Fees for Services Lobbying$126,265--$126,265
Total Functional Expenses$1,298,873,005$202,499,782$0$1,501,372,787
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Desert MissionScottsdale, AZ501(c)(3)Program Support$590,519
Desert Mission Neighborhood RenewalPhoenix, AZ501(c)(3)Community Support$218,199
Project CureCentennial, CO501(c)(3)Program Support$20,000
StarsPhoenix, AZ501(c)(3)Program Support$15,000
American Heart AssociationDallas, TX501(c)(3)Community Support$10,000
Arizona Diamondbacks FoundationPhoenix, AZ501(c)(3)Community Support$10,000
Arthritis FoundationAtlanta, GA501(c)(3)Community Support$10,000
Move PhxPhoenix, AZ501(c)(4)Community Support$10,000
Honorhealth FoundationScottsdale, AZ501(c)(3)Program Support$8,000

International Summary

Spending
$18,210,174

International Compliance

Activity in boycott countries
No
Foreign corporation ownership
Yes
Foreign partnership interest
No
Interest in foreign trust
No
Passive foreign investment company interest
No
Transfers to foreign corporations
Yes

International Activities

RegionActivityServicesOfficesEmployeesSpending
Central America and the CaribbeanInvestmentsCaptive Insurance--$18,210,174
Central America and the CaribbeanProgram Services----
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Independent Hospitalists LLCSee Part ViiPhysician ServicesNo$1,490,415
Elizabeth FarhartSpouse of Board MemberEmployee CompensationNo$193,058
Karen BurkeSpouse of OfficerEmployee CompensationNo$94,762
Lee SilverDaughter of Key EmployeeEmployee CompensationNo$52,704
John MccuneSon of OfficerEmployee CompensationNo$50,747
Lauren MccuneDaughter of OfficerEmployee CompensationNo$38,185
Lindsey WrightDaughter of Key EmployeeEmployee CompensationNo$34,704

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliates$9,223,303
Med Cap Lease/credit Facility$7,244,858
Graduate Nurse Education Settl$4,897,791
Accrued Interest$703,668
Medicare Settlement$-7,647,945

Bond Issues

BondIssuerIssuedIssue PricePurpose
AArizona Health Facilities Authority2014-12-23$342,354,232SEE PART VI

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$342,354,232$264,023,247$4,175,000$3,330,985

Bond Financing Compliance

No rebate due
No
Rebate not yet due
Yes
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
Yes
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

FORM 990, PART VI, LINE 1A

There is an executive committee which is comprised of the same individuals serving as members of honorhealth's executive committee. Honorhealth's chair and vice chair serve as chair and vice chair of the executive committee, respectively. 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.

Form 990, Part VI, Line 11B

The tax return information is gathered by the finance team from various sources within the organization including human resources, payroll, development and the legal department. The information is reviewed by the honorhealth controller and provided to an accounting firm that prepares the tax returns. An initial draft of the form 990 is submitted to the honorhealth controller and honorhealth chief financial officer for review. Comments from those individuals are considered and incorporated into a revised draft that is presented to the board of directors prior to filing. The board of directors reviews the revised draft and submits comments to the honorhealth controller. Comments from those individuals are considered and incorporated into a final draft prepared for filing. The final draft is then made available to all board members prior to filing.

Form 990, Part VI, Line 12C

Each board member, officer of the corporation and board committee member completes a conflict of interest disclosure statement annually. The compliance office, along with honorhealth general counsel, examines each disclosure statement where potential conflicts have been disclosed. Recommendations are made to the chair of the board on how to appropriately remediate, monitor, or eliminate any conflicts. The compliance office/honorhealth general counsel then provides to the interested person, with copies to the chair of the board, the honorhealth ceo, and, if needed, the appropriate committee chair, a correspondence that specifies what actions, condition, or monitoring of the conflict are required and whether the interested person is permitted to give a presentation to the board or appropriate committee after full disclosure of the conflict. In such an event, the interested person leaves the meeting while the proposed transaction is discussed. The interested person is required to co-sign correspondence sent by the honorhealth general counsel and adhere to it throughout the year. If a conflict or financial interest arises after the annual disclosure process, the interested person will consult with the compliance office or honorhealth general counsel and update the disclosure statement consistent with the advice of the honorhealth general counsel. A record of the board or committee meeting where proposed transactions or arrangements that are affected by conflict of interest and the management of such are contained in the board/committee minutes. If violations of the conflict of interest policy/management are reported, the honorhealth general counsel will look into the matter. Confirmed violations may include removal from the board or committee or officer position pursuant to the removal procedures stated in the bylaws. Bylaws include the provisions that interested persons who receive compensation directly or indirectly from the honorhealth network may not vote in such matters. A voting member of any committee whose jurisdiction includes making choices on goods or services for the honorhealth network or what amounts should be paid for goods or services shall be prohibited from voting on any such matter and may be prohibited from discussing the matter. Periodic reviews of the process are conducted. Outside experts may, but need not, be used to evaluate policies and processes.

Form 990, Part VI, Lines 15A & 15B

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 2015.

Form 990, Part VI, Line 19

Documents are available for public inspection upon request to the honorhealth corporate controller at: 8125 n. Hayden road, scottsdale, az 85258

Filing and Contact Details

Filer

Filer Name
Scottsdale Healthcare Hospitals
EIN
86-0181654
In Care Of
% ALICE POPE
Phone
4808824000
Address
8125 N Hayden Road, Scottsdale, AZ 85258
Doing Business As
Honorhealth

Signing Officer

Name
Alice Pope
Title
SVP/CFO, Honorhealth
Phone
4808824000
Signed
2016-11-09
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Thomas J Sadvary
Formed
1964
Legal Domicile
Az
Voting Board Members
21
Independent Board Members
15
Employees
12,584
Volunteers
2,145

Preparer

Firm
Ernst & Young US Llp
Address
TWO NORTH CENTRAL AVENUE STE 2300, PHOENIX, AZ 85004
Preparer
Brenda Griesemer
Phone
6023223000
Supplemental Narrative

Additional Explanations

Form 990, Part I, Line 6

Scottsdale healthcare hospitals (dba honorhealth) volunteers partner with our hospital staff to provide patient and family services at our three campuses. Their personalized service to each patient and family members contributes to their world class healthcare experience.

Form 990, Part III, Line 4A

Formed after the merger of Scottsdale Healthcare and John C. Lincoln Health Network, HonorHealth is a non-for-profit health system with five acute-care hospitals, six emergency departments - one of them a freestanding center in north Phoenix - and two Level I trauma centers. HonorHealth's mission is to improve the health and well-being of those we serve. HonorHealths five hospitals are Magnet-recognized by the American Nurses Credentialing Center. This prestigious recognition ensures that patients receive the gold standard for nursing care, an honor earned by only 6 percent of the nation's hospitals. Magnet is considered the highest recognition for nursing excellence. The health system encompasses more than 12,500 employees, approximately 3,000 physicians on its medical staff and approximately 3,000 volunteers. HonorHealths hospital campuses are: 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. 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 Primary Stroke Center and an accredited Chest Pain 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: o Inpatient and outpatient rehabilitation services o An outpatient surgery center o A satellite Breast Health and Research Center o A general surgery residency program Deer Valley Medical Center: The 204-bed hospital serves the rapidly expanding northern Phoenix area as well as communities to the north along Interstate 17, including Anthem, New River and Black Canyon City. Deer Valley Medical Center is accredited as a Heart Failure Center, a Cardiac Arrest Center, a Chest Pain Center and a Primary Stroke Center. The facility provides a wide range of state-of-the-art inpatient and outpatient services including: a Level III trauma center; a care program for trauma patients age 60 and older; a 24/7 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; and medical/surgical and telemetry units and outpatient surgery center. General surgery residents train here and at John C. Lincoln Medical. On the campus are: o The Breast Health and Research Center: Offers advanced diagnostic and technology that includes 3-D digital mammography, an on-site MRI, bone density screenings, body composition assessments and AND CARE COORDINATION o An outpatient surgery center Scottsdale Osborn Medical Center: This 338-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 certified Chest Pain Center 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: o A family birthing center and neonatal unit o The Greenbaum Surgical Specialty Hospital, focusing on such general surgeries as ear, nose and throat, urology and gynecology o A family medicine residency program o A trauma/medical training center for the U.S. military Scottsdale Shea Medical Center:

Form 990, Part XI, Line 9

Change in donated equity $ 1,268,875 change in preceptors fund 35,513 affiliate equity transfer (6,521,685) change in foundation (541,122) change in value of jv's (1,467,264) k-1 book to tax difference (333,963) -------------- total $(7,559,646) ==============

Financial Statement Notes

Schedule D, Part V, Line 4

The endowment funds consist of 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 the hospitals and administration. The term endowments have been restricted by the donor for a specific time period or purpose.

Schedule D, Part X, Line 2

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.

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