Civic Intelligence

Honorhealth

990 • Fiscal year 2017 • EIN 86-0181654

Jan 01, 2017 to Dec 31, 2017 • Filed on Nov 13, 2018

Refreshing map…

8125 N Hayden RoadScottsdale, AZ 85258

(480) 587-5113

Siviq Scores

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

Liabilities / Assets

64th percentile

0.47x

Higher debt load relative to assets than 64% of similar nonprofits.

2017 filings • 501(c)3 • $1B+ nonprofits • Source year 2017

Liabilities / Revenue

35th percentile

0.55x

Higher debt load relative to revenue than 35% of similar nonprofits.

2017 filings • 501(c)3 • $1B+ nonprofits • Source year 2017

Net Margin

27th percentile

2.5%

Higher net margin than 27% of similar nonprofits.

2017 filings • 501(c)3 • $1B+ nonprofits • Source year 2017

Top Officer Pay

51st percentile

$1,783,115

Higher top officer pay than 51% of similar nonprofits.

Top officer pay equals 0.1% of source-year revenue.

2017 filings • 501(c)3 • $1B+ nonprofits • Source year 2017

Asset Growth

56th percentile

8.9%

Faster asset growth than 56% of similar nonprofits.

2017 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2016 to 2017

Revenue Growth

46th percentile

6.5%

Faster revenue growth than 46% of similar nonprofits.

2017 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2016 to 2017

Assets

Up

$2,150,717,945

Up $176,091,663 (+8.9%) from 2016

Net Assets

Up

$1,147,651,995

Up $139,333,238 (+14%) from 2016

Liabilities

Up

$1,003,065,950

Up $36,758,425 (+3.8%) from 2016

Revenue

Up

$1,817,566,724

Up $111,043,959 (+6.5%) from 2016

Expenses

Up

$1,772,927,099

Up $113,433,703 (+6.8%) from 2016

Net Income

Down

$44,639,625

Down $2,389,744 (-5.1%) from 2016

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

2017

Assets$2,150,717,945
Liabilities$1,003,065,950
Net Assets$1,147,651,995

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

2017

Revenue$1,817,566,724
Expenses$1,772,927,099
Net Income$44,639,625
Jump To
Filing Snapshot
Filing Period
Jan 1, 2017 to Dec 31, 2017
Signed
Nov 13, 2018
Return Version
2017v2.3
Gross Receipts
$1,944,383,248
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$812,474,743$801,755,505▼ $10,719,238
Investments in Publicly Traded Securities$640,079,078$737,214,106▲ $97,135,028
Accounts Receivable$279,321,817$280,972,124▲ $1,650,307
Savings and Temporary Cash Investments$31,328,752$96,710,460▲ $65,381,708
Investments Other Securities$40,891,960$62,676,836▲ $21,784,876
Inventories for Sale or Use$49,462,930$54,257,176▲ $4,794,246
Intangible Assets$8,447,692$18,038,112▲ $9,590,420
Prepaid Expenses and Deferred Charges$18,779,366$11,453,367▼ $7,325,999
Pledges and Grants Receivable$3,329,376$4,256,107▲ $926,731
Other Notes and Loans Receivable, Net$659,489$322,217▼ $337,272
Cash and Non-Interest-Bearing Accounts$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Program Related$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$1,974,626,282$2,150,717,945▲ $176,091,663
Other Assets Total$89,851,079$83,061,935▼ $6,789,144
Liabilities
Tax Exempt Bond Liabilities$568,676,907$641,174,681▲ $72,497,774
Accounts Payable and Accrued Expenses$191,859,522$178,235,160▼ $13,624,362
Mortgage Notes Payable Secured by Investment Property$115,462,147$87,522,147▼ $27,940,000
Other Liabilities$55,015,693$57,433,853▲ $2,418,160
Deferred Revenue$35,293,256$38,700,109▲ $3,406,853
Grants Payable$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Escrow Account Liability$0$0→ $0
Total Liabilities$966,307,525$1,003,065,950▲ $36,758,425
Net Assets / Fund Balance
Unrestricted Net Assets$1,001,097,598$1,140,401,952▲ $139,304,354
Temporarily Rstr Net Assets$3,846,812$3,875,696▲ $28,884
Permanently Rstr Net Assets$3,374,347$3,374,347→ $0
Total Net Assets Fund Balance$1,008,318,757$1,147,651,995▲ $139,333,238
Total Liabilities and Net Assets / Fund Balance$1,974,626,282$2,150,717,945▲ $176,091,663

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$343,728,368$782,246,882$1,125,975,250
Buildings$216,157,708$269,665,893$485,823,601
Other Land Buildings$120,552,545$34,887,223$155,439,768
Land$111,493,398-$111,493,398
Leasehold Improvements$9,823,486$15,682,307$25,505,793
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Thomas SadvaryDir/CEO, Hh (thru 4/17)/sr AdvFT$1,106,041$677,074$1,783,115
Rhonda ForsythFormer President-$16,635$1,627,923$1,644,558
Todd LaporteDirector/CEO, HonorhealthFT$756,821$444,077$1,200,898
Richard Silver MDSVP/CEO, Pop Health & CCOFT$533,336$522,151$1,055,487
Bruce PearsonSVP/opp Strat & Trans OfficerFT$465,006$562,159$1,027,165
David Rizik MDMedical DirectorFT$925,940$92,683$1,018,623
John NeilSVP/chief Physician ExecutiveFT$593,934$352,504$946,438
John Harrington JrFormer SVP/CEO, DvmcFT$225,109$607,241$832,350
Alice PopeSVP/CFOFT$561,933$263,967$825,900
James Swain MDBariatric SurgeonFT$372,381$427,688$800,069
Kimberly PostSVP/CEO Hospitals/CCOFT$504,464$260,250$764,714
Frank Mitchell III MDMedical DirectorFT$602,335$161,266$763,601
Mehul Patel MDPhysician - PnFT$677,537$46,059$723,596
Joseph Fares MDPhysician - PnFT$685,782$34,718$720,500
Gary BakerSVP/CEO, Ssmc, Jclmc & HhsomcFT$469,576$249,253$718,829
Nathan AnspachFormer CEO, Physician NetworkFT$272,537$436,623$709,160
David DamoreSVP/chief Legal OfficerFT$466,895$187,856$654,751
Wendy CrawfordSVP/chief Hr & Mktg OfficerFT$427,842$209,505$637,347
Stephanie JacksonSVP/chief Quality OfficerFT$423,953$204,299$628,252
David LamparterVP/enterprise Proj MgmtFT$8,880$599,763$608,643
Charles ScullySVP/CIOFT$397,318$176,349$573,667
David PriceVP/CEO, Stpmc & DvmcFT$320,220$244,147$564,367
Jon BartlettFormer VP/CEO, Hh JclFT$416,311$101,602$517,913
Alan KellyFormer SVP/chief Legal Officer-$420,014$420,014$420,014
Maria Divina Soriano MDDirector-$55,360-$55,360
Steve WheelerDirector/Chairman-$47,156-$47,156
Drew BrownDirector-$42,560-$42,560
Frank PughDirector/Vice Chair-$42,560-$42,560
Michael StanleyDirector/Treasurer-$42,560-$42,560
Pete HathawayDirector-$42,560-$42,560
Richard SilvermanDirector-$42,560-$42,560
John GrottingDirector/Secretary-$39,616-$39,616
Elena Sibley MDDirector-$38,000-$38,000
Julie Arvo MacKenzieDirector-$38,000-$38,000
Karrie Francois MDDirector-$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
Richard P FoxDirector-$38,000-$38,000
Brad GazawayDirector-$9,500-$9,500

Highest Paid Contractors

ContractorServicesLocationCompensation
Az Center For Hematology OncologyMedical Services10460 n 92nd St, Scottsdale, AZ 85258$20,434,231
Dpr ConstructionConStruction SVCS222 N 44th Steet, Phoenix, AZ 85034$4,520,748
Radiation Oncologist Of Central AzMedical Services4611 E SHEA BLVD, Phoenix, AZ 85028$3,776,664
Integrity Building CorpConstruction SVCS1150 N Country Club Dr, Mesa, AZ 85021$2,910,922
Sonoran Orthopaedic Trauma Surgeonsmedical services3126 N Civic Center Plaza, Scottsdale, AZ 85251$2,801,212
Revenue and Support

Revenue Composition

Contributions and Grants
$9,100,587
Program Service Revenue
$1,748,922,478
Investment Income
$56,888,769
Other Revenue
$2,654,890
Change in Net Assets
$44,639,625
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$909,401,075
Salaries, Compensation, and Employee Benefits$855,894,152
Grants and Similar Amounts Paid$7,631,872
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$583,298,737$94,222,777-$677,521,514
Fees for Services Other$141,236,887$26,859,531-$168,096,418
Depreciation Depletion$90,528,434$17,217,857-$107,746,291
Other Employee Benefits$77,685,459$14,775,216-$92,460,675
Payroll Taxes$40,740,871$7,748,621-$48,489,492
Occupancy$32,333,567$6,149,612-$38,483,179
All Other Expenses$28,457,327$5,412,379-$33,869,706
Information Technology$27,012,999$5,137,678-$32,150,677
Other Expenses$23,094,258$4,392,363-$27,486,621
Interest$22,120,256$4,207,114-$26,327,370
Pension Plan Contributions$16,852,748$3,205,271-$20,058,019
Office Expenses$15,863,387$3,017,102-$18,880,489
Current Officers, Directors, Trustees, and Key Employees-$14,755,428-$14,755,428
Insurance$9,621,683$1,829,975-$11,451,658
Grants to Domestic Orgs$7,631,872--$7,631,872
Fees for Services Legal-$3,013,655-$3,013,655
Comp Disqual Persons$544,452$2,064,572-$2,609,024
Fees for Services Management$1,818,048--$1,818,048
Travel$1,302,830$247,789-$1,550,619
Advertising$1,291,939$245,718-$1,537,657
Fees for Services Accounting-$751,663-$751,663
Fees for Services Lobbying$240,654--$240,654
Total Functional Expenses$1,557,672,778$215,254,321$0$1,772,927,099
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Honorhealth FoundationScottsdale, AZ501(c)(3)Program Support$7,631,872
Neighborhood Outreach Access to HealthScottsdale, AZ501(c)(3)Program Support$1,200,000
Scottsdale Healthcare AuxiliaryScottsdale, AZ501(c)(3)Program Support$62,078
American Cancer SocietyAtlanta, GA501(c)(3)Program Support$35,000
Parada Del Sol IncScottsdale, AZ501(c)(4)Program Support$20,000
Scottsdale Charros IncScottsdale, AZ501(c)(6)Program Support$12,500
American Heart AssociationDallas, TX501(c)(3)Program Support$10,000
Greater Phoenix Chamber of CommercePhoenix, AZ501(c)(6)Program Support$10,000

International Summary

Spending
$63,259,927

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 CaribbeanInvestments---$50,787,396
Central America and the CaribbeanProgram Servicescaptive insurance--$12,472,531
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
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$1,525,656
Elizabeth FarhartSpouse of Board MemberEmployee CompensationNo$303,254
Maria RubioSister of Board MemberEmployee CompensationNo$107,033
Lee SilverDaughter of Key EmployeeEmployee CompensationNo$68,594
lindsey wrightDaughter of Key EmployeeEmployee CompensationNo$65,571

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
Rate Swap$31,056,690
Deferred Comp Reserve$22,348,684
Arizona Center for Cancer Care$2,339,629
Other Liabilities$1,235,841
Intercompany Payable$277,358
Capital Lease$175,651

Bond Issues

BondIssuerIssuedIssue PricePurpose
DArizona Health Facilities Authority2014-12-23$342,354,232SEE PART VI
AThe Ida of the City of Scottsdale Az2006-05-25$175,800,000SEE PART VI
BThe Ida of the City of Scottsdale Az2008-06-04$151,350,684Refund of 5/25/06 & 8/1/07 bonds
CThe Ida of the City of Scottsdale Az2010-08-26$109,852,372SEE PART VI
BThe Ida of the County of Maricopa2017-08-31$60,000,000Finance new money projects
AArizona Health Facilities Authority2015-11-16$47,740,000Refunding of 2006d-e bonds
CThe Ida of the County of Maricopa2017-11-16$30,000,000Finance new money projects

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
D$342,354,232$264,023,247$53,734,232$3,330,985
A$175,800,000$88,346,181$86,100,000$1,365,670
B$151,350,684$149,439,324$111,270,684$1,911,360
C$109,852,372$109,852,372$51,502,372$0
B$60,000,000$0$0$95,000
A$47,740,000$47,201,616$0$538,384
C$30,000,000$0$0$56,000

Bond Financing Compliance

No rebate due
Yes
Rebate not yet due
No
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
Yes
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

HONORHEALTH has an Executive Committee. The HONORHEALTH Chair and Vice Chair serve as the Chair and Vice Chair of the Executive Committee.The executive committee has the power and authority of the board of directors to transact all regular business of the corporation and such other matters as may be delegated to it by the board directors in the intervals between meetings of the board of directors.

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, and the legal department. The information is reviewed by the honorhealth director tax & treasury and provided to an accounting firm that prepares the tax returns. An initial draft of the form 990 is submitted to the honorhealth vp finance, honorhealth chief financial officer, honorhealth general counsel and honorhealth vp revenue cycle for review. Comments from those individuals are considered and incorporated into a final draft. The final draft is then made available to all board members and any changes from the board review are incorporated prior to filing.

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 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 2017.

Form 990, Part VI, Line 19

Documents are available for public inspection upon request to the honorhealth VP FINANCE 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
4805875113
Address
8125 N Hayden Road, Scottsdale, AZ 85258
Doing Business As
Honorhealth

Signing Officer

Name
Alice Pope
Title
SVP/CFO, Honorhealth
Phone
4808824000
Signed
2018-11-13
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Todd Laporte
Formed
1964
Legal Domicile
Az
Voting Board Members
21
Independent Board Members
17
Employees
13,187
Volunteers
1,523

Preparer

Firm
Ernst & Young US Llp
Address
TWO N CENTRAL AVE STE 2300, PHOENIX, AZ 85004
Preparer
Patrick Shields
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 five 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-profit health system with five acute-care hospitals, six emergency departments - one of them a freestanding center in north Phoenix - and three Level I trauma centers. HonorHealth's mission is to improve the health and well-being of those we serve. HonorHealths five hospitals HAVE ACHIEVED Magnet DESIGNATION FROM the American Nurses Credentialing Center. This prestigious recognition ensures that patients receive the gold standard for nursing care, an honor earned by only 8 percent of the nation's hospitals. Magnet is considered the highest recognition for nursing excellence. The health system encompasses more than 11,100 employees, approximately 3,400 physicians on its medical staff and approximately 3,000 volunteers. HonorHealths hospital campuses are: HONORHEALTH John C. Lincoln Medical Center: With 262 beds, this hospital serves north central Phoenix, is a leader in robotic and scarless surgery and offers extensive cardiac imaging and heart services. An American College of Surgeons-verified Level I Trauma Center serving severely injured patients, the hospital also provides a care program for trauma patients age 60 and older. The hospital is a Cardiac Arrest Center certified by the Arizona Department of Health Services and a Primary Stroke Center. Other services include medical/surgical care; intensive care unit; cardiovascular intensive and progressive care; cardiac, orthopedic and cardiac surgery; neurosurgery; urology; neurology; reconstructive surgery, and inpatient and outpatient medical imaging. On the campus are: - Inpatient and outpatient rehabilitation services. - An outpatient surgery center. - A satellite Breast Health and Research Center. - A general surgery residency program. HONORHEALTH Deer Valley Medical Center: The 204-bed hospital serves the rapidly GROWING northern Phoenix area as well as communities to the north along Interstate 17, including Anthem, New River and Black Canyon City. Deer Valley Medical Center is a Cardiac Arrest Center certified by the Arizona Department of Health Services and a Primary Stroke Center. The facility provides a wide range of state-of-the-art inpatient and outpatient services including: a Level I trauma center; a care program for trauma patients age 60 and older; a children's emergency center and inpatient pediatric unit; a complete range of personalized inpatient and outpatient care; emergency care; a critical care unit; a progressive cardiac care unit; an orthopedic unit; cancer care; medical/surgical and telemetry units and AN outpatient surgery center. General surgery residents train here and at HONORHEALTH John C. Lincoln Medical Center. On the campus are: - The Breast Health and Research Center: Offers advanced diagnostic technology that includes 3-D digital mammography, an on-site MRI, bone density screenings, body composition assessments and care coordination. HONORHEALTH Scottsdale Osborn Medical Center: This 367-bed, full-service hospital is known for its trauma, orthopedics, neurosurgery, neurosciences, cardiovascular services and critical care. The hospital is an American College of Surgeons-verified Level I Trauma Center, a Cardiac Arrest Center certified by the Arizona Department of Health Services and a Primary Stroke Center. The hospital offers a complete range of personalized inpatient and outpatient care including medical/surgical care; emergency room; intensive care; cardiovascular intensive and progressive care; cardiac, orthopedic and cardiac surgery; neurosurgery; urology; cancer care; neurology; reconstructive surgery, inpatient and outpatient rehabilitation services, home healthcare, wound management, and inpatient and outpatient medical imaging. On the campus are: - A family birthing center and neonatal unit. - The Greenbaum Surgical Specialty Hospital, focusing on such general surgeries as ear, nose and throat, urology and gynecology. - A family

Form 990, Part XI, Line 9

Equity transfers (net) $ 14,685,908 change in value of hedge rate swap $ 200,907 ================================== ============ total $ 14,886,815

Financial Statement Notes

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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