Civic Intelligence

Honorhealth

990 • Fiscal year 2018 • EIN 86-0181654

Jan 01, 2018 to Dec 31, 2018 • Filed on Nov 13, 2019

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

63rd percentile

0.45x

Higher debt load relative to assets than 63% of similar nonprofits.

2018 filings • 501(c)3 • $1B+ nonprofits • Source year 2018

Liabilities / Revenue

36th percentile

0.50x

Higher debt load relative to revenue than 36% of similar nonprofits.

2018 filings • 501(c)3 • $1B+ nonprofits • Source year 2018

Net Margin

51st percentile

7.9%

Higher net margin than 51% of similar nonprofits.

2018 filings • 501(c)3 • $1B+ nonprofits • Source year 2018

Top Officer Pay

30th percentile

$1,075,176

Higher top officer pay than 30% of similar nonprofits.

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

2018 filings • 501(c)3 • $1B+ nonprofits • Source year 2018

Asset Growth

50th percentile

5.0%

Faster asset growth than 50% of similar nonprofits.

2018 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2017 to 2018

Revenue Growth

72nd percentile

11%

Faster revenue growth than 72% of similar nonprofits.

2018 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2017 to 2018

Assets

Up

$2,258,694,352

Up $107,976,407 (+5.0%) from 2017

Net Assets

Up

$1,242,980,003

Up $95,328,008 (+8.3%) from 2017

Liabilities

Up

$1,015,714,349

Up $12,648,399 (+1.3%) from 2017

Revenue

Up

$2,022,983,964

Up $205,417,240 (+11%) from 2017

Expenses

Up

$1,864,038,247

Up $91,111,148 (+5.1%) from 2017

Net Income

Up

$158,945,717

Up $114,306,092 (+256%) from 2017

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

2018

Assets$2,258,694,352
Liabilities$1,015,714,349
Net Assets$1,242,980,003

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

2018

Revenue$2,022,983,964
Expenses$1,864,038,247
Net Income$158,945,717
Jump To
Filing Snapshot
Filing Period
Jan 1, 2018 to Dec 31, 2018
Signed
Nov 13, 2019
Return Version
2018v3.1
Gross Receipts
$2,181,445,025
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$801,755,505$801,424,798▼ $330,707
Investments in Publicly Traded Securities$737,214,106$633,890,663▼ $103,323,443
Accounts Receivable$280,972,124$294,696,256▲ $13,724,132
Savings and Temporary Cash Investments$96,710,460$191,583,752▲ $94,873,292
Investments Other Securities$62,676,836$96,721,763▲ $34,044,927
Investments Program Related$0$61,262,098▲ $61,262,098
Inventories for Sale or Use$54,257,176$58,111,865▲ $3,854,689
Intangible Assets$18,038,112$16,981,198▼ $1,056,914
Prepaid Expenses and Deferred Charges$11,453,367$12,477,039▲ $1,023,672
Pledges and Grants Receivable$4,256,107$5,326,943▲ $1,070,836
Other Notes and Loans Receivable, Net$322,217$362,561▲ $40,344
Cash and Non-Interest-Bearing Accounts$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$2,150,717,945$2,258,694,352▲ $107,976,407
Other Assets Total$83,061,935$85,855,416▲ $2,793,481
Liabilities
Tax Exempt Bond Liabilities$641,174,681$627,408,959▼ $13,765,722
Accounts Payable and Accrued Expenses$178,235,160$206,748,229▲ $28,513,069
Mortgage Notes Payable Secured by Investment Property$87,522,147$88,481,480▲ $959,333
Other Liabilities$57,433,853$52,289,583▼ $5,144,270
Deferred Revenue$38,700,109$40,786,098▲ $2,085,989
Grants Payable$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Escrow Account Liability$0$0→ $0
Total Liabilities$1,003,065,950$1,015,714,349▲ $12,648,399
Net Assets / Fund Balance
Unrestricted Net Assets$1,140,401,952$1,235,880,694▲ $95,478,742
Temporarily Rstr Net Assets$3,875,696$3,724,962▼ $150,734
Permanently Rstr Net Assets$3,374,347$3,374,347→ $0
Total Net Assets Fund Balance$1,147,651,995$1,242,980,003▲ $95,328,008
Total Liabilities and Net Assets / Fund Balance$2,150,717,945$2,258,694,352▲ $107,976,407

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$379,860,894$820,375,504$1,200,236,398
Buildings$234,231,763$292,097,342$526,329,105
Land$111,553,615-$111,553,615
Other Land Buildings$52,596,539$36,651,648$89,248,187
Leasehold Improvements$23,181,987$21,313,406$44,495,393
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Todd LaPorteDirector/CEO, HonorhealthFT$850,240$224,936$1,075,176
DAVID RIZIK mdMedical DirectorFT$928,633$84,411$1,013,044
Rhonda ForsythFormer President-$891,912$891,912$891,912
JAMES SWAIN mdBariatric SurgeonFT$457,114$413,360$870,474
AMAR THOSANI mdGi PhysicianFT$591,569$173,894$765,463
JOHN NEIL mdSVP/chief Physician ExecutiveFT$618,389$142,189$760,578
MEHUL PATEL mdPhysicianFT$663,360$95,281$758,641
JOSEPH FARES mdPhysicianFT$664,594$81,960$746,554
Alice PopeSVP/CFOFT$598,134$110,733$708,867
Kimberly PostSVP/CEO Hospitals/CCOFT$573,475$122,995$696,470
Richard Silver MdSVP/CEO, Pop Health & CCOFT$558,559$121,248$679,807
Gary BakerSouthern Region Hospital CEOFT$518,510$127,437$645,947
Bruce PearsonFormer SVP/opp Strat & Trans-$571,818$571,818$571,818
Wendy CrawfordSVP/chief Hr & Mktg OfficerFT$451,360$116,107$567,467
STEPHANIE JACKSON mdSVP/chief Quality OfficerFT$459,174$84,244$543,418
David DamoreSVP/chief Legal Off(thru 9/18)FT$517,566$-13,928$503,638
Nathan AnspachFormer CEO, Physician Network-$500,261$500,261$500,261
David LamparterFormer VP/enterprise Proj Mgmt-$486,063$486,063$486,063
Jon BartlettFormer VP/CEO, Hh Jcl-$455,000$455,000$455,000
David PriceNorthern Region Hospital CEOFT$356,343$88,024$444,367
John Harrington JrFormer SVP/CEO, DVMC-$443,914$443,914$443,914
Shannon Fox FraserSVP/chief Legal Officer & GcFT$300,791$65,118$365,909
Charles ScullySVP/CIO (thru 9/18)FT$299,474$20,532$320,006
Glynn HollisChief Information OfficerFT$240,145$38,359$278,504
Alan KellyFormer SVP/chief Legal Officer-$111,465$111,465$111,465
Steve WheelerDirector/chair-$45,600-$45,600
Elena Sibley MD PCDirector-$45,403-$45,403
Drew BrownDirector-$42,560-$42,560
Frank PughDirector/vice Chair-$42,560-$42,560
Michael StanleyDirector-$42,560-$42,560
Pete HathawayDirector-$42,560-$42,560
Richard SilvermanDirector-$42,560-$42,560
Raymond BartonDirector-$41,420-$41,420
Margie TraylorDirector-$39,687-$39,687
John B GrottingDirector/secretary-$39,616-$39,616
Mike WelbornDirector-$38,045-$38,045
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
Richard FoxDirector-$38,000-$38,000
Maria Divina Soriano MDDIRECTOR (thru 10/18)-$12,400-$12,400

Highest Paid Contractors

ContractorServicesLocationCompensation
Az Center For Hematology OncologyMedical Services10460 N 92nd Street, Scottsdale, AZ 85258$19,239,437
Dpr ConstructionConstruction Svcs222 N 44th Street, Phoenix, AZ 85034$12,728,707
Barrow Neurosurgical Associates LtdMedical Services2910 N 3RD AVENUE, Phoenix, AZ 85013$3,914,188
Devenney Group LtdConstruction Svcs201 W Indian School Road, Phoenix, AZ 85013$3,285,214
Integrity Building CorpConstruction Svcs1150 N Country Club Drive, Mesa, AZ 85021$3,205,774
Revenue and Support

Revenue Composition

Contributions and Grants
$11,759,082
Program Service Revenue
$1,956,440,134
Investment Income
$51,470,932
Other Revenue
$3,313,816
Change in Net Assets
$158,945,717
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$969,793,218
Salaries, Compensation, and Employee Benefits$887,810,378
Grants and Similar Amounts Paid$6,434,651
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$604,515,343$114,974,472$0$719,489,815
Fees for Services Other$134,744,433$25,627,423$0$160,371,856
Depreciation Depletion$97,935,778$18,626,681$0$116,562,459
Other Employee Benefits$72,725,674$13,831,900$0$86,557,574
All Other Expenses$47,719,229$9,075,854-$56,795,083
Payroll Taxes$41,996,884$7,987,506$0$49,984,390
Occupancy$29,985,274$5,702,983$0$35,688,257
Information Technology$27,615,070$5,252,188$0$32,867,258
Interest$24,283,900$4,618,623$0$28,902,523
Other Expenses$21,349,338$4,060,491-$25,409,829
Pension Plan Contributions$18,569,709$3,531,825$0$22,101,534
Office Expenses$15,307,453$2,911,368$0$18,218,821
Insurance$7,597,438$1,444,978$0$9,042,416
Current Officers, Directors, Trustees, and Key Employees$0$8,442,973$0$8,442,973
Grants to Domestic Orgs$6,434,651--$6,434,651
Advertising$2,021,780$384,528$0$2,406,308
Fees for Service Investment Mgmnt Fees$0$1,764,885$0$1,764,885
Fees for Services Management$1,667,334$0$0$1,667,334
Fees for Services Accounting$0$1,531,150$0$1,531,150
Travel$1,247,163$237,201$0$1,484,364
Comp Disqual Persons$214,284$1,019,808$0$1,234,092
Fees for Services Legal$0$523,490$0$523,490
Fees for Services Lobbying$211,895$0$0$211,895
Total Functional Expenses$1,632,487,920$231,550,327$0$1,864,038,247
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Honorhealth FoundationScottsdale, AZ501(c)(3)Program Support$4,626,418
Neighborhood Outreach Access to HealthScottsdale, AZ501(c)(3)Program Support$1,200,000
Desert MIssion INCscottsdale, AZ501(c)(3)Program Support$463,833
Junior Achievement of ArizonaTempe, AZ501(c)(3)Program Support$15,000
Scottsdale Charros IncScottsdale, AZ501(c)(6)Program Support$12,500
American Heart AssociationDallas, TX501(c)(3)Program Support$11,500
Scottsdale Chamber of CommerceScottsdale, AZ501(c)(6)Program Support$6,500

International Summary

Spending
$44,768,003

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---$33,942,579
Central America and the CaribbeanProgram ServicesCaptive Insurance--$10,825,424
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 VPhysician ServicesNo$1,054,608
Maria RubioSister of Board MemberEmployee CompensationNo$105,985
Lee SilverDaughter of Key EmployeeEmployee CompensationNo$67,924
Lindsey WrightDaughter of Key EmployeeEmployee CompensationNo$40,375

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$26,133,153
Deferred Comp Reserve$22,077,437
Other Liabilities$2,303,387
Arizona Center for Cancer Care$1,572,500
Capital Lease$203,106

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$57,624,232$3,330,985
A$175,800,000$88,346,181$86,100,000$1,365,670
B$151,350,684$149,439,324$117,830,684$1,911,360
C$109,852,372$109,852,372$51,502,372$0
B$60,000,000$0$57,973,918$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 director tax & treasury and provided to an accounting firm that prepares the returns. An initial draft of the form 990 is submitted to the network controller, vp finance, general counsel and vp revenue cycle for review. Comments from those individuals are considered and incorporated into a final draft. The final draft is then made available to all board members and any changes from the board review are incorporated prior to filing.

Form 990, Part VI, Line 12C

HonorHealth monitors and enforces compliance with its conflict of interest policy through education and annual/ongoing reporting. Each year, HonorHealth conducts an annual conflict of interest review. This process requires all directors, officers and key employees to complete a conflict of interest disclosure statement. The Audit & Compliance Services Department will review all reported disclosures, discuss with and/or request additional information regarding any potential conflict from the disclosing party, if appropriate, and determine, in consultation with the HonorHealths General Counsel, whether a actual or perceived conflict of interest exists. If the reported disclosure can be managed in such a way that a conflict of interest does not present itself, or can be reasonably assured of such, the Audit & Compliance Services Department will derive a management plan to address it, which is shared with and agreed upon by the disclosing party. If the reported disclosure cannot be managed in such a way to avoid a conflict, the Audit & Compliance Services Department will discuss options for addressing the conflict with HonorHealths General Counsel, which may result in discontinuance of relationship with HonorHealth, removal from the Board or governing board committees, removal from an employment role, termination of a contractual agreement or other such actions to eliminate the conflict with HonorHealths business. The Audit & Compliance Committee of the HonorHealth Board receives an annual summary of all disclosed potential or actual conflicts to ensure they have been reviewed and processed in accordance with the HonorHealth conflict of interest policy.

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 2018.

Form 990, Part VI, Line 19

Documents are available for public inspection upon request to the honorhealth network 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
% Lisa Replogle
Phone
4805875113
Address
8125 N Hayden Road, Scottsdale, AZ 85258
Doing Business As
Honorhealth

Signing Officer

Name
Lisa Replogle
Title
VP Fin, Honorhealth
Phone
4808824000
Signed
2019-11-13
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Todd Laporte
Formed
1964
Legal Domicile
Az
Voting Board Members
17
Independent Board Members
16
Employees
13,681
Volunteers
1,646

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. Honorhealth's five acute care hospitals have achieved magnet designation from the american nurses credentialing center. This prestigious recognition ensures that patients receive the gold standard for nursing care, an honor earned by only 8 percent of the nation's hospitals. Magnet is considered the highest recognition for nursing excellence. The health system encompasses more than 13,600 employees, approximately 3,400 physicians on its medical staff and approximately 3,000 volunteers. Honorhealth's hospital campuses are: honorhealth john c. Lincoln medical center: with 262 beds, this hospital serves north central phoenix, is a leader in robotic and scarless surgery and offers extensive cardiac imaging and heart services. Recognized as an american college of surgeons-verified level i trauma center serving severely injured patients, the hospital also provides a care program for trauma patients age 60 and older. The hospital is a cardiac arrest center certified by the arizona department of health services and a primary stroke center. Other services include medical/surgical care; intensive care unit; cardiovascular intensive and progressive care; cardiac, orthopedic and cardiac surgery; neurosurgery; urology; neurology; reconstructive surgery, and inpatient and outpatient medical imaging. On the campus are: - inpatient and outpatient rehabilitation services - an outpatient surgery center - a satellite breast health and research center - a general surgery residency program honorhealth deer valley medical center: the 204-bed hospital serves the rapidly growing northern phoenix area as well as communities to the north along interstate 17, including anthem, new river and black canyon city. The hospital is home to the breast health and research center, which offers advanced diagnostic technology that includes 3-d digital mammography, an on-site mri, bone density screenings, body composition assessments and care coordination. Deer valley medical center is a cardiac arrest center certified by the arizona department of health services and a primary stroke center. The facility provides a wide range of state-of-the-art inpatient and outpatient services including: a level i trauma center; a care program for trauma patients age 60 and older; a children's emergency center and inpatient pediatric unit; a complete range of personalized inpatient and outpatient care; emergency care; a critical care unit; a progressive cardiac care unit; an orthopedic unit; cancer care; medical/surgical and telemetry units and an outpatient surgery center. General surgery residents train here and at honorhealth john c. Lincoln medical center. Honorhealth scottsdale osborn medical center: this 325-bed, full-service hospital is known for its trauma, orthopedics, neurosurgery, neurosciences, cardiovascular services and critical care. The hospital is an american college of surgeons-verified level i trauma center, a cardiac arrest center certified by the arizona department of health services and a primary stroke center. The hospital offers a complete range of personalized inpatient and outpatient care including medical/surgical care; emergency room; intensive care; cardiovascular intensive and progressive care; cardiac, orthopedic and cardiac surgery; neurosurgery; urology; cancer care; neurology; reconstructive surgery, inpatient and outpatient rehabilitation services, home healthcare, wound management, and inpatient and outpatient medical imaging. On the campus are: - a family birthing center and neonatal unit - the greenbaum surgical specialty hospital, focusing on such general surgeries such as ear, nose and throat,

Form 990, Part XI, Line 9

Change in value of hedge rate swap $ 4,722,630 equity transfers (net) $ 9,215 ================================== ============ total $ 4,731,845

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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