2023-11-13T18:13:55+00:00 2022-12-31 346565596 ERNST & YOUNG US LLP 2323 VICTORY AVENUE DALLAS TX 75219 990 2022-01-01 450233470 Banner Health BANN 6027474000 2901 N CENTRAL AVE SUITE 160 PHOENIX AZ 85012 PETER S FINE President & CEO 6027474000 2023-11-14 true Staci Dickerson 999009999 true Patrick Shields P01508556 2149698000 2023-11-13 2022 2023-04-26 12:10:37Z PETER S FINE 2901 N CENTRAL AVE SUITE 160 PHOENIX AZ 85012 8520719510 false X WWW.BANNERHEALTH.COM X 1938 AZ BANNER HEALTH'S NONPROFIT MISSION IS "MAKING HEALTH CARE EASIER, SO LIFE CAN BE BETTER". 14 13 57649 2941 79831214 50510119 167626134 120821227 8175020841 8203721447 404218375 165890888 4390027 4892274 8751255377 8495325836 24429369 32469535 0 0 4171821808 4041808812 0 0 0 3886736693 4053830595 8082987870 8128108942 668267507 367216894 14870303928 13723050138 7294797289 6729250098 7575506639 6993800040 BANNER HEALTH'S NONPROFIT MISSION IS "MAKING HEALTH CARE EASIER, SO LIFE CAN BE BETTER". false false 7336666719 32469535 8203721447 SEE SCHEDULE O 7336666719 true true false true false false false false false true false false true true true false true false false true false false false false false true true true true true true false false false false false false false false true false false false false false true true true true false false true X 2454 0 true 57649 true true true true CJ false false false false false false false false true false X 14 13 true false false false false false false true true false false true true true true true true true true true true CA X PAUL NOLDE-MORRISSEY 6027474000 2901 N CENTRAL AVE SUITE 160 PHOENIX AZ 85012 ANNE MARIUCCI DIRECTOR/VICE-CHAIR 6.0 0 X X 91500 0 0 PETER S FINE PRESIDENT & CEO 40.0 10.0 X X 8677920 0 5958340 QUENTIN P SMITH JR DIRECTOR/CHAIRMAN 6.0 0 X X 107500 0 0 CHRISTOPHER VOLK DIRECTOR 4.0 0 X 91500 0 0 DAVID KIKUMOTO DIRECTOR 4.0 0 X 91500 0 0 GILBERT DAVILA DIRECTOR 4.0 0 X 95000 0 0 JOHN KOSTER MD DIRECTOR 4.0 0 X 96500 0 0 LARRY S LAZARUS DIRECTOR 4.0 0 X 40500 0 0 MARC SCHMITTLEIN DIRECTOR 4.0 0 X 62250 0 0 MARK WALLACE DIRECTOR 4.0 0 X 84000 0 0 MICHAEL GARNREITER DIRECTOR 4.0 0 X 91500 0 0 STEVE LYNN DIRECTOR 4.0 0 X 91500 0 0 SUJATA GOSALIA DIRECTOR 4.0 0 X 84000 0 0 VICKI KEISER DIRECTOR 4.0 0 X 101500 0 0 AMY PERRY President/Chief Operating Officer 40.0 0 X 1136684 0 1646638 BRENDA SCHAEFER VP, TREASURY/TREASURER 40.0 2.0 X 615972 0 150772 DAVID BIXBY Chief Legal Officer/General Counsel 40.0 2.0 X 1364975 0 348343 DENNIS LARAWAY CHIEF FINANCIAL OFFICER 40.0 12.0 X 2565572 0 505840 DONALD NORDLUND CHIEF STRATEGY/GROWTH OFFICER 40.0 8.0 X 1564909 0 826897 ELIZABETH AVANT DIRECTOR LEGAL OPS/ASSISTANT SECRETARY 40.0 8.0 X 146583 0 11462 JEAN LANCE EVP, CHIEF LEGAL OFFICER & GENERAL COUNSEL 40.0 4.0 X 700956 0 430135 JULIE ALVARADO-DUBEK CHIEF HUMAN RESOURCES OFFICER 40.0 0 X 776968 0 446651 MARJORIE BESSEL MD CHIEF CLINICAL OFFICER 40.0 8.0 X 1675989 0 800391 NAOMI CRAMER CHIEF HUMAN RESOURCES OFFICER 40.0 0 X 922017 0 5443 REBECCA KUHN CHIEF OPERATING OFFICER 40.0 2.0 X 1499857 0 381989 DANIEL POST Chief Executive Officer - Large Facility 40.0 0 X 880414 0 240313 MARGO KARSTEN Division President 40.0 8.0 X 1036825 0 313788 TODD S WERNER DIVISION PRESIDENT 40.0 0 X 1688292 0 618903 ALEXANDRA MOREHOUSE MCREYNOLDS CHIEF MARKETING OFFICER 40.0 0 X 1072364 0 505461 ANTHONY FRANK SENIOR VP FINANCE 40.0 0 X 957479 0 322591 DEANNA WISE SENIOR VP & CHIEF INFORMATION OFFICER 40.0 0 X 1124671 0 360521 ERIC REIMAN CEO/CSO - BANNER RESEARCH 40.0 0 X 1034600 0 14705 FRANCISCO ARABIA PHYSICIAN EXECUTIVE - ADV HEART PROGRAM 40.0 0 X 1786451 0 109439 LAMONT YODER DIVISION PRESIDENT 40.0 0 X 974920 0 279039 CHARLES LEHN FORMER OFFICER 0.0 48.0 X 0 1050785 326797 33333168 1050785 14604458 6247 true true false MCKESSON CORPORATION 6555 State Highway 161 Irving TX 75039 Pharmaceutical 767666780 AMERICAN EXPRESS 200 Vesey Street New York NY 10285 Financial Services 173450916 BANK OF AMERICA 100 North Tyron St ste 170 Charlotte NC 28202 Financial Services 136899929 PROFESSIONAL RESPIRATORY CARE PO Box 671714 Dallas TX 75267 Healthcare Consulting 136122742 PROLINK HEALTHCARE LLC 99 Vanderbilt Beach Rd Ste 200 Naples FL 34108 Healthcare Consulting 123308495 1665 17593613 93002861 10224753 120821227 HEALTHCARE SERVICES 622110 8123894063 8123894063 PHARMACY 446110 13108814 13108814 LABORATORY 621500 59353516 59353516 MANAGEMENT SERVICES 561000 7365054 7365054 0 0 0 0 8203721447 114600723 3830 114596893 16557040 11664766 4892274 0 4892274 4892274 64667345 351728 13581911 146997 51085434 204731 51290165 51290165 0 0 0 0 0 8495325836 8123894063 79831214 170779332 32463535 32463535 6000 6000 0 0 63992259 56076417 7915842 1466145 1284783 181362 3382531163 2964112056 418419107 78840420 69087860 9752560 302278120 264886317 37391803 212700705 186389628 26311077 2565410 2248069 317341 3832334 3358274 474060 1782277 1561809 220468 3373034 2955789 417245 32169124 32169124 704512578 617364372 87148206 0 16694996 14629825 2065171 248796704 218020552 30776152 192721915 168882213 23839702 102327432 89669529 12657903 3320330 2909605 410725 136171 119327 16844 143349672 125617318 17732354 470657793 412437424 58220369 62466734 54739599 7727135 Medical Supplies 1696216042 1696216042 State Hospital Assessment 190051446 190051446 Provider Tax 39182597 39182597 Income Tax 23266049 20388039 2878010 116407957 102008294 14399663 0 8128108942 7336666719 791442223 0 660210656 200399016 362354211 199312076 0 0 1371132972 1355243445 0 0 0 0 66286225 73133696 317780775 348191269 110553426 111862670 8943014527 4796278271 4139055377 4146736256 6634773776 5882247386 -87867639 -186573636 0 298400226 298085195 997623923 1294412765 14870303928 13723050138 1108143201 958093288 0 0 467305846 34224429 3713140326 3594599101 0 0 0 0 1047841040 1258685976 0 0 958366876 883647304 7294797289 6729250098 X 7395379379 6815591201 180127260 178208839 7575506639 6993800040 14870303928 13723050138 X 367216894 -509724944 -123905007 -315293542 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 3012977 false true 360057 3373034 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY Banner Health engaged independent contractors to provide government relations and related consulting services for Banner Health. These contractors worked both with federal and state governments on issues important to Banner Health's charitable mission. In 2022, Banner Health paid $3,012,977 for these services and these amounts are reported on Line 1g. Banner Health maintains a Government Relations Department. $181,685 of the amount reported on this line is related to the services provided by the Government Relations Department in connection with state and local legislative activities including general lobbying at the state legislative level. $178,732 of the amount reported on this line is related to dues paid to various professional medical associations in which Banner Health holds membership. These associations have made a determination that a certain amount of the dues paid were used for lobbying activities. 284302438 284302438 1851414730 846614279 1004800451 85558029 91461194 -5903165 6248993776 3787249528 2461744248 472745554 70953270 401792284 4146736256 Due From Affiliates 743266060 Right of Use Asset 404106838 Bond Fund 105778110 Restricted Assets 32666010 Ceded Reserves 7588135 Other Assets 1007612 1294412765 LONG-TERM SWAPS 117920334 FINANCE LEASE OBLIGATION 137125302 457(B) LIABILITY 101108178 SELF-INSURANCE LIABILITIES 112915684 SERP LIABILITY 56995433 CP FINANCE LEASE OBLIGATION 53678442 THIRD PARTY SETTLEMENTS 28687948 MISCELLANEOUS LIABILITIES 275215983 883647304 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote BH IS A NONPROFIT CORPORATION EXEMPT FROM INCOME TAXES UNDER INTERNAL REVENUE SERVICE CODE SECTION 501(c)(3). BH HAS NOT RECORDED ANY EXPENSE OR ACCRUED FOR ANY RELATED EXPENSE FOR ANY UNCERTAIN TAX POSITIONS. Central America and the Caribbean 0 0 Investments 848083967 0 0 0 0 0 0 848083967 0 848083967 true false true true true false Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements CENTRAL AMERICA AND THE CARIBBEAN-Accrual true true X true X true X true true true false true true 122151036 122151036 0.0150 1693342083 1313450562 379891521 0.0467 0 0.0 0 0 1815493119 1313450562 502042557 0.0618 9317355 75369 9241986 0.0011 155361604 52857714 102503890 0.0126 35297756 1073503 34224253 0.0042 72864117 56206686 16657431 0.0020 4112451 4112451 0.0005 0 0 276953283 110213272 166740011 0.0205 0 0 2092446402 1423663834 668782568 0.0823 0 0.0 38303 38303 0.0000 15573 15573 0.0000 353 353 0.0000 0 0.0 66555 66555 0.0000 38906 38906 0.0000 321275 321275 0.0000 0 0.0 0 0 480965 0 480965 0.0001 false 31960064 4794010 1388239870 1365910725 22329145 X true true LOVELAND ENDOSCOPY CENTER ENDOSCOPY CENTER 0.25 0.0 0.75 PHOENIX-TUCSON INTER NEPHROLOGY CENTER NEPHROLOGY CENTER 0.33 0.0 0.67 BANNERCORE ORTHOPEDIC HEALTHCARE HEALTHCARE MANAGEMENT 0.5 0.0 0.5 BHSM REHABILITATION LLC REHABILITATION 0.51 0.0 0.49 BANNER ATLAS JV LLC AMBULATORY SURGERY CENTER 0.75 0.0 0.25 BANNER ATLAS JV TEMPE LLC AMBULATORY SURGERY CENTER 0.38 0.0 0.49 BANNER SURGERY CENTER - UNION HILLS AMBULATORY SURGERY CENTER 0.38 0.0 0.49 BANNER SURGERY CENTER - PEORIA AMBULATORY SURGERY CENTER 0.39 0.0 0.48 SURGERY CENTER OF MESA LLC AMBULATORY SURGERY CENTER 0.5 0.0 0.33 BANNER ENTICARE TEMPE SURGERY CENTER AMBULATORY SURGERY CENTER 0.2 0.0 0.74 BANNER SURGERY CENTER - ALVERNON LLC AMBULATORY SURGERY CENTER 0.4 0.0 0.46 Queen Creek Surgical Center LLC AMBULATORY SURGERY CENTER 0.38 0.0 0.49 BANNER SURGERY CENTER - THUNDERBIRD AMBULATORY SURGERY CENTER 0.4 0.0 0.46 BCC CHANDLER LLC AMBULATORY SURGERY CENTER 0.75 0.0 0.0 Banner NOCO Endoscopy JV LLC ENDOSCOPY CENTER 0.75 0.0 0.0 Banner Mesa Surgery Center LLC AMBULATORY SURGERY CENTER 0.38 0.0 0.49 BannerAir MEDICAL TRANSPORTATION 0.51 0.0 0.0 Phoenix Orthopaedic Ambulatory Center LLC AMBULATORY SURGERY CENTER 0.23 0.0 0.49 BSC Gateway Holding Company LLC AMBULATORY SURGERY CENTER 0.45 0.0 0.4 BSC 1 LLC (Banner Surgery Center - Ironwood) AMBULATORY SURGERY CENTER 0.39 0.0 0.48 Surgery Center At River Road LLC AMBULATORY SURGERY CENTER 0.38 0.0 0.49 BSC Biltmore LLC AMBULATORY SURGERY CENTER 0.52 0.0 0.3 BCC West Valley AMBULATORY SURGERY CENTER 0.38 0.0 0.49 Banner West Valley Cardio Management CARDIOLOGY MEDICAL SERVICES 0.5 0.0 0.0 Banner Ortho Management LLC ORTHOPEDIC MEDICAL SERVICES 0.5 0.0 0.0 Surgery Center of Loveland LLC AMBULATORY SURGERY CENTER 0.38 0.0 0.49 BSC 3 AMBULATORY SURGERY CENTER 0.75 0.0 0.0 BSC Casa Grande AMBULATORY SURGERY CENTER 0.75 0.0 0.0 Banner Surgery Center - Chandler AMBULATORY SURGERY CENTER 0.4 0.0 0.47 BSC Reid Park AMBULATORY SURGERY CENTER 0.75 0.0 0.0 Banner Surgery Center - BSC Central Phoenix AMBULATORY SURGERY CENTER 0.38 0.0 0.49 North Scottsdale Ambulatory Surgery Center AMBULATORY SURGERY CENTER 0.38 0.0 0.49 Optimum Surgical Center LLC (Deer Valley) AMBULATORY SURGERY CENTER 0.38 0.0 0.49 BSC Arcadia AMBULATORY SURGERY CENTER 0.75 0.0 0.0 BSC Shea Park AMBULATORY SURGERY CENTER 0.75 0.0 0.0 32 1 BANNER - UNIV MEDICAL CENTER PHOENIX 1111 E MCDOWELL ROAD PHOENIX AZ 85006 WWW.BANNERHEALTH.COM H0016 X X X X A 2 BANNER - UNIV MEDICAL CENTER TUCSON 1501 N CAMPBELL AVENUE TUCSON AZ 85724 WWW.BANNERHEALTH.COM H7035 X X X X X X B 3 BANNER DESERT MEDICAL CENTER 1400 S DOBSON ROAD MESA AZ 85202 WWW.BANNERHEALTH.COM H0137 X X X X A 4 BANNER THUNDERBIRD MEDICAL CENTER 5555 W THUNDERBIRD STREET GLENDALE AZ 85304 WWW.BANNERHEALTH.COM H0092 X X X A 5 BANNER GATEWAY MEDICAL CENTER 1900 S RIGLEY ROAD GILBERT AZ 85234 WWW.BANNERHEALTH.COM H4237 X X X A 6 BANNER ESTRELLA MEDICAL CENTER 9201 W THOMAS ROAD PHOENIX AZ 85037 WWW.BANNERHEALTH.COM H3690 X X X A 7 BANNER DEL E WEBB MEDICAL CENTER 14502 W MEEKER BOULEVARD SUN CITY WEST AZ 85375 WWW.BANNERHEALTH.COM H4434 X X X A 8 BANNER BOSWELL MEDICAL CENTER 10401 W THUNDERBIRD ROAD SUN CITY AZ 85351 WWW.BANNERHEALTH.COM H4436 X X X A 9 NORTH COLORADO MEDICAL CENTER 1801 16TH STREET GREELEY CO 80631 WWW.BANNERHEALTH.COM 10386 X X X X A 10 BANNER BAYWOOD MEDICAL CENTER 6644 E BAYWOOD AVENUE MESA AZ 85206 WWW.BANNERHEALTH.COM H0155 X X X A 11 BANNER - UNIV MEDICAL CENTER SOUTH 2800 E AJO WAY TUCSON AZ 85713 WWW.BANNERHEALTH.COM H7034 X X X X X B 12 BANNER HEART HOSPITAL 6750 E BAYWOOD AVENUE MESA AZ 85206 WWW.BANNERHEALTH.COM SH3034 X X A 13 BANNER CASA GRANDE MEDICAL CENTER 1800 E FLORENCE BOULEVARD CASA GRANDE AZ 85122 WWW.BANNERHEALTH.COM H6592 X X X C 15 BANNER IRONWOOD MEDICAL CENTER 37000 N GANTZEL ROAD SAN TAN VALLEY AZ 85142 WWW.BANNERHEALTH.COM H4946 X X X C 14 MCKEE MEDICAL CENTER 2000 BOISE AVENUE LOVELAND CO 80538 WWW.BANNERHEALTH.COM 10340 X X A 16 BANNER OCOTILLO MEDICAL CENTER 1405 S ALMA SCHOOL ROAD CHANDLER AZ 85286 WWW.BANNERHEALTH.COM H10461 X X X A 17 STERLING REGIONAL MEDICAL CENTER 615 FAIRHURST STREET STERLING CO 80751 WWW.BANNERHEALTH.COM 10140 X X X A 20 BANNER CHURCHILL COMMUNITY HOSPITAL 801 E WILLIAMS AVENUE FALLON NV 89406 WWW.BANNERHEALTH.COM 638RUH-29 X X X A 21 BANNER FORT COLLINS MEDICAL CENTER 4700 LADY MOON DRIVE FORT COLLINS CO 80528 WWW.BANNERHEALTH.COM O1K608 X X X A 18 BANNER PAYSON MEDICAL CENTER 807 S PONDEROSA STREET PAYSON AZ 85072 WWW.BANNERHEALTH.COM H7250 X X X A 22 BANNER LASSEN MEDICAL CENTER - CRITICAL ACCESS 1800 SPRING RIDGE DRIVE SUSANVILLE CA 96130 WWW.BANNERHEALTH.COM 230000020 X X X X A 19 BANNER BEHAVIORAL HEALTH HOSPITAL 7575 E EARLL DRIVE SCOTTSDALE AZ 85251 WWW.BANNERHEALTH.COM SH0147 X BEHAVIORAL HEALTH HOSPITAL A 23 EAST MORGAN COUNTY HOSPITAL - CRITICAL ACCESS 2400 EDISON STREET BRUSH CO 80723 WWW.BANNERHEALTH.COM 25017J X X X X A 31 BANNER REHAB HOSPITAL - WEST 12740 NORTH PLAZA DEL RIO BOULEVARD PEORIA AZ 85381 WWW.BANNERHEALTH.COM SH10354 X REHABILITATION CENTER A 24 COMMUNITY HOSPITAL - TORRINGTON - CRITICAL ACCESS 2000 CAMPBELL DRIVE TORRINGTON WY 82240 WWW.BANNERHEALTH.COM 0713060 X X X X A 25 WASHAKIE MEDICAL CENTER - CRITICAL ACCESS 400 S 15TH STREET WORLAND WY 82401 WWW.BANNERHEALTH.COM 10250 X X X X A 27 BANNER GOLDFIELD MEDICAL CENTER 2050 W SOUTHERN AVENUE APACHE JUNCTION AZ 85120 WWW.BANNERHEALTH.COM H5738 X X X C 30 BANNER REHAB HOSPITAL - PHOENIX 775 E WILLETTA STREET PHOENIX AZ 85006 WWW.BANNERHEALTH.COM SH10446 X REHABILITATION CENTER A 26 PAGE HOSPITAL - CRITICAL ACCESS 501 N NAVAJO DRIVE PAGE AZ 86406 WWW.BANNERHEALTH.COM H0086 X X X X A 28 PLATTE COUNTY MEMORIAL HOSPITAL 201 14TH STREET WHEATLAND WY 82201 WWW.BANNERHEALTH.COM 0713060 X X X X A 29 OGALLALA COMMUNITY HOSPITAL 2601 N SPRUCE STREET OGALLALA NE 69153 WWW.BANNERHEALTH.COM 470001 X X X X A 32 BANNER REHAB HOSPITAL-EAST 1702 South Pierpont Drive Mesa AZ 85206 WWW.BANNERHEALTH.COM H11616 X REHABILITATION CENTER A false false true X X X X X X X X X X 22 true false false true X https://www.bannerhealth.com/staying-well/community/health-needs-assessments-report X true 22 true https://www.bannerhealth.com/staying-well/community/health-needs-assessments-report false true X 200.0 200.0 X X true true X X X true X https://www.bannerhealth.com/patients/billing/financial-assistance X https://www.bannerhealth.com/patients/billing/financial-assistance X https://www.bannerhealth.com/patients/billing/financial-assistance X X X X X X X true X false X X X X true X false false B false false true X X X X X X X X X X 22 true true true true X https://www.bannerhealth.com/staying-well/community/health-needs-assessments-report X true 22 true https://www.bannerhealth.com/staying-well/community/health-needs-assessments-report false true X 200.0 200.0 X X true true X X X true X https://www.bannerhealth.com/patients/billing/financial-assistance X https://www.bannerhealth.com/patients/billing/financial-assistance X https://www.bannerhealth.com/patients/billing/financial-assistance X X X X X X X true X false X X X X true X false false C false false true X X X X X X X X X X 20 true false false true X https://www.bannerhealth.com/staying-well/community/health-needs-assessments-report X true 20 true https://www.bannerhealth.com/staying-well/community/health-needs-assessments-report false true X 200.0 200.0 X X true true X X X true X https://www.bannerhealth.com/patients/billing/financial-assistance X https://www.bannerhealth.com/patients/billing/financial-assistance X https://www.bannerhealth.com/patients/billing/financial-assistance X X X X X X X true X false X X X X true X false false BANNER REHAB HOSPITAL-EAST 32 true true true X X X X X X X X X X 22 true false false true X https://www.bannerhealth.com/staying-well/community/health-needs-assessments-report X true 22 true https://www.bannerhealth.com/staying-well/community/health-needs-assessments-report false true X 200.0 200.0 X X true true X X X true X https://www.bannerhealth.com/patients/billing/financial-assistance/banner-rehabilitation-hospital X https://www.bannerhealth.com/patients/billing/financial-assistance/banner-rehabilitation-hospital X https://www.bannerhealth.com/patients/billing/financial-assistance/banner-rehabilitation-hospital X X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3E Based on data and information gathered through the CHNA process, the following represents the three 2022 prioritized health needs: 1. Access to Care 2. Chronic Disease Management 3. Behavioral Health Schedule H, Part V, Section B, Line 3 Facility A, 1 Facility A, 1 - APPLIES TO ALL HOSPITAL FACILITIES IN FACILITY REPORTING GROUP A:. The CHNA for each facility in Facility Group A includes: - Executive Summary - Introduction and Purpose of CHNA - Banner Health Overview - Banner Health Covid Impact Statement - Service Area Description - Local, County, Etc. - Available Resources - Facility Inpatient Origin by Zip Code - Community Demographics - Process and Methods for Conducting CHNA - Banner Health CHNA Organizational Structure - Data Sources - Data Limitations and Information Gaps - Prioritization of Community Health Needs - Descriptions of Prioritized Health Needs - Unprioritized Needs - 2019 CHNA Follow-Up and Review - List of Data Sources - Focus Group Discussion Schedules and Questions - List of Steering Committee and Additional Stakeholders - List of external Stakeholders - List of Community Engagement Partners 1) BANNER UNIVERSITY MEDICAL CENTER - PHOENIX Banner - University Medical Center Phoenix - (B-UMCP), a Level 1 trauma and accredited teaching hospital is in the heart of downtown Phoenix. The hospital, recognized byU.S. News and World Reportas one of the nation's best hospitals, specializes in heart care, cancer care, high-risk obstetrics, orthopedics, neurosciences and stroke care, organ transplants and Emergency care. The demographic area for this Community Health Needs Assessment (CHNA) is Maricopa County, the common community for all partners participating in the SYNAPSE coalition collaborative. Maricopa County is the fourth most populous county in the United States. With an estimated population of four million and growing, Maricopa County is home to well over half of Arizona's residents and encompasses 9,224 square miles, includes twenty-seven cities and towns, as well as the whole or part of five sovereign American Indian reservations. The primary service area (PSA) information for B-UMCP includes the zip codes making up the top 75% of the total inpatient cases. The PSA includes all residents in a defined geographic area surrounding the hospital and does not exclude low-income, uninsured, or underserved populations. 3) BANNER DESERT MEDICAL CENTER Banner Desert Medical Center (Banner Desert) is considered a flagship of Banner Health and one of the largest and most comprehensive facilities in Arizona. U.S. News & World Report ranks Banner Desert one of the leading hospitals in the East Valley and Phoenix. As one of the largest acute care facilities in the East Valley, Banner Desert offers state-of-the-art technology in all departments, from four da Vinci Surgical robots to 3D cancer technology. The demographic area for this CHNA is Maricopa County, the common community for all partners participating in the SYNAPSE coalition collaborative. Maricopa County is the fourth most populous county in the United States. With an estimated population of four million and growing, Maricopa County is home to well over half of Arizona's residents and encompasses 9,224 square miles, includes twenty-seven cities and towns, as well as the whole or part of five sovereign American Indian reservations. Banner Desert's PSA includes the zip codes making up the top 75% of the total inpatient cases. The PSA includes all residents in a defined geographic area surrounding the hospital and does not exclude low-income, uninsured, or underserved populations. 4) BANNER THUNDERBIRD MEDICAL CENTER Banner Thunderbird Medical Center (Banner Thunderbird) serves the northwestern part of metropolitan Phoenix, including west Phoenix, Glendale, Peoria and unincorporated areas of Maricopa County, a market area with more than 966,000 residents. Banner Thunderbird is consistently ranked as one of the top hospitals in the Phoenix areafor quality by bothU.S. News & World ReportandRanking Arizonamagazine.In addition, Banner Thunderbird is Joint Commission accredited and has been designated as a Primary Stroke Center by the JointCommission. The demographic area for this CHNA is Maricopa County, the common community for all partners participating in the SYNAPSE coalition collaborative. Maricopa County is the fourth most populous county in the United States. With an estimated population of four million and growing, Maricopa County is home to well over half of Arizona's residents. Maricopa County encompasses 9,224 square miles, includes twenty-seven cities and towns, as well as the whole or part of five sovereign American Indian reservations. Banner Thunderbird's immediate service area includes a diverse population, with greater than 25 percent of the population being pediatric (0-17) and approximately 12 percent of the population age 65 or older. The primary service area (PSA) information for Banner Thunderbird includes the zip codes making up the top 75% of the total inpatient cases. The PSA includes all residents in a defined geographic area surrounding the hospital and does not exclude low-income, uninsured, or underserved populations. 5) BANNER GATEWAY MEDICAL CENTER Banner Gateway Medical Center (Banner Gateway) is a comprehensive acute care hospital serving patients in the East Valley of metropolitan Phoenix, including the communities of Gilbert, Queen Creek, Chandler, Mesa, andfrom across the Southwest for cancer care. The demographic area for this CHNA is Maricopa County, the common community for all partners participating in the SYNAPSE coalition collaborative. Maricopa County is the fourth most populous county in the United States. With an estimated population of four million and growing, Maricopa County is home to well over half of Arizona's residents. Maricopa County encompasses 9,224 square miles and includes twenty-seven cities and towns, as well as the whole or part of five sovereign American Indian reservations. Although the population served by Banner Gateway in Arizona extends beyond the county line and the borders of the state,most patients are located within Maricopa County. The remaining percentage of Banner Gateway patients are from the remaining zip codes in Arizona, the surrounding states of the Southwest and a smaller, yet significant number of international patients. The primary service area (PSA) information for Banner Gateway includes the zip codes making up the top 75% of the total inpatient cases. The PSA includes all residents in a defined geographic area surrounding the hospital and does not exclude low-income, uninsured, or underserved populations. 6) BANNER ESTRELLA MEDICAL CENTER Banner Estrella Medical Center (Banner Estrella) is a state-of-the-art comprehensive acute care hospital serving patients in the rapidly growing West Valley communities of Avondale, Buckeye, Glendale, Goodyear, Litchfield Park, Peoria, Surprise, Tolleson, and west Phoenix. The demographic area for this CHNA is Maricopa County, the common community for all partners participating in the SYNAPSE coalition collaborative. Maricopa County is the fourth most populous county in the United States. With an estimated population of four million and growing, Maricopa County is home to well over half of Arizona's residents. Maricopa County encompasses 9,224 square miles, includes twenty-seven cities and towns, as well as the whole or part of five sovereign American Indian reservations. The primary service area (PSA) information for Banner Estrella includes the zip codes making up the top 75% of the total inpatient cases. The PSA includes all residents in a defined geographic area surrounding the hospital and does not exclude low-income, uninsured, or underserved populations. 7) BANNER DEL WEBB MEDICAL CENTER Banner Del Webb Medical Center (Banner Del Webb) primarily serves the northwestern part of metropolitan Phoenix, including the Sun Cities, Surprise, northern Peoria, and unincorporated areas of Maricopa County. The demographic area for this CHNA is Maricopa County, the common community for all partners participating in the SYNAPSE coalition collaborative. Maricopa County is the fourth most populous county in the United States. With an estimated population of four million and growing, Maricopa County is home to well over half of Arizona's residents and encompasses 9,224 square miles, includes twenty-seven cities and towns, as well as the whole or part of five sovereign American Indian reservations. Banner Del Webb's primary service area (PSA) includes the zip codes making up the top 75% of the total inpatient cases. The population within the primary service area has grown increasingly diverse, with approximately 23 percent of the population being pediatric (0-17) and greater than 28 percent of the population age 65 or older and does not exclude low-income, uninsured, or underserved populations. The PSA includes all residents in a defined geographic area surrounding the hospital and does not exclude low-income, uninsured, or underserved populations. Schedule H, Part V, Section B, Line 3 Facility A, 2 Facility A, 2 - APPLIES TO ALL HOSPITAL FACILITIES IN FACILITY REPORTING GROUP A. 8) BANNER BOSWELL MEDICAL CENTER Banner Boswell Medical Center (Banner Boswell) primarily serves the complex needs of patients in the West Valley of metropolitan Phoenix and beyond northwestern part of metropolitan Phoenix. Banner Boswell was the first Joint Commission Certified Primary Stroke Center in the West Valley and continues to serve the community's neurosciences needs and given the senior population comprises so much of Banner Boswell's inpatient and emergency department visits, the medical center is a designated N.I.C.H.E. (Nurses Improving Care for Health System Elders) facility, indicating the commitment to excellence in meeting the unique needs of seniors. The demographic area for this CHNA is Maricopa County, the common community for all partners participating in the SYNAPSE coalition collaborative. Maricopa County is the fourth most populous county in the United States. With an estimated population of four million and growing, Maricopa County is home to well over half of Arizona's residents. Maricopa County encompasses 9,224 square miles, includes twenty-seven cities and towns, as well as the whole or part of five sovereign American Indian reservations. The primary service area (PSA) information for Banner Boswell includes the zip codes making up the top 75% of the total inpatient cases. The PSA includes all residents in a defined geographic area surrounding the hospital. 9) NORTH COLORADO MEDICAL CENTER North Colorado Medical Center (NCMC) is located fifty miles north of Denver, within north central Colorado, in Greeley, the county seat of Weld County. NCMC serves Weld County, northern Colorado, and the surrounding multistate region. Greeley is a Home Rule Municipality, the county seat, and the most populous municipality of Weld County. NCMC is recognized as a certified Advanced Primary Stroke Center by The Joint Commission. The hospital has received many recognitions for its stroke program including the American Heart Association's Gold Plus Get with The Guidelines Stroke quality achievement award for commitment to ensuring stroke patients receive the most appropriate treatment according to nationally recognized, research-based guidelines. The primary service area (PSA) information for NCMC includes the zip codes making up the top 75% of the total inpatient cases. The PSA includes all residents in a defined geographic area surrounding the hospital and does not exclude low-income, uninsured, or underserved populations. 10) BANNER BAYWOOD MEDICAL CENTER Banner Baywood Medical Center (Banner Baywood) primarily serves the varied health care needs of the growing far East Valley of metropolitan Phoenix, including the communities of Mesa, Gilbert, Apache Junction, Queen Creek and Fountain Hills as well as the northeastern portion of Pinal County. Due to Banner Baywood's proximity to senior living communities throughout the East Valley, more than half of all their patients are age 65 and older. The demographic area for this CHNA is Maricopa County, the common community for all partners participating in the SYNAPSE coalition collaborative. Maricopa County is the fourth most populous county in the United States. With an estimated population of four million and growing, Maricopa County is home to well over half of Arizona's residents and encompasses 9,224 square miles, includes twenty-seven cities and towns, as well as the whole or part of five sovereign American Indian reservations. The primary service area (PSA) information for Banner Baywood includes the zip codes making up the top 75% of the total inpatient cases. The PSA includes all residents in a defined geographic area surrounding the hospital and does not exclude low-income, uninsured, or underserved populations. 12) BANNER HEART HOSPITAL Banner Heart Hospital is a specialty care hospital focused on providing specialty cardiovascular care and one of the largest freestanding heart hospitals in the nation. Adjacent to Banner Baywood Medical Center the hospital is a referral center for complex cardiacand vascularcases. The demographic area for this CHNA is Maricopa County, the common community for all partners participating in the SYNAPSE coalition collaborative. Maricopa County is the fourth most populous county in the United States. With an estimated population of four million and growing, Maricopa County is home to well over half of Arizona's residents and encompasses 9,224 square miles, includes twenty-seven cities and towns, as well as the whole or part of five sovereign American Indian reservations. The primary service area (PSA) information for Banner Heart Hospital includes the zip codes making up the top 75% of the total inpatient cases. The PSA includes all residents in a defined geographic area surrounding the hospital and does not exclude low-income, uninsured, or underserved populations. 14) MCKEE MEDICAL CENTER McKee Medical Center (McKee) is an acute care hospital located within northern Larimer County. McKee Medical Center serves Loveland and Larimer County, leveraging the latest medical technologies to ensure safer, better care for patients. Loveland is the second largest city in Larimer County and is located just south of Fort Collins, its larger neighbor, and the county seat. The primary service area (PSA) information for McKee includes the zip codes making up the top 75% of the total inpatient cases. The PSA includes all residents in a defined geographic area surrounding the hospital and does not exclude low-income, uninsured, or underserved populations. 16) BANNER OCOTILLO MEDICAL CENTER Banner Ocotillo Medical Center (Banner Ocotillo) is an acute care medical center, located in Chandler, Arizona, which provides hospital services to the communities of Chandler, Gilbert, and Ahwatukee. The demographic area for this CHNA is Maricopa County, the common community for all partners participating in the SYNAPSE coalition collaborative. Maricopa County is the fourth most populous county in the United States. With an estimated population of four million and growing, Maricopa County is home to well over half of Arizona's residents. Maricopa County encompasses 9,224 square miles, includes twenty-seven cities and towns, as well as the whole or part of five sovereign American Indian reservations. The primary service area (PSA) information for Banner Ocotillo includes the zip codes making up the top 75% of the total inpatient cases. The PSA includes all residents in a defined geographic area surrounding the hospital and does not exclude low-income, uninsured, or underserved populations. 17) STERLING REGIONAL MEDICAL CENTER Sterling Regional Medical Center is located within northeastern Colorado in the northeast corner of Colorado in the South Platte River Valley and primarily serves the cities of Sterling and Akron, as well as Logan County. The primary service area (PSA) information for Sterling Regional Medical Center includes the zip codes making up the top 75% of the total inpatient cases. The PSA includes all residents in a defined geographic area surrounding the hospital and does not exclude low-income, uninsured, or underserved populations. 18) BANNER PAYSON MEDICAL CENTER Banner Payson Medical Center (Banner Payson) is located at the foothills of the Mogollon Rim, in Gila County, Arizona. Serving the town of Payson as well as Gila County, Banner Payson leverages the latest medical technologies to ensure safer, better care for patients. Nestled between the Sierra Ancha and Mazatzal Mountain Ranges the hospital patient population extends across Gila County, with patients coming from Navajo and Apache County as well. The primary service area (PSA) information for Banner Payson includes the zip codes making up the top 75% of the total inpatient cases. The PSA includes all residents in a defined geographic area surrounding the hospital and does not exclude low-income, uninsured, or underserved populations. Schedule H, Part V, Section B, Line 3 Facility A, 3 Facility A, 3 - APPLIES TO ALL HOSPITAL FACILITIES IN FACILITY REPORTING GROUP A. 19) BANNER BEHAVIORAL HEALTH HOSPITAL Banner BehavioralHealth Hospital is in Scottsdale, Arizona and offers nationally recognized, behavioral health care programsfor children, teens and adultsfaced withpsychiatric orchemical dependency challenges. The demographic area for this CHNA is Maricopa County, the common community for all partners participating in the SYNAPSE coalition collaborative. Maricopa County is the fourth most populous county in the United States. With an estimated population of four million and growing, Maricopa County is home to well over half of Arizona's residents and. Maricopa County encompasses 9,224 square miles, includes twenty-seven cities and towns, as well as the whole or part of five sovereign American Indian reservations. The primary service area (PSA) information for Banner Behavioral Health includes the zip codes making up the top 75% of the total inpatient cases. The PSA includes all residents in a defined geographic area surrounding the hospital and does not exclude low-income, uninsured, or underserved populations. 20) BANNER CHURCHILL COMMUNITY HOSPITAL Banner Churchill Community Hospital (Banner Churchill), a critical access hospital located within western Nevada, in Fallon, the county seat of Churchill County serves the cities of Fallon and Fernley as well as Churchill County. Fallon is a remote city located about sixty miles east of Reno. The primary service area (PSA) information for Banner Churchill includes the zip codes making up the top 75% of the total inpatient cases. The PSA includes all residents in a defined geographic area surrounding the hospital and does not exclude low-income, uninsured, or underserved populations. 21) BANNER FORT COLLINS MEDICAL CENTER Banner Fort Collins Medical Center (Banner Fort Collins) is located within northern Colorado, in Larimer County. The city of Fort Collins is the county seat and most populous municipality in the county. It is nestled at the base of the Rocky Mountains and alongside the banks of the Cache La Poudre River. The primary service area (PSA) information for Banner Fort Collins includes the zip codes making up the top 75% of the total inpatient cases. The PSA includes all residents in a defined geographic area surrounding the hospital and does not exclude low-income, uninsured, or underserved populations. 22) BANNER LASSEN MEDICAL CENTER - CRITICAL ACCESS Banner Lassen Medical Center (Banner Lassen) is in the northeast corner of California in. Susanville, California. This facility serves the city of Susanville and Lassen County with advanced technology not typical of a facility of its size. Lassen County encompasses 4,541 square miles. The county is approximately the size of the state of Connecticut. The geography is extremely varied, with volcanic mountains in the west, the Modoc Plateau volcanic uplands in the center, and basin and range land in the east. Part of Lassen Volcanic National Park is included in Lassen County. Susanville is the only incorporated city in the county and 70 percent of whom reside in the city of Susanville. It must be noted that nearly 30 percent of the population is incarcerated in one of the state or federal prisons located in Lassen County. The primary service area (PSA) information for Banner Lassen includes the zip codes making up the top 75% of the total inpatient cases. The PSA includes all residents in a defined geographic area surrounding the hospital and does not exclude low-income, uninsured, or underserved. 23) EAST MORGAN COUNTY HOSPITAL East Morgan County Hospital (East Morgan) is a critical access hospital located within northeastern Colorado, in Morgan County. Ninety miles northeast of Denver on Colorado's high plains, East Morgan leverages the latest medical technologies to ensure safer, better care for patients. The primary service area (PSA) information for East Morgan County Hospital includes the zip codes making up the top 75% of the total inpatient cases. The PSA includes all residents in a defined geographic area surrounding the hospital and does not exclude low-income, uninsured, or underserved populations. 24) COMMUNITY HOSPITAL - TORRINGTON - CRITICAL ACCESS Community Hospital Torrington is a critical access hospital l in Torrington, Wyoming in Goshen County. Located in Torrington in southeastern Wyoming along the Nebraska border, Torrington is situated on the historic Mormon Trail and near the Oregon and California Trails. It is the county seat of Goshen County. The primary service area (PSA) information for Community Hospital Torrington includes the zip codes making up the top 75% of the total inpatient cases. The PSA includes all residents in a defined geographic area surrounding the hospital and does not exclude low-income, uninsured, or underserved populations. 25) WASHAKIE MEDICAL CENTER - CRITICAL ACCESS Washakie Medical Center (Washakie) is an 18-bed critical access licensed hospital located within Worland, Wyoming, in Washakie. Located in the Big Horn Basin at the base of the foothills west of Wyoming's Big Horn Mountains, in Worland, the county seat of Washakie County. The primary service area (PSA) information for Washakie includes the zip codes making up the top 75% of the total inpatient cases. The PSA includes all residents in a defined geographic area surrounding the hospital and does not exclude low-income, uninsured, or underserved populations. Schedule H, Part V, Section B, Line 3 Facility A, 4 Facility A, 4 - APPLIES TO ALL HOSPITAL FACILITIES IN FACILITY REPORTING GROUP A. 26) PAGE HOSPITAL - CRITICAL ACCESS Page Hospital is in the town of Page, part of Coconino County, Arizona. It is a small town in northern Arizona located on the southern shores of magnificent Lake Powell. Page Hospital was the first hospital within Banner Health to join the Planetree Alliance and the first to become bronze designated. With 18,608 square miles and 11,886 acres of land, Coconino County is the largest county in Arizona and the second largest county in the United States. Half of the land is public property, and 38 percent belongs to Indian reservations that are home to the Navajo, Hopi, Paiute, Hualapai, and Havasupai tribes. The town of Page is bordered by the Navajo Nation, the National Park Service, and Glen Canyon Recreational. The primary service area (PSA) information for Page Hospital includes the zip codes making up the top 75% of the total inpatient cases. The PSA includes all residents in a defined geographic area surrounding the hospital and does not exclude low-income, uninsured, or underserved populations. 28) PLATTE COUNTY MEMORIAL HOSPITAL Platte County Memorial Hospital (PCMH) is a 25-bed licensed critical access hospital located within Wheatland, Wyoming in Platte County. PCMH in committed to providing a wide range of quality care, based on the needs of the community is southeastern Wyoming. Platte County is a farming and ranching community with an abundance of outdoor opportunities in the surrounding area. Platte County is the home to the nation's first and largest private irrigation district. The primary service area (PSA) information for PCMH includes the zip codes making up the top 75% of the total inpatient cases. The PSA includes all residents in a defined geographic area surrounding the hospital and does not exclude low-income, uninsured, or underserved populations. 29) OGALLALA COMMUNITY HOSPITAL Ogallala Community Hospital (OCH) is an 18-bed critical care access hospital located within western Nebraska, in Keith County In, in the South Platte River Valley in western Nebraska. Ogallala OCH is committed to providing a wide range of quality care, based on the needs of the community. The primary service area (PSA) information for OCH includes the zip codes making up the top 75% of the total inpatient cases. The PSA includes all residents in a defined geographic area surrounding the hospital and does not exclude low-income, uninsured, or underserved populations. 30) BANNER PT & REHAB - CENTRAL Banner rehabilitation Hospital - Phoenix (Banner Rehab Phoenix) is located on the campus of Banner University Medical Center - Phoenix's campus and is another step in expanding the care continuum care continuum for the community. Banner Rehab Phoenix offers programs and services designed to help patients restore strength, mobility, and independence as they heal and recover from a myriad of diagnostic conditions The hospital has fifty-six beds, offering patient focused care that is both compassionate and results oriented. The demographic area for this CHNA is Maricopa County, the common community for all partners participating in the SYNAPSE coalition collaborative. Maricopa County is the fourth most populous county in the United States. With an estimated population of four million and growing, Maricopa County is home to well over half of Arizona's residents and encompasses 9,224 square miles, includes twenty-seven cities and towns, as well as the whole or part of five sovereign American Indian reservations. The primary service area (PSA) information for Banner Rehab Phoenix includes the zip codes making up the top 75% of the total inpatient cases. The PSA includes all residents in a defined geographic area surrounding the hospital does not exclude low-income, uninsured, or underserved populations. 31) BANNER Rehab Hospital - West Banner Rehabilitation Hospital - West (Banner Rehab West) is in Sun City, Arizona down the road from Banner Boswell Medical Center is another step in expanding Banner's care continuum for the community. Banner Rehab West offers programs and services designed to help patients restore strength, mobility, and independence as they heal and recover from a myriad of diagnostic conditions The hospital has fifty-six beds, offering patient focused care that is both compassionate and results oriented. The demographic area for this CHNA is Maricopa County, the common community for all partners participating in the SYNAPSE coalition collaborative. Maricopa County is the fourth most populous county in the United States. With an estimated population of four million and growing, Maricopa County is home to well over half of Arizona's residents and encompasses 9,224 square miles, includes twenty-seven cities and towns, as well as the whole or part of five sovereign American Indian reservations. The primary service area (PSA) information for Banner Rehab West includes the zip codes making up the top 75% of the total inpatient cases. The PSA includes all residents in a defined geographic area surrounding the hospital does not exclude low-income, uninsured, or underserved populations. Schedule H, Part V, Section B, Line 5 Facility A, 1 Facility A, 1 - APPLIES TO ALL HOSPITAL FACILITIES IN FACILITY REPORTING GROUP A. PROCESS & METHODOLOGY USED TO CONDUCT CHNA Banner Health employs an eight-step CHNA process based on Banner Health's experience from previous CHNA cycles. The process outlined below involves continuous review and evaluation or CHNAs from previous cycles, through both the action plans and reports developed on a three-year cycle. Through each cycle Banner Health has been able to provide consistent data to monitor population trends. 1. Review and evaluate prior CHNA Report and Action Plans, review data 2. Partner with community agencies, including County Public Health Departments 3. Conduct focus group with community stakeholders and confirm community priorities 4. Research additional health needs identified 5. Prepare CHNA Report 6. Develop strategies for the next three years 7. Obtain Banner Health Leadership and Board of Director approval 8. Post to Bannerhealth.com and obtain ongoing community feedback Organizational Structure -Banner Health's CHNA Steering Committee (Steering Committee) - Comprised of leaders from throughout Banner Health, these leaders represent our Arizona Community Delivery, Wester Division and Rural Facilities, as well as our Academic Medical Centers. In collaboration with facility leadership team and Banner Health's Strategy Planning department, the Steering Committee is instrumental in both the development of the CHNA process and the continuation of Banner Health's commitment to providing services that meet community health needs. -CHNA Champions - A working team from each of Banner Health's hospitals meets monthly to review the ongoing process of community stakeholder meetings, report creation, and action plan implementation. This group consists of membership made up of CEOs, CNOs, COOs, facility directors, quality management personnel, volunteer services leaders, and other clinical stakeholders. -External Stakeholders - A team of external stakeholders is made up of individuals and organizations external to Banner Health, and represent the underserved, uninsured, and minority populations in Maricopa County and the surrounding areas. Based on their role in the public health realm of the hospital's surrounding community, these stakeholders are instrumental in collaborating around improving our communities. Each stakeholder is vested in the overall health of the community and brings forth a unique perspective with regards to the population's health needs. Primary Data 1. Consists of new data that is obtained via direct means. For Banner Health, primary data is created by rendering healthcare services to patients; the data includes inpatient, or outpatient counts, visits, payer, etc. For the CHNA report, primary data was also collected directly from the community through surveys, focus groups, and key informant interviews. The primary data for the CHNA originated from Cerner (Banner's Electronic Medical Record) and McKesson (Banner's Cost Accounting / Decision Support Tool). These data sources were used to identify the health services currently being accessed by the community at Banner locations and provides indicators for diagnosis-based health needs of the community. 2. SYNAPSE in partnership with Maricopa County facilities, FQHCs, and other health partners, conducted surveys and focus groups throughout 2021. The Survey, which yielded 14,380 responses was available virtually to the public and was translated into thirteen languages. A total of thirty-three focus groups were held, involving 186 participants. Focus Group types ranged from Hispanic males, South Phoenix young families, expectant mothers and parents of young children, Asian/Pacific Islander seniors, and young American Indians. These meetings were also conducted via a virtual platform. Data from focus groups indicated top community-identified health issues. Overall, mental health was the primary issues with nearly 50% of respondents affirming it was a top issue to them. This was a change from the 2019 survey, were most respondents noted Alcohol/substance abuse as the top health condition. Participants were also asked about barriers they experienced in seeking or accessing healthcare in their community. Due to the routine occurrence of SYNAPSE data collection for Community Health Assessments, provide pre and post COVID-19 responses to this question. Fear of exposure was the top barrier for all age groups. 3. Community Survey - In order to identify and understand community health needs, a community health assessment survey was administered to community members in Western Division. Community health assessment surveys were administered between May-July 2022. Surveys were intended to provide information about prominent health problems facing the community. The survey had a total of fifteen questions to identify factors which contributed to overall quality of life, more important health issues and behaviors, rating scales, and impact COVID-19 had in their life and in the community. A total of 234 surveys were collected from our Western Division community partners including 61 Colorado partners (Weld, Logan, Larimer and Morgan Counties), 31 Nevada partners (Churchill County), 52 Arizona partners (Gila and Coconino Counties) and 88 Wyoming partners (Washakie, Goshen, and Platte Counties). 4. Key Informant Interviews - Banner Health conducted a series of Key Informant Interviews with community members identified by Facility Champions. Key informants represented local health departments, fire departments, behavioral health centers, local community colleges, and social service departments. Through a series of eight questions, key informants defined their opinion of health and what quality of life meant, they identified top community needs, and discussed the impact COVID-19 continues to have in their community. While the definition of health varied person by person, the primary theme was the ability to live a safe and productive life. 5. Community Hospital Advisory Board Members - Community Hospital in Torrington is an owned and operated facility by Banner Health. The community of Torrington has an advisory board in place to oversee the operations of Community Hospital in Torrington and communicate to Banner Health the concerns and needs of the community. 6. Page Hospital Board - A team of external stakeholders is made up of individuals and organizations external to Banner Health, and represent the underserved, uninsured, and minority populations in our community and the surrounding areas. This team of stakeholders were identified based on their role in the public health realm of the hospital's surrounding community. These stakeholders are individuals or organizations with whom we are collaborating, or hope to do, around improving our communities. Each stakeholder is vested in the overall health of the community and brought forth a unique perspective with regards to the population's health needs. This group consists of membership made up of Executive Directors, CEO's, Program Managers, Coordinators, Nurses, Patient Navigators, and other community stakeholders. Schedule H, Part V, Section B, Line 5 Facility A, 2 Facility A, 2 - APPLIES TO ALL HOSPITAL FACILITIES IN FACILITY REPORTING GROUP A:. Secondary data Banner's process for conducting their CHNA leveraged a multi-phased approach to understanding gaps in services provided to the community, as well as existing community resources. The CHNA utilized a mixed-methods approach that included the collection of secondary or quantitative data with review and input from key informants, and meetings with internal leadership. Secondary data includes publicly available health statistics and demographic data. With input from stakeholders, champions, and the Steering Committee, additional health indicators of special interest were investigated. Comparisons of data sources were made to the county, state, and PSA if possible. Data analytics were employed to identify demographics, socioeconomic factors, and health trends in the PSA, county, and state. Data reviewed included information around demographics, population growth, health insurance coverage, hospital services utilization, primary and chronic health concerns, risk factors, and existing community resources. Several services of data were consulted to present the most comprehensive picture of the facility's PSA's health status and outcomes. Input was collected from individuals in the community, including public health experts as well as residents, representatives, or leaders of low-income, minority, and medically underserved populations. As noted above surveys and focus groups were conducted throughout 2022 and results incorporated into the CHNA. In addition to the noted community outreach and in compliance with federal requirements, Banner worked collaboratively to assess the health needs of residents in the respective counties and primary services areas. The Banner Health CHNA Steering Committee partnered with all county health departments (Maricopa, Gila, Coconino, Weld, Larimer, Lassen, Logan, Morgan, Keith, Churchill, Goshen, Platte, Washakie, and Pinal Counties), Maricopa County Synapse coalition, local residents and stakeholders and a coalition of other non-profit and qualified health care partners in these efforts. Building on Banner Health's past three CHNA reports, the Steering Committee and facility champions worked with Banner Health corporate planners to prioritize health needs for Cycle 4 of the CHNA. Facility stakeholders, community members, and public health professionals were among major external entities involved in identifying health needs, which were then brought to the Steering Committee. Both Banner Health internal members, and external entities were strategically selected for their respective understanding of community perspectives, community-based health engagement, and health care expertise. To be considered a health need the following criteria was taken into consideration: -The PSA had a health outcome or factor rate worse than the average county/state rate. -The PSA demonstrated a worsening trend when compared to county/state data in recent years. -The PSA indicated an apparent health disparity. -The health outcome or factor was mentioned in the focus group. -The health need aligned with Banner Health's mission and strategic priorities. Using the previous CHNAs as a tool, the Steering Committee reviewed and compared the health needs identified in 2022 to the previous health needs. The group narrowed the community health needs to three. It was determined that Banner Health, as a health system would continue to address the same health needs from Cycle 3, the 2019 CHNA, due to the continued impact these health needs have on the overall health of the community. These needs and the strategies to address the needs align with the short and long-term goals the health system has, specific strategies can be tailored to the regions Banner Health serves, and the health needs can address many health areas within each of them. While prioritizing needs, COVID-19 was a consistent theme that arose in all forms of primary data collection. COVID-19 has had an impact on the measurement of health needs, socioeconomic factors, facility volumes, and health behaviors to name a few. Banner Steering Committee and facility leadership determined that for Banner Health's CHNA process, rather than adding a fourth community health need, Banner would incorporate COVID-19 into each of the three community health needs. Banner Health will continue to provide ongoing care for those affected physically and mentally by COVID-19 throughout Cycle 4 of the CHNA process. Based on data and information gathered through the CHNA process, the following represent the three 2022 prioritize health needs: 1. Access to Care 2. Chronic Disease Management 3. Behavioral Health Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - APPLIES TO ALL HOSPITAL FACILITIES IN FACILITY REPORTING GROUP A:. ACTIONS SINCE PRECEEDING CHNA/IMPLEMENTATION STRATEGIES Implementation Strategies Outcomes Significant Health Need: Access to Care Strategy #1: Increase access points for primary care services. Outcomes: -Employed additional Primary Care Providers and Advanced Practice Providers to increase access to care. -Support over 1.5k children through mobile clinics and in-school health clinics. Strategy #2: Increase access to ambulatory care settings. Outcomes: -Grew access to ambulatory services for our community through Urgent Care, Ambulatory Surgical Centers, and Physical Therapy. -Provided more Urgent Care, Physical Therapy, and Ambulatory Surgical Center locations to the community, increasing access to care points. Strategy #3: Deploy care models and tools that improve affordability of care for Banner Health Network members. Outcomes: -Promoted access to Banner Medical Group, to reduce utilization of the Emergency Room. -Identified twenty-two core measures for annual wellness visits to set quality measures - including chronic disease management, cancer screenings, and immunizations. Significant Health Need: Chronic Disease Management (Diabetes/Heart Disease/Cancer) Strategy #1: Continue to improve the coordination of care for patients with chronic disease diagnosis. Outcomes: -Utilized pharmacists to assist in chronic disease management via telephone consultations. -Offer cancer screenings through clinics. -Provided education and assistance with medication adherence, including cost of medication. Strategy #2: Growth of preventative care and wellness programs in the communities we serve. Outcomes: -Provided Medicare Advantage Wellness visits through deploying MDs, NPs, and PAs. -Offered same day mammography access in ambulatory settings (health centers and Imaging locations). Strategy #3: Continued enhancement of measurement /oversight of clinical quality measures for chronic disease patients. Outcomes: -Decreased hypertension through an increase in clinical measures for BP control. -Monthly clinical performance meetings focusing on diabetes and hypertension for Quality Improvement. Significant Health Need: Behavioral Health Strategy #1: Provide services to increase awareness and access to address general psychiatric health needs. Outcomes: -Continue to partner with community outpatient behavioral health providers to provide coordinated care. -Encouraged patients to get initial behavioral screenings in the Emergency Department. -Utilized psychiatric telehealth services in market to continue to offer care in COVID environment. Strategy #2: Utilize internal and external resources to address opioid addiction in Banner Health communities. Outcomes: -Provided an average of 1.4k addiction assessments yearly. -Implemented a system wide primary care strategy to identify opioid use disorder. Strategy #3: Utilize internal and external resources to improve clinical quality for suicide, depression patients in Banner Health communities. Outcomes: -Working to be a "Zero Suicide" health system, where all non-clinical hospital employees are trained to Question, Persuade, and Respond when interacting with a person having a suicidal crisis. -Provided depression screenings during Clinic Appointments. NEEDS IDENTIFIED BUT NOT PRIORITIZED Additional needs identified through data collection and community input were age related health concerns, aging problems, cancer, and access to healthy foods. In many of Banner's facilities a high percentage of the aged population is served, as a result tactics have been developed that acknowledge and address concerns of the aged populations. It was determined to group cancer into Chronic Disease Management as opposed to having it stand along Significant Health Need, as a result a specific strategy has been developed to educate and create access to cancer screenings. COVID-19 remains an ongoing health concern in many communities. While Banner Health decided to not develop a Significant Health Need that is specific to COVID-19, health priorities have been developed that are related to the effects of COVID-19 and have developed tactics to address these health priorities. Schedule H, Part V, Section B, Line 16 Facility A, 1 Facility A, 1 - APPLIES TO ALL HOSPITAL FACILITIES IN REPORTING GROUP A. IN ADDITION TO ALL ACTIONS NOTED, BANNER OFFERS FAP WITH EACH BILLING STATEMENT TO THE PATIENT/GUARANTOR. FAP is also posted within facilities at registration locations. Schedule H, Part V, Section B, Line 3E Based on data and information gathered through the 2021 Pima County CHNA process identified the following health needs for Pima County: 1. Behavioral and Mental Health 2. Substance Use Disorder 3. Access to Care 4. Social Determinants of Health, particularly transportation, poverty, and the built environment Schedule H, Part V, Section B, Line 3 Facility B, 1 Facility B, 1 - APPLIES TO ALL HOSPITAL FACILITIES IN FACILITY REPORTING GROUP B:. The CHNA for each facility in Facility Group B includes: - Banner Health Overview - Banner Academic Division Overview - Banner Health Covid Impact Statement - Banner Steering Committee - Executive Summary - Pima County Report Summary including a list of all tables, graphs and figures - Report Methodology - CHNA Steering Committee Members/Participants- Hospitals, Community Health Centers, Tribal Nations, Health Departments, Consultants - Pima County Overview - History, Geography, Primary Care Areas, Population Density, Demographics, General Health Status, Racism & Covid 19 - Primary & Secondary Health Data - Data Collection Methods - Prioritization of Community Health Needs - Descriptions of Prioritized Health Needs - Unprioritized Needs - 2019 CHNA Follow-Up and Review - CHNA Key Informants - Key Informant Interview Guide - Focus Group Discussion Schedules and Questions - English & Spanish - Pima County CHNA Community Forum Guide - Community Snapshot - Pima County Health Department 2020 Current State Review - Reference List - Consulting Team and Volunteer Acknowledgments Schedule H, Part V, Section B, Line 5 Facility B, 1 Facility B, 1 - APPLIES TO ALL HOSPITAL FACILITIES IN FACILITY REPORTING GROUP B:. PROCESS & METHODOLOGY USED TO CONDUCT CHNA The process involved continuous review and evaluation of CHNAs from previous cycles, through both the action plans and reports are developed on a three-year cycle. Building on previous CHNAs and throughout the CHNA process, community members, health advocates and healthcare leaders provided input on the most pressing issues facing the County, and assets and strengths to help the community to address these issues. As in previous reports, there was an emphasize on all aspects of data collection, analysis, and interpretation. Throughout the CHNA data collection methods were incorporated to contextualize and understand health disparities and how community members experience racism and discrimination. The report, written at an unprecedented time in recent history. had far-reaching implications for health and wellness across society. The COVID-19 pandemic presented unique challenges and opportunities in the collection, analysis, and interpretation of data for the CHNA, and influenced all aspects of the CHNA process. Organizational Structure -Pima County Steering Committee - The Steering Committee that met monthly to review progress, provide guidance and support data collection and analysis activities. Steering Committee members provided direction and leadership regarding data sources, key informant interviews and focus group content and recruitment, dissemination of materials, and interpretation of data. Steering Committee members helped to ensure that the 2021 CHNA engaged the community and represented the diverse population of Pima County. The 2021 CHNA Steering Committee included representatives from hospitals, community health centers, Tribal Nations, County Health, and consultants. -Pima County Community Advisory Committee -Banner Health's CHNA Steering Committee - Comprised of leaders from throughout Banner Health, these leaders represent our Arizona Community Delivery, Wester Division and Rural Facilities, as well as our Academic Medical Centers. In collaboration with Banner - University Medical Center Tucson's leadership team and Banner Health's Strategy Planning department, the Steering Committee is instrumental in both the development of the CHNA process and the continuation of Banner Health's commitment to providing services that meet community health needs. -CHNA Champions - A working team from each of Banner Health's hospitals meets monthly to review the ongoing process of community stakeholder meetings, report creation, and action plan implementation. This group consists of membership made up of CEOs, CNOs, COOs, facility directors, quality management personnel, volunteer services leaders, and other clinical stakeholders. Data Pima County aggregated data from primary and secondary sources to understand, contextualize and prioritize the health needs of Pima County. Through each cycle Pima County, Banner Health, and Banner University Medical Center - Tucson have been able to gather and provide consistent data. Primary Data Primary data collection included key informant interviews and focus groups with community members. In total, the CHNA team interviewed thirty-seven key informants including health advocates, community leaders and healthcare providers that represent organizations serving a diverse array of Pima County residents. Focus group interviews were completed with community members representing diverse groups in Pima County. In total, qualitative primary data collection consisted of: - 31 Key informant interviews - 9 Focus Groups - 4 Community Forums - 3 Virtual (English and Spanish) Community Forums - 1 In-Person Gallery Walk In total, 206 community members were engaged in the CHNA process. Secondary Data Secondary data were aggregated from publicly available databases to present an unbiased, fact-driven report on the health status of Pima County. Between September and October 2020, Pima County Health Department (PCHD) conducted a series of Strategic Planning Surveys and interviews of over 2,100 PCHD employees, external stakeholders, community members. There were 137 internal stakeholder surveys, 466 external stakeholder surveys, and 1,528 community surveys completed in this process. The secondary data provides quantitative support for the top health concerns identified through primary data collection. The 2021 Pima County CHNA process identified the following health needs for Pima County: 1. Behavioral and Mental Health 2. Substance Use Disorder 3. Access to Care 4. Social Determinants of Health, particularly transportation, poverty, and the built environment From an overall BH enterprise perspective, based on data and information gathered through the BH Steering Committee, the following represent the three 2022 enterprise prioritized health needs: 1. Access to Care 2. Chronic Disease Management 3. Behavioral Health In compliance with federal requirements, the comprehensive CHNA represented an ongoing collaborative effort by non-profit hospitals and the Pima County Health Department to jointly conduct the CHNA. Stakeholders include public health professionals, community health centers, community leaders, emergency responders, health advocates and community members. Together, these stakeholders harnessed their networks, resources, and expertise to identify and prioritize major health issues confronting the Pima County community. Input was collected from individuals in the community, including public health experts as well as residents, representatives, or leaders of low-income, minority, and medically underserved populations. As noted above surveys and focus groups were conducted throughout 2021 and results incorporated into the CHNA. Schedule H, Part V, Section B, Line 5 Facility B, 2 Facility B, 2 - APPLIES TO ALL HOSPITAL FACILITIES IN FACILITY REPORTING GROUP B:. 2) BANNER UNIVERSITY MEDICAL CENTER - TUCSON Banner - University Medical Center Tucson (B-UMCT) is in Pima County, Arizona. B-UMCT and serves Tucson and the surrounding areas. Pima County is one of the southernmost counties in Arizona and is roughly the size of the state of New Hampshire. As part of the northern range of the Sonora Desert, it is comprised of mountain ranges, river valleys, and cactus forests and shares 125 miles of an international border with Mexico. The second most populated county after Maricopa County, Pima County is comprised of five incorporated jurisdictions (the City of South Tucson, the City of Tucson, and the towns of Marana, Oro Valley and Sahuarita), two Tribal Nations, and one large unincorporated area. B-UMCT is ranked as a top five hospital in Arizona, the best hospital in the Tucson metro area, and is ranked among the best hospitals in the nation in geriatrics and nephrology by U.S. News. The primary service area (PSA) information for Banner - University Medical Center Tucson includes the zip codes making up the top 75% of the total inpatient cases. The PSA includes all residents in a defined geographic area surrounding the hospital and does not exclude low-income, uninsured, or underserved populations. For the purposes of this CHNA, key social determinants of health and select other indicators analyzed and compared at the sub-county level through Primary Care Area Statistical Profiles (PCAs). PCAs are based on census data and reflect areas with similar populations and demographics, allowing for statistical analyses and comparison across areas. 11) BANNER UNIVERSITY MEDICAL CENTER - South Banner - University Medical Center South (B-UMCS) is in Pima County. B-UMCS serves Tucson and surrounding areas. B-UMCS is ranked as a top five hospital in Arizona, the best hospital in the Tucson metro area, and is ranked among the best hospitals in the nation in geriatrics and nephrology by U.S. News. The demographic area for this CHNA (CHNA) is Pima County and the primary service area (PSA) information for Banner - University Medical Center South includes the zip codes making up the top 75% of the total inpatient cases. The PSA includes all residents in a defined geographic area surrounding the hospital and does not exclude low-income, uninsured, or underserved populations. For the purposes of this CHNA, key social determinants of health and select other indicators analyzed and compared at the sub-county level through Primary Care Area Statistical Profiles (PCAs). PCAs are based on census data and reflect areas with similar populations and demographics, allowing for statistical analyses and comparison across areas. Schedule H, Part V, Section B, Line 6a Facility B, 1 Facility B, 1 - Applies to Facility Reporting Group B. Banner-University Medical Center Tucson and Banner-University Medical Center South, respectively are listed separately as Facility Reporting Group B because they conducted their CHNA in partnership with Tucson Medical Center, Northwest Hospital, Carondelet, El Rio Health Center, and Pima County Health Department. Schedule H, Part V, Section B, Line 6b Facility B, 1 Facility B, 1 - Applies to Facility Reporting Group B. SEE RESPONSE TO LINE 6A. Schedule H, Part V, Section B, Line 11 Facility B, 1 Facility B, 1 - THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 11 APPLIES TO ALL HOSPITAL FACILITIES. Pima County Implementation Strategies - Outcomes Significant Health Need: Access to Care Strategy #1: Increase access points for primary care services Outcomes: -Employed additional Primary Care Providers and Advanced Practice Providers to increase access to care. -Created access for additional patients to be seen at Primary Care locations. Strategy #2: Increase access to ambulatory care settings. Outcomes: - Grew access to ambulatory services for our community through Urgent Care, Ambulatory Surgical Centers, and Physical Therapy. - Provided more Ambulatory Surgical Center locations to the community, increasing access to care points. Strategy #3: Deploy care models and tools that improve affordability of care for Banner Health Network members. Outcomes: - Promoted access to Banner Medical Group, to reduce utilization of the Emergency Room - Identified twenty-two core measures for annual wellness visits to set quality measures - including chronic disease management, cancer screenings, and immunizations. Significant Health Need: Chronic Disease Management (Diabetes/Heart Disease/Cancer) Strategy #1: Continue to improve the coordination of care for patients with chronic disease diagnosis. Outcomes: - Offer cancer screenings through clinics. - Provided education and assistance with medication adherence, including cost of medication. Strategy #2: Growth of preventative care and wellness programs in the communities we serve. Outcomes: - Provided Medicare Advantage Wellness visits through deploying MDs, NPs, and PAs. - Offered same day mammography access in ambulatory settings (health centers and Imaging locations). Strategy #3: Continued enhancement of measurement /oversight of clinical quality measures for chronic disease patients. Outcomes: - Decreased hypertension through an increase in clinical measures for BP control. - Decreased HbA1cs through an increase in clinical measures for diabetic patients. Significant Health Need: Behavioral Health Strategy #1: Provide services to increase awareness and access to address general psychiatric health needs. Outcomes: - Continue to partner with community outpatient behavioral health providers to provide coordinated care. - Encouraged patients to get initial behavioral screenings in the Emergency Department. Strategy #2: Utilize internal and external resources to address opioid addiction in Banner Health communities. Outcomes: - Implemented a system wide primary care strategy to identify opioid use disorder. Strategy #3: Utilize internal and external resources to improve clinical quality for suicide, depression patients in Banner Health communities. Outcomes: - Working to be a "Zero Suicide" health system, where all non-clinical hospital employees are trained to Question, Persuade, and Respond when interacting with a person having a suicidal crisis. - Provided depression screenings during Clinic Appointments. Schedule H, Part V, Section B, Line 11 Facility B, 2 Facility B, 2 - THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 11 APPLIES TO ALL HOSPITAL FACILITIES. NEEDS IDENTIFIED BUT NOT PRIORITIZED Additional needs identified through data collection and community input were age related health concerns, healthy aging, aging problems, chronic disease, access to healthy foods, climate, and environment. In many of Banner's facilities a high percentage of the aged population is served, as a result tactics have been developed that acknowledge and address concerns of the aged populations. CHNA participants also identified several challenges which inhibit the ability of Pima County residents to meet their basic needs and enjoy a healthy including the lack of appropriate transportation, discrimination, a lack of culturally or linguistically appropriate services, housing insecurity, limited childcare and caregiver options, and poverty. COVID-19 remains an ongoing health concern in many communities. While Banner Health decided to not develop a Significant Health Need that is specific to COVID-19, health priorities have been developed that are related to the effects of COVID-19 and have developed tactics to address these health priorities. Schedule H, Part V, Section B, Line 16 Facility B, 1 Facility B, 1 - APPLIES TO ALL HOSPITAL FACILITIES IN REPORTING GROUP B. IN ADDITION TO ALL ACTIONS NOTED, BANNER OFFERS FAP WITH EACH BILLING STATEMENT TO THE PATIENT/GUARANTOR. FAP is also posted within facilities at registration locations. Schedule H, Part V, Section B, Line 3E THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED IN EACH HOSPITAL FACILITY'S CHNA ARE PRESENTED AS A PRIORITIZED DESCRIPTION. Based on data and information gathered through the CHNA process, the following represents the three prioritized health needs: 1. Access to Care 2. Chronic Disease Management 3. Behavioral Health Schedule H, Part V, Section B, Line 3 Facility C, 1 Facility C, 1 - APPLIES TO ALL HOSPITAL FACILITIES IN FACILITY REPORTING GROUP C:. The CHNA report defines and describes the community, identifies community resources, reports on analytics and data-gathering methodologies, assessment, process and methods, prioritization process, implementation strategies, tactics and anticipated outcomes as well as needs not being addressed. Schedule H, Part V, Section B, Line 5 Facility C, 1 Facility C, 1 - APPLIES TO ALL HOSPITAL FACILITIES IN FACILITY REPORTING GROUP C:. EMPHASISING AN ONGOING FOCUS ON ENSURING THAT THE MEMBERS OF BANNER COMMUNITEES HAVE GREATER ACCESS TO NEEDED HEALTHCARE RESOURCES AND A VOICE, BANNER HEALTH'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) STEERING COMMITTEE IN COLLABORATION WITH THE FACILITY LEADERSHIP TEAMS, AND THE STATEGIC PLANNING AND ALIGNEMNT DEPARTMENT, CREATED A COMMUNITY ADVISORY COUNCIL (CAC) OF COMMUNITY LEADERS THAT REPRESENTED HIGH NEED POPULATIONS - THIS INCLUDES MINORITY GROUPS, LOW-INCOME INDIVIDUALS, MEDICALLY UNDERSERVED AND THOSE WITH CHRONIC CONDITIONS. PARTICIPANTS WERE IDENTIFIED BASED ON THEIR ROLE IN THE PUBLIC HEALTH REALM OF THE HOSPITAL'S SURROUNDING COMMUNITIES AND EMPHASIS WAS PLACED ON IDENTIFYING POPULATIONS WITHIN THE SERVICE AREA THAT ARE CONSIDERED UNDERSERVED, UNINSURED, AND/OR MINORITY. TO FURTHER ENSURE REPRESENTATION AND CONTINUATION OF BANNER'S COMMITMENT TO PROVIDING SERVICES THAT MEET COMMUNITY HEALTH NEEDS VARIOUS GROUPS IN ADDITION TO THE CHNA STEERING COMMITTEE AND CAC WERE ENGAGED INCLUDING: - COMMUNITY FOCUS GROUPS: FOCUS GROUPS WITH MEDICALLY UNDERSERVED POPULATIONS WERE CONDUCTED TO HELP IDENTIFY PRIORITY HEALTH ISSUES, RESOURCES, AND BARRIERS TO CARE). MEMBERS OF THE COMMUNITY REPRESENTED A VARIED CROSS-SECTION WITH UNIQUE ATTRIBUTES (RACE AND ETHNICITY, AGE, SEX, CULTURE, LIFESTYLE, OR RESIDENTS OF A PARTICULAR AREA. GROUPS WERE COMPRISED OF COMMUNITY MEMBERS FROM GROUPS SUCH AS (1) OLDER ADULTS (50-64, 65-74, 75+ YEARS OF AGE); (2) ADULTS WITHOUT CHILDREN; (3) ADULTS WITH CHILDREN; (4) AMERICAN INDIAN ADULTS; (5) LESBIAN, GAY, BISEXUAL, TRANSGENDER, AND QUESTIONING (LGBTQ) ADULTS; (6) AFRICAN AMERICAN ADULTS; (7) HISPANIC/LATINO ADULTS (ENGLISH); (8) ADULTS WITH CHILDREN (SPANISH); (9) LOW SOCIO-ECONOMIC STATUS ADULTS (SPANISH), AND (10) YOUNG ADULTS (18-30 YEARS OF AGE), (11) ADULT MALES (SPANISH), (12) ADULT FEMALES (SPANISH), (13) CAREGIVERS, AND (14) ASIAN AMERICAN ADULTS. INDIVIDUALS REPRESENTING THESE POPULATIONS WERE INVITED TO REVIEW AND VALIDATE THE QUANTITATIVE DATA, PROVIDE ADDITIONAL HEALTH CONCERNS AND FEEDBACK AS TO THE UNDERLYING ISSUES AND POTENTIAL STRATEGIES FOR ADDRESSING SAID CONCERNS. GIVEN THE OVERLAP IN PRIMARY SERVICE AREAS IN SOME BANNER SERVICE AREAS, FOCUS GROUPS WERE COMBINED. - EXTERNAL STAKEHOLDERS: A TEAM OF EXTERNAL STAKEHOLDERS MADE UP OF INDIVIDUALS AND ORGANIZATIONS EXTERNAL TO BANNER HEALTH, AND REPRESENTING THE UNDERSERVED, UNINSURED, AND MINORITY POPULATIONS WERE IDENTIFIED BASED ON THEIR ROLE IN THE PUBLIC HEALTH REALM OF THE HOSPITAL'S SURROUNDING COMMUNITY. THESE STAKEHOLDERS ARE INDIVIDUALS/ ORGANIZATIONS WITH WHOM BANNER COLLABORATES OR HOPES TO, AROUND IMPROVING OUR COMMUNITIES. EACH STAKEHOLDER IS VESTED IN THE OVERALL HEALTH OF THE COMMUNITY AND BROUGHT FORTH A UNIQUE PERSPECTIVE WITH REGARDS TO THE POPULATION'S HEALTH NEEDS. THIS GROUP CONSISTS OF MEMBERSHIP MADE UP OF EXECUTIVE DIRECTORS, CEO'S, PROGRAM MANAGERS, COORDINATORS, NURSES, PATIENT NAVIGATORS, AND OTHER COMMUNITY STAKEHOLDERS. COMMUNITY AND HEALTHCARE LEADERS WHO HAVE PROVIDED SOLID INSIGHT INTO THE SPECIFIC AND UNIQUE NEEDS OF THE COMMUNITY SINCE THE PREVIOUS CYCLE. - THERE WAS ADDITIONAL DIALOGUE (VIA EMAIL, TELEPHONE CONVERSATIONS AND IN-PERSON MEETINGS) WITH LEADERS FROM THE RESPECTIVE COUNTY AND STATE PUBLIC HEALTH DEPARTMENTS (MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH, NEVADA DEPARTMENT OF HEALTH AND HUMAN SERVICES, PLATTE COUNTY PUBLIC HEALTH DEPARTMENT ETC.) TO FURTHER REVIEW THE DATA, EXISTING RESOURCES AND STRATEGIES FOR ADDRESSING THE SIGNIFICANT HEALTH CONCERNS, INCLUDING OPPORTUNITIES FOR COLLABORATION WITH THOSE DEPARTMENTS AND OTHER GOVERNMENT AND NONPROFIT ORGANIZATIONS. - FACILITY BASED CHAMPIONS: INDIVIDUALS FROM EACH OF BANNER HEALTH'S 28 HOSPITALS MET ON A MONTHLY BASIS TO REVIEW THE ONGOING PROGRESS ON COMMUNITY STAKEHOLDER MEETINGS, REPORT CREATION, AND ACTION PLAN IMPLEMENTATION. THIS GROUP CONSISTS OF MEMBERSHIP MADE UP OF CEOS, CNOS, COOS, FACILITY DIRECTORS, QUALITY MANAGEMENT PERSONNEL, AND OTHER CLINICAL STAKEHOLDERS. PARTICIPANTS IN THE CHNA PROCESS INCLUDED MEMBERS OF BANNER HEALTH'S LEADERSHIP TEAMS AND STRATEGIC ALIGNMENT TEAM, PUBLIC HEALTH EXPERTS, COMMUNITY REPRESENTATIVES AND CONSULTANTS. THE CHNA PROCESS UTILIZED A MULTI-FACETED APPROACH TO DATA GATHERING WHICH INCLUDED: 1. DATA ANALYTICS - A COLLECTION OF SECONDARY OR QUANTITATIVE DATA FROM EXISTING DATA SOURCES AND COMMUNITY INPUT OR QUALITATIVE DATA FROM FOCUS GROUPS, HEALTH PROVIDERS, POLICYMAKERS, AND MEETINGS WITH INTERNAL LEADERSHIP WERE ANALYZED. THE PROCESS WAS REITERATIVE AS BOTH THE SECONDARY AND PRIMARY DATA WERE USED TO HELP INFORM EACH OTHER. THE BROAD INTERESTS OF THE COMMUNITY WERE INCORPORATED THROUGH THREE MEANS. FIRST, DATA WAS COLLECTED THROUGH FOCUS GROUPS ENGAGING MEMBERS OF UNDERSERVED POPULATIONS AND COMMUNITIES. SECOND, SURVEYS WERE CONDUCTED WITH KEY INFORMANTS WHO SERVE THE PRIMARY SERVICE AREA. FINALLY, A SERIES OF MEETINGS WERE HELD WITH KEY STAKEHOLDERS. THE ADVANTAGE OF USING THIS APPROACH WAS VALIDATION OF DATA VIA CROSS-VERIFICATION FROM A MULTITUDE OF SOURCES. THIS DATA ALONG WITH PRIOR COLLABORATIVE EFFORTS WAS USED TO INITIATE DISCUSSIONS AMONG THE VARIOUS PARTIES. 2. COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) STEERING COMMITTEE - THIS COMMITTEE, WHICH WAS COMMISSIONED TO GUIDE THE CHNA PROCESS, WAS COMPRISED OF PROFESSIONALS FROM A VARIETY OF DISCIPLINES ACROSS THE ORGANIZATION. THIS STEERING COMMITTEE PROVIDED GUIDANCE IN ALL ASPECTS OF THE CHNA PROCESS, INCLUDING DEVELOPMENT OF THE PROCESS, PRIORITIZATION OF THE SIGNIFICANT HEALTH NEEDS IDENTIFIED AND DEVELOPMENT OF THE IMPLEMENTATION STRATEGIES, ANTICIPATED OUTCOMES AND RELATED MEASURES. THE CHNA RESULTS WERE PRESENTED TO THE LEADERSHIP TEAM AND BOARD MEMBERS TO ENSURE ALIGNMENT WITH THE SYSTEM-WIDE PRIORITIES AND LONG-TERM STRATEGIC PLAN AND THE PROCESS FACILITATES AN ONGOING FOCUS ON COLLABORATION WITH GOVERNMENTAL, NONPROFIT AND OTHER HEALTH-RELATED ORGANIZATIONS TO ENSURE THAT MEMBERS OF THE COMMUNITY WILL HAVE GREATER ACCESS TO NEEDED HEALTH CARE RESOURCE. 3. COMMUNITY ADVISORY COUNCIL - FACILITY LEADERSHIP TEAMS IN COLLABORATION WITH MEMBERS OF BANNER HEALTH'S CHNA STEERING COMMITTEE, CREATED A COMMUNITY ADVISORY COUNCIL (CAC) OF COMMUNITY LEADERS THAT REPRESENTED THE UNDERSERVED, UNINSURED AND MINORITY POPULATIONS. CAC PARTICIPANTS WERE IDENTIFIED BASED ON THEIR ROLE IN THE PUBLIC HEALTH REALM OF THE HOSPITAL'S SURROUNDING COMMUNITY. EMPHASIS WAS PLACED ON IDENTIFYING POPULATIONS WITHIN THE SERVICE AREA THAT ARE CONSIDERED MINORITY AND/OR UNDERSERVED. DATA ANALYTICS WERE ALSO USED TO ANALYZE ACCESS GAPS AND DRIVE CAC PARTICIPATION. ONCE GAPS IN ACCESS TO HEALTH SERVICES WERE IDENTIFIED WITHIN THE COMMUNITY, THE STEERING COMMITTEE WORKED WITH FACILITY LEADERSHIP TO IDENTIFY THOSE IMPACTED BY A LACK OF HEALTH AND RELATED SERVICES. INDIVIDUALS THAT REPRESENTED THESE POPULATIONS, INCLUDING THE UNINSURED, UNDERSERVED AND MINORITY POPULATIONS WERE INVITED TO PARTICIPATE IN A FOCUS GROUP TO REVIEW AND VALIDATE THE DATA, PROVIDE ADDITIONAL HEALTH CONCERNS AND FEEDBACK AS TO THE UNDERLYING ISSUES AND POTENTIAL STRATEGIES FOR ADDRESSING. EACH CAC PARTICIPANT WAS VESTED IN THE OVERALL HEALTH OF THE COMMUNITY AND BROUGHT FORTH A UNIQUE PERSPECTIVE WITH REGARDS TO THE POPULATION'S HEALTH NEEDS. THE CAC PROVIDED BANNER HEALTH WITH THE OPPORTUNITY TO GATHER VALUABLE INPUT DIRECTLY FROM THE COMMUNITY. 4. COMMUNITY INTERESTS - THE BROAD INTERESTS OF THE COMMUNITY WERE INCORPORATED THROUGH A SERIES OF FOCUS GROUPS HELD WITH MEMBERS OF MINORITY AND UNDERSERVED POPULATIONS. ALL PRIMARY DATA COLLECTION EFFORTS WERE INTENDED TO OBTAIN AND UNDERSTAND INFORMATION ON THE MOST PRESSING COMMUNITY CONCERNS, IDENTIFICATION OF COMMUNITY STRENGTHS AND ASSETS AND AREAS OF OPPORTUNITY FOR HEALTH IMPROVEMENT STRATEGIES. FOCUS GROUP PARTICIPANTS WERE INVITED TO VALIDATE THE QUANTITATIVE DATA, PROVIDE ADDITIONAL HEALTH CONCERNS AND FEEDBACK AS TO THE UNDERLYING ISSUES AND POTENTIAL STRATEGIES FOR ADDRESSING SAID CONCERNS. ADDITIONAL DIALOGUE OPPORTUNITIES (EMAIL, TELEPHONE CONVERSATIONS AND IN-PERSON MEETINGS WERE PROVIDED FOR THOSE PERSONS WHO DESIRED TO PARTICIPATE BUT WERE UNABLE TO PERSONALLY ATTEND A FOCUS GROUP SESSION. GIVEN THE OVERLAP IN PRIMARY SERVICE AREAS IN SOME BANNER SERVICE AREAS, FOCUS GROUPS WERE COMBINED. Schedule H, Part V, Section B, Line 5 Facility C, 2 Facility C, 2 - APPLIES TO ALL HOSPITAL FACILITIES IN FACILITY REPORTING GROUP C:. 5. PUBLIC HEALTH AGENCIES - COORDINATION WITH AND INVOLVEMENT FROM RESPECTIVE COUNTY AND STATE PUBLIC HEALTH DEPARTMENTS AND AGENCIES (MARICOPA COUNTY COORDINATED HEALTH NEEDS ASSESSMENT (CCHNA) COLLABORATIVE, THE MARICOPA COUNTY HEALTH IMPROVEMENT PARTNERSHIP (HIPMC), MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH (MCDPH), NEVADA DEPARTMENT OF HEALTH AND HUMAN SERVICES, PLATTE COUNTY PUBLIC HEALTH DEPARTMENT ETC.) TO FURTHER REVIEW THE DATA, EXISTING RESOURCES AND STRATEGIES FOR ADDRESSING THE SIGNIFICANT HEALTH CONCERNS, INCLUDING OPPORTUNITIES FOR COLLABORATION WITH THOSE DEPARTMENTS AND OTHER GOVERNMENT AND NONPROFIT ORGANIZATIONS. BANNER ALSO PARTICIPATED IN THE PIMA COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT ADVISORY COMMITTEE WHICH REPRESENTS A COUNTY-WIDE PARTNERSHIP BETWEEN THE PIMA COUNTY HEALTH DEPARTMENT, BANNER, OTHER PIMA COUNTY HEALTHCARE SYSTEMS, THE PASCUA YAQUI TRIBE AND HEALTHY PIMA. Schedule H, Part V, Section B, Line 11 Facility C, 1 Facility C, 1 - THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION C, LINE 11 APPLIES TO ALL HOSPITAL FACILITIES. BANNER'S MISSION IS TO MAKE HEALTH CARE EASIER SO THAT LIFE CAN BE BETTER. WHILE WE ARE GUIDED BY OUR PURPOSE WHICH INCLUDES ANSWERING AMERICA'S HEALTH CARE CHALLENGES TODAY AND IN THE FUTURE, CHANGING THE HEALTH CARE LANDSCAPE IN OUR COMMUNITIES - BIG AND SMALL, TAKING ACCESS AND DELIVERY FROM COMPLEX TO EASY, FROM COSTLY TO AFFORDABLE AND FROM UNPREDICTABLE TO RELIABLE, RESOURCES UNFORTUNATELY AND IN SOME CASES EXPERTISE TO PURSUE ALL OF THE SIGNIFICANT HEALTH NEEDS IDENTIFIED THROUGH THE CHNA ARE LIMITED. THE PROCESS FOR PRIORITIZATION INCLUDED WITH BOTH INTERNAL STAKEHOLDERS AND CAC PARTNERS. A REVIEW OF CURRENT AND PAST DATA, PREVIOUS ACTIONS TAKEN TO IMPROVE THE COMMUNITY AND PROVIDE ADDITIONAL HEALTH CONCERNS AND FEEDBACK AS TO THE UNDERLYING ISSUES AND POTENTIAL STRATEGIES FOR ADDRESSING THE ISSUES WAS CONDUCTED AND ONCE GAPS IN ACCESS TO HEALTH SERVICES WERE IDENTIFIED WITHIN THE COMMUNITY, THE STEERING COMMITTEE WORKED WITH FACILITY LEADERSHIP TO IDENTIFY THOSE IMPACTED BY A LACK OF HEALTH AND RELATED SERVICES. THE CHNA STEERING COMMITTEE IN CONCERT WITH BANNER HEALTH LEADERSHIP AND VARIOUS LOCAL AGENCIES DEVELOPED A PRIORITIZATION PROCESS AND CRITERIA FOR EVALUATING THE SIGNIFICANT HEALTH NEEDS IDENTIFIED THROUGH THE CHNA. THIS GROUP WORKED DILIGENTLY TO ENSURE THAT THOSE STRATEGIES AND TACTICS ADDRESSED WOULD BE IMPACTFUL, SERVE AS A FOUNDATION FOR FUTURE EFFORTS, AND BE IN ALIGNMENT WITH THE ORGANIZATION'S STRENGTHS, MISSION, VISION AND STRATEGIC PLAN. THE SIGNIFICANT HEALTH NEEDS IDENTIFIED THROUGH THE CHNA WERE PRIORITIZED BASED ON THE BELOW CRITERIA, WHICH TOOK INTO ACCOUNT THE QUANTITATIVE DATA, FOCUS GROUP DISCUSSION WITH THE CAC AND BANNER'S MISSION, VISION AND STRATEGIC PLAN. EACH SIGNIFICANT HEALTH NEED WAS EVALUATED BASED ON THE CRITERIA, USING A RANKING OF LOW (1), MEDIUM (3), OR HIGH (5) FOR EACH CRITERION; ALL CRITERIA WERE EQUALLY WEIGHTED. THE CRITERION SCORES FOR EACH HEALTH NEED WERE COMPILED TO DETERMINE THE OVERALL PRIORITIZATION. To be considered a health need the following criteria was taken into consideration: -The PSA had a health outcome or factor rate worse than the average county / state rate -The PSA demonstrated a worsening trend when compared to county / state data in recent years -The PSA indicated an apparent health disparity -The health outcome or factor was mentioned in the focus group -The health need aligned with Banner Health's mission and strategic priorities Building on Banner Health's past two CHNAs, the steering committee and facility champions worked with Banner Health corporate planners to prioritize health needs for Cycle 3 of the CHNA. Facility stakeholders, community members, and public health professionals were among major external entities involved in identifying health needs, which were then brought to the steering committee. Both Banner Health internal members, and external entities were strategically selected for their respective understanding of community perspectives, community-based health engagement, and health care expertise. Using the previous CHNAs as a tool, the steering committee reviewed and compared the health needs identified in 2020 to the previous health needs. The group narrowed the community health needs to three. It was determined that Banner Health, as a health system would continue to address the same health needs from Cycle 2, the 2016 CHNA, due to the continued impact these health needs have on the overall health of the community. These needs and the strategies to address the needs align with the short- and long-term goals the health system has, specific strategies can be tailored to the regions Banner Health serves, and the health needs can address many health areas within each of them. Below are the three health needs, and the areas addressed by the strategies and tactics developed. ALSO INCLUDED IN THE PRIORITIZATION PROCESS WAS A REVIEW OF RESOURCES POTENTIALLY AVAILABLE TO ADDRESS IDENTIFIED NEEDS INCLUDING SERVICES AND PROGRAMS AVAILABLE THROUGH OTHER HOSPITALS, GOVERNMENT AGENCIES, AND COMMUNITY BASED ORGANIZATIONS. RESOURCES INCLUDE ACCESS TO HOSPITAL EMERGENCY AND ACUTE CARE SERVICES, FEDERALLY QUALIFIED HEALTH CENTERS (FQHC), FOOD BANKS, HOMELESS SHELTERS, SCHOOL-BASED HEALTH CLINICS, FAITH-BASED ORGANIZATIONS, TRANSPORTATION SERVICES, HEALTH ENROLLMENT NAVIGATORS, FREE OR LOW COST MEDICAL AND DENTAL CARE, AND PREVENTION-BASED COMMUNITY EDUCATION. Schedule H, Part V, Section B, Line 11 Facility C, 2 Facility C, 2 - 13) BANNER CASA GRANDE MEDICAL CENTER. (A) PRIORITIES: 1. ACCESS TO CARE 2. CHRONIC DISEASE 3. BEHAVIORAL HEALTH (B) Impact of Actions Taken Since Preceding CHNA Significant Need #1: Access to Care Financial assistance in the form of -Discounted rates for self-pay patients -Prompt pay discounts -Payment plan options - including interest free availability Financing availability -Implementation of Banner Curae line of credit Helping patients when applying for state programs (AHCCCS, unemployment, etc.) -IHMS vender on site Significant Health Need #2: Chronic Disease (Diabetes / Heart Disease) -Our Respiratory Department hosts a better breather club monthly for COPD management -MD's provided lunch and learns for the community on different topics monthly Significant Need #3: Behavioral Health (Mental Health & Substance Abuse) -Changed from one individual Mental Health Professional to a group (CPR) for 24/7 behavioral health screening. Opened outpatient Behavioral Health Services on campus. (C) OTHER NEEDS IDENTIFIED BUT NOT PRIORITIZED Other health needs that were identified but not prioritized focus on other areas of behavioral health, such as overdose and addiction. Banner Health believes that by addressing behavioral health needs these other non-prioritized health needs will be recognized. Additionally, participants in surveys and facilitated conversations identified incarceration as a health priority for the community, Banner opted out of using this as a health need due to the lack of direct impact Banner Health can make in this area. Schedule H, Part V, Section B, Line 11 Facility C, 3 Facility C, 3 - 14) BANNER IRONWOOD MEDICAL CENTER. (A) PRIORITIES 1. ACCESS TO CARE 2. CHRONIC DISEASE 3. BEHAVIORAL HEALTH (SUBSTANCE ABUSE, DEPRESSION, BEHAVIORAL HEALTH) (B) IMPACT OF ACTIONS TAKEN SINCE PRECEDING CHNA Significant Need #1: Access to Care - There are two Banner Health Centers with primary care providers as well as specialists, one of which is in Queen Creek. The other is located on the Banner Ironwood Campus. - There are two Banner Urgent Care locations in San Tan Valley. - A representative is available on the Ironwood campus to help patients determine eligibility and apply for AHCCCS. - Banner Ironwood Community of Care Brochures were created and are being handed out through partnerships with local Realtors to new residents of the area to ensure they know where primary care, urgent care and the hospital are located in their community. Significant Health Need #2: Chronic Disease (Diabetes / Heart Disease) - Case Management, the ED providers and Hospitalist team ensure follow up appointments are scheduled with a primary care provider or specialist as needed. - Banner Ironwood Medical Center participates in many community events such as the Roots N Boots Rodeo where we share resources on how to access care and how to live a healthy lifestyle. Significant Need #3: Behavioral Health (Mental Health & Substance Abuse) - Through the partnership with the Town of Queen Creek, Banner Ironwood sponsored several community forums hosted at the Town Council Chambers for the community. The first was moderated by Ironwood's CEO on the topic of Teen Suicide Prevention. A Banner Health Mental Health Professional served as a member of this initial panel. - Partnerships have begun to be formed with community mental health providers to facilitate a warm handoff back into the community after emergent care is sought. - Enhancement of partnership with Banner Tele Behavioral health and Crisis P Response to improve evaluation, treatment planning and facilitate transfer of patients qualifying for inpatient care. (C) OTHER NEEDS IDENTIFIED BUT NOT PRIORITIZED Other health needs that were identified but not prioritized focus on other areas of behavioral health, such as overdose and addiction. Banner Health believes that by addressing behavioral health needs these other non-prioritized health needs will be recognized. Additionally, participants in surveys and facilitated conversations identified incarceration as a health priority for the community, Banner opted out of using this as a health need due to the lack of direct impact Banner Health can make in this area. Schedule H, Part V, Section B, Line 11 Facility C, 4 Facility C, 4 - 27) BANNER GOLDFIELD MEDICAL CENTER. (A) PRIORITIES 1. ACCESS TO CARE 2. CHRONIC DISEASE MANAGEMENT 3. BEHAVIORAL HEALTH (B) IMPACT OF ACTIONS TAKEN SINCE PRECEDING CHNA Significant Need #1: Access to Care - There are two Banner Health Centers in this market. One in East Mesa with primary care providers as well as specialists and the other with Pediatric primary care providers in Apache Junction. - There is a Banner Urgent Care location in East Mesa. - Banner Goldfield Community of Care Brochures were created and are being handed out through partnerships with local Realtors to new residents of the area to ensure they know where primary care, urgent care and the hospital are all located in their community. Significant Health Need #2: Chronic Disease (Diabetes / Heart Disease) - Case Management, the ED providers and Hospitalist team ensure follow up appointments are scheduled with a primary care provider or specialist as needed. - Banner Goldfield Medical Center participates in many community events such as the Lost Dutchman Days where we share resources on how to access care and how to live a healthy lifestyle. Significant Need #3: Behavioral Health (Mental Health & Substance Abuse) - Through the partnership with Apache Junction, Banner Ironwood sponsored several community forums hosted at the Town Council Chambers for the community. The first was moderated by Ironwood's CEO on the topic of Teen Suicide Prevention. A Banner Health Mental Health Professional served as a member of this initial panel. - Partnerships have begun to be formed with community mental health providers to facilitate a warm handoff back into the community after emergent care is sought. - Enhancement of partnership with Banner Tele Behavioral health and Crisis P Response to improve evaluation, treatment planning and facilitate transfer of patients qualifying for inpatient care. (C) OTHER NEEDS IDENTIFIED BUT NOT PRIORITIZED Other health needs that were identified but not prioritized focus on other areas of behavioral health, such as overdose and addiction. Banner Health believes that by addressing behavioral health needs these other non-prioritized health needs will be recognized. Additionally, participants in surveys and facilitated conversations identified incarceration as a health priority for the community, Banner opted out of using this as a health need due to the lack of direct impact Banner Health can make in this area. Schedule H, Part V, Section B, Line 16 Facility C, 1 Facility C, 1 - APPLIES TO ALL HOSPITAL FACILITIES IN REPORTING GROUP C. IN ADDITION TO ALL ACTIONS NOTED, BANNER OFFERS FAP WITH EACH BILLING STATEMENT TO THE PATIENT/GUARANTOR. FAP is also posted within facilities at registration locations. Schedule H, Part V, Section B, Line 2 Banner Rehab Hospital-East, a 56-bed rehabilitation hospital, opened in the Spring of 2022. Schedule H, Part V, Section B, Line 3E Based on data and information gathered through the CHNA process, the following represents the three 2022 prioritized health needs: 1. Access to Care 2. Chronic Disease Management 3. Behavioral Health Schedule H, Part V, Section B, Line 3 Facility , 1 Facility , 1 - BANNER REHAB HOSPITAL-EAST. The CHNA for each facility in Facility Group A includes: - Executive Summary - Introduction and Purpose of CHNA - Banner Health Overview - Banner Health Covid Impact Statement - Service Area Description - Local, County, Etc. - Available Resources - Facility Inpatient Origin by Zip Code - Community Demographics - Process and Methods for Conducting CHNA - Banner Health CHNA Organizational Structure - Data Sources - Data Limitations and Information Gaps - Prioritization of Community Health Needs - Descriptions of Prioritized Health Needs - Unprioritized Needs - 2019 CHNA Follow-Up and Review - List of Data Sources - Focus Group Discussion Schedules and Questions - List of Steering Committee and Additional Stakeholders - List of external Stakeholders - List of Community Engagement Partners Banner Rehabilitation Hospital - East (Banner Rehab East) located adjacent to Banner Gateway Medical Center and is another step in expanding the care continuum for the community The hospital has fifty-six beds, offering patient focused care that is both compassionate and results oriented. Banner Rehab east Hospital Banner Rehab Phoenix offers programs and services designed to help patients restore strength, mobility, and independence as they heal and recover from a myriad of diagnostic conditions The hospital has fifty-six beds, offering patient focused care that is both compassionate and results oriented. The demographic area for this CHNA is Maricopa County, the common community for all partners participating in the SYNAPSE coalition collaborative. Maricopa County is the fourth most populous county in the United States. With an estimated population of four million and growing, Maricopa County is home to well over half of Arizona's residents and encompasses 9,224 square miles, includes twenty-seven cities and towns, as well as the whole or part of five sovereign American Indian reservations. The primary service area (PSA) information for Banner Rehab East includes es the zip codes making up the top 75% of the total inpatient cases. The PSA includes all residents in a defined geographic area surrounding the hospital does not exclude low-income, uninsured, or underserved populations. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - BANNER REHAB HOSPITAL-EAST. PROCESS & METHODOLOGY USED TO CONDUCT CHNA Banner Health employs an eight-step CHNA process based on Banner Health's experience from previous CHNA cycles. The process outlined below involves continuous review and evaluation or CHNAs from previous cycles, through both the action plans and reports developed on a three-year cycle. Through each cycle Banner Health has been able to provide consistent data to monitor population trends. 1. Review and evaluate prior CHNA Report and Action Plans, review data 2. Partner with community agencies, including County Public Health Departments 3. Conduct focus group with community stakeholders and confirm community priorities 4. Research additional health needs identified 5. Prepare CHNA Report 6. Develop strategies for the next three years 7. Obtain Banner Health Leadership and Board of Director approval 8. Post to Bannerhealth.com and obtain ongoing community feedback Organizational Structure -Banner Health's CHNA Steering Committee (Steering Committee) - Comprised of leaders from throughout Banner Health, these leaders represent our Arizona Community Delivery, Wester Division and Rural Facilities, as well as our Academic Medical Centers. In collaboration with facility leadership team and Banner Health's Strategy Planning department, the Steering Committee is instrumental in both the development of the CHNA process and the continuation of Banner Health's commitment to providing services that meet community health needs. -CHNA Champions - A working team from each of Banner Health's hospitals meets monthly to review the ongoing process of community stakeholder meetings, report creation, and action plan implementation. This group consists of membership made up of CEOs, CNOs, COOs, facility directors, quality management personnel, volunteer services leaders, and other clinical stakeholders. -External Stakeholders - A team of external stakeholders is made up of individuals and organizations external to Banner Health, and represent the underserved, uninsured, and minority populations in Maricopa County and the surrounding areas. Based on their role in the public health realm of the hospital's surrounding community, these stakeholders are instrumental in collaborating around improving our communities. Each stakeholder is vested in the overall health of the community and brings forth a unique perspective with regards to the population's health needs. Primary Data 1. Consists of new data that is obtained via direct means. For Banner Health, primary data is created by rendering healthcare services to patients; the data includes inpatient, or outpatient counts, visits, payer, etc. For the CHNA report, primary data was also collected directly from the community through surveys, focus groups, and key informant interviews. The primary data for the CHNA originated from Cerner (Banner's Electronic Medical Record) and McKesson (Banner's Cost Accounting / Decision Support Tool). These data sources were used to identify the health services currently being accessed by the community at Banner locations and provides indicators for diagnosis-based health needs of the community. 2. SYNAPSE in partnership with Maricopa County facilities, FQHCs, and other health partners, conducted surveys and focus groups throughout 2021. The Survey, which yielded 14,380 responses was available virtually to the public and was translated into thirteen languages. A total of thirty-three focus groups were held, involving 186 participants. Focus Group types ranged from Hispanic males, South Phoenix young families, expectant mothers and parents of young children, Asian/Pacific Islander seniors, and young American Indians. These meetings were also conducted via a virtual platform. Data from focus groups indicated top community-identified health issues. Overall, mental health was the primary issues with nearly 50% of respondents affirming it was a top issue to them. This was a change from the 2019 survey, were most respondents noted Alcohol/substance abuse as the top health condition. Participants were also asked about barriers they experienced in seeking or accessing healthcare in their community. Due to the routine occurrence of SYNAPSE data collection for Community Health Assessments, provide pre and post COVID-19 responses to this question. Fear of exposure was the top barrier for all age groups. 3. Community Survey - In order to identify and understand community health needs, a community health assessment survey was administered to community members in Western Division. Community health assessment surveys were administered between May-July 2022. Surveys were intended to provide information about prominent health problems facing the community. The survey had a total of fifteen questions to identify factors which contributed to overall quality of life, more important health issues and behaviors, rating scales, and impact COVID-19 had in their life and in the community. A total of 234 surveys were collected from our Western Division community partners including 61 Colorado partners (Weld, Logan, Larimer and Morgan Counties), 31 Nevada partners (Churchill County), 52 Arizona partners (Gila and Coconino Counties) and 88 Wyoming partners (Washakie, Goshen, and Platte Counties). 4. Key Informant Interviews - Banner Health conducted a series of Key Informant Interviews with community members identified by Facility Champions. Key informants represented local health departments, fire departments, behavioral health centers, local community colleges, and social service departments. Through a series of eight questions, key informants defined their opinion of health and what quality of life meant, they identified top community needs, and discussed the impact COVID-19 continues to have in their community. While the definition of health varied person by person, the primary theme was the ability to live a safe and productive life. 5. Community Hospital Advisory Board Members - Community Hospital in Torrington is an owned and operated facility by Banner Health. The community of Torrington has an advisory board in place to oversee the operations of Community Hospital in Torrington and communicate to Banner Health the concerns and needs of the community. 6. Page Hospital Board - A team of external stakeholders is made up of individuals and organizations external to Banner Health, and represent the underserved, uninsured, and minority populations in our community and the surrounding areas. This team of stakeholders were identified based on their role in the public health realm of the hospital's surrounding community. These stakeholders are individuals or organizations with whom we are collaborating, or hope to do, around improving our communities. Each stakeholder is vested in the overall health of the community and brought forth a unique perspective with regards to the population's health needs. This group consists of membership made up of Executive Directors, CEO's, Program Managers, Coordinators, Nurses, Patient Navigators, and other community stakeholders. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - BANNER REHAB HOSPITAL-EAST. Significant Health Need: Access to Care Strategy #1: Increase access points for primary care services. Outcomes: -Employed additional Primary Care Providers and Advanced Practice Providers to increase access to care. -Support over 1.5k children through mobile clinics and in-school health clinics. Strategy #2: Increase access to ambulatory care settings. Outcomes: -Grew access to ambulatory services for our community through Urgent Care, Ambulatory Surgical Centers, and Physical Therapy. -Provided more Urgent Care, Physical Therapy, and Ambulatory Surgical Center locations to the community, increasing access to care points. Strategy #3: Deploy care models and tools that improve affordability of care for Banner Health Network members. Outcomes: -Promoted access to Banner Medical Group, to reduce utilization of the Emergency Room. -Identified twenty-two core measures for annual wellness visits to set quality measures - including chronic disease management, cancer screenings, and immunizations. Significant Health Need: Chronic Disease Management (Diabetes/Heart Disease/Cancer) Strategy #1: Continue to improve the coordination of care for patients with chronic disease diagnosis. Outcomes: -Utilized pharmacists to assist in chronic disease management via telephone consultations. -Offer cancer screenings through clinics. -Provided education and assistance with medication adherence, including cost of medication. Strategy #2: Growth of preventative care and wellness programs in the communities we serve. Outcomes: -Provided Medicare Advantage Wellness visits through deploying MDs, NPs, and PAs. -Offered same day mammography access in ambulatory settings (health centers and Imaging locations). Strategy #3: Continued enhancement of measurement /oversight of clinical quality measures for chronic disease patients. Outcomes: -Decreased hypertension through an increase in clinical measures for BP control. -Monthly clinical performance meetings focusing on diabetes and hypertension for Quality Improvement. Significant Health Need: Behavioral Health Strategy #1: Provide services to increase awareness and access to address general psychiatric health needs. Outcomes: -Continue to partner with community outpatient behavioral health providers to provide coordinated care. -Encouraged patients to get initial behavioral screenings in the Emergency Department. -Utilized psychiatric telehealth services in market to continue to offer care in COVID environment. Strategy #2: Utilize internal and external resources to address opioid addiction in Banner Health communities. Outcomes: -Provided an average of 1.4k addiction assessments yearly. -Implemented a system wide primary care strategy to identify opioid use disorder. Strategy #3: Utilize internal and external resources to improve clinical quality for suicide, depression patients in Banner Health communities. Outcomes: -Working to be a "Zero Suicide" health system, where all non-clinical hospital employees are trained to Question, Persuade, and Respond when interacting with a person having a suicidal crisis. -Provided depression screenings during Clinic Appointments. NEEDS IDENTIFIED BUT NOT PRIORITIZED Additional needs identified through data collection and community input were age related health concerns, aging problems, cancer, and access to healthy foods. In many of Banner's facilities a high percentage of the aged population is served, as a result tactics have been developed that acknowledge and address concerns of the aged populations. It was determined to group cancer into Chronic Disease Management as opposed to having it stand along Significant Health Need, as a result a specific strategy has been developed to educate and create access to cancer screenings. COVID-19 remains an ongoing health concern in many communities. While Banner Health decided to not develop a Significant Health Need that is specific to COVID-19, health priorities have been developed that are related to the effects of COVID-19 and have developed tactics to address these health priorities. Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - BANNER REHAB HOSPITAL-EAST. IN ADDITION TO ALL ACTIONS NOTED, BANNER OFFERS FAP WITH EACH BILLING STATEMENT TO THE PATIENT/GUARANTOR. FAP is also posted within facilities at registration locations. 320 SONORA QUEST LABORATORIES LLC 1255 W WASHINGTON ST TEMPE AZ 85281 LABORATORY BANNER BOSWELL MEDICAL CENTER REHABILITATION 10601 WEST SANTA FE DR SUN CITY AZ 85351 LONG TERM REHABILITATION CENTERS SONORA QUEST LABORATORIES LLC 630 N ALVERNON WAY STE 200 TUCSON AZ 85711 LABORATORY BANNER HOME CARE 275 E GERMANN GILBERT AZ 85297 HOME HEALTH BANNER ALZHEIMER'S INSTITUTE 901 EAST WILLETTA STREET PHOENIX AZ 85006 OUTPATIENT TREATMENT CENTERS/CLINICS BANNER FAMILY PHARMACY 7300 W DETROIT ST CHANDLER AZ 85226 RETAIL PHARMACY BANNER FAMILY PHARMACY 2946 E BANNER GATEWAY DRIVE GILBERT AZ 85234 RETAIL PHARMACY BANNER RESEARCH INSTITUTE 10515 W SANTA FE DR SUN CITY AZ 85351 RESEARCH FACILITY SONORA QUEST LABORATORIES LLC 1515 E CEDAR BLVD BLDG F FLAGSTAFF AZ 86004 LABORATORY BANNER FAMILY PHARMACY 1111 E MCDOWELL ROAD PHOENIX AZ 85006 RETAIL PHARMACY BANNER FAMILY PHARMACY 1400 S DOBSON ROAD MESA AZ 85202 RETAIL PHARMACY BANNER HOME CARE 13950 W MEEKER BLVD STE 101 AND SUN CITY WEST AZ 85375 HOME HEALTH BANNER ESTRELLA SURGERY CENTER 9301 W THOMAS ROAD PHOENIX AZ 85037 OUT-PATIENT SURGERY CENTERS SKYLINE SURGERY CENTER - LOVELAND 2555 E 13TH ST STE 200 LOVELAND CO 80537 OUT-PATIENT SURGERY CENTERS BANNER SURGERY CENTER - GREELEY 5890 W 13TH STREET SUITE 102 GREELEY CO 80634 OUT-PATIENT SURGERY CENTERS SKYLINE CONVALAESCENT CENTER 2555 E 13TH ST STE 200 LOVELAND CO 80537 CONVALAESCENT CENTER BANNER FAMILY PHARMACY 5555 W THUNDERBIRD ROAD GLENDALE AZ 85306 RETAIL PHARMACY BANNER THUNDERBIRD SURGERY CENTER 5555 W THUNDERBIRD ROAD GLENDALE AZ 85306 OUT-PATIENT SURGERY CENTERS BANNER THUNDERBIRD BEHAVIORAL HEALTH CENTER 5555 W THUNDERBIRD ROAD GLENDALE AZ 85306 OUTPATIENT TREATMENT CENTERS/CLINICS BANNER FAMILY PHARMACY 1625 N CAMPBELL AVENUE TUCSON AZ 85724 RETAIL PHARMACY BANNER FAMILY PHARMACY 9201 W THOMAS ROAD PHOENIX AZ 85037 RETAIL PHARMACY BANNER FAMILY PHARMACY 6644 E BAYWOOD AVE MESA AZ 85206 RETAIL PHARMACY BANNER SURGERY CENTER - DESERT 1500 S DOBSON RD STE 101 MESA AZ 85202 OUT-PATIENT SURGERY CENTERS HORIZON LABORATORY LLC 2555 E 13TH ST STE 115 LOVELAND CO 80537 LABORATORY SONORA QUEST LABORATORIES LLC 13657 W MCDOWELL RD STE 100 GOODYEAR AZ 85338 LABORATORY SONORA QUEST LABORATORIES LLC 6106 E BROWN ROAD STE 101 MESA AZ 85206 LABORATORY BANNER BEHAVIORAL HEALTH OUTPATIENT CLINIC - CHANDLER CAMPUS 1600 W CHANDLER BLVD SUITE 180 CHANDLER AZ 85225 OUTPATIENT TREATMENT CENTERS/CLINICS BANNER HOME CARE PAYSON 708 E STATE HWY 260 SUITE A1 PAYSON AZ 85541 HOME HEALTH SONORA QUEST LABORATORIES LLC 2000 E SOUTHERN AVE STE 101 TEMPE AZ 85282 LABORATORY SONORA QUEST LABORATORIES LLC 3003 HWY 95 STE H-81 BULLHEAD CITY AZ 86442 LABORATORY SONORA QUEST LABORATORIES LLC 5605 W EUGIE AVE STE 104 GLENDALE AZ 85306 LABORATORY BANNER FAMILY PHARMACY 1900 N HIGLEY ROAD GILBERT AZ 85234 RETAIL PHARMACY SONORA QUEST LABORATORIES LLC 2081 W FRYE RD STE 107 CHANDLER AZ 85224 LABORATORY SONORA QUEST LABORATORIES LLC 6344 E Broadway Rd MESA AZ 85206 LABORATORY SONORA QUEST LABORATORIES LLC 3805 E BELL RD STE 1500 PHOENIX AZ 85032 LABORATORY SONORA QUEST LABORATORIES LLC 10503 W THUNDERBIRD BLVD STE 110 SUN CITY AZ 85351 LABORATORY SONORA QUEST LABORATORIES LLC 603 N WILMOT STE 141 TUCSON AZ 85710 LABORATORY HORIZON LABORATORY LLC 2001 70TH AVE GREELEY CO 80634 LABORATORY SONORA QUEST LABORATORIES LLC 14420 W MEEKER RD STE A109 SUN CITY WEST AZ 85375 LABORATORY BANNER IMAGING CENTER 14420 W MEEKER RD STE A101 SUN CITY WEST AZ 85375 LABORATORY SONORA QUEST LABORATORIES LLC 9321 W THOMAS RD STE 205 PHOENIX AZ 85037 LABORATORY SONORA QUEST LABORATORIES LLC 9445 E IRONWOOD SQUARE DR SUITE SCOTTSDALE AZ 85258 LABORATORY BANNER FAMILY PHARMACY 14502 WEST MEEKER BOULEVARD SUN CITY WEST AZ 85375 RETAIL PHARMACY SONORA QUEST LABORATORIES LLC 2940 E BANNER GATEWAY DR STE 325 GILBERT AZ 85234 LABORATORY BANNER FAMILY PHARMACY 2800 E AJO WAY TUCSON AZ 85713 RETAIL PHARMACY BANNER SURGERY CENTER - UNIVERSITY 1040 E MCDOWELL RD PHOENIX AZ 85006 OUT-PATIENT SURGERY CENTERS SONORA QUEST LABORATORIES LLC 10238 E HAMPTON AVE STE 101 MESA AZ 85208 LABORATORY THE CLEO ROBERTS CENTER 10515 WEST SANTA FE DR 1ST FLR SUN CITY AZ 85351 OUTPATIENT TREATMENT CENTERS/CLINICS BANNER HOME CARE COLORADO 1990 59TH AVE STE 200 GREELEY CO 80634 HOME INFUSION THERAPY BANNER HOME CARE COLORADO 5628 W 19TH ST STE 1E GREELEY CO 80634 HOME INFUSION THERAPY SONORA QUEST LABORATORIES LLC 37100 N GANTZEL RD STE 114 QUEEN CREEK AZ 85240 LABORATORY BANNER UNION HILLS SURGERY CENTER LLC 18301 N 79TH AVE STE E150 GLENDALE AZ 85308 OUT-PATIENT SURGERY CENTERS SONORA QUEST LABORATORIES LLC 7281 E EARLL DR STE 2 SCOTTSDALE AZ 85251 LABORATORY BANNER BEHAVIORAL HEALTH OUTPATIENT CLINIC - SCOTTSDALE CAMPUS 8722 E SAN ALBERTO DRIVE STE 100 SCOTTSDALE AZ 85258 OUTPATIENT TREATMENT CENTERS/CLINICS SONORA QUEST LABORATORIES LLC 1432 S DOBSON RD STE202 MESA AZ 85202 LABORATORY SONORA QUEST LABORATORIES LLC 10450 E RIGGS ROAD STE 109 SUN LAKES AZ 85248 LABORATORY SONORA QUEST LABORATORIES LLC 2080 W SOUTHERN AVE STE B-6 APACHE JUNCTION AZ 85220 LABORATORY LOVELAND ENDOSCOPY CENTER LLC 2555 E 13TH ST STE 210 LOVELAND CO 80537 OUTPATIENT TREATMENT CENTERS/CLINICS SONORA QUEST LABORATORIES LLC 1425 S GREENFIELD ROAD SUITE 102 MESA AZ 85206 LABORATORY SONORA QUEST LABORATORIES LLC 6320 W UNION HILLS DR STE 160 GLENDALE AZ 85308 LABORATORY SONORA QUEST LABORATORIES LLC 980 WILLOW CREEK RD PRESCOTT AZ 86305 LABORATORY HORIZON LABORATORY LLC 1230 14TH STREET SW LOVELAND CO 80537 LABORATORY SONORA QUEST LABORATORIES LLC 11209 N TATUM BLVD STE 1 PHOENIX AZ 85028 LABORATORY SONORA QUEST LABORATORIES LLC 2640 W BASELINE ROAD STE 115 PHOENIX AZ 85041 LABORATORY SONORA QUEST LABORATORIES LLC 7757 W DEER VALLEY ROAD STE 265 PEORIA AZ 85382 LABORATORY SONORA QUEST LABORATORIES LLC 1848 E INNOVATION PARK ORO VALLEY AZ 85737 LABORATORY SONORA QUEST LABORATORIES LLC 21803 N SCOTTSDALE RD STE A-210 SCOTTSDALE AZ 85255 LABORATORY SONORA QUEST LABORATORIES LLC 1860 E SALK DR STE A-1 CASA GRANDE AZ 85222 LABORATORY SONORA QUEST LABORATORIES LLC 1151 S LA CANADA DR STE 206 GREEN VALLEY AZ 85614 LABORATORY SONORA QUEST LABORATORIES LLC 4350 N 19TH AVE STE 5 PHOENIX AZ 85015 LABORATORY SONORA QUEST LABORATORIES LLC 3624 W ANTHEM WY STE C114 ANTHEM AZ 85086 LABORATORY SONORA QUEST LABORATORIES LLC 20414 N 27TH AVE STE 140 PHOENIX AZ 85027 LABORATORY SONORA QUEST LABORATORIES LLC 4524 N MARYVALE PARKWAY STE 120 PHOENIX AZ 85031 LABORATORY BANNER HEALTH CLINIC 1345 PAUL BUNYON ROAD SUITE A SUSANVILLE CA 96130 OUTPATIENT TREATMENT CENTERS/CLINICS BANNER HEALTH CLINIC 1680 PAUL BUNYON ROAD SUSANVILLE CA 96130 OUTPATIENT TREATMENT CENTERS/CLINICS HORIZON LABORATORY LLC 2923 GINNALA DRIVE LOVELAND CO 80538 LABORATORY SONORA QUEST LABORATORIES LLC 1100 N SAN FRANCISCO ST STE F FLAGSTAFF AZ 86001 LABORATORY SONORA QUEST LABORATORIES LLC 1773 W ST MARYS RD STE 101 TUCSON AZ 85745 LABORATORY SONORA QUEST LABORATORIES LLC 3161 N WINDSONG PRESCOTT VALLEY AZ 86314 LABORATORY SONORA QUEST LABORATORIES LLC 1150 S HIGHWAY 92 STE E SIERRA VISTA AZ 85635 LABORATORY SONORA QUEST LABORATORIES LLC 1440 W VALENCIA STE 130 TUCSON AZ 85746 LABORATORY SONORA QUEST LABORATORIES LLC 117 E MAIN ST BUILDING C STE 20 PAYSON AZ 85541 LABORATORY HORIZON LABORATORY LLC 702 W DRAKE ROAD BUILDING A FORT COLLINS CO 80526 LABORATORY HORIZON LABORATORY LLC 4700 LADY MOON DRIVE FORT COLLINS CO 80528 LABORATORY SONORA QUEST LABORATORIES LLC 2270 S RIDGEVIEW DRIVE STE 306 YUMA AZ 85364 LABORATORY SONORA QUEST LABORATORIES LLC 21300 N JOHN WAYNE PKWY STE 116 MARICOPA AZ 85239 LABORATORY HORIZON LABORATORY LLC 1600 23RD AVENUE GREELEY CO 80631 LABORATORY HORIZON LABORATORY LLC 1300 MAIN STREET WINDSOR CO 80550 LABORATORY BANNER UNIVERSITY MEDICINE BEHAVIORAL HEALTH CLINIC 1300 N 12 STREET STE 320 PHOENIX AZ 85006 OUTPATIENT TREATMENT CENTERS/CLINICS SONORA QUEST LABORATORIES LLC 13620 N SAGUARO BLVD STE 150 FOUNTAIN HILLS AZ 85268 LABORATORY BANNER HOME CARE ARIZONA 575 E RIVER RD STE 213 TUCSON AZ 85704 HOME HEALTH SONORA QUEST LABORATORIES LLC 2450 E SHOW LOW LAKE RD STE 3B SHOW LOW AZ 85901 LABORATORY SONORA QUEST LABORATORIES LLC 1275 W WASHINGTON ST SUITE 109 TEMPE AZ 85281 LABORATORY BANNER URGENT CARE 6021 NORTH ORACLE TUCSON AZ 85704 URGENT CARE SONORA QUEST LABORATORIES LLC 1060 E RAY ROAD CHANDLER AZ 85225 LABORATORY BANNER URGENT CARE 1151 N GILBERT ROAD MESA AZ 85203 URGENT CARE BANNER IMAGING CENTER 1201 S ALMA SCHOOL ROAD SUITE 1400 MESA AZ 85210 IMAGING CENTER SONORA QUEST LABORATORIES LLC 1225 W GUADALUPE ROAD MESA AZ 85202 LABORATORY SONORA QUEST LABORATORIES LLC 13856 W WADDELL ROAD SUITE 107 SURPRISE AZ 85379 LABORATORY BANNER URGENT CARE 15223 N 87TH STREET SUITE 110 SCOTTSDALE AZ 85260 URGENT CARE SONORA QUEST LABORATORIES LLC 15810 S 45TH STREET SUITE 101 PHOENIX AZ 85048 LABORATORY SONORA QUEST LABORATORIES LLC 1751 HIGHWAY 95 BULLHEAD CITY AZ 86442 LABORATORY SONORA QUEST LABORATORIES LLC 1925 W ORANGE GROVE SUITE 100 TUCSON AZ 85704 LABORATORY SONORA QUEST LABORATORIES LLC 1964 MESQUITE AVE UNIT A LAKE HAVASU CITY AZ 86403 LABORATORY SONORA QUEST LABORATORIES LLC 2001 W CAMELBACK ROAD SUITE 150 PHOENIX AZ 85015 LABORATORY BANNER IMAGING CENTER 2323 ROSE GARDEN LANE PHOENIX AZ 85027 IMAGING CENTER SONORA QUEST LABORATORIES LLC 2505 HUALAPAI MOUNTAIN ROAD SUITE KINGMAN AZ 86401 LABORATORY SONORA QUEST LABORATORIES LLC 2800 E AJO WAY TUCSON AZ 85713 LABORATORY SONORA QUEST LABORATORIES LLC 28455 N VISTANCIA ROAD PEORIA AZ 85383 LABORATORY SONORA QUEST LABORATORIES LLC 3530 S VAL VISTA DR SUITE B206 GILBERT AZ 85297 LABORATORY SONORA QUEST LABORATORIES LLC 3838 N CAMPBELL AVE TUCSON AZ 85719 LABORATORY SONORA QUEST LABORATORIES LLC 395 N SILVERBELL ROAD SUITE 115 TUCSON AZ 85745 LABORATORY SONORA QUEST LABORATORIES LLC 6567 E CARONDELET SUITE 441 TUCSON AZ 85710 LABORATORY SONORA QUEST LABORATORIES LLC 702 W HOPI DRIVE SHOW LOW AZ 85901 LABORATORY SONORA QUEST LABORATORIES LLC 926 E MCDOWELL ROAD SUITE 122 PHOENIX AZ 85006 LABORATORY SONORA QUEST LABORATORIES LLC 9980 W GLENDALE AVE SUITE 120 GLENDALE AZ 85307 LABORATORY BANNER IMAGING CENTER 16641 N 40TH ST STE 1 PHOENIX AZ 85032 IMAGING CENTER BANNER PHYSICAL THERAPY 805 EAST 18TH ST SUITE 7 LOVELAND CO 80538 PHYSICAL THERAPY BANNER PHYSICAL THERAPY 20045 N 19TH AVENUE 8 PHOENIX AZ 85027 PHYSICAL THERAPY SONORA QUEST LABORATORIES LLC 13760 N 93RD AVE SUITE 107 PEORIA AZ 85381 LABORATORY BANNER PHYSICAL THERAPY 5890 W 13TH ST SUITE 110 GREELEY CO 80634 PHYSICAL THERAPY BANNER IMAGING CENTER 18444 N 25TH AVE STE 140 PHOENIX AZ 85023 IMAGING CENTER BANNER PHYSICAL THERAPY 9917 N 95TH ST SCOTTSDALE AZ 85258 PHYSICAL THERAPY BANNER PHYSICAL THERAPY 14001 N 7TH ST SUITE A-102 PHOENIX AZ 85022 PHYSICAL THERAPY BANNER IMAGING CENTER 18275 N 59TH AVE STE K168 GLENDALE AZ 85308 IMAGING CENTER BANNER PHYSICAL THERAPY 265 W INA RD TUCSON AZ 85704 PHYSICAL THERAPY BANNER PHYSICAL THERAPY 1661 E CAMELBACK RD SUITE 152 PHOENIX AZ 85016 PHYSICAL THERAPY BANNER ALZHEIMER'S INSTITUTE 3838 N CAMPBELL AVE BUILDING 2 3 TUCSON AZ 85719 OUTPATIENT TREATMENT CENTERS/CLINICS BANNER URGENT CARE 11685 W VAN BUREN AVONDALE AZ 85323 URGENT CARE BANNER IMAGING CENTER 1076 W CHANDLER BLVD STE 120 CHANDLER AZ 85224 IMAGING CENTER BANNER PHYSICAL THERAPY 2940 E BANNER GATEWAY DR SUITE 4 GILBERT AZ 85234 PHYSICAL THERAPY BANNER PHYSICAL THERAPY 1972 E BASELINE RD SUITE 103 TEMPE AZ 85283 PHYSICAL THERAPY BANNER PHYSICAL THERAPY 1255 W BASELINE RD SUITE 140 MESA AZ 85202 PHYSICAL THERAPY BANNER URGENT CARE 2015 35TH AVE GREELEY CO 80634 URGENT CARE BANNER IMAGING CENTER 2001 70TH AVE GREELEY AZ 80634 IMAGING CENTER BANNER PHYSICAL THERAPY 1517 16TH AVE GREELEY CO 80631 PHYSICAL THERAPY BANNER HEALTH SCHOOL BASED HEALTH CENTER OF MESA 855 W 8TH AVE MESA AZ 85210 BANNER SCHOOL BASED CLINICS BANNER FAMILY PHARMACY 2001 70TH AVE GREELEY CO 80634 RETAIL PHARMACY HORIZON LABORATORY LLC 102 HAYES AVENUE STERLING CO 80751 LABORATORY BANNER PHYSICAL THERAPY 2120 AIRWAY AVE KINGMAN AZ 86409 PHYSICAL THERAPY BANNER URGENT CARE 4232 WEST BELL ROAD GLENDALE AZ 85308 URGENT CARE BANNER URGENT CARE 3247 EAST BELL ROAD PHOENIX AZ 85032 URGENT CARE BANNER IMAGING CENTER 665 N GILBERT RD STE 154 GILBERT AZ 85234 IMAGING CENTER BANNER URGENT CARE 6702 WEST BETHANY HOME ROAD GLENDALE AZ 85303 URGENT CARE BANNER URGENT CARE 5545 EAST BROADWAY BOULEVARD TUCSON AZ 85711 URGENT CARE BANNER QUICK CARE LLC 926 EAST BROADWAY ROAD TEMPE AZ 85282 URGENT CARE BANNER IMAGING CENTER 1450 S DOBSON RD STE A100 MESA AZ 85202 IMAGING CENTER BANNER PHYSICAL THERAPY 655 S DOBSON RD SUITE B-111 CHANDLER AZ 85224 PHYSICAL THERAPY BANNER URGENT CARE 7611 WEST CACTUS ROAD PEORIA AZ 85381 URGENT CARE BANNER PHYSICAL THERAPY 5111 N SCOTTSDALE RD SUITE 100 TUCSON AZ 85250 PHYSICAL THERAPY SONORA QUEST LABORATORIES LLC 203 S CANDY LANE STE 4B COTTONWOOD AZ 86326 LABORATORY BANNER SURGERY CENTER - SUN CITY WEST 14416 W MEEKER BLVD STE 103 SUN CITY WEST AZ 85375 OUT-PATIENT SURGERY CENTERS BANNER PHYSICAL THERAPY 14418 W MEEKER BLVD BLDG B STE 301 SUN CITY WEST AZ 85375 PHYSICAL THERAPY BANNER PHYSICAL THERAPY 14418 W MEEKER BLVD BLDG B STE 103 SUN CITY WEST AZ 85375 PHYSICAL THERAPY BANNER URGENT CARE 13901 W MEEKER BLVD SUN CITY WEST AZ 85375 URGENT CARE BANNER PHYSICAL THERAPY 4344 W BELL RD SUITE 100 GLENDALE AZ 85308 PHYSICAL THERAPY BANNER PHYSICAL THERAPY 4045 E BELL RD SUITE 150 PHOENIX AZ 85032 PHYSICAL THERAPY BANNER URGENT CARE 15521 W BELL ROAD SURPRISE AZ 85374 URGENT CARE SONORA QUEST LABORATORIES LLC 15311 W BELL ROAD SUITE 110 SURPRISE AZ 85374 LABORATORY BANNER URGENT CARE 931 EAST ELLIOT ROAD TEMPE AZ 85284 URGENT CARE BANNER URGENT CARE 1 N CENTRAL AVE STE 105 PHOENIX AZ 85004 URGENT CARE BANNER PHYSICAL THERAPY 3507 S MERCY RD SUITE 105 GILBERT AZ 85297 PHYSICAL THERAPY BANNER HEALTH SCHOOL BASED HEALTH CENTER OF CHANDLER 777 EAST GALVESTON CHANDLER AZ 85225 BANNER SCHOOL BASED CLINICS BANNER HEALTH SCHOOL BASED HEALTH CENTER OF TOLLESON 9401 WEST GARFIELD STREET TOLLESON AZ 85353 BANNER SCHOOL BASED CLINICS BANNER IMAGING CENTER 5605 W EUGIE AVE STE 110 GLENDALE AZ 85304 IMAGING CENTER BANNER IMAGING CENTER 5601 W EUGIE AVE STE 102 GLENDALE AZ 85304 IMAGING CENTER BANNER PHYSICAL THERAPY 5605 W EUGIE AVE SUITES 206 212 GLENDALE AZ 85304 PHYSICAL THERAPY BANNER URGENT CARE 1940 WEST GLENDALE RD PHOENIX AZ 85021 URGENT CARE BANNER GATEWAY WEIGHT LOSS CENTER 1920 N HIGLEY ROAD SUITE 306 GILBERT AZ 85231 OUTPATIENT TREATMENT CENTERS/CLINICS BANNER URGENT CARE 7066 EAST GOLF LINKS ROAD TUCSON AZ 85730 URGENT CARE BANNER PHYSICAL THERAPY 13951 W GRAND AVE UNIT 201 SURPRISE AZ 85374 PHYSICAL THERAPY BANNER URGENT CARE 6501 EAST GREENWAY PARKWAY SCOTTSDALE AZ 85254 URGENT CARE BANNER PHYSICAL THERAPY 219 LEXINGTON AVE PHOENIX AZ 85012 PHYSICAL THERAPY BANNER URGENT CARE 1955 WEST GUADALUPE ROAD MESA AZ 85202 URGENT CARE BANNER URGENT CARE 1641 EAST GUADALUPE ROAD GILBERT AZ 85234 URGENT CARE BANNER URGENT CARE 7952 NORTH 43RD AVENUE GLENDALE AZ 85308 URGENT CARE BANNER URGENT CARE 2950 SOUTH ALMA SCHOOL SUITE 1 CHANDLER AZ 85286 URGENT CARE BANNER QUICK CARE LLC 4970 SOUTH ALMA SCHOOL ROAD CHANDLER AZ 85248 URGENT CARE BANNER URGENT CARE 3000 NORTH ARIZONA AVENUE CHANDLER AZ 85225 URGENT CARE BANNER URGENT CARE 3611 NORTH CAMPBELL AVENUE TUCSON AZ 85719 URGENT CARE BANNER URGENT CARE 1157 SOUTH CRISMON ROAD MESA AZ 85208 URGENT CARE BANNER URGENT CARE 3200 SOUTH GILBERT ROAD CHANDLER AZ 85286 URGENT CARE BANNER URGENT CARE 1120 SOUTH GILBERT ROAD MESA AZ 85204 URGENT CARE BANNER URGENT CARE 1660 NORTH HIGLEY RD SUITE 104 GILBERT AZ 85234 URGENT CARE BANNER URGENT CARE 1215 SOUTH HIGLEY ROAD MESA AZ 85206 URGENT CARE BANNER URGENT CARE 3126 SOUTH HIGLEY ROAD GILBERT AZ 85295 URGENT CARE BANNER URGENT CARE 1355 SOUTH HIGLEY ROAD GILBERT AZ 85296 URGENT CARE BANNER URGENT CARE 3328 NORTH LITCHFIELD ROAD GOODYEAR AZ 85395 URGENT CARE BANNER URGENT CARE 3141 SOUTH MCCLINTOCK DRIVE TEMPE AZ 85282 URGENT CARE BANNER URGENT CARE 6323 SOUTH RURAL ROAD TEMPE AZ 85283 URGENT CARE BANNER URGENT CARE 9111 N 7TH STREET PHOENIX AZ 85020 URGENT CARE BANNER URGENT CARE 5018 N 7TH STREET PHOENIX AZ 85014 URGENT CARE BANNER PHYSICAL THERAPY 10165 E HAMPTON AVE SUITE 111 MESA AZ 85209 PHYSICAL THERAPY BANNER PHYSICAL THERAPY 9401 W THUNDERBIRD RD SUITE 190 PEORIA AZ 85381 PHYSICAL THERAPY BANNER PHYSICAL THERAPY 10503 W THUNDERBIRD BLVD SUITE 26 SUN CITY AZ 85351 PHYSICAL THERAPY BANNER IMAGING CENTER 10474 W THUNDERBIRD BLVD STE 100 SUN CITY AZ 85351 IMAGING CENTER BANNER QUICK CARE LLC 4425 EAST IRMA LANE PHOENIX AZ 85050 URGENT CARE BANNER URGENT CARE 1908 E MCKELLIPS RD MESA AZ 85203 URGENT CARE BANNER FAMILY PHARMACY 13640 N PLAZA DEL RIO PEORIA AZ 85381 RETAIL PHARMACY BANNER SURGERY CENTER - PLAZA DEL RIO 13640 N PLAZA DEL RIO BLVD STE 135 PEORIA AZ 85381 OUT-PATIENT SURGERY CENTERS BANNER NUERO WELLNESS GILBERT 207 N GILBERT RD SUITE 205 GILBERT AZ 85234 OUTPATIENT TREATMENT CENTERS/CLINICS BANNER URGENT CARE 407 NORTH LINDSAY ROAD MESA AZ 85213 URGENT CARE BANNER URGENT CARE 3617 S COLLEGE AVE SUITE C FORT COLLINS CO 80525 URGENT CARE BANNER PHYSICAL THERAPY 1632 HOFFMAN DR LOVELAND CO 80538 PHYSICAL THERAPY BANNER PHYSICAL THERAPY 13055 W MCDOWELL RD SUITE G107 AVONDALE AZ 85392 PHYSICAL THERAPY BANNER PHYSICAL THERAPY 10750 W MCDOWELL RD SUITE B-210 AVONDALE AZ 85392 PHYSICAL THERAPY BANNER URGENT CARE 1676 E MCMURRAY BLVD CASA GRANDE AZ 85122 URGENT CARE BANNER PHYSICAL THERAPY 126 E MAIN ST STE C PAYSON AZ 85541 PHYSICAL THERAPY BANNER IMAGING CENTER 127 E MAIN STREET SUITE C PAYSON AZ 85541 IMAGING CENTER BANNER PHYSICAL THERAPY 6320 W UNION HILLS DR SUITE 265 GLENDALE AZ 85308 PHYSICAL THERAPY BANNER PHYSICAL THERAPY 2800 E AJO WAY SUITE 201 TUCSON AZ 85713 PHYSICAL THERAPY BANNER IMAGING CENTER 6424 E BROADWAY RD STE 101 MESA AZ 85206 IMAGING CENTER BANNER IMAGING CENTER 9305 W THOMAS RD STE 200 PHOENIX AZ 85037 IMAGING CENTER BANNER IMAGING CENTER 9305 W THOMAS RD STE 100 PHOENIX AZ 85037 IMAGING CENTER BANNER FAMILY PHARMACY 1800 E FLORENCE BLVD CASA GRANDE AZ 85122 RETAIL PHARMACY BANNER IMAGING CENTER 1828 E FLORENCE BLVD BLDG B STE 118 CASA GRANDE AZ 85122 IMAGING CENTER BANNER PHYSICAL THERAPY 1828 E FLORENCE BLVD BLDG A STE 102 CASA GRANDE AZ 85122 PHYSICAL THERAPY BANNER CASA GRANDE COUMADIN CLINIC 1800 E FLORENCE BLVD CASA GRANDE AZ 85122 LABORATORY BANNER URGENT CARE 7089 N THORNYDALE RD SUITE 101 TUCSON AZ 85741 URGENT CARE BANNER PHYSICAL THERAPY 2853 S SOSSAMAN RD SUITE A 106 MESA AZ 85212 PHYSICAL THERAPY BANNER PHYSICAL THERAPY 755 E MCDOWELL RD 1ST FLOOR PHOENIX AZ 85006 PHYSICAL THERAPY BANNER URGENT CARE 3160 EAST QUEEN CREEK ROAD GILBERT AZ 85297 URGENT CARE BANNER URGENT CARE 1979 WEST RAY ROAD CHANDLER AZ 85224 URGENT CARE BANNER PHYSICAL THERAPY 1729 W GREENTREE DR SUITE 101 TEMPE AZ 85284 PHYSICAL THERAPY BANNER PHYSICAL THERAPY 20851 E RITTENHOUSE RD STE 103 QUEEN CREEK AZ 85142 PHYSICAL THERAPY BANNER PHYSICAL THERAPY 4015 S ARIZONA AVE SUITE 2 CHANDLER AZ 85248 PHYSICAL THERAPY BANNER IMAGING CENTER 1840 E WARNER RD STE 114 TEMPEPE AZ 85284 IMAGING CENTER BANNER PHYSICAL THERAPY 5151 E BROADWAY RD SUITE 102 MESA AZ 85206 PHYSICAL THERAPY BANNER PHYSICAL THERAPY 1025 E BROADWAY RD SUITE 101 TEMPE AZ 85282 PHYSICAL THERAPY BANNER PHYSICAL THERAPY 2940 RIVERSIDE DR STE A SUSANVILLE CA 96130 PHYSICAL THERAPY BANNER IMAGING CENTER 6553 E BAYWOOD AVE STE 102 MESA AZ 85206 IMAGING CENTER BANNER PHYSICAL THERAPY 2055 W FRYE RD SUITE 2 CHANDLER AZ 85224 PHYSICAL THERAPY BANNER FAMILY PHARMACY 1801 16TH STREET GREELEY CO 80631 RETAIL PHARMACY ICARE OFFICE 1434 6TH STREET ROOM 5 SANTA MONICA CA 90401 OUTPATIENT TREATMENT CENTERS/CLINICS STEPPING STONES ADULT DAY PROGRAM 302 3RD ST SE STE 100 LOVELAND AZ 80537 OUTPATIENT TREATMENT CENTERS/CLINICS BANNER URGENT CARE 21980 NORTH 83RD AVE PEORIA AZ 85383 URGENT CARE BANNER PHYSICAL THERAPY 2942 N 7TH AVE PHOENIX AZ 85013 PHYSICAL THERAPY BANNER URGENT CARE 35945 NORTH GARY ROAD SAN TAN VALLEY AZ 85143 URGENT CARE BANNER URGENT CARE 40773 NORTH IRONWOOD ROAD SAN TAN VALLEY AZ 85140 URGENT CARE BANNER URGENT CARE 10330 NORTH SCOTTSDALE ROAD SUITE SCOTTSDALE AZ 85253 OUTPATIENT TREATMENT CENTERS/CLINICS BANNER FAMILY PHARMACY 1441 N 12TH STREET PHOENIX AZ 85006 RETAIL PHARMACY BANNER FAMILY PHARMACY 2555 E 13TH STREET SUITE 125 LOVELAND CO 80537 RETAIL PHARMACY BANNER URGENT CARE 2555 E 13TH STREET SUITE 110 LOVELAND CO 80537 URGENT CARE BANNER URGENT CARE 16430 W YUMA ROAD GOODYEAR AZ 85338 URGENT CARE BANNER IMAGING CENTER 5757 W THUNDERBIRD RD STE W101 GLENDALE AZ 85306 IMAGING CENTER BANNER IMAGING CENTER 5757 W THUNDERBIRD RD STE W100 GLENDALE AZ 85306 IMAGING CENTER SONORA QUEST LABORATORIES LLC 5310 W THUNDERBIRD RD SUITE 200 GLENDALE AZ 85306 LABORATORY BANNER IMAGING CENTER 5310 W THUNDERBIRD RD STE 100 GLENDALE AZ 85306 IMAGING CENTER BANNER PHYSICAL THERAPY 2400 W DUNLAP AVE SUITE 145 PHOENIX AZ 85021 PHYSICAL THERAPY BANNER IMAGING CENTER 1940 S COUNTRY CLUB DR STE 101 MESA AZ 85210 IMAGING CENTER BANNER PHYSICAL THERAPY 2225 W SOUTHERN AVE MESA AZ 85202 PHYSICAL THERAPY BANNER PHYSICAL THERAPY 2225 W SOUTHERN AVE MESA AZ 85202 PHYSICAL THERAPY BANNER PHYSICAL THERAPY 2225 W SOUTHERN AVE MESA AZ 85202 PHYSICAL THERAPY BANNER PHYSICAL THERAPY 2225 W SOUTHERN AVE MESA AZ 85202 PHYSICAL THERAPY BANNER PHYSICAL THERAPY 2225 W SOUTHERN AVE MESA AZ 85202 PHYSICAL THERAPY SONORA QUEST LABORATORIES LLC 9890 S ESTRELLA PARKWAY GOODYEAR AZ 85338 LABORATORY SONORA QUEST LABORATORIES LLC 32551 N SCOTTSDALE ROAD SCOTTSDALE AZ 85262 LABORATORY SONORA QUEST LABORATORIES LLC 550 E BELL ROAD PHOENIX AZ 85022 LABORATORY SONORA QUEST LABORATORIES LLC 3800 W HAPPY VALLEY ROAD GLENDALE AZ 85310 LABORATORY SONORA QUEST LABORATORIES LLC 3132 E CAMELBACK ROAD PHOENIX AZ 85016 LABORATORY SONORA QUEST LABORATORIES LLC 3325 N HUNT HIGHWAY FLORENCE AZ 85132 LABORATORY SONORA QUEST LABORATORIES LLC 6360 E GOLF LINKS ROAD TUCSON AZ 85730 LABORATORY SONORA QUEST LABORATORIES LLC 1940 E BROADWAY ROAD TUCSON AZ 85719 LABORATORY SONORA QUEST LABORATORIES LLC 1031 AZ 89 CHINO VALLEY AZ 86323 LABORATORY SONORA QUEST LABORATORIES LLC 2300 W STATE ROUTE 89A SEDONA AZ 86336 LABORATORY SONORA QUEST LABORATORIES LLC 3970 STOCKTON HILL ROAD KINGMAN AZ 86401 LABORATORY BANNER IMAGING CENTER 9305 W THOMAS RD STE 360 PHOENIX AZ 85037 IMAGING CENTER BANNER IMAGING CENTER 1076 W Chandler Blvd Ste 120 Chandler AZ 852245224 IMAGING CENTER BANNER IMAGING CENTER 13640 N Plaza Del Rio Blvd Ste 105 Peoria AZ 853814846 IMAGING CENTER BANNER IMAGING CENTER 13909 W Camino Del Sol Ste 101 Sun City West AZ 853751413 IMAGING CENTER Banner Desert Medical Center - Children's Cancer Center 1432 S Dobson Rd Ste 107 Mesa AZ 852024769 OUTPATIENT TREATMENT CENTERS/CLINICS BANNER IMAGING CENTER 14420 W Meeker Blvd Ste A101 Sun City West AZ 853755287 IMAGING CENTER BANNER IMAGING CENTER 1450 S Dobson Rd Ste A100 Mesa AZ 852024709 IMAGING CENTER Banner University Medicine Women's Service 15810 S 45th St Ste 105 Phoenix AZ 850487694 OUTPATIENT TREATMENT CENTERS/CLINICS BANNER IMAGING CENTER 16641 N 40th St Ste 1 2 Phoenix AZ 850323343 IMAGING CENTER McKee Medical Center - Banner Physical Therapy and Rehabilitation Center 1805 E 18th St Ste 7 8 Loveland CO 805384237 OUTPATIENT TREATMENT CENTERS/CLINICS BANNER IMAGING CENTER 18275 N 59th Ave Ste K-168 Glendale AZ 853081254 IMAGING CENTER BANNER IMAGING CENTER 1828 E Florence Blvd Bldg B Ste 118 Casa Grande AZ 851224784 IMAGING CENTER Banner Casa Grande Medical Center Wound Center 1828 E Florence Blvd Bldg C Ste 139 Casa Grande AZ 851224783 OUTPATIENT TREATMENT CENTERS/CLINICS BANNER IMAGING CENTER 1840 E Warner Rd Ste 114 Tempe AZ 852843445 IMAGING CENTER BANNER IMAGING CENTER 18444 N 25th Ave Ste 140 Phoenix AZ 850231263 IMAGING CENTER BANNER IMAGING CENTER 1940 S Country Club Dr Ste 101 Mesa AZ 852106042 IMAGING CENTER Banner Health Clinic 2001 70th Ave Ste 110 Greeley CO 806344628 OUTPATIENT TREATMENT CENTERS/CLINICS Banner Health Clinic 201 14th St Ste B100 Wheatland WY 822013201 OUTPATIENT TREATMENT CENTERS/CLINICS TOCA at Banner Health Phoenix 2222 E Highland Ave Ste 106 Phoenix AZ 850164874 OUTPATIENT TREATMENT CENTERS/CLINICS Banner Occupational Health Clinic 2225 W Southern Ave Mesa AZ 852024716 OUTPATIENT TREATMENT CENTERS/CLINICS Banner Health Clinic 2300 Gasser Rd Riverton WY 825012204 OUTPATIENT TREATMENT CENTERS/CLINICS Banner Alzheimer's Institute - Tucson 2626 E River Road Tucson AZ 857186632 OUTPATIENT TREATMENT CENTERS/CLINICS BANNER IMAGING CENTER 5310 W Thunderbird Rd Ste 100 Glendale AZ 853064709 IMAGING CENTER BANNER IMAGING CENTER 5601 W Eugie Ave Ste 102 Glendale AZ 853041256 IMAGING CENTER BANNER IMAGING CENTER 5605 W Eugie Ave Ste 110 Glendale AZ 853041273 IMAGING CENTER BANNER IMAGING CENTER 5757 W Thunderbird Rd Ste W100 W1 Glendale AZ 853065612 IMAGING CENTER BANNER IMAGING CENTER 6424 E Broadway Rd Ste 101 Mesa AZ 852061750 IMAGING CENTER BANNER IMAGING CENTER 6553 E Baywood Ave Ste 102 Mesa AZ 852061753 IMAGING CENTER BANNER IMAGING CENTER 665 N Gilbert Rd Ste 154 Gilbert AZ 852343395 IMAGING CENTER BANNER IMAGING CENTER 9305 W Thomas Rd Ste 100 200 Phoenix AZ 850373333 IMAGING CENTER TOCA at Banner Health Scottsdale 9377 E Bell Rd Ste 231 Scottsdale AZ 852601503 OUTPATIENT TREATMENT CENTERS/CLINICS BANNER HOSPICE TUCSON 575 E RIVER RD STE 203 TUSON AZ 85704 HOSPICE BANNER ALZHEIMER'S INSTITUTE - TUCSON 2626 E RIVER RD TUSON AZ 85718 OUTPATIENT TREATMENT CENTERS/CLINICS BANNER URGENT CARE 4206 EAST CHANDLER BVLD STE 100 PHOENIX AZ 85048 URGENT CARE BANNER IMAGING CENTER 1125 S ALMA SCHOOL RD STE 110 CHANDLER AZ 85286 IMAGING CENTER BANNER HEALTH CLINIC 5757 W THUNDERBIRD RD STE E151 GLENDALE AZ 85306 OUTPATIENT TREATMENT CENTERS/CLINICS BANNER IMAGING CENTER 7701 WEST ASPERA BLVD STE 101 GLENDALE AZ 85308 IMAGING CENTER BANNER HEALTH CENTER 7701 WEST ASPERA BLVD STE 102 201 GLENDALE AZ 85308 OUTPATIENT TREATMENT CENTERS/CLINICS BANNER HEALTH CENTER 13943 N 91ST AVENUE SUITE B 101 PEORIA AZ 85381 OUTPATIENT TREATMENT CENTERS/CLINICS BANNER IMAGING CENTER 665 NORTH GILBERT ROAD STE 154 GILBERT AZ 85234 IMAGING CENTER BANNER IMAGING CENTER 18275 NORTH 59TH AVE BLDG K-168 GLENDALE AZ 85308 IMAGING CENTER BANNER IMAGING CENTER 1828 E FLORENCE BLVD BLDG B STE 1 GLENDALE AZ 85308 IMAGING CENTER BANNER IMAGING CENTER 18444 N 25TH AVE SUITE 140 PHOENIX AZ 85023 IMAGING CENTER BANNER IMAGING CENTER 13909 WEST CAMINO DEL SOL STE 101 SUN CITY WEST AZ 85375 IMAGING CENTER SONORA QUEST LABORATORIES LLC 14674 W MOUNTAIN VIEW BLVD SURPRISE AZ 85374 LABORATORY SONORA QUEST LABORATORIES LLC 16515 S 40TH ST BLDG 3 STE 113 PHOENIX AZ 85048 LABORATORY SONORA QUEST LABORATORIES LLC 130 S 63RD ST STE 107 MESA AZ 85206 LABORATORY SONORA QUEST LABORATORIES LLC 7388 N LA CHOLLA TUCSON AZ 85704 LABORATORY SONORA QUEST LABORATORIES LLC 6565 E CARONDELET STE 255A TUCSON AZ 85710 LABORATORY SONORA QUEST LABORATORIES LLC 1915 MCCULLOCH BLVD N STE 106 LAKE HAVASU CITY AZ 86403 LABORATORY SONORA QUEST LABORATORIES LLC 6130 N LA CHOLLA STE B205 TUCSON AZ 85704 LABORATORY SONORA QUEST LABORATORIES LLC 20950 N TATUM BLVD STE 290 PHOENIX AZ 85050 LABORATORY SONORA QUEST LABORATORIES LLC 1740 BEVERLY AVE STE B KINGMAN AZ 86401 LABORATORY SONORA QUEST LABORATORIES LLC 448 N STATE ROUTE 89 CHINO VALLEY AZ 86323 LABORATORY Schedule H, Part I, Line 3c Determining Eligibility for Free or Discounted Care Banner Health (Banner/BH) uses FPG. Dedicated to providing quality, non-discriminating healthcare to all patients regardless of age, sex, sexual orientation, gender preference, race, religion, disability, veteran status, national origin and/or ability to pay, determinations are made based upon Banner's financial assistance policy for hospital patients. This policy establishes: 1) General - BH Financial Assistance programs which, based on household income and the level of medical expenses, determine a patient's qualification for Charity Care or Discounted Covered Services. Eligibility for financial assistance will be provided for those individuals who are Uninsured or Underinsured and who meet the household income guidelines as outlined in this policy, or are members of a Medically Indigent Household. 2) Financial Assistance for Uninsured Patients - Uninsured patients will qualify for BH financial assistance if: (a) their household income is less than 400% of FPL, (b) they cannot qualify for Medicaid/AHCCCS or other government program, or are unable to reasonably complete the application process for such governmental programs, and (c) they complete an application for financial assistance (unless determined to be presumptively eligible, as provided below), in accordance with the following: Financial Assistance-Uninsured Patients: Household Income --> Amounts Charged ______________________________________________________ 200% of < FPL --> Full Charity 100% Discount, write-off entire patient account >201%-300% FPL --> 75% discount off AGB (i.e., patient owes 25% of AGB) >301%-400% FPL --> 50% discount off AGB (i.e., patient owes 50% OF AGB) ______________________________________________________ 3) Financial Assistance for Members of Medically Indigent Households. Patients who are members of Medically Indigent Households will qualify for BH financial assistance, subject to application for financial assistance, as follows: a) If an Uninsured Patient, the patient is responsible for 25% of the patient liability (including any adjustment of the patient liability amount pursuant to application of the BH Financial Assistance Policy for Uninsured Patients, i.e., if the Uninsured Patient is a member of a Medically Indigent Household which has a household income of 400% of FPL, the patient would owe 25% of the BAI (without regard to the amount of the BAI). b) If an Underinsured Patient, the patient is responsible for 25% of the BAI (without regard to the amount of the BAI). Schedule H, Part I, Line 6a COMMUNITY BENEFIT REPORT Banner Health prepares an annual system report of community benefit activities as well as facility specific electronic Banner Health Community Health Needs Assessments which are located at: https://www.bannerhealth.com/staying-well/community/health-needs-assessments-report Schedule H, Part VI, Line 4 CONTINUED 2) GOSHEN COUNTY I) ESTIMATED POPULATION: 12,562 II) MEDIAN HOUSEHOLD INCOME: $58,318 III) Percent of Population in Poverty: 13.00% IV) Percent of Uninsured Persons Under Age 65: 15.00% 3) PLATTE COUNTY I) ESTIMATED POPULATION: 8,645 II) MEDIAN HOUSEHOLD INCOME: $59,402 III) Percent of Population in Poverty: 11.70% IV) Percent of Uninsured Persons Under Age 65: 15.30% 4) WASHAKIE COUNTY I) ESTIMATED POPULATION: 7,719 II) MEDIAN HOUSEHOLD INCOME: $62,271 III) Percent of Population in Poverty: 10.20% IV) Percent of Uninsured Persons Under Age 65: 15.90% G. BANNER AVERAGE 1) STATE AVERAGE I) ESTIMATED POPULATION: 9,659,257 II) MEDIAN HOUSEHOLD INCOME: $71,754 III) Percent of Population in Poverty: 11.85% IV) Percent of Uninsured Persons Under Age 65: 11.18% V) Per Capita Healthcare Expense: $9,582 VI) Total Percent of Uninsured in Population: 8.23% VI) Percent of Uninsured Adults 19-64 Living in Poverty: 22.13% VII) Percent of Uninsured Nonelderly W Income below 100% of FPL: 17.53% VIII) Percent of Uninsured Nonelderly W Income up to 200% of FPL: 20.98% IX) Percent of Population below 400% of FPL: 58.25% X) Percent of Adults Reporting Fair or Poor Health: 15.50% XI) Percent of Adults Diagnosed with Diabetes: 8.68% XII) Percent of Adults Diagnosed with Cardiovascular Disease: 6.37% XIII) Percent of Adults Who are Overweight or Obese: 30.47% XIV) Percent of Adults Reporting Mental Illness in Past Year: 41.05% 2) COUNTY AVERAGE I) ESTIMATED POPULATION: 505,511 II) MEDIAN HOUSEHOLD INCOME: $74,471 III) Percent of Population in Poverty: 15.75% IV) Percent of Uninsured Persons Under Age 65: 15.50% SOURCES: 2020 U.S. CENSUS BUREAU, KAISER FAMILY FOUNDATION STATE FACTS. Schedule H, Part VI, Line 6 AFFILIATED HEALTH CARE SYSTEM THE ORGANIZATION IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. Schedule H, Part VI, Line 7 STATE FILING OF COMMUNITY BENEFIT REPORT As required by law, Banner files a community benefit report in California. Banner also reports in those states with voluntary hospital association reporting requirements (Colorado and Nebraska). Schedule H, Part V, Section A LINES 1, 3-10, 12, 14, 16-26, 28-31 A SINGLE SCHEDULE H, PART V, SECTION B WAS COMPLETED FOR FACILITY REPORTING GROUP A. THE HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A ARE LISTED IN SCHEDULE H, PART V, SECTION A. Schedule H, Part V, Section A LINES 2 AND 11 BANNER UNIVERSITY MEDICAL CENTER TUCSON AND BANNER UNIVERSITY MEDICAL CENTER SOUTH, RESPECTIVELY, ARE LISTED SEPARATELY AS FACILITY REPORTING GROUP B BECAUSE THEY CONDUCTED THEIR CHNA IN PARTNERSHIP WITH TUCSON MEDICAL CENTER, NORTHWEST HOSPITAL, CARONDELET, EL RIO HEALTH CENTER, AND PIMA COUNTY HEALTH DEPARTMENT. Schedule H, Part V, Section B, Line 18 APPLIES TO ALL HOSPITAL FACILITIES Banner Health makes reasonable efforts to determine the patient's eligibility under the facility's FAP BEFORE taking any action - up to and including any noted. Schedule H, Part V, Section B, Line 19 APPLIES TO ALL HOSPITAL FACILITIES BANNER HEALTH DOES NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS (UP TO AND INCLUDING ANY ACTIONS NOTED IN PART VI, LINE 19), EITHER DIRECTLY OR BY ANY DEBT COLLECTION AGENCY OR OTHER PARTY TO WHICH THE HOSPITAL HAS REFERRED THE PATIENT'S DEBT, BEFORE REASONABLE EFFORTS ARE MADE TO DETERMINE WHETHER A RESPONSIBLE INDIVIDUAL IS ELIGIBLE FOR ASSISTANCE UNDER THE FAP. Schedule H, Part V, Section B, Line 6 APPLIES TO ALL HOSPITAL FACILITIES IN INSTANCES WHERE FACILITIES HAD JOINT SERVICE AREAS FOCUS GROUPS WERE A COMBINED/JOINT EFFORT. EVERYTHING ELSE WAS FACILITY SPECIFIC. Schedule H, Part V, Section A LINES 13, 15, and 27 BANNER CASA GRANDE MEDICAL CENTER, BANNER IRONWOOD MEDICAL CENTER, AND BANNER GOLDFIELD MEDICAL CENTER ARE LISTED AS FACILITY REPORTING GROUP C, BECAUSE ALL ENTITIES HAVE THE SAME REPORTING TIMELINE. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance 1) Financial Assistance at Cost, Medicaid and Other Means -Tested Government Programs - Using the cost-to charge methodology determined by the cost accounting system, the ratio of patient care cost to charges or relative value units is applied to patient accounts to calculate the estimated cost of financial assistance. The cost account system addresses all patient segments at the acute care facilities. The cost accounting application is not implemented at the Health Centers, Physician Practices, Home Care, Surgical Centers, or Occupational Health. 2) COMMUNITY HEALTH IMPROVEMENT - BANNER USES THE CBISA, COMMUNITY BENEFIT INVENTORY TOOL TO COORDINATE AND ESTIMATE THE COSTS ASSOCIATED WITH COMMUNITY HEALTH IMPROVEMENT INITIATIVES. 3) HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, AND RESEARCH - ACTUAL COST LESS REIMBURSEMENTS AS REPORTED IN THE GENERAL LEDGER ARE USED TO VALUE THESE ACTIVITIES, WHICH OPERATED AT A LOSS PROVIDE INVALUABLE SERVICES TO BH COMMUNITIES. 4) CASH AND IN-KIND CONTRIBUTIONS - ACTUAL OR FAIR MARKET VALUE IS USED TO VALUE THESE CONTRIBUTIONS OR ACTIVITIES. Schedule H, Part II Community Building Activities IN FURTHERANCE OF ITS EXEMPT MISSION, BH PROVIDES A BROAD RANGE OF BENEFITS TO THE COMMUNITIES IT SERVES. THESE ACTIVITIES PROMOTED THE HEALTH, SAFETY AND WELL-BEING OF LOCALCOMMUNITIES BY PROVIDING ADVOCACY SERVICES TO ITS CONSTITUENTS THROUGH PARTICIPATION IN LOCAL AND NATIONAL HEALTH CAMPAIGNS, ENHANCING COMMUNITY WORKFORCE THROUGH RECRUITMENT FOR MEDICALLY UNDERSERVED AREAS, PROVISION OF LEADERS TO DEVELOP LOCAL TALENT, PROVISION OF STAFF FOR COMMUNITY VOLUNTEERISM, RECOGNIZING THE EMPLOYEE VOLUNTEER BASE, PARTICIPATION IN VARIOUS COMMUNITY AWARENESS PROGRAMS, INVOLVEMENT IN COMMUNITY ECONOMIC DEVELOPMENT EFFORTS AND BEING A GOOD CORPORATE CITIZEN. THE RESULTS OF THESE EFFORTS INCLUDE BUT ARE NOT LIMITED TO: - PROMOTING COMMUNITY HEALTH - PROVIDING VOLUNTEER LEADERSHIP TO LOCAL BOARDS AND TASK FORCES THEREBY ALLOWING THE ENTITY TO CHANNEL RESOURCES TO THE COMMUNITY NEED INSTEAD OF SALARIES - PROVIDING FEDERAL MEDICALLY UNDERSERVED AREAS WITH PHYSICIANS - PROVIDING DISASTER TRAINING AND EDUCATION TO IMPROVE COMMUNITY SAFETY AND AWARENESS FOR RESIDENTS - PARTNERING WITH LOCAL BLOOD BANKS TO BLOOD COMBAT SHORTAGES - PROVIDING MEETING ROOM, ELECTRONIC TELECONFERENCE TECHNOLOGY AND OTHER SPACE FOR VARIOUS COMMUNITY GROUPS. WITHOUT THESE IN-KIND DONATIONS, THESE ORGANIZATIONS WOULD BE REQUIRED TO EXPEND FUNDS, FUNDS NEEDED IN SUPPORT OF THEIR MISSIONS FOR SPACE RENTAL - PARTNERING WITH LOCAL UNITED WAY AGENCIES TO IMPROVE AND ENHANCE COMMUNITY INITIATIVES - SUPPORT OF COMMUNITY SOCIAL SERVICE NEEDS THROUGH EMPLOYEE FOOD AND CLOTHING INITIATIVES Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount Accounts are discounted to estimated amounts expected to be received. Those amounts are subject to bad debt polices. Discounts and payments on patient account are recorded as an adjustment to revenue, not bad debt expense. Schedule H, Part III, Line 3 Bad Debt Expense Methodology Banner runs a presumptive charity analysis on all accounts to minimize qualifying patients being classified as bad debt. BH estimates that less than 15% of the patient accounts comprising the organization's bad debt may have been eligible for financial assistance under BH policies. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote FOOTNOTE PER AUDITED FINANCIAL STATEMENTS (PAGE 13): Net Patient Accounts Receivable Footnote: Net patient accounts receivable and net patient services revenues have been adjusted to the estimated amounts expected to be received based on contractual rates for services rendered inclusive of the estimated price concession. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs The Medicare Cost Reports that hospitals are required to file do not include all of the costs required to treat Medicare patients. Using a financial statement cost-to-charge ratio methodology, THE 2022 result is a Medicare surplus of $22.3M. This situation is not anticipated to continue and a return to a shortfall position is projected as calculations reflected on the cost report do not customarily take into account all costs incurred by the organization and differs from the cost reflected on the financial statements. Future Medicare shortfalls should be treated as a community benefit because absent this program, many individuals would qualify for financial assistance and other needs based programs, by accepting payment below cost to treat these individuals, the burdens of the government are relieved and the amount spent to cover the Medicare shortfall is money not available to cover financial assistance and other community benefit needs. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance BH's financial assistance policies require that the accounts of patients who are known to qualify for financial assistance be written off either in full or in part, depending upon the level of the financial assistance for which the patient has qualified. If the account is not written off completely, the reduced balance is treated in the same manner as accounts for patients without insurance who do not qualify for financial assistance. For those patients who do not qualify for financial assistance and for the portion of the accounts remaining after application of the financial assistance policies for patients who qualify for such assistance, account collection process is as follows: 1) The patient or guarantor will receive no less than 3 statements prior to the account being placed with an outside agency. The process takes 120 days to complete. The account is outsourced to a third-party collection agency after the final statement cycle and returned to Banner after a reasonable collection attempt. 2) Attempts are made to verify physical location of patient and to determine if the patient may be eligible for AHCCCS/Medicaid coverage. 3) Once assigned to an outside collection agency, appropriate debt collection practices are utilized in different states, depending upon local regulations. The collection agency attempts to obtain payment from the patient by means of direct telephone contact. If this is unsuccessful, failure to make payment may result in a report to a credit agency. Schedule H, Part V, Section B, Line 16a FAP website A - BANNER - UNIV MEDICAL CENTER PHOENIX: Line 16a URL: https://www.bannerhealth.com/patients/billing/financial-assistance; B - BANNER - UNIV MEDICAL CENTER TUCSON: Line 16a URL: https://www.bannerhealth.com/patients/billing/financial-assistance; C - BANNER CASA GRANDE MEDICAL CENTER: Line 16a URL: https://www.bannerhealth.com/patients/billing/financial-assistance; A - BANNER OCOTILLO MEDICAL CENTER: Line 16a URL: https://www.bannerhealth.com; - BANNER REHAB HOSPITAL-EAST: Line 16a URL: https://www.bannerhealth.com/patients/billing/financial-assistance/banner-rehabilitation-hospital; Schedule H, Part V, Section B, Line 16b FAP Application website A - BANNER - UNIV MEDICAL CENTER PHOENIX: Line 16b URL: https://www.bannerhealth.com/patients/billing/financial-assistance; B - BANNER - UNIV MEDICAL CENTER TUCSON: Line 16b URL: https://www.bannerhealth.com/patients/billing/financial-assistance; C - BANNER CASA GRANDE MEDICAL CENTER: Line 16b URL: https://www.bannerhealth.com/patients/billing/financial-assistance; A - BANNER OCOTILLO MEDICAL CENTER: Line 16b URL: https://www.bannerhealth.com; - BANNER REHAB HOSPITAL-EAST: Line 16b URL: https://www.bannerhealth.com/patients/billing/financial-assistance/banner-rehabilitation-hospital; Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - BANNER - UNIV MEDICAL CENTER PHOENIX: Line 16c URL: https://www.bannerhealth.com/patients/billing/financial-assistance; B - BANNER - UNIV MEDICAL CENTER TUCSON: Line 16c URL: https://www.bannerhealth.com/patients/billing/financial-assistance; C - BANNER CASA GRANDE MEDICAL CENTER: Line 16c URL: https://www.bannerhealth.com/patients/billing/financial-assistance; A - BANNER OCOTILLO MEDICAL CENTER: Line 16c URL: https://www.bannerhealth.com; - BANNER REHAB HOSPITAL-EAST: Line 16c URL: https://www.bannerhealth.com/patients/billing/financial-assistance/banner-rehabilitation-hospital; Schedule H, Part VI, Line 2 Needs assessment BH utilizes its Strategy and Planning Team to continually identify areas in the communities BH serves where institutional clinical needs are not being satisfied especially for those within underserved, uninsured and minority populations. It also leverages a multi-phased approach to understanding gaps in services provided to communities served by hospitals within the system as well as community resources through a combination of population growth and changing demographics analysis, detailed analysis of national, state and county data sources, healthcare services available through other hospital providers, physician supply in the BH service areas, new and more effective healthcare services that are becoming available that would elevate the quality of healthcare services provided to BH communities, and demand pressures experienced by existing BH facilities and physicians. On a local basis, hospital management teams regularly consult with community leaders and partners, local community-based advisory boards, other service providers (including federally qualified health clinics) and businesses to identify unmet physician and hospital needs. These findings are then prioritized based on system capital and operating resource availability, feasibility, availability of physicians to be recruited to the service area, and sustainability. Based upon this prioritization, capital and operating resources are then integrated into the facility and System budgets and plans. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance Policies and procedures exist to educate our patients on financial assistance eligibility, and they are provided numerous opportunities for education on Banner Health Financial assistance policies. The following are examples of communication/education available to BH patients: a. Signage and collateral in both English and Spanish are posted prominently in-patient waiting lobbies, including the emergency departments, stating that Banner has financial assistance programs for those who do not have insurance or may be unable to pay for their share of the cost of services. b. A toll-free number is provided for the patient's/family's convenience. c. After medical screening, self pay patients are visited by staff and informed of the financial policy. Staff also assists potentially eligible patients to apply for enrollment for Medicaid/AHCCCS. d. An insert is included in all of our billing statement to patients. The insert again informs patients of the availability of financial assistance in both English and Spanish and provides toll-free access. e. Department representatives again inform patients of the financial assistance policies during the self-pay collection process. f. Banner Health website provides information in both English and Spanish of the availability of financial assistance. Throughout the process, staff continues to advise potentially eligible patients of the possibility of enrollment in Medicaid/AHCCCS and offer to assist in such enrollment. Schedule H, Part VI, Line 4 Community information BH had 32 hospitals (as of December 31, 2022), and operates or leases nursing homes, physician clinics, home health agencies, ambulatory facilities, and durable medical equipment services in six western states which include demographic areas that range from metropolitan to remote rural areas. The following sets forth pertinent demographic information with respect to the communities and areas served by BH facilities: A. ARIZONA 1) STATE I) Estimated Population: 7,359,197 II) Median Household Income: $65,913 III) Percent of Population in Poverty: 12.80% IV) Percent of Uninsured Persons Under Age 65: 12.90% V) Per Capita Healthcare Expense: $8,756 VI) Total Percent of Uninsured in Population: 10.00% VI) Percent of Uninsured Adults 19-64 Living in Poverty: 25.00% VII) Percent of Uninsured Nonelderly W Income below 100% of FPL: 16.80% VIII) Percent of Uninsured Nonelderly W Income up to 200% of FPL: 26.20% IX) Percent of Population below 400% of FPL: 61.30% X) Percent of Adults Reporting Fair or Poor Health: 16.00% XI) Percent of Adults Diagnosed with Diabetes: 9.70% XII) Percent of Adults Diagnosed with Cardiovascular Disease: 7.50% XIII) Percent of Adults Who are Overweight or Obese: 31.20% XIV) Percent of Adults Reporting Mental Illness in Past Year: 33.10% 2) MARICOPA COUNTY I) ESTIMATED POPULATION: 4,551,524 II) MEDIAN HOUSEHOLD INCOME: $72,944 III) Percent of Population in Poverty: 11.30% IV) Percent of Uninsured Persons Under Age 65: 13.30% 3) PINAL COUNTY I) ESTIMATED POPULATION: 464,154 II) MEDIAN HOUSEHOLD INCOME: $65,488 III) Percent of Population in Poverty: 10.70% IV) Percent of Uninsured Persons Under Age 65: 12.90% 4) COCONINO COUNTY I) ESTIMATED POPULATION: 144,060 II) MEDIAN HOUSEHOLD INCOME: $61,888 III) Percent of Population in Poverty: 16.90% IV) Percent of Uninsured Persons Under Age 65: 15.70% 5) GILA COUNTY I) ESTIMATED POPULATION: 53,922 II) MEDIAN HOUSEHOLD INCOME: $51,406 III) Percent of Population in Poverty: 16.80% IV) Percent of Uninsured Persons Under Age 65: 13.90% 6) PIMA COUNTY I) ESTIMATED POPULATION: 1,057,597 II) MEDIAN HOUSEHOLD INCOME: $59,215 III) Percent of Population in Poverty: 14.70% IV) Percent of Uninsured Persons Under Age 65: 12.20% 7) COCHISE COUNTY I) ESTIMATED POPULATION: 125,663 II) MEDIAN HOUSEHOLD INCOME: $55,077 III) Percent of Population in Poverty: 17.10% IV) Percent of Uninsured Persons Under Age 65: 11.90% 8) YAVAPI COUNTY I) ESTIMATED POPULATION: 246,191 II) MEDIAN HOUSEHOLD INCOME: $56,170 III) Percent of Population in Poverty: 12.50% IV) Percent of Uninsured Persons Under Age 65: 15.30% B. CALIFORNIA 1) STATE I) ESTIMATED POPULATION: 39,029,342 II) MEDIAN HOUSEHOLD INCOME: $84,097 III) Percent of Population in Poverty: 12.30% IV) Percent of Uninsured Persons Under Age 65: 8.10% V) Per Capita Healthcare Expense: $10,299 VI) Total Percent of Uninsured in Population: 7.50% VI) Percent of Uninsured Adults 19-64 Living in Poverty: 22.40% VII) Percent of Uninsured Nonelderly W Income below 100% of FPL: 17.20% VIII) Percent of Uninsured Nonelderly W Income up to 200% of FPL: 18.50% IX) Percent of Population below 400% of FPL: 54.90% X) Percent of Adults Reporting Fair or Poor Health: 16.80% XI) Percent of Adults Diagnosed with Diabetes: 9.20% XII) Percent of Adults Diagnosed with Cardiovascular Disease: 5.30% XIII) Percent of Adults Who are Overweight or Obese: 28.30% XIV) Percent of Adults Reporting Mental Illness in Past Year: 36.30% 2) LASSEN COUNTY I) ESTIMATED POPULATION: 29,904 II) MEDIAN HOUSEHOLD INCOME: $59,292 III) Percent of Population in Poverty: 18.80% IV) Percent of Uninsured Persons Under Age 65: 4.50% C. COLORADO 1) STATE I) ESTIMATED POPULATION: 5,839,926 II) MEDIAN HOUSEHOLD INCOME: $80,184 III) Percent of Population in Poverty: 9.70% IV) Percent of Uninsured Persons Under Age 65: 9.30% V) Per Capita Healthcare Expense: $8,583 VI) Total Percent of Uninsured in Population: 7.00% VI) Percent of Uninsured Adults 19-64 Living in Poverty: 15.70% VII) Percent of Uninsured Nonelderly W INCOME below 100% of FPL: 15.80% VIII) Percent of Uninsured Nonelderly w Income up to 200% of FPL: 17.80% IX) Percent of Population below 400% of FPL: 50.30% X) Percent of Adults Reporting Fair or Poor Health: 13.60% XI) Percent of Adults Diagnosed with Diabetes: 7.10% XII) Percent of Adults Diagnosed with Cardiovascular Disease: 5.40% XIII) Percent of Adults Who are Overweight or Obese: 25.30% XIV) Percent of Adults Reporting Mental Illness in Past Year: 41.80% 2) LARIMER COUNTY I) ESTIMATED POPULATION: 366,778 II) MEDIAN HOUSEHOLD INCOME: $80,664 III) Percent of Population in Poverty: 11.20% IV) Percent of Uninsured Persons Under Age 65: 7.80% 3) LOGAN COUNTY I) ESTIMATED POPULATION: 20,823 II) MEDIAN HOUSEHOLD INCOME: $50,998 III) Percent of Population in Poverty: 16.40% IV) Percent of Uninsured Persons Under Age 65: 12.20% 4) MORGAN COUNTY I) ESTIMATED POPULATION: 29,239 II) MEDIAN HOUSEHOLD INCOME: $62,914 III) Percent of Population in Poverty: 12.40% IV) Percent of Uninsured Persons Under Age 65: 16.30% 5) WELD COUNTY I) ESTIMATED POPULATION: 350,176 II) MEDIAN HOUSEHOLD INCOME: $80,843 III) Percent of Population in Poverty: 9.80% IV) Percent of Uninsured Persons Under Age 65: 11.80% D. NEBRASKA 1) STATE I) ESTIMATED POPULATION: 1,967,923 II) MEDIAN HOUSEHOLD INCOME: $66,644 III) Percent of Population in Poverty: 10.80% IV) Percent of Uninsured Persons Under Age 65: 8.30% V) Per Capita Healthcare Expense: $10,514 VI) Total Percent of Uninsured in Population: 5.80% VI) Percent of Uninsured Adults 19-64 Living in Poverty: 26.50% VII) Percent of Uninsured Nonelderly w Income below 100% of FPL: 18.60% VIII) Percent of Uninsured Nonelderly w Income up to 200% of FPL: 17.80% IX) Percent of Population below 400% of FPL: 58.30% X) Percent of Adults Reporting Fair or Poor Health: 13.70% XI) Percent of Adults Diagnosed with Diabetes: 8.90% XII) Percent of Adults Diagnosed with Cardiovascular Disease: 6.30% XIII) Percent of Adults Who are Overweight or Obese: 36.40% XIV) Percent of Adults Reporting Mental Illness in Past Year: 40.80% 2) KEITH COUNTY I) ESTIMATED POPULATION: 8,269 II) MEDIAN HOUSEHOLD INCOME: $54,303 III) Percent of Population in Poverty: 11.60% IV) Percent of Uninsured Persons Under Age 65: 10.30% E. NEVADA 1) STATE I) ESTIMATED POPULATION: 3,177,772 II) MEDIAN HOUSEHOLD INCOME: $65,686 III) Percent of Population in Poverty: 14.10% IV) Percent of Uninsured Persons Under Age 65: 13.70% V) Per Capita Healthcare Expense: $8,348 VI) Total Percent of Uninsured in Population: 10.60% VI) Percent of Uninsured Adults 19-64 Living in Poverty: 22.90% VII) Percent of Uninsured Nonelderly w Income below 100% of FPL: 21.10% VIII) Percent of Uninsured Nonelderly w Income up to 200% of FPL: 26.00% IX) Percent of Population below 400% of FPL: 63.90% X) Percent of Adults Reporting Fair or Poor Health: 18.80% XI) Percent of Adults Diagnosed with Diabetes: 9.70% XII) Percent of Adults Diagnosed with Cardiovascular Disease: 7.40% XIII) Percent of Adults Who are Overweight or Obese: 30.20% XIV) Percent of Adults Reporting Mental Illness in Past Year: 41.20% 2) CHURCHILL COUNTY I) ESTIMATED POPULATION: 25,843 II) MEDIAN HOUSEHOLD INCOME: $61,776 III) Percent of Population in Poverty: 10.40% IV) Percent of Uninsured Persons Under Age 65: 15.00% F. WYOMING 1) STATE I) ESTIMATED POPULATION: 581,381 II) MEDIAN HOUSEHOLD INCOME: $68,002 III) Percent of Population in Poverty: 11.40% IV) Percent of Uninsured Persons Under Age 65: 14.80% V) Per Capita Healthcare Expense: $10,989 VI) Total Percent of Uninsured in Population: 8.50% VI) Percent of Uninsured Adults 19-64 Living in Poverty: 20.30% VII) Percent of Uninsured Nonelderly W Income below 100% of FPL: 15.70% VIII) Percent of Uninsured Nonelderly W Income up to 200% of FPL: 19.60% IX) Percent of Population below 400% of FPL: 60.80% X) Percent of Adults Reporting Fair or Poor Health: 14.10% XI) Percent of Adults Diagnosed with Diabetes: 7.50% XII) Percent of Adults Diagnosed with Cardiovascular Disease: 6.30% XIII) Percent of Adults Who are Overweight or Obese: 31.40% XIV) Percent of Adults Reporting Mental Illness in Past Year: 53.10% Schedule H, Part VI, Line 5 Promotion of community health BH is governed by a community board, drawn primarily from the communities served by BH. This board establishes BH' priorities and ensures that it operates in a manner that will further its charitable, nonprofit purpose to improve the health of the communities it serves. As a nonprofit entity, BH exists to provide health care services to the communities we serve, not to generate profits. To that end, every dollar earned is reinvested in new equipment, new or expanded patient care services, new technologies, maintaining existing equipment and facilities and new facilities to meet market needs or to ensure the long-term success of the organization. In particular, Banner's heavy reinvestment in clinical systems and health information technology enables BH to provide a uniformly high quality of care throughout the system, including BH's small, rural, critical access hospitals. Physicians and staff practicing in these sole community providers have the same electronic health record systems and computerized physician order entry and decision support tools as are utilized in BH's largest teaching hospital. In addition, by means of remote monitoring and telemedicine technologies, these small rural hospitals have access to the clinical and operational support of the entire system, thereby bringing a level of sophisticated health care to these communities that would not otherwise be possible. Except in limited circumstances where necessary to ensure the availability of consistent and efficient physician services, BH utilizes an open medical staff model, thereby making the facilities available to local physicians to provide high quality hospital services to our communities. In addition, BH is aggressively pursuing an integration strategy involving networks of employed and independent physicians capable of providing efficient, evidence-based and high-quality clinical care within an integrated system covering the full continuum of care. This will enable BH to improve the health of the communities it serves while limiting the costs of providing such care. true ALZHEIMERS ASSOCIATION 340 E Palm Lane Ste 230 PHOENIX AZ 85006 133039601 501(c)(3) 22000 GENERAL SUPPORT AMERICAN CANCER SOCIETY PO BOX 370207 DENVER CO 80237 131788491 501(c)(3) 82000 GENERAL SUPPORT AMERICAN CANCER SOCIETY 2929 E THOMAS ROAD PHOENIX AZ 85016 841316555 501(c)(3) 25000 GENERAL SUPPORT AMERICAN HEART ASSOCIATION 2929 S 48TH ST TEMPE AZ 85282 135613797 501(c)(3) 25279 GENERAL SUPPORT ARIZONA FOR ALL 31 N 6TH AVE STE 105-221 TUCSON AZ 85701 881018937 501(c)(3) 20000 GENERAL SUPPORT AUTISM SOC OF SOUTHERN AZ 2600 N WYATT DR TUCSON AZ 85712 472524160 501(c)(3) 15000 GENERAL SUPPORT AZ FIRE & MED AUTHORITY 18818 SPANISH GARDEN SUN CITY W AZ 85375 821200347 Government 5100 GENERAL SUPPORT AZ HEALTH CARE ASSN 1440 E MISSOURI ST C102 PHOENIX AZ 85014 311628106 501(c)(3) 11500 GENERAL SUPPORT AZ HEALTH CARE ASSN 1440 E MISSOURI ST C102 PHOENIX AZ 85014 860227208 501(c)(6) 30150 GENERAL SUPPORT AZ HISPANIC CHAMBER OF COMMERCE 1020 E MISSOURI AVE PHOENIX AZ 85014 860445372 501(c)(6) 12500 GENERAL SUPPORT AZ STATE UNIVERSITY PO BOX 873503 TEMPE AZ 85287 861096696 501(c)(3) 26850 GENERAL SUPPORT CHICANOS POR LA CAUSA 1112 E BUCKEYE PHOENIX AZ 85034 860227210 501(c)(3) 35000 GENERAL SUPPORT FORT COLLINS AREA CHAMBER OF COMMERCE 225 S MELDRUM ST FORT COLLINS CO 80522 840201983 501(c)(6) 10150 GENERAL SUPPORT GOSHEN COUNTY JUNIOR LIVESTOCK 3955 RD 40 YODER WY 82244 830316170 501(c)(3) 9556 GENERAL SUPPORT GREATER PHOENIX ECONOMIC COUNCIL 2 N CENTRAL AVENUE STE 2500 PHOENIX AZ 85004 860539979 501(c)(3) 25000 GENERAL SUPPORT GREELEY INDEPENDENCE STAMPEDE 600 N 14TH AVE GREELEY CO 80631 840722231 501(c)(4) 9576 GENERAL SUPPORT HEALTH MANAGEMENT ACADEMY 515 WYTHE ST ALEXANDRIA VA 22314 823500982 501(c)(3) 12475 GENERAL SUPPORT LASSEN COMMUNITY COLLEGE HWY 139 SUSANVILLE CA 96130 161644590 Government 15000 GENERAL SUPPORT LASSEN JUNIOR LIVESTOCK AUCTION COMMITTEE PO BOX 106 SUSANVILLE CA 96130 911836013 501(c)(3) 8438 GENERAL SUPPORT MAKE A WISH AZ 2901 N 78TH ST SCOTTSDALE AZ 85251 860409636 501(c)(3) 10000 GENERAL SUPPORT MARCH OF DIMES INC 1616 E INDIAN SCHOOL RD STE 200 PHOENIX AZ 85016 131846366 501(c)(3) 21117 GENERAL SUPPORT MCKEE FOUNDATION 808 W EISENHOWER BLVD STE 202 LOVELAND CO 80537 742182919 501(c)(3) 25000 GENERAL SUPPORT McKee Wellness Foundation 1805 E 18TH ST STE 9 LOVELAND CO 80538 742182919 501(c)(3) 650000 GENERAL SUPPORT MESA CHAMBER OF COMMERCE 165 N CENTENNIAL WAY STE 208 MESA AZ 85201 860038150 501(c)(6) 9500 GENERAL SUPPORT MHA FOUNDATION 431 S BEELINE HWY STE 1 PAYSON AZ 85541 473980933 501(c)(3) 5616 GENERAL SUPPORT NORTH COLORADO MEDICAL CENTER FOUNDATION 1801 16TH STREET GREELEY CO 80631 840718355 501(c)(3) 37000 GENERAL SUPPORT PANCREATIC CANCER ACTION 1500 ROSECRANS AVE STE 200 MANHATTAN BEACH CA 90266 330841281 501(c)(3) 10000 GENERAL SUPPORT PHOENIX PRIDE INC PO BOX 16847 PHOENIX AZ 85011 860670912 501(c)(3) 7000 GENERAL SUPPORT RONALD MCDONALD HOUSE CHARITIES PHOENIX 501 E ROANOKE AVE PHOENIX AZ 85004 860483792 501(c)(3) 10000 GENERAL SUPPORT SCHOLARSHIP AMERICA PO BOX 240 ST PETER MN 56082 042296967 501(c)(3) 22384 GENERAL SUPPORT SCHOOL CHOICE ARIZONA 2241 E PECOS ROAD STE 3 CHANDLER AZ 85225 204879504 501(c)(3) 120000 GENERAL SUPPORT SOC FOR INTEGRATIVE ONCOLOGY 4301 50TH ST NW STE 300 PMB 1032 WASHINGTON DC 20016 331071221 501(c)(3) 10000 GENERAL SUPPORT SPECIAL OLYMPICS ARIZONA 2455 N CITRUS RD GOODYEAR AZ 85395 860307564 501(c)(3) 17500 GENERAL SUPPORT STEVEN M GOOTTER FOUNDATION PO Box 64583 TUCSON AZ 85720 203798976 501(c)(3) 10000 GENERAL SUPPORT SUN HEALTH FOUNDATION PO Box 6030 SUN CITY WEST AZ 85376 237107959 501(c)(3) 35000 GENERAL SUPPORT THE DAISY FOUNDATION 11995 DUNBAR ROAD GLEN ELLEN CA 95442 912009739 501(c)(3) 15765 GENERAL SUPPORT UNITED WAY OF TUCSON SO ARIZONA 330 N COMMERCE PK LOOP STE 200 TUCSON AZ 85745 860098932 501(c)(3) 10000 GENERAL SUPPORT UNITED WAY OF WELD COUNTY PO BOX 1944 GREELEY CO 80632 846011918 501(c)(3) 10000 GENERAL SUPPORT UNIVERSITY OF ARIZONA FOUNDATION 1111 N CHERRY AVE TUCSON AZ 85721 866050388 501(c)(3) 30324986 GENERAL SUPPORT UNIVERSITY OF NORTHERN COLORADO UNIV CENTER CAMPUS BOX 58 GREELEY CO 80639 846000546 501(c)(3) 152500 GENERAL SUPPORT WELD COUNTY SCHOOL DISTRICT 1025 9TH AVE GREELEY CO 80631 846013393 501(c)(3) 25000 GENERAL SUPPORT 36 5 HEALTHCARE SCHOLARSHIPS 6 6000 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. THE OFFICE OF GRANT STRATEGY DEVELOPMENT AND ADMINISTRATION MANAGES ALL RESEARCH AND FEDERALLY FUNDED GRANTS FOR BANNER HEALTH (BH). ALL AWARDS ARE MANAGED IN ACCORDANCE WITH THE FEDERAL OMB A-133 COMPLIANCE SUPPLEMENT. BH ALSO MAINTAINS RECORDS AND SCHEDULES OF ALL FEDERAL AND NON-FEDERAL AWARDS AND THEIR EXPENDITURES, AND WE DO MONITOR OUR SUB-RECIPIENTS FOR THEIR COMPLIANCE AS WELL. BH'S GUIDELINES REGARDING CHARITABLE CONTRIBUTIONS TO OUTSIDE ORGANIZATIONS DIRECT US TO MAKE CONTRIBUTIONS TO OTHER ORGANIZATIONS WHOSE CHARITABLE MISSIONS ALIGN WITH BH'S MISSION OF "MAKING HEALTH CARE EASIER, SO LIFE CAN BE BETTER". IN SELECTED CIRCUMSTANCES WHEN A CONTRIBUTION IS NOT DIRECTLY LINKED TO PATIENT CARE, IT SERVES TO BETTER SUPPORT OUR COMMUNITY'S NEEDS. X true true X X X X X false true false false false false false true false PETER S FINE PRESIDENT & CEO 1693063 0 6627363 0 357494 0 5936896 0 21444 0 14636260 0 4395753 0 CHARLES LEHN FORMER OFFICER 0 508185 0 458448 0 84152 0 301195 0 25602 0 1377582 0 232139 JULIE ALVARADO-DUBEK CHIEF HUMAN RESOURCES OFFICER 446301 0 290943 0 39724 0 423579 0 23072 0 1223619 0 0 0 ELIZABETH AVANT DIRECTOR LEGAL OPS/ASSISTANT SECRETARY 129604 0 16341 0 638 0 4077 0 7385 0 158045 0 0 0 MARJORIE BESSEL MD CHIEF CLINICAL OFFICER 641373 0 921847 0 112769 0 783112 0 17279 0 2476380 0 589195 0 DAVID BIXBY Chief Legal Officer/General Counsel 333414 0 938190 0 93371 0 346108 0 2235 0 1713318 0 508871 0 NAOMI CRAMER CHIEF HUMAN RESOURCES OFFICER 57105 0 801910 0 63002 0 2295 0 3148 0 927460 0 506544 0 REBECCA KUHN CHIEF OPERATING OFFICER 11671 0 1488178 0 8 0 380753 0 1236 0 1881846 0 939817 0 JEAN LANCE EVP, CHIEF LEGAL OFFICER & GENERAL COUNSEL 428913 0 248463 0 23580 0 407792 0 22343 0 1131091 0 80147 0 DENNIS LARAWAY CHIEF FINANCIAL OFFICER 973581 0 1388473 0 203518 0 483779 0 22061 0 3071412 0 928746 0 DONALD NORDLUND CHIEF STRATEGY/GROWTH OFFICER 599488 0 873703 0 91718 0 808093 0 18804 0 2391806 0 542230 0 AMY PERRY President/Chief Operating Officer 1114474 0 0 0 22210 0 1617859 0 28779 0 2783322 0 506544 0 BRENDA SCHAEFER VP, TREASURY/TREASURER 348837 0 234673 0 32462 0 139536 0 11236 0 766744 0 88262 0 MARGO KARSTEN Division President 506425 0 443940 0 86460 0 289947 0 23841 0 1350613 0 236091 0 DANIEL POST Chief Executive Officer - Large Facility 515950 0 341425 0 23039 0 212096 0 28217 0 1120727 0 76065 0 TODD S WERNER DIVISION PRESIDENT 821369 0 747197 0 119726 0 588227 0 30676 0 2307195 0 376322 0 FRANCISCO ARABIA PHYSICIAN EXECUTIVE - ADV HEART PROGRAM 1171540 0 269231 0 345680 0 91550 0 17889 0 1895890 0 224098 0 ANTHONY FRANK SENIOR VP FINANCE 499939 0 429970 0 27570 0 299262 0 23329 0 1280070 0 150099 0 ALEXANDRA MOREHOUSE MCREYNOLDS CHIEF MARKETING OFFICER 400552 0 598072 0 73740 0 480189 0 25272 0 1577825 0 381468 0 ERIC REIMAN CEO/CSO - BANNER RESEARCH 595920 0 357552 0 81128 0 11923 0 2782 0 1049305 0 31404 0 DEANNA WISE SENIOR VP & CHIEF INFORMATION OFFICER 586869 0 515803 0 21999 0 342369 0 18152 0 1485192 0 198952 0 LAMONT YODER DIVISION PRESIDENT 491381 0 426203 0 57336 0 251511 0 27528 0 1253959 0 141266 0 Schedule J, Part I, Line 1a First-class or charter travel THE BH TRAVEL POLICY ALLOWS FOR FIRST-CLASS AIR TRAVEL ON ANY FLIGHT WITHIN THE US AND THE LESSER FARE OF 1ST OR BUSINESS CLASS ON INTERNATIONAL TRAVEL FOR THE CEO. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan 1. SERP II - COVERED 1 EXECUTIVE (FINE). THIS NONQUALIFIED PLAN IS HELD IN A RABBI TRUST AT NORTHERN TRUST COMPANY. THIS NONQUALIFIED RETIREMENT PLAN IS TO BE PAID OUT IN EARLY 2022. PAYMENT IS PURSUANT TO THE 2017 PLAN WHICH WAS REVIEWED BY AN INDEPENDENT COMPENSATION COMMITTEE CONSULTANT TO DETERMINE REASONABLENESS AND IS PAYABLE AFTER THE EXECUTIVE VESTS ON THE FIFTH ANNIVERSARY OF THE EFFECTIVE DATE OF THIS PLAN (FEBRUARY 28, 2022). THE ONLY CONTRIBUTIONS ALLOWED ARE EMPLOYER CONTRIBUTIONS AND ARE CALCULATED BASED ON ACTUARILY DETERMINED FACTORS. TAXATION OCCURS UPON DISTRIBUTION. EMPLOYER CONTRIBUTIONS TO SERP II (INCLUDED IN COLUMN C) AS DEFERRED COMPENSATION: PETER S. FINE $1,498,337 2. EXEC 457(B) - COVERED APPROXIMATELY 423 FORMER AND CURRENT EXECUTIVES. THIS NONQUALIFIED PLAN IS HELD AT FIDELITY INVESTMENTS AND IS 100% VESTED. TAXATION OCCURS UPON DISTRIBUTION. THE ONLY CONTRIBUTIONS ALLOWED ARE EMPLOYER CONTRIBUTIONS. CONTRIBUTIONS ARE CALCULATED BASED ON ACTUARIALLY DETERMINED FACTORS. EMPLOYER CONTRIBUTIONS TO EXEC 457(B) ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III). 3. EXEC 457(F) - COVERED APPROXIMATELY 109 FORMER AND CURRENT EXECUTIVES. THIS NONQUALIFIED PLAN IS HELD AT FIDELITY INVESTMENTS. VESTING OCCURS UPON MEETING VESTING REQUIREMENTS (SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE) - EARLIER OF AGE 62, 5 YEARS FROM DATE OF DEPOSIT, OR RULE OF 80. TAXATION OCCURS UPON DISTRIBUTION (IF VESTED). THE ONLY CONTRIBUTIONS ALLOWED ARE EMPLOYER CONTRIBUTIONS. PAYOUT AMOUNTS ARE TAXABLE AND INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III). DEPOSIT AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C). 2022 457(F) Distributions: JULIE ANN ALVARADO-DUBEK $17,127 FRANCISCO ARABIA $312,548 MAJORIE BESSELL $89,190 DAVID BIXBY $73,458 NAOMI CRAMER $62,603 PETER FINE $326,345 MARGO KARSTEN $62,265 DENNIS LARAWAY $175,644 CHARLES LEHN $59,936 ALEXANDRA MOREHOUSE MCREYNOLDS $50,373 DONALD SCOTT NORDLUND $68,337 ERIC REIMAN $53,237 BRENDA SCHAEFER $9,556 TODD WERNER $95,184 LAMONT YODER $34,487 2022 457(F) Contributions: JULIE ANN ALVARADO-DUBEK $26,267 FRANCISCO ARABIA $82,945 MAJORIE BESSELL $71,751 MARGO KARSTEN $45,033 JEAN LANCE $15,761 DENNIS LARAWAY $124,120 CHARLES LEHN $46,524 ALEXANDRA MOREHOUSE MCREYNOLDS $35,521 DONALD SCOTT NORDLUND $66,327 DANIEL POST $37,822 BRENDA SCHAEFER $12,581 TODD WERNER $93,040 DEANNA WISE $58,412 LAMONT YODER $31,284 Schedule J, Part I, Line 7 Non-fixed payments 1. THE INDIVIDUALS IDENTIFIED BELOW PARTICIPATE IN A LONG-TERM INCENTIVE PLAN (LTIP) COVERING THREE-YEAR CYCLES FROM 2019-2021, 2020-2022, 2021-2023, AND 2022-2024. THE LTIP WAS DESIGNED AT THE INITIATIVE OF THE BANNER BOARD OF DIRECTORS WITH THE ASSISTANCE OF WILLIS TOWERS WATSON, AND ALL COMPONENTS WERE APPROVED BY THE BOARD. THE PLANS' AREAS OF PERFORMANCE TARGETS INCLUDE: Starts Rating improvement, Transform Revenue Cycle ($ improvement), and Build Our Bench to Reflect Communities (VOICE, Minority %, Succession. AWARDS ARE CALCULATED AS A PERCENTAGE OF BASE SALARY ON THE LAST DAY OF THE THREE-YEAR CYCLE, AND PPORTUNITY VARIES BY POSITION LEVEL. THE PLAN REQUIRES A THRESHOLD LEVEL OF FINANCIAL PERFORMANCE BEFORE ANY AWARDS CAN BE MADE, AND THE AMOUNT OF THE AWARDS VARIES WITH THE DEGREE OF ACHIEVEMENT OF THE TARGETS. THE MAXIMUM LTIP PAYOUT OPPORTUNITY RANGES FROM 30% TO 255% OF THE AVERAGE THREE-YEAR BASE SALARY as of December 31 in the last year of the three-year plan. AWARDS HAVE BEEN ACCRUED UNDER THE LTIP, BUT NO PAYMENTS ARE MADE UNTIL AFTER YEAR-END AND ACHIEVEMENT IS VERIFIED BY THE BANNER HEALTH BOARD COMPENSATION COMMITTEE AND APPROVED BY THE FULL BOARD OF DIRECTORS OF BANNER HEALTH. ALL LTIP COMPENSATION PAYMENTS ARE REPORTED IN THE INCENTIVE AND BONUS COMPENSATION SHOWN IN SCHEDULE J, PART II, COLUMN (B)(II). AMOUNTS PAID FOR THE 2019-2021 CYCLE ARE REPORTED IN SCHEDULE J, PART II, COLUMN (B) AS BONUS & INCENTIVE COMPENSATION. AMOUNTS ACCRUED FOR 2022 FOR THE 2020-2022, 2021-2023, AND 2022-2024 CYCLES (TO BE PAID OUT IN 2023, 2024 AND 2025 RESPECTIVELY) ARE REPORTED IN SCHEDULE J, PART II, COLUMN (C) AS DEFERRED COMPENSATION. 2022 LTIP Accrual: JULIE ANN ALVARADO-DUBEK $385,459 MAJORIE BESSELL $699,461 DAVID BIXBY $334,185 PETER FINE $4,458,029 MARGO KARSTEN $233,857 REBECCA KUHN $380,273 JEAN LANCE $379,831 DENNIS LARAWAY $347,673 CHARLES LEHN $242,471 ALEXANDRA MOREHOUSE MCREYNOLDS $432,468 DONALD SCOTT NORDLUND $729,566 AMY PERRY $1,610,936 DANIEL POST $162,074 BRENDA SCHAEFER $114,755 TODD WERNER $482,987 DEANNA WISE $271,757 LAMONT YODER $208,027 2022 LTIP Payout: JULIE ANN ALVARADO-DUBEK $95,856 MAJORIE BESSELL $500,005 DAVID BIXBY $508,871 PETER FINE $3,166,103 MARGO KARSTEN $173,825 REBECCA KUHN $939,817 JEAN LANCE $80,147 DENNIS LARAWAY $753,102 CHARLES LEHN $172,203 ALEXANDRA MOREHOUSE MCREYNOLDS $331,096 DONALD SCOTT NORDLUND $473,893 DANIEL POST $76,065 BRENDA SCHAEFER $78,706 TODD WERNER $281,138 DEANNA WISE $198,952 LAMONT YODER $106,778 2. BANNER HEALTH HAS A MANAGEMENT INCENTIVE PLAN (MIP) WHICH IS BASED ON COMPANY ACHIEVEMENT OF SEVERAL FINANCIAL AND NON-FINANCIAL/CLINICAL QUALITY METRICS THAT ARE ESTABLISHED ANNUALLY BY THE BANNER HEALTH BOARD OF DIRECTORS. AWARDS ARE GRANTED AS A PERCENTAGE OF THE PARTICIPANT'S BASE SALARY AND VARY WITH THE POSITION LEVEL OF THE PARTICIPATING EMPLOYEE, RANGING FROM 7% TO 110% OF BASE SALARY. IN 2022, THERE WERE 1,420 MIP PARTICIPANTS. THE MIP WAS ACCRUED IN 2022 FOR THE 2022 MIP, AND PAYOUTS ON THE 2021 MIP WERE PAID IN 2022. MIP COMPENSATION IS INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(II). A ARIZONA HEALTH FACILITIES AUTHORITY 860453292 040507HMO 2007-05-10 600002793 SERIES 2007A-B - SEE PART VI true false false B ARIZONA HEALTH FACILITIES AUTHORITY 860453292 040507QM0 2015-11-05 109938631 SERIES 2015A - SEE PART VI false false false C ARIZONA HEALTH FACILITIES AUTHORITY 860453292 040507QA6 2015-11-05 301550000 SERIES 2015B-C - SEE PART VI false false false D THE INDUSTRIAL DEVELOPMENT AUTHORITY OF MARICOPA 860445263 56682HCH0 2016-11-17 931052179 SERIES 2016A - SEE PART VI false false false A 190920000 654681003 3221064 651459939 2009 false false true true B 59065000 109938631 899345 109039286 2015 false true true true C 100290000 301550000 1550000 300000000 2015 false false true true D 80155000 931052179 5747005 925305174 2017 false true true true A false true true true true true 0.0 false false true B false true true true false 0.0 false false true C false true true true false false 0.0 false false true D false true true true true true 0.0005 0.0005 false false true A false false false true true true MORGAN STANLEY 29.7 true false true MORGAN STANLEY 3.0 true false true B false false false true false false false false true C false false true false true false false false true D false false false true false false false false true A true B true C true D true Schedule K, Part VI INFORMATION ABOUT THE USE OF PROCEEDS 2007A-B: THE BONDS WERE ISSUED TO: (1) FINANCE A PORTION OF THE COSTS OF ACQUISITION, CONSTRUCTION, RENOVATION, INSTALLATION AND EQUIPPING OF THE VARIOUS PROJECTS, INCLUDING THE REIMBURSEMENT OF CERTAIN PRIOR CAPITAL EXPENDITURES PAID BY BANNER HEALTH; (2) REFUND AND REDEEM ON A CURRENT BASIS A PORTION OF BANNER HEALTH'S OUTSTANDING COMMERCIAL PAPER NOTES; (3) PAY CERTAIN LEGAL, ACCOUNTING AND FINANCING COSTS, INCLUDING UNDERWRITERS' DISCOUNT, INCURRED IN CONNECTION WITH THE ISSUANCE OF THE BONDS; AND (4) PAY PREMIUMS FOR MUNICIPAL BONDS INSURANCE POLICIES TO SECURE PAYMENT OF DEBT SERVICE ON THE BONDS. 2015A: THE BONDS WERE USED TO: (1) ADVANCE REFUND THE PORTION OF THE AUTHORITY'S REVENUE BONDS (BANNER HEALTH), SERIES 2007A MATURING ON JANUARY 1 IN THE YEARS 2018 THROUGH 2025; (2) PAY CERTAIN LEGAL, ACCOUNTING AND FINANCING COSTS, INCLUDING UNDERWRITERS' DISCOUNT, INCURRED IN CONNECTION WITH THE ISSUANCE OF THE BONDS (THE "COST OF ISSUANCE"). 2015B-C: THE PROCEEDS OF THE BONDS ARE BEING USED FOR: (1) REFINANCE A PORTION OF THE OUTSTANDING PRINCIPAL AMOUNT OF A TAXABLE TERM LOAN TO THE BANNER HEALTH FROM MIZUHO BANK LTD. THE PROCEEDS OF THE LOAN WERE USED TO ACQUIRE A PORTION OF THE ASSETS OF THE UNIVERSITY OF ARIZONA HEALTH NETWORK, INC.; (2) REFINANCE A PORTION OF THE OUTSTANDING PRINCIPLE AMOUNT OF A TAXABLE REVOLVING CREDIT LOAN TO BANNER HEALTH FROM THE BANK OF AMERICA, N.A.. THE PROCEEDS OF THE LOAN WERE USED BY BANNER HEALTH TO ACQUIRE A PORTION OF THE ASSETS OF PAYSON REGIONAL MEDICAL CENTER.; (3) CONSTRUCT A 1,100 CAR PARKING GARAGE AT THE BANNER-UNIVERSITY MEDICAL CENTER PHOENIX; (4) PAY THE FEES AND EXPENSES WITH RESPECT TO A DIRECT-PAY LETTER OF CREDIT RELATING TO THE 2015B BONDS PROVIDED BY THE BANK OF TOKYO-MITSUBISHI UFJ LTD.; (5) PAY THE FEES AND EXPENSES WITH RESPECT TO DIRECT-PAY LETTER RELATING TO THE 2015C BONDS AND TOGETHER WITH THE 2015B LETTER OF CREDIT PROVIDED BY BANK OF AMERICA, N.A.; AND (6) PAY CERTAIN LEGAL, ACCOUNTING AND FINANCING COSTS, INCLUDING UNDERWRITERS' DISCOUNT, INCURRED IN CONNECTION WITH THE ISSUANCE OF THE BONDS (THE "COST OF ISSUANCE"). 2016A: THE PROCEEDS OF THE BONDS, TOGETHER WITH OTHER AVAILABLE MONEYS OF BANNER HEALTH, ARE BEING USED TO: (1) ADVANCE REFUND THE PORTION OF THE ARIZONA HEALTH FACILITIES AUTHORITY REVENUE BONDS SERIES 2008A MATURING ON JANUARY 1 IN THE YEARS 2022 THROUGH 2035; (2) ADVANCE REFUND THE PORTION OF ARIZONA HEALTH FACILITIES AUTHORITY REVENUE BONDS SERIES 2008D AND COLLECTIVELY WITH THE SERIES 2008A BONDS MATURING ON JANUARY 1 IN THE YEARS 2020 THROUGH 2038 (OTHER THAN 2030); (3) PAY CERTAIN LEGAL, ACCOUNTING AND FINANCING COSTS, INCLUDING UNDERWRITERS' DISCOUNT, INCURRED IN CONNECTION WITH THE ISSUANCE OF THE BOND. 2017ABC: THE PROCEEDS OF THE SERIES 2017ABC BONDS, TOGETHER WITH OTHER AVAILABLE MONEYS OF THE INSTITUTION, ARE BEING USED TO: (1) FINANCE A PORTION OF THE COSTS OF ACQUISITION, CONSTRUCTION, RENOVATION, INSTALLATION AND EQUIPPING OF THE 2017 PROJECTS, INCLUDING REIMBURSEMENT OF CERTAIN PRIOR CAPITAL EXPENDITURES PAID BY THE INSTITUTION. (2) PAY CERTAIN LEGAL, ACCOUNTING AND FINANCING COSTS, INCLUDING UNDERWRITERS' DISCOUNT, INCURRED IN CONNECTION WITH THE ISSUANCE OF THE SERIES 2017ABC BONDS (THE "COSTS OF ISSUANCE"). THE 2017 PROJECTS INCLUDE (A) CONSTRUCTION, FURNISHING AND EQUIPPING OF A NEW 16 STORY PATIENT CARE AND CLINICAL TOWER TO BE LOCATED ON THE BANNER-UNIVERSITY MEDICAL CENTER PHOENIX CAMPUS (BANNER UMC PHOENIX) LOCATED AT 1111 E. MCDOWELL ROAD, PHOENIX, ARIZONA 85006, CONSISTING OF APPROXIMATELY 700,000 SQUARE FEET AND HOUSING APPROXIMATELY 256 PATIENT BEDS, A NEW EMERGENCY DEPARTMENT AND TRAUMA CENTER, OPERATING ROOMS, DIAGNOSTIC AND LABORATORY FACILITIES, AND RELATED CAMPUS IMPROVEMENTS AND MISCELLANEOUS CAPITAL EXPENDITURES ON THE BANNER UMC PHOENIX CAMPUS, AND (B) CONSTRUCTION, FURNISHING AND EQUIPPING OF A NEW 9-STORY PATIENT CARE AND CLINICAL TOWER TO BE LOCATED ON THE BANNER-UNIVERSITY MEDICAL CENTER TUCSON CAMPUS (BANNER UMC TUCSON) LOCATED AT 1501 N. CAMPBELL AVENUE, TUCSON, ARIZONA 85724, CONSISTING OF APPROXIMATELY 700,000 SQUARE FEET AND HOUSING APPROXIMATELY 204 PATIENT BEDS, OPERATING ROOMS, DIAGNOSTIC AND LABORATORY FACILITIES AND RELATED CAMPUS IMPROVEMENTS AND MISCELLANEOUS CAPITAL EXPENDITURES ON THE BANNER UMC TUCSON CAMPUS. 2017D: THE PROCEEDS OF THE SERIES 2017D BONDS, TOGETHER WITH OTHER AVAILABLE MONEYS OF THE INSTITUTION, ARE BEING USED TO: (1) FINANCE A PORTION OF THE COSTS OF ACQUISITION, CONSTRUCTION, RENOVATION, INSTALLATION AND EQUIPPING OF THE 2017 PROJECTS, INCLUDING REIMBURSEMENT OF CERTAIN PRIOR CAPITAL EXPENDITURES PAID BY THE INSTITUTION; (2) PAY CERTAIN LEGAL, ACCOUNTING AND FINANCING COSTS, INCLUDING UNDERWRITERS' DISCOUNT, INCURRED IN CONNECTION WITH THE ISSUANCE OF THE SERIES 2017D BONDS (THE "COSTS OF ISSUANCE"). THE 2017 PROJECTS INCLUDE: (A) CONSTRUCTION, FURNISHING AND EQUIPPING OF A NEW 16-STORY PATIENT CARE AND CLINICAL TOWER TO BE LOCATED ON THE BANNER-UNIVERSITY MEDICAL CENTER PHOENIX CAMPUS (BANNER UMC PHOENIX) LOCATED AT 1111 E. MCDOWELL ROAD, PHOENIX, ARIZONA 85006, CONSISTING OF APPROXIMATELY 700,000 SQUARE FEET AND HOUSING APPROXIMATELY 256 PATIENT BEDS, A NEW EMERGENCY DEPARTMENT AND TRAUMA CENTER, OPERATING ROOMS, DIAGNOSTIC AND LABORATORY FACILITIES, AND RELATED CAMPUS IMPROVEMENTS AND MISCELLANEOUS CAPITAL EXPENDITURES ON THE BANNER UMC PHOENIX CAMPUS, AND (B) CONSTRUCTION, FURNISHING AND EQUIPPING OF A NEW 9-STORY PATIENT CARE AND CLINICAL TOWER TO BE LOCATED ON THE BANNER-UNIVERSITY MEDICAL CENTER TUCSON CAMPUS (BANNER UMC TUCSON) LOCATED AT 1501 N. CAMPBELL AVENUE, TUCSON, ARIZONA 85724, CONSISTING OF APPROXIMATELY 700,000 SQUARE FEET AND HOUSING APPROXIMATELY 204 PATIENT BEDS, OPERATING ROOMS, DIAGNOSTIC AND LABORATORY FACILITIES AND RELATED CAMPUS IMPROVEMENTS AND MISCELLANEOUS CAPITAL EXPENDITURES ON THE BANNER UMC TUCSON CAMPUS. 2019ABCD: THE PROCEEDS OF THE SERIES 2019ABCD BONDS, ALONG WITH OTHER AVAILABLE MONIES OF BANNER HEALTH, WILL BE USED TO 1) FINANCE A PORTION OF THE COSTS OF ACQUISITION, CONSTRUCTION, RENOVATION, INSTALLATION AND EQUIPPING OF A NEW 16-STORY PATIENT CARE AND CLINICAL TOWER ON THE BANNER--UNIVERSITY MEDICAL CENTER PHOENIX CAMPUS, A NEW 9-STORY PATIENT CARE AND CLINICAL TOWER ON THE BANNER--UNIVERSITY MEDICAL CENTER TUCSON CAMPUS AND RELATED IMPROVEMENTS AND MISCELLANEOUS CAPITAL EXPENDITURES ON THE BANNER--UNIVERSITY MEDICAL CENTER TUCSON CAMPUS, 2) CURRENT REFUND OF THE OUTSTANDING AMOUNT OF THE ARIZONA FACILITIES AUTHORITY REVENUE BONDS SERIES 2008B BONDS. 3) CURRENT REFUND OF THE OUTSTANDING AMOUNT OF THE ARIZONA FACILITIES AUTHORITY REVENUE BONDS SERIES 2008C BONDS. 4) CURRENT REFUND OF THE OUTSTANDING AMOUNT OF THE ARIZONA FACILITIES AUTHORITY REVENUE BONDS SERIES 2015D BONDS. 5) PAY LEGAL, ACCOUNTING AND FINANCING COSTS, INCLUDING UNDERWRITERS' DISCOUNT, INCURRED IN CONNECTION WITH THE ISSUANCE OF THE BOND. 2019EF: THE PROCEEDS OF THE SERIES 2019EF BONDS, ALONG WITH OTHER AVAILABLE MONIES OF BANNER HEALTH, WILL BE USED TO 1) FINANCE A PORTION OF THE COSTS OF ACQUISITION, CONSTRUCTION, RENOVATION, INSTALLATION AND EQUIPPING OF A NEW 16-STORY PATIENT CARE AND CLINICAL TOWER ON THE BANNER--UNIVERSITY MEDICAL CENTER PHOENIX CAMPUS, A NEW 9-STORY PATIENT CARE AND CLINICAL TOWER ON THE BANNER--UNIVERSITY MEDICAL CENTER TUCSON CAMPUS AND RELATED IMPROVEMENTS AND MISCELLANEOUS CAPITAL EXPENDITURES ON THE BANNER--UNIVERSITY MEDICAL CENTER TUCSON CAMPUS, 2) PAY LEGAL, ACCOUNTING AND FINANCING COSTS, INCLUDING UNDERWRITERS' DISCOUNT, INCURRED IN CONNECTION WITH THE ISSUANCE OF THE BOND. Schedule K, Part IV, Line 2c COLUMN A Issuer name: ARIZONA HEALTH FACILITIES AUTHORITY The calculation for computing no rebate due was performed on 05/25/2017 Schedule K, Part IV, Line 2c COLUMN B Issuer name: ARIZONA HEALTH FACILITIES AUTHORITY The calculation for computing no rebate due was performed on 11/05/2020 Schedule K, Part IV, Line 2c COLUMN D Issuer name: THE INDUSTRIAL DEVELOPMENT AUTHORITY OF MARICOPA The calculation for computing no rebate due was performed on 12/12/2018 Schedule K, Part IV, Line 2c COLUMN A Issuer name: THE INDUSTRIAL DEVELOPMENT AUTHORITY OF MARICOPA The calculation for computing no rebate due was performed on 11/16/2022 Schedule K, Part IV, Line 2c COLUMN B Issuer name: THE INDUSTRIAL DEVELOPMENT AUTHORITY OF MARICOPA The calculation for computing no rebate due was performed on 12/06/2022 A THE INDUSTRIAL DEVELOPMENT AUTHORITY OF MARICOPA 860445263 56682HCK3 2017-10-18 403357634 SERIES 2017ABC - SEE PART VI false false false B THE INDUSTRIAL DEVELOPMENT AUTHORITY OF MARICOPA 860445263 56682HCP2 2017-10-18 100000000 SERIES 2017D - SEE PART VI false false false C THE INDUSTRIAL DEVELOPMENT AUTHORITY OF MARICOPA 860445263 56682HCU1 2019-06-20 365299009 SERIES 2019ABCD - SEE PART VI false false false D THE INDUSTRIAL DEVELOPMENT AUTHORITY OF MARICOPA 860445263 56682HCV9 2019-06-20 200000000 SERIES 2019EF - SEE PART VI false false false A 85945000 403544851 2878298 400666553 2018 false false true true B 8295000 100000000 479336 99520664 2018 false false true true C 24010000 365599530 2241525 92761966 261240000 9356039 2019 true false false true D 11010000 200000000 817409 199182591 2019 false false true true A false false false false 0.0 false false true B false false false false 0.0 false false true C false false false false 0.0 false false true D false false false false 0.0 false false true A false false false true true false false false true B false false false true true false false false true C false true false false true false false false true D false true false false true false false false true A true B true C true D true Alyssa M Bixby Family Member of Former Officer - Charles Lehn 50027 Employed By Banner Health false Stephanie Davidson Family Member of Current Officer - Becky Kuhn 38536 Employed by Banner Health false Form 990, Part I, Line 6 VOLUNTEERS AT BANNER HEALTH ('BANNER 'BH'), OUR VOLUNTEERS ARE AN IMPORTANT PART OF OUR TEAM, AND EACH YEAR THOUSANDS OF PEOPLE SERVE BANNER AND, IN TURN, SERVE LOCAL COMMUNITY NEEDS. PEOPLE OF ALL AGES, FROM ALL WALKS OF LIFE, AND WITH DIVERSE BACKGROUNDS AND SKILLS CHOOSE TO GIVE THEIR TIME TO BANNER. OUR VOLUNTEERS RANGE FROM TEENS AND ADULTS TO SEASONAL VISITORS AND RETIREES. THE ONLY CONSISTENCY IS THAT THEY ALL HAVE A DESIRE TO HELP AND SERVE OTHERS. THESE COMPASSIONATE AND CARING INDIVIDUALS MAKE A POSITIVE DIFFERENCE IN THE LIVES OF PATIENTS, STAFF AND GUESTS BY PROVIDING A PERSONAL AND COMPASSIONATE APPROACH TO PATIENT AND GUEST SERVICE. VOLUNTEERS WITHIN BH WORK DIRECTLY WITH PEOPLE AND PROVIDE BEHIND-THE-SCENES SUPPORT TO ENHANCE THE PATIENTS' EXPERIENCE AND COMFORT. WITHIN THE VARIOUS PATIENT CARE AND PUBLIC AREAS, VOLUNTEERS GREET GUESTS, PROVIDE INFORMATION AND DIRECTIONS, ESCORT PATIENTS AND FAMILIES TO THEIR DESTINATIONS, AND TRANSPORT AND LINK VISITORS TO STAFF AND OTHER RESOURCES. VOLUNTEERS ALSO PROVIDE COMFORT THROUGH THERAPY DOG VISITS, PERSONAL VISITS, AND BY PROVIDING COMFORT ITEMS SUCH AS PILLOWS, PHONE CARDS, AND CATERING. FINALLY, OTHER VOLUNTEERS SUPPORT STAFF THROUGH ADMINISTRATIVE PROJECTS AND ASSISTANCE - ALLOWING THEM MORE TIME TO DEVOTE TO PATIENT CARE. BH HONORS THE MANY VOLUNTEERS WHO DONATE NUMEROUS HOURS AND COUNTLESS TALENTS TO OUR ORGANIZATION IN FURTHERANCE OF OUR EXEMPT PURPOSE. THEY EXEMPLIFY OUR MISSION IN THAT EVERY DAY THEY MAKE A DIFFERENCE IN THE LIVES OF OUR PATIENTS AND COMMUNITY. Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION Headquartered in Phoenix, Arizona, Banner Health (Banner) is one of the largest nonprofit health care systems in the country. In addition to thirty-one acute-care hospitals, Banner also operates an academic medicine division, Banner - University Medicine, and Banner MD Anderson Cancer Center, a partnership with one of the world's leading cancer programs, MD Anderson Cancer Center. Banner's array of services includes health insurance, employed physician groups, outpatient surgery centers, urgent care l, home care and hospice, retail pharmacies, imaging centers, physical therapy and rehabilitation, behavioral health, global research, and a nursing registry. Guided by and deeply committed to our nonprofit mission: "Making health care easier, so life can be better," Banner is the leading nonprofit provider of hospital services in most communities served and, in some cases, the only inpatient/acute care facility available. This mission serves as the cornerstone of operations at our facilities located in small and large, rural, and urban communities, spanning six western states and their incredibly diverse populations. Regarded and recognized as a top health system in the country for consistent clinical quality, nonprofit Banner has evolved from a health system of hospitals to a fully integrated system. The comprehensive, integrated services provided by Banner include acute care, ambulatory care, long-term care, home health care, urgent care, medical imaging, rehabilitation, telemedicine, and hospice and palliative care. In addition to providing major, accredited medical education programs that train qualified physicians, Banner participates in national and international research efforts. Banner has not only demonstrated the ability to effectively manage the health and wellness of those in our service areas but has expanded convenient access to quality care throughout the communities served. Banner is dedicated to strengthening patient care through a continuous focus on improving patient outcomes and service, development and training of an engaged workforce, use of innovative technologies, and expansion of our facilities and services to meet community needs. At Banner people have always come first and whether welcoming newborns, or providing care for thriving in later years, our patients provide the motivation that keeps us moving forward. At all stages in life, Banner meets the health and medical needs of its patients through compassionate professionals and outstanding service. Banner's reach provides patients with access to these services be it from a hospital bed, mobile web site, virtual telehealth space, or physical presence in a Banner clinic or physician's office. Banner meets the patient where they are and at their desired locale. Banner Health's mission is "Making health care easier, so life can be better. as a nonprofit organization, we exist to support our charitable mission of providing excellent health care services to the communities we serve, rather than generating income for investors or stockholders. Every dollar we earn is reinvested into new equipment, new or expanding patient care services, new physician services, modern technologies, maintaining existing equipment and facilities, and employees' salaries in addition to subsidizing the medical education costs for hundreds of physicians in training. To fulfill our mission and serve our incredibly diverse patient population, Banner operates a system of rural and urban facilities that preserve the dignity of everyone regardless of race, creed, sex, sexual orientation, gender identity, age, social status, or ability to pay for services rendered. Banner facilities are operated in a cost-effective and financially responsible manner to ensure that all who turn to Banner receive the excellent patient care they deserve. We leverage our size to reduce supply and equipment costs and to operate more efficiently and aggressively pursue best practices both inside and outside of Banner for opportunities to reduce waste and inefficiency. With over 58,000 employees, Banner is a leading nonprofit employer in most communities served. Banner Health is the largest private employer in Arizona and third largest employer in the Northern Colorado front range area. As a Banner team dedicated to our community and people, recent Banner recognitions included: * Modern Healthcare 100 Most Influential People in Healthcare * Modern Healthcare 50 Most Influential Clinical Executives * Modern Healthcare Top 25 Women Leaders * Modern Healthcare Top Diversity Leaders * Phoenix Business Journal Healthcare Heroes Lifetime Achievement Award * Phoenix Business Journal Healthcare Heroes Community Outreach Award * Integrity Summit Integrity Tiger Awards * AzPHA Public Health Awards * PRSA Phoenix Communications Team of the Year * Copper Anvil Awards - Crisis, Integrated and External Communications * 100 Best Places to Work in IT * Healthcare Purchasing Supply Chain Department of the Year * Healthcare Information and Management Systems Society Changemaker in Health * Aetna Workplace Well-Being Making a Difference Award * Healthiest Arizona Workplace Program Award * Phoenix Business Journal Healthiest Employers * Denver Business Journal Healthiest Employers * American Heart Association Workplace Health Index Award, Silver Level * Arizona Veteran Supportive Employs Award * Top 10 Strategic or Enterprise-Wide ERG Award * Top 10 Diversity Action Award * Top 25 ERGs & Diversity Councils Award * Arizona Corporate Counsel Lifetime Achievement * Healthcare Leader for Older Adults * Newsweek - Best Maternity Hospital * World's Best Intranet * Larimer County - Outstanding Employer * SDI and Modern Healthcare Magazine Top 10 Integrated Health Systems * Becker's Hospital review "Best Places to Work" Fulfillment of the Banner mission and exempt purpose is accomplished in part by providing patients financial assistance and charity care, as well as community benefit programs and services (See Schedule H). Banner is noted for its community service programs and Banner employees work tirelessly and devote significant hours, a generous portion of which are on Banner work time as volunteers at clinics for the working poor, providing general health and behavioral health screenings, and conducting seminars, presentations, and educational events. In addition, Banner employees routinely serve on local community boards and actively participate in various community events and public service opportunities. Services and programs conducted by Banner facilities include but are not limited to: - Community health education programs - Support groups - Self-help programs - Community blood drives and health screenings - Community wellness clinics and programs - Community health fairs - Mobile screenings and clinics - Subsidized clinics and services - Live and web-based and electronic consumer health education and assistance - Primary and clinical research with an emphasis on Alzheimer's disease and other age-related diseases - School-based clinics, education, and physical examinations - Donated conference room and related space to community-based organizations - Donated medical supplies - Partnerships with educational institutions to promote healthcare careers - Facility and staff involvement in community-based organizations - Community leadership training and coalition building Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION CONTINUED COMMUNITY HEALTH IMPROVEMENT and SUPPORT SERVICES * Library Services Accessible information is important when making medical decisions and many Banner hospitals have libraries with staff who can assist not only provides, staff and affiliates but also the public. Banner University Medical Center - Phoenix, Banner Desert Medical Center, Banner University Medical Center-Tucson, North Colorado Medical Center, and McKee Medical Center offered community members access to books, tapes, videos, and journal articles on health-related topics. At Banner Health, we believe knowledge-based information and services empower our employees, providers and community access and provide excellent patient care and Banner Library Sciences supports this belief with the mission of "Providing knowledge-based information and services that empower Banner Health to make health care easier." * Banner Internet - Web-Based Consumer Education At Banner Health, our priority is keeping the community healthy, and we strive to be the leading health care provider in every community we serve. We understand the significance of providing robust and up-to-date health care information and support. You can find the latest health news, wellness tips, trends, infographics and more on bannerhealth.com, in both English and Spanish. In 2022, our website and blog content received over twenty million views. Our dedicated staff curates' content and maintains the website for the community, offering a wealth of resources on adult and children's health, wellness information sections that provide access to a wide range of written and video formats. We also provide a diverse selection of online and engaging blog content, along with interactive health assessment tools. This health and wellness information is accessible on Facebook, Instagram, Twitter, and YouTube. Our content covers wellness, disease conditions, procedures, and medications, ensuring easily accessible and valuable information whether the goal is fitness or disease management. Using over 4,000 health care professionals who are experts in their respective fields, Banner Health addresses questions on a variety of health care topics including: * Allergy and Immunology * Alzheimer's Disease and Dementia * Behavioral Health * Burns * Cancer * Child Safety * Concussions * COVID-19 * Dermatology * Diabetes * Emergency Care and Preparedness * Endocrinology * Endoscopy * Eye Care * Farm Safety * Fitness and Nutrition * Gastroenterology * Geriatrics * Healthy and Mental Wellness * Heart and Cardiac Care * Infectious Diseases * Injury Prevention * Maternity * Mental Health and Well-Being * Neurology * Nutrition * Orthopedics * Pediatrics * Poison and Drug Information * Pulmonology and Asthma * Safety * Sleep Medicine * Smoking Cessation * Urology * Water Safety * Wellness * Weight Loss and Bariatrics * Women's Health * Mission of Mercy Mobile Medical Van Since 1997, Mission of Mercy (MOM), a mobile medical clinic has provided more than 300,000 patient visits and dispensed more than 500,000 prescriptions to individuals and families who are uninsured, underinsured or newly unemployed. With the mission to restore dignity, "Healing through Love," MOM is a medical home for those without a primary care doctor and the fully equipped mobile unit, can diagnose, and treat conditions ranging from acute to chronic illnesses. Clinics have been designed to resemble a private primary care clinic office and provide a continuum of care, not just urgent or screening services. With an emphasis on preventive care and chronic disease management, MOM helps patients avoid dangerous complications and costly emergency care. The only completely free mobile medical unit dispensing free prescription medications on-site in Arizona, and six clinic sites throughout Maricopa County, MOM helps to provide thousands of patients with access to free medical visits, prescription medications and patient education. As a Compassionate Partners program member Banner participates in a network of local healthcare providers and service organizations to offer patients free or reduced rate services. The rolling clinic on wheels is supported entirely by volunteer labor and donated supplies. A present community partner, Banner's collaborative relationship enables patients to receive additional no-cost medical care, including lab tests and X-rays, mammograms, and more. The committed support - time, resources, energy, and effort ensures everyone in our community has access to quality, compassionate healthcare. Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION CONTINUED * Child Safety and Injury Prevention Banner Children's Injury Prevention program is a free health and safety program that provides information on preventable injuries and deaths for children. Our program sends safety advocates out to visit schools, church, and community groups, as well as health fairs and safety fairs to give the East Valley community easy-to-follow advice about being safe. Our Injury Prevention program provides education for children of all ages and their parents. Programs targeted to children include: * Bicycle/helmet safety * Bullying * Fire safety * Fireworks safety * Gun safety * Hand washing/germs * Pedestrian safety * Poison prevention * Safe babysitting * Stranger danger * Car seat safety and facts (Including car seats, boosters, and seatbelts) * Water safety and Drowning Prevention * Holiday Safety Tips Programs targeted to adults include: * Child safety seats * General Safety * Infant CPR/First Aid * Injury Prevention Tips for Parents * Banner Health Call Center, Nurse Now and Crisis Helplines In 2022, Banner managed phone calls for physician referrals, health related information, crisis counseling, behavioral health, and information on Banner programs and services. Two examples include the Customer Experience Center Nurse Now program and Tucson Crisis Response Center. Nurse Now, 24 hours a day, 365 days a year nurse triage phone line responded to approximately 59,000 calls. Providing clinical Registered Nurse (RN) expertise to the community at no cost to the caller, this line currently serves callers located in Arizona, Colorado, Wyoming, Nevada, California, and Nebraska; all of which include underserved rural areas. In many cases Nurse Now is a lifeline resource for persons who may not have access to immediate care for themselves or family. Also assisting families, parents and individuals who may not be sure of the level of care needs, Nurse Now RN's listen, evaluate, document, and triage the concern providing clinical expertise to the caller and when emergent care is needed have been known to dispatch 911 or remain with the patient until arrival at the nearest facility. Patient education is likewise a large part of this community service educating and providing patients with care at home treatment advice eliminating unnecessary Emergency Room (ER) visits and minimizing local ER resources needed for more clinically serious patients. The Tucson, Arizona Crisis Response Center also provides 24 hour, 7-day access to mental health and substance use services for children, teens and adults and helps patients who are experiencing suicidal thoughts or behaviors, anxiety, hallucinations, and substance use/detox. Valued at over $2.7 million, the calls to the Banner call centers and crisis helplines were primarily from low-income persons needing health advice and immediate crisis services. * Banner Health Research Institute Banner Health Research Institute (BHRI) serves the community through lectures, events, speaker's bureau, online education platforms and tours. BHRI offers community outreach with the latest news and treatment information on diseases, as well as support from our experts through BHRI's community outreach. The resources to help with the diseases impacting the community include: * Health assessments * Screenings * Education classes and lectures * Support groups * Community resources and referrals * Volunteer service opportunities * All of Us - Health Disparities and Social Determinants of Health As an organization dedicated to providing the best care to our patients, Banner is committed more than ever to its communities. Banner took the American Hospital Association's #123forEquity pledge to act on specific areas to promote and improve diversity and health equity with the public. In addition to this pledge, Banner has focused on establishing strategic partnerships to increase access to care and advocate for cultural competency. All of Us is a national effort that aims to build the largest most diverse database of health information of its kind that researchers can use to study health and illness. Banner has partnered with the University of Arizona Health Sciences as National Institute of Health (NIH) grant recipients to participate in the program which aims to enroll 1 million or more U.S. participants to improve prevention and treatment of disease based on individual differences in lifestyle, environment, and genetics. The mission of All of Us is simple - speed up health research. All of Us Research Program, is a participant-engaged, data-driven enterprise supporting research at the intersection of lifestyle, environment, and genetics to produce new knowledge with the goal of developing more effective ways to prolong health and treat disease. To reflect the diversity of the U.S. population, the program enrolls participants from diverse social, racial/ethnic, ancestral, geographic, and economic backgrounds, from all age groups and health statuses. Information from the program will be a broad, powerful resource for researchers working on a variety of important health questions. Importantly, the program will focus not just on disease, but also on ways to increase an individual's chances of remaining healthy throughout life - tenants at the core of and fully supported by Banner Health. * Caring Connections Banner Hospice provides high-quality, comprehensive, and compassionate end-of-life care and Caring Connections is a unique program offered by Banner Hospice that provides support and assistant for patients and families who face the challenges of chronic or life limiting illness. Through Caring Connections, patients and their families have access to community resources, crisis intervention, telephone support and education valued at approximately $287,000, all designed to provide patients and their loved ones with comfort, peace, and dignity during life's most intimate and vulnerable times. Services are available to anyone who is planning, caregiving, living with a serious illness or grieving a loss. * Community Education Banner has set its sights on improving the health of the communities it serves and focuses on providing the best possible care to our customers. In this process, Banner recognizes delivering excellent care is more than clinical treatment. Banner is committed to providing education in all the communities it serves and doing its part to keep Banner communities strong and healthy. Across the system, area residents and community members had access to in-person and online educational opportunities valued more than $1.6 million including classes, symposiums, presentations, and forums aimed at community health awareness. Topics included discussions specific to various diseases and disease prevention techniques, holistic therapies, wellness, caregiver support and safety. Also available were speaker bureaus and physician lectures dedicated to meeting the health-related community request or need. Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION CONTINUED * COVID - 19 As the largest health care system in Arizona and one of the largest in the western United States, Banner Health focuses on emergency preparedness year-round to be able to respond to any public health crisis and the arrival of the COVID-19 pandemic to the U.S. put those plans into immediate action. Since then, Banner has been ever present, providing quality-care and access and leading the way in our communities. Profoundly altered by the global pandemic and amid the COVID-19 challenges, the importance of high-quality, accessible health care was never more evident and in the endemic era, Banner continues to steadfastly focus on caring for our diverse communities including safe testing, vaccinations, education, protection, and care. Banner Health continually works to develop and implement practices to ensure the safety of patients and health care workers across its six-state service area; constantly reviewing and enhancing measures. The importance of health care worker and patient safety is paramount with an overarching message - Banner is A SAFE PLACE - FOR CARE and WORK. * Safety Education At Banner Health, we want to help keep our patients and families safe - at home, rest, or play and safety is the foremost priority at our facilities. As part of our efforts, we offer safety education related to handwashing, farm, recreation, water, holiday, poison prevention, and summer safety along with free guides to help individuals and families prepare for any kind of emergency. * General Education Banner offers a variety of community health activities and support. The following community health and support service activities were completed in 2022: * Alzheimer's Education, Screening and Support Services - Banner Health is a national leader in the diagnosis and treatment of Alzheimer's disease and other dementias as well as in innovative research across several campuses. BAI provided community presentations, caregiver support services and screenings to individuals and families. * Auto, Car Seat and Seat Belt Safety - Parents, youth and family members provided with car seat and seat belt safety instructions and certification opportunities valued at $13,600. * Babyscripts - Digital therapeutics are changing the healthcare delivery system with clinically proven technologies that improve patient outcomes for a wide range of diseases and disorders, accessible through devices such as smartphones or personal tablets. Supporting our mission of making health care easier, this digital tool allows pregnant women to monitor their prenatal health at home and make fewer trips to the doctor's office. Available system wide, Babyscripts facilitates remote monitoring, delivering flexibility to prenatal visits. The English/Spanish app enables access to a variety of information and offers patients remote monitoring experiences, an especially valuable tool during the COVID-19 pandemic. * Banner Hospice Dottie Kissinger Bereavement Camp - Following the death of a loved one, it is natural to feel grief, a universal but potentially isolating experience. As an adult, bereavement and grief are as complicated as they are emotionally painful. For children, their response to death is similar, but different and helping a child through loss is a delicate and difficult challenge for parents and caregivers, especially when they are grieving as well. The Dottie Kissinger Children's Bereavement Camp is a symbol of hope for kids facing a significant crisis - the loss of someone they love. The Dottie Kissinger Bereavement Camp is a free community program that helps grieving families work toward healing and is unique as it offers entire families - not just children an opportunity to learn coping mechanisms for dealing with the loss of a loved one. For over 20 years, families who have experienced loss have come to the camp to learn how to ease feelings of guilt, anger, and sadness. Staying together in a cabin for a weekend experience, children and parents participate in activities that inform, educate, and provide opportunities to talk about difficult aspects of loss. In 2022, children ranging in age from 5 to 19 and their immediate family members gathered with Banner Hospice staff and volunteers at The Spirit in the Desert in Carefree, AZ to process the losses of fathers, mothers, grandparents, and siblings. The staff of bereavement counselors, music therapists, social work supervisor and several volunteers created a safe place of love and acceptance where individuals could share their experience without judgement. The healing of broken hearts happened through education, crafts, music, tears and fun for children and adults alike. * Behavioral Health - Banner Health provides mental health education and support to the communities we serve and hosts support groups for those who suffer with substance abuse, loss, mental health crises and other conditions and provide education and resources related to suicide prevention, depression, chemical dependency, childhood behavior issues, grief, and anxiety. In 2022, that support was approximately $54,000. * Bike and Helmet Safety -Banner provided bike and helmet safety lessons and/or supplies of $ 1,500. * Blood Drives and Screenings - Valued at $15,000, enterprise wide, low-cost, or no-cost blood education and health profile screening benefits were provided to area residents in communities served by Banner. * Cancer Education, Screenings and Support - Approximately 154,000 community members and their families were provided with education and activities in support of cancer care and healing. These services were valued more than $158,000 and include events such as "Pink Night Out", Tai Chi, and Yoga for Health and survivor's activities. * Cardiac Care, Healthy Heart, Chronic Obstructive Pulmonary Disease, and Stroke Education and Awareness - Services valued at $7,000 were provided to 294 residents. * Children and Youth - Child development, early education and safety awareness valued at $32,000 provided to area youth. Banner Children's Injury Prevention program is a free health and safety program that provides information on preventable injuries and deaths for children. Our program sends safety advocates out to visit schools, church, and community groups, as well as health fairs and safety fairs to give the East Valley community easy-to-follow advice about being safe. Our Injury Prevention program provides education for children of all ages and their parents. * Children's Safety Fair - This annual award-winning community program covers everything from fire, home and bicycle safety to stranger danger and Internet predators. * Community Clinics- Valued at $335,000 Banner provided residents access to A1C, Sickle Cell and Heart Health monitoring. * Community Newsletters - Quarterly health information provided to thousands of residents. * COVID-19 - Understanding the severity and level of concern when it comes to COVID-19 Banner led efforts to educate and direct the community on COVID-19 resources, testing and education including vaccine access, symptoms, prevention, and testing and continues to be a community leader in post-pandemic/endemic efforts. * CPR and First Aid - Residents trained on CPR, first aid and emergency response protocol valued at $8,700. * Diabetes Screening and Support- Lectures, screenings and community expos aimed at educating the community on diabetes. Participants received free screenings and education valued more than $1,300. * East Valley Wellness Program: Health Beyond the Walls - Improve the lives of community residents through free wellness screenings and health education. Banner Health brings health care services to those who cannot easily access them. Monthly, a community health nurse visits the east Phoenix metro area; checking blood pressure and blood glucose and providing education and counseling to persons who do not have a physician or may have trouble getting to their doctor's offices. * Fitness and Exercise - Opportunity for adults and youth to improve health via Pilates, yoga, strength training, fitness challenges, Zumba, worksite wellness opportunities and body mechanics training. * Food, Nutrition, & Healthy Eating - Community education and countless opportunities provided to area residents valued at $19,449 to learn about healthy food choices, nutrition, and healthy cooking. * Germs and Germ Safety - Germs are everywhere and not all germs are bad. Germs reside in our gut, on our skin and on every surface we touch. and we need some to keep us healthy and our immune systems strong. Children and adults were educated on germ prevention and the importance of hand washing and sanitation. * Gun Safety - Every 2 hours a child is killed with a loaded gun area youth were educated on gun safety. Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION CONTINUED * Grief Support - The pain of loss can feel overwhelming and true grieving takes time and healing happens gradually, Banner Health's grief support integrates practical tools to help navigate loss to move toward joy, hope and meaning. Individuals were supported by services and activities to assist with grief and programs follows a step-by-step approach as a way of healing from loss, addressing death, divorce, and other significant emotional losses. Banner Health offers grief and bereavement services for up to 13-24 months after the loss of a loved one. * Health Care Support Services - Public AHCCCS/Medicaid program enrollment assistance and care coordination valued at $4.0 million provided to individuals in need. * Health Fairs - These events provided to residents and held at community events, county fairs, local businesses, malls, senior centers, schools, and Banner facilities address critical community needs were valued more than $15,854. In addition to skilled physicians and nurses, other employees donate their time to provide free screenings and education at community events to increase awareness and educate the public. Dedicated to our community and collaboration with other community organizations for our underserved population, activities include but are not limited to diabetes screenings, hearing and vision tests, blood pressure screenings, balancing tests, blood sugar screenings, body mass indexes, chest compression demonstrations, children's Teddy Bear clinics, car seat safety clinics, and other educational and health related topics. * Hospice Resources - Going through the hospice process is difficult and is normal to feel a wide range of emotions during this time. With many stages of grief, it is important to have support. Banner staff offer a broad range of additional resources to navigate hospice or if you are a family member with a loved one in hospice. * Injury Prevention - At Banner Health, we not only treat injuries, but we help you prevent them. Our goal is to keep you and your family safe. Our injury prevention educators, along with some of our clinical team, collaborate with the community to provide the latest health and safety information. Injury prevention coordinators work to keep the community accident-free by participating in health fairs, seat belt education programs and health education for high school and elementary-school kids and presenting at other safety workshops. * Hospice and Palliative Care - Educational opportunities are available to residents to assist with grief, end of life care and caregiving concerns. * NCMC Hospitality House - The Hospitality House at North Colorado Medical Center offers affordable overnight accommodations for families visiting their hospitalized loved ones. In 2022, 20 rooms, three apartments and four common rooms were available to families who live outside of the Greeley/Evans area and have a loved one that is a NCMC patient and who could not afford to pay for housing in a community hotel. * Lunch & Learn- Opportunities for area residents to learn about pertinent health issues during lunch-hour presentations. * Men and Boys - Male health and wellness education valued at $1,000. * Lodging and Transportation - Individuals provided lodging and transportation assistance more than $260,857. * New Mom Education - Education for moms, families and siblings provided more than $79,000. * Orthopedics - Residents received education on healthy bones, orthopedic pain control, arthritis, joint replacements. * Patient Wellness - At Banner Health, we are committed to helping persons be the healthiest they can be, and we offer many ways to learn how to maintain or improve your health. In 2022 community education and wellness activities were valued at $1.1 million. * Poison Safety and Prevention - School based poison safety education provide to educators, parents, students, and community members valued at $18,000. * Screenings - Everyone benefits from a healthy community. Banner Health's Community wellness screenings provide education and encouragement to lead a healthier life. Banner Health offers classes and screenings around the community. Many of our services are offered at the local hospital or at sites in the community with the goal to help prevent common health conditions, help people understand their health better or return an individual to health Some of the screenings and education include blood pressure checks, memory screenings, and diabetes. * Seniors - Senior services and health fairs as well as education on pertinent issues such as diet and nutrition, graceful aging, dementia and memory, healthy aging, finances and fall prevention were provided to area seniors valued at $7,500. * Sitter Safety - Classes valued amounting to $1,000 provided to area youth to train and enhance babysitting skills and safety. * Sport Screenings - Physicals, education, and support for local student athletes. * Support Groups -Throughout Banner thousands of patients and families were aided in coping with Alzheimer's, brain injuries, cancer, bariatric concerns, diabetes, heart disease, pulmonary disease, behavioral health, kidney health, grief and recovery, infectious disease, injury prevention, transplant services, behavioral and mental health, nutrition, Parkinson's, obstetric and gynecological concerns, men's issues, dementia, strokes, care giving and death. These services are valued more than $53,700. * Teens and Youth - In 2022, teens and youth received training on issues such as teen pregnancy, youth sport injuries, responsible versus risky behaviors, drunk driving, teen drinking, and abstinence valued at $2,000. * Vaccinations and Inoculations - Immunization clinics and mobile flu shot opportunities and medication vouchers valued at $1,550 provided to area residents. * Water/Pool Safety - Services educated individuals and family members in water safety and protection. * Women's Health Programs - Opportunities provided to area women related to women's health and wellness education. HEALTH PROFESSION EDUCATION and TRAINING PROGRAMS AND ACADEMIC MEDICINE Banner Health offers the most sought-after Graduate Medical Education programs in the United States and is committed to the training of medical residents, nursing students, other health-care service providers, and community members. We are a leading provider of well-trained and highly skilled physicians through medical education programs at Banner - University Medical Center Phoenix and Banner - University Medical Center Tucson in Arizona and North Colorado Medical Center in Greeley, Colorado. All residency and fellowship training programs are fully accredited and lead to eligibility for certification by the respective specialty boards. Since 1965, Banner has offered Graduate Medical Education at Banner University Medical Center - Phoenix (formerly Banner Good Samaritan Medical Center) and hundreds of physicians who have graduated from this program serve our communities. The Banner - University Medical Center Phoenix Graduate Medical Education Programs, now University of Arizona College of Medicine - Phoenix and Tucson Programs offer a vast array of residency programs and fellowships across its campuses. The variety of residency programs in Arizona and Colorado, sub-specialty fellowship programs in Arizona and affiliated residencies and training opportunities in the six states we serve include: * Emergency Medicine * Family Medicine * Internal Medicine * Med-Peds * Neurology * OB/GYN * Oral Maxillofacial Surgery * Orthopedic Surgery * Pharmacy * Psychiatry * Surgery * Radiation Physics * Podiatric Medicine and Surgical * Family Medicine - Geriatrics * Cardiology * Interventional Cardiology * Endocrinology * Gastroenterology * Geriatric Medicine * Hand, Upper Extremity and Microsurgery * Medical Toxicology * Hospice and Palliative Medicine * Pulmonary/Critical Care Medicine * Primary Care Sports Medicine Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION CONTINUED Banner has been instrumental in educating the Colorado physician community as well with the family practice residency at North Colorado Medical Center (NCMC). The NCMC family practice residency program provides family practice residents with advanced skills to enable them to provide a wide variety of physician services in underserved rural areas. Providing quality patient care in a supportive, collaborative environment that celebrates education as a lifelong process this program provides excellent training for physicians planning to practice full-spectrum family medicine in any setting. Banner also performs life-changing research, providing Graduate Medical Education to those who go on to touch lives across Arizona, the nation, and the world and the Banner Academic Medical Centers are a vital part of Banner's mission to making health care easier, so life can be better. All our residency and fellowship training programs are fully accredited and lead to eligibility for certification by the respective specialty boards. As part of community service, Banner provided approximately $98.0 million for the training of future doctors, nurses and therapists, and the continuing education of current health care professionals. Banner's nonprofit mission demonstrates that we recognize the importance of holistic healing. In today's world of high-tech treatments, we know that including the spiritual aspect in the healing process takes purposeful effort, and this is the mission of the chaplains who make up the system's Departments of Spiritual Care. Accredited by the Association of Clinical Pastoral Education, the gold standard in spiritual care and education, Banner Health offers Clinical Pastoral Education. Banner trains persons of all faith traditions to become Board Certified Chaplains. Clinical Pastoral Education is interfaith professional education for ministry. It brings theological students and ministers of all faiths (pastors, priests, rabbis, imams, and others) into supervised encounter with persons in crisis. Out of an intense involvement with persons in need, and the feedback from peers and teachers, students develop new awareness of themselves as persons and of the needs of those to whom they minister. From theological reflection on specific human situations, they gain a new understanding of ministry. Within the interdisciplinary team process of helping persons, they develop skills in interpersonal and interprofessional relationships. At Banner Health we offer learning options for professional and non-professional religious and spiritual leaders to take CPE. In holistic care, body, mind, and spirit are addressed and chaplains focus on emotional and spiritual suffering. They offer a listening ear, a spiritual presence. In respect of the diversity of spiritual and religious beliefs, as well as of cultural expressions, they provide a safe and competent environment to explore the various emotional and spiritual crises that patients and families may experience during a hospitalization. Banner provided approximately $198,000 for the training of future spiritual care leaders. The Banner Simulation System is one of the country's largest simulation education programs to train physicians, nurses, allied health providers and emergency responders. At the heart of our simulation education program is the 55-bed, 55,000-square-foot Banner Simulation Medical Center in Mesa, Arizona, the nation's largest virtual hospital and one of the biggest centers of its kind in the world. It is complemented by other Banner Simulation sites in Arizona and Colorado, as well as a mobile training program that serves hospitals throughout the Western Region. The downtown Mesa facility contains everything from neonatal intensive care and adult acute care units to an operating room with virtual-operation capabilities. One of the largest centers of its kind in the world, this priceless resource elevates Banner's educational efforts in Arizona to exceptional heights. We use mannequins, simulators, and virtual-reality programs to offer the next generation of learning collaborating with area colleges and emergency response departments to provide simulation exercises. With a hospital full of virtual reality "patients,'' Banner employees, medical students and other health professionals can learn and perfect their medical techniques before they care for real patients in our facilities. Banner Simulation Education's vision is to "transform health care delivery through simulation, learning and research' we are fulfilling that vision with our extensive, rapidly expanding program. We offer one of the country's largest Simulation Education Programs and through its existing simulation-education programs, Banner Health has trained thousands of health care professionals using a wide array of equipment to provide the most realistic firsthand education possible. The American College of Surgeons have accredited Banner Health's Simulation Education program - becoming the first program that it has accredited across an entire health care system. There are over sixty accredited simulation programs around the world and Banner Health is one of the few that is non-academic and non-university supported. Banner Health's system wide Simulation Education program is also internationally accredited by The Society for Simulation in Healthcare. It is one of only three organizations worldwide to be accredited in five all areas: core, assessment, research, teaching and system integration and has as extensive medical research program leading the field of simulation learning into the future. In 2022, Banner supported health profession education with the following programs: * Student Nursing Education - Collaboration with local universities to enhance and provide education and practical training. Banner Health invests in our nurses by training them to deliver excellent patient care confidently and safely. The New Graduate RN Residency Program at Banner Health is recognized by the ANCC Practice Transition Accreditation Program (PTAP) as an Industry Recognized Apprenticeship Program (IRAP). Banner Health's New Nurse Experience (NNE) provides a collaborative learning environment in which the individual can refine their nursing skills, enhance their knowledge, and transition from a new graduate to a fully competent, professional nurse. * Pharmacy Education - As part of community service, Banner provided approximately $4.8 million for the training of future pharmacists. * Nursing Professional Education - Nursing education provided on a variety of relevant topics and skill sets including advance trauma support and midwifery. * Nursing Development Fund - Recognizing the significance of innovation, research, and continuing education, in conjunction with the Banner Foundation, Banner has established a nursing development fund, fueled through Better Together donations to support nursing research and nursing evidence-based practice (EBP) projects. In addition to applying for scholarships, nurses throughout Banner can submit applications for grants to conduct EBP and research projects that seek to improve patient care and nurse outcomes. * EMS/Paramedics - Services provided to local emergency medical personnel and agencies. * Job Shadowing and Career Day Presentations - These programs and services encourage healthcare careers through education and observation of daily activities to area youth and others interested in health care careers. * ACLS, BLS and PALS - Training and certification provided on basic and advanced techniques. * Banner Center for Health Education - The Banner Center for Health Careers (BCHC) was established in 2003 to positively address Banner Health's current and projected needs for clinical positions through both innovative academic and community partnerships. Today BCHC partners with educators and other organizations within the communities we serve to provide a variety of education assistance programs for individuals pursuing health care degrees. We also manage career and incentive programs for employees and coordinate all onsite student experiences. The goal is to contribute to the ongoing development and placement of individuals who exemplify the mission of Banner Health: "Making health care easier, so life can be better.". * Scholarships - Banner Center for Health Careers partners with numerous academic and community organizations to identify and assist individuals interested in pursuing medical careers and higher education. Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION CONTINUED SUBSIDIZED HEALTH SERVICES Banner provides important, free, and reduced or sliding fee-based services like the Banner Poison and Drug Information Center Hotline, health information provided by registered nurses through our Banner Health Call Center, and school-based health centers for kids in economically challenged areas. Banner also provides numerous clinical services to meet the needs of Banner communities and the uninsured or under-insured. Included in the subsidized services provided in 2022 are: * Funded Discharge Program System initiative to provide post-discharge services to the vulnerable and underserved. Improves the health of the community by providing access to and resources for post-discharge care which leverages' the patient's recovery options, helps minimize return visit, and addresses access to Care. Approximately $1.9million provided to needy community residents for post discharge care. * The Banner University Medical Center - Phoenix Poison and Drug Information Center The nationally recognized Banner Poison and Drug Information Center (BPDIC) is one of fifty-five accredited by the American Association of Poison Control Centers (AAPCC) and is designated by the state of Arizona to provide free 24-hour emergency management of poisonings to residents and health care professionals in Maricopa County. Established in 1979, the BPDIC has continuously served the citizens of Maricopa County and surrounding counties for over 43 years. With services available in more than 150 languages, no matter where you are in the United States, if you are having an emergency related to drugs or poisoning, you can dial (800) 222-1222 to be connected to the local poison and drug information center. BPDIC participates in a national surveillance program, which is currently the only near real time system in place, to monitor potentially critical trends in reported substances and symptoms that could indicate a biological or chemical threat in the United States. In 2022, over 100,000 calls from the public and healthcare providers were answered by Registered Nurses and Pharmacists who are Specialists in Poison (SPI) Information, along with Poison Information Providers (PIP). Medical Direction and on-call physician support for the poison center is provided by physician toxicologists from the Department of Medical Toxicology at the Banner-University Medical Center Phoenix. The most common exposures include bites/stings, drug overdoses, accidental pediatric exposures, adults with therapeutic errors taking medications, and questions about COVID-19 (illness, treatments, vaccines, etc.). The SPIs and PIPs at BPDIC serve to provide a phone-based triage service for questions related to poisoning, envenomations, and/or overdoses. These calls primarily originate from a residence, though we also provide expert advice on the management of the poisoned patient presenting to a healthcare facility. Close to 90% of poison emergencies (called from outside a healthcare facility) were managed safely at home by phone follow-up eliminating the need for a visit to a physician or the local emergency room. BPDIC also answers various phone lines through the partnership with Maricopa County Department of Public Health and the Arizona Department of Health Services. These include: * Zika * COVID-19 * Immunizations * Drug Information * Disease Reporting Line * Public Health Information Line * Opioid Assistance and Referral Line * Occupational Post-Exposure Prophylaxis The center also provides extensive community education on the prevention of poisonings and public education focuses on current, high-risk poisonings and poison center utilization through participation in community health fairs, professional organizations, and CME presentations including warnings of chloroquine/hydroxychloroquine, methanol containing hand sanitizers, and additional non-FDA approved COVID-19 treatments. * Healthy Beginnings Prenatal Program A service of McKee Medical Center, Healthy Beginnings Prenatal Plus is a Loveland, Colorado community-based prenatal program that promotes healthy mothers, babies, and families through the provision of prenatal care, and education and support services. Serving uninsured and under-insured pregnant women who reside in Larimer County and surrounding areas, the program helps to coordinate services of the hospital, health department, social services, and private physicians and midwives. Healthy Beginnings offers health care, education, and support for families with little or no health insurance and allows access quality prenatal care and education. The primary purpose is to help women access prenatal care as early as possible to deliver a healthy baby, no matter their income or insurance situation. Realizing every baby needs a fighting chance; classes are available in breastfeeding, stress management, and basic infant care. There is a monthly "Mom's Group, even the opportunity for expectant fathers to meet with a male social worker. Established in 1991, this program serves many local families a year, assists thousands of families with prenatal care, delivery services, education, support and referral services, improved the first trimester prenatal care among low-income women, consistently decreased the incidence of low-birth-weight babies among low-income women, and connected families with other community resources and agencies for a continuation of care throughout their lives. * Banner Children's Community Clinics Keeping kids healthy can be quite a task, especially if your child is not covered by insurance. That is why Banner Children's is here to help. We offer free health services to uninsured children in the Phoenix Metropolitan area through our Community Clinics and the Banner Children's Healthmobile, a 38-foot RV is specially outfitted with an upbeat waiting room and two exam rooms and operates just like a mobile doctor's office. For more than 20 years Banner has partnered intentionally with local school districts to bring needed services to their uninsured population right inside the school's walls. Staffed by pediatric or family nurse practitioners, Banner Children's Community Clinics - formerly known as Banner Children's School-based Health Centers - provide patients with well visits, and treat minor illnesses or, even, major, and chronic health problems. In conjunction with the Banner Foundation, the clinics provide primary care services to uninsured children enrolled in schools throughout Chandler, Glendale, Mesa, Phoenix, and Tempe. Conveniently located on school campuses, the school-based health clinics operate like a regular doctor's office helping uninsured children with health problems, physicals, and routine check-ups. Lack of health services to uninsured children is a critical problem in Arizona, where a sizable portion of children are without health insurance. The program's goal is to keep uninsured children healthy, in school, and out of the emergency room. This invaluable program also works directly with local labs and imaging departments for supplementary assessment and diagnosis, when needed. Importantly, too, the Clinics partner with our very own Banner Children's Specialists who generously offer patients specialty consultations for only $5 per visit. This service is efficient, cost effective, and easily accessible through the school nurse and includes health assessments and histories, health promotions, diagnosis and treatment of episodic illness and sports and camp physicals and students do not need to attend these schools to receive care. With an annual 3,000 uninsured patients served, these Community Clinics are another fundamental lifeline and a helping hand extended by Banner. Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION CONTINUED * Banner Children's Healthmobile At Banner Children's, we are driven to help others! Each week, our Banner Children's Healthmobile hits the road to provide children ages newborn through high school age with the healthcare they need. This 38-foot RV is specially outfitted with an upbeat waiting room and two exam rooms and operates just like a mobile doctor's office. The "Banner Children's Healthmobile" is a licensed outpatient treatment center offering children up to 21 years of age treatment for health problems, physicals, and routine annual check-ups. The mobile clinic complements Banner Health's School-Based Health Centers, which have treated thousands of patients for free at Valley campuses. A necessity for uninsured and underinsured children in the Phoenix Metropolitan area, over 1,000 young people were provided exceptional medical treatment in 2022. The Banner Children's Healthmobile further supports our local communities and hospitals by providing more convenience for families who previously had to travel long distances for treatment. Our Healthmobile team, including a nurse practitioner and a bilingual medical assistant, provide caring, compassionate, and free healthcare services to children around the Valley. * Banner Children's Hospital School and Banner Academy A stay in the hospital can be an overwhelming experience for children and their families, and Banner Children's tries to provide sick kids with as much normalcy as possible. One big consideration, especially for longer stays, is that a kid's need for learning and creativity does not stop while they are in the hospital. The Banner Children's Hospital School program helps by bringing the classroom to the hospital itself. We have our very own staff of experienced teachers who offer on-site classroom or bedside teaching to help kids keep up with their studies while they are in the hospital. The goal of the hospital school program is to provide children with individualized educational support to prevent them from falling behind academically. We assist with a seamless re-entry to their school when they are medically ready to return. Children can face a variety of challenges if their education is interrupted including being held back a grade, losing scholarship opportunities and even being asked to leave a school. The Banner Children's Hospital School program helps to avoid these pitfalls while allowing kids to focus on what is important - getting better. Banner Academy is a nationally accredited private school in Tempe, Arizona, with a long history of providing education to children with autism spectrum disorder as well as emotional and learning disabilities. The school is open to students in grades 4th through 12th. Families and school districts in the Metropolitan Phoenix area place students with special needs in our school because of our success with increasing academic and social skills, as well as reintegrating students into their home schools. We offer small classes, certified teachers, and an individualized curriculum to help students reach their full academic potential. The Banner Academy has been accredited by the North Central Association Commission on Accreditation and School Improvement, a division of Cognia since 1986, the first special needs school accredited in Arizona. Our school also meets the criteria set forth by the Arizona Department of Education as an approved Private Day School for students with special needs. * Adult Day and Residential Services Season's Club, Olive Branch Senior Center, Adult Residential Care, and Memories in the Making enhance the quality of life for mature Arizona and Colorado adults through health promotion, education, and recreation. In 2022 approximately $250,000 was invested in the Loveland and Northwest Phoenix communities to enhance the lives of area seniors. The Seasons Club is a free program that helps people aged fifty and older get the most out of life through health promotion, education, and recreation Participants are given the opportunity to socialize, build friendships and enjoy stimulating activities in a safe, caring environment. Since 1988, Banner Olive Branch Senior Center has been providing services to our community to help participants remain healthy, active, and independent. The Center's humble beginnings started with a food program in a local church, paying $1 annually in rent, with one loaned vehicle to deliver food. Today, Banner Olive Branch Senior Center has a fleet of thirteen vehicles including two buses and offers over twenty-five programs and services. The Banner Olive Branch Senior Center offers a place for residents in the Sun Cities to gather, have a hot meal, participate in free activities, and make friends. Banner Olive Branch offers a variety of social and educational activities as well as delicious and nutritious meals cooked in house. For individuals who are 60 years of age or older, their spouses and handicapped persons of all ages, benefits include check-ups, blood pressure checks, classes including exercise and nutrition programs, counseling, health and educational events, health screenings, budgeting, legal assistance, mobile pantry, meal programs and trips, and entertainment. The COVID-19 pandemic required Olive Branch to expand home and delivery services to accommodate social distancing mandates. The center went form delivering approximately 1,800 means each month to homebound seniors in 2019 to delivering over 7,500 meals monthly during the pandemic. In 2022, Banner Olive Branch Senior Center, in partnership with the National Council on Aging (NCOA), joined a nationwide effort to fight senior hunger by dramatically increasing participation by eligible seniors in the Supplemental Nutrition Assistance Program (SNAP). Even before the COVID-19 pandemic older Americans experienced food insecurity, a lack of consistent access to adequate, nutritious food. Today, those numbers are quickly rising, and federal research shows that participation in SNAP, the largest program of its kind, can reduce food insecurity by 30 percent but only 48 percent of eligible adults aged 60 years of age and older participate in the program. Beyond putting food on the table, Olive Branch provides services that help support daily living. Individuals and their spouses, ages sixty and older and handicapped persons of all ages are offered health screenings, blood pressure checks, trip and entertainment, legal assistance, counseling, and classes including exercise and nutrition. The Lifeline Assistance Fund provides installation and monthly service fees to underinsured or uninsured, low-income seniors who require Lifeline support to maintain their independence and continue to live at home. Lifeline, manufactured by Phillips, is an easy-to-use medical alert service designed to reduce the risks associated with living alone. Banner Health also partners with a nonprofit organization called Benefits CheckUp through NCOA, which helps thousands of people find programs for those age 55 and older. These benefits may pay for costs of prescription drug, health care, utilities, and other essential items or services. * Hospice and Palliative Care Multidisciplinary teams in Arizona and Colorado strive to assist patients, families, and caregivers with end-of-life issues, an uncomfortable subject to many. Banner's approach encourages open communication and helps identify and conduct individualized goals for end-of-life care. Specialized symptom management along with consultation addresses the medical, emotional, psychological, and spiritual issues that occur regarding the management of advanced chronic and life-limiting illness. In 2022, over $11.3 million was devoted to these efforts. At Banner Health, our palliative care program provides compassionate, comprehensive, and interdisciplinary care that reduces suffering and optimizes quality of life by addressing physical, emotional and spiritual needs for patients and families experiencing serious illness. Our palliative care team of doctors, nurses and other specialists are specially trained in symptom management and provide treatment by Assessing the patient and/or family in a holistic manner Including the patient and family as an integral part of the treatment team Controlling pain and other symptoms as well as relieving suffering Restoring the highest possible functional capacity for each individual and family member as well as providing psychosocial support with a focus on dignity, support services for patient and family and a sensitivity to the cultural and religious values of the patient and family. Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION CONTINUED * Trauma Seeking care quickly at a Banner Health trauma center can make the difference between death or serious long-term injury and full recovery. Several Banner Health facilities are designated at Level 1 Trauma Centers. In Arizona, more than 60 percent of Arizona trauma patients are injured in rural areas, meaning they must be transported long distances to receive specialized care. In fact, more than 40 percent of Arizona trauma patients do not reach a designated trauma center within the first hour or "Golden Hour" after their injury. Receiving treatment in this first hour may be critical to their survival. The Trauma department at Banner University Medical Center - Phoenix recognizes the life-saving importance of partnering with rural communities in Arizona to improve trauma care. has partnered with rural health care facilities to provide training critical to treat patients during this time while they are awaiting transport to Level I Trauma Centers. The team has also been honored for their commitment to providing this kind of training to Arizona rural emergency personnel. Until 2022, Banner - University Medical Center Tucson had the distinction of being Southern Arizona's only Level I Trauma Center, caring for the most critically injured patients. As the only one of two Level 1 Trauma Center in Southern Arizona, Banner and University Medical Center Tucson play a leading role in issues related to trauma and critical care. Trauma outreach programs include information for community groups interested in learning more about how to prevent trauma and how the trauma system works, outreach to government officials to help them develop public policy to improve trauma care systems and outreach to lawmakers so they can create better laws concerning the trauma care system and injury prevention. * Memory Disorders Clinic At Banner Health, we are leading groundbreaking research and care to help those affected by memory and cognitive disorders. Our memory care centers of excellence - led by world-renowned cognitive and memory disorders and dementia specialists - provide comprehensive world-class care that brings together advanced diagnostics, innovative treatments and critical support services and resources. BAI embraces a three-part mission to set a new national standard of patient and family care, conduct revolutionary studies in the detection and treatment of Alzheimer's, and forge scientific collaborations that bring together institutions and disciplines internationally. Combining exceptional services, groundbreaking research, and innovative programs, including complete medical, neurological, and neuropsychological evaluations, treatment and therapy, support services that address both medical and non-medical need, comprehensive information and resources and access to promising investigational treatments BAI provides ongoing hope and help for people with Alzheimer's/dementia and their families. Directed by internationally recognized leaders in the care and study of people with Alzheimer's disease, BAI offers a compassionate center of excellence for anyone affected by Alzheimer's disease, dementia, or a related memory disorder. Support and innovative approaches to medical treatment, family and community services are offered to this extremely complicated population and memory loss care specialists work to customize a specific action plan tailored to the precise needs of the patient and family as they change during time. In 2022, these services valued at approximately $3.4 million included memory assistance and medical, legal, and financial planning services, connection to community services and resources, and counseling and support during trying times. Memory Centers located in Phoenix, Sun City, and Tucson are led by a team of internationally renowned memory disorder and dementia specialists who will tailor care specifically for the patient or loved one. Caring for a person with dementia/movement disorder takes ongoing education, support, and mentoring. Family Community Services has designed classes and programs to meet your in-person, online webinars, and select DVDs. Services include a comprehensive diagnosis, targeted treatment plans, planning resources that include education and support groups and research opportunities that involved innovative treatments and when appropriate and patient centric, and convenient virtual telehealth visits. * Hospital Paramedic Programs EMS based services are provided to Arizona and Western Region emergency responders. Without this subsidy and service, localities would be responsible for these services valued at $2.3 million. * Ambulance and Evacuation Services Ambulance and emergency evacuation services are provided to Arizona and Western Region communities. Without this subsidy and service, localities would be responsible for these services valued at $6.6 million. * Banner MD Anderson Patient Assistance Fund The Patient Assistance Fund provides support to Banner MD Anderson Cancer Center patients with financial needs for diagnostic imaging, radiation treatment and wig assistance. In conjunction with the Banner Foundation, relief is provided during a difficult journey. * Behavioral Health Mental and emotional wellbeing is just as important as physical health and Banner Behavioral Health provides a nationally recognized, behavioral health care program for children, teens and adults faced with psychiatric, behavioral health, or chemical dependency challenges. In 2022, $3.0 million was devoted to the mental health needs of the communities Banner serves and Banner provides safe, confidential, and compassionate treatment with customized treatment plans to meet each patient's needs - in the least restrictive therapeutic environment. We also can help patients with co-existing psychiatric and substance abuse problems. * Western States Burn Center Located in Greeley, Colorado, the Western States Burn Center at North Colorado Medical Center provides the most sophisticated treatment and technology currently available for the treatment of burn injuries. Opened in 2009, the center focuses on the care of adult burn patients and has an expanded unit with ten acuity-adaptable rooms in addition, burn center staff can care for four additional burn patients if the demand arises. The Western States Burn Center at North Colorado Medical Center offers a variety of inpatient and outpatient services including inpatient management of complex thermal, chemical, and electrical burn injuries as well as TENS and necrotizing fasciitis, outpatient management of thermal, chemical, and electrical burn injuries, outpatient management and consultation of complex wounds (non-burn), outpatient and inpatient rehabilitation, and Advanced Burn Life Support courses. The current state-of-the-art burn center provides burn care to eight states - Colorado, Idaho, Kansas, Montana, Nebraska, North Dakota, South Dakota, and Wyoming. Our burn center professionals provide patient care through a multi-disciplinary team approach. This team includes physicians, nurse practitioner, critical care nurses, physical, occupational, and respiratory therapists, social workers, dieticians, pharmacists, and mental health professionals. Coordination of these services provides excellent patient care in all aspects, from the initial acute setting to the outpatient rehabilitation process. As a regional burn center, we provide burn outreach education to our service area. This includes Continuing Medical Education presentations, Advanced Burn Life Support (ABLS) classes through the American Burn Association, and presentations to chemical, electrical, oil/gas and other industrial companies. Without Banner's $1.4 million support, multiple western states would be without this comprehensive coverage. Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION CONTINUED * Women's Centers People are not the same and Banner Health understands issues that are unique to women. At Banner Health's hospitals, clinics, and centers, we offer comprehensive, compassionate women's health services - routine and specialized care, education, and support - for all stages of a woman's life. Banner is committed to women's health with specialized services provided at the Banner Heart Clinic, McKee's Center for Women's Health, and Banner University Medical Center - Phoenix valued more than $2.9 million. The Women's Center at Banner University Medical Center - Phoenix takes a unique approach to women's health by combining academic training for obstetrics and gynecology residents with experienced board-certified faculty physicians. The Breast Health Center at Banner - University Medical Center Phoenix provides a full spectrum of exceptional breast care services, ranging from breast cancer prevention and screening, to detection, diagnosis, and the most advanced treatment options. The highly trained staff is committed to alleviating the stress and anxiety that often comes with mammography and other breast health services by delivering superior, patient-focused care in a state-of-the-art, peaceful, and spa-like environment. The Breast Health Center is committed to improving women's lives through early detection of breast cancer and providing a wide range of breast health services from screening mammography and latest diagnostics to education and support programs. Our breast specialists use the most advanced tools to ensure accurate and timely answers. BANNER RESEARCH Banner Research is at the leading edge in scientific discovery and innovation in treating and curing specific diseases across multiple states. Including Banner Sun Health Research Institute (BSHRI), Banner Alzheimer's Institute (BAI), and Banner MD Anderson Cancer Center, scientific study drives Banner Research and the knowledge created by advancing clinical research sets the foundation for tomorrow's treatments today. As one of the country's leaders in innovative medical research, Banner Health and Banner Research are committed to clinical discovery resulting in exclusive accolades for its dedication to scientific study and BSHRI, BAI, and Banner MD Anderson Cancer Center have been recognized as Centers of Excellence by the National Institutes of Health (NIH). As a Banner Health Center of Excellence, research endeavors are integrated with expert outpatient clinical care through innovative diagnostics and observational studies and clinical trials. This provides patients and their families direct access to the latest diagnostic technologies and investigational treatments for their conditions and allows study participants and researchers to partner to develop new therapies and disease prevention approaches that will positively impact future generations. Founded in 1986, BSHRI is an international leader in the fight against Alzheimer's disease and related dementias, Lewy body diseases, and Parkinson's disease, as well as the study of brain and cognitive aging. BSHRI is home to a world-renowned Brain and Body Donation Program and the Center for Healthy Aging which is a biopsychosocial study of longevity and successful aging. Leveraging decades of experience and leadership in the field, the team also offers important training and continuing medical education opportunities to health care providers, students, and residents and fellows. Over decades, the institute and team have made seminal medical and scientific contributions to advance diagnostics and therapeutics, including development and validation of powerful strategies and methods to aid in early and accurate detection of Alzheimer's disease, and helping to accelerate development and testing of more effective therapies to slow, treat and prevent Alzheimer's and related neurodegenerative brain disorders. BSHRI, together with its Arizona consortium partners, has been designated by the National Institutes of Health as one of just 31 Alzheimer's disease Centers in the nation. In addition, the first state-sponsored Arizona Parkinson's Disease Center was established at BSHRI. BSHRI is also home to The Center for Healthy Aging, which explores the multiple factors contributing to healthy aging to enhance the quality of life for older adults. The internationally known BAI has a goal to end Alzheimer's disease without losing a generation. Since 2006, BAI has revolutionized the medical landscape for Alzheimer's disease, making major discoveries in how the disease is diagnosed, treated, and evaluated over time. BAI integrates the latest advancements and research opportunities into a continuum of care, giving patients access to groundbreaking detection and treatment methods for Alzheimer's and related dementias. BAI strives to search for viable prevention and treatment therapies to deliver on our unique promise that both hope and help are possible in the fight against Alzheimer's disease. Pioneering contributions are credited to our forward-thinking and experienced research leadership teams who have developed and lead numerous groundbreaking NIH research grants, data sharing programs and industry sponsored clinical trials. Efforts have led to precedent-setting research initiatives, as well as new paradigms and methods in the early detection of Alzheimer's, which have resulted in landmark findings and established us as world leaders in Alzheimer's research and care. and collaborated with other academic, scientific and industry leaders to launch the global Alzheimer's Prevention Initiative to study people who are at considerable risk for Alzheimer's before they develop symptoms. The facility's state-of-the-art Cyclotron and Radiochemistry Laboratory is a regional resource for researchers developing innovative and specialized PET imaging radioactive isotopes. The Banner MD Anderson's Clinical Research Division was formed in 2015 with the goal of building a premier cancer research program that would enable clinical investigators to conduct innovative research in a safe and ethical manner. Founded on the expertise and resources of both Banner Research and MD Anderson Research, and together with regional and national community and academic partners, we facilitate high-impact collaborative projects to elevate the quality of cancer care. Banner MD Anderson Cancer Center collaborates with physicians from MD Anderson and other nationally recognized oncology research consortiums on the latest and most advanced trials. Banner Research is a leading contributor in research collaborations and consortia and the revolutionary medical discoveries developed from Banner Research are successful in part because of the spirited nature of our partnerships and collaborations. Ideas and hypotheses turn into scientific innovations that change the future of medicine, impacting millions of people globally; forging scientific collaborations that bring together institutions and disciplines internationally, Banner Research is proud to partner with scientific, medical, academic and industry partners including: * Arizona Alzheimer's Consortium (ACC) - Setting the standard for Alzheimer's disease research collaboration at the state level, ACC's mission is to search for new and promising approaches for the detection, treatment, and prevention of Alzheimer's. Founded in 1998, ACC leverages its member institutions' strengths in neuroscience, brain imaging, genomics, computer science and clinical and neuropathology research to foster solidarity with an eye toward advancing the understanding of Alzheimer's and discovering new treatments that prevent and cure Alzheimer's. Furthermore, ACC strives to educate Arizona communities about the medical advancements being made with Alzheimer's research, as well as the resources available to families, patients, and professionals so they can effectively manage the disease. * Alzheimer's Disease Research Centers (ADRC) - Banner Health is one of only thirty-three major medical institutions that receive funding from NIA as a recognized ADRC. These centers receive grant funds from the National Institute on Aging (NIA) to focus on improving the diagnosis and care for those affected by Alzheimer's disease as well find a treatment or way to prevent Alzheimer's and other dementia-related diseases. As a designated ADRC, Banner Research can provide opportunities for those with Alzheimer's disease to join clinical trials, as well as advanced care for those living with this condition. As part of a recognized Arizona Alzheimer's Disease Research Center, Alzheimer's Institute and BSHRI offer patients at Banner Health the chance to participate in Alzheimer's clinical trials and prevention studies, access to support groups and programs and assistance with getting a diagnosis and the care that follows. Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION CONTINUED * Alzheimer's Drug Discovery Foundation (ADDF) - Founded in 1998, the mission of the ADDF is to rapidly accelerate the discovery of treatments to prevent, treat and cure Alzheimer's disease. The foundation is the only charity solely focused on finding treatments for Alzheimer's through the funding of preclinical treatment discovery and early-stage clinical trials for potential treatment targets - enabling leading scientists to pursue pioneering ideas to cure Alzheimer's disease that would otherwise be unexplored. * Alzheimer's Association National Best Clinical Practice Guidelines Workgroup - The Alzheimer's Association has forged a workgroup of experts from multiple disciplines in dementia care and research, including medical, neuropsychology and nursing specialties, to focus on defining evidence-based multidisciplinary consensus guidelines for all practicing clinicians in the U.S. * Arizona Community Engagement Alliance (CEAL) - CEAL is made up of twenty-one states, whose mission is to educate and reduce misinformation in local communities that have been hit hardest by COVID-19 through community-focused research and outreach. As a participating member of the alliance, Arizona receives grant funding from NIH to support the alliance's initiative of increasing COVID-19 awareness, education and prevention strategies to areas disproportionately impacted by the disease. With an urgent focus on mitigating the development and spread of COVID-19 to aid in ending the pandemic, Banner Health and The University of Arizona formed the COVID-19 Research Oversight Committee committed to developing and executing strategies to leverage their current systems and expertise to create an environment of inclusiveness for hard-hit communities, encourage preventive measures and leverage the current systems and expertise to position Arizona for highly impactful research opportunities. * Parkinson's Progression Markers Initiative - Since 2010, BSHRI has participated in a breakthrough program called the Parkinson's Progression Markers Initiative, sponsored by the Michael J. Fox Foundation. This effort aims to identify biomarkers that could lead to Parkinson's disease and designed to leverage the wealth of clinical and neuropathological samples from the Brain and Body Donation Program. This international research undertaking continues multiple industry partners and clinical sites. * Alzheimer's Prevention Initiative (API) -Championed and led by BAI, API is an international collaborative formed to launch a new era of Alzheimer's prevention research by evaluating the most promising therapies in cognitively normal people who - based on age and genetic background - are at highest risk of developing Alzheimer's disease symptoms as quickly as possible. The goal of API is to identify pre-symptomatic treatments or interventions that will postpone, slow, or prevent the disease's progression. * Arizona State University-Banner Neurodegenerative Research Collaborative - Arizona State University (ASU) and Banner Health have formed a research alliance to advance the scientific study, treatment, and prevention of Alzheimer's, Parkinson's, and other neurodegenerative diseases. This research partnership will include the launch of a new ASU-Banner Neurodegenerative Disease Research Center on ASU's Tempe campus. * University of Arizona - The partnership between Banner Health and the University of Arizona brings clinical care delivery, education, and research to the forefront of the patient experience. In coordination with Banner's University Medicine the University of Arizona also conducts a variety of research studies and clinical trials to support a commitment to improving patient care. * RECOVERLong COVID Program - Banner Research has partnered with entities such as NIH to participate in the RECOVER Long COVID Program. This national medical research program is focused on studying the long-term effects of SARS-CoV-2 virus infection. Involved researchers seek to understand PASC, which stands for post-acute sequelae of SARS-CoV-2, and better understand, prevent, and treat Long COVID. Because millions of people have been affected by COVID-19, this program could offer a significant impact on public health. * All of Us Research Program - The All of Us Research Program is a partnership between Banner Health and the University of Arizona that seeks to recruit one million or more people to share their health data in a database. The goal of the All of Us Research Program is to provide clinical researchers with the data required to understand how genetic and environmental factors and lifestyle impact overall health. Researchers and scientists use the information in the database to conduct a variety of studies on diseases, illnesses, and health. Volunteers from Arizona and northern Colorado can participate. Clinical research is the catalyst for bringing groundbreaking scientific discoveries to the forefront in finding new ways to treat, prevent and detect illnesses. Having supported thousands of research studies, Banner Research is dedicated to transforming discoveries into new diagnostic, treatment and prevention methods for Alzheimer's, Parkinson's, cardiovascular disease, respiratory disease, infectious disease, COVID-19, and cancer. The trailblazing research programs at Banner Health advance medical science to improve patient outcomes and the health care landscape. As a leader in clinical study, Banner Research diligently works to uncover new knowledge and converts groundbreaking discoveries into better care for patients. Of note are: * Alzheimer's Prevention Registry) - The Alzheimer's Prevention Registry, established by BAI, is an online community that matches researchers and scientists with potential study participants. Additionally, registry participants have access to the latest news, research updates and upcoming opportunities via email newsletters. * GeneMatch - Like the Alzheimer's Prevention Registry, GeneMatch also places Alzheimer's research ahead of the curve by matching eligible volunteers with prevention studies based on genetic information. Healthy volunteers can participate in studies to benefit scientific advancement and aid in finding a cure to this devastating disease. GeneMatch volunteers must be between 50 and 90 years old, live in the United States and not have any cognitive impairment like Alzheimer's disease or dementia. * Brain & Body Donation Program - Elderly volunteers in the Phoenix, Arizona, metropolitan area can participate in the Brain & Body Donation Program through the Banner Sun Health Research Institute. Through their generous gift, those who choose to donate their bodies allow pioneering BSHRI scientists and researchers to move medicine forward. Participants in the program are studied before and after death. Organs, tissues, biomaterials and biospecimens collected after death are shared with qualified researchers worldwide. More than 3,000 program participants have joined in scientific efforts since Banner Research's Brain & Body Donation Program launched in 1987. * Center for Healthy Aging - Elderly volunteers can participate in longevity studies through the BSHRI Center for Healthy Aging. * The Learning from Our Elders program is the first medical research study in Arizona to explore factors contributing to healthy aging through non-invasive observation. Seniors over age 50 can enroll. Participants complete questionnaires and interviews about their demographics, family and medical histories, physical activities, memory, and psychosocial behavior. In 2022, Banner Research provided the clinical environment with research compliance infrastructure, central IRB, and patient population mix for collaboration with pharmaceutical and biotech companies, academic and research institutions, in the identification of disease stage biomarkers, development of diagnostic tools, and pertinent prevention and treatment modalities valued at approximately $16.7 million. FINANCIAL CONTRIBUTIONS and IN-KIND DONATIONS Banner is committed to assisting financially and through in-kind contributions to individuals and the community at large. In 2022 Banner Health provided the following contributions or in-kind donations to support charity care, health professions education and other community benefit activities: * Project Cure Banner works closely with Project Cure in delivering life-saving medical equipment and supplies to hospitals and clinics throughout the under-resourced world by donating medical supplies to developing countries. Each facility within Banner sets aside supplies every month which are then secured by PC and inventoried at a local PC site. Once inventoried, individuals and missions request these supplies though out the world, and an incredible need is met. Banner is proud to support this outreach mission that helps millions. In 2022, Banner donated $3.1 million in supplies to Project Cure. Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION CONTINUED * Ronald McDonald Charities The mission of RMHC is to create, find, and support programs that directly improve the health and well-being of children and their families. Located on the campus of Banner Desert Medical Center, The Ronald McDonald House at Cardon Children's Medical Center provides a home away from home for families, providing a level of safety and comfort at an incredibly challenging time in their lives and relieving stress by being with other families facing similar challenges. The facility features sixteen bedrooms, including three apartments with kitchens for families with children with suppressed immune systems; a community kitchen and dining room; a play area for children and an outdoor area for adults. Through low-cost lease subsidies, the partnership between Ronald McDonald House and Cardon Children's Medical Center is vital in the healing process for the children and their families. * Fresh Start Women's Foundation Banner Health provides low-cost lease subsidies to the Fresh Start Women's Foundation. Fresh Start is an Arizona nonprofit whose mission is to provide education, resources, and support for women to positively transform their lives and strengthen our community; envisioning a community where every woman reaches her full potential through achieving personal empowerment and financial self-sufficiency. Programs and services focus on three core values: economic self-sufficiency, personal development, and education. All Fresh Start's services are free or low cost and are available to any woman over the age of eighteen and up focus on key areas of their lives, with a wide range of services, classes and workshops designed to teach self-confidence, life skills and career development. Fresh Start Women's Foundation has empowered thousands of women to transform their lives. * Employee Giving: Better Together Banner Health has a long history of employee giving to support a wide range of health and wellness programs that benefit and improve our community. A partnership between Banner Health Foundation, Sun Health Foundation and United Way, Better Together promotes a spirit of philanthropy among employees and enables them to support to a wide range of hospital and community-based programs made possible by charitable contributions. Among the services and resources supported by philanthropic gifts are bereavement camps for children, free health services for uninsured school children, and breast disease prevention, memory care and treatment services for uninsured women. * Donations and In-Kind Contributions Ever committed to the community, the following organizations are representative of those receiving financial, in-kind, or volunteer donations from Banner in 2022: * American Cancer Society * Benevilla * BLMC donation Susanville Little League * BLMC Lassen Community College * Central Arizona College * CHWP EXPOS Wellness Fair * City of Casa Grande OEC * Community Healthcare Foundation * Courage Worldwide * East Morgan County Foundation * El Tour de Tucson * EWC Golf * Goshen County School District #1 * Hearts of Hope * Lassen Family Services * March of Dimes * McKee Foundation * Mission Meals * NCMC - Foundation * Northeastern Rural Health Clinic * Oasis Academy * Personalized Education for Physicians * Phoenix Foundation * Pinal 40 Inc - 2022 GALA * Pinal 40 Inc. * Pregnancy Care Center * Project Cure * Sagebrush and Roses * School Choice Arizona * Silent Witness of Casa Grande * Sterling Community Fund * Sun Health Foundation * Tucson Cancer Conquerors * United Way * University of Nevada * Washakie Mammoth * Weld County School District * WMC Auxiliary COMMUNITY BUILDING As a good corporate citizen and partner, Banner participates in several activities designed to promote community health and address community needs including community health improvement advocacy, housing, economic development, coalition building, community health advocacy, leadership development, workforce development and enhancement, and disaster preparedness. Banner employees are encouraged to and recognized for service and participation on community boards and task forces and Banner frequently provides facility usage to community non-profits. These activities are not included elsewhere on Schedule H. The following are ways in which Banner promotes, protects, or improves community health and safety: * Economic and Leadership Development Banner Health leaders embrace stewardship as a guiding philosophy of their respective management roles Banner equips its leaders to serve and support the communities it serves and supports the development of these same communities. To provide leadership, analyze community needs and support business expansion Banner has historically been a member and/or event sponsor for organizations including: * Academic Management Council * AHA Center for Healthcare Innovation Board * Arizona Chamber of Commerce and Industry * Banner Federal Credit Union * Churchill Economic Development * Coolidge Chamber of Commerce * Director Involvement - Corporate * Eloy Chamber of Commerce * Fallon Chamber of Commerce * Fallon Rotary Club * Greater Casa Grande Chamber of Commerce * NCMC Upstate Colorado Economic Development * Sun Health Foundation * Torrington Rotary Club * Wyoming Hospital Association * Community Support, Coalition Building and Strategic Community Partnerships Banner supports and partners with community agencies in support of various community initiatives. Banner is also represented at various events and coalitions designed to enhance community health. Banner supported teen health education and safety through donations to club and team events, expanded appreciation of the arts and increased cultural and environmental awareness for residents by support to various community organizations. Examples of these partnerships include: * 4-H * Arizona Diversity Council* * Banner Churchill Hospital Foundation * Battle Born Brons * Boys and Girls Club * Bluffs Baseball * Cal Ripkin All Star Tournament * Churchill High School Basketball * Churchill High School Volleyball * Churchill High School Football * Churchill High School Girls Basketball * Churchill High School Girls Volleyball * Churchill High School Honor Society * Churchill High School Quarterback Club * Churchill High School Grad Night * Community Coat & Toy Drives * Community Family Adoptions * Community Food Drives * Denver Pride * Fallon 4th of July Parade * Fallon Community Theater * Fallon Daily Bread * Fallon Festival * Fallon Fire Department * Fallon Home & Garden Show * Fallon Junior Rodeo Association * Fallon Labor Day Parade * Fallon Library * Fallon Lions Club * Fallon Mayors Youth Fund * Fallon No Hill 100 Bike Event * Fallon Veteran's Day * Fallon Youth Baseball * Fallon Youth Club * Festival of Trees * Football 101 * Frandsen Golf Tournament * Goshen County Fair Association * Goshen County Grizzlies Baseball * Goshen County Library Foundation * Greeley Stampede * Greenwave Quarterback Club * High Desert Grange Livestock * Lassen Community Trick or Treat * Maricopa Pantry Inc. * McKee - LHPAC - Sculpture in the Park * Media All Stars * NRHP Foundation * Oasis Church * On Time Sports * Phoenix Pride * Spirit Stop * Susanville Little League * Susanville Symphony * Torrington Elks * Torrington Tigers Baseball * Tucson Pride * Veterans Independence Foundation * Wyoming Junior Rodeo Association Inc. * YMCA Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION CONTINUED * Health Improvement Advocacy As an organization dedicated to providing the best care to our patients, we are dedicated more than ever to our communities. Banner took the American Hospital Association's #123forEquity pledge to act on specific areas to promote and improve diversity and health equity with the public. In addition to this pledge, we have focused on establishing strategic partnerships to increase access to care and advocate for cultural competency. Banner In 2022, Banner contributed $38,900 toward these efforts. * Work Enhancement Banner actively recruited physicians to serve in Federal medically underserved areas. In 2022, approximately $321,000 was invested to enhance community workforce. * Disaster Preparedness In 2022, Banner provided disaster training and education opportunities to community residents and first responders valued at $12,700. These activities included evacuation and decontamination training, bomb threats, emergency disaster drills, community decontamination efforts, natural disaster planning, emergency management incident command, and mass casualty exercises - all aimed at improving safety awareness for residents and ensuring health care providers, local businesses and agencies, emergency responders and citizens know what to do in a large-scale disaster. * Environmental Improvements Banner Health has taken an initiative-taking approach towards sustainability and decarbonization with the implementation of several strategic initiatives across the system. These initiatives include: * The Award-winning Facilities Services Remote Operations Center (ROC) was created to support our Sustainability and Energy Program across the organization. As part of this program Banner Health has been the recipient of significant energy savings through our Monitoring Based Commissioning MBCx efforts, avoided unnecessary energy penalties through fault detection analytics, and improved utility (water/gas/electric) management. The ROC Team provides high level regulatory compliance, and 24/7 on call services to ensure our major building equipment across the enterprise is operating efficiently and has been incorporating best practices from the industry and collaborating with Design and Construction to maintain current design standards. * Electric Vehicle (EV) Charging Stations 6 locations have been outfitted with continued efforts to identify future demand and best practices for additional station rollouts. Patients and employees are able access the Alternate Fuels Data Center interactive map to see all EV Charging Stations throughout the U.S. * Solar - Banner has installed and utilized solar projects at Ironwood Medical Center and Corporate Mesa in Arizona, Lassen Medical Center in California, and a solar farm in Sterling, Colorado of solar modules. The addition of approximately 15,000 solar modules reduces the enterprise carbon footprint. To date the installation is equivalent to 1,428 homes of energy use and 22,739 barrels of oil consumed per year. * LED Lighting Conversion - This multi-year initiative will help improve energy efficiencies as well as increase lighting quality for patients and team members. To date the conversion of 12,797 lights is equivalent to 101 hones of energy use and 1,863 barrels of oil consumed per year. * Holiday Helper Working as teams, Banner departments pooled resources to provide food, clothing and gifts for needy local families and children during the holiday season. * Clothing and Food Drives Employees around the system unite to assist those in the community less fortunate than themselves. Of note are the annual coat drive held at Banner Lassen Medical Center and the various food drives held to support the local communities. In addition, appeals are made to assist that population of patients who live under challenging circumstances, and often when they arrive to our facilities, their clothing may be lost or destroyed in the process of their care, or simply may need a refresh. * Vitalant Banner partnered with Vitalant to provide community blood drives to support local blood shortages. * Space Usage Banner facilities provided meeting room, electronic teleconference technology, and other space for various community groups. Without these generous in-kind donations, these organizations would be required to expend funds, funds needed in support of their missions for space rental. * Toy Closets Toys have an amazing way of making kids smile, distracting them during unpleasant times and helping them look past their pain. That is why Banner created toy closets at Banner hospitals stocked with new, unused toys for pediatric patients of all ages. Made possible by monetary and toy donations from individuals, school and youth organizations, businesses and corporations, these toy-filled havens enable our young patients to find fun and joy during their hospital experience. Patients visit the closets following treatments and procedures to choose a toy as a reward for their bravery. From dolls and stuffed animals, to coloring books, video games, craft kits and more, the donated items are effective for our young patients. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons QUENTIN SMITH AND CHRIS VOLK - Business relationship Form 990, Part VI, Line 11b Review of form 990 by governing body BH's Tax Department (BH Tax) is RESPONSIBLE FOR OVERSEEING THE PROCESSES FOR PREPARING THE FORM 990. BH Tax TAKES THE LEAD ROLE IN THE PROCESS AND IS CHARGED WITH THE DUTY TO COLLECT THE FINANCIAL AND OTHER INFORMATION NEEDED TO COMPLETE THE FORM 990. THIS INCLUDES COORDINATING WITH OTHER BH DEPARTMENTS, SUCH AS THE LEGAL, PAYROLL, GOVERNMENT RELATIONS, LICENSING, COMMUNITY BENEFIT, COMPENSATION AND BENEFITS, ACCOUNTS PAYABLE, RISK MANAGEMENT, CERTIFICATION, CREDENTIALING, FINANCIAL SERVICES, AND TREASURY DEPARTMENTS IN ORDER TO ENSURE THAT THE EXPERTISE OF EACH DEPARTMENT IS UTILIZED IN THE INFORMATION-GATHERING PROCESS. ONCE THE INFORMATION IS GATHERED, IT IS ORGANIZED AND ASSEMBLED INTO AN ORGANIZER THAT WILL BE USED BY AN OUTSIDE ACCOUNTING FIRM TO PREPARE THE FORM 990. BH HAS AUDITED FINANCIAL STATEMENTS PREPARED ANNUALLY BY AN INDEPENDENT CERTIFIED PUBLIC ACCOUNTING FIRM AND USES THIS SAME FIRM TO PREPARE ITS FORM 990 BECAUSE OF ITS EXPERTISE IN NON-PROFIT HOSPITAL SYSTEMS AND ITS SPECIFIC KNOWLEDGE OF BH'S OPERATIONS AND RETURN COMPLEXITY. ONCE THE INFORMATION GATHERING PROCESS IS COMPLETE, A FIRST DRAFT OF THE FORM 990 IS PREPARED by the outside accounting firm AND READIED FOR REVIEW. THE REVIEW PROCESS BEGINS WITH AN INITIAL REVIEW DONE BY BH Tax. DURING THIS REVIEW, A LIST OF QUESTIONS, ISSUES AND ADDITIONAL TASKS IS COMPILED. THIS LIST IS THEN DISSEMINATED TO THE APPROPRIATE BH DEPARTMENTS FOR FURTHER ACTION. ONCE ALL QUESTIONS, ISSUES AND TASKS HAVE BEEN COMPLETED, A SECOND REVIEW BY BH Tax is and the accounting firm is DONE. AGAIN, IF APPLICABLE, A LIST OF QUESTIONS, ISSUES AND ADDITIONAL TASKS IS COMPILED. THIS LIST IS THEN DISSEMINATED TO THE APPROPRIATE BH DEPARTMENTS FOR FURTHER ACTION. ONCE THIS SECOND REVIEW PROCESS IS COMPLETED, A FINAL DRAFT OF THE FORM 990 IS PRESENTED TO THE CHIEF LEGAL OFFICER & GENERAL COUNSEL AND CHIEF FINANCIAL OFFICER FOR REVIEW AND APPROVAL. CHANGES TO THE FORM 990 ARE MADE IF NECESSARY AND APPROVAL IS GRANTED TO SEND THE FORM 990 TO THE BOARD MEMBERS. EACH MEMBER OF THE BOARD IS THEN SENT THE DRAFT FORM 990 ALONG WITH AN EXECUTIVE SUMMARY OF KEY ITEMS REPORTED IN THE FORM 990. ANY ISSUES ARE ADDRESSED AND RESOLVED AND THE FINAL VERSION OF THE FORM 990 IS SIGNED BY THE CFO OR ANOTHER OFFICER IF REQUIRED TO MEET TIMELY FILING REQUIREMENTS. Form 990, Part VI, Line 12c Conflict of interest policy PURSUANT TO BANNER HEALTH'S (BH) CONFLICT OF INTEREST POLICY, ALL BOARD MEMBERS, OFFICERS AND THE DIRECTOR OF AUDIT SERVICES MUST DISCLOSE THE EXISTENCE OF ANY FINANCIAL INTEREST THAT MAY GIVE RISE TO A CONFLICT OF INTEREST PROMPTLY TO THE BOARD AUDIT COMMITTEE. THE COMMITTEE MUST THEN CONSIDER THE DISCLOSED INTEREST AND EITHER AUTHORIZE THE CONTINUATION OF THE POTENTIAL FINANCIAL INTEREST AND ANY RELATED TRANSACTION WITH APPROPRIATE PROTECTIONS, OR DISAPPROVE OF IT. OTHER BH EMPLOYEES MUST GO THROUGH A SIMILAR PROCESS OF DISCLOSURE TO THEIR RESPECTIVE SUPERVISOR AND TO THE DIRECTOR OF AUDIT SERVICES, WHO MAINTAINS ALL OF THE DISCLOSED FINANCIAL INTERESTS/CONFLICTS. IN ADDITION, ALL BOARD MEMBERS, OFFICERS, VICE PRESIDENTS, AND OTHER SELECTED MEMBERS OF MANAGEMENT, KEY EMPLOYEES AND EMPLOYED PHYSICIANS MUST COMPLETE AN ANNUAL SURVEY THAT IS DISTRIBUTED ELECTRONICALLY UNDER THE SUPERVISION OF THE DIRECTOR OF AUDIT SERVICES. THE SURVEY INCLUDES A QUESTIONNAIRE THAT IS DESIGNED TO IDENTIFY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST, AS WELL AS OTHER TRANSACTIONS AND RELATIONSHIPS REQUIRED TO BE DISCLOSED IN THE FORM 990 AND SCHEDULE L. MEMBERS OF EXECUTIVE MANAGEMENT ARE ALSO REQUIRED TO COMPLETE A QUARTERLY QUESTIONNAIRE MANAGED UNDER THE SUPERVISION OF THE DIRECTOR OF AUDIT SERVICES. THIS QUESTIONNAIRE IS PRIMARILY DESIGNED TO IDENTIFY WEAKNESSES IN INTERNAL CONTROLS OR ACCOUNTING, BUT ALSO REQUIRES DISCLOSURE OF ANY KNOWLEDGE BY THE RESPONDING MANAGER OF ANY VIOLATIONS OF BH'S CONFLICT OF INTEREST POLICY. THE DIRECTOR OF AUDIT SERVICES COMPILES A SUMMARY OF THE CONFLICT OF INTEREST DISCLOSURES OBTAINED THROUGH THE ANNUAL SURVEY PROCESS INVOLVING BOARD MEMBERS OR OFFICERS. THIS SUMMARY IS REVIEWED WITH BH'S GENERAL COUNSEL TO DETERMINE THE APPROPRIATE ACTION TO BE TAKEN UNDER CONFLICT OF INTEREST POLICY. IN ADDITION, THE DIRECTOR REVIEWS THE SUMMARY ANNUALLY WITH THE BOARD AUDIT COMMITTEE IN ORDER TO ENSURE THAT ALL DISCLOSED ACTUAL OR POTENTIAL CONFLICTS HAVE BEEN REVIEWED AND PROCESSED APPROPRIATELY UNDER THE CONFLICT OF INTEREST POLICY. Form 990, Part VI, Line 15a Process to establish compensation of top management official BANNER HEALTH UTILIZES A COMPENSATION COMMITTEE COMPRISED OF INDEPENDENT DIRECTORS THAT EXERCISES OVERSIGHT OVER ALL ASPECTS OF THE COMPENSATION PAID TO OR FOR THE BENEFIT OF THE CEO AND ALL OTHER SENIOR EXECUTIVES OF BANNER HEALTH AND ANY OF ITS AFFILIATES AND ALL OTHER PERSONS WHO CONSTITUTE "DISQUALIFIED PERSONS" WITH RESPECT TO BANNER HEALTH UNDER CODE SECTION 4958. THE COMMITTEE: - ASSESSES ANNUALLY THE PERFORMANCE OF THE CEO - EXERCISES OVERSIGHT OVER ALL ASPECTS OF COMPENSATION FOR THE CEO - REVIEWS AND DETERMINES THE EXECUTIVE TOTAL COMPENSATION PHILOSOPHY OF BANNER HEALTH - ESTABLISHES THE PERMISSIBLE RANGES OF COMPENSATION FOR SENIOR EXECUTIVES AND DISQUALIFIED PERSONS - REVIEWS AND APPROVES THE DESIGN OF THE COMPONENTS OF COMPENSATION FOR SENIOR EXECUTIVES AND ANY OTHER DISQUALIFIED PERSONS AND MONITORS COMPLIANCE OF BANNER HEALTH WITH THE PHILOSOPHY AND DESIGN COMPONENTS OF EXECUTIVE COMPENSATION - RECEIVES THE CEO'S REPORT CONCERNING THE OVERALL PERFORMANCE AND DEVELOPMENT ASSESSMENT OF THE SENIOR EXECUTIVES - ACTS FOR THE BOARD IN THE ENGAGEMENT AND DIRECT OVERSIGHT OF EXTERNAL INDEPENDENT COMPENSATION CONSULTANTS ENGAGED TO PROVIDE ADVICE AND INFORMATION WITH RESPECT TO THE REASONABLENESS AND COMPETITIVENESS OF THE COMPENSATION PAID TO THE CEO, SENIOR EXECUTIVES AND ANY OTHER DISQUALIFIED PERSONS, WHICH CONSULTANT REPORTS DIRECTLY TO THE COMMITTEE. IN ADDITION, THE COMMITTEE HAS ADOPTED THE FOLLOWING BEST PRACTICES WITH RESPECT TO ITS EXECUTIVE COMPENSATION OVERSIGHT FUNCTION: - REVIEWS ALL INCENTIVE PLANS, BENEFIT PLANS AND PROGRAMS THAT APPLY TO EMPLOYEES AND PHYSICIANS - APPROVES CEO'S RECOMMENDATIONS AS TO THE COMPENSATION OF SENIOR EXECUTIVES - USES TALLY SHEETS SUMMARIZING ALL COMPONENTS OF THE CEO'S AND SENIOR EXECUTIVES' COMPENSATION, INCLUDING A THREE-YEAR EARNINGS HISTORY AND THE COST OF ALL COMPENSATION (INCLUDING SPECIFICALLY DEFERRED COMPENSATION) AT THE TIME THAT ANY ACTION IS TAKEN WITH RESPECT TO THE CEO'S OR SENIOR EXECUTIVES' COMPENSATION IN ORDER TO ENSURE THAT THE COMMITTEE IS FULLY INFORMED OF THE COMPLETE COMPENSATION PACKAGE BEFORE TAKING ANY SUCH ACTION - REVIEWS THE ANNUAL FORM 990 DISCLOSURES RELATING TO EXECUTIVE COMPENSATION TO ENSURE THE DISCLOSURES ACCURATELY RECONCILE TO THE COMPENSATION PACKAGES APPROVED BY THE COMMITTEE. THE COMPENSATION COMMITTEE RETAINS AN EXTERNAL INDEPENDENT COMPENSATION CONSULTING FIRM TO ASSIST THE COMMITTEE. THE COMMITTEE ENGAGES A NATIONALLY RECOGNIZED COMPENSATION CONSULTING FIRM WITH SUBSTANTIAL HEALTHCARE EXPERIENCE. THIS FIRM REVIEWED AND OPINED AS TO THE REASONABLENESS OF THE TOTAL COMPENSATION PACKAGE OF THE CEO, SENIOR EXECUTIVE MANAGEMENT, AND OTHER EXECUTIVE MANAGEMENT IDENTIFIED BY THE COMMITTEE AS POTENTIAL DISQUALIFIED PERSONS. THE COMMITTEE ANNUALLY REVIEWS THE RELATIONSHIP BETWEEN BANNER HEALTH AND EACH CONSULTANT TO ENSURE THE CONSULTANT'S INDEPENDENCE. IN CONNECTION WITH EACH SUCH EVALUATION, THE COMMITTEE REQUESTS A WRITTEN CERTIFICATION FROM EACH CONSULTANT THAT: - INCLUDES AN INDEPENDENCE ATTESTATION AFFIRMING THAT THE CONSULTANT HAS CONDUCTED ITS OWN INTERNAL ASSESSMENT AND BASED ON SUCH ASSESSMENT AND ITS INTERNAL CONTROLS, CONCLUDED THAT IT HAS PERFORMED ITS SERVICES FOR THE COMMITTEE IN AN INDEPENDENT MANNER AND IS INDEPENDENT AS DEFINED IN THE INTERMEDIATE SANCTION REGULATIONS UNDER CODE SECTION 4958 - CONFIRMS THAT THE CONSULTANT REPORTS TO THE COMMITTEE THROUGH THE CHAIR OF THE COMMITTEE AND THAT ALL CONSULTING ACTIVITY FOR BANNER HEALTH CONDUCTED BY SUCH CONSULTANT DURING THE PRECEDING YEAR WAS CONDUCTED WITH THE KNOWLEDGE AND CONSENT OF THE CHAIR OF THE COMMITTEE - DETAILS THE AMOUNTS PAID BY BANNER HEALTH TO THE CONSULTANT IN ITS CAPACITY AS AN EXTERNAL COMPENSATION CONSULTANT TO THE COMMITTEE, AND THE AMOUNTS PAID BY BANNER HEALTH, IF ANY, TO THE CONSULTANT AND ITS AFFILIATES FOR ANY OTHER ENGAGEMENTS. WITH THE ASSISTANCE OF THE INDEPENDENT COMPENSATION CONSULTANT, THE COMPENSATION COMMITTEE ANNUALLY REVIEWS THE PERFORMANCE OF THE CEO AND RECOMMENDS ADJUSTMENTS TO HIS BASE SALARY AS DEEMED APPROPRIATE BASED UPON THE REVIEW, SUBJECT TO CONFIRMATION FROM THE CONSULTANT (WHO ATTENDS SUCH MEETING) THAT THE RECOMMENDATION IS APPROPRIATE AND WILL NOT RESULT IN THE OVERALL COMPENSATION OF THE CEO BECOMING UNREASONABLE. IN ORDER TO ENSURE THAT THE COMPENSATION DECISION IS SUBJECT TO THE ACTION OF INDEPENDENT DIRECTORS, THE BOARD MAY NOT APPROVE A SALARY ACTION DIFFERENT FROM THAT RECOMMENDED BY THE COMPENSATION COMMITTEE WITHOUT THE CONCURRENCE OF THE COMMITTEE. THE CEO ESTABLISHES THE BASE SALARY OF THE EXECUTIVES WHO DIRECTLY REPORT TO HIM, AND THOSE EXECUTIVES IN TURN ESTABLISH THE BASE SALARY OF THOSE INDIVIDUALS WHO REPORT TO THEM. ALL BASE SALARIES ARE, HOWEVER, BASED UPON POSITION-SPECIFIC MARKET DATA PROVIDED BY THE BANNER COMPENSATION AND BENEFITS DEPARTMENT. THESE RANGES ARE ESTABLISHED IN ACCORDANCE WITH AN EXECUTIVE COMPENSATION PHILOSOPHY THAT IS ESTABLISHED, AND PERIODICALLY REVIEWED, BY THE COMPENSATION COMMITTEE. ANNUAL EQUITY ADJUSTMENTS MAY BE MADE UPON APPROVAL OF THE CEO AND BASED UPON SPECIFIC MARKET DATA. THE COMPENSATION COMMITTEE RECEIVES AN ANNUAL REPORT FROM THE COMPENSATION AND BENEFITS DEPARTMENT SHOWING THAT BASE SALARIES ARE BEING MAINTAINED CONSISTENT WITH THE EXECUTIVE COMPENSATION PHILOSOPHY APPROVED BY THE COMMITTEE. AS STATED IN THE RESPONSE TO SCHEDULE J, PART I, LINE 7, THE SIGNIFICANT NON-FIXED COMPONENTS OF THE COMPENSATION OF THE CEO AND OTHER SENIOR MANAGEMENT ARE ESTABLISHED AND MONITORED BY THE COMPENSATION COMMITTEE WITH THE ASSISTANCE OF THE INDEPENDENT COMPENSATION CONSULTANT AND ARE INCLUDED IN THE ANNUAL REASONABLENESS OPINION RENDERED BY THE INDEPENDENT COMPENSATION CONSULTANT. CONTEMPORANEOUS MINUTES ARE KEPT OF ALL MEETINGS OF THE COMPENSATION COMMITTEE AND OF THE ACTIONS OF THE BOARD OF DIRECTORS IN APPROVING THE COMPENSATION OF CEO AND REVIEWING AND MONITORING THE COMPENSATION FOR ALL OTHER SENIOR EXECUTIVES AND TOP MANAGEMENT. THE COMPENSATION REVIEW PROCESS WAS LAST COMPLETED IN 2022. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, AND TAX RETURNS ARE AVAILABLE UPON REQUEST. COPIES ARE MAINTAINED AT EACH ADMINISTRATIVE OFFICE AND IN THE LEGAL AND TAX DEPARTMENTS. THE ORGANIZATION'S GOVERNING DOCUMENTS ARE NOT REQUIRED TO BE MADE AVAILABLE TO THE PUBLIC AND THEREFORE THEY ARE NOT MADE PUBLIC. Form 990, Part XI, Line 9 Other changes in net assets or fund balances INTERCOMPANY TRANSFERS - -XXX-XX-XXXX; OTHER CHANGES IN NET ASSETS - 64127749; BANNER AMBULATORY PROVIDER GROUP CO 1801 16TH STREET GREELEY CO 80631 901184300 MEDICAL SVCS CO BANNER HLTH BANNER AMBULATORY PROVIDER GROUP LLC 2901 N CENTRAL AVE SUITE 160 PHOENIX AZ 85012 901186214 MEDICAL SVCS AZ BANNER HLTH BANNER EMPLOYER SERVICES LLC 2901 N CENTRAL AVE SUITE 160 PHOENIX AZ 85012 832695440 MEDICAL SVCS AZ 807834 791888 BANNER HLTH BANNER ESTRELLA SURGERY CENTER LLC 2901 N CENTRAL AVE SUITE 160 PHOENIX AZ 85012 901183954 OP SURG CTR AZ BANNER SURG BANNER IMAGING SERVICES LLC 2901 N CENTRAL AVE SUITE 160 PHOENIX AZ 85012 901249771 MEDICAL SVCS AZ 126538458 54979537 BANNER HLTH BANNER MESA SURGERY CENTER LLC 2901 N CENTRAL AVE SUITE 160 PHOENIX AZ 85012 901182682 OP SURG CTR AZ 21695384 14407721 BANNER SURG BANNER NETWORK COLORADO LLC 7251 W 4TH STREET GREELEY CO 80634 901119093 HEALTH SVCS CO 10711952 26359709 BANNER HLTH BANNER NORTHERN COLORADO IMAGING LLC 1801 16TH STREET GREELEY CO 80631 901119704 INACTIVE CO BANNER HLTH BANNER OCCUPATIONAL HEALTH-ONSITE LLC 2901 N CENTRAL AVE SUITE 160 PHOENIX AZ 85012 611700965 MEDICAL SVCS AZ BANNER HLTH BANNER PHARMACY SERVICES LLC 2901 N CENTRAL AVE SUITE 160 PHOENIX AZ 85012 901025110 MEDICAL SVCS AZ 327165741 113240069 BANNER HLTH BANNER PHOENIX SURGERY CENTER LLC 2901 N CENTRAL AVE SUITE 160 PHOENIX AZ 85012 901182683 OP SURG CTR AZ 11358020 250250 BANNER SURG BANNER QUICK CARE COLORADO LLC 1801 16TH STREET GREELEY CO 80631 901184992 INACTIVE CO BPAG CO BANNER QUICK CARE LLC 2901 N CENTRAL AVE SUITE 160 PHOENIX AZ 85012 901166793 MEDICAL SVCS AZ BAPG BANNER SUN CITY WEST SURGERY CENTER LLC 2901 N CENTRAL AVE SUITE 160 PHOENIX AZ 85012 901182684 OP SURG CTR AZ 11273897 9738002 BANNER SURG BANNER SURGERY CENTERS LLC 525 W BROWN ROAD MESA AZ 85201 860788300 SURGERY CTR AZ BANNER HLTH BANNER URGENT CARE - COLORADO LLC 1801 16TH STREET GREELEY CO 80631 900733287 MEDICAL SVCS CO 5743360 2411868 BAPG CO BANNER URGENT CARE SERVICES LLC 2901 N CENTRAL AVE SUITE 160 PHOENIX AZ 85012 901133689 MEDICAL SVCS AZ BAPG BANNER VENTURES LLC 2901 N CENTRAL AVE SUITE 160 PHOENIX AZ 85012 844893353 VENTURE CAP AZ BANNER HLTH BANNER-UNIV MED CTR SOUTH CAMPUS LLC 2800 E AJO WAY TUCSON AZ 85713 901074558 MEDICAL SVCS AZ BANNER HLTH BANNER-UNIV MED CTR TUCSON CAMPUS LLC 1501 N CAMPBELL AVE TUCSON AZ 85724 901074557 MEDICAL SVCS AZ BANNER HLTH BANNER-UNIV MED CRISIS RESPONSE CTR 2802 E DISTRICT STREET TUCSON AZ 85714 901116155 MEDICAL SVCS AZ BANNER HLTH B-UMCP HOSPITAL BASED PHYSICIANS LLC 2901 N CENTRAL AVE SUITE 160 PHOENIX AZ 85012 901122779 MEDICAL SVCS AZ BANNER HLTH B-UMCP PHYSICIAN SPECIALISTS LLC 2901 N CENTRAL AVE SUITE 160 PHOENIX AZ 85012 901122778 MEDICAL SVCS AZ BANNER HLTH B-UMCP PRIMARY CARE PHYSICIANS LLC 2901 N CENTRAL AVE SUITE 160 PHOENIX AZ 85012 901122652 MEDICAL SVCS AZ BANNER HLTH B-UMCP SUPER SPECIALISTS LLC 2901 N CENTRAL AVE SUITE 160 PHOENIX AZ 85012 901122653 MEDICAL SVCS AZ BANNER HLTH HORIZON LABORATORY LLC 2555 EAST 13TH STREET GREELY CO 80537 860833952 LABORATORY CO 6627889 2489413 BANNER HLTH LABORATORY SCIENCES OF ARIZONA LLC 2901 N CENTRAL AVE SUITE 160 PHOENIX AZ 85012 860833952 LABORATORY AZ 2418 5714234 BANNER HLTH LOVELAND MEDICAL ENTERPRISES LLC 2000 N BOISE AVENUE LOVELAND CO 80538 470909771 MED OFFICE CO MCKEE MED LOVELAND SURGICAL ENTERPRISE 2555 EAST 13TH STREET GREELEY CO 80537 141885420 SURGERY CTR CO 3676407 BANNER SURG MCKEE MEDICAL HOLDINGS LLC 1801 16TH STREET GREELEY CO 80631 900078450 HOLDING COMP CO 508442 1337460 BANNER HLTH MMC OUTPATIENT SERVICES LLC 2000 N BOISE AVENUE LOVELAND CO 80538 901119705 INACTIVE CO BANNER HLTH MOUNTAIN VISTA ORTHOPAEDIC SURGERY CTR 5890 W 13TH STREET SUITE 102 GREELEY CO 90834 710936920 OP SURG CTR CO 5906569 BANNER SURG NEIGHBORHOOD PHYSICIAN ALLIANCE LLC 2901 N CENTRAL AVE SUITE 160 PHOENIX AZ 85012 901138165 INACTIVE AZ BANNER HLTH NOCO NEWCO LLC 1801 16TH STREET GREELEY CO 80631 832482390 INACTIVE CO BANNER HLTH SUPPLY CHAIN VALUE NETWORK LLC 2901 N CENTRAL AVE SUITE 160 PHOENIX AZ 85012 450233470 MEDICAL SVCS AZ BANNER HLTH TUCSON SRS LEASING LLC 1501 N CAMPBELL AVE TUCSON AZ 85724 205641701 INACTIVE AZ BUMC TUCSON BANNER OCCUPATIONAL HEALTH - ARIZONA LLC 2901 N CENTRAL AVE SUITE 160 PHOENIX AZ 85012 900730390 MEDICAL SVCS AZ BAPG BANNER OCCUPATIONAL HEALTH COLORADO LLC 1801 16TH STREET GREELEY CO 80631 901184991 INACTIVE CO BAPG CO NCMCBH GREELEY I LLC 1801 16TH STREET GREELY CO 80631 MEDICAL SVCS CO 4549510 BANNER HLTH NCMCBH GREELEY II LLC 1801 16TH STREET GREELEY CO 80631 MEDICAL SVCS CO 2399842 BANNER HLTH BANNER EMPLOYER SERVICES TEAM LLC 2901 N CENTRAL AVE SUITE 160 PHOENIX AZ 85012 EMP SERVICES AZ B-EMP SVCS BANNER SLEEP CENTERS COLORADO LLC 1801 16TH ST GREELEY CO 80631 852936653 MEDICAL SVCS CO BANNER HLTH BANNER SLEEP CENTERS LLC 2901 N CENTRAL AVE SUITE 160 PHOENIX AZ 85012 852571064 MEDICAL SVCS AZ 2599337 1654518 BANNER HLTH BANNER IMAGING SERVICES COLORADO LLC 2901 N CENTRAL AVE SUITE 160 PHOENIX AZ 85012 844842297 MEDICAL SVCS CO BANNER HLTH BANNER TELEHEALTH LLC 2901 N CENTRAL AVE SUITE 160 PHOENIX AZ 85012 861396133 MEDICAL SVCS AZ 68439 4777858 BANNER HLTH BANNER TELEHEALTH COLORADO LLC 1801 16TH STREET GREELEY CO 80631 861504298 MEDICAL SVCS CO BANNER HLTH BANNER ALZHEIMER'S FOUNDATION 2901 N CENTRAL AVE SUITE 160 PHOENIX AZ 85012 204862361 SUPPORT AZ 501(c)(3) 7 BANNER HLTH true BANNER HEALTH FOUNDATION 2901 N CENTRAL AVE SUITE 160 PHOENIX AR 85012 942545356 SUPPORT AZ 501(c)(3) 7 BANNER HLTH true BANNER MEDICAL GROUP COLORADO 2901 N CENTRAL AVE SUITE 160 PHOENIX AZ 85012 900532831 MEDICAL SVCS CO 501(c)(3) 7 BANNER HLTH true BANNER-UNIVERSITY MEDICAL GROUP 2901 N CENTRAL AVE SUITE 160 PHOENIX AZ 85012 942958258 MEDICAL SVCS AZ 501(c)(3) 3 BANNER HLTH true BANNER-UNIVERSITY FAMILY CARE 2901 N CENTRAL AVE SUITE 160 PHOENIX AZ 85012 463766901 HEALTH INS. AZ 501(c)(3) 10 BANNER HLTH true BANNER-UNIVERSITY CARE ADVANTAGE 2901 N CENTRAL AVE SUITE 160 PHOENIX AZ 85012 463757358 HEALTH INS. AZ 501(c)(3) 10 BANNER HLTH true BANNER HEALTH PLAN INC 2901 N CENTRAL AVE SUITE 160 PHOENIX AZ 85012 843237280 HEALTH INS. AZ 501(c)(4) NA true BANNER MEDICAL GROUP 2901 N CENTRAL AVE SUITE 160 PHOENIX AZ 85012 900532830 MEDICAL SVCS AZ 501(c)(3) 3 BANNER HLTH true Banner Health Insurance Group Inc 2901 N Central Ave Suite 160 Phoenix AZ 85012 843248878 Health Insurance AZ 501(c)(3) N/A Banner Air LLC 2901 N Central Ave Suite 160 Phoenix AZ 85012 862878425 Medical Transport DE BANNER HEALTH Related 8614456 4279967 false true 0.51 Banner Atlas JV LLC 2901 N Central Ave Suite 160 Phoenix AZ 85012 831276122 Op Surgery Center AZ Banner Health Related -9273181 52458758 false true 0.75 BHSM Rehabilitation LLC 2901 N Central Ave Suite 160 Phoenix AZ 85012 823481322 Medical Services DE Banner Health Related -3510651 72411925 false true 0.51 Banner West Valley Cardiology Management LLC 2901 N Central Ave Suite 160 Phoenix AZ 85012 861559257 Medical Management AZ Banner Health Related -981859 804872 false true 0.51 Sonora Quest Laboratories LLC 2901 N Central Ave Suite 160 Phoenix AZ 85012 860872873 Laboratory AZ Lab Science AZ Unrelated 54678566 148454404 false true 0.51 BannerCore Orthopedic Program LLC 2901 N Central Ave Phoenix AZ 85012 900644143 Healthcare Management Services AZ Banner Health Related 40025 1086711 false true BANNER PLAN ADMINISTRATION INC 445 W 5TH PLACE SUITE 101 MESA AZ 85201 860800246 THIRD PARTY ADMIN AZ NA C Corporation true BANNER INDEMNITY LTD 1627 E 18TH ST PO BOX 1051 GRAND CAYMAN CJ 450233470 INVESTMENTS CJ NA C Corporation true BANNER HEALTH NETWORK 2901 N CENTRAL AVE SUITE 160 PHOENIX AZ 85012 900750689 ACCOUNTABLE CARE AZ NA C Corporation true BANNER HEALTH INSURANCE GROUP INC 2901 N CENTRAL AVE SUITE 160 PHOENIX AZ 85012 843248878 HEALTH INSURANCE AZ NA C Corporation true NMSI INC 2901 N CENTRAL AVE SUITE 160 PHOENIX AZ 85012 742354291 PPO INS. PROVIDER CO NA C Corporation true THE ORTHOPEDIC CLINIC ASSOCIATION 2222 E HIGHLAND AVE 300 PHOENIX AZ 85016 860087236 ORTHOPEDIC AZ BMG C Corporation 1 true BANNER HEALTH INSURANCE COMPANIES LLC 2901 N CENTRAL AVE SUITE 160 PHOENIX AZ 85012 852544538 HEALTH INSURANCE AZ BANNER HEALTH C Corporation 1 true true true true true true false false false false true false true true true true true true true true Banner Alzheimer's Foundation C 4468721 FMV Banner Atlas JV LLC A 1546054 FMV Banner Atlas JV LLC M 595708 FMV Banner Atlas JV LLC D 2260648 FMV Banner Health Foundation C 13124891 FMV Banner Health Foundation D 1058107 FMV Banner Health Network L 150722096 FMV Banner indemnity LTD R 54984010 FMV Banner indemnity LTD S 51027094 FMV Banner Medical Group A 3658118 FMV Banner Medical Group J 5531050 FMV Banner Medical Group L 43115504 FMV Banner Medical Group M 97167234 FMV Banner Medical Group Q 118705 FMV Banner Medical Group Colorado A 4269192 FMV Banner Medical Group Colorado J 867289 FMV Banner Medical Group Colorado L 7560348 FMV Banner Medical Group Colorado M 31513412 FMV Banner Medical Group Colorado P 5193436 FMV Banner Plan Administration L 283782 FMV Banner Plan Administration M 6317599 FMV Banner Plan Administration P 112550915 FMV Banner Union Hills Surgery Center A 1629184 FMV Banner Union Hills Surgery Center L 112026 FMV Banner University Medical Group A 127154 FMV Banner University Medical Group L 32400891 FMV Banner University Medical Group P 17912055 FMV Banner--University Care Advantage M 34492370 FMV Banner--University Family Care M 101665540 FMV Sonora Quest Laboratories LLC A 102395 FMV Sonora Quest Laboratories LLC D 957349 FMV Sonora Quest Laboratories LLC L 19974917 FMV Sonora Quest Laboratories LLC Q 29627579 FMV Wyoming Medical Center Q 2599776 FMV Wyoming Medical Center M 1317329 FMV West Valley Cardiology E 1106279 FMV Banner Air M 51168 FMV Banner Aetna M 147988151 FMV Banner Health Foundation E 1408298 FMV Banner Health Network M 24093170 FMV Banner Health Network P 2990147 FMV Banner Health Insurance Group M 409100 FMV Banner Health Insurance Group P 182031 FMV Banner Health Plan M 3222626 FMV Banner Health Plan Q 831622 FMV Banner University Care Advantage Q 15376293 FMV Banner University Family Care Q 30991162 FMV Laboratory Sciences of Arizona LLC L 3466061 FMV Wyoming Medical Center I 5421797 FMV