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      <Desc>SEE SCHEDULE O AS ARIZONA'S ONLY LICENSED, FREESTANDING, NONPROFIT CHILDREN'S HOSPITAL, PHOENIX CHILDREN'S HOSPITAL (THE HOSPITAL) OPERATES WITH THE MISSION TO ADVANCE HOPE, HEALING AND THE BEST HEALTHCARE FOR CHILDREN AND THEIR FAMILIES, AS WELL AS THE VISION THAT THE HOSPITAL WILL BE THE LEADING PEDIATRIC HEALTH SYSTEM IN THE SOUTHWEST, NATIONALLY RECOGNIZED FOR EXCEPTIONAL CARE, INNOVATIVE RESEARCH AND ADVANCED MEDICAL EDUCATION. WE REALIZE THIS VISION BY: - OFFERING THE MOST COMPREHENSIVE CARE ACROSS AGES, COMMUNITIES AND SPECIALTIES - INVESTING IN INNOVATIVE RESEARCH, INCLUDING EMERGING TREATMENTS, TOOLS AND TECHNOLOGIES - ADVANCING EDUCATION AND TRAINING TO SHAPE THE NEXT GENERATION OF CLINICAL LEADERS - ADVOCATING FOR THE HEALTH AND WELL-BEING OF CHILDREN AND FAMILIES THE HOSPITAL HAS THE GOAL OF DEVELOPING A PEDIATRIC-FOCUSED, INTEGRATED DELIVERY SYSTEM FOR MARICOPA COUNTY AND ARIZONA. THE HOSPITAL PROVIDES CARE TO THE STATE'S PEDIATRIC PATIENTS IN MORE THAN 75 SUBSPECIALTIES AND INCLUDES 7 CENTERS OF EXCELLENCE OFFERING INTERDISCIPLINARY CARE: CENTER FOR CANCER AND BLOOD DISORDERS AND INFUSION CENTER, PHOENIX CHILDREN'S HEART CENTER, BARROW NEUROLOGICAL INSTITUTE AT PHOENIX CHILDREN'S HOSPITAL, CENTER FOR PEDIATRIC ORTHOPEDICS, LEVEL I PEDIATRIC TRAUMA CENTER, LEVEL IV NEWBORN INTENSIVE CARE UNIT, AND PHOENIX CHILDREN'S HOSPITAL SURGICAL PROGRAMS. THE HOSPITAL IS ONE OF THE COUNTRY'S LARGEST AND BUSIEST CHILDREN'S HOSPITALS, WITH 484 LICENSED BEDS AND A MEDICAL STAFF OF OVER 1,400 PRACTITIONERS. IN ADDITION TO THE HOSPITAL'S MAIN CAMPUS NEAR DOWNTOWN PHOENIX, ARIZONA, THE HOSPITAL PROVIDES CLINICAL SERVICES THROUGH ITS NETWORK OF INTEGRATED PHYSICIANS IN APPROXIMATELY 100 PRACTICE SITES THROUGHOUT MARICOPA COUNTY, THE PRIMARY SERVICE AREA OF THE HOSPITAL. THE HOSPITAL ALSO PROVIDES SPECIALTY PEDIATRIC SERVICES IN TUCSON, YUMA, FLAGSTAFF, MESA, SCOTTSDALE, GLENDALE, AND AVONDALE. AFFILIATES OF THE HOSPITAL INCLUDE THE PHOENIX CHILDREN'S HOSPITAL FOUNDATION (THE FOUNDATION); ARIZONA CHILDREN'S RISK SOLUTIONS (THE CAPTIVE); PHOENIX CHILDREN'S CARE NETWORK (PCCN); PHOENIX CHILDREN'S CARDIOLOGY DIAGNOSTICS, LLC (PCCD); AND PHOENIX CHILDREN'S PROPERTY DEVELOPMENT, LLC (PCPD), COLLECTIVELY REFERRED TO AS THE COMPANY. AS HOSPITAL VOLUMES HAVE GROWN, PCH HAS BEEN ABLE TO PROVIDE MORE SUBSPECIALIZED CARE THROUGH INVESTMENTS IN SPECIALIZED MEDICAL STAFF AND TECHNOLOGY. TODAY THE ORGANIZATION FOCUSES INVESTMENT ON THE SEVEN CENTERS OF EXCELLENCE ("COES") TO IMPROVE ACCESS TO CARE FOR THE CHILDREN IN ARIZONA AND THE SOUTHWESTERN UNITED STATES. SINCE 2011, THE RIGOROUS "BEST CHILDREN'S HOSPITALS" SURVEY CONDUCTED BY U.S. NEWS &amp; WORLD REPORT ASKS HUNDREDS OF QUESTIONS ABOUT A HOSPITAL'S SURVIVAL RATES, NURSE STAFFING, SUBSPECIALISTS' AVAILABILITY AND MANY OTHER PIECES OF CRITICAL INFORMATION THAT'S DIFFICULT OR IMPOSSIBLE FOR PATIENTS' FAMILIES AND CARE-GIVERS TO FIND ON THEIR OWN. U.S. NEWS TAKES ALL OF THIS DATA AND COMBINES IT WITH A REPUTATION SCORE THAT'S BASED ON A SURVEY OF PEDIATRIC SPECIALISTS FROM ACROSS THE COUNTRY. FOR THE 13TH CONSECUTIVE YEAR, U.S. NEWS &amp; WORLD REPORT HAS RANKED PHOENIX CHILDREN'S AMONG THE NATION'S "BEST CHILDREN'S HOSPITALS." THE HEALTH SYSTEM WAS ALSO NAMED THE NO. 1 CHILDREN'S HOSPITAL IN ARIZONA AND THIRD IN THE SOUTHWEST REGION. PHOENIX CHILDREN'S IS THE ONLY CHILDREN'S HOSPITAL IN ARIZONA EVER TO BE RECOGNIZED BY U.S. NEWS &amp; WORLD REPORT. PCH BEGAN WITH FOUR COES BUT HAS EXPANDED TO SEVEN COES OFFERING INTERDISCIPLINARY CARE, EACH OF WHICH IS DESCRIBED BELOW. ADDITIONALLY, IN 2019, PCH WAS DESIGNATED BY THE AMERICAN COLLEGE OF SURGEONS AS A CHILDREN'S SURGERY VERIFICATION LEVEL 1 PROGRAM. CENTER FOR HEART CARE A CHILD WITH HEART FAILURE HAS A DISEASED HEART THAT CAN'T PUMP ENOUGH BLOOD TO MEET THE BODY'S DEMANDS. SYMPTOMS MAY INCLUDE FATIGUE, EXCESSIVE SWEATING OR TROUBLE BREATHING. PEDIATRIC HEART FAILURE IS A CONDITION THAT CAN HAVE VARIED CAUSES, INCLUDING CONGENITAL HEART DEFECTS AND ACQUIRED OR INHERITED HEART DISEASE. DOCTORS MAY REFER TO IT AS ADVANCED OR END-STAGE HEART DISEASE. HEART FAILURE IS A SERIOUS CONDITION, BUT CHILDREN HAVE MANY GOOD TREATMENT OPTIONS AVAILABLE THROUGH THE CENTER FOR HEART CARE. IT IS THE ONLY PROGRAM OF ITS KIND IN THE REGION, LED BY FELLOWSHIP-TRAINED, MULTISPECIALTY PEDIATRIC CARDIOLOGISTS WITH HIGH-LEVEL SKILLS AND A PASSION FOR HELPING CHILDREN AND FAMILIES. OUR CARDIOLOGISTS USE THE LATEST ADVANCES TO MANAGE HEART FAILURE, DELAY ITS PROGRESS AND RENEW A CHILD'S STRENGTH, HEALTH AND QUALITY OF LIFE. WE TREAT CHILDREN AT EVERY STAGE OF LIFE FROM FETAL CARE THROUGH TEENS TRANSITIONING TO OUR ADULT CONGENITAL HEART DISEASE PROGRAM. THE CENTER FOR HEART CARE AT PHOENIX CHILDREN'S STAYS IN THE FOREFRONT OF QUALITY, RESEARCH AND INNOVATION TO OFFER EXCEPTIONAL HEART CARE FOR KIDS. YOUR CHILD'S HEART SPECIALISTS WILL DISCUSS TREATMENT OPTIONS FOR HEART FAILURE, INCLUDING ITS CAUSES OR RELATED DISEASE, SUCH AS CONGENITAL HEART DEFECTS, CARDIOMYOPATHY (HEART MUSCLE DISEASE), ARRHYTHMIA (ABNORMAL HEART RHYTHM) AND OTHER CONDITIONS. IN ADDITION TO DIAGNOSTIC TESTING AND CONSULTATION, WE OFFER: - INTERVENTIONAL CARDIOLOGY USING NOVEL IMAGING TECHNOLOGIES FOR LESS INVASIVE SURGICAL PROCEDURES - HEART SURGERY, INCLUDING MINIMALLY INVASIVE, OPEN SURGERY AND HYBRID (COMBINED) SURGICAL APPROACHES - MECHANICAL CIRCULATORY SUPPORT (MCS) INCLUDING SURGICALLY IMPLANTED MEDICAL DEVICES, SUCH AS VENTRICULAR-ASSIST DEVICES (VADS) AND TOTAL ARTIFICIAL HEARTS, WHICH CAN BE USED TO PUMP BLOOD AROUND THE BODY WHEN THE CHILD'S OWN HEART IS TOO WEAK TO DO THE JOB - HEART TRANSPLANT WHICH REQUIRES MULTISPECIALTY SCREENING AND CONSULTATION, ORGAN PROCUREMENT, CRITICAL CARE, CARDIAC REHABILITATION AND LIFE-LONG FOLLOW-UP CARE - COMPREHENSIVE PROGRAMS, SERVICES AND SUPPOR THE CENTER FOR CANCER AND BLOOD DISORDERS OUR FAMILY-CENTERED APPROACH GIVES OUR TEAM THE FOCUS NEEDED TO PROVIDE PURPOSEFUL, COMPASSIONATE AND PERSONALIZED CARE TO EVERY SINGLE ONE OF OUR PATIENTS. EACH CHILD GETS THEIR VERY OWN TEAM OF PHYSICIANS, NURSES, SOCIAL WORKERS, PHYSICAL THERAPISTS, NUTRITIONISTS AND MORE - A TEAM THAT PROVIDES CARE DURING TREATMENT AND THROUGHOUT THE HEALING PROCESS. OUR CENTER IS MADE UP OF TOP-OF-THEIR-FIELD SPECIALISTS, EACH WITH A SPECIFIC AREA OF EXPERTISE WITHIN THE HEMATOLOGY AND ONCOLOGY FIELDS. ENCOURAGING EACH PROVIDER TO SPECIALIZE IN PARTICULAR DISEASES HAS ALLOWED US TO KEEP UP WITH THE LATEST ADVANCEMENTS IN THE TREATMENT OF CANCER AND HEMATOLOGIC DISORDERS. AS A RESULT, WE CAN PROVIDE THE KIND OF CARE AND PROGRAMS OUR PATIENTS NEED AND DESERVE, GIVING THEM HEALING AND THEIR FAMILY'S PEACE OF MIND. BARROW NEUROLOGICAL INSTITUTE AT PCH FOR THE 13TH CONSECUTIVE YEAR, U.S. NEWS &amp; WORLD REPORT RANKED PHOENIX CHILDREN'S AMONG THE NATION'S "BEST CHILDREN'S HOSPITALS," INCLUDING THE #1 CHILDREN'S HOSPITAL IN ARIZONA FOR THE THIRD CONSECUTIVE YEAR. THE 2023-24 RANKINGS INCLUDE A NUMBER OF SPECIALTIES AT PHOENIX CHILDREN'S RATED AMONG THE TOP 50 PROGRAMS IN THE NATION. OUR MISSION IS TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF CHILDREN WITH NEUROLOGICAL, BEHAVIORAL, AND MENTAL HEALTH DISEASES AND DISORDERS. IN ADDITION TO PATIENT CARE, WE BETTER OURSELVES THROUGH THE DEVELOPMENT OF STRATEGIC PARTNERSHIPS WITH CLINICAL RESEARCH GROUPS LOCALLY, NATIONALLY AND INTERNATIONALLY. THIS EMPHASIS ON LEARNING CARRIES OVER TO OUR TEACHING AND PROFESSIONAL EDUCATIONAL PROGRAMS. EDUCATION IS VITAL TO OUR VISION. WE HAVE SEVERAL ACCREDITED RESIDENCY AND FELLOWSHIP PROGRAMS, DESIGNED TO CONTINUALLY IMPROVE CARE THROUGH RESEARCH AND EDUCATION. OUR ADDED LABORATORIES STRIVE TO MAKE DISCOVERIES THAT LEAD TO ADVANCES IN NEUROSCIENCE DIAGNOSIS AND TREATMENT OPTIONS. WE ARE A PREMIER CENTER OF EXCELLENCE AND DESTINATION FOR MANAGEMENT AND CURE OF NEUROLOGICALLY-RELATED PEDIATRIC DISEASES/DISORDERS BY PROVIDING THOROUGH, HIGH QUALITY PATIENT AND FAMILY-CENTERED CARE. COMBINE THAT WITH STATE-OF-THE-ART CLINICAL AND TRANSLATIONAL RESEARCH, AND OUR PROFESSIONAL AND COMMUNITY EDUCATION PROGRAMS, AND YOU HAVE ONE OF THE BEST PEDIATRIC NEUROLOGICAL INSTITUTES IN THE WORLD. BARROW NEUROLOGICAL INSTITUTE AT PHOENIX CHILDREN'S IS RECOGNIZED AS THE ONLY CHILDREN'S HOSPITAL IN ARIZONA WITH A LEVEL 4 DESIGNATION BY THE NATIONAL ASSOCIATION OF EPILEPSY CENTERS. LEVEL 4 EPILEPSY CENTERS HAVE THE PROFESSIONAL EXPERTISE AND FACILITIES TO PROVIDE THE HIGHEST-LEVEL MEDICAL AND SURGICAL EVALUATION AND TREATMENT FOR THOSE WITH COMPLEX EPILEPSY.</Desc>
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      <OtherLiabilitiesOrgGrp>
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      <OtherLiabilitiesOrgGrp>
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        <Desc>DEFERRED COMPENSATION LIABILITY</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>CURRENT LEASE LIABILITY</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>PAYROLL LIABILITIES</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER LIABILITIES</Desc>
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      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part V, Line 4 Intended uses of endowment funds</FormAndLineReferenceDesc>
        <ExplanationTxt>PHOENIX CHILDREN'S HOSPITAL FOUNDATION'S ENDOWMENT FUNDS WILL BE USED TO PROVIDE ON-GOING OUTSTANDING PEDIATRIC CARE TO CHILDREN BY ENABLING PHOENIX CHILDREN'S HOSPITAL TO OFFER THE VERY BEST TECHNOLOGY, PROGRAMS AND MEDICAL SPECIALISTS. ENDOWMENT FUNDS WILL BE USED TO SUPPORT PHOENIX CHILDREN'S HOSPITAL PROGRAMS INCLUDING: (1) THE CHILDREN'S NEUROSCIENCES INSTITUTE, (2) THE CENTER FOR CANCER AND BLOOD DISORDERS, (3) CAMP RAINBOW (A CAMP FOR CHILDREN WITH DIABETES, HEMOPHILIA AND KIDNEY DISEASE), (4) THE CENTER FOR PEDIATRIC ORTHOPEDICS, PULMONARY AND CYSTIC FIBROSIS, (5) PEDIATRIC RHEUMATOLOGY AND (6) PEDIATRIC ONCOLOGY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
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        <ExplanationTxt>MANAGEMENT IS OF THE OPINION THAT SUBSTANTIALLY ALL OF THE HOSPITAL'S, FOUNDATION'S, CAPTIVE'S, PHOENIX CHILDREN'S CARE NETWORK'S AND PHOENIX CHILDREN'S PROPERTY DEVELOPMENT, LLC'S ACTIVITIES ARE RELATED TO THEIR EXEMPT PURPOSES, AND PHOENIX CHILDREN'S CARDIOLOGY DIAGNOSTICS LLC'S ACTIVITIES WILL NOT RESULT IN TAXABLE INCOME. NO MATERIAL UNCERTAIN TAX POSITIONS HAVE BEEN IDENTIFIED OR RECORDED IN THE CONSOLIDATED FINANCIAL STATEMENTS AT DECEMBER 31, 2023 OR 2022.</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility A, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 1 - PHOENIX CHILDREN'S HOSPITAL ("PCH") AND PHOENIX CHILDREN'S-MERCY GILBERT CENTER ("PCMGC"). THE ACA REQUIREMENTS ARE MIRRORED IN THE PHAB STANDARD MANDATING THAT HEALTH DEPARTMENTS PARTICIPATE IN OR CONDUCT A COMMUNITY HEALTH ASSESSMENT EVERY THREE TO FIVE YEARS. OTHER PHAB STANDARDS REQUIRE HEALTH DEPARTMENTS TO CONDUCT A COMPREHENSIVE PLANNING PROCESS RESULTING IN A COMMUNITY HEALTH IMPROVEMENT PLAN AND TO IMPLEMENT STRATEGIES TO IMPROVE ACCESS TO HEALTHCARE. FEDERALLY FUNDED COMMUNITY HEALTH CENTERS MUST ENSURE THEIR TARGET COMMUNITIES ARE OF HIGH NEED AND ADDRESS THE SHORTAGE OF HEALTH SERVICES THAT ARE OCCURRING WITHIN THESE COMMUNITIES. THE SIMILAR REQUIREMENTS FROM IRS, PHAB AND THE FEDERALLY FUNDED HEALTH CENTER REQUIREMENTS PUT FORTH BY THE HHS PROVIDES AN OPPORTUNITY TO CATALYZE STRONGER COLLABORATION AND BETTER SHARED MEASUREMENT SYSTEMS AMONG HOSPITALS, HEALTH CENTERS AND HEALTH DEPARTMENTS. ADDITIONALLY, LIMITED RESOURCES FOR COMPREHENSIVE HEALTH ASSESSMENTS AND THE MOVE TOWARD NEW POPULATION HEALTH MODELS HAVE CREATED THE NEED FOR AN ORGANIZED, COLLABORATIVE PUBLIC-PRIVATE APPROACH FOR CONDUCTING ASSESSMENTS. MARICOPA COUNTY HOSPITALS AND HEALTH CENTERS PLAY SIGNIFICANT ROLES IN THE REGION'S OVERALL ECONOMY AND HEALTH. IN ADDITION TO PROVIDING SAFE AND HIGH-QUALITY MEDICAL CARE, THESE INSTITUTIONS WORK TO IMPROVE REGIONAL HEALTH THROUGH PROGRAMS THAT PROMOTE HEALTH IN RESPONSE TO IDENTIFIED COMMUNITY NEEDS. MOREOVER, HEALTHCARE PARTNERS ARE OFTEN SERVING THE SAME OR PORTIONS OF THE SAME COMMUNITIES ACROSS MARICOPA COUNTY. AS A RESULT, BANNER HEALTH, DIGNITY HEALTH, MAYO CLINIC, NATIVE HEALTH, NEIGHBORHOOD OUTREACH ACCESS TO HEALTH, PHOENIX CHILDREN'S HOSPITAL, VALLEYWISE HEALTH AND VITALYST HEALTH FOUNDATION HAVE JOINED FORCES WITH MCDPH TO IDENTIFY THE COMMUNITIES' STRENGTHS AND GREATEST NEEDS IN A CHNA. THE CHNA UTILIZES A MIXED-METHODS APPROACH THAT INCLUDES THE COLLECTION OF PRIMARY AND SECONDARY DATA FROM COMMUNITY INPUT, FOCUS GROUPS, SURVEYS AND MEETINGS WITH COMMUNITY STAKEHOLDERS. THE PROCESS WAS ITERATIVE AS BOTH THE PRIMARY AND SECONDARY DATA WERE USED TO HELP INFORM EACH OTHER. THE ADVANTAGE OF USING THIS APPROACH IS THAT IT VALIDATES DATA BY CROSS-VERIFYING FROM A MULTITUDE OF SOURCES. PRIMARY DATA COLLECTION THE FIRST ROUND OF COMMUNITY DATA COLLECTION OCCURRED IN FALL 2019 AND INVOLVED A COMMUNITY SURVEY AS WELL AS A SERIES OF FOCUS GROUPS. MCDPH CONTRACTED WITH ASU'S SOUTHWEST INTERDISCIPLINARY RESEARCH CENTER TO CONDUCT THE FOCUS GROUP ANALYSIS. IN RESPONSE TO SEVERE CHANGES IN THE COMMUNITY HEALTH LANDSCAPE DUE TO THE COVID-19 PANDEMIC, A SUPPLEMENTAL SURVEY AND FOCUS GROUP CYCLE WAS CONDUCTED IN THE SUMMER 2021. ADDITIONALLY, PHOENIX CHILDREN'S CONDUCTED A PHOENIX CHILDREN'S CHNA SURVEY, WHICH INVOLVED INTERNAL AND EXTERNAL GROUPS TO BETTER UNDERSTAND THE HEALTH AND SPECIFIC NEEDS OF THE COMMUNITY SERVED. THESE DATA SOURCES ARE INCLUDED IN THIS ASSESSMENT TO PROVIDE A ROBUST EVALUATION OF COMMUNITY NEEDS, BOTH BEFORE AND DURING THE PANDEMIC. 2019 COORDINATED COMMUNITY HEALTH NEEDS ASSESSMENT FOCUS GROUPS (APPENDIX C) A TOTAL OF 52 FOCUS GROUPS WERE CONDUCTED BETWEEN AUGUST 2018 AND DECEMBER 2019 WITH MEDICALLY UNDERSERVED POPULATIONS ACROSS MARICOPA COUNTY, INCLUDING YOUTH IN THE THIRD AND FINAL CYCLE. THE GROUPS CONSISTED OF SPECIFIC ETHNIC GROUPS: (1) AFRICAN AMERICAN, (2) NATIVE AMERICAN, (3) CONGOLESE, (4) HISPANIC AND (5) FILIPINO. OTHER GROUPS REPRESENTED WERE: (6) HOMELESS POPULATIONS, (7) LESBIAN, GAY, BISEXUAL, TRANSGENDER, AND QUESTIONING (LGBTQ+) PERSONS INCLUDING VETERANS AND MIGRANT SEASONAL FARMWORKERS, (8) PEOPLE WHO'VE BEEN INCARCERATED, (9) PEOPLE IN RURAL COMMUNITIES, (10) NEW PARENTS, AND (11) PARENTS OF CHILDREN WITH SPECIAL HEALTHCARE NEEDS. SIX GROUPS WERE CONDUCTED IN SPANISH, ONE IN MANDARIN, ONE IN SWAHILI AND THE REMAINDER IN ENGLISH. THE FOCUS GROUP DESIGN AND EXECUTION PROCEEDED THROUGH FIVE PHASES: (1) INITIAL REVIEW OF LITERATURE; (2) FOCUS GROUP DISCUSSION GUIDE DEVELOPMENT; (3) FOCUS GROUP RECRUITMENT; (4) FOCUS GROUP DATA COLLECTION; AND (5) REPORT WRITING AND PRESENTATION OF FINDINGS. FOCUS GROUP PARTICIPANTS WERE ASKED TO COMPLETE A SURVEY THAT ASSESSED A VARIETY OF FACTORS THAT COULD HAVE AN IMPORTANT IMPACT ON INDIVIDUAL AND COMMUNITY HEALTH AND QUALITY OF LIFE. THESE WERE MAINLY CLOSED-ENDED QUESTIONS TO AUGMENT THE FOCUS GROUP DISCUSSIONS. THE FOCUS GROUP DATA WERE ANALYZED AND ORGANIZED THEMATICALLY TO HIGHLIGHT PREVALENT IDEAS ACROSS THE GROUPS AS WELL AS SURPRISING/UNIQUE RESPONSES FROM PARTICULAR FOCUS GROUPS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility A, 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 2 - PHOENIX CHILDREN'S HOSPITAL ("PCH") AND PHOENIX CHILDREN'S-MERCY GILBERT CENTER ("PCMGC") CONTINUED. COVID-19 FOCUS GROUPS (APPENDIX C) BETWEEN FEBRUARY AND JUNE 2021, A SERIES OF 33 FOCUS GROUPS WERE CONDUCTED, WHICH INCLUDED 186 PARTICIPANTS ACROSS VARIOUS COMMUNITY REGIONS, SERVICE PROVIDERS AND INDIVIDUAL RESIDENTS TO BETTER UNDERSTAND THE IMPACT OF COVID-19 ON MARICOPA COUNTY RESIDENTS. THE FOCUS GROUPS INCLUDED COMMUNITY MEMBERS FROM FIVE GEOGRAPHIC MARICOPA COUNTY LOCATIONS BASED ON THE FOLLOWING GROUPS: (1) OLDER ADULTS; SPECIFIC ETHNIC GROUPS (2) AFRICAN AMERICAN; (3) HISPANICS/LATINO; (4) NATIVE AMERICAN; (5) ASIAN AMERICAN; (6) ETHNIC MINORITY YOUNG ADULTS; (7) LESBIAN, GAY, BISEXUAL, TRANSGENDER, AND QUESTIONING (LGBTQ+) PERSONS; (8) VETERANS; (9) NEW PARENTS; (10) PARENTS OF YOUNG CHILDREN, AND (11) REFUGEES. FOCUS GROUPS HELPED TO IDENTIFY AND ADDRESS HEALTH NEEDS, RESOURCE ALLOCATION AND LONG-TERM SERVICES NEEDED FOR COVID-19 RESPONSE EFFORTS. MEMBERS OF THE COMMUNITY REPRESENTING SUBGROUPS, DEFINED AS GROUPS WITH UNIQUE ATTRIBUTES (RACE AND ETHNICITY, AGE, SEX, CULTURE, LIFESTYLE OR RESIDENTS OF A PARTICULAR AREA OF MARICOPA COUNTY), WERE RECRUITED TO PARTICIPATE IN FOCUS GROUPS. A STANDARD PROTOCOL WAS USED FOR ALL FOCUS GROUPS. (SEE APPENDIX B) TO UNDERSTAND THE EXPERIENCES OF THESE COMMUNITY MEMBERS AS THEY RELATE TO THE IMPACT OF COVID-19 ON MARICOPA COUNTY RESIDENTS. THE FOCUS GROUPS EXPLORED THE TOPICS OF COVID-19 IMPACT, BARRIERS, CONCERNS, MESSAGING, TRUST IN PUBLIC HEALTH, VACCINE INTENT, VACCINE CHOICES AND VACCINE HESITANCY. PARTICIPANTS ALSO SPENT A GREAT DEAL OF TIME DISCUSSING HEALTHCARE, OBSTACLES TO CARE, ACCESS TO FOOD, FINANCIAL WELL-BEING AND QUALITY OF LIFE. TO COMPLEMENT THE FOCUS GROUPS, 158 RESPONDENTS (MOST BUT NOT ALL OF WHOM PARTICIPATED IN THE FOCUS GROUPS) COMPLETED AN ONLINE ANONYMOUS QUESTIONNAIRE THAT ASKED ABOUT COVID-19 CONCERNS, SOCIAL DETERMINANTS OF HEALTH, MEDICAL TRUST AND MENTAL AND PHYSICAL HEALTH. PARTICIPANTS DISCUSSED DECLINES IN MENTAL HEALTH AND PHYSICAL HEALTH AND BARRIERS TO THE VACCINE AS WELL AS VACCINE HESITANCY AND CONFUSION. SUGGESTIONS WERE OFFERED FOR MESSAGES AND FOR WHO WOULD INFLUENCE THEIR VACCINE DECISIONS, NOTING THAT ONE SIZE DOES NOT FIT ALL. THE FOCUS GROUP DATA WERE ANALYZED AND ORGANIZED THEMATICALLY TO HIGHLIGHT PREVALENT IDEAS ACROSS THE GROUPS AS WELL AS SURPRISING/UNIQUE RESPONSES FROM PARTICULAR FOCUS GROUP. 2019 MARICOPA COUNTY COMMUNITY HEALTH ASSESSMENT COMMUNITY SURVEY (APPENDIX C) BETWEEN FEBRUARY AND JUNE 2019, MCDPH COLLECTED COMMUNITY SURVEYS FROM RESIDENTS AND PROFESSIONALS WITHIN MARICOPA COUNTY. THIS SURVEY IS PART OF THE COORDINATED MARICOPA COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT (CCHNA) DESIGNED TO IDENTIFY PRIORITY HEALTH ISSUES, RESOURCES AND BARRIERS TO CARE WITHIN MARICOPA COUNTY THROUGH A COMMUNITY-DRIVEN PROCESS KNOWN AS MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP). A TOTAL OF 22 SURVEY QUESTIONS WERE INCLUDED, ORGANIZED BY THE FOLLOWING SECTIONS: PHYSICAL AND MENTAL HEALTH, HEALTHCARE AND LIVING EXPENSES, BARRIERS AND STRENGTHS OF THE COMMUNITY, AND HEALTH AND WELLNESS OF THE COMMUNITY. THE SURVEY QUESTIONNAIRE WAS ORIGINALLY DEVELOPED BY THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS (NACCHO). THE SURVEY WAS MODIFIED FROM ITS ORIGINAL VERSION BY PHOENIX CHILDREN'S, MEMBERS OF THE SYNAPSE COALITION, A GROUP OF NONPROFIT HOSPITALS AND FEDERALLY QUALIFIED HEALTHCARE PROVIDERS, THE HIPMC AND MCDPH STAFF. RESPONSE OPTIONS WERE EXPANDED FROM THE ORIGINAL FORMAT TO INCLUDE ADDITIONAL HEALTH ISSUES AND SOCIAL DETERMINANTS OF HEALTH. THE QUESTIONNAIRE WAS PROVIDED ON A DIGITAL PLATFORM USING QUALTRICS IN ADDITION TO A PAPER FORMAT. ALL SURVEYS WERE PROVIDED IN ENGLISH AND SPANISH. THERE WAS MINIMAL REQUEST FOR ADDITIONAL LANGUAGE TRANSLATIONS, SO WE WORKED WITH PARTNERS WHO WERE ABLE TO ASSIST INDIVIDUALS AS TRANSLATORS TO COMPLETE THE SURVEY. THE GOAL FOR THE COMMUNITY SURVEY WAS 15,000 RESPONSES. HOWEVER, ONCE ALL DATA WAS CLEANED TO ENSURE USABILITY, A TOTAL OF 11,893 SURVEYS WERE COLLECTED FROM COMMUNITY RESIDENTS AGED 14 AND OLDER. THE DIGITAL SURVEY WAS SENT OUT VIA EXTENSIVE COMMUNITY PARTNER NETWORKS THROUGHOUT MARICOPA COUNTY, HOSPITAL/HEALTHCARE SYSTEMS, MUNICIPALITIES, SCHOOL DISTRICTS, SOCIAL MEDIA AND OUR INTERNAL PROGRAMS ALLOWING US TO MAXIMIZE RESOURCES. THE SURVEY WAS WIDELY PUBLICIZED WITH COMMUNITY AND HEALTHCARE PARTNERS PRIOR TO MARCH 1, 2019, TO SECURE THE PRESENCE AT COMMUNITY EVENTS AND PROVIDE ONLINE ADVERTISEMENT TO REDIRECT INDIVIDUALS TO THE SURVEY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6a Facility A, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 1 - PHOENIX CHILDREN'S HOSPITAL ("PCH") AND PHOENIX CHILDREN'S-MERCY GILBERT CENTER ("PCMGC"). PCH AND PCMGC CONDUCTED A JOINT COMMUNITY HEALTH NEEDS ASSESSMENT.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility A, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 1 - PHOENIX CHILDREN'S HOSPITAL ("PCH") AND PHOENIX CHILDREN'S-MERCY GILBERT CENTER ("PCMGC"). THE CHNA, WHICH CAN BE FOUND AT THE ABOVE WEBSITE, DESCRIBES THE MOST SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND THE STRATEGY TO ADDRESS EACH NEED IDENTIFIED. THERE ARE NO NEEDS THAT ARE NOT BEING ADDRESSED.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 13 Facility A, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 1 - PHOENIX CHILDREN'S HOSPITAL ("PCH") AND PHOENIX CHILDREN'S-MERCY GILBERT CENTER ("PCMGC"). FINANCIAL ASSISTANCE WILL BE DETERMINED BASED ON BEST AVAILABLE INFORMATION AFTER ALL EFFORTS TO CONTACT THE PATIENT AND OBTAIN FINANCIAL INFORMATION HAVE BEEN EXHAUSTED. DETERMINATION MAY BE MADE DURING THE COLLECTIONS PROCESS IF EFFORTS TO COLLECT INFORMATION ARE EXHAUSTED AT THAT TIME. FACTORS USED TO DETERMINE PRESUMED FINANCIAL ASSISTANCE COULD INCLUDE ONE OR ALL OF THE FOLLOWING: -FINANCIAL APPLICATIONS; -OUT OF COUNTRY ADDRESSES WITHOUT PROPER SECTION 1011 DOCUMENTATION; -INABILITY TO CONTACT FAMILIES BY PHONE OR MAIL (DISCONNECTED PHONES AND RETURNED MAIL); -A CREDIT SCORE OF 600 OR BELOW WITH THE INABILITY TO PAY; -NON-QUALIFYING EVENT WITH AHCCCS DENIAL; -HOMELESS GUARANTOR/RESPONSIBLE PARTY; -INCARCERATED GUARANTOR/RESPONSIBLE PARTY; -MEDICAID ACCOUNTS-EXHAUSTED DAYS/BENEFITS/NON-COVERED DAYS; AND -FES COVERAGE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>48</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Rosenberg Children's Medical Plaza</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1920 E Cambridge Ave</AddressLine1Txt>
            <CityNm>Phoenix</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85006</ZIPCd>
          </USAddress>
          <FacilityTxt>Surgery Center</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Phoenix Children's Mercy Gilbert Specialty Care</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3420 S Mercy Rd Suite 205 Medical O</AddressLine1Txt>
            <AddressLine2Txt>ffice Bldg 1</AddressLine2Txt>
            <CityNm>Gilbert</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85298</ZIPCd>
          </USAddress>
          <FacilityTxt>Specialty Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Phoenix Children's Mercy Gilbert Specialty Care - NEST</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3420 S Mercy Rd Suite 205 Medical O</AddressLine1Txt>
            <AddressLine2Txt>ffice Bldg 1</AddressLine2Txt>
            <CityNm>Gilbert</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85298</ZIPCd>
          </USAddress>
          <FacilityTxt>Specialty Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Phoenix Children's East Valley Surgery Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>5131 E Southern Ave</AddressLine1Txt>
            <CityNm>Mesa</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85206</ZIPCd>
          </USAddress>
          <FacilityTxt>Surgery Center</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Barrow Neurological Institute at Phoenix Children's Hospital</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1919 E Thomas Rd</AddressLine1Txt>
            <CityNm>Phoenix</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85016</ZIPCd>
          </USAddress>
          <FacilityTxt>Specialty Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Phoenix Children's Cardiology</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1919 E Thomas Rd</AddressLine1Txt>
            <CityNm>Phoenix</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85016</ZIPCd>
          </USAddress>
          <FacilityTxt>Cardiology</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Phoenix Children's Southwest Valley Urgent Care</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1665 N Avondale Blvd</AddressLine1Txt>
            <CityNm>Avondale</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85392</ZIPCd>
          </USAddress>
          <FacilityTxt>Specialty &amp; Urgent Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Phoenix Children's Southwest Valley Specialty Care Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1665 N Avondale Blvd</AddressLine1Txt>
            <CityNm>Avondale</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85392</ZIPCd>
          </USAddress>
          <FacilityTxt>Specialty Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Phoenix Children's Specialty Clinic - Mercy Gilbert Medical Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3370 S Mercy Rd Medical Office Bldg</AddressLine1Txt>
            <AddressLine2Txt>2</AddressLine2Txt>
            <CityNm>Gilbert</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85297</ZIPCd>
          </USAddress>
          <FacilityTxt>Specialty Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Phoenix Children's Ophthalmology ENT - West Phoenix</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>9250 W Thomas Rd Suite 320</AddressLine1Txt>
            <CityNm>Phoenix</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85037</ZIPCd>
          </USAddress>
          <FacilityTxt>Specialty Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Phoenix Children's East Valley Urgent Care</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>5131 E Southern Ave</AddressLine1Txt>
            <CityNm>Mesa</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85206</ZIPCd>
          </USAddress>
          <FacilityTxt>Specialty &amp; Urgent Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Phoenix Children's Ophthalmology Southwest Mesa</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2045 S Vineyard Bldg 3 Suite 137</AddressLine1Txt>
            <CityNm>Mesa</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85210</ZIPCd>
          </USAddress>
          <FacilityTxt>Specialty Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Phoenix Children's Ophthalmology Glendale</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>6320 W Union Hills Dr Suite 230 Bld</AddressLine1Txt>
            <AddressLine2Txt>g A</AddressLine2Txt>
            <CityNm>Glendale</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85308</ZIPCd>
          </USAddress>
          <FacilityTxt>Specialty Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Phoenix Children's Specialty Care - Tucson</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>5983 E Grant Rd Suite 201</AddressLine1Txt>
            <CityNm>Tucson</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85712</ZIPCd>
          </USAddress>
          <FacilityTxt>Specialty Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Phoenix Children's East Valley Specialty Care Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>5131 E Southern Ave</AddressLine1Txt>
            <CityNm>Mesa</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85206</ZIPCd>
          </USAddress>
          <FacilityTxt>Specialty Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Phoenix Children's Ophthalmology Scottsdale</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>20201 N Scottsdale Healthcare Dr Su</AddressLine1Txt>
            <AddressLine2Txt>ite 150</AddressLine2Txt>
            <CityNm>Scottsdale</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85255</ZIPCd>
          </USAddress>
          <FacilityTxt>Specialty Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Phoenix Children's Northwest Valley Urgent Care</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>20325 N 51st Ave</AddressLine1Txt>
            <CityNm>Glendale</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85308</ZIPCd>
          </USAddress>
          <FacilityTxt>Specialty &amp; Urgent Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Phoenix Children's Scottsdale Specialty Care Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>6990 E Shea Blvd</AddressLine1Txt>
            <CityNm>Scottsdale</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85254</ZIPCd>
          </USAddress>
          <FacilityTxt>Specialty Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Phoenix Children's Scottsdale Urgent Care</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>6990 E Shea Blvd</AddressLine1Txt>
            <CityNm>Scottsdale</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85254</ZIPCd>
          </USAddress>
          <FacilityTxt>Specialty &amp; Urgent Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Phoenix Children's Northwest Valley Specialty Care Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>20325 N 51st Ave</AddressLine1Txt>
            <CityNm>Glendale</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85308</ZIPCd>
          </USAddress>
          <FacilityTxt>Specialty Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Phoenix Children's Ophthalmology ENT West Mesa</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2045 S Vineyard Bldg 3 Suite 137</AddressLine1Txt>
            <CityNm>Mesa</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85210</ZIPCd>
          </USAddress>
          <FacilityTxt>Specialty Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Phoenix Children's Mercy Gilbert Pediatric Outpatient Rehab Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3420 S Mercy Rd Suite 121 Medical O</AddressLine1Txt>
            <AddressLine2Txt>ffice Bldg 1</AddressLine2Txt>
            <CityNm>Gilbert</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85298</ZIPCd>
          </USAddress>
          <FacilityTxt>Rehab Center</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Phoenix Children's Sports Medicine PT - Gilbert</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3530 S Val Vista Dr Suite B205</AddressLine1Txt>
            <CityNm>Gilbert</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85297</ZIPCd>
          </USAddress>
          <FacilityTxt>Specialty Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Phoenix Children's Sports Medicine PT - Phoenix</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4215 E Bell Rd Suite 100</AddressLine1Txt>
            <CityNm>Phoenix</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85032</ZIPCd>
          </USAddress>
          <FacilityTxt>Specialty Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Phoenix Children's ENTOtolaryngology - Mesa</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2045 S Vineyard Bldg 3 Suite 137</AddressLine1Txt>
            <CityNm>Mesa</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85210</ZIPCd>
          </USAddress>
          <FacilityTxt>Specialty Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Phoenix Children's Outpatient Audiology - Mercy Gilbert Medical Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3420 S Mercy Rd Suite 224</AddressLine1Txt>
            <CityNm>Gilbert</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85297</ZIPCd>
          </USAddress>
          <FacilityTxt>Specialty Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Phoenix Children's ENTOtolaryngology West Valley</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>9250 W Thomas Rd Suite 320</AddressLine1Txt>
            <CityNm>Phoenix</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85037</ZIPCd>
          </USAddress>
          <FacilityTxt>Specialty Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Phoenix Children's Pediatrics - Gilbert</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2550 E Guadalupe Rd Suite 115</AddressLine1Txt>
            <CityNm>Gilbert</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85234</ZIPCd>
          </USAddress>
          <FacilityTxt>General Pediatrics Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Phoenix Children's Cardiology - Scottsdale</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>10250 N 92nd Suite 212</AddressLine1Txt>
            <CityNm>Scottsdale</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85254</ZIPCd>
          </USAddress>
          <FacilityTxt>Cardiology</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Phoenix Children's Pediatrics - Tempe</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>6301 S McClintock Dr Suite 101</AddressLine1Txt>
            <CityNm>Tempe</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85283</ZIPCd>
          </USAddress>
          <FacilityTxt>General Pediatrics Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Phoenix Children's Pediatrics - Paradise Valley</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4848 E Cactus Rd Suite 620</AddressLine1Txt>
            <CityNm>Scottsdale</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85254</ZIPCd>
          </USAddress>
          <FacilityTxt>General Pediatrics Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Phoenix Children's Specialty Care at St Joseph's</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>124 W Thomas Rd Suite 320</AddressLine1Txt>
            <CityNm>Phoenix</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85013</ZIPCd>
          </USAddress>
          <FacilityTxt>Specialty Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Phoenix Children's Pediatrics</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1501 N Gilbert Rd Suite 203</AddressLine1Txt>
            <CityNm>Gilbert</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85234</ZIPCd>
          </USAddress>
          <FacilityTxt>General Pediatrics Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Phoenix Children's Pediatrics - Cottonwood</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>800 Cove Pkwy</AddressLine1Txt>
            <CityNm>Cottonwood</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>86326</ZIPCd>
          </USAddress>
          <FacilityTxt>General Pediatrics Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Phoenix Children's Pediatrics - Dobson Village</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>205 S Dobson Rd Suite 1</AddressLine1Txt>
            <CityNm>Chandler</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85224</ZIPCd>
          </USAddress>
          <FacilityTxt>General Pediatrics Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Phoenix Children's Hospital - Division of Primary Complex Care and Adolesce</BusinessNameLine1Txt>
            <BusinessNameLine2Txt>nt Medicine</BusinessNameLine2Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1919 E Thomas Rd</AddressLine1Txt>
            <CityNm>Phoenix</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85016</ZIPCd>
          </USAddress>
          <FacilityTxt>Specialty Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Phoenix Children's Pediatrics - San Tan Village</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1790 E Boston St Suite 101</AddressLine1Txt>
            <CityNm>Gilbert</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85295</ZIPCd>
          </USAddress>
          <FacilityTxt>General Pediatrics Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Phoenix Children's Pediatrics - Chandler</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>60 S Kyrene Rd Suite 1</AddressLine1Txt>
            <CityNm>Chandler</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85226</ZIPCd>
          </USAddress>
          <FacilityTxt>General Pediatrics Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Phoenix Children's Specialty Care - Arrowhead</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>18555 N 79th Ave Suite E-105</AddressLine1Txt>
            <CityNm>Glendale</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85308</ZIPCd>
          </USAddress>
          <FacilityTxt>Specialty Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Phoenix Children's Pediatrics - North Phoenix</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3805 E Bell Rd Suite 5100</AddressLine1Txt>
            <CityNm>Phoenix</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85032</ZIPCd>
          </USAddress>
          <FacilityTxt>General Pediatrics Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Phoenix Children's Pediatrics - Scottsdale</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>5425 E Bell Rd Suite 145</AddressLine1Txt>
            <CityNm>Scottsdale</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85254</ZIPCd>
          </USAddress>
          <FacilityTxt>General Pediatrics Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Phoenix Children's Cardiology - Sierra Vista</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>155 Calle Portal Suite 700</AddressLine1Txt>
            <CityNm>Sierra Vista</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85635</ZIPCd>
          </USAddress>
          <FacilityTxt>Cardiology</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Phoenix Children's Cardiology - Safford</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2115 W 16th St</AddressLine1Txt>
            <CityNm>Safford</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85546</ZIPCd>
          </USAddress>
          <FacilityTxt>Cardiology</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Phoenix Children's Cardiology - Douglas</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>815 15th St</AddressLine1Txt>
            <CityNm>Douglas</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85607</ZIPCd>
          </USAddress>
          <FacilityTxt>Cardiology</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Phoenix Children's Sports Medicine PT Avondale</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>765 N 114th Ave Suite 101</AddressLine1Txt>
            <CityNm>Avondale</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85323</ZIPCd>
          </USAddress>
          <FacilityTxt>Specialty Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Phoenix Childrens Sports Medicine at Bell Bank Park</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>6321 S Ellsworth Rd Suite 114</AddressLine1Txt>
            <CityNm>Mesa</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85212</ZIPCd>
          </USAddress>
          <FacilityTxt>Specialty Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Phoenix Childrens Urgent Care at Bell Bank Park</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>6321 S Ellsworth Rd Suite 114</AddressLine1Txt>
            <CityNm>Mesa</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85212</ZIPCd>
          </USAddress>
          <FacilityTxt>Specialty &amp; Urgent Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Phoenix Children's Sports Physical Therapy Peoria</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>18969 N 83rd Ave Suite 4</AddressLine1Txt>
            <CityNm>Peoria</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85382</ZIPCd>
          </USAddress>
          <FacilityTxt>Specialty Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7g Subsidized Health Services</FormAndLineReferenceDesc>
        <ExplanationTxt>DIRECT COSTS ATTRIBUTABLE TO THE PHYSICIAN CLINIC WERE USED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COST TO CHARGE RATIO USED TO CALCULATE THE AMOUNTS REPORTED IN LINE 7 WERE CALCULATED USING WORKSHEET 2.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part II Community Building Activities</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDICAL INTERPRETER/TRANSLATION SERVICES CLEAR COMMUNICATION BETWEEN PATIENTS AND PROVIDERS AND HELP TO SOLVE AN URGENT HEALTH AND SAFETY ISSUE. PHOENIX CHILDREN'S MEDICAL INTERPRETER/TRANSLATOR PROGRAM IS THE NATIONAL MODEL TO IMPROVE COMMUNICATION AND SAFETY WITH THE HISPANIC POPULATION AT 20 CHILDREN'S HOSPITALS. MEDICAL INTERPRETER TRAINERS FROM NATIONAL AND LOCAL HOSPITALS GATHERED AT PHOENIX CHILDREN'S FOR TRAINING DESIGNED TO IMPROVE COMMUNICATION AND SAFETY FOR PATIENTS AND THEIR FAMILIES. ATTENDEES WERE TRAINED IN TEACHING BILINGUAL HEALTHCARE WORKERS MEDICAL TERMS, INTERPRETING PROTOCOL AND MULTICULTURAL UNDERSTANDING. SINCE 2001, THE HOSPITAL HAS TRAINED NEARLY 1,000 STUDENTS IN MEDICAL TERMINOLOGY, INTERPRETING ETHICS, LEADERSHIP, CULTURAL DIFFERENCES AND TEAM BUILDING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount</FormAndLineReferenceDesc>
        <ExplanationTxt>THE METHODOLOGY USED WAS TO TAKE TOTAL BAD DEBT CHARGES WRITTEN OFF MULTIPLIED BY THE HOSPITAL COST-TO-CHARGE RATIO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>PAGE 16 OF THE AUDITED FINANCIAL STATEMENTS CONTAINS THE FOOTNOTE THAT ADDRESSES ALLOWANCE FOR DOUBTFUL ACCOUNTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 8 Community benefit &amp; methodology for determining medicare costs</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COSTS WERE CALCULATED USING THE COST TO CHARGE RATIO DERIVED FROM THE AUDITED FINANCIAL STATEMENTS. ANY SHORTFALL OF REVENUE OVER THE COST TO PROVIDE CARE WHICH IS CALCULATED USING THE HOSPITAL'S COST TO CHARGE RATIO SHOULD BE CONSIDERED CHARITY CARE. CONSISTENT WITH PCH'S MISSION TO DELIVER COMPASSIONATE, HIGH QUALITY, AFFORDABLE HEALTH CARE SERVICES AND TO ADVOCATE FOR THOSE WHO ARE POOR AND DISENFRANCHISED, PCH STRIVES TO ENSURE THAT THE FINANCIAL CAPACITY OF PEOPLE WHO NEED HEALTH CARE SERVICES DOES NOT PREVENT THEM FROM SEEKING OR RECEIVING CARE. PCH ACCEPTS PAYMENT FOR THE DIFFERENCE BETWEEN THE COST OF SERVICES A PERSON RECEIVES AND THE AMOUNT RECEIVED TO PROVIDE THESE SERVICES, THUS RELIEVING BURDENS ON THE GOVERNMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16a FAP website</FormAndLineReferenceDesc>
        <ExplanationTxt>A - PHOENIX CHILDREN'S HOSPITAL: Line 16a URL: HTTPS://WWW.PHOENIXCHILDRENS.ORG/;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16b FAP Application website</FormAndLineReferenceDesc>
        <ExplanationTxt>A - PHOENIX CHILDREN'S HOSPITAL: Line 16b URL: HTTPS://WWW.PHOENIXCHILDRENS.ORG/;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16c FAP plain language summary website</FormAndLineReferenceDesc>
        <ExplanationTxt>A - PHOENIX CHILDREN'S HOSPITAL: Line 16c URL: HTTPS://WWW.PHOENIXCHILDRENS.ORG/;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2 Needs assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY NEEDS ARE DETERMINED VIA AN ASSESSMENT OF MULTIPLE STAKEHOLDERS, STATE AND FEDERAL GOVERNMENT REPORTS, AND PATIENT DATA. PRIORITIES AND PROGRAMS ARE DEVELOPED TO SERVE THESE DEMONSTRATED NEEDS, WITH A SPECIAL FOCUS ON POPULATIONS THAT ARE KNOWN TO HAVE DIFFICULTY ACCESSING CARE AND PROGRAMS THAT IMPROVE OVERALL PEDIATRIC HEALTH AND SAFETY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3 Patient education of eligibility for assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>FINANCIAL COUNSELORS ARE AVAILABLE TO ASSIST PATIENTS WITH INSURANCE COMPANIES, STATE AGENCIES, ACCESS TO PCH DISCOUNTED CARE OR APPLYING FOR THE HOSPITAL'S CHARITY CARE POLICY. INFORMATION REGARDING THE CHARITY CARE POLICY IS AVAILABLE ON OUR WEB SITE. FINANCIAL COUNSELORS INTERVIEW PARENTS OF CHILDREN WHO ARE UNINSURED AND UNDERINSURED. AHCCCS APPLICATIONS ARE INITIATED BY PCH ON BEHALF OF THE PATIENTS AND IF THE PARENTS DO NOT QUALIFY, FINANCIAL COUNSELORS PROCEED WITH THE FINANCIAL ASSISTANCE PROCESS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 4 Community information</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GEOGRAPHIC AREA FOR THIS CHNA IS MARICOPA COUNTY, THE COMMON COMMUNITY FOR ALL PARTNERS PARTICIPATING IN THE SYNAPSE PARTNERSHIP. ALTHOUGH THE POPULATION SERVED BY PHOENIX CHILDREN'S IN ARIZONA EXTENDS BEYOND COUNTY LINES AND STATE BORDERS, A MAJORITY OF PATIENTS LIVE WITHIN MARICOPA COUNTY. THE REMAINING PERCENTAGE OF PHOENIX CHILDREN'S PATIENTS ARE FROM OTHER COMMUNITIES IN ARIZONA, THE SURROUNDING STATES OF THE SOUTHWEST AND A SMALLER, YET SIGNIFICANT NUMBER OF INTERNATIONAL PATIENTS. MARICOPA COUNTY IS THE FOURTH MOST POPULOUS COUNTY IN THE U.S. 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 27 CITIES AND TOWNS AS WELL AS THE WHOLE OR PART OF FIVE SOVEREIGN NATIVE AMERICAN RESERVATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 Promotion of community health</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HEALTH NEEDS PRIORITIZATION PROCESS BEGAN WITH AN INITIAL REVIEW AND ANALYSIS OF PRIMARY AND SECONDARY DATA SOURCES. PRIMARY SOURCES INCLUDED DATA FROM THE 2019 AND 2021 COMMUNITY SURVEY AND FOCUS GROUP SESSIONS AS WELL AS PHOENIX CHILDREN'S CHNA SURVEY. SECONDARY SOURCES INCLUDED DATA DERIVED FROM COUNTY INPATIENT HOSPITALIZATION, EMERGENCY DEPARTMENT AND DEATH RATES TO ASSEMBLE 19 TOTAL HEALTH INDICATORS. ADDITIONALLY, EXTERNAL DATA SOURCES SUCH AS THE NATIONAL SURVEY OF CHILDREN'S HEALTH, KIDS COUNT DATA CENTER AND POLICYMAP WERE UTILIZED TO ANALYZE AND HIGHLIGHT 11 SOCIAL INDICATORS. THE HEALTH AND SOCIAL INDICATORS WERE ESTABLISHED IN BY PHOENIX CHILDREN'S STEERING COMMITTEE AND CONFIRMED BY SURVEYING THEIR INTERNAL AND EXTERNAL STAKEHOLDERS. SELECTED INDICATORS OF INTEREST HAVE DEMONSTRATED KNOWN DISPARITIES WHEN BROKEN OUT BY RACE/ ETHNICITY, GENDER AND AGE. PHOENIX CHILDREN'S PARTNERED WITH SYNAPSE PARTNERS, HIPMC AND THE MCDPH TO ASSESS THE HEALTH NEEDS OF MARICOPA COUNTY RESIDENTS. INTERNAL COMMITTEES AND WORKGROUPS OF PHOENIX CHILDREN'S STAKEHOLDERS AND COMMUNITY STAKEHOLDERS CONTRIBUTED TO THE PRIORITIZATION PROCESS. 1. COMMUNITY HEALTH NEEDS IDENTIFIED THROUGH THIS PROCESS WERE FILTERED THROUGH PHOENIX CHILDREN'S CHNA STEERING COMMITTEE 2. COMMUNITY CONSTITUENTS (INTERNAL AND EXTERNAL) CONFIRMED THE PRIORITIZED HEALTH NEEDS AND PROVIDED VALUABLE FEEDBACK ON HOW PHOENIX CHILDREN'S CAN ADDRESS THESE HEALTH NEEDS THROUGH IMPLEMENTATION STRATEGIES. 3. PHOENIX CHILDREN'S CHNA STEERING COMMITTEE REVIEWED AND ANALYZED THE IMPLEMENTATION STRATEGIES IDENTIFIED IN THE COMMUNITY SURVEY. THIS GROUP FINALIZED IMPLEMENTATION STRATEGIES TO ADDRESS THESE HEALTH NEEDS. 4. PHOENIX CHILDREN'S CHNA STEERING COMMITTEE APPROVED THE HEALTH FOCUS AREAS AND IMPLEMENTATION STRATEGIES, COMPLETED THE DRAFT CHNA REPORT AND SUBMITTED THE REPORT TO THE PHOENIX CHILDREN'S BOARD OF DIRECTORS FOR APPROVAL. 5. PHOENIX CHILDREN'S BOARD OF DIRECTORS APPROVED THE CHNA ON OCTOBER 27, 2022, FOR THE 2023-2025 CYCLE. FOCUSING ON EQUITY BECOMES CRUCIAL TO IMPROVING HEALTH AND HEALTHCARE - EQUITY OF ACCESS, TREATMENT AND OUTCOMES. HEALTH EQUITY IS REALIZED WHEN EACH INDIVIDUAL HAS A FAIR OPPORTUNITY TO ACHIEVE THEIR FULL HEALTH POTENTIAL. HEALTH DATA SHOWS THAT RACIAL AND ETHNIC MINORITY GROUPS EXPERIENCE HIGHER RATES OF ILLNESS AND DEATH ACROSS A WIDE RANGE OF HEALTH CONDITIONS WHEN COMPARED TO THEIR WHITE COUNTERPARTS. ADDRESSING THE FAIRWAY BETWEEN RACIAL INEQUITIES AND POOR HEALTH OUTCOMES HELPS BRIDGE THE HEALTH EQUITY GAP. MCDPH AND PHOENIX CHILDREN'S UTILIZED A HEALTH EQUITY LENS TO INVESTIGATE DISPARITIES IN HEALTH AND WELL-BEING BASED ON RACE, GENDER, AGE, ECONOMIC STATUS AND OTHER SOCIAL FACTORS. THESE DIFFERENCES ARE DETAILED THROUGHOUT THE REPORT, TO PROVIDE A FRAMEWORK FOR NEXT STEPS IN ADDRESSING WAYS IN WHICH THE SOCIAL AND BUILT ENVIRONMENTS IMPACT HEALTH. THE FOLLOWING TOP HEALTH NEEDS WERE IDENTIFIED: ACCESS TO CARE, BEHAVIORAL HEALTH AND INJURY PREVENTION (UNINTENTIONAL/INTENTIONAL INJURIES). BASED ON THE IDENTIFIED TOP HEALTH NEEDS, APPROVAL WAS GRANTED FROM KEY STAKEHOLDERS TO MOVE FORWARD WITH THE FOCUS OF THREE SIGNIFICANT HEALTH NEEDS. DESCRIPTION OF PRIORITIZED COMMUNITY HEALTH NEEDS PHOENIX CHILDREN'S THREE PRIORITIZED COMMUNITY HEALTH FOCUS AREAS: ACCESS TO CARE, BEHAVIORAL HEALTH AND INJURY PREVENTION (UNINTENTIONAL/INTENTIONAL INJURIES), WHICH ARE DIRECTLY REFLECTIVE OF THE PRIMARY/SECONDARY DATA AND KEY STAKEHOLDER (CLINICAL, NON-CLINICAL AND COMMUNITY PARTNERS) FEEDBACK. ALL PRIORITIZED COMMUNITY HEALTH NEEDS SERVE AS A STARTING POINT TO GUIDE PHOENIX CHILDREN'S PROGRAMS, RESOURCES AND HEALTHCARE THAT IMPACTS THE COMMUNITY IN THESE HIGH-NEED AREAS. SUMMARY OF PRIORITIZED NEEDS SIMILAR TO THE 2019 CHNA, ACCESS TO CARE, BEHAVIORAL HEALTH AND INJURY PREVENTION REMAINED PRIORITY AREAS FOR PHOENIX CHILDREN'S. THE FOLLOWING STATEMENTS SUMMARIZE EACH OF THE PRIORITIZED NEEDS. ACCESS TO CARE * ACCESS TO CARE SIGNIFICANTLY IMPACTS CHILDREN'S OVERALL PHYSICAL AND MENTAL HEALTH, GROWTH AND THEIR CAPACITY TO REACH THEIR FULL POTENTIAL. OF THOSE UNDER THE AGE OF 19, 34.5% UTILIZED MEDICAID IN 2020. IN MARICOPA COUNTY, 9% OF CHILDREN UNDER THE AGE OF 19 ARE UNINSURED. CHILDREN WITHOUT ACCESS TO CARE MAY SUFFER LONG-TERM HARM, ENDING UP IN POORER HEALTH, WITH LESS EDUCATIONAL ATTAINMENT AND FINANCIAL SECURITY IN ADULTHOOD. IN THE 2021 COVID-19 FOCUS GROUPS, PARTICIPANTS EXPRESSED THAT THE LARGEST HEALTH CHALLENGES THEY EXPERIENCED WERE GETTING NEEDED HEALTHCARE.VI IN THE 2021 COVID-19 IMPACT SURVEY, MARICOPA COUNTY RESIDENTS AGED 12 TO 17 YEARS NOTED THAT SINCE MARCH OF 2020, THEIR TOP THREE BARRIERS TO SEEKING OR ACCESSING HEALTHCARE WAS FEAR OF EXPOSURE TO COVID-19 IN A HEALTHCARE SETTING, DIFFICULTY FINDING THE RIGHT PROVIDER FOR THEIR CARE, AND HAVING NOT ENOUGH HEALTH INSURANCE COVERAGE. BEHAVIORAL HEALTH * ACCORDING TO THE CENTERS FOR MEDICARE AND MEDICAID SERVICES, "BEHAVIORAL HEALTH INCLUDES THE EMOTIONS AND BEHAVIORS THAT AFFECT YOUR OVERALL WELL-BEING." OVER THE PAST FEW YEARS, CHILDREN AND YOUTH HAVE BEEN EXPERIENCING INCREASED MENTAL HEALTH CRISES - WHICH HAVE BEEN EXACERBATED BY THE PANDEMIC. PRIOR TO COVID-19, THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) FOUND THAT 1 IN 5 CHILDREN HAD A MENTAL DISORDER, BUT ONLY 20% OF THOSE CHILDREN RECEIVED CARE FROM A MENTAL HEALTH PROVIDER. FROM MARCH TO OCTOBER 2020, MENTAL HEALTH-RELATED EMERGENCY DEPARTMENT (ED) VISITS INCREASED BY 24% FOR CHILDREN AGED 5 TO 11 YEARS AND 31% FOR THOSE AGED 12 TO 17 YEARS COMPARED WITH 2019 ED VISITS. IN THE 2021 COVID-19 IMPACT SURVEY, PARTICIPANTS AGED 12 TO 17 YEARS IDENTIFIED MENTAL HEALTH CHALLENGES AS THE NUMBER ONE ISSUE IMPACTING COMMUNITY OVERALL HEALTH AND WELLNESS. THIS WAS ECHOED BY THE 2021 FOCUS GROUP PARTICIPANTS WHO REPORTED DECLINES IN MENTAL HEALTH COMPARED TO 2019 (BEFORE COVID-19) DUE TO ISOLATION, DEPRESSION AND ANXIETY. INJURY PREVENTION (UNINTENTIONAL/INTENTIONAL INJURIES) * PREVENTABLE INJURIES ARE THE NUMBER ONE LEADING CAUSE OF DEATH AMONG CHILDREN IN THE U.S. MANY UNINTENTIONAL INJURIES ARE PREVENTABLE AND CAUSED BY MOTOR VEHICLE CRASHES AND FALLS. THE LEADING CAUSES OF INTENTIONAL INJURIES ARE GUN VIOLENCE AND PHYSICAL ASSAULT. UNINTENTIONAL INJURIES ARE THE LEADING CAUSE OF DEATH AND DISABILITY AMONG ADOLESCENTS. ACCORDING TO HEALTHY PEOPLE 2020, "BEYOND THEIR IMMEDIATE HEALTH CONSEQUENCES, INJURIES AND VIOLENCE PLAY A SIGNIFICANT ROLE ON THE HEALTH AND WELL-BEING OF INDIVIDUALS BY CONTRIBUTING TO PREMATURE DEATH, YEARS OF POTENTIAL LIFE LOST, DISABILITY, POOR MENTAL HEALTH, HIGH MEDICAL COSTS AND LOST PRODUCTIVITY." DEVELOPING INITIATIVES TO PREVENT INJURIES ARE IMPORTANT TO KEEPING PEOPLE SAFE IN THEIR SCHOOLS, HOMES, WORKPLACES AND COMMUNITIES. IN MARICOPA COUNTY, UNINTENTIONAL INJURY WAS RANKED THIRD, HOMICIDE FOURTH AND SUICIDE FIFTH AS LEADING CAUSES OF DEATH AMONG YOUTH AGED 18 YEARS AND YOUNGER.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 6 Affiliated health care system</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PURPOSE OF THIS CHNA IS TO IDENTIFY AND PRIORITIZE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY SERVED BY PHOENIX CHILDREN'S. THE PRIORITIES IDENTIFIED IN THIS REPORT HELP TO GUIDE THE ORGANIZATION'S COMMUNITY HEALTH IMPROVEMENT PROGRAMS AND COMMUNITY BENEFIT ACTIVITIES AS WELL AS ITS COLLABORATIVE EFFORTS WITH OTHER ORGANIZATIONS THAT SHARE A MISSION TO IMPROVE THE HEALTH OF CHILDREN. ORGANIZATIONAL COMMITMENT THE ACA REQUIREMENTS ARE MIRRORED IN THE PHAB STANDARD MANDATING THAT HEALTH DEPARTMENTS PARTICIPATE IN OR CONDUCT A COMMUNITY HEALTH ASSESSMENT EVERY THREE TO FIVE YEARS. OTHER PHAB STANDARDS REQUIRE HEALTH DEPARTMENTS TO CONDUCT A COMPREHENSIVE PLANNING PROCESS RESULTING IN A COMMUNITY HEALTH IMPROVEMENT PLAN AND IMPLEMENT STRATEGIES TO IMPROVE ACCESS TO HEALTHCARE. FEDERALLY FUNDED COMMUNITY HEALTH CENTERS MUST ENSURE THEIR TARGET COMMUNITIES ARE OF HIGH NEED AND ADDRESS THE SHORTAGE OF HEALTH SERVICES THAT ARE OCCURRING WITHIN THESE COMMUNITIES. THE SIMILAR REQUIREMENTS FROM IRS, PHAB AND THE FEDERALLY FUNDED HEALTH CENTER REQUIREMENTS PUT FORTH BY THE HHS PROVIDE AN OPPORTUNITY TO CATALYZE STRONGER COLLABORATION AND BETTER SHARED MEASUREMENT SYSTEMS AMONG HOSPITALS, HEALTH CENTERS AND HEALTH DEPARTMENTS. ADDITIONALLY, LIMITED RESOURCES FOR COMPREHENSIVE HEALTH ASSESSMENTS AND THE MOVE TOWARD NEW POPULATION HEALTH MODELS HAVE CREATED THE NEED FOR AN ORGANIZED, COLLABORATIVE PUBLIC-PRIVATE APPROACH FOR CONDUCTING ASSESSMENTS. MARICOPA COUNTY HOSPITALS, HEALTH CENTERS AND CLINICS PLAY SIGNIFICANT ROLES IN THE REGION'S OVERALL ECONOMY AND HEALTH. IN ADDITION TO PROVIDING SAFE AND HIGH-QUALITY MEDICAL CARE, THESE INSTITUTIONS WORK TO IMPROVE REGIONAL HEALTH THROUGH PROGRAMS THAT PROMOTE HEALTH IN RESPONSE TO IDENTIFIED COMMUNITY NEEDS. MOREOVER, HEALTHCARE PARTNERS ARE OFTEN SERVING THE SAME OR PORTIONS OF THE SAME COMMUNITIES ACROSS MARICOPA COUNTY. AS A RESULT, BANNER HEALTH, DIGNITY HEALTH, MAYO CLINIC, NATIVE HEALTH, NEIGHBORHOOD OUTREACH ACCESS TO HEALTH, PHOENIX CHILDREN'S, VALLEYWISE HEALTH AND VITALYST HEALTH FOUNDATION HAVE JOINED FORCES WITH MCDPH, SYNAPSE COALITION AND HIPMC TO IDENTIFY COMMUNITY STRENGTHS AND GREATEST NEEDS IN A COORDINATED COMMUNITY HEALTH NEEDS ASSESSMENT.</ExplanationTxt>
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        <ExplanationTxt>PHOENIX CHILDREN'S HOSPITAL (PCH) MAKES CONTRIBUTIONS TO OTHER HEALTH RELATED ORGANIZATIONS TO SUPPORT VARIOUS PROGRAMS. PCH RELIES ON THE GOVERNANCE PRACTICES OF THE RECIPIENT ORGANIZATIONS TO MONITOR USE OF THE FUNDS.</ExplanationTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <TitleTxt>SVP, COO, PCMG</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <TitleTxt>STAFF PHYSICIAN</TitleTxt>
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        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4a Severance or change-of-control payment</FormAndLineReferenceDesc>
        <ExplanationTxt>SEVERANCE PAYMENTS WERE MADE IN 2023 TO: BETSY KUZAS - $14,615 KARI CORNICELLI - $236,635 PAGE BACHMAN - $38,365 THESE AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN B(III) AS OTHER REPORTABLE COMPENSATION.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>PHOENIX CHILDREN'S HOSPITAL OFFERS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) TO CERTAIN EXECUTIVES OF THE ORGANIZATION. ELIGIBLE PARTICIPANTS ARE SELECTED BY THE BOARD OF DIRECTORS. PARTICIPANT VESTING OCCURS UPON RETIREMENT, DISABILITY BEFORE SEPARATION, INVOLUNTARY SEPARATION (OTHER THAN FOR CAUSE) OR DEATH. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE SERP PLAN DURING 2023 AND THEIR DEFERRED COMPENSATION AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C): RUSS KORCUSKA RICH LEHMUTH CHAD JOHNSON DANIEL OSTLIE, MD THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE SERP PLAN AND RECEIVED TAXABLE SERP PAYOUTS DURING 2023 THAT ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III) AS OTHER REPORTABLE COMPENSATION: ROBERT L. MEYER - $321,405 CARMEN NEUBERGER - $94,302 KETY DURON - $8,788 DAVID HIGGINSON - $104,654 BRIAN MEYER - $23,285 JARED MUENZER, MD - $110,481 DANIEL OSTLIE, MD - $114,186</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 7 Non-fixed payments</FormAndLineReferenceDesc>
        <ExplanationTxt>CERTAIN EXECUTIVES WERE ELIGIBLE FOR THE DISCRETIONARY EXECUTIVE INCENTIVE PLAN OF PHOENIX CHILDREN'S HOSPITAL IN WHICH ONE OF THE PERFORMANCE MEASURES WAS EARNINGS BEFORE INTEREST, DEPRECIATION AND AMORTIZATION. THIS INCENTIVE PLAN WAS APPROVED BY THE COMPENSATION COMMITTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part II ADDITIONAL INFORMATION</FormAndLineReferenceDesc>
        <ExplanationTxt>DUSTIN RAYHORN, MD AND BLAKE BULLOCH, MD RECEIVED COMPENSATION FOR MEDICAL SERVICES RENDERED IN THE CAPACITY OF STAFF PHYSICIAN FOR PHOENIX CHILDREN'S HOSPITAL, NOT FOR THEIR DUTIES AS BOARD MEMBERS.</ExplanationTxt>
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        <PurposeDesc>THE PURPOSE WAS ESTABLISHING PROJECT FUNDS FOR FACILITY EXPANSION.</PurposeDesc>
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        <CUSIPNum>04052EBT4</CUSIPNum>
        <BondIssuedDt>2021-11-03</BondIssuedDt>
        <IssuePriceAmt>189962070</IssuePriceAmt>
        <PurposeDesc>THE PURPOSE WAS REFUNDING REMAINING SERIES 2012A BONDS.</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>4330000</RetiredAmt>
        <BondDefeasedAmt>225000000</BondDefeasedAmt>
        <TotalProceedsAmt>283711111</TotalProceedsAmt>
        <InReserveFundAmt>6</InReserveFundAmt>
        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
        <RefundingEscrowAmt>0</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>4566579</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>41807818</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>237336708</OtherSpentProceedsAmt>
        <UnspentAmt>0</UnspentAmt>
        <SubstantialCompletionYr>2014</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <RetiredAmt>3400000</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>160082126</TotalProceedsAmt>
        <InReserveFundAmt>0</InReserveFundAmt>
        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
        <RefundingEscrowAmt>0</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>0</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>8368558</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>151713568</OtherSpentProceedsAmt>
        <UnspentAmt>0</UnspentAmt>
        <SubstantialCompletionYr>2019</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>true</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <RetiredAmt>0</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>298788128</TotalProceedsAmt>
        <InReserveFundAmt>0</InReserveFundAmt>
        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
        <RefundingEscrowAmt>0</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>3117836</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>277230175</CapitalExpendituresAmt>
        <UnspentAmt>18440117</UnspentAmt>
        <SubstantialCompletionYr>2020</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>false</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>false</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <RetiredAmt>5500000</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>189962070</TotalProceedsAmt>
        <InReserveFundAmt>0</InReserveFundAmt>
        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
        <RefundingEscrowAmt>0</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>1040562</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>0</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>188921508</OtherSpentProceedsAmt>
        <UnspentAmt>0</UnspentAmt>
        <SubstantialCompletionYr>2021</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>false</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.02</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.0</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.02</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.02</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.0</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.02</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.02</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.0</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.02</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.02</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.0</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.02</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>true</NoRebateDueInd>
        <VariableRateIssueInd>true</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>true</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>MERRILL LYNCH</BusinessNameLine1Txt>
        </HedgeProviderName>
        <TermOfHedgePct>0.1</TermOfHedgePct>
        <SuperintegratedHedgeInd>false</SuperintegratedHedgeInd>
        <HedgeTerminatedInd>false</HedgeTerminatedInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>true</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>true</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>true</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>true</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>true</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>true</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part II, Line 3 GROSS PROCEEDS EXCEEDS BOND ISSUE PRICE</FormAndLineReferenceDesc>
        <ExplanationTxt>WHERE TOTAL GROSS PROCEEDS SHOWN IN PART II, LINE 3 EXCEED THE BOND ISSUE PRICE LISTED IN PART I, IT IS DUE TO INVESTMENT EARNINGS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part IV, Line 2c COLUMN A</FormAndLineReferenceDesc>
        <ExplanationTxt>Issuer name: ARIZONA HEALTH FACILITIES AUTHORITY The calculation for computing no rebate due was performed on 03/01/2018</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleK documentId="IRS990ScheduleK2" softwareId="23017437" softwareVersionNum="2023v5.1">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>ARIZONA INDUSTRIAL DEVELOPMENT AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>813526584</BondIssuerEIN>
        <CUSIPNum>000000000</CUSIPNum>
        <BondIssuedDt>2022-08-25</BondIssuedDt>
        <IssuePriceAmt>70920000</IssuePriceAmt>
        <PurposeDesc>The purpose was to refund the remaining Series 2013A-3 bonds.</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>ARIZONA INDUSTRIAL DEVELOPMENT AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>813526584</BondIssuerEIN>
        <CUSIPNum>000000000</CUSIPNum>
        <BondIssuedDt>2022-10-18</BondIssuedDt>
        <IssuePriceAmt>20000000</IssuePriceAmt>
        <PurposeDesc>to establish project funds for capital projects at hospital, healthcare, and related facilities.</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>0</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>70920000</TotalProceedsAmt>
        <InReserveFundAmt>0</InReserveFundAmt>
        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
        <RefundingEscrowAmt>0</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>708962</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>0</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>70211038</OtherSpentProceedsAmt>
        <UnspentAmt>0</UnspentAmt>
        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <RetiredAmt>0</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>20281630</TotalProceedsAmt>
        <InReserveFundAmt>0</InReserveFundAmt>
        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
        <RefundingEscrowAmt>0</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>255678</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>20020418</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>0</OtherSpentProceedsAmt>
        <UnspentAmt>5534</UnspentAmt>
        <RefundingTaxExemptBondsInd>false</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.02</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.0</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.02</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.02</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.0</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.02</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>false</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>true</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>true</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>true</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="23017437" softwareVersionNum="2023v5.1">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part I, Line 6 VOLUNTEERS</FormAndLineReferenceDesc>
        <ExplanationTxt>VOLUNTEERS MAKE A DIFFERENCE FOR PATIENTS AND FAMILIES AT PHOENIX CHILDREN'S HOSPITAL (PCH) EVERY DAY BY GIVING THE GIFT OF TIME. THE VOLUNTEERS EACH HAVE SOMETHING UNIQUE TO OFFER AND COME FROM ALL BACKGROUNDS AND WALKS OF LIFE. VOLUNTEERS ARE AN IMPORTANT PART OF PCH'S TEAM THAT PROVIDES THE BEST HOPE, HEALING AND CARE TO CHILDREN AND FAMILIES. EACH WEEK, VOLUNTEERS DONATE THREE TO FOUR HOURS OF SERVICE IN OVER 50 AREAS OF THE HOSPITAL. PCH VOLUNTEERS PLEDGE A MINIMUM OF 100 HOURS AND MUST BE AT LEAST 16 YEARS OF AGE. VOLUNTEERS GO THROUGH THE SAME SCREENING AND ORIENTATION PROCESS AS EMPLOYEES IN TERMS OF APPLICATION, BACKGROUND CHECK, GENERAL HOSPITAL ORIENTATION, HIPAA, CONFIDENTIALITY TRAINING, EXTENSIVE HANDS-ON TRAINING AND ADDITIONAL TRAINING AS NECESSARY FOR DIFFERENT POSITIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION CONTINUED 2/2</FormAndLineReferenceDesc>
        <ExplanationTxt>ROUNDING OUT THE CARE TEAM ARE COMPASSIONATE AND CARING MEMBERS OF THE COMMUNITY, OUR VOLUNTEERS, WHO MAKE AN INDELIBLE DIFFERENCE IN THE LIVES OF OUR CHILDREN, FAMILIES AND STAFF. WHETHER THEY'RE ESCORTING A FAMILY TO ONE OF OUR CLINICS, SERVING AS A CANDY STRIPER OR ENTERTAINING CHILDREN IN ONE OF THE PLAYROOMS, PHOENIX CHILDREN'S VOLUNTEERS ARE THERE TO OFFER ANOTHER LEVEL OF COMFORT AND CARE. THE HOSPITAL'S PHILOSOPHY OF FAMILY-CENTERED CARE IS ALSO ONE OF THE MOTIVATIONS BEHIND ITS ALLIANCE WITH DIGNITY HEALTH. THE UNIFICATION OF THESE PEDIATRIC PROGRAMS - WHOSE MISSIONS AND VISIONS SO CLOSELY ALIGN - FORTIFIES PHOENIX CHILDREN'S COMMITMENT TO DELIVER ON ITS PROMISE TO PROVIDE HOPE, HEALING AND THE BEST HEALTH CARE TO ARIZONA'S CHILDREN AND FAMILIES. PHOENIX CHILDREN'S OFFERS WORLD-CLASS CARE IN MORE THAN 75 SUB-SPECIALTY FIELDS OF PEDIATRIC MEDICINE, INCLUDING 7 CENTERS OF EXCELLENCE. IN 2023, PHOENIX CHILDREN'S HAD 14,526 DISCHARGES; 107,822 VISITS TO THE EMERGENCY DEPARTMENT; 403,504 OUTPATIENT VISITS; AND 24,915 SURGICAL PROCEDURES. ARIZONA'S POPULATION GROWTH MEANS PHOENIX CHILDREN'S MUST GROW, TOO. THE HOSPITAL IS EXPANDING TO ADD MORE PHYSICIANS, BUILD NEW CLINICAL PROGRAMS, AND LOCATIONS. THE CENTERPIECE OF THE EXPANSION IS AN 11-STORY TOWER THAT OPENED IN 2011. 2017 SAW THE OPENING OF A NEW ED/TRAUMA CENTER. THE NEW FACILITY OPENED IN SEPTEMBER OF 2017. IT IS 42,300 SQUARE FEET WITH 75 PRIVATE EXAM ROOMS AND 9 TRAUMA BAYS. IN 2018, PCH AND DIGNITY HEALTH ANNOUNCED PLANS FOR THE CONSTRUCTION OF A WOMEN'S AND CHILDREN'S HOSPITAL ON THE DIGNITY HEALTH MERCY GILBERT MEDICAL CENTER CAMPUS. UNDER THE CURRENT PLANS, PEDIATRIC SERVICES WILL INCLUDE 48 PEDIATRIC BEDS, 6 PEDIATRIC OPERATING ROOMS, 60 LEVEL III NICU BEDS AND A PEDIATRIC EMERGENCY ROOM WITH 24 BAYS WITH ADULT SERVICES THAT INCLUDE 24 LABOR AND DELIVERY ROOMS AND 48 POST-PARTUM BEDS. DIGNITY HEALTH WILL FUND THE CONSTRUCTION AND THE HOSPITAL WILL LEASE ITS PORTION OF THE SPACE. IN RETURN, DIGNITY HEALTH HAS THE RIGHTS TO 33% INTEREST IN THE AVAILABLE FREE CASH FLOW OF THE PROJECT. PHOENIX CHILDREN'S HAS ARIZONA'S ONLY DEDICATED PEDIATRIC DIALYSIS CENTER AND PEDIATRIC KIDNEY TRANSPLANT PROGRAM. PHOENIX CHILDREN'S HOSPITAL HAS 153 ICU BEDS (NICU, PICU &amp; CVICU), ONE OF THE LARGEST AMONG ALL FREESTANDING CHILDREN'S HOSPITALS IN THE COUNTRY, AND ONE OF ONLY A HANDFUL IN THE U.S. PERFORMING THE EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO) PROCEDURE. PHOENIX CHILDREN'S HAS THE FIRST AND ONLY PEDIATRIC RADIOLOGY FELLOWSHIP PROGRAM IN ARIZONA. THE DIVISION OF RADIOLOGY OCCUPIES 45,000 SQUARE FEET OF THE FIRST FLOOR. PHOENIX CHILDREN'S OPERATES FOUR SPECIALTY AND URGENT CARE CENTERS, LOCATED IN SCOTTSDALE, THE EAST VALLEY, THE WEST VALLEY AND THE NORTHWEST VALLEY. APPROXIMATELY 55 PERCENT OF PHOENIX CHILDREN'S PATIENTS ARE COVERED BY AHCCCS, ARIZONA'S MEDICAID PROGRAM FOR LOW-INCOME FAMILIES. THE TRACHEOTOMY AND AIRWAY PROGRAM IS THE ONLY COMPREHENSIVE INPATIENT AND OUTPATIENT SERVICE IN ARIZONA THAT CARES FOR CHILDREN WITH TRACHEOSTOMIES AND HOME VENTILATORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 1a EXECUTIVE COMMITTEE</FormAndLineReferenceDesc>
        <ExplanationTxt>PCH HAS AN EXECUTIVE COMMITTEE THAT MAY EXERCISE THE POWER AND AUTHORITY OF THE BOARD OF DIRECTORS IN THE INTERVALS BETWEEN MEETINGS OF THE BOARD OF DIRECTORS, EXCEPT AS OTHERWISE PROVIDED IN THE BYLAWS. THE EXECUTIVE COMMITTEE MAY REVIEW ALL POLICY MATTERS IN CONNECTION WITH THE OPERATIONS OF THE CORPORATION AND MAY MAKE RECOMMENDATIONS WITH RESPECT TO SUCH MATTERS TO THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 2 Family/business relationships amongst interested persons</FormAndLineReferenceDesc>
        <ExplanationTxt>ROBERT MEYER AND BRIAN MEYER - Family relationship</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>THE TWO MEMBERS OF PCH ARE DIGNITY HEALTH AND CHILDREN'S HEALTHCARE OF ARIZONA, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERS OF THE GOVERNING BODY ARE NOMINATED BY THE TWO CORPORATE MEMBERS, AND APPROVAL FOR ELECTION IS REQUIRED BY A MAJORITY OF THE BOARD OF DIRECTORS. DECISIONS OF THE GOVERNING BODY ARE SUBJECT TO APPROVAL BY MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBERS OF PCH HAVE CERTAIN RIGHTS AS OUTLINED IN THE AFFILIATION AGREEMENT AND THE BYLAWS WITH REGARD TO GOVERNANCE DECISIONS OF THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 WAS REVIEWED BY VP FINANCE, EVP/CFO AND CEO. FORM 990 WAS THEN SENT TO THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>PCH AND ITS AFFILIATE ORGANIZATIONS REQUIRES EACH OF ITS DIRECTORS, OFFICERS, AND VICE PRESIDENTS TO COMPLETE AN ANNUAL DISCLOSURE FORM, IDENTIFYING REAL OR POTENTIAL CONFLICTS, SUCH AS FINANCIAL RELATIONSHIPS OR INTERESTS, FAMILY OR BUSINESS ASSOCIATIONS OR EMPLOYEE RELATIONSHIPS WITH PCH AND/OR ITS DIRECTORS, OFFICERS AND KEY EMPLOYEES. IF SITUATIONS ARE DISCLOSED THAT PRESENT ACTUAL OR POTENTIAL CONFLICTS OF INTEREST, THEY ARE REPORTED TO THE CEO AND THE BOARD OF DIRECTORS. RESOLUTION AND/OR AVOIDANCE OF CONFLICT OF INTEREST SITUATIONS RESIDES WITH THE BOARD AND THE CEO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>PCH USES THE SERVICES OF AN OUTSIDE COMPENSATION CONSULTING FIRM TO MAKE MARKET COMPARISONS OF COMPENSATION, INCLUDING BOTH BASE SALARY AND INCENTIVE PROGRAMS. THESE PLANS ARE REVIEWED WITH AND ULTIMATELY APPROVE BY THE BOARD OF DIRECTORS' COMPENSATION COMMITTEE. AFTER COMPLETION OF THE YEAR END AUDIT, THE COMPENSATION COMMITTEE MEETS TO EVALUATE PERFORMANCE OF THE CEO AND KEY EXECUTIVES AND TO APPROVE THE RECOMMENDATION OF THE SVP OF HUMAN RESOURCES AND THE CEO, BASED ON THE CRITERIA IN THE PREVIOUSLY APPROVED PLAN. THIS PROCESS WAS LAST COMPLETED IN 2023.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>PCH USES THE SERVICES OF AN OUTSIDE COMPENSATION CONSULTING FIRM TO MAKE MARKET COMPARISONS OF COMPENSATION, INCLUDING BOTH BASE SALARY AND INCENTIVE PROGRAMS. THESE PLANS ARE REVIEWED WITH AND ULTIMATELY APPROVE BY THE BOARD OF DIRECTORS' COMPENSATION COMMITTEE. AFTER COMPLETION OF THE YEAR END AUDIT, THE COMPENSATION COMMITTEE MEETS TO EVALUATE PERFORMANCE OF THE CEO AND KEY EXECUTIVES AND TO APPROVE THE RECOMMENDATION OF THE SVP OF HUMAN RESOURCES AND THE CEO, BASED ON THE CRITERIA IN THE PREVIOUSLY APPROVED PLAN. THIS PROCESS WAS LAST COMPLETED IN 2023.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>SUCH DOCUMENTS ARE NOT REQUIRED TO BE MADE AVAILABLE; HOWEVER, THEY WILL BE PROVIDED UPON REASONABLE REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN FAIR VALUE OF INTEREST RATE SWAPS - -1616709; NET ASSET TRANSFER - 3610504;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A PROGRAM SERVICE DESCRIPTION CONTINUED 1/2</FormAndLineReferenceDesc>
        <ExplanationTxt>PHOENIX CHILDREN'S HOSPITAL LEVEL IV NEWBORN INTENSIVE CARE UNIT AT PHOENIX CHILDREN'S, OUR LEVEL IV FREESTANDING NICU OFFERS THE HIGHEST LEVEL OF CARE FOR NEWBORNS AND INFANTS FACING COMPLEX HEALTH CHALLENGES. SHOULD YOUR BABY NEED ROUND THE CLOCK MONITORING AND CARE, YOU CAN BE CONFIDENT KNOWING YOUR BABY IS IN HIGHLY QUALIFIED HANDS. PHOENIX CHILDREN'S HAS AN EXPERT TEAM OF NEONATOLOGISTS, PEDIATRIC SPECIALISTS, SUB-SPECIALISTS, AND DEDICATED NICU NURSES ALL EXTENSIVELY EXPERIENCED IN MANAGING THE MOST CRITICAL NEWBORN CASES. PARENTS WANT TO BE WITH THEIR BABIES, AND BABIES THRIVE ON TIME WITH THEIR PARENTS. AT PHOENIX CHILDREN'S, WE DO WHATEVER WE CAN TO FACILITATE THESE EXPERIENCES AND ENCOURAGE YOU TO SPEND AS MUCH TIME AS YOU CAN WITH YOUR BABY. OUR NURSES ARE SPECIALLY TRAINED TO PROVIDE THE HIGH LEVEL OF CARE THAT BABIES IN OUR NICU REQUIRE. THEY ALSO HELP YOU UNDERSTAND DAY-TO-DAY CHANGES YOUR BABY MAY EXPERIENCE OR PROCEDURES THEY MAY NEED. WE OFFER WEEKLY MULTIDISCIPLINARY FAMILY-CENTERED ROUNDS SO YOU CAN MEET YOUR ENTIRE TEAM OF CAREGIVERS FOCUSED ON THE HEALTH OF YOUR BABY. THIS INCLUDES DOCTORS, NURSES, NUTRITIONISTS, THERAPISTS, PHARMACISTS AND SOCIAL WORKERS. PHOENIX CHILDREN'S OFFERS A LEVEL IV NICU, THE MOST ADVANCED CERTIFICATION DESIGNATION FROM THE ARIZONA PERINATAL TRUST. THE NICU EXPERTS AT PHOENIX CHILDREN'S ARE STATE AND NATIONAL LEADERS IN NEWBORN CARE: - ADVANCED NEUROLOGICAL CARE. WE OFFER THE STATE'S ONLY NEURO-NICU, WHICH PROVIDES SPECIALIZED CARE FOR BABIES WHO HAVE BRAIN OR NEUROLOGICAL CONDITIONS. - AIR TRANSPORT EXPERTISE. OUR NEONATOLOGIST SERVES AS THE MEDICAL DIRECTOR FOR ARIZONA'S LARGEST NEONATAL AIR TRANSPORT PROGRAM, WHERE WE OVERSEE THE TRANSPORT OF PREMATURE AND CRITICALLY ILL INFANTS ACROSS THE STATE. - LIFESAVING CRITICAL CARE: AT PHOENIX CHILDREN'S, WE PROVIDE THE HIGHEST LEVEL OF CRITICAL CARE, WHICH INCLUDES CARDIAC SURGERY, NEUROSURGERY, ECMO (EXTRACORPOREAL MEMBRANE OXYGENATION) AND DIALYSIS. THE PHOENIX CHILDREN'S HOSPITAL LEVEL I PEDIATRIC TRAUMA CENTER AT PHOENIX CHILDREN'S, WE OFFER THE BEST TRAUMA CARE FOR CHILDREN IN THE STATE. OUR CENTER FOR TRAUMA CARE AT PHOENIX CHILDREN'S HOSPITAL - THOMAS CAMPUS IS ARIZONA'S ONLY AMERICAN COLLEGE OF SURGEONS (ACS)-VERIFIED LEVEL I PEDIATRIC TRAUMA CENTER AND THE ONLY DESIGNATED BY THE ARIZONA DEPARTMENT OF HEALTH SERVICES SPECIFICALLY FOR PEDIATRIC TRAUMA CARE. THIS MEANS WE'RE EQUIPPED TO EVALUATE, STABILIZE, TREAT AND CARE FOR SOME OF THE MOST SEVERELY INJURED CHILDREN. WE MAKE SURE CHILDREN GET THE SPECIALIZED CARE THEY NEED - FROM EQUIPMENT THAT FITS THEIR SIZE, TO MEDICATIONS TAILORED TO GROWING BODIES. CARE IS WAITING FOR THE PATIENT, INSTEAD OF THE PATIENT WAITING FOR CARE. SHOULD THE UNTHINKABLE HAPPEN AND YOUR CHILD IS CRITICALLY INJURED, AT PHOENIX CHILDREN'S, YOU CAN BE ASSURED THAT YOU WILL GET THE BEST POSSIBLE TRAUMA CARE. THIS IS EXTREMELY IMPORTANT BECAUSE DATA SHOWS THAT PEOPLE WHO GET TREATED AT A LEVEL I PEDIATRIC TRAUMA CENTER LIKE AT PHOENIX CHILDREN'S HOSPITAL - THOMAS CAMPUS LOWER THEIR RISK OF DEATH BY 25% COMPARED TO NON-TRAUMA CENTERS. THEY ALSO HAVE BETTER OUTCOMES OVERALL. WHY? OUR CENTER FOR TRAUMA CARE HAS: - FULLY TRAINED, BOARD-CERTIFIED SURGEONS WITH EXTRA FELLOWSHIP TRAINING IN PEDIATRIC SURGERY - STAFF READY TO MEET THE NEEDS OF CHILDREN DEALING WITH TRAUMATIC INJURIES AND ILLNESSES - 24/7 ACCESS TO SPECIALISTS FOR IMMEDIATE NEEDS - AN ENVIRONMENT DESIGNED TO SERVE THE UNIQUE MEDICAL NEEDS OF CHILDREN AND THEIR FAMILIES, IN THE TOUGHEST OF TIMES PHOENIX CHILDREN'S HOSPITAL SURGICAL PROGRAM PEDIATRIC GENERAL SURGERY AT PHOENIX CHILDREN'S HAS THE LARGEST TEAM OF PEDIATRIC SURGEONS IN ARIZONA AND OFFERS SURGICAL TREATMENT FOR MORE THAN 50 CONDITIONS. EACH YEAR THE PEDIATRIC GENERAL SURGERY TEAM SEES AN AVERAGE OF 7,200 CLINIC VISITS AND PERFORMS MORE THAN 3,932 SURGERIES, MORE THAN ANYONE ELSE IN THE STATE. OUR SURGICAL EXPERTISE RANGES FROM THE TINIEST OF NEWBORNS TO CHILDREN, TEENS AND YOUNG ADULTS. WE SPECIALIZE IN ALL SURGERIES, INCLUDING THE MORE COMMONLY KNOWN CONDITIONS LIKE APPENDICITIS AND HERNIAS TO RARE CONDITIONS FOUND IN THE ABDOMEN, NECK OR CHEST. WE CONDUCT THESE SURGERIES USING MINIMALLY INVASIVE OR LAPAROSCOPIC TECHNIQUES OR OTHER PROCEDURES THAT MIGHT REQUIRE MORE SPECIALIZED AND COLLABORATIVE CARE. WITH 24 HIGHLY TRAINED PEDIATRIC GENERAL SURGEONS AND ADVANCED PRACTICE PROVIDERS, THE PEDIATRIC GENERAL SURGERY TEAM AT PHOENIX CHILDREN'S OFFERS COMPREHENSIVE SURGICAL SERVICES FOR A BROAD RANGE OF DISORDERS, INCLUDING: - ABDOMINAL DISORDERS - CENTRAL VENOUS LINES - CHEST DISORDERS - GASTROSTOMY TUBES - GENITOURINARY DISORDERS - HERNIAS - NECK DISORDERS - PRENATAL CONSULTATIONS - SKIN LESIONS - TRAUMA CHILDREN NEED SPECIALIZED EXPERTS WHO ARE TRAINED IN PEDIATRIC SURGERY AND UNDERSTAND THE INTRICACIES OF A GROWING BODY. OUR TEAM IS READY TO CARE SPECIFICALLY FOR THE UNIQUE NEEDS OF INFANTS TO YOUNG ADULTS. VERIFIED BY THE AMERICAN COLLEGE OF SURGEONS (ACS), OUR LEVEL 1 DISTINCTION AT PHOENIX CHILDREN'S HOSPITAL - THOMAS CAMPUS INDICATES WE MEET THE HIGHEST STANDARDS TO PROVIDE THE VERY BEST IN PEDIATRIC SURGERY SERVICES. THESE STANDARDS ENSURE EVERYONE IN OUR SURGERY DEPARTMENT, INCLUDING SURGEONS, ANESTHESIOLOGISTS AND NURSES, IS ENTIRELY PEDIATRIC-FOCUSED. PHOENIX CHILDREN'S IS DEDICATED TO TAKING CARE OF KIDS, AND WE WORK DILIGENTLY TO MAKE EACH ENCOUNTER A POSITIVE EXPERIENCE THROUGH OUR CHILD-FRIENDLY ATMOSPHERE AND THE DESIGN OF OUR SURGICAL SPACES, INCLUDING OUR PRE-OP AREA AND RECOVERY ROOMS. OUR CHILD LIFE SPECIALISTS ARE HERE TO SEE CHILDREN THROUGH THE CHALLENGES OF ILLNESS, HOSPITALIZATION AND MEDICAL TREATMENT. OUR GENERAL SURGEONS ARE ON THE CUTTING EDGE OF CLINICAL CARE AND SURGICAL TREATMENTS. WE HAVE CONDUCTED NUMEROUS CLINICAL TRIALS WITH PATIENT CENTERED OUTCOMES AND ARE PART OF SEVERAL NATIONAL COLLABORATIVES TO LEARN ABOUT THE LATEST TREATMENT AND SURGICAL APPROACHES. OUR TEAM ALSO FOCUSES ON A MULTIDISCIPLINARY APPROACH WHERE WE COLLABORATE ACROSS MULTIPLE TEAMS TO MAKE SURE WE DEVELOP A COMPREHENSIVE PLAN TO TREAT THE WHOLE CHILD. OUR TEAM IS FOCUSED ON QUALITY AND SAFETY, AND OUR DEPARTMENT HAS BEEN FOCUSED ON QUALITY IMPROVEMENT INITIATIVES SINCE OUR PROGRAM STARTED. AT PHOENIX CHILDREN'S, WE REGULARLY TRACK OUR OUTCOMES USING THE AMERICAN COLLEGE OF SURGEONS NATIONAL SURGICAL QUALITY IMPROVEMENT PROGRAM - PEDIATRIC. THROUGH THIS RIGOROUS TRACKING, WE HAVE BEEN SUCCESSFUL IN REDUCING SURGICAL SITE INFECTIONS, DECREASING ANTIBIOTIC USAGE FOR APPENDICITIS AND ADVOCATING TO LIMIT RADIATION EXPOSURE WITH COMPUTED TOMOGRAPHY (CT) SCANS. WE ARE CONSTANTLY LOOKING FOR ADDITIONAL WAYS TO IMPROVE OUR QUALITY MEASURES AND WILL CONTINUE MEASURING OUR SURGICAL OUTCOMES SO THAT WE CAN REMAIN A TOP SURGICAL PROGRAM IN ARIZONA AND ONE THAT IS ALWAYS STRIVING TO PROVIDE THE BEST CARE FOR CHILDREN. THE HOSPITAL IS NATIONALLY RECOGNIZED FOR THE HIGH QUALITY OF ITS MEDICAL SERVICES IN MANY OTHER SPECIALIZED PRACTICES AS WELL. FOR EXAMPLE, THE CYSTIC FIBROSIS CENTER AT THE HOSPITAL WAS THE FIRST PROGRAM IN THE STATE TO BE CERTIFIED BY THE NATIONAL CYSTIC FIBROSIS FOUNDATION. IN ADDITION TO THE TRANSPLANTATION PROGRAMS DESCRIBED ABOVE, THE HOSPITAL ALSO HAS HIGHLY RATED PROGRAMS IN LIVER AND KIDNEY TRANSPLANTATION. PCH'S PECTUS PROGRAM FOR CHEST WALL RECONSTRUCTION IS THE LARGEST IN THE NATION AND ONE OF THE LARGEST IN THE WORLD. DOCTORS AND NURSES ARE VITAL COMPONENTS OF THE PERSONALIZED CARE TEAM PHOENIX CHILDREN'S PROVIDES EACH OF ITS CHILDREN. EQUALLY IMPORTANT TO THE HOSPITAL'S PHILOSOPHY OF CARE IS THE FAMILY: MOTHERS, FATHERS, SIBLINGS, GRANDPARENTS AND OTHER MEMBERS OF A FAMILY'S SUPPORT SYSTEM. IT'S THOSE FAMILY MEMBERS WHO ARE THE PRIMARY CAREGIVERS AND PROVIDE THE STRENGTH AND SUPPORT REQUIRED TO HELP OUR YOUNG PATIENTS RECOVER FROM ILLNESS AND INJURY. THEY PARTNER WITH THE HOSPITAL'S TEAM TO HELP DEVELOP A PLAN OF TREATMENT THAT BEST FITS THEIR PERSONAL SITUATIONS. THE HOSPITAL ALSO UNDERSTANDS THOSE FAMILY MEMBERS HAVE NEEDS, TOO. AND FOR THAT REASON, PHOENIX CHILDREN'S - THROUGH ITS PATIENT AND FAMILY SERVICES DEPARTMENT - OFFERS A COMPREHENSIVE SUPPORT NETWORK FOR THE ENTIRE FAMILY THROUGH SOCIAL WORK, CHAPLAINCY AND CHILD LIFE, THE LATTER A PROGRAM DEVELOPED RIGHT HERE AT PHOENIX CHILDREN'S HOSPITAL THAT HELPS PATIENTS AND OFTEN THEIR SIBLINGS COPE EMOTIONALLY AND PHYSICALLY DURING THEIR HOSPITAL STAY BY PROVIDING AGE-APPROPRIATE EDUCATION. PATIENTS GAIN A MEASURE OF CONTROL OVER THEIR OWN CARE BY LEARNING ABOUT IT THROUGH PLAY.</ExplanationTxt>
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          <AddressLine1Txt>1919 E THOMAS ROAD</AddressLine1Txt>
          <CityNm>PHOENIX</CityNm>
          <StateAbbreviationCd>AZ</StateAbbreviationCd>
          <ZIPCd>85016</ZIPCd>
        </USAddress>
        <EIN>472408123</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>AZ</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>PCH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>Related</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>340687</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>0</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>true</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.9</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>CHARITABLE REMAINDER TRUSTS (2)</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <PrimaryActivitiesTxt>TRUST</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>AZ</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>true</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>PHOENIX CHILDREN'S HOSPITAL FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>14922372</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>BOOK VALUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>PHOENIX CHILDREN'S HOSPITAL FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>N</TransactionTypeTxt>
        <InvolvedAmt>13520636</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>BOOK VALUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ARIZONA CHILDREN'S RISK SOLUTIONS</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>7595025</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>BOOK VALUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>PHOENIX CHILDREN'S PROPERTY DEVELOPMENT</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>J</TransactionTypeTxt>
        <InvolvedAmt>169179</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>BOOK VALUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>PHOENIX CHILDREN'S PROPERTY DEVELOPMENT</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>K</TransactionTypeTxt>
        <InvolvedAmt>399840</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>BOOK VALUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule R, Part III COLUMN A</FormAndLineReferenceDesc>
        <ExplanationTxt>PHOENIX CHILDREN'S CARDIOLOGY DIAGNOSTICS, LLC EIN: 46-4850215 ADDRESS: 1919 E. THOMAS ROAD, PHOENIX, AZ 85016 PHOENIX CHILDREN'S PROPERTY DEVELOPMENT, LLC EIN: 47-2408123 ADDRESS: 1919 E. THOMAS ROAD, PHOENIX, AZ 85016</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>