2025-11-17T13:51:56+00:00 2024-12-31 346565596 ERNST & YOUNG US LLP 200 CLARENDON STREET BOSTON MA 021165072 990 2024-01-01 450233470 Banner Health BANN 6027474000 2901 N CENTRAL AVE SUITE 160 PHOENIX AZ 85012 Amy Perry President & CEO 6027474000 2025-11-17 true true Lindsey Pigg P01268923 6172662000 2025-11-14 2024 2025-03-06 01:10:19Z Amy Perry 2901 N CENTRAL AVE SUITE 160 PHOENIX AZ 85012 11094421751 false X WWW.BANNERHEALTH.COM X 1938 AZ BANNER HEALTH'S NONPROFIT MISSION IS "MAKING HEALTH CARE EASIER, SO LIFE CAN BE BETTER". 13 12 59708 4509 49645107 18864436 101040803 370304183 9131679003 9926323514 241076829 536159952 5777276 6902373 9479573911 10839690022 31275339 69511221 0 0 4282887033 4424760109 0 0 0 4358186247 4819056591 8672348619 9313327921 807225292 1526362101 15047925041 17653604464 7220377043 7712504965 7827547998 9941099499 BANNER HEALTH'S NONPROFIT MISSION IS "MAKING HEALTH CARE EASIER, SO LIFE CAN BE BETTER". false false 8468064528 69506221 9934273457 SEE SCHEDULE O 8468064528 true true false true false false false false false false true false false true true true false true false false true false false false false false true true true true true true false false false false false false false false true false false false false false true true true true false false true X 2414 0 true 59708 true true true true CJ false false false false false false false false true false X 13 12 false false false false false false false true true false false false true true true true true true true true true true CA X PAUL NOLDE-MORRISSEY 6027474000 2901 N CENTRAL AVE SUITE 160 PHOENIX AZ 85012 ANNE MARIUCCI DIRECTOR/VICE-CHAIR 6.0 0 X X 161000 0 0 PETER S FINE CHIEF EXECUTIVE OFFICER 40.0 10.0 X X 8571171 0 4964141 QUENTIN P SMITH JR DIRECTOR/CHAIRMAN 6.0 0 X X 106500 0 0 CHRISTOPHER VOLK DIRECTOR 4.0 0 X 102500 0 0 DAVID KIKUMOTO DIRECTOR (THRU 08/24) 4.0 0 X 43500 0 0 DEAN HARRISON DIRECTOR 4.0 0 X 90500 0 0 GILBERT DAVILA DIRECTOR 4.0 0 X 102500 0 0 JOHN KOSTER MD DIRECTOR 4.0 0 X 98500 0 0 MARK WALLACE DIRECTOR 4.0 0 X 98500 0 0 MICHAEL GARNREITER DIRECTOR 4.0 0 X 90500 0 0 RICK MYERS DIRECTOR 4.0 0 X 90500 0 0 SARA WARD DIRECTOR 4.0 0 X 90500 0 0 SUJATA GOSALIA DIRECTOR 4.0 0 X 98500 0 0 VICKI KEISER DIRECTOR 4.0 0 X 108000 0 0 AMY PERRY PRESIDENT 40.0 2.0 X 4580826 0 4471822 BRENDA SCHAEFER VP, CHIEF INVESTMENT OFFICER 40.0 2.0 X 773577 0 135709 DONALD NORDLUND EVP, CHIEF STRATEGY & GROWTH OFFICER 40.0 4.0 X 2065892 0 1107767 JEAN FITTERER LANCE EVP, CHIEF LEGAL OFFICER & GENERAL COUNSEL 40.0 4.0 X 1956173 0 969950 JOSH GROESBECK SENIOR VP - ACUTE CARE COMM. DELIVERY 40.0 0 X 853804 0 325373 JULIE A ALVARADO-DUBEK EVP, CHIEF HUMAN RESOURCES OFFICER 40.0 0 X 1510216 0 893630 MARJORIE BESSEL MD EVP, CHIEF CLINICAL OFFICER 40.0 8.0 X 1898398 0 1022997 MARY SCHUBERT Executive Director, Legal Services & Assistant Secretary 40.0 0 X 391753 0 23831 STACI DICKERSON EVP, CHIEF FINANCIAL OFFICER 40.0 0 X 1710569 0 926669 DANIEL POST Chief Executive Officer - Large Facility 40.0 0 X 1208515 0 214480 DEBRA FLORES Chief Executive Officer - Large Facility 40.0 0 X 1029410 0 154128 LAMONT YODER DIVISION PRESIDENT 40.0 0 X 771274 0 15750 LAURA ROBERTSON Chief Executive Officer - Large Facility 40.0 0 X 1068224 0 211499 MARGO KARSTEN Division President 40.0 8.0 X 1138266 0 386975 SARAH FROST Chief Executive Officer - Large Facility (THRU 04/24) 40.0 0 X 618872 0 7423 TODD S WERNER SVP, ACUTE CARE DELIVERY 40.0 0 X 2117412 0 889327 CHARLES BOWEN SVP, Chief Supply Chain Officer (THRU 01/24) 40.0 0 X 1011735 0 75031 DEANNA WISE SVP, CHIEF INFORMATION OFFICER (THRU 03/24) 40.0 0 X 1441197 0 9853 MATTHEW CALLISTER Senior Physician Executive Oncology & BMDACC 40.0 0 X 1045662 0 99223 MICHAEL REAGIN Executive VP, Chief Technology Officer 40.0 0 X 1199818 0 417981 RAMANJIT DHALIWAL VP, CMO Delivery 40.0 0 X 957865 0 174834 DAVID BIXBY FORMER OFFICER 0.0 0.0 X 258418 0 76239 REBECCA KUHN FORMER OFFICER 0.0 0.0 X 280640 0 0 39741187 0 17574632 8617 true true false MCKESSON CORPORATION 1 Post Street San Francisco CA 94101 Pharmaceutical 1005441062 American Express 1801 NW 66th Ave Plantation FL 33313 Financial Services 222043796 BANK OF AMERICA 100 North Tyron St ste 170 Charlotte NC 28202 Financial Services 137681811 Boston Scientific Corporation PO Box 75395 Dallas TX 75395 Medical Devices 85599565 Johnson and Johnson Health Care Systems 5972 Collections Center Dr Chicago IL 60693 Pharmaceutical and Medical Devices 71949284 1823 23865978 337455777 8982428 370304183 HEALTHCARE SERVICES 622110 9876202267 9876202267 PHARMACY 446110 19935964 19935964 LABORATORY 621500 21907278 21907278 MANAGEMENT SERVICES 561000 8278005 8278005 0 0 0 0 9926323514 200066726 -476140 200542866 23007912 16105539 6902373 0 6902373 6902373 574696492 22924 238616672 9518 336079820 13406 336093226 336093226 0 0 0 0 0 10839690022 9876202267 49645107 543538465 69506221 69506221 5000 5000 0 0 50267323 44049255 6218068 0 615297 539185 76112 3645490891 3194543668 450947223 92086009 80694970 11391039 385960692 338217354 47743338 250339897 219372852 30967045 2751049 2410744 340305 7975850 6989237 986613 2860879 2506988 353891 894180 783570 110610 50617682 50617682 800469705 701451602 99018103 0 13351028 11699506 1651522 297600430 260787257 36813173 185825187 162838611 22986576 123133160 107901588 15231572 3523350 3087512 435838 370778 324913 45865 168882295 147991555 20890740 401630890 351949149 49681741 96335667 84418945 11916722 Medical Supplies 2177108347 2177108347 State Hospital Assessment 233536218 233536218 Provider and Other Taxes 65535118 57428424 8106694 Dues and Subscriptions 52944707 46395447 6549260 133710071 117170135 16539936 0 9313327921 8423708253 889619668 0 279437765 367270963 267399947 176678256 0 0 1792872088 2415484311 0 0 0 0 75061821 72562071 356430779 370319929 107674070 132092771 9839770873 5501261748 4168607743 4338509125 6863095647 7651165584 -299243857 755963714 0 298114699 298178339 1138474339 1075379401 15047925041 17653604464 1094269924 1383712891 0 0 30386168 222795541 3959119213 3769687701 0 0 0 0 994753292 1144581903 0 0 1141848446 1191726929 7220377043 7712504965 X 7634151653 9747988291 193396345 193111208 0 0 0 0 0 0 7827547998 9941099499 15047925041 17653604464 X 1526362101 165011677 422177723 X false true true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 499937 false true 394244 894181 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY Banner Health engaged independent contractors to provide government relations and related consulting services for Banner Health. These contractors worked both with federal and state governments on issues important to Banner Health's charitable mission. In 2024, Banner Health paid $499,937 for these services and these amounts are reported on Line 1g. Banner Health maintains a Government Relations Department. $221,459 of the amount reported on this line is related to the services provided by the Government Relations Department in connection with state and local legislative activities including general lobbying at the state legislative level. $172,785 of the amount reported on this line is related to dues paid to various professional medical associations in which Banner Health holds membership. These associations have made a determination that a certain amount of the dues paid were used for lobbying activities. 349470028 349470028 1933683585 923847794 1009835791 205657600 191497673 14159927 7198560033 4378728265 2819831768 152399627 7188016 145211611 4338509125 Due From Affiliates 548654897 Right of Use Asset 376560518 Bond Fund 110003306 Restricted Assets 32449754 Ceded Reserves 5984181 Other Assets 1726745 1075379401 Federal Income Taxes LONG-TERM SWAPS 70698950 FINANCE LEASE OBLIGATION 110116939 457(B) LIABILITY 167561790 SELF-INSURANCE LIABILITIES 95429440 SERP LIABILITY 81424013 CP FINANCE LEASE OBLIGATION 44773236 THIRD PARTY SETTLEMENTS 36760736 MISCELLANEOUS LIABILITIES 584961825 1191726929 X 0 0 0 0 0 0 0 0 0 0 0 0 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote Banner Health IS A NONPROFIT CORPORATION EXEMPT FROM INCOME TAXES UNDER INTERNAL REVENUE SERVICE CODE SECTION 501(c)(3). Banner Health HAS NOT RECORDED ANY EXPENSE OR ACCRUED FOR ANY RELATED EXPENSE FOR ANY UNCERTAIN TAX POSITIONS. 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UNION HILLS AMBULATORY SURGERY CENTER 0.3825 0.0 0.49 BANNER SURGERY CENTER - PEORIA AMBULATORY SURGERY CENTER 0.43 0.0 0.42 SURGERY CENTER OF MESA LLC AMBULATORY SURGERY CENTER 0.41 0.0 0.45 BANNER ENTICARE TEMPE SURGERY CENTER AMBULATORY SURGERY CENTER 0.195 0.0 0.74 BANNER SURGERY CENTER - ALVERNON LLC AMBULATORY SURGERY CENTER 0.39 0.0 0.48 Queen Creek Surgical Center LLC AMBULATORY SURGERY CENTER 0.3825 0.0 0.49 BANNER SURGERY CENTER - THUNDERBIRD AMBULATORY SURGERY CENTER 0.39 0.0 0.47 Banner Mesa Surgery Center LLC AMBULATORY SURGERY CENTER 0.3825 0.0 0.49 Phoenix Orthopaedic Ambulatory Center LLC AMBULATORY SURGERY CENTER 0.2295 0.0 0.69 BSC Gateway Holding Company LLC AMBULATORY SURGERY CENTER 0.4 0.0 0.49 BSC 1 LLC (Banner Surgery Center - Ironwood) AMBULATORY SURGERY CENTER 0.48 0.0 0.35 Surgery Center At River Road LLC AMBULATORY SURGERY CENTER 0.47 0.0 0.37 BSC Biltmore LLC AMBULATORY SURGERY CENTER 0.38 0.0 0.49 BCC West Valley AMBULATORY SURGERY CENTER 0.3825 0.0 0.49 Banner West Valley Cardio Management CARDIOLOGY MEDICAL SERVICES 0.51 0.0 0.49 Surgery Center of Loveland LLC AMBULATORY SURGERY CENTER 0.3825 0.0 0.49 BSC 3 AMBULATORY SURGERY CENTER 0.42 0.0 0.44 Advanced Spine and Pain Surger Center LLC AMBULATORY SURGERY CENTER 0.4 0.0 0.46 North Scottsdale Ambulatory Surgery Center AMBULATORY SURGERY CENTER 0.3825 0.0 0.49 Optimum Surgical Center LLC (Deer Valley) AMBULATORY SURGERY CENTER 0.3825 0.0 0.49 Banner Sun City West Surgery Center LLC Ambulatory Surgery Center 0.51 0.0 0.49 Desert Vista Surgical Center LLC Ambulatory Surgery Center 0.38 0.0 0.49 Banner Phoenix Surgery Center LLC AMBULATORY SURGERY CENTER 0.45 0.0 0.4 BCC Chandler LLC AMBULATORY SURGERY CENTER 0.75 0.0 0.0 PISA ASC HoldCo AMBULATORY SURGERY CENTER 0.38 0.0 0.49 Banner Surgery Center - Arcadia AMBULATORY SURGERY CENTER 0.75 0.0 0.0 BSC Shea Park LLC AMBULATORY SURGERY CENTER 0.5 0.0 0.34 AZENDO LLC AMBULATORY SURGERY CENTER 0.38 0.0 0.49 BEC Oracle LLC AMBULATORY SURGERY CENTER 0.38 0.0 0.49 Cardiovascular Assoc Surgery & Electrophysiology AMBULATORY SURGERY CENTER 0.38 0.0 0.49 32 1 BANNER - UNIV MEDICAL CENTER PHOENIX 1111 E MCDOWELL ROAD PHOENIX AZ 85006 WWW.BANNERHEALTH.COM H0016 X X X X A 2 BANNER - UNIV MEDICAL CENTER TUCSON 1501 N CAMPBELL AVENUE TUCSON AZ 85724 WWW.BANNERHEALTH.COM H7035 X X X X X X B 3 BANNER DESERT MEDICAL CENTER 1400 S DOBSON ROAD MESA AZ 85202 WWW.BANNERHEALTH.COM H0137 X X X X A 4 BANNER THUNDERBIRD MEDICAL CENTER 5555 W THUNDERBIRD STREET GLENDALE AZ 85304 WWW.BANNERHEALTH.COM H0092 X X X A 5 BANNER GATEWAY MEDICAL CENTER 1900 S RIGLEY ROAD GILBERT AZ 85234 WWW.BANNERHEALTH.COM H4237 X X X A 6 BANNER ESTRELLA MEDICAL CENTER 9201 W THOMAS ROAD PHOENIX AZ 85037 WWW.BANNERHEALTH.COM H3690 X X X A 8 BANNER BOSWELL MEDICAL CENTER 10401 W THUNDERBIRD ROAD SUN CITY AZ 85351 WWW.BANNERHEALTH.COM H4436 X X X A 7 BANNER DEL E WEBB MEDICAL CENTER 14502 W MEEKER BOULEVARD SUN CITY WEST AZ 85375 WWW.BANNERHEALTH.COM H4434 X X X A 9 NORTH COLORADO MEDICAL CENTER 1801 16TH STREET GREELEY CO 80631 WWW.BANNERHEALTH.COM 10386 X X X X A 10 BANNER BAYWOOD MEDICAL CENTER 6644 E BAYWOOD AVENUE MESA AZ 85206 WWW.BANNERHEALTH.COM H0155 X X X A 11 BANNER - UNIV MEDICAL CENTER SOUTH 2800 E AJO WAY TUCSON AZ 85713 WWW.BANNERHEALTH.COM H7034 X X X X X B 12 BANNER HEART HOSPITAL 6750 E BAYWOOD AVENUE MESA AZ 85206 WWW.BANNERHEALTH.COM SH3034 X X A 13 BANNER CASA GRANDE MEDICAL CENTER 1800 E FLORENCE BOULEVARD CASA GRANDE AZ 85122 WWW.BANNERHEALTH.COM H6592 X X X C 15 BANNER IRONWOOD MEDICAL CENTER 37000 N GANTZEL ROAD SAN TAN VALLEY AZ 85142 WWW.BANNERHEALTH.COM H4946 X X X C 16 BANNER OCOTILLO MEDICAL CENTER 1405 S ALMA SCHOOL ROAD CHANDLER AZ 85286 WWW.BANNERHEALTH.COM H10461 X X X A 14 MCKEE MEDICAL CENTER 2000 BOISE AVENUE LOVELAND CO 80538 WWW.BANNERHEALTH.COM 10340 X X X A 20 BANNER CHURCHILL COMMUNITY HOSPITAL 801 E WILLIAMS AVENUE FALLON NV 89406 WWW.BANNERHEALTH.COM 638RUH-29 X X X A 18 BANNER PAYSON MEDICAL CENTER 807 S PONDEROSA STREET PAYSON AZ 85072 WWW.BANNERHEALTH.COM H7250 X X X A 21 BANNER FORT COLLINS MEDICAL CENTER 4700 LADY MOON DRIVE FORT COLLINS CO 80528 WWW.BANNERHEALTH.COM O1K608 X X X A 17 STERLING REGIONAL MEDICAL CENTER 615 FAIRHURST STREET STERLING CO 80751 WWW.BANNERHEALTH.COM 10140 X X X A 19 BANNER BEHAVIORAL HEALTH HOSPITAL 7575 E EARLL DRIVE SCOTTSDALE AZ 85251 WWW.BANNERHEALTH.COM SH0147 X BEHAVIORAL HEALTH HOSPITAL A 22 BANNER LASSEN MEDICAL CENTER - CRITICAL ACCESS 1800 SPRING RIDGE DRIVE SUSANVILLE CA 96130 WWW.BANNERHEALTH.COM 230000020 X X X X A 32 BANNER REHAB HOSPITAL-EAST 1702 South Pierpont Drive Mesa AZ 85206 WWW.BANNERHEALTH.COM H11616 X REHABILITATION CENTER 31 BANNER REHAB HOSPITAL - WEST 12740 NORTH PLAZA DEL RIO BOULEVARD PEORIA AZ 85381 WWW.BANNERHEALTH.COM SH10354 X REHABILITATION CENTER A 24 COMMUNITY HOSPITAL - TORRINGTON - CRITICAL ACCESS 2000 CAMPBELL DRIVE TORRINGTON WY 82240 WWW.BANNERHEALTH.COM 0713060 X X X X A 23 EAST MORGAN COUNTY HOSPITAL - CRITICAL ACCESS 2400 EDISON STREET BRUSH CO 80723 WWW.BANNERHEALTH.COM 25017J X X X X A 25 WASHAKIE MEDICAL CENTER - CRITICAL ACCESS 400 S 15TH STREET WORLAND WY 82401 WWW.BANNERHEALTH.COM 10250 X X X X A 30 BANNER REHAB HOSPITAL - PHOENIX 775 E WILLETTA STREET PHOENIX AZ 85006 WWW.BANNERHEALTH.COM SH10446 X REHABILITATION CENTER A 27 BANNER GOLDFIELD MEDICAL CENTER 2050 W SOUTHERN AVENUE APACHE JUNCTION AZ 85120 WWW.BANNERHEALTH.COM H5738 X X X C 26 PAGE HOSPITAL - CRITICAL ACCESS 501 N NAVAJO DRIVE PAGE AZ 86406 WWW.BANNERHEALTH.COM H0086 X X X X A 28 PLATTE COUNTY MEMORIAL HOSPITAL 201 14TH STREET WHEATLAND WY 82201 WWW.BANNERHEALTH.COM 0713060 X X X X A 29 OGALLALA COMMUNITY HOSPITAL 2601 N SPRUCE STREET OGALLALA NE 69153 WWW.BANNERHEALTH.COM 470001 X X X X A A 26 false false true X X X X X X X X X X 22 true false false true X HTTPS://WWW.BANNERHEALTH.COM/STAYING-WELL/COMMUNITY/HEALTH-NEEDS-ASSESSMENTS-REPORT X true 22 true HTTPS://WWW.BANNERHEALTH.COM false true X 200.0 200.0 X X true true X X X true X HTTPS://WWW.BANNERHEALTH.COM/PATIENTS/BILLING/FINANCIAL-ASSISTANCE X HTTPS://WWW.BANNERHEALTH.COM/PATIENTS/BILLING/FINANCIAL-ASSISTANCE X HTTPS://WWW.BANNERHEALTH.COM/PATIENTS/BILLING/FINANCIAL-ASSISTANCE X X X X X X X true X false X X X X true X false false B 2 false false true X X X X X X X X X X 22 true true true true X HTTPS://WWW.BANNERHEALTH.COM/STAYING-WELL/COMMUNITY/HEALTH-NEEDS-ASSESSMENTS-REPORT X true 22 true HTTPS://WWW.BANNERHEALTH.COM/STAYING-WELL/COMMUNITY/HEALTH-NEEDS-ASSESSMENTS-REPORT false true X 200.0 200.0 X X true true X X X true X HTTPS://WWW.BANNERHEALTH.COM/PATIENTS/BILLING/FINANCIAL-ASSISTANCE X HTTPS://WWW.BANNERHEALTH.COM/PATIENTS/BILLING/FINANCIAL-ASSISTANCE X HTTPS://WWW.BANNERHEALTH.COM/PATIENTS/BILLING/FINANCIAL-ASSISTANCE X X X X X X X true X false X X X X true X false false C 3 false false true X X X X X X X X X X 23 true false false true X HTTPS://WWW.BANNERHEALTH.COM/STAYING-WELL/COMMUNITY/HEALTH-NEEDS-ASSESSMENTS-REPORT X true 23 true HTTPS://WWW.BANNERHEALTH.COM/STAYING-WELL/COMMUNITY/HEALTH-NEEDS-ASSESSMENTS-REPORT false true X 200.0 200.0 X X true true X X X true X HTTPS://WWW.BANNERHEALTH.COM/PATIENTS/BILLING/FINANCIAL-ASSISTANCE X HTTPS://WWW.BANNERHEALTH.COM/PATIENTS/BILLING/FINANCIAL-ASSISTANCE X HTTPS://WWW.BANNERHEALTH.COM/PATIENTS/BILLING/FINANCIAL-ASSISTANCE X X X X X X X true X false X X X X true X false false BANNER REHAB HOSPITAL-EAST 1 true true true X X X X X X X X X X 23 true false false true X HTTPS://WWW.BANNERHEALTH.COM/STAYING-WELL/COMMUNITY/HEALTH-NEEDS-ASSESSMENTS-REPORT X true 23 true HTTPS://WWW.BANNERHEALTH.COM/STAYING-WELL/COMMUNITY/HEALTH-NEEDS-ASSESSMENTS-REPORT false true X 200.0 200.0 X X true true X X X true X HTTPS://WWW.BANNERHEALTH.COM/PATIENTS/BILLING/FINANCIAL-ASSISTANCE/BANNER-REHABILITATIONHOSPITAL X HTTPS://WWW.BANNERHEALTH.COM/PATIENTS/BILLING/FINANCIAL-ASSISTANCE/BANNER-REHABILITATIONHOSPITAL X HTTPS://WWW.BANNERHEALTH.COM/PATIENTS/BILLING/FINANCIAL-ASSISTANCE/BANNER-REHABILITATIONHOSPITAL X X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3E Based on data and information gathered through the CHNA process, the following represent the three 2024 prioritize health needs and their priorities: 1. Improving the health of the communities we serve * Access to and navigating healthcare services * Access to supportive care after hospital discharge * Access to care post-COVID * Employee wellness * Integrating social determinants of health with Banner 2. Chronic Disease Management * Health literacy * Health management * Diabetes and heart disease management * Diagnosing and managing dementia * Ongoing care for those with long-COVID * Preventative cancer education * Cancer screenings 3. Behavioral Health * Access to mental health resources * Mental health care for those affected by COVID related experiences (including PTSD and other behavioral health problems) * Substance and alcohol abuse and misuse prevention Schedule H, Part V, Section B, Line 3 Facility A, 1 Facility A, 1 - APPLIES TO ALL HOSPITAL FACILITIES IN FACILITY REPORTING GROUP A:. The CHNA for each facility in Facility Group A includes: - Executive Summary - Introduction and Purpose of CHNA - Banner Health Overview - Banner Health Covid Impact Statement - Service Area Description - Local, County, Etc. - Available Resources - Facility Inpatient Origin by Zip Code - Community Demographics - Process and Methods for Conducting CHNA - Banner Health CHNA Organizational Structure - Data Sources - Data Limitations and Information Gaps - Prioritization of Community Health Needs - Descriptions of Prioritized Health Needs - Unprioritized Needs - 2019 CHNA Follow-Up and Review - List of Data Sources - Focus Group Discussion Schedules and Questions - List of Steering Committee and Additional Stakeholders - List of external Stakeholders - List of Community Engagement Partners 1) BANNER UNIVERSITY MEDICAL CENTER - PHOENIX Banner - University Medical Center Phoenix - (B-UMCP), a Level 1 trauma and accredited teaching hospital is in the heart of downtown Phoenix. The hospital, recognized by U.S. News and World Report as one of the nation's best hospitals, specializes in heart care, cancer care, high-risk obstetrics, orthopedics, neurosciences and stroke care, organ transplants and Emergency care. The demographic area for this Community Health Needs Assessment (CHNA) is Maricopa County, the common community for all partners participating in the SYNAPSE coalition collaborative. Maricopa County is the fourth most populous county in the United States. With an estimated population of four million and growing, Maricopa County is home to well over half of Arizona's residents and encompasses 9,224 square miles, includes twenty-seven cities and towns, as well as the whole or part of five sovereign American Indian reservations. The primary service area (PSA) information for B-UMCP includes the zip codes making up the top 75% of the total inpatient cases. The PSA includes all residents in a defined geographic area surrounding the hospital and does not exclude low-income, uninsured, or underserved populations. 3) BANNER DESERT MEDICAL CENTER Banner Desert Medical Center (Banner Desert) is considered a flagship of Banner Health and one of the largest and most comprehensive facilities in Arizona. U.S. News & World Report ranks Banner Desert one of the leading hospitals in the East Valley and Phoenix. As one of the largest acute care facilities in the East Valley, Banner Desert offers state-of-the-art technology in all departments, from four da Vinci Surgical robots to 3D cancer technology. The demographic area for this CHNA is Maricopa County, the common community for all partners participating in the SYNAPSE coalition collaborative. Maricopa County is the fourth most populous county in the United States. With an estimated population of four million and growing, Maricopa County is home to well over half of Arizona's residents and encompasses 9,224 square miles, includes twenty-seven cities and towns, as well as the whole or part of five sovereign American Indian reservations. Banner Desert's PSA includes the zip codes making up the top 75% of the total inpatient cases. The PSA includes all residents in a defined geographic area surrounding the hospital and does not exclude low-income, uninsured, or underserved populations. 4) BANNER THUNDERBIRD MEDICAL CENTER Banner Thunderbird Medical Center (Banner Thunderbird) serves the northwestern part of metropolitan Phoenix, including west Phoenix, Glendale, Peoria and unincorporated areas of Maricopa County, a market area with more than 966,000 residents. Banner Thunderbird is consistently ranked as one of the top hospitals in the Phoenix areafor quality by both U.S. News & World Report and Ranking Arizonamagazine.In addition, Banner Thunderbird is Joint Commission accredited and has been designated as a Primary Stroke Center by the Joint Commission. The demographic area for this CHNA is Maricopa County, the common community for all partners participating in the SYNAPSE coalition collaborative. Maricopa County is the fourth most populous county in the United States. With an estimated population of four million and growing, Maricopa County is home to well over half of Arizona's residents. Maricopa County encompasses 9,224 square miles, includes twenty-seven cities and towns, as well as the whole or part of five sovereign American Indian reservations. Banner Thunderbird's immediate service area includes a diverse population, with greater than 25 percent of the population being pediatric (0-17) and approximately 12 percent of the population age 65 or older. The primary service area (PSA) information for Banner Thunderbird includes the zip codes making up the top 75% of the total inpatient cases. The PSA includes all residents in a defined geographic area surrounding the hospital and does not exclude low-income, uninsured, or underserved populations. 5) BANNER GATEWAY MEDICAL CENTER Banner Gateway Medical Center (Banner Gateway) is a comprehensive acute care hospital serving patients in the East Valley of metropolitan Phoenix, including the communities of Gilbert, Queen Creek, Chandler, Mesa, and from across the Southwest for cancer care. The demographic area for this CHNA is Maricopa County, the common community for all partners participating in the SYNAPSE coalition collaborative. Maricopa County is the fourth most populous county in the United States. With an estimated population of four million and growing, Maricopa County is home to well over half of Arizona's residents. Maricopa County encompasses 9,224 square miles and includes twenty-seven cities and towns, as well as the whole or part of five sovereign American Indian reservations. Although the population served by Banner Gateway in Arizona extends beyond the county line and the borders of the state, most patients are located within Maricopa County. The remaining percentage of Banner Gateway patients are from the remaining zip codes in Arizona, the surrounding states of the Southwest and a smaller, yet significant number of international patients. The primary service area (PSA) information for Banner Gateway includes the zip codes making up the top 75% of the total inpatient cases. The PSA includes all residents in a defined geographic area surrounding the hospital and does not exclude low-income, uninsured, or underserved populations. 6) BANNER ESTRELLA MEDICAL CENTER Banner Estrella Medical Center (Banner Estrella) is a state-of-the-art comprehensive acute care hospital serving patients in the rapidly growing West Valley communities of Avondale, Buckeye, Glendale, Goodyear, Litchfield Park, Peoria, Surprise, Tolleson, and west Phoenix. The demographic area for this CHNA is Maricopa County, the common community for all partners participating in the SYNAPSE coalition collaborative. Maricopa County is the fourth most populous county in the United States. With an estimated population of four million and growing, Maricopa County is home to well over half of Arizona's residents. Maricopa County encompasses 9,224 square miles, includes twenty-seven cities and towns, as well as the whole or part of five sovereign American Indian reservations. The primary service area (PSA) information for Banner Estrella includes the zip codes making up the top 75% of the total inpatient cases. The PSA includes all residents in a defined geographic area surrounding the hospital and does not exclude low-income, uninsured, or underserved populations. Schedule H, Part V, Section B, Line 3 Facility A, 2 Facility A, 2 - APPLIES TO ALL HOSPITAL FACILITIES IN FACILITY REPORTING GROUP A. 7) BANNER BOSWELL MEDICAL CENTER BANNER BOSWELL MEDICAL CENTER (BANNER BOSWELL) PRIMARILY SERVES THE COMPLEX NEEDS OF PATIENTS IN THE WEST VALLEY OF METROPOLITAN PHOENIX AND BEYOND NORTHWESTERN PART OF METROPOLITAN PHOENIX. BANNER BOSWELL WAS THE FIRST JOINT COMMISSION CERTIFIED PRIMARY STROKE CENTER IN THE WEST VALLEY AND CONTINUES TO SERVE THE COMMUNITY'S EUROSCIENCES NEEDS AND GIVEN THE SENIOR POPULATION COMPRISES SO MUCH OF BANNER BOSWELL'S INPATIENT AND EMERGENCY DEPARTMENT VISITS, THE MEDICAL CENTER IS A DESIGNATED N.I.C.H.E. (NURSES IMPROVING CARE FOR HEALTH SYSTEM ELDERS) FACILITY, INDICATING THE COMMITMENT TO EXCELLENCE IN MEETING THE UNIQUE NEEDS OF SENIORS. THE DEMOGRAPHIC AREA FOR THIS CHNA IS MARICOPA COUNTY, THE COMMON COMMUNITY FOR ALL PARTNERS PARTICIPATING IN THE SYNAPSE COALITION COLLABORATIVE. MARICOPA COUNTY IS THE FOURTH MOST POPULOUS COUNTY IN THE UNITED STATES. WITH AN ESTIMATED POPULATION OF FOUR MILLION AND GROWING, MARICOPA COUNTY IS HOME TO WELL OVER HALF OF ARIZONA'S RESIDENTS. MARICOPA COUNTY ENCOMPASSES 9,224 SQUARE MILES, INCLUDES TWENTY-SEVEN CITIES AND TOWNS, AS WELL AS THE WHOLE OR PART OF FIVE SOVEREIGN AMERICAN INDIAN RESERVATIONS. THE PRIMARY SERVICE AREA (PSA) INFORMATION FOR BANNER BOSWELL INCLUDES THE ZIP CODES MAKING UP THE TOP 75% OF THE TOTAL INPATIENT CASES. THE PSA INCLUDES ALL RESIDENTS IN A DEFINED GEOGRAPHIC AREA SURROUNDING THE HOSPITAL. 8) BANNER DEL WEBB MEDICAL CENTER Banner Del Webb Medical Center (Banner Del Webb) primarily serves the northwestern part of metropolitan Phoenix, including the Sun Cities, Surprise, northern Peoria, and unincorporated areas of Maricopa County. The demographic area for this CHNA is Maricopa County, the common community for all partners participating in the SYNAPSE coalition collaborative. Maricopa County is the fourth most populous county in the United States. With an estimated population of four million and growing, Maricopa County is home to well over half of Arizona's residents and encompasses 9,224 square miles, includes twenty-seven cities and towns, as well as the whole or part of five sovereign American Indian reservations. Banner Del Webb's primary service area (PSA) includes the zip codes making up the top 75% of the total inpatient cases. The population within the primary service area has grown increasingly diverse, with approximately 23 percent of the population being pediatric (0-17) and greater than 28 percent of the population age 65 or older and does not exclude low-income, uninsured, or underserved populations. The PSA includes all residents in a defined geographic area surrounding the hospital and does not exclude low-income, uninsured, or underserved populations. 9) NORTH COLORADO MEDICAL CENTER NORTH COLORADO MEDICAL CENTER (NCMC) IS LOCATED FIFTY MILES NORTH OF DENVER, WITHIN NORTH CENTRAL COLORADO, IN GREELEY, THE COUNTY SEAT OF WELD COUNTY. NCMC SERVES WELD COUNTY, NORTHERN COLORADO, AND THE SURROUNDING MULTISTATE REGION. GREELEY IS A HOME RULE MUNICIPALITY, THE COUNTY SEAT, AND THE MOST POPULOUS MUNICIPALITY OF WELD COUNTY. NCMC IS RECOGNIZED AS A CERTIFIED ADVANCED PRIMARY STROKE CENTER BY THE JOINT COMMISSION. THE HOSPITAL HAS RECEIVED MANY RECOGNITIONS FOR ITS STROKE PROGRAM INCLUDING THE AMERICAN HEART ASSOCIATION'S GOLD PLUS GET WITH THE GUIDELINES STROKE QUALITY ACHIEVEMENT AWARD FOR COMMITMENT TO ENSURING STROKE PATIENTS RECEIVE THE MOST APPROPRIATE TREATMENT ACCORDING TO NATIONALLY RECOGNIZED, RESEARCH-BASED GUIDELINES. THE PRIMARY SERVICE AREA (PSA) INFORMATION FOR NCMC INCLUDES THE ZIP CODES MAKING UP THE TOP 75% OF THE TOTAL INPATIENT CASES. THE PSA INCLUDES ALL RESIDENTS IN A DEFINED GEOGRAPHIC AREA SURROUNDING THE HOSPITAL AND DOES NOT EXCLUDE LOW-INCOME, UNINSURED, OR UNDERSERVED POPULATIONS. 10) BANNER BAYWOOD MEDICAL CENTER BANNER BAYWOOD MEDICAL CENTER (BANNER BAYWOOD) PRIMARILY SERVES THE VARIED HEALTH CARE NEEDS OF THE GROWING FAR EAST VALLEY OF METROPOLITAN PHOENIX, INCLUDING THE COMMUNITIES OF MESA, GILBERT, APACHE JUNCTION, QUEEN CREEK AND FOUNTAIN HILLS AS WELL AS THE NORTHEASTERN PORTION OF PINAL COUNTY. DUE TO BANNER BAYWOOD'S PROXIMITY TO SENIOR LIVING COMMUNITIES THROUGHOUT THE EAST VALLEY, MORE THAN HALF OF ALL THEIR PATIENTS ARE AGE 65 AND OLDER. THE DEMOGRAPHIC AREA FOR THIS CHNA IS MARICOPA COUNTY, THE COMMON COMMUNITY FOR ALL PARTNERS PARTICIPATING IN THE SYNAPSE COALITION COLLABORATIVE. MARICOPA COUNTY IS THE FOURTH MOST POPULOUS COUNTY IN THE UNITED STATES. WITH AN ESTIMATED POPULATION OF FOUR MILLION AND GROWING, MARICOPA COUNTY IS HOME TO WELL OVER HALF OF ARIZONA'S RESIDENTS AND ENCOMPASSES 9,224 SQUARE MILES, INCLUDES TWENTY-SEVEN CITIES AND TOWNS, AS WELL AS THE WHOLE OR PART OF FIVE SOVEREIGN AMERICAN INDIAN RESERVATIONS. THE PRIMARY SERVICE AREA (PSA) INFORMATION FOR BANNER BAYWOOD INCLUDES THE ZIP CODES MAKING UP THE TOP 75% OF THE TOTAL INPATIENT CASES. THE PSA INCLUDES ALL RESIDENTS IN A DEFINED GEOGRAPHIC AREA SURROUNDING THE HOSPITAL AND DOES NOT EXCLUDE LOW-INCOME, UNINSURED, OR UNDERSERVED POPULATIONS. 12) BANNER HEART HOSPITAL BANNER HEART HOSPITAL IS A SPECIALTY CARE HOSPITAL FOCUSED ON PROVIDING SPECIALTY CARDIOVASCULAR CARE AND ONE OF THE LARGEST FREESTANDING HEART HOSPITALS IN THE NATION. ADJACENT TO BANNER BAYWOOD MEDICAL CENTER THE HOSPITAL IS A REFERRAL CENTER FOR COMPLEX CARDIAC AND VASCULAR CASES. THE DEMOGRAPHIC AREA FOR THIS CHNA IS MARICOPA COUNTY, THE COMMON COMMUNITY FOR ALL PARTNERS PARTICIPATING IN THE SYNAPSE COALITION COLLABORATIVE. MARICOPA COUNTY IS THE FOURTH MOST POPULOUS COUNTY IN THE UNITED STATES. WITH AN ESTIMATED POPULATION OF FOUR MILLION AND GROWING, MARICOPA COUNTY IS HOME TO WELL OVER HALF OF ARIZONA'S RESIDENTS AND ENCOMPASSES 9,224 SQUARE MILES, INCLUDES TWENTY-SEVEN CITIES AND TOWNS, AS WELL AS THE WHOLE OR PART OF FIVE SOVEREIGN AMERICAN INDIAN RESERVATIONS. THE PRIMARY SERVICE AREA (PSA) INFORMATION FOR BANNER HEART HOSPITAL INCLUDES THE ZIP CODES MAKING UP THE TOP 75% OF THE TOTAL INPATIENT CASES. THE PSA INCLUDES ALL RESIDENTS IN A DEFINED GEOGRAPHIC AREA SURROUNDING THE HOSPITAL AND DOES NOT EXCLUDE LOW-INCOME, UNINSURED, OR UNDERSERVED POPULATIONS. 15) MCKEE MEDICAL CENTER MCKEE MEDICAL CENTER (MCKEE) IS AN ACUTE CARE HOSPITAL LOCATED WITHIN NORTHERN LARIMER COUNTY. MCKEE MEDICAL CENTER SERVES LOVELAND AND LARIMER COUNTY, LEVERAGING THE LATEST MEDICAL TECHNOLOGIES TO ENSURE SAFER, BETTER CARE FOR PATIENTS. LOVELAND IS THE SECOND LARGEST CITY IN LARIMER COUNTY AND IS LOCATED JUST SOUTH OF FORT COLLINS, ITS LARGER NEIGHBOR, AND THE COUNTY SEAT. THE PRIMARY SERVICE AREA (PSA) INFORMATION FOR MCKEE INCLUDES THE ZIP CODES MAKING UP THE TOP 75% OF THE TOTAL INPATIENT CASES. THE PSA INCLUDES ALL RESIDENTS IN A DEFINED GEOGRAPHIC AREA SURROUNDING THE HOSPITAL AND DOES NOT EXCLUDE LOW-INCOME, UNINSURED, OR UNDERSERVED POPULATIONS. Schedule H, Part V, Section B, Line 3 Facility A, 3 Facility A, 3 - APPLIES TO ALL HOSPITAL FACILITIES IN FACILITY REPORTING GROUP A. 16) BANNER OCOTILLO MEDICAL CENTER BANNER OCOTILLO MEDICAL CENTER (BANNER OCOTILLO) IS AN ACUTE CARE MEDICAL CENTER, LOCATED IN CHANDLER, ARIZONA, WHICH PROVIDES HOSPITAL SERVICES TO THE COMMUNITIES OF CHANDLER, GILBERT, AND AHWATUKEE. THE DEMOGRAPHIC AREA FOR THIS CHNA IS MARICOPA COUNTY, THE COMMON COMMUNITY FOR ALL PARTNERS PARTICIPATING IN THE SYNAPSE COALITION COLLABORATIVE. MARICOPA COUNTY IS THE FOURTH MOST POPULOUS COUNTY IN THE UNITED STATES. WITH AN ESTIMATED POPULATION OF FOUR MILLION AND GROWING, MARICOPA COUNTY IS HOME TO WELL OVER HALF OF ARIZONA'S RESIDENTS. MARICOPA COUNTY ENCOMPASSES 9,224 SQUARE MILES, INCLUDES TWENTY-SEVEN CITIES AND TOWNS, AS WELL AS THE WHOLE OR PART OF FIVE SOVEREIGN AMERICAN INDIAN RESERVATIONS. THE PRIMARY SERVICE AREA (PSA) INFORMATION FOR BANNER OCOTILLO INCLUDES THE ZIP CODES MAKING UP THE TOP 75% OF THE TOTAL INPATIENT CASES. THE PSA INCLUDES ALL RESIDENTS IN A DEFINED GEOGRAPHIC AREA SURROUNDING THE HOSPITAL AND DOES NOT EXCLUDE LOW-INCOME, UNINSURED, OR UNDERSERVED POPULATIONS. 17) BANNER FORT COLLINS MEDICAL CENTER BANNER FORT COLLINS MEDICAL CENTER (BANNER FORT COLLINS) IS LOCATED WITHIN NORTHERN COLORADO, IN LARIMER COUNTY. THE CITY OF FORT COLLINS IS THE COUNTY SEAT AND MOST POPULOUS MUNICIPALITY IN THE COUNTY. IT IS NESTLED AT THE BASE OF THE ROCKY MOUNTAINS AND ALONGSIDE THE BANKS OF THE CACHE LA POUDRE RIVER. THE PRIMARY SERVICE AREA (PSA) INFORMATION FOR BANNER FORT COLLINS INCLUDES THE ZIP CODES MAKING UP THE TOP 75% OF THE TOTAL INPATIENT CASES. THE PSA INCLUDES ALL RESIDENTS IN A DEFINED GEOGRAPHIC AREA SURROUNDING THE HOSPITAL AND DOES NOT EXCLUDE LOW-INCOME, UNINSURED, OR UNDERSERVED POPULATIONS. 18) STERLING REGIONAL MEDICAL CENTER STERLING REGIONAL MEDICAL CENTER IS LOCATED WITHIN NORTHEASTERN COLORADO IN THE NORTHEAST CORNER OF COLORADO IN THE SOUTH PLATTE RIVER VALLEY AND PRIMARILY SERVES THE CITIES OF STERLING AND AKRON, AS WELL AS LOGAN COUNTY. THE PRIMARY SERVICE AREA (PSA) INFORMATION FOR STERLING REGIONAL MEDICAL CENTER INCLUDES THE ZIP CODES MAKING UP THE TOP 75% OF THE TOTAL INPATIENT CASES. THE PSA INCLUDES ALL RESIDENTS IN A DEFINED GEOGRAPHIC AREA SURROUNDING THE HOSPITAL AND DOES NOT EXCLUDE LOW-INCOME, UNINSURED, OR UNDERSERVED POPULATIONS. 19) BANNER CHURCHILL COMMUNITY HOSPITAL BANNER CHURCHILL COMMUNITY HOSPITAL (BANNER CHURCHILL), A CRITICAL ACCESS HOSPITAL LOCATED WITHIN WESTERN NEVADA, IN FALLON, THE COUNTY SEAT OF CHURCHILL COUNTY SERVES THE CITIES OF FALLON AND FERNLEY AS WELL AS CHURCHILL COUNTY. FALLON IS A REMOTE CITY LOCATED ABOUT SIXTY MILES EAST OF RENO. THE PRIMARY SERVICE AREA (PSA) INFORMATION FOR BANNER CHURCHILL INCLUDES THE ZIP CODES MAKING UP THE TOP 75% OF THE TOTAL INPATIENT CASES. THE PSA INCLUDES ALL RESIDENTS IN A DEFINED GEOGRAPHIC AREA SURROUNDING THE HOSPITAL AND DOES NOT EXCLUDE LOW-INCOME, UNINSURED, OR UNDERSERVED POPULATIONS. 20) BANNER PAYSON MEDICAL CENTER BANNER PAYSON MEDICAL CENTER (BANNER PAYSON) IS LOCATED AT THE FOOTHILLS OF THE MOGOLLON RIM, IN GILA COUNTY, ARIZONA. SERVING THE TOWN OF PAYSON AS WELL AS GILA COUNTY, BANNER PAYSON LEVERAGES THE LATEST MEDICAL TECHNOLOGIES TO ENSURE SAFER, BETTER CARE FOR PATIENTS. NESTLED BETWEEN THE SIERRA ANCHA AND MAZATZAL MOUNTAIN RANGES THE HOSPITAL PATIENT POPULATION EXTENDS ACROSS GILA COUNTY, WITH PATIENTS COMING FROM NAVAJO AND APACHE COUNTY AS WELL. THE PRIMARY SERVICE AREA (PSA) INFORMATION FOR BANNER PAYSON INCLUDES THE ZIP CODES MAKING UP THE TOP 75% OF THE TOTAL INPATIENT CASES. THE PSA INCLUDES ALL RESIDENTS IN A DEFINED GEOGRAPHIC AREA SURROUNDING THE HOSPITAL AND DOES NOT EXCLUDE LOW-INCOME, UNINSURED, OR UNDERSERVED POPULATIONS. 21) BANNER BEHAVIORAL HEALTH HOSPITAL BANNER BEHAVIORAL HEALTH HOSPITAL IS IN SCOTTSDALE, ARIZONA AND OFFERS NATIONALLY RECOGNIZED, BEHAVIORAL HEALTH CARE PROGRAMS FOR CHILDREN, TEENS AND ADULTS FACED WITH PSYCHIATRIC OR CHEMICAL DEPENDENCY CHALLENGES. THE DEMOGRAPHIC AREA FOR THIS CHNA IS MARICOPA COUNTY, THE COMMON COMMUNITY FOR ALL PARTNERS PARTICIPATING IN THE SYNAPSE COALITION COLLABORATIVE. MARICOPA COUNTY IS THE FOURTH MOST POPULOUS COUNTY IN THE UNITED STATES. WITH AN ESTIMATED POPULATION OF FOUR MILLION AND GROWING, MARICOPA COUNTY IS HOME TO WELL OVER HALF OF ARIZONA'S RESIDENTS AND. MARICOPA COUNTY ENCOMPASSES 9,224 SQUARE MILES, INCLUDES TWENTY-SEVEN CITIES AND TOWNS, AS WELL AS THE WHOLE OR PART OF FIVE SOVEREIGN AMERICAN INDIAN RESERVATIONS. THE PRIMARY SERVICE AREA (PSA) INFORMATION FOR BANNER BEHAVIORAL HEALTH INCLUDES THE ZIP CODES MAKING UP THE TOP 75% OF THE TOTAL INPATIENT CASES. THE PSA INCLUDES ALL RESIDENTS IN A DEFINED GEOGRAPHIC AREA SURROUNDING THE HOSPITAL AND DOES NOT EXCLUDE LOW-INCOME, UNINSURED, OR UNDERSERVED POPULATIONS. 22) BANNER LASSEN MEDICAL CENTER - CRITICAL ACCESS BANNER LASSEN MEDICAL CENTER (BANNER LASSEN) IS IN THE NORTHEAST CORNER OF CALIFORNIA IN. SUSANVILLE, CALIFORNIA. THIS FACILITY SERVES THE CITY OF SUSANVILLE AND LASSEN COUNTY WITH ADVANCED TECHNOLOGY NOT TYPICAL OF A FACILITY OF ITS SIZE. LASSEN COUNTY ENCOMPASSES 4,541 SQUARE MILES. THE COUNTY IS APPROXIMATELY THE SIZE OF THE STATE OF CONNECTICUT. THE GEOGRAPHY IS EXTREMELY VARIED, WITH VOLCANIC MOUNTAINS IN THE WEST, THE MODOC PLATEAU VOLCANIC UPLANDS IN THE CENTER, AND BASIN AND RANGE LAND IN THE EAST. PART OF LASSEN VOLCANIC NATIONAL PARK IS INCLUDED IN LASSEN COUNTY. SUSANVILLE IS THE ONLY INCORPORATED CITY IN THE COUNTY AND 70 PERCENT OF WHOM RESIDE IN THE CITY OF SUSANVILLE. IT MUST BE NOTED THAT NEARLY 30 PERCENT OF THE POPULATION IS INCARCERATED IN ONE OF THE STATE OR FEDERAL PRISONS LOCATED IN LASSEN COUNTY. THE PRIMARY SERVICE AREA (PSA) INFORMATION FOR BANNER LASSEN INCLUDES THE ZIP CODES MAKING UP THE TOP 75% OF THE TOTAL INPATIENT CASES. THE PSA INCLUDES ALL RESIDENTS IN A DEFINED GEOGRAPHIC AREA SURROUNDING THE HOSPITAL AND DOES NOT EXCLUDE LOW-INCOME, UNINSURED, OR UNDERSERVED. 23) EAST MORGAN COUNTY HOSPITAL EAST MORGAN COUNTY HOSPITAL (EAST MORGAN) IS A CRITICAL ACCESS HOSPITAL LOCATED WITHIN NORTHEASTERN COLORADO, IN MORGAN COUNTY. NINETY MILES NORTHEAST OF DENVER ON COLORADO'S HIGH PLAINS, EAST MORGAN LEVERAGES THE LATEST MEDICAL TECHNOLOGIES TO ENSURE SAFER, BETTER CARE FOR PATIENTS. THE PRIMARY SERVICE AREA (PSA) INFORMATION FOR EAST MORGAN COUNTY HOSPITAL INCLUDES THE ZIP CODES MAKING UP THE TOP 75% OF THE TOTAL INPATIENT CASES. THE PSA INCLUDES ALL RESIDENTS IN A DEFINED GEOGRAPHIC AREA SURROUNDING THE HOSPITAL AND DOES NOT EXCLUDE LOW-INCOME, UNINSURED, OR UNDERSERVED POPULATIONS. 24) COMMUNITY HOSPITAL - TORRINGTON - CRITICAL ACCESS COMMUNITY HOSPITAL TORRINGTON IS A CRITICAL ACCESS HOSPITAL L IN TORRINGTON, WYOMING IN GOSHEN COUNTY. LOCATED IN TORRINGTON IN SOUTHEASTERN WYOMING ALONG THE NEBRASKA BORDER, TORRINGTON IS SITUATED ON THE HISTORIC MORMON TRAIL AND NEAR THE OREGON AND CALIFORNIA TRAILS. IT IS THE COUNTY SEAT OF GOSHEN COUNTY. THE PRIMARY SERVICE AREA (PSA) INFORMATION FOR COMMUNITY HOSPITAL TORRINGTON INCLUDES THE ZIP CODES MAKING UP THE TOP 75% OF THE TOTAL INPATIENT CASES. THE PSA INCLUDES ALL RESIDENTS IN A DEFINED GEOGRAPHIC AREA SURROUNDING THE HOSPITAL AND DOES NOT EXCLUDE LOW-INCOME, UNINSURED, OR UNDERSERVED POPULATIONS. 25) BANNER REHAB HOSPITAL - WEST BANNER REHABILITATION HOSPITAL - WEST (BANNER REHAB WEST) IS IN SUN CITY, ARIZONA DOWN THE ROAD FROM BANNER BOSWELL MEDICAL CENTER IS ANOTHER STEP IN EXPANDING BANNER'S CARE CONTINUUM FOR THE COMMUNITY. BANNER REHAB WEST OFFERS PROGRAMS AND SERVICES DESIGNED TO HELP PATIENTS RESTORE STRENGTH, MOBILITY, AND INDEPENDENCE AS THEY HEAL AND RECOVER FROM A MYRIAD OF DIAGNOSTIC CONDITIONS THE HOSPITAL HAS FIFTY-SIX BEDS, OFFERING PATIENT FOCUSED CARE THAT IS BOTH COMPASSIONATE AND RESULTS ORIENTED. THE DEMOGRAPHIC AREA FOR THIS CHNA IS MARICOPA COUNTY, THE COMMON COMMUNITY FOR ALL PARTNERS PARTICIPATING IN THE SYNAPSE COALITION COLLABORATIVE. MARICOPA COUNTY IS THE FOURTH MOST POPULOUS COUNTY IN THE UNITED STATES. WITH AN ESTIMATED POPULATION OF FOUR MILLION AND GROWING, MARICOPA COUNTY IS HOME TO WELL OVER HALF OF ARIZONA'S RESIDENTS AND ENCOMPASSES 9,224 SQUARE MILES, INCLUDES TWENTY-SEVEN CITIES AND TOWNS, AS WELL AS THE WHOLE OR PART OF FIVE SOVEREIGN AMERICAN INDIAN RESERVATIONS. THE PRIMARY SERVICE AREA (PSA) INFORMATION FOR BANNER REHAB WEST INCLUDES THE ZIP CODES MAKING UP THE TOP 75% OF THE TOTAL INPATIENT CASES. THE PSA INCLUDES ALL RESIDENTS IN A DEFINED GEOGRAPHIC AREA SURROUNDING THE HOSPITAL DOES NOT EXCLUDE LOW-INCOME, UNINSURED, OR UNDERSERVED POPULATIONS. Schedule H, Part V, Section B, Line 3 Facility A, 4 Facility A, 4 - APPLIES TO ALL HOSPITAL FACILITIES IN FACILITY REPORTING GROUP A. 26) WASHAKIE MEDICAL CENTER - CRITICAL ACCESS WASHAKIE MEDICAL CENTER (WASHAKIE) IS AN 18-BED CRITICAL ACCESS LICENSED HOSPITAL LOCATED WITHIN WORLAND, WYOMING, IN WASHAKIE. LOCATED IN THE BIG HORN BASIN AT THE BASE OF THE FOOTHILLS WEST OF WYOMING'S BIG HORN MOUNTAINS, IN WORLAND, THE COUNTY SEAT OF WASHAKIE COUNTY. THE PRIMARY SERVICE AREA (PSA) INFORMATION FOR WASHAKIE INCLUDES THE ZIP CODES MAKING UP THE TOP 75% OF THE TOTAL INPATIENT CASES. THE PSA INCLUDES ALL RESIDENTS IN A DEFINED GEOGRAPHIC AREA SURROUNDING THE HOSPITAL AND DOES NOT EXCLUDE LOW-INCOME, UNINSURED, OR UNDERSERVED POPULATIONS. 28) BANNER PT & REHAB - CENTRAL BANNER REHABILITATION HOSPITAL - PHOENIX (BANNER REHAB PHOENIX) IS LOCATED ON THE CAMPUS OF BANNER UNIVERSITY MEDICAL CENTER - PHOENIX'S CAMPUS AND IS ANOTHER STEP IN EXPANDING THE CARE CONTINUUM FOR THE COMMUNITY. BANNER REHAB PHOENIX OFFERS PROGRAMS AND SERVICES DESIGNED TO HELP PATIENTS RESTORE STRENGTH, MOBILITY, AND INDEPENDENCE AS THEY HEAL AND RECOVER FROM A MYRIAD OF DIAGNOSTIC CONDITIONS THE HOSPITAL HAS FIFTY-SIX BEDS, OFFERING PATIENT FOCUSED CARE THAT IS BOTH COMPASSIONATE AND RESULTS ORIENTED. THE DEMOGRAPHIC AREA FOR THIS CHNA IS MARICOPA COUNTY, THE COMMON COMMUNITY FOR ALL PARTNERS PARTICIPATING IN THE SYNAPSE COALITION COLLABORATIVE. MARICOPA COUNTY IS THE FOURTH MOST POPULOUS COUNTY IN THE UNITED STATES. WITH AN ESTIMATED POPULATION OF FOUR MILLION AND GROWING, MARICOPA COUNTY IS HOME TO WELL OVER HALF OF ARIZONA'S RESIDENTS AND ENCOMPASSES 9,224 SQUARE MILES, INCLUDES TWENTY-SEVEN CITIES AND TOWNS, AS WELL AS THE WHOLE OR PART OF FIVE SOVEREIGN AMERICAN INDIAN RESERVATIONS. THE PRIMARY SERVICE AREA (PSA) INFORMATION FOR BANNER REHAB PHOENIX INCLUDES THE ZIP CODES MAKING UP THE TOP 75% OF THE TOTAL INPATIENT CASES. THE PSA INCLUDES ALL RESIDENTS IN A DEFINED GEOGRAPHIC AREA SURROUNDING THE HOSPITAL DOES NOT EXCLUDE LOW-INCOME, UNINSURED, OR UNDERSERVED POPULATIONS. 29) PLATTE COUNTY MEMORIAL HOSPITAL PLATTE COUNTY MEMORIAL HOSPITAL (PCMH) IS A 25-BED LICENSED CRITICAL ACCESS HOSPITAL LOCATED WITHIN WHEATLAND, WYOMING IN PLATTE COUNTY. PCMH IN COMMITTED TO PROVIDING A WIDE RANGE OF QUALITY CARE, BASED ON THE NEEDS OF THE COMMUNITY IS SOUTHEASTERN WYOMING. PLATTE COUNTY IS A FARMING AND RANCHING COMMUNITY WITH AN ABUNDANCE OF OUTDOOR OPPORTUNITIES IN THE SURROUNDING AREA. PLATTE COUNTY IS THE HOME TO THE NATION'S FIRST AND LARGEST PRIVATE IRRIGATION DISTRICT. THE PRIMARY SERVICE AREA (PSA) INFORMATION FOR PCMH INCLUDES THE ZIP CODES MAKING UP THE TOP 75% OF THE TOTAL INPATIENT CASES. THE PSA INCLUDES ALL RESIDENTS IN A DEFINED GEOGRAPHIC AREA SURROUNDING THE HOSPITAL AND DOES NOT EXCLUDE LOW-INCOME, UNINSURED, OR UNDERSERVED POPULATIONS. 31) PAGE HOSPITAL - CRITICAL ACCESS PAGE HOSPITAL IS IN THE TOWN OF PAGE, PART OF COCONINO COUNTY, ARIZONA. IT IS A SMALL TOWN IN NORTHERN ARIZONA LOCATED ON THE SOUTHERN SHORES OF MAGNIFICENT LAKE POWELL. PAGE HOSPITAL WAS THE FIRST HOSPITAL WITHIN BANNER HEALTH TO JOIN THE PLANETREE ALLIANCE AND THE FIRST TO BECOME BRONZE DESIGNATED. WITH 18,608 SQUARE MILES AND 11,886 ACRES OF LAND, COCONINO COUNTY IS THE LARGEST COUNTY IN ARIZONA AND THE SECOND LARGEST COUNTY IN THE UNITED STATES. HALF OF THE LAND IS PUBLIC PROPERTY, AND 38 PERCENT BELONGS TO INDIAN RESERVATIONS THAT ARE HOME TO THE NAVAJO, HOPI, PAIUTE, HUALAPAI, AND HAVASUPAI TRIBES. THE TOWN OF PAGE IS BORDERED BY THE NAVAJO NATION, THE NATIONAL PARK SERVICE, AND GLEN CANYON RECREATIONAL. THE PRIMARY SERVICE AREA (PSA) INFORMATION FOR PAGE HOSPITAL INCLUDES THE ZIP CODES MAKING UP THE TOP 75% OF THE TOTAL INPATIENT CASES. THE PSA INCLUDES ALL RESIDENTS IN A DEFINED GEOGRAPHIC AREA SURROUNDING THE HOSPITAL AND DOES NOT EXCLUDE LOW-INCOME, UNINSURED, OR UNDERSERVED POPULATIONS. 32) OGALLALA COMMUNITY HOSPITAL OGALLALA COMMUNITY HOSPITAL (OCH) IS AN 18-BED CRITICAL CARE ACCESS HOSPITAL LOCATED WITHIN WESTERN NEBRASKA, IN KEITH COUNTY IN, IN THE SOUTH PLATTE RIVER VALLEY IN WESTERN NEBRASKA. OCH IS COMMITTED TO PROVIDING A WIDE RANGE OF QUALITY CARE, BASED ON THE NEEDS OF THE COMMUNITY. THE PRIMARY SERVICE AREA (PSA) INFORMATION FOR OCH INCLUDES THE ZIP CODES MAKING UP THE TOP 75% OF THE TOTAL INPATIENT CASES. THE PSA INCLUDES ALL RESIDENTS IN A DEFINED GEOGRAPHIC AREA SURROUNDING THE HOSPITAL AND DOES NOT EXCLUDE LOW-INCOME, UNINSURED, OR UNDERSERVED POPULATIONS. Schedule H, Part V, Section B, Line 5 Facility A, 1 Facility A, 1 - APPLIES TO ALL HOSPITAL FACILITIES IN FACILITY REPORTING GROUP A. This is the fourth cycle for Banner Health, with the third cycle completed in 2019. The most recent CHNA report was adopted by the Banner Health board on December 9, 2022. AVAILABLE RESOURCES In compliance with federal requirements, the Banner Health CHNA Steering Committee partnered with the various county Departments of Public Health, and coalitions of non-profit and federally qualified health care partners and worked collaboratively and assessed the health needs of residents in the respective primary service area. PROCESS & METHODOLOGY USED TO CONDUCT CHNA Banner Health employs an eight-step CHNA process based on Banner Health's experience from previous CHNA cycles. The process outlined below involves continuous review and evaluation or CHNAs from previous cycles, through both the action plans and reports developed on a three-year cycle. Through each cycle Banner Health has been able to provide consistent data to monitor population trends. Organizational Structure * Banner Health's CHNA Steering Committee (Steering Committee) - Comprised of leaders from throughout Banner Health, these leaders represent our Arizona Community Delivery, Wester Division and Rural Facilities, as well as our Academic Medical Centers. In collaboration with leadership teams and Banner Health's Strategy Planning department, the Steering Committee is instrumental in both the development of the CHNA process and the continuation of Banner Health's commitment to providing services that meet community health needs. * CHNA Champions - A working team from each of Banner Health's hospitals meets monthly to review the ongoing process of community stakeholder meetings, report creation, and action plan implementation. This group consists of membership made up of CEOs, CNOs, COOs, facility directors, quality management personnel, volunteer services leaders, and other clinical stakeholders. * External Stakeholders - A team of external stakeholders is made up of individuals and organizations external to Banner Health, and represent the underserved, uninsured, and minority populations in Maricopa County and the surrounding areas. Based on their role in the public health realm of the hospital's surrounding community, these stakeholders are instrumental in collaborating around improving our communities. Each stakeholder is vested in the overall health of the community and brings forth a unique perspective with regards to the population's health needs. Data Primary 1. Consists of new data that is obtained via direct means. For Banner Health, primary data is created by rendering healthcare services to patients; the data includes inpatient, or outpatient counts, visits, payer, etc. For the CHNA report, primary data was also collected directly from the community through surveys, focus groups, and key informant interviews. The primary data for the CHNA originated from Cerner (Banner's Electronic Medical Record) and McKesson (Banner's Cost Accounting / Decision Support Tool). These data sources were used to identify the health services currently being accessed by the community at Banner locations and provides indicators for diagnosis-based health needs of the community. 2. SYNAPSE in partnership with Maricopa County facilities, Federally Qualified Health Centers (FQHCs), and other health partners, conducted surveys and focus groups throughout 2021. The Survey, which yielded 14,380 responses was available virtually to the public and was translated into thirteen languages. A total of thirty-three focus groups were held, involving 186 participants. Focus Group types ranged from Hispanic males, South Phoenix young families, expectant mothers and parents of young children, Asian/Pacific Islander seniors, and young American Indians. These meetings were also conducted via a virtual platform. Data from focus groups indicated top community-identified health issues. Overall, mental health was the primary issues with nearly 50% of respondents affirming it was a top issue to them. This was a change from the 2019 survey, were most respondents noted Alcohol/substance abuse as the top health condition. Participants were also asked about barriers they experienced in seeking or accessing healthcare in their community. Due to the routine occurrence of SYNAPSE data collection for Community Health Assessments, provide pre and post COVID-19 responses to this question. Fear of exposure was the top barrier for all age groups. 3. COMMUNITY SURVEY - IN ORDER TO IDENTIFY AND UNDERSTAND COMMUNITY HEALTH NEEDS, A COMMUNITY HEALTH ASSESSMENT SURVEY WAS ADMINISTERED TO COMMUNITY MEMBERS IN WESTERN DIVISION. COMMUNITY HEALTH ASSESSMENT SURVEYS WERE ADMINISTERED BETWEEN MAY-JULY 2022. SURVEYS WERE INTENDED TO PROVIDE INFORMATION ABOUT PROMINENT HEALTH PROBLEMS FACING THE COMMUNITY. THE SURVEY HAD A TOTAL OF FIFTEEN QUESTIONS TO IDENTIFY FACTORS WHICH CONTRIBUTED TO OVERALL QUALITY OF LIFE, MORE IMPORTANT HEALTH ISSUES AND BEHAVIORS, RATING SCALES, AND IMPACT COVID-19 HAD IN THEIR LIFE AND IN THE COMMUNITY. A TOTAL OF 234 SURVEYS WERE COLLECTED FROM OUR WESTERN DIVISION COMMUNITY PARTNERS INCLUDING 61 COLORADO PARTNERS (WELD, LOGAN, LARIMER AND MORGAN COUNTIES), 31 NEVADA PARTNERS (CHURCHILL COUNTY), 52 ARIZONA PARTNERS (GILA AND COCONINO COUNTIES) AND 88 WYOMING PARTNERS (WASHAKIE, GOSHEN, AND PLATTE COUNTIES). 4. KEY INFORMANT INTERVIEWS - BANNER HEALTH CONDUCTED A SERIES OF KEY INFORMANT INTERVIEWS WITH COMMUNITY MEMBERS IDENTIFIED BY FACILITY CHAMPIONS. KEY INFORMANTS REPRESENTED LOCAL HEALTH DEPARTMENTS, FIRE DEPARTMENTS, BEHAVIORAL HEALTH CENTERS, LOCAL COMMUNITY COLLEGES, AND SOCIAL SERVICE DEPARTMENTS. THROUGH A SERIES OF EIGHT QUESTIONS, KEY INFORMANTS DEFINED THEIR OPINION OF HEALTH AND WHAT QUALITY OF LIFE MEANT, THEY IDENTIFIED TOP COMMUNITY NEEDS, AND DISCUSSED THE IMPACT COVID-19 CONTINUES TO HAVE IN THEIR COMMUNITY. WHILE THE DEFINITION OF HEALTH VARIED PERSON BY PERSON, THE PRIMARY THEME WAS THE ABILITY TO LIVE A SAFE AND PRODUCTIVE LIFE. 5. COMMUNITY HOSPITAL ADVISORY BOARD MEMBERS - COMMUNITY HOSPITAL IN TORRINGTON IS AN OWNED AND OPERATED FACILITY BY BANNER HEALTH. THE COMMUNITY OF TORRINGTON HAS AN ADVISORY BOARD IN PLACE TO OVERSEE THE OPERATIONS OF COMMUNITY HOSPITAL IN TORRINGTON AND COMMUNICATE TO BANNER HEALTH THE CONCERNS AND NEEDS OF THE COMMUNITY. 6. PAGE HOSPITAL BOARD - A TEAM OF EXTERNAL STAKEHOLDERS IS MADE UP OF INDIVIDUALS AND ORGANIZATIONS EXTERNAL TO BANNER HEALTH, AND REPRESENT THE UNDERSERVED, UNINSURED, AND MINORITY POPULATIONS IN OUR COMMUNITY AND THE SURROUNDING AREAS. THIS TEAM OF STAKEHOLDERS WERE IDENTIFIED BASED ON THEIR ROLE IN THE PUBLIC HEALTH REALM OF THE HOSPITAL'S SURROUNDING COMMUNITY. THESE STAKEHOLDERS ARE INDIVIDUALS OR ORGANIZATIONS WITH WHOM WE ARE COLLABORATING, OR HOPE TO DO, AROUND IMPROVING OUR COMMUNITIES. EACH STAKEHOLDER IS VESTED IN THE OVERALL HEALTH OF THE COMMUNITY AND BROUGHT FORTH A UNIQUE PERSPECTIVE WITH REGARDS TO THE POPULATION'S HEALTH NEEDS. THIS GROUP CONSISTS OF MEMBERSHIP MADE UP OF EXECUTIVE DIRECTORS, CEO'S, PROGRAM MANAGERS, COORDINATORS, NURSES, PATIENT NAVIGATORS, AND OTHER COMMUNITY STAKEHOLDERS. Schedule H, Part V, Section B, Line 5 Facility A, 2 Facility A, 2 - APPLIES TO ALL HOSPITAL FACILITIES IN FACILITY REPORTING GROUP A. Secondary Banner Health's process for conducting their CHNA leveraged a multi-phased approach to understanding gaps in services provided to the community, as well as existing community resources. The CHNA utilized a mixed-methods approach that included the collection of secondary or quantitative data with review and input from key informants, and meetings with internal leadership. Secondary data includes publicly available health statistics and demographic data. With input from stakeholders, champions, and the Steering Committee, additional health indicators of special interest were investigated. Comparisons of data sources were made to the county, state, and PSA if possible. Data analytics were employed to identify demographics, socioeconomic factors, and health trends in the PSA, county, and state. Data reviewed included information around demographics, population growth, health insurance coverage, hospital services utilization, primary and chronic health concerns, risk factors, and existing community resources. Several services of data were consulted to present the most comprehensive picture of facility PSA's health status and outcomes. PRIORITIZATION Building on Banner Health's past three CHNA reports, the Steering Committee and facility champions worked with Banner Health corporate planners to prioritize health needs for Cycle 4 of the CHNA. Facility stakeholders, community members, and public health professionals were among major external entities involved in identifying health needs, which were then brought to the Steering Committee. Both Banner Health internal members, and external entities were strategically selected for their respective understanding of community perspectives, community-based health engagement, and health care expertise. To be considered a health need the following criteria was taken into consideration: * The PSA had a health outcome or factor rate worse than the average county/state rate. * The PSA demonstrated a worsening trend when compared to county/state data in recent years. * The PSA indicated an apparent health disparity. * The health outcome or factor was mentioned in the focus group. * The health need aligned with Banner Health's mission and strategic priorities. Using the previous CHNAs as a tool, the Steering Committee reviewed and compared the health needs identified in 2022 to the previous health needs. The group narrowed the community health needs to three. It was determined that Banner Health, as a health system would continue to address the same health needs from Cycle 3, the 2019 CHNA, due to the continued impact these health needs have on the overall health of the community. These needs and the strategies to address the needs align with the short and long-term goals the health system has, specific strategies can be tailored to the regions Banner Health serves, and the health needs can address many health areas within each of them. While prioritizing needs, COVID-19 was a consistent theme that arose in all forms of primary data collection. COVID-19 has had an impact on the measurement of health needs, socioeconomic factors, facility volumes, and health behaviors to name a few. Banner Steering Committee and facility leadership determined that for Banner Health's CHNA process, rather than adding a fourth community health need, Banner would incorporate COVID-19 into each of the three community health needs. Banner Health will continue to provide ongoing care for those affected physically and mentally by COVID-19 throughout Cycle 4 of the CHNA process. Based on data and information gathered through the CHNA process, the following represent the three 2022 prioritize health needs and their priorities: 1. Improving the health of the communities we serve * Access to and navigating healthcare services * Access to supportive care after hospital discharge * Access to care post-COVID * Employee wellness * Integrating social determinants of health with Banner 2. Chronic Disease Management * Health literacy * Health management * Diabetes and heart disease management * Diagnosing and managing dementia * Ongoing care for those with long-COVID * Preventative cancer education * Cancer screenings 3. Behavioral Health * Access to mental health resources * Mental health care for those affected by COVID related experiences (including PTSD and other behavioral health problems) * Substance and alcohol abuse and misuse prevention Schedule H, Part V, Section B, Line 5 Facility A, 3 Facility A, 3 - APPLIES TO ALL HOSPITAL FACILITIES IN FACILITY REPORTING GROUP A. COMMUNITY INPUT INPUT WAS COLLECTED FROM INDIVIDUALS IN THE COMMUNITY, INCLUDING PUBLIC HEAL TH EXPERTS AS WELL AS RESIDENTS, REPRESENTATIVES, OR LEADERS OF LOW-INCOME, MINORITY, AND MEDICALLY UNDERSERVED POPULATIONS. AS NOTED ABOVE SURVEYS AND FOCUS GROUPS WERE CONDUCTED THROUGHOUT 2022 AND RESULTS INCORPORATED INTO THE CHNA. Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - APPLIES TO ALL HOSPITAL FACILITIES IN FACILITY REPORTING GROUP A:. BANNER HEALTH IMPLEMENTATION STRATEGIES To address the significant health needs identified during the CHNA process, Banner Health developed systemwide Implementation Strategies to address the significant health needs. The strategies, tactics, and anticipated outcomes of those strategies are the following: Significant Health Need: Improving the health of the communities we serve Strategy: Increased utilization of Banner Health's care continuum through our clinics, hospitals, ambulatory settings, and post-acute settings of care. Anticipated Outcome: Improve our communities ease and access to the care continuum for all their health care needs. Tactic 1: Increase access to ambulatory services. Tactic 2: Increase utilization of online scheduling for ease of appointment. Tactic 3: Increase community care communication with Banner Health to support the patient in accessing the care they need, navigate the care continuum, and inform their PCP of their ongoing healthcare status. COVID Tactic: Continue to provide long-COVID care. Rehab Tactic: Continue to promote access to Banner Physical Therapy and Banner Home Care following discharge from Banner Rehabilitation Hospital. Strategy: Supporting our team members through internal wellness programs and employee benefits. Anticipated Outcome: Inspire a healthy and productive work force. Tactic 1: Offer and promote employee wellness programs to reduce burnout and turnover. Tactic 2: Promote employee satisfaction and employment experience. Tactic 3: Expand utilization of MyWell-Being to encourage daily wellness at Banner Health. COVID Tactic: Continue to provide communication with Banner Health employees on COVID. Strategy: Align Banner Health's strategies and processes with Social Determinants of Health practices. Anticipated Outcome: Educate Banner Health team members and partners on incorporating Social Determinants of Health into our health care strategies. Tactic 1: Identify and support community-based organizations to further align Banner Health's SDOH agenda. Tactic 2: Promote in-school clinics and mobile health clinics for low-income pediatric patients. Tactic 3: Provide non-clinical support to address Social Determinants of Health for seniors to improve their health and well-being through the care continuum. Significant Health Need: Chronic Disease Management Strategy: Increase access to Primary Care. Anticipated Outcome: Improve ease of primary care utilization. Tactic 1: Improve ease of scheduling Primary Care visits by increasing access to providers and online scheduling. Tactic 2: Create a process to better leverage telehealth in the management of chronic care conditions. Tactic 3: Provide additional resources to help our communities manage their health. COVID Tactic: Support patients with Chronic Diseases recovering from COVID-19. Strategy: Support Banner Health communities in managing chronic diseases. Anticipated Outcome: Improve chronic disease management through clinical support and patient education. Tactic 1: Support patients with or at risk for hypertension with managing their blood pressure control. Tactic 2: Support patients with or at risk for diabetes with managing their HbA1c levels. Tactic 3: Provide education or dementia capability to professionals and families in the communities we serve (Dementia ECHO and Community Education Programs) Rehab Tactic: Provide education and support in managing long term chronic disease care. Strategy: Increase awareness of and access to cancer screenings. Anticipated Outcome: Increase preventative cancer care. Tactic 1: Provide educational resources to the community for cancer awareness and prevention. Tactic 2: Increase patient compliance on routine colon screenings. Tactic 3: Increase patient compliance on routine breast cancer screening Significant Health Need: Behavioral Health Strategy: Provide awareness and access to mental health resources. Anticipated Outcome: Reduce volume of acute mental health episodes through early interventions of education and access to preventative care. Tactic 1: Continue to provide virtual education with Banner and their partners for mental health awareness. Tactic 2: Improve provider access to mental health resources to leverage with behavioral patients utilizing Tele-Behavioral. Tactic 3: Encourage clinician utilization of Banner Health provided mental health resources. Strategy: Support communities in accessing substance prevention and intervention services. Anticipated Outcome: Improve utilization of prevention and intervention services for substance use. Tactic 1: Promote clinician and pharmacists' prevention and intervention work for substance abuse and misuse. Tactic 2: Continue to offer multi-interventional tobacco cessation support at Banner Health facilities. Tactic 3: Continue to provide inpatient detox and intensive outpatient services at all acute behavioral health sites. Actions taken by Banner - University Medical Center Phoenix since the cycle 3 CHNA Implementation Strategies follow: Implementation Strategies Outcomes Significant Health Need: Access to Care Strategy #1: Increase access points for primary care services * Employed additional Primary Care Providers and Advanced Practice Providers to increase access to care. * Support over 1,500 children through mobile clinics and in-school health clinics. Strategy #2: Increase access to ambulatory care settings * Grew access to ambulatory services for our community through Urgent Care, Ambulatory Surgical Centers, and Physical Therapy. * Provided more Urgent Care, Physical Therapy, and Ambulatory Surgical Center locations to the community, increasing access to care points. Strategy #3: Deploy care models and tools that improve affordability of care for Banner Health Network members * Promoted access to Banner Medical Group, to reduce utilization of the Emergency Room * Identified twenty-two core measures for annual wellness visits to set quality measures - including chronic disease management, cancer screenings, and immunizations. Significant Health Need: Chronic Disease Management (Diabetes/Heart Disease/Cancer) Strategy #1: Continue to improve the coordination of care for patients with chronic disease diagnosis * Utilized pharmacists to assist in chronic disease management via telephone consultations. * Offer cancer screenings through clinics. * Provided education and assistance with medication adherence, including cost of medication. Strategy #2: Growth of preventative care and wellness programs in the communities we serve * Provided Medicare Advantage Wellness visits through deploying MDs, NPs, and PAs. * Offered same day mammography access in ambulatory settings (health centers and Imaging locations). Strategy #3: Continued enhancement of measurement /oversight of clinical quality measures for chronic disease patients * Decreased hypertension through an increase in clinical measures for BP control. * Monthly clinical performance meetings focusing on diabetes and hypertension for Quality Improvement. Significant Health Need: Behavioral Health Strategy #1: Provide services to increase awareness and access to address general psychiatric health needs * Continue to partner with community outpatient behavioral health providers to provide coordinated care. * Encouraged patients to get initial behavioral screenings in the Emergency Department. * Utilized psychiatric telehealth services in market to continue to offer care in COVID environment. Strategy #2: Utilize internal and external resources to address opioid addiction in Banner Health communities * Provided an average of 1,400 addiction assessments yearly. * Implemented a system wide primary care strategy to identify opioid use disorder. Strategy #3: Utilize internal and external resources to improve clinical quality for suicide, depression patients in Banner Health communities * Working to be a "Zero Suicide" health system, where all non-clinical hospital employees are trained to Question, Persuade, and Respond when interacting with a person having a suicidal crisis. * Provided depression screenings during Clinic Appointments. Schedule H, Part V, Section B, Line 11 Facility A, 2 Facility A, 2 - APPLIES TO ALL HOSPITAL FACILITIES IN FACILITY REPORTING GROUP A:. BROAD COMMUNITY INPUT In addition to the noted community outreach and in compliance with federal requirements, the Banner Health CHNA Steering Committee partnered with the VARIOUS County Departments of Public Health and coalition of non-profit and federally qualified health care partners in addition to working collaboratively and assessing the health needs of residents in the respective counties and primary services areas. NEEDS IDENTIFIED BUT NOT PRIORITIZED Additional needs identified through data collection and community input were age related health concerns, aging problems, cancer, and access to healthy foods. In many of Banner's facilities a high percentage of the aged population is served, as a result tactics have been developed that acknowledge and address concerns of the aged populations. It was determined to group cancer into Chronic Disease management as opposed to having it stand along Significant Health Need, as a result a specific strategy has been developed to educate and create access to cancer screenings. COVID-19 remains an ongoing health concern in many communities. While Banner Health decided to not develop a Significant Health Need that is specific to COVID-19, health priorities have been developed that are related to the effects of COVID-19 and have developed tactics to address these health priorities. Schedule H, Part V, Section B, Line 16 Facility A, 1 Facility A, 1 - APPLIES TO ALL HOSPITAL FACILITIES IN REPORTING GROUP A. IN ADDITION TO ALL ACTIONS NOTED, BANNER OFFERS FAP WITH EACH BILLING STATEMENT TO THE PATIENT/GUARANTOR. FAP is also posted within facilities at registration locations. Schedule H, Part V, Section B, Line 3E BASED ON DATA AND INFORMATION GATHERED THROUGH THE 2021 PIMA COUNTY CHNA PROCESS, THE FOLLOWING REPRESENT THE THREE 2024 PRIORITIZED HEALTH NEEDS AND THEIR PRIORITIES: 1.IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE * ACCESS TO AND NAVIGATING HEALTHCARE SERVICES * ACCESS TO SUPPORTIVE CARE AFTER HOSPITAL DISCHARGE * ACCESS TO CARE POST-COVID * EMPLOYEE WELLNESS * INTEGRATING SOCIAL DETERMINANTS OF HEAL TH WITH BANNER 2.CHRONIC DISEASE MANAGEMENT * HEALTH LITERACY * HEALTH MANAGEMENT * DIABETES AND HEART DISEASE MANAGEMENT * DIAGNOSING AND MANAGING DEMENTIA * ONGOING CARE FOR THOSE WITH LONG-COVID * PREVENTATIVE CANCER EDUCATION * CANCER SCREENINGS 3.BEHAVIORAL HEALTH * ACCESS TO MENTAL HEALTH RESOURCES * MENTAL HEALTH CARE FOR THOSE AFFECTED BY COVID RELATED EXPERIENCES (INCLUDING PTSD AND OTHER BEHAVIORAL HEALTH PROBLEMS) * SUBSTANCE AND ALCOHOL ABUSE AND MISUSE PREVENTION Schedule H, Part V, Section B, Line 3 Facility B, 1 Facility B, 1 - APPLIES TO ALL HOSPITAL FACILITIES IN FACILITY REPORTING GROUP B:. The CHNA for each facility in Facility Group B includes: - Introduction and Purpose of CHNA - Banner Health Overview - Banner Academic Division Overview - Banner Health Covid Impact Statement - Banner Steering Committee - Executive Summary - Pima County Report Summary including a list of all tables, graphs and figures - Report Methodology - CHNA Steering Committee Members/Participants- Hospitals, Community Health Centers, Tribal Nations, Health Departments, Consultants - Pima County Overview - History, Geography, Primary Care Areas, Population Density, Demographics, General Health Status, Racism & Covid 19 - Primary & Secondary Health Data - Data Collection Methods - Prioritization of Community Health Needs - Descriptions of Prioritized Health Needs - Unprioritized Needs - 2019 CHNA Follow-Up and Review - CHNA Key Informants - Key Informant Interview Guide - Focus Group Discussion Schedules and Questions - English & Spanish - Pima County CHNA Community Forum Guide - Community Snapshot - Pima County Health Department 2020 Current State Review - Reference List - Consulting Team and Volunteer Acknowledgments In compliance with federal requirements, the comprehensive CHNA represented an ongoing collaborative effort by non-profit hospitals and the Pima County Health Department to jointly conduct the CHNA. Stakeholders include public health professionals, community health centers, community leaders, emergency responders, health advocates and community members. Together, these stakeholders harnessed their networks, resources, and expertise to identify and prioritize major health issues confronting the Pima County community. Input was collected from individuals in the community, including public health experts as well as residents, representatives, or leaders of low-income, minority, and medically underserved populations. As noted above surveys and focus groups were conducted throughout 2021 and results incorporated into the CHNA. 2) BANNER UNIVERSITY MEDICAL CENTER - TUCSON Banner - University Medical Center Tucson (B-UMCT) is in Pima County, Arizona. B-UMCT serves Tucson and the surrounding areas. Pima County is one of the southern most counties in Arizona and is roughly the size of the state of New Hampshire. As part of the northern range of the Sonora Desert, it is comprised of mountain ranges, river valleys, and cactus forests and shares 125 miles of an international border with Mexico. The second most populated county after Maricopa County, Pima County is comprised of five incorporated jurisdictions (the City of South Tucson, the City of Tucson, and the towns of Marana, Oro Valley and Sahuarita), two Tribal Nations, and one large unincorporated area. B-UMCT is ranked as a top five hospital in Arizona, the best hospital in the Tucson metro area, and is ranked among the best hospitals in the nation in geriatrics and nephrology by U.S. News. The primary service area (PSA) information for Banner - University Medical Center Tucson includes the zip codes making up the top 75% of the total inpatient cases. The PSA includes all residents in a defined geographic area surrounding the hospital and does not exclude low-income, uninsured, or underserved populations. For the purposes of this CHNA, key social determinants of health and select other indicators analyzed and compared at the sub-county level through Primary Care Area Statistical Profiles (PCAs). PCAs are based on census data and reflect areas with similar populations and demographics, allowing for statistical analyses and comparison across areas. 11) BANNER UNIVERSITY MEDICAL CENTER - South Banner - University Medical Center South (B-UMCS) is in Pima County. B-UMCS serves Tucson and surrounding areas. B-UMCS is ranked as a top five hospital in Arizona, the best hospital in the Tucson metro area, and is ranked among the best hospitals in the nation in geriatrics and nephrology by U.S. News. The demographic area for this CHNA is Pima County and the primary service area (PSA) information for Banner - University Medical Center South includes the zip codes making up the top 75% of the total inpatient cases. The Primary Care Area Statistical Profile includes all residents in a defined geographic area surrounding the hospital and does not exclude low-income, uninsured, or underserved populations. For the purposes of this CHNA, key social determinants of health and select other indicators analyzed and compared at the sub-county level through Primary Care Area Statistical Profiles. PCAs are based on census data and reflect areas with similar populations and demographics, allowing for statistical analyses and comparison across areas. Schedule H, Part V, Section B, Line 5 Facility B, 1 Facility B, 1 - APPLIES TO ALL HOSPITAL FACILITIES IN FACILITY REPORTING GROUP B:. PROCESS & METHODOLOGY USED TO CONDUCT CHNA The process involved continuous review and evaluation of CHNAs from previous cycles, through both the action plans and reports are developed on a three-year cycle. Building on previous CHNAs and throughout the CHNA process, community members, health advocates and healthcare leaders provided input on the most pressing issues facing the County, and assets and strengths to help the community to address these issues. As in previous reports, there was an emphasize on all aspects of data collection, analysis, and interpretation. Throughout the CHNA data collection methods were incorporated to contextualize and understand health disparities and how community members experience racism and discrimination. The report, written at an unprecedented time in recent history, had far-reaching implications for health and wellness across society. The COVID-19 pandemic presented unique challenges and opportunities in the collection, analysis, and interpretation of data for the CHNA, and influenced all aspects of the CHNA process. Organizational Structure Pima County Steering Committee - The Steering Committee that met monthly to review progress, provide guidance and support data collection and analysis activities. Steering Committee members provided direction and leadership regarding data sources, key informant interviews and focus group content and recruitment, dissemination of materials, and interpretation of data. Steering Committee members helped to ensure that the 2021 CHNA engaged the community and represented the diverse population of Pima County. The 2021 CHNA Steering Committee included representatives from hospitals, community health centers, Tribal Nations, County Health, and consultants. Pima County Community Advisory Committee Banner Health's CHNA Steering Committee - Comprised of leaders from throughout Banner Health, these leaders represent our Arizona Community Delivery, Wester Division and Rural Facilities, as well as our Academic Medical Centers. In collaboration with Banner - University Medical Center Tucson's leadership team and Banner Health's Strategy Planning department, the Steering Committee is instrumental in both the development of the CHNA process and the continuation of Banner Health's commitment to providing services that meet community health needs. CHNA Champions - A working team from each of Banner Health's hospitals meets monthly to review the ongoing process of community stakeholder meetings, report creation, and action plan implementation. This group consists of membership made up of CEOs, CNOs, COOs, facility directors, quality management personnel, volunteer services leaders, and other clinical stakeholders. Data Pima County aggregated data from primary and secondary sources to understand, contextualize and prioritize the health needs of Pima County. Through each cycle Pima County, Banner Health, and Banner University Medical Center - Tucson have been able to gather and provide consistent data. Primary Data Primary data collection included key informant interviews and focus groups with community members. In total, the CHNA team interviewed thirty-seven key informants including health advocates, community leaders and healthcare providers that represent organizations serving a diverse array of Pima County residents. Focus group interviews were completed with community members representing diverse groups in Pima County. In total, qualitative primary data collection consisted of: - 31 Key informant interviews - 9 Focus Groups - 4 Community Forums - 3 Virtual (English and Spanish) Community Forums - 1 In-Person Gallery Walk In total, 206 community members were engaged in the CHNA process. Secondary Data Secondary data were aggregated from publicly available databases to present an unbiased, fact-driven report on the health status of Pima County. Between September and October 2020, Pima County Health Department (PCHD) conducted a series of Strategic Planning Surveys and interviews of over 2,100 PCHD employees, external stakeholders, community members. There were 137 internal stakeholder surveys, 466 external stakeholder surveys, and 1,528 community surveys completed in this process. The secondary data provides quantitative support for the top health concerns identified through primary data collection. The 2021 Pima County CHNA process identified the following health needs for Pima County: 1. Behavioral and Mental Health 2. Substance Use Disorder 3. Access to Care 4. Social Determinants of Health, particularly transportation, poverty, and the built environment From an overall Banner Health enterprise perspective, based on data and information gathered through the Banner Health Steering Committee, the following represent the three Banner Health 2023 enterprise prioritized health needs: 1.IMPROVING THE HEAL TH OF THE COMMUNITIES WE SERVE * ACCESS TO AND NAVIGATING HEALTHCARE SERVICES * ACCESS TO SUPPORTIVE CARE AFTER HOSPITAL DISCHARGE * ACCESS TO CARE POST-COVID * EMPLOYEE WELLNESS * INTEGRATING SOCIAL DETERMINANTS OF HEAL TH WITH BANNER 2.CHRONIC DISEASE MANAGEMENT * HEALTH LITERACY * HEALTH MANAGEMENT * DIABETES AND HEART DISEASE MANAGEMENT * DIAGNOSING AND MANAGING DEMENTIA * ONGOING CARE FOR THOSE WITH LONG-COVID * PREVENTATIVE CANCER EDUCATION * CANCER SCREENINGS 3.BEHAVIORAL HEALTH * ACCESS TO MENTAL HEALTH RESOURCES * MENTAL HEALTH CARE FOR THOSE AFFECTED BY COVID RELATED EXPERIENCES (INCLUDING PTSD AND OTHER BEHAVIORAL HEAL TH PROBLEMS) * SUBSTANCE AND ALCOHOL ABUSE AND MISUSE PREVENTION In compliance with federal requirements, the comprehensive CHNA represented an ongoing collaborative effort by non-profit hospitals and the Pima County Health Department to jointly conduct the CHNA. Stakeholders include public health professionals, community health centers, community leaders, emergency responders, health advocates and community members. Together, these stakeholders harnessed their networks, resources, and expertise to identify and prioritize major health issues confronting the Pima County community. Input was collected from individuals in the community, including public health experts as well as residents, representatives, or leaders of low-income, minority, and medically underserved populations. As noted above surveys and focus groups were conducted throughout 2021 and results incorporated into the CHNA. Schedule H, Part V, Section B, Line 6a Facility B, 1 Facility B, 1 - Applies to Facility Reporting Group B. Banner-University Medical Center Tucson and Banner-University Medical Center South, respectively are listed separately as Facility Reporting Group B because they conducted their CHNA in partnership with Tucson Medical Center, Northwest Hospital, Carondelet, El Rio Health Center, and Pima County Health Department. Schedule H, Part V, Section B, Line 6b Facility B, 1 Facility B, 1 - Applies to Facility Reporting Group B. SEE RESPONSE TO LINE 6A. Schedule H, Part V, Section B, Line 11 Facility B, 1 Facility B, 1 - THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 11 APPLIES TO ALL HOSPITAL FACILITIES. BANNER HEALTH IMPLEMENTATION STRATEGIES To address the significant health needs identified during the CHNA process, Banner Health developed systemwide Implementation Strategies to address the significant health needs. The strategies, tactics, and anticipated outcomes of those strategies are the following: Significant Health Need: Improving the health of the communities we serve Strategy: Increased utilization of Banner Health's care continuum through our clinics, hospitals, ambulatory settings, and post-acute settings of care. Anticipated Outcome: Improve our communities ease and access to the care continuum for all their health care needs. Tactic 1: Increase access to ambulatory services. Tactic 2: Increase utilization of online scheduling for ease of appointment. Tactic 3: Increase community care communication with Banner Health to support the patient in accessing the care they need, navigate the care continuum, and inform their PCP of their ongoing healthcare status. COVID Tactic: Continue to provide long-COVID care. Rehab Tactic: Continue to promote access to Banner Physical Therapy and Banner Home Care following discharge from Banner Rehabilitation Hospital. Strategy: Supporting our team members through internal wellness programs and employee benefits. Anticipated Outcome: Inspire a healthy and productive work force. Tactic 1: Offer and promote employee wellness programs to reduce burnout and turnover. Tactic 2: Promote employee satisfaction and employment experience. Tactic 3: Expand utilization of MyWell-Being to encourage daily wellness at Banner Health. COVID Tactic: Continue to provide communication with Banner Health employees on COVID. Strategy: Align Banner Health's strategies and processes with Social Determinants of Health practices. Anticipated Outcome: Educate Banner Health team members and partners on incorporating Social Determinants of Health into our health care strategies. Tactic 1: Identify and support community-based organizations to further align Banner Health's SDOH agenda. Tactic 2: Promote in-school clinics and mobile health clinics for low-income pediatric patients. Tactic 3: Provide non-clinical support to address Social Determinants of Health for seniors to improve their health and well-being through the care continuum. Significant Health Need: Chronic Disease Management Strategy: Increase access to Primary Care. Anticipated Outcome: Improve ease of primary care utilization. Tactic 1: Improve ease of scheduling Primary Care visits by increasing access to providers and online scheduling. Tactic 2: Create a process to better leverage telehealth in the management of chronic care conditions. Tactic 3: Provide additional resources to help our communities manage their health. COVID Tactic: Support patients with Chronic Diseases recovering from COVID-19. Strategy: Support Banner Health communities in managing chronic diseases. Anticipated Outcome: Improve chronic disease management through clinical support and patient education. Tactic 1: Support patients with or at risk for hypertension with managing their blood pressure control. Tactic 2: Support patients with or at risk for diabetes with managing their HbA1c levels. Tactic 3: Provide education or dementia capability to professionals and families in the communities we serve (Dementia ECHO and Community Education Programs) Rehab Tactic: Provide education and support in managing long term chronic disease care. Strategy: Increase awareness of and access to cancer screenings. Anticipated Outcome: Increase preventative cancer care. Tactic 1: Provide educational resources to the community for cancer awareness and prevention. Tactic 2: Increase patient compliance on routine colon screenings. Tactic 3: Increase patient compliance on routine breast cancer screening Significant Health Need: Behavioral Health Strategy: Provide awareness and access to mental health resources. Anticipated Outcome: Reduce volume of acute mental health episodes through early interventions of education and access to preventative care. Tactic 1: Continue to provide virtual education with Banner and their partners for mental health awareness. Tactic 2: Improve provider access to mental health resources to leverage with behavioral patients utilizing Tele-Behavioral. Tactic 3: Encourage clinician utilization of Banner Health provided mental health resources. Strategy: Support communities in accessing substance prevention and intervention services. Anticipated Outcome: Improve utilization of prevention and intervention services for substance use. Tactic 1: Promote clinician and pharmacists' prevention and intervention work for substance abuse and misuse. Tactic 2: Continue to offer multi-interventional tobacco cessation support at Banner Health facilities. Tactic 3: Continue to provide inpatient detox and intensive outpatient services at all acute behavioral health sites. Schedule H, Part V, Section B, Line 11 Facility B, 2 Facility B, 2 - THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 11 APPLIES TO ALL HOSPITAL FACILITIES. Pima County Implementation Strategies - Outcomes Significant Health Need: Access to Care Strategy #1: Increase access points for primary care services Outcomes: -Employed additional Primary Care Providers and Advanced Practice Providers to increase access to care. -Created access for additional patients to be seen at Primary Care locations. Strategy #2: Increase access to ambulatory care settings Outcomes: - Grew access to ambulatory services for our community through Urgent Care, Ambulatory Surgical Centers, and Physical Therapy. - Provided more Ambulatory Surgical Center locations to the community, increasing access to care points. Strategy #3: Deploy care models and tools that improve affordability of care for Banner Health Network members Outcomes: - Promoted access to Banner Medical Group, to reduce utilization of the Emergency Room - Identified twenty-two core measures for annual wellness visits to set quality measures - including chronic disease management, cancer screenings, and immunizations. Significant Health Need: Chronic Disease Management (Diabetes/Heart Disease/Cancer) Strategy #1: Continue to improve the coordination of care for patients with chronic disease diagnosis Outcomes: - Offer cancer screenings through clinics. - Provided education and assistance with medication adherence, including cost of medication. Strategy #2: Growth of preventative care and wellness programs in the communities we serve Outcomes: - Provided Medicare Advantage Wellness visits through deploying MDs, NPs, and PAs. - Offered same day mammography access in ambulatory settings (health centers and Imaging locations). Strategy #3: Continued enhancement of measurement /oversight of clinical quality measures for chronic disease patients Outcomes: - Decreased hypertension through an increase in clinical measures for BP control. - Decreased hemoglobin tests (HbA1cs) through an increase in clinical measures for diabetic patients. Significant Health Need: Behavioral Health Strategy #1: Provide services to increase awareness and access to address general psychiatric health needs Outcomes: - Continue to partner with community outpatient behavioral health providers to provide coordinated care. - Encouraged patients to get initial behavioral screenings in the Emergency Department. Strategy #2: Utilize internal and external resources to address opioid addiction in Banner Health communities Outcomes: - Implemented a system wide primary care strategy to identify opioid use disorder. Strategy #3: Utilize internal and external resources to improve clinical quality for suicide, depression patients in Banner Health communities. Outcomes: - Working to be a "Zero Suicide" health system, where all non-clinical hospital employees are trained to Question, Persuade, and Respond when interacting with a person having a suicidal crisis. - Provided depression screenings during Clinic Appointments. Schedule H, Part V, Section B, Line 11 Facility B, 3 Facility B, 3 - THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 11 APPLIES TO ALL HOSPITAL FACILITIES. BROAD COMMUNITY INPUT In addition to the noted community outreach and in compliance with federal requirements, the Banner Health CHNA Steering Committee partnered with the Pima County Health Department. NEEDS IDENTIFIED BUT NOT PRIORITIZED Additional needs identified through data collection and community input were age related health concerns, healthy aging, aging problems, chronic disease, access to healthy foods, climate, and environment. In many of Banner's facilities a high percentage of the aged population is served, as a result tactics have been developed that acknowledge and address concerns of the aged populations. CHNA participants also identified several challenges which inhibit the ability of Pima County residents to meet their basic needs and enjoy a better life, including the lack of appropriate transportation, discrimination, a lack of culturally or linguistically appropriate services, housing insecurity, limited childcare and caregiver options, and poverty. COVID-19 remains an ongoing health concern in many communities. While Banner Health decided to not develop a Significant Health Need that is specific to COVID-19, health priorities have been developed that are related to the effects of COVID-19 and have developed tactics to address these health priorities. Schedule H, Part V, Section B, Line 16 Facility B, 1 Facility B, 1 - APPLIES TO ALL HOSPITAL FACILITIES IN REPORTING GROUP B. IN ADDITION TO ALL ACTIONS NOTED, BANNER OFFERS FAP WITH EACH BILLING STATEMENT TO THE PATIENT/GUARANTOR. FAP is also posted within facilities at registration locations. Schedule H, Part V, Section B, Line 3E Based on data and information gathered through the Community Health Needs Assessment (CHNA) process, the following represent the three 2024 prioritized health needs and their priorities: 1. Improving the health of the communities we serve * Access to and navigating healthcare services * Access to supportive care after hospital discharge * Access to care post-COVID * Employee wellness * Integrating social determinants of health with Banner 2. Chronic Disease Management * Health literacy * Health management * Diabetes and heart disease management * Diagnosing and managing dementia * Ongoing care for those with long-COVID * Preventative cancer education * Cancer screenings 3. Behavioral Health * Access to mental health resources * Mental health care for those affected by COVID related experiences (including PTSD and other behavioral health problems) * Substance and alcohol abuse and misuse prevention Schedule H, Part V, Section B, Line 3 Facility C, 1 Facility C, 1 - APPLIES TO ALL HOSPITAL FACILITIES IN FACILITY REPORTING GROUP C:. The CHNA report defines and describes the community, identifies community resources, reports on analytics and data-gathering methodologies, assessment, process and methods, prioritization process, implementation strategies, tactics and anticipated outcomes as well as needs not being addressed. The CHNA for each facility in Facility Group C includes: - Executive Summary - Introduction and Purpose of CHNA - Banner Health Overview - Banner Health Covid Impact Statement - Service Area Description - Local, County, Etc. - Available Resources - Facility Inpatient Origin by Zip Code - Community Demographics - Process and Methods for Conducting CHNA - Banner Health CHNA Organizational Structure - Data Sources - Data Limitations and Information Gaps - Prioritization of Community Health Needs - Descriptions of Prioritized Health Needs - Unprioritized Needs - 2019 CHNA Follow-Up and Review - List of Data Sources - Focus Group Discussion Schedules and Questions - List of Steering Committee and Additional Stakeholders - List of external Stakeholders - List of Community Engagement Partners 13) BANNER CASA GRANDE MEDICAL CENTER Banner Casa Grande Medical Center is a 141-bed licensed hospital located near the greater metro-Phoenix area of Arizona, in Pinal County. The hospital was opened in 1984 to serve the community of Casa Grande and other nearby Pinal County communities and was acquired by Banner Health in 2014. The demographic area for this CHNA is Casa Grande and Pinal County and the Primary Service Area (PSA) is determined based on where the top 75 percent of patients for the respective facility originate and does not exclude low-income, uninsured, or underserved populations. Banner Casa Grande Medical Center has never strayed from the community focus, constantly striving to live the Banner Health mission of, "Making health care easier, so life can be better". Banner Casa Grande Medical Center continues to be recognized for its quality of care. Internally, Banner Casa Grande Medical Center has been recognized at a system level for the "Best of the Best" for the medium size hospital for achievements in clinical, staff engagement, and organization initiatives by Banner Health. Additional accolades include Greatest of the Grande in 2022 and 2023, as well as a Leapfrog Grade B (a measure for quality of care at acute care hospitals). 14) BANNER IRONWOOD MEDICAL CENTER Banner Ironwood Medical Center (BIMC) is a 53-bed licensed hospital located within Queen Creek, in Pinal County, Arizona. The hospital opened in 2010 to serve the community and has never strayed from the community's focus, constantly striving to live the Banner Health mission of "Making health care easier, so life can be better". Serving the cities of Queen Creek, San Tan Valley and North Florence as well as Pinal County, Queen Creek, Arizona, a census-designated place, and bedroom community. Located near the greater metro-Phoenix metropolitan area, this southeastern suburb is nestled among the foothills of the San Tan Mountains. The demographic area for this CHNA is Pinal County and the Primary Service Area (PSA) is determined based on where the top 75 percent of patients for the respective facility originate and does not exclude low-income, uninsured, or underserved populations. 27) BANNER GOLDFIELD MEDICAL CENTER Banner Goldfield Medical Center (Banner Goldfield) is a 30-bed hospital located in Apache Junction in Pinal County, within the greater Phoenix metro area and serves Apache Junction, Gold Canyon, East Mesa, and the surrounding communities. Nestled near the backdrop of Lost Dutchman State Park and Superstition Mountains this community frequently has outdoor enthusiasts visiting the community throughout the year The demographic area for this CHNA is Pinal County and the Primary Service Area (PSA) is determined based on where the top 75 percent of patients for the respective facility originate and does not exclude low-income, uninsured, or underserved populations. The hospital was built in 2009 to serve the growing needs of Apache Junction, in 2013 the facility joined the Banner Health system to further its ability to serve the community. During that time, Banner Goldfield Medical Center has never strayed from the community focus, constantly striving to live the Banner Health mission, "Making health care easier, so life can be better". Schedule H, Part V, Section B, Line 5 Facility C, 1 Facility C, 1 - APPLIES TO ALL HOSPITAL FACILITIES IN FACILITY REPORTING GROUP C:. AVAILABLE RESOURCES In compliance with federal requirements, the Banner Health CHNA Steering Committee partnered with the Pinal County Department of Public Health and worked collaboratively and assessed the health needs of residents in Pinal County, Arizona. PROCESS & METHODOLOGY USED TO CONDUCT CHNA The Community Health Needs Assessment uses a mixed methods approach that includes the collection of primary data from focus groups, surveys, and community stakeholders, as well as secondary data from existing public and private data sources. Through partnership with our local health departments, data is collected that meets the Patient Protection Affordable Care Act (PPACA) and the Public Health Accreditation Board's (PHAB) standards for conducting routine community health assessments. These standards are: * Proactive, diverse, and broad community engagement. * A comprehensive definition of community. * Transparency to improve community engagement. * Use of evidence-based data collection and evaluation. * Use of high-quality data from diverse sources. Banner Health employs an eight-step CHNA process based on Banner Health's experience from previous CHNA cycles. The process outlined below involves continuous review and evaluation or CHNAs from previous cycles, through both the action plans and reports developed on a three-year cycle. Through each cycle Banner Health and B-UMCP have been able to provide consistent data to monitor population trends. 1. REVIEW AND EVALUATE PRIOR CHNA REPORT AND ACTION PLANS, REVIEW DATA 2. PARTNER WITH COMMUNITY AGENCIES, INCLUDING COUNTY PUBLIC HEALTH DEPARTMENTS 3. CONDUCT FOCUS GROUP WITH COMMUNITY STAKEHOLDERS AND CONFIRM COMMUNITY PRIORITIES 4. RESEARCH ADDITIONAL HEALTH NEEDS IDENTIFIED 5. PREPARE CHNA REPORT 6. DEVELOP STRATEGIES FOR THE NEXT THREE YEARS 7. OBTAIN BANNER HEALTH LEADERSHIP AND BOARD OF DIRECTOR APPROVAL 8. POST TO BANNERHEALTH.COM AND OBTAIN ONGOING COMMUNITY FEEDBACK Organizational Structure * Banner Health's CHNA Steering Committee (Steering Committee) - Comprised of leaders from throughout Banner Health, these leaders represent our Arizona Community Delivery, Wester Division and Rural Facilities, as well as our Academic Medical Centers. In collaboration with group C's hospital leadership teams and Banner Health's Strategy Planning department, the Steering Committee is instrumental in both the development of the CHNA process and the continuation of Banner Health's commitment to providing services that meet community health needs. * CHNA Champions - A working team from each of Banner Health's hospitals meets monthly to review the ongoing process of community stakeholder meetings, report creation, and action plan implementation. This group consists of membership made up of CEOs, CNOs, COOs, facility directors, quality management personnel, volunteer services leaders, and other clinical stakeholders. * External Stakeholders - A team of external stakeholders is made up of individuals and organizations external to Banner Health, and represent the underserved, uninsured, and minority populations in Pinal County and the surrounding areas. Based on their role in the public health realm of the hospital's surrounding community, these stakeholders are instrumental in collaborating around improving our communities. Each stakeholder is vested in the overall health of the community and brings forth a unique perspective with regards to the population's health needs. Primary Data Primary data, or new data, consists of data obtained by direct means. For the CHNA report, Banner relies on two types of primary data - internally collected data and community collected data. The internally collected data was created by providing health care services to patients; the data includes inpatient or outpatient counts, other patient visits, payer information, etc. The community collected data was collected directly from the community through surveys, focus groups and key informant interviews. Primary data is used as the foundational data in understanding the health needs of the community. Data collected via community and health care encounters directs Banner in the development of the CHNA report. Based on the primary data collected, Banner can use secondary data to further inform the needs of the community and paint a comprehensive picture of the community's health needs. Facility champions, facility leaders, and Banner Health's CHNA Steering Committee all take part in reviewing the findings of the primary data to understand the community health needs. Community Input Pinal County conducted a community survey from August 2022 through November 2022. Surveys were provided in both English and Spanish. Marketing for the survey included social media, community flyers, and community partners sharing the QR codes and links to access the surveys. In total 1,141 surveys were completed by Pinal County community members. Secondary Data Secondary data includes publicly available local (Primary Service Area [PSA] & county), state and national data. The data gathered includes demographics, population growth, health insurance coverage, hospital services usage, primary and chronic health concerns, risk factors and existing community resources. Banner Casa Grande Medical Center collected secondary data to establish a quantitative baseline of health needs in the community. The secondary data was used to indicate the ways in which the PSA or county compares to state and national data, gauging whether the health need is greater or worse than BCGMC's community. Secondary data was used to present the most comprehensive picture of the Banner Casa Grande Medical Center PSA's health status and outcomes. Banner Casa Grande Medical Center used a multi-phased approach to identify health needs as part of their CHNA. In addition to collecting secondary data, BCGMC aligned with other Banner entities in the same market, Banner leaders and Banner Strategy & Planning to further review secondary data and its alignment with the primary data collected. The advantage of using this approach is that it validates data by cross verifying multiple sources. PRIORITIZATION Building on Banner Health's past three CHNA reports, the Steering Committee and facility champions worked with Banner Health corporate planners to prioritize health needs for Cycle 4 of the CHNA. Facility stakeholders, community members, and public health professionals were among major external entities involved in identifying health needs, which were then brought to the Steering Committee. Both Banner Health internal members, and external entities were strategically selected for their respective understanding of community perspectives, community-based health engagement, and health care expertise. To be considered a health need the following criteria was taken into consideration: * The PSA had a health outcome or factor rate worse than the average county/state rate. * The PSA demonstrated a worsening trend when compared to county/state data in recent years. * The PSA indicated an apparent health disparity. * The health outcome or factor was mentioned in the focus group. * The health need aligned with Banner Health's mission and strategic priorities. Using the previous CHNAs as a tool, the Steering Committee reviewed and compared the health needs identified in 2023 to the previous health needs. The group narrowed the community health needs to three. It was determined that Banner Health, as a health system would continue to address the same health needs from Cycle 3, the 2020 CHNA, due to the continued impact these health needs have on the overall health of the community. These needs and the strategies to address the needs align with the short and long-term goals the health system has, specific strategies can be tailored to the regions Banner Health serves, and the health needs can address many health areas within each of them. While prioritizing needs, COVID-19 was a consistent theme that arose in all forms of primary data collection. COVID-19 has had an impact on the measurement of health needs, socioeconomic factors, facility volumes, and health behaviors to name a few. Banner Steering Committee and facility leadership determined that for Banner Health's CHNA process, rather than adding a fourth community health need, Banner would incorporate COVID-19 into each of the three community health needs. Banner Health will continue to provide ongoing care for those affected physically and mentally by COVID-19 throughout Cycle 4 of the CHNA process. Schedule H, Part V, Section B, Line 5 Facility C, 2 Facility C, 2 - APPLIES TO ALL HOSPITAL FACILITIES IN FACILITY REPORTING GROUP C. Based on data and information gathered through the Banner Health CHNA process, the following represent the three 2024 prioritized health needs and their priorities: 1. Improving the health of the communities we serve * Access to and navigating healthcare services * Access to supportive care after hospital discharge * Access to care post-COVID * Employee wellness * Integrating social determinants of health with Banner 2. Chronic Disease Management * Health literacy * Health management * Diabetes and heart disease management * Diagnosing and managing dementia * Ongoing care for those with long-COVID * Preventative cancer education * Cancer screenings 3. Behavioral Health * Access to mental health resources * Mental health care for those affected by COVID related experiences (including PTSD and other behavioral health problems) * Substance and alcohol abuse and misuse prevention Schedule H, Part V, Section B, Line 11 Facility C, 1 Facility C, 1 - THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION C, LINE 11 APPLIES TO ALL HOSPITAL FACILITIES. BANNER HEALTH IMPLEMENTATION STRATEGIES To address the significant health needs identified during the CHNA process, Banner Health developed systemwide Implementation Strategies to address the significant health needs. The strategies, tactics, and anticipated outcomes of those strategies are the following: Significant Health Need: Improving the health of the communities we serve Strategy: Increased utilization of Banner Health's care continuum through our clinics, hospitals, ambulatory settings, and post-acute settings of care. Anticipated Outcome: Improve our communities ease and access to the care continuum for all their health care needs. Tactic 1: Increase access to ambulatory services. Tactic 2: Increase utilization of online scheduling for ease of appointment. Tactic 3: Increase community care communication with Banner Health to support the patient in accessing the care they need, navigate the care continuum, and inform their PCP of their ongoing healthcare status. COVID Tactic: Continue to provide long-COVID care Rehab Tactic: Continue to promote access to Banner Physical Therapy and Banner Home Care following discharge from Banner Rehabilitation Hospital. Strategy: Supporting our team members through internal wellness programs and employee benefits. Anticipated Outcome: Inspire a healthy and productive work force. Tactic 1: Offer and promote employee wellness programs to reduce burnout and turnover. Tactic 2: Promote employee satisfaction and employment experience. Tactic 3: Expand utilization of MyWell-Being to encourage daily wellness at Banner Health. COVID Tactic: Continue to provide communication with Banner Health employees on COVID. Strategy: Align Banner Health's strategies and processes with Social Determinants of Health (SDOH) practices. Anticipated Outcome: Educate Banner Health team members and partners on incorporating Social Determinants of Health into our health care strategies. Tactic 1: Identify and support community-based organizations to further align Banner Health's SDOH agenda. Tactic 2: Promote in-school clinics and mobile health clinics for low-income pediatric patients. Tactic 3: Provide non-clinical support to address Social Determinants of Health for seniors to improve their health and well-being through the care continuum. Significant Health Need: Chronic Disease Management Strategy: Increase access to Primary Care. Anticipated Outcome: Improve ease of primary care utilization. Tactic 1: Improve ease of scheduling Primary Care visits by increasing access to providers and online scheduling. Tactic 2: Create a process to better leverage telehealth in the management of chronic care conditions. Tactic 3: Provide additional resources to help our communities manage their health. COVID Tactic: Support patients with Chronic Diseases recovering from COVID-19. Strategy: Support Banner Health communities in managing chronic diseases. Anticipated Outcome: Improve chronic disease management through clinical support and patient education. Tactic 1: Support patients with or at risk for hypertension with managing their blood pressure control. Tactic 2: Support patients with or at risk for diabetes with managing their HbA1c levels. Tactic 3: Provide education or dementia capability to professionals and families in the communities we serve (Dementia ECHO and Community Education Programs) Rehab Tactic: Provide education and support in managing long term chronic disease care. Strategy: Increase awareness of and access to cancer screenings. Anticipated Outcome: Increase preventative cancer care. Tactic 1: Provide educational resources to the community for cancer awareness and prevention. Tactic 2: Increase patient compliance on routine colon screenings. Tactic 3: Increase patient compliance on routine breast cancer screening Significant Health Need: Behavioral Health Strategy: Provide awareness and access to mental health resources. Anticipated Outcome: Reduce volume of acute mental health episodes through early interventions of education and access to preventative care. Tactic 1: Continue to provide virtual education with Banner and their partners for mental health awareness. Tactic 2: Improve provider access to mental health resources to leverage with behavioral patients utilizing Tele-Behavioral. Tactic 3: Encourage clinician utilization of Banner Health provided mental health resources. Strategy: Support communities in accessing substance prevention and intervention services. Anticipated Outcome: Improve utilization of prevention and intervention services for substance use. Tactic 1: Promote clinician and pharmacists' prevention and intervention work for substance abuse and misuse. Tactic 2: Continue to offer multi-interventional tobacco cessation support at Banner Health facilities. Tactic 3: Continue to provide inpatient detox and intensive outpatient services at all acute behavioral health sites. Actions taken by Banner Health since the cycle 3 CHNA Implementation Strategies follow: Implementation Strategies Outcomes Significant Health Need: Access to Care Strategy #1: Increase access points for primary care services * Employed additional Primary Care Providers and Advanced Practice Providers to increase access to care. * Support over 1,500 children through mobile clinics and in-school health clinics. Strategy #2: Increase access to ambulatory care settings. * Grew access to ambulatory services for our community through Urgent Care, Ambulatory Surgical Centers, and Physical Therapy. * Provided more Urgent Care, Physical Therapy, and Ambulatory Surgical Center locations to the community, increasing access to care points. Strategy #3: Deploy care models and tools that improve affordability of care for Banner Health Network members. * Promoted access to Banner Medical Group, to reduce utilization of the Emergency Room * Identified twenty-two core measures for annual wellness visits to set quality measures - including chronic disease management, cancer screenings, and immunizations. Significant Health Need: Chronic Disease Management (Diabetes/Heart Disease/Cancer) Strategy #1: Continue to improve the coordination of care for patients with chronic disease diagnosis * Utilized pharmacists to assist in chronic disease management via telephone consultations. * Offer cancer screenings through clinics. * Provided education and assistance with medication adherence, including cost of medication. Strategy #2: Growth of preventative care and wellness programs in the communities we serve. * Provided Medicare Advantage Wellness visits through deploying MDs, NPs, and PAs. * Offered same day mammography access in ambulatory settings (health centers and Imaging locations). Strategy #3: Continued enhancement of measurement /oversight of clinical quality measures for chronic disease patients. * Decreased hypertension through an increase in clinical measures for BP control. * Monthly clinical performance meetings focusing on diabetes and hypertension for Quality Improvement. Significant Health Need: Behavioral Health Strategy #1: Provide services to increase awareness and access to address general psychiatric health needs. * Continue to partner with community outpatient behavioral health providers to provide coordinated care. * Encouraged patients to get initial behavioral screenings in the Emergency Department. * Utilized psychiatric telehealth services in market to continue to offer care in COVID environment. Strategy #2: Utilize internal and external resources to address opioid addiction in Banner Health communities. * Provided an average of 1,400 addiction assessments yearly. * Implemented a system wide primary care strategy to identify opioid use disorder. Strategy #3: Utilize internal and external resources to improve clinical quality for suicide, depression patients in Banner Health communities. * Working to be a "Zero Suicide" health system, where all non-clinical hospital employees are trained to Question, Persuade, and Respond when interacting with a person having a suicidal crisis. * Provided depression screenings during Clinic Appointments. Schedule H, Part V, Section B, Line 11 Facility C, 2 Facility C, 2 - THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION C, LINE 11 APPLIES TO ALL HOSPITAL FACILITIES. BROAD COMMUNITY INPUT In addition to the noted community outreach and in compliance with federal requirements, the Banner Health CHNA Steering Committee partnered with the Pinal County Department of Public Health and coalition of non-profit and federally qualified health care partners in addition to working collaboratively and assessing the health needs of residents in the respective counties and primary services areas. OTHER NEEDS IDENTIFIED BUT NOT PRIORITIZED Additional needs identified through data collection and community input were age related health concerns, aging problems, cancer, and access to healthy foods. In many of Banner's facilities a high percentage of the aged population is served, as a result tactics have been developed that acknowledge and address concerns of the aged populations. It was determined to group cancer into Chronic Disease management as opposed to having it stand along Significant Health Need, as a result a specific strategy has been developed to educate and create access to cancer screenings. COVID-19 remains an ongoing health concern in many communities. While Banner Health decided to not develop a Significant Health Need that is specific to COVID-19, health priorities have been developed that are related to the effects of COVID-19 and have developed tactics to address these health priorities. Schedule H, Part V, Section B, Line 16 Facility C, 1 Facility C, 1 - APPLIES TO ALL HOSPITAL FACILITIES IN REPORTING GROUP C. IN ADDITION TO ALL ACTIONS NOTED, BANNER OFFERS FAP WITH EACH BILLING STATEMENT TO THE PATIENT/GUARANTOR. FAP is also posted within facilities at registration locations. Schedule H, Part V, Section B, Line 2 Banner Rehab Hospital-East, a 56-bed rehabilitation hospital, opened in the Spring of 2022. Schedule H, Part V, Section B, Line 3E Based on data and information gathered through the CHNA process, the following represent the three 2024 prioritized health needs and their priorities: 1. Improving the health of the communities we serve * Access to and navigating healthcare services * Access to supportive care after hospital discharge * Access to care post-COVID * Employee wellness * Integrating social determinants of health with Banner 2. Chronic Disease Management * Health literacy * Health management * Diabetes and heart disease management * Diagnosing and managing dementia * Ongoing care for those with long-COVID * Preventative cancer education * Cancer screenings 3. Behavioral Health * Access to mental health resources * Mental health care for those affected by COVID related experiences (including PTSD and other behavioral health problems) * Substance and alcohol abuse and misuse prevention Schedule H, Part V, Section B, Line 3 Facility , 1 Facility , 1 - BANNER REHAB HOSPITAL-EAST. The CHNA for each facility in Facility Group A includes: - Executive Summary - Introduction and Purpose of CHNA - Banner Health Overview - Banner Health Covid Impact Statement - Service Area Description - Local, County, Etc. - Available Resources - Facility Inpatient Origin by Zip Code - Community Demographics - Process and Methods for Conducting CHNA - Banner Health CHNA Organizational Structure - Data Sources - Data Limitations and Information Gaps - Prioritization of Community Health Needs - Descriptions of Prioritized Health Needs - Unprioritized Needs - 2019 CHNA Follow-Up and Review - List of Data Sources - Focus Group Discussion Schedules and Questions - List of Steering Committee and Additional Stakeholders - List of external Stakeholders - List of Community Engagement Partners Banner Rehabilitation Hospital - East (Banner Rehab East) located adjacent to Banner Gateway Medical Center and is another step in expanding the care continuum for the community The hospital has fifty-six beds, offering patient focused care that is both compassionate and results oriented. Banner Rehab east Hospital Banner Rehab Phoenix offers programs and services designed to help patients restore strength, mobility, and independence as they heal and recover from a myriad of diagnostic conditions. The demographic area for this CHNA is Maricopa County, the common community for all partners participating in the SYNAPSE coalition collaborative. Maricopa County is the fourth most populous county in the United States. With an estimated population of four million and growing, Maricopa County is home to well over half of Arizona's residents and encompasses 9,224 square miles, includes twenty-seven cities and towns, as well as the whole or part of five sovereign American Indian reservations. The primary service area (PSA) information for Banner Rehab East includes es the zip codes making up the top 75% of the total inpatient cases. The PSA includes all residents in a defined geographic area surrounding the hospital does not exclude low-income, uninsured, or underserved populations. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - BANNER REHAB HOSPITAL-EAST. PROCESS & METHODOLOGY USED TO CONDUCT CHNA The Community Health Needs Assessment uses a mixed methods approach that includes the collection of primary data from focus groups, surveys, and community stakeholders, as well as secondary data from existing public and private data sources. Through partnership with our local health departments, data is collected that meets the Patient Protection Affordable Care Act (PPACA) and the Public Health Accreditation Board's (PHAB) standards for conducting routine community health assessments. These standards are: * Proactive, diverse, and broad community engagement. * A comprehensive definition of community. * Transparency to improve community engagement. * Use of evidence-based data collection and evaluation. * Use of high-quality data from diverse sources. Banner Health employs an eight-step CHNA process based on Banner Health's experience from previous CHNA cycles. The process outlined below involves continuous review and evaluation or CHNAs from previous cycles, through both the action plans and reports developed on a three-year cycle. Through each cycle Banner Health has been able to provide consistent data to monitor population trends. 1. Review and evaluate prior CHNA Report and Action Plans, review data 2. Partner with community agencies, including County Public Health Departments 3. Conduct focus group with community stakeholders and confirm community priorities 4. Research additional health needs identified 5. Prepare CHNA Report 6. Develop strategies for the next three years 7. Obtain Banner Health Leadership and Board of Director approval 8. Post to Bannerhealth.com and obtain ongoing community feedback Organizational Structure Banner Health's CHNA Steering Committee (Steering Committee) - Comprised of leaders from throughout Banner Health, these leaders represent our Arizona Community Delivery, Wester Division and Rural Facilities, as well as our Academic Medical Centers. In collaboration with facility leadership team and Banner Health's Strategy Planning department, the Steering Committee is instrumental in both the development of the CHNA process and the continuation of Banner Health's commitment to providing services that meet community health needs. CHNA Champions - A working team from each of Banner Health's hospitals meets monthly to review the ongoing process of community stakeholder meetings, report creation, and action plan implementation. This group consists of membership made up of CEOs, CNOs, COOs, facility directors, quality management personnel, volunteer services leaders, and other clinical stakeholders. External Stakeholders - A team of external stakeholders is made up of individuals and organizations external to Banner Health, and represent the underserved, uninsured, and minority populations in Maricopa County and the surrounding areas. Based on their role in the public health realm of the hospital's surrounding community, these stakeholders are instrumental in collaborating around improving our communities. Each stakeholder is vested in the overall health of the community and brings forth a unique perspective with regards to the population's health needs. Primary Data Consists of new data that is obtained via direct means. For Banner Health, primary data is created by rendering healthcare services to patients; the data includes inpatient, or outpatient counts, visits, payer, etc. For the CHNA report, primary data was also collected directly from the community through surveys, focus groups, and key informant interviews. The primary data for the CHNA originated from Cerner (Banner's Electronic Medical Record) and McKesson (Banner's Cost Accounting / Decision Support Tool). These data sources were used to identify the health services currently being accessed by the community at Banner locations and provides indicators for diagnosis-based health needs of the community. SYNAPSE in partnership with Maricopa County facilities, Federally Qualified Health Centers (FQHCs), and other health partners, conducted surveys and focus groups throughout 2021. The Survey, which yielded 14,380 responses was available virtually to the public and was translated into thirteen languages. A total of thirty-three focus groups were held, involving 186 participants. Focus Group types ranged from Hispanic males, South Phoenix young families, expectant mothers and parents of young children, Asian/Pacific Islander seniors, and young American Indians. These meetings were also conducted via a virtual platform. Data from focus groups indicated top community-identified health issues. Overall, mental health was the primary issues with nearly 50% of respondents affirming it was a top issue to them. This was a change from the 2019 survey, were most respondents noted Alcohol/substance abuse as the top health condition. Participants were also asked about barriers they experienced in seeking or accessing healthcare in their community. Due to the routine occurrence of SYNAPSE data collection for Community Health Assessments, provide pre and post COVID-19 responses to this question. Fear of exposure was the top barrier for all age groups. Community Survey - In order to identify and understand community health needs, a community health assessment survey was administered to community members in Western Division. Community health assessment surveys were administered between May-July 2022. Surveys were intended to provide information about prominent health problems facing the community. The survey had a total of fifteen questions to identify factors which contributed to overall quality of life, more important health issues and behaviors, rating scales, and impact COVID-19 had in their life and in the community. A total of 234 surveys were collected from our Western Division community partners including 61 Colorado partners (Weld, Logan, Larimer and Morgan Counties), 31 Nevada partners (Churchill County), 52 Arizona partners (Gila and Coconino Counties) and 88 Wyoming partners (Washakie, Goshen, and Platte Counties). Key Informant Interviews - Banner Health conducted a series of Key Informant Interviews with community members identified by Facility Champions. Key informants represented local health departments, fire departments, behavioral health centers, local community colleges, and social service departments. Through a series of eight questions, key informants defined their opinion of health and what quality of life meant, they identified top community needs, and discussed the impact COVID-19 continues to have in their community. While the definition of health varied person by person, the primary theme was the ability to live a safe and productive life. Secondary Banner Health's process for conducting their CHNA leveraged a multi-phased approach to understanding gaps in services provided to the community, as well as existing community resources. The CHNA utilized a mixed-methods approach that included the collection of secondary or quantitative data with review and input from key informants, and meetings with internal leadership. Secondary data includes publicly available health statistics and demographic data. With input from stakeholders, champions, and the Steering Committee, additional health indicators of special interest were investigated. Comparisons of data sources were made to the county, state, and PSA if possible. Data analytics were employed to identify demographics, socioeconomic factors, and health trends in the PSA, county, and state. Data reviewed included information around demographics, population growth, health insurance coverage, hospital services utilization, primary and chronic health concerns, risk factors, and existing community resources. Several services of data were consulted to present the most comprehensive picture of B-UMCP's PSA's health status and outcomes. INPUT WAS COLLECTED FROM INDIVIDUALS IN THE COMMUNITY, INCLUDING PUBLIC HEALTH EXPERTS AS WELL AS RESIDENTS, REPRESENTATIVES, OR LEADERS OF LOW-INCOME, MINORITY, AND MEDICALLY UNDERSERVED POPULATIONS. AS NOTED ABOVE SURVEYS AND FOCUS GROUPS WERE CONDUCTED THROUGHOUT 2022 AND RESULTS INCORPORATED INTO THE CHNA. IN ADDITION TO THE NOTED COMMUNITY OUTREACH AND IN COMPLIANCE WITH FEDERAL REQUIREMENTS, BANNER WORKED COLLABORATIVELY TO ASSESS THE HEALTH NEEDS OF RESIDENTS IN THE RESPECTIVE COUNTIES AND PRIMARY SERVICES AREAS. THE BANNER HEALTH CHNA STEERING COMMITTEE PARTNERED WITH THE MARICOPA COUNTY HEALTH, MARICOPA COUNTY SYNAPSE COALITION, LOCAL RESIDENTS AND STAKEHOLDERS AND A COALITION OF OTHER NON-PROFIT AND QUALIFIED HEALTH CARE PARTNERS IN THESE EFFORTS. Schedule H, Part V, Section B, Line 5 Facility , 2 Facility , 2 - BANNER REHAB HOSPITAL-EAST. PRIORITIZATION Building on Banner Health's past three CHNA reports, the Steering Committee and facility champions worked with Banner Health corporate planners to prioritize health needs for Cycle 4 of the CHNA. Facility stakeholders, community members, and public health professionals were among major external entities involved in identifying health needs, which were then brought to the Steering Committee. Both Banner Health internal members, and external entities were strategically selected for their respective understanding of community perspectives, community-based health engagement, and health care expertise. To be considered a health need the following criteria was taken into consideration: * The PSA had a health outcome or factor rate worse than the average county/state rate. * The PSA demonstrated a worsening trend when compared to county/state data in recent years. * The PSA indicated an apparent health disparity. * The health outcome or factor was mentioned in the focus group. * The health need aligned with Banner Health's mission and strategic priorities. Using the previous CHNAs as a tool, the Steering Committee reviewed and compared the health needs identified in 2022 to the previous health needs. The group narrowed the community health needs to three. It was determined that Banner Health, as a health system would continue to address the same health needs from Cycle 3, the 2019 CHNA, due to the continued impact these health needs have on the overall health of the community. These needs and the strategies to address the needs align with the short and long-term goals the health system has, specific strategies can be tailored to the regions Banner Health serves, and the health needs can address many health areas within each of them. While prioritizing needs, COVID-19 was a consistent theme that arose in all forms of primary data collection. COVID-19 has had an impact on the measurement of health needs, socioeconomic factors, facility volumes, and health behaviors to name a few. Banner Steering Committee and facility leadership determined that for Banner Health's CHNA process, rather than adding a fourth community health need, Banner would incorporate COVID-19 into each of the three community health needs. Banner Health will continue to provide ongoing care for those affected physically and mentally by COVID-19 throughout Cycle 4 of the CHNA process. Based on data and information gathered through the Banner Health Community Health Needs Assessment (CHNA) process, the following represent the three 2023 prioritize health needs and their priorities: 1. Improving the health of the communities we serve * Access to and navigating healthcare services * Access to supportive care after hospital discharge * Access to care post-COVID * Employee wellness * Integrating social determinants of health with Banner 2. Chronic Disease Management * Health literacy * Health management * Diabetes and heart disease management * Diagnosing and managing dementia * Ongoing care for those with long-COVID * Preventative cancer education * Cancer screenings 3. Behavioral Health * Access to mental health resources * Mental health care for those affected by COVID related experiences (including PTSD and other behavioral health problems) * Substance and alcohol abuse and misuse prevention Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - BANNER REHAB HOSPITAL-EAST. BANNER HEALTH IMPLEMENTATION STRATEGIES To address the significant health needs identified during the CHNA process, Banner Health developed systemwide Implementation Strategies to address the significant health needs. The strategies, tactics, and anticipated outcomes of those strategies are the following: Significant Health Need: Improving the health of the communities we serve Strategy: Increased utilization of Banner Health's care continuum through our clinics, hospitals, ambulatory settings, and post-acute settings of care. Anticipated Outcome: Improve our communities ease and access to the care continuum for all their health care needs. Tactic 1: Increase access to ambulatory services. Tactic 2: Increase utilization of online scheduling for ease of appointment. Tactic 3: Increase community care communication with Banner Health to support the patient in accessing the care they need, navigate the care continuum, and inform their PCP of their ongoing healthcare status. COVID Tactic: Continue to provide long-COVID care. Rehab Tactic: Continue to promote access to Banner Physical Therapy and Banner Home Care following discharge from Banner Rehabilitation Hospital. Strategy: Supporting our team members through internal wellness programs and employee benefits. Anticipated Outcome: Inspire a healthy and productive work force. Tactic 1: Offer and promote employee wellness programs to reduce burnout and turnover. Tactic 2: Promote employee satisfaction and employment experience. Tactic 3: Expand utilization of MyWell-Being to encourage daily wellness at Banner Health. COVID Tactic: Continue to provide communication with Banner Health employees on COVID. Strategy: Align Banner Health's strategies and processes with Social Determinants of Health (SDOH) practices. Anticipated Outcome: Educate Banner Health team members and partners on incorporating Social Determinants of Health into our health care strategies. Tactic 1: Identify and support community-based organizations to further align Banner Health's SDOH agenda. Tactic 2: Promote in-school clinics and mobile health clinics for low-income pediatric patients. Tactic 3: Provide non-clinical support to address Social Determinants of Health for seniors to improve their health and well-being through the care continuum. Significant Health Need: Chronic Disease Management Strategy: Increase access to Primary Care. Anticipated Outcome: Improve ease of primary care utilization. Tactic 1: Improve ease of scheduling Primary Care visits by increasing access to providers and online scheduling. Tactic 2: Create a process to better leverage telehealth in the management of chronic care conditions. Tactic 3: Provide additional resources to help our communities manage their health. COVID Tactic: Support patients with Chronic Diseases recovering from COVID-19. Strategy: Support Banner Health communities in managing chronic diseases. Anticipated Outcome: Improve chronic disease management through clinical support and patient education. Tactic 1: Support patients with or at risk for hypertension with managing their blood pressure control. Tactic 2: Support patients with or at risk for diabetes with managing their HbA1c levels. Tactic 3: Provide education or dementia capability to professionals and families in the communities we serve (Dementia ECHO and Community Education Programs) Rehab Tactic: Provide education and support in managing long term chronic disease care. Strategy: Increase awareness of and access to cancer screenings. Anticipated Outcome: Increase preventative cancer care. Tactic 1: Provide educational resources to the community for cancer awareness and prevention. Tactic 2: Increase patient compliance on routine colon screenings. Tactic 3: Increase patient compliance on routine breast cancer screening Significant Health Need: Behavioral Health Strategy: Provide awareness and access to mental health resources. Anticipated Outcome: Reduce volume of acute mental health episodes through early interventions of education and access to preventative care. Tactic 1: Continue to provide virtual education with Banner and their partners for mental health awareness. Tactic 2: Improve provider access to mental health resources to leverage with behavioral patients utilizing Tele-Behavioral. Tactic 3: Encourage clinician utilization of Banner Health provided mental health resources. Strategy: Support communities in accessing substance prevention and intervention services. Anticipated Outcome: Improve utilization of prevention and intervention services for substance use. Tactic 1: Promote clinician and pharmacists' prevention and intervention work for substance abuse and misuse. Tactic 2: Continue to offer multi-interventional tobacco cessation support at Banner Health facilities. Tactic 3: Continue to provide inpatient detox and intensive outpatient services at all acute behavioral health sites. This is the second year of the Banner Rehabilitation Hospital - CHNA Report. The following represent enterprise Implementation Strategies Actions taken by Banner Health since the cycle 3 CHNA Implementation Strategies follow: Implementation Strategies Outcomes Significant Health Need: Access to Care Strategy #1: Increase access points for primary care services * Employed additional Primary Care Providers and Advanced Practice Providers to increase access to care. * Support over 1,500 children through mobile clinics and in-school health clinics. Strategy #2: Increase access to ambulatory care settings. * Grew access to ambulatory services for our community through Urgent Care, Ambulatory Surgical Centers, and Physical Therapy. * Provided more Urgent Care, Physical Therapy, and Ambulatory Surgical Center locations to the community, increasing access to care points. Strategy #3: Deploy care models and tools that improve affordability of care for Banner Health Network members. * Promoted access to Banner Medical Group, to reduce utilization of the Emergency Room * Identified twenty-two core measures for annual wellness visits to set quality measures - including chronic disease management, cancer screenings, and immunizations. Significant Health Need: Chronic Disease Management (Diabetes/Heart Disease/Cancer) Strategy #1: Continue to improve the coordination of care for patients with chronic disease diagnosis * Utilized pharmacists to assist in chronic disease management via telephone consultations. * Offer cancer screenings through clinics. * Provided education and assistance with medication adherence, including cost of medication. Strategy #2: Growth of preventative care and wellness programs in the communities we serve. * Provided Medicare Advantage Wellness visits through deploying MDs, NPs, and PAs. * Offered same day mammography access in ambulatory settings (health centers and Imaging locations). Strategy #3: Continued enhancement of measurement /oversight of clinical quality measures for chronic disease patients. * Decreased hypertension through an increase in clinical measures for BP control. * Monthly clinical performance meetings focusing on diabetes and hypertension for Quality Improvement. Significant Health Need: Behavioral Health Strategy #1: Provide services to increase awareness and access to address general psychiatric health needs. * Continue to partner with community outpatient behavioral health providers to provide coordinated care. * Encouraged patients to get initial behavioral screenings in the Emergency Department. * Utilized psychiatric telehealth services in market to continue to offer care in COVID environment. Strategy #2: Utilize internal and external resources to address opioid addiction in Banner Health communities. * Provided an average of 1,400 addiction assessments yearly. * Implemented a system wide primary care strategy to identify opioid use disorder. Strategy #3: Utilize internal and external resources to improve clinical quality for suicide, depression patients in Banner Health communities. * Working to be a "Zero Suicide" health system, where all non-clinical hospital employees are trained to Question, Persuade, and Respond when interacting with a person having a suicidal crisis. * Provided depression screenings during Clinic Appointments. Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - BANNER REHAB HOSPITAL-EAST. BROAD COMMUNITY INPUT In addition to the noted community outreach and in compliance with federal requirements, the Banner Health CHNA Steering Committee partnered with the Maricopa County Department of Public Health and Maricopa County Synapse, coalition of non-profit and federally qualified health care partners in addition to working collaboratively and assessing the health needs of residents of Maricopa County, Arizona, including the primary services area for Banner Rehab East. NEEDS IDENTIFIED BUT NOT PRIORITIZED Additional needs identified through data collection and community input were age related health concerns, aging problems, cancer, and access to healthy foods. In many of Banner's facilities a high percentage of the aged population is served, as a result tactics have been developed that acknowledge and address concerns of the aged populations. It was determined to group cancer into Chronic Disease Management as opposed to having it stand along Significant Health Need, as a result a specific strategy has been developed to educate and create access to cancer screenings. COVID-19 remains an ongoing health concern in many communities. While Banner Health decided to not develop a Significant Health Need that is specific to COVID-19, health priorities have been developed that are related to the effects of COVID-19 and have developed tactics to address these health priorities. Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - BANNER REHAB HOSPITAL-EAST. IN ADDITION TO ALL ACTIONS NOTED, BANNER OFFERS FAP WITH EACH BILLING STATEMENT TO THE PATIENT/GUARANTOR. FAP is also posted within facilities at registration locations. 564 Banner Health Clinic 443 Big Horn Avenue Thermopolis WY 82443 Medical Clinic, Family Practice Physician Banner Children's - Banner Health Clinic 3493 S Mercy Rd Bldg 15 Gilbert AZ 85297 Medical Clinic, Pediatrician Banner Health Clinic 1075 S Idaho Rd Ste 206 Apache Junction AZ 85119 Medical Clinic, Pediatrician, Family Medicine Physician Banner Children's - Banner Health Clinic 1760 E Florence Blvd Ste 100 Casa Grande AZ 85122 Pediatrician, Medical Clinic Banner Children's - Banner Health Clinic 1450 S Dobson Rd Ste B220 Mesa AZ 85202 Medical Clinic, Pediatrician Banner Children's - Banner Health Clinic 1220 S Higley Rd Ste 101 Mesa AZ 85206 Medical Clinic, Pediatrician Banner Health Center 1435 S Alma School Rd Chandler AZ 85286 Med. Clinic, Gyn., Obst., Family Pract. Phys., Int. Med., Ped., Ment. Hlth., XRays, Med. Lab Banner Health Center 4700 Lady Moon Dr Fort Collins CO 80528 Med. Clinic, Fam. Pract. Phys., Ped., Bar. Surg., Bar. Med., Surg. Onc., Card., Neur., Gen. Srgy. Banner Health Center 1260 Nevada Pacific Blvd Fernley NV 89408 Med. Clinic, Pediatrician, Family Pract., Phys., Int. Med., Orth., Srgry, Obst., X Rays, Med. Lab. Banner Health Center 155 E Warner Rd Gilbert AZ 85296 Med. Clinic, Fam. Pract. Phys., Pedia., Int. Med., Obst., Orth., Sports Med., Xrays, Med. Lab. Banner Health Center 17900 N Porter Rd Maricopa AZ 85138 Med. Clinic, Fam Pract. Phys., Neur., Orth., Int. Med., Ped., Obst., Gen. Srgry., XRays, Med. Lab. Banner Health Center 1917 S Crismon Rd Mesa AZ 85209 Med. Clinic, Fam. Pract. Phys., Int. Med,, Orthopedics, Srgry, Xrays, Med. Lab, Beh./Mental Hlth. Banner Health Center 15800 N Litchfield Rd Suite 150 Surprise AZ 85374 Med. Clinic, Family Practice Physician, Internal Medicine, Pediatrician, Ortho., Xrays, Med. Lab Banner Health Center 21772 S Ellsworth Loop Rd Queen Creek AZ 85142 Med. Clinic, Fam. Pract., Int. Med.. Obst., Sports, Gyn., Ortho., XRays, Med. Lab, Beh. Banner Health Center 702A W Drake Rd Fort Collins CO 80526 Med. Clinic, XRays, Ment. Hlth. Svcs, Card., Crit. Care, Int. Med., Ped., Neur., Fam. Pract., Ortho. Banner Health Center 9780 S Estrella Pkwy Goodyear AZ 85338 Med. Clinic, Pediatrician, Family Pract. Phys., Neurologist, Obst., XRays, Med. Lab Banner Health Center 4720 E Greenway Rd Phoenix AZ 85032 Med. Clinic, Ment. Hlth. Clinic, Family Practice Phys., Gyn., XRays, Int. Med., Ped., Med. Lab Banner Health Center 13640 N Plaza Del Rio Blvd Peoria AZ 85381 Med. Clinic, Fam. Pract. Phys., Int. Med., Gen. Srgry, Gastro., mental/behavioral health svcs. Banner Health Center 9165 W Thunderbird Rd Peoria AZ 85381 Med. Clinic, Family Pract. Phys., Ment. Health Clinic, Nutritionist, Orthopedics, Psychologist Banner Health Center 4375 E Irma Lane Phoenix AZ 85050 Med. Clinic, Family Pract. Phys., Int. Med., Ped., Ortho., X Ray, Med. Lab Banner Health Center 1230 14th St SW Loveland CO 80537 Med. Clinic, Family Practice Phys, X Rays, Med. Lab. Banner Health Center 20751 W Market St Buckeye AZ 85396 Med. Clinic, Family Practice Phys., Obstetrics, Pediatrician, Neurologist, XRays, Med. Lab Banner Health Center 102 Hays Ave Sterling CO 80751 Med. Clinic, Family Practice Physician, X Rays & Imaging, Medical Laboratory Banner Health Clinic 14420 W Meeker Blvd Bldg A Ste 104 Sun City West AZ 85375 Medical Clinic, Dermatology Banner Health Clinic 1811 E McMurray Blvd Casa Grande AZ 85122 Medical Clinic, Orthopedics Banner Health Clinic 1800 15th St Ste 210 Greeley CO 80631 Medical Clinic, Infectious Disease Medicine Banner Health Clinic 2555 E 13th St Ste 105 Loveland CO 52637 Medical Clinic, Orthopedics Banner Health Clinic 1300 S Country Club Dr Ste 3 Mesa AZ 85210 Medical Clinic, Family Practice Physician Banner Children's - Banner Health Clinic 6142 E Brown Rd Ste 102 Mesa AZ 85205 Medical Clinic, Pediatrician Banner Health Clinic 6553 E Baywood Ave Ste 101 Mesa AZ 85206 Medical Clinic, Surgery Center, Surgery Banner Health Clinic 122 E Main St Payson AZ 85541 Medical Clinic, Surgery Center, Surgery, Cardiology, Oncology Banner Health Clinic 28471 N Vistancia Blvd Ste 102 Peoria AZ 85383 Medical Clinic, Pediatrician, Internal Medicine, Family Practice Physician Banner Health Clinic 6152 Hardscrabble Rd Pine AZ 85544 Medical Clinic, Family Practice Physician Banner Health Clinic 1680 Paul Bunyan Rd Susanville CA 96130 Medical Clinic, Family Practice Physician, Pediatrician Banner Health Clinic 1 E Whalen Street Guernsey WY 82214 Medical Clinic, Family Practice Physician, Gynecology Banner Health Clinic 3235 N Hunt Highway Ste 103 Florence AZ 85132 Medical Clinic, Family Practice Physician Banner Health Clinic 4860 N Litchfield Rd Ste 102 Litchfield Park AZ 85340 Medical Clinic, Family Practice Physician, Geriatrician, Pediatrician Banner Health Clinic 2001 70th Ave Suite 300 Greeley CO 80634 Pediatrician, Medical Clinic Banner Health Clinic 2555 E 13th St Ste 130 Loveland CO 80537 Medical Clinic, Pediatrician Banner Health Clinic 303 Colland Drive Fort Collins CO 80525 Medical Clinic, Family Practice Physician, Internal Medicine, Pediatrician Banner Health Clinic 2923 Ginnala Dr Loveland CO 80538 Medical Clinic, Family Practice Physician Banner Health Clinic 500 Main St Fort Morgan CO 80701 Medical Clinic, Family Practice Physician, Internal Medicine Banner Health Clinic 1900 N Boise Ave Ste 220 Loveland CO 80538 Medical Clinic, Pulmonology, Sleep Medicine, Critical Care Medicine Banner Health Clinic 1801 16th St Suite 210 Greeley CO 80631 Medical Clinic, Hospice Google and Palliative Care Yext Banner Health Clinic 2000 Boise Avenue Loveland CO 80538 Medical Clinic, Hospice & Long Term Care Banner Health Clinic 7859 6th Street Wellington CO 80549 Medical Clinic, Family Practice Physician, Internal Medicine, Pediatrician Banner Health Clinic 1300 Main St Windsor CO 80550 Medical Clinic, Obstetrics, Gynecology, Family Practice Physician, Sports Medicine Banner Health Clinic 909 E Railroad Ave Fort Morgan CO 80701 Medical Clinic, Family Practice Physician, Internal Medicine, Pediatrician Banner Health Clinic 126 E Main St Ste D Payson AZ 85541 Medical Clinic, Orthopedics Banner Health Clinic 5623 W 19th St Greeley CO 80634 Medical Clinic, Family Practice Physician Banner Health Clinic 222 Johnstown Center Dr Johnstown CO 80534 Medical Clinic, Endocrinology, Internal Med., Ped., Family Practice Physician, Nutrition Banner Health Clinic 1800 15th St Ste 100B Greeley CO 80631 Medical Clinic, Neurosurgery Banner University Medicine Neurosciences Clinic 1520 S Dobson Rd Ste 206 Mesa AZ 85202 Medical Clinic, Neurology Banner Health Clinic 5890 West 13th St Suite 104 Greeley CO 80631 Medical Clinic, Gastroenterology Banner Health Clinic 120 E Main Street Ste A Payson AZ 85541 Medical Clinic, Obstetrics, Gynecology Banner Health Clinic 6750 E Baywood Ave Ste 503 Mesa AZ 85206 Medical Clinic, Vascular Surgery Banner Health Clinic 1900 N Boise Ave Ste 420 Loveland CO 80538 Medical Clinic, Surgery Center, Surgery Banner Health Clinic 801 E Williams Suites 3309 2207 Fallon NV 89406 Medical Clinic, Obstetrics, Gynecology, Internal Medicine Banner Health Clinic 401 10th St Berthoud CO 80513 Medical Clinic, Family Practice Physician Banner Health Clinic 1405 S 8th Ave Ste 101 Sterling CO 80751 Medical Clinic, Surgery Center, Surgery Banner Health Clinic 37100 N Gantzel Rd Ste 107 San Tan Valley AZ 85140 Medical Clinic, Orthopedics Banner Health Clinic 13188 N 103rd Dr Ste 206 Sun City AZ 85351 Medical Clinic, Surgery Center, Surgery Banner Health Clinic 2001 70th Ave Ste 221 Greeley CO 80634 Mental Health Clinic, Medical Clinic, Psychologist, Psychiatrist, Counselor, Social Work Banner Health Clinic 2050 N Boise Ave Ste B Loveland CO 80538 Medical Clinic, Cancer Treatment Center Banner Health Clinic 1900 N Boise Ave Ste 300 Loveland CO 80538 Medical Clinic, Obstetrics, Gynecology Banner Health Clinic 1920 N Higley Rd Ste 308 Gilbert AZ 85234 Med. Clinic, Srgry Ctr., Surgery, Gastroenterology, Bar. Srgry, General Surgery, Gastro. Banner Health Clinic 2410 W 16th St Greeley CO 80634 Medical Clinic, Neurology Banner Health Clinic 2400 W Edison St Brush CO 80723 Family Medicine, Medical Clinic Banner Health Clinic 4530 E Ray Rd Ste 190 Phoenix AZ 85044 Medical Clinic, Family Practice Physician Banner Health Clinic 37100 N Gantzel Rd Ste 201 San Tan Valley AZ 85140 Medical Clinic, Family Practice Physician, Internal Medicine, Pediatrician Banner Health Clinic 5890 W 13th St Ste 106 Greeley CO 80634 Medical Clinic, Urology Banner Health Clinic 1920 N Higley Rd Ste 206 Gilbert AZ 85234 Medical Clinic, Orthopedics Banner Health Clinic 5890 W 13th St Ste 101 Greeley CO 80634 Medical Clinic, Orthopedics, Sports Medicine, orthopedic surgeon Banner Health Clinic 2601 N Spruce St Ogallala NE 69153 Medical Clinic, Family Practice Physician Banner Health Clinic 801 E Williams Ave Ste 2208 Fallon NV 89406 Pediatrician, Medical Clinic Banner Health Clinic 6553 E Baywood Ave Ste 212 Mesa AZ 85206 Medical Clinic, Neurology Banner Health Clinic 601 N Navajo Page AZ 86040 Medical Clinic, Internal Medicine, Pediatrician Banner Health Clinic 2701 Madison Square Dr Loveland CO 80538 Medical Clinic, Allergies & Immunology, Internal Medicine Banner Health Clinic 1801 16th St First Floor Greeley CO 80631 Medical Clinic, Pulmonology, Sleep Medicine Banner Health Clinic 1800 15th St Ste 200 and 340 Greeley CO 80631 Medical Clinic, Internal Medicine Banner Health Clinic 2001 70th Ave Suite 300 Greeley CO 80634 Obstetrics & Gynecology, Medical Clinic Banner Health Clinic 9305 W Thomas Rd Ste 380 Phoenix AZ 85037 Medical Clinic, Infectious Disease Medicine, Pulmonology Banner Health Clinic 1405 S 8th Ave Ste 105 Sterling CO 80751 Medical Clinic, Obstetrics, Gynecology Banner Health Clinic 5757 W Thunderbird Rd Ste E456 Glendale AZ 85306 Medical Clinic, Surgery Center, Surgery Banner Health Clinic 2400 Edison St Brush CO 80723 Med. Clinic, Family Practice Phys., Surgery, General Srgry., Otolaryngology, Obst., Gyn. Banner Health Clinic 1811 E McMurray Blvd Casa Grande AZ 85122 Medical Clinic, Family Practice Physician Banner Health Clinic 2001 70th Ave Suite 200 Greeley CO 80634 Family Practice Physician, Medical Clinic Banner Health Clinic 625 Albany Ave Torrington WY 82240 Medical Clinic, Family Practice Physician Banner Health Clinic 201 14th Street Wheatland WY 82201 Medical Clinic Banner Health Clinic 1828 E Florence Blvd Bldg A Ste 110 Casa Grande AZ 85122 Medical Clinic, Surgery Center, Surgery Banner Health Clinic 2000 Campbell Dr Torrington WY 82240 Medical Clinic, Family Practice Physician Banner Health Clinic 1813 Cheyenne Ave Loveland CO 80538 Medical Clinic, Endocrinology, Neurology, Hospice & Long Term Care Banner Health Clinic 400 S 15th St Suite 101 Worland WY 82401 Medical Clinic, Surgery Center, Surgery Banner Health Clinic 2001 70th Ave Suite 200 Greeley CO 80634 Med. Clinic, Internal Med., Family Practice Phys., Pediatrician, Mental Health Svc., Obstetrics Banner Health Clinic 9305 W Thomas Rd Ste 360 Phoenix AZ 85037 Medical Clinic, Surgery Center, Surgery Banner Health Clinic 2555 E 13th St Ste 230 Loveland CO 80537 Medical Clinic, Urology Banner Health Clinic 801 E Williams Ave Ste 3301 Fallon NV 89406 Medical Clinic, Surgery Center, Surgery Banner Health Clinic 1405 Howell Ave Worland WY 82401 Medical Clinic, Family Practice Physician Banner Health Clinic 117 E Main St Ste A100 Payson AZ 85541 Medical Clinic, Family Practice Physician Banner Health Clinic Family Care Clinic 615 Fairhurst St Sterling CO 80751 Medical Clinic, Family Practice Physician Banner Health Clinic 100 S Cherry Ave Unit 1 Eaton CO 80615 Medical Clinic, Family Practice Physician Banner Health Same Day Care Clinic 14416 W Meeker Blvd Bldg C Ste 200 Sun City West AZ 85375 Medical Clinic, Family Practice Physician Banner Health Center 14416 W Meeker Blvd Bldg C Sun City West AZ 85375 Med. Clinic, Fam. Pract., Int. Med., Geri., Derma., Sleep Med., Endoc., Gastro., Ortho., Podia. Banner Health Clinic 1940 N Alma School Rd Chandler AZ 85224 Medical Clinic, Vascular Surgery Banner Health Clinic 5601 W Eugie Ave Ste 100 Glendale AZ 85304 Medical Clinic, Orthopedics, Sports Medicine Banner Health Clinic 13943 N 91st Ave Ste B-101 Peoria AZ 85381 Medical Clinic, Cardiology, Cardiovascular Surgery, Surgery Center Banner Health Center plus 7701 W Aspera Blvd Glendale AZ 85308 Med. Clinic, Fam. Pract., Ped., Int. Med., Bar. Srgry., Obst., Gyn., Gastro., Ortho., Endo. Banner Health Clinic 4650 Signal Tree Dr Unit B200 Timnath CO 80547 Medical Clinic, Family Practice Physician Banner Health Clinic 1125 S Alma School Rd Ste 210 Chandler AZ 85286 Medical Clinic, Orthopedics, Gastroenterology, Endocrinology Banner Health Clinic 5757 W Thunderbird Road Suite E456 Glendale AZ 85306 Medical Clinic, Cardiology Banner Health Clinic 1920 N Higley Rd Ste 306 Gilbert AZ 85234 Medical Clinic, Orthopedics, Podiatry Banner Health Clinic 1125 S Alma School Rd Suite 310 Chandler AZ 85286 Medical Clinic, Cardiology Banner Health Clinic 6600 E Second St Casper WY 82609 Medical Clinic, Family Practice Physician Banner Health Clinic 3632 American Way Suite A Casper WY 82604 Medical Clinic, Family Practice Physician Banner Health Clinic 1020 S Conwell St Suite A Casper WY 82601 Medical Clinic, Family Practice Physician Banner Health Clinic 419 S Washington St Suite 201 Casper WY 82601 Medical Clinic, Pulmonology, Diabetes, Endocrinology Banner Health Clinic 1020 E Second St Ste 201 Casper WY 82601 Medical Clinic, Surgery Banner Health Center plus 4200 E Camelback Road Phoenix AZ 85018 Med. Clinic, Fam. Pract. Phys., Bar. Med., Gastro., Ortho., Sports, Srgry., UC, Cardio., Neur. Banner Health Walk-In Clinic 3632 American Way Suite B Casper WY 82604 Walk-In Clinic, X Rays & Imaging, Diagnostic Lab Medical Laboratory Banner Health Walk-In Clinic 1020 S Conwell St Suite B Casper WY 82601 Walk-In Clinic, X Rays & Imaging, Diagnostic Lab Medical Laboratory Banner Health Clinic 6424 E Broadway Rd Suite 105 Mesa AZ 85206 Medical Clinic, Interventional Cardiology, Echocardiography Banner Health Clinic 1780 E Florence Blvd Suite 108 Casa Grande AZ 85122 Medical Clinic, Family Practice Physician, Internal Medicine Banner - University Medicine Orthopedic Clinic 1555 E River Rd Suite 125 Tucson AZ 85718 Medical Clinic, Orthopedics Banner Health Center 8901 East Raintree Drive Scottsdale AZ 85260 Medical Clinic, Family Practice Physician Banner Health Center 7669 East Pinnacle Peak Rd Suite Scottsdale AZ 85255 Medical Clinic, Family Practice Physician Banner Same-Day Care 101 E State Highway 260 G Payson AZ 85541 X Rays & Imaging, Medical Laboratory, Diagnostic Lab Banner Same-Day Care 3457 W White Mountain Blvd Lakeside AZ 85929 X Rays & Imaging, Medical Laboratory, Diagnostic Lab Banner Same-Day Care 680 E Deuce of Clubs Ste B Show Low AZ 85901 X Rays & Imaging, Medical Laboratory, Diagnostic Lab Banner Health Clinic 3519 Richmond Dr Fort Collins CO 80526 X Rays & Imaging, Medical Laboratory, Diagnostic Lab Banner Urgent Care 931 E Elliott Rd Ste 115 Tempe AZ 85284 Urgent Care, Pediatrician, X Rays & Imaging, Medical Laboratory, Diagnostic Lab Banner Urgent Care 2555 E 13th St Ste 110 Loveland CO 80537 Urgent Care, X Rays & Imaging, Medical Laboratory, Diagnostic Lab Banner Urgent Care 16430 W Yuma Rd Goodyear AZ 85338 Urgent Care, X Rays & Imaging, Medical Laboratory, Diagnostic Lab Banner Urgent Care 3247 E Bell Rd Phoenix AZ 85032 Urgent Care, X Rays & Imaging, Medical Laboratory, Diagnostic Lab Banner Urgent Care 4232 W Bell Rd Glendale AZ 85308 Urgent Care, X Rays & Imaging, Medical Laboratory, Diagnostic Lab Banner Urgent Care 7611 W Cactus Rd Peoria AZ 85381 Urgent Care, X Rays & Imaging, Medical Laboratory, Diagnostic Lab Banner Urgent Care 15521 W Bell Rd Surprise AZ 85374 Urgent Care, X Rays & Imaging, Medical Laboratory, Diagnostic Lab, Sports Medicine Banner Urgent Care 3126 S Higley Rd STE 109 Gilbert AZ 85295 Urgent Care, X Rays & Imaging, Medical Laboratory, Diagnostic Lab Banner Urgent Care 641 W Warner Rd Gilbert AZ 85233 Urgent Care, X Rays & Imaging, Medical Laboratory, Diagnostic Lab Banner Urgent Care 1955 W Guadalupe Rd Ste 1 Mesa AZ 85202 Urgent Care, X Rays & Imaging, Medical Laboratory, Diagnostic Lab, Sports Medicine Banner Urgent Care 1215 S Higley Rd Mesa AZ 85206 Urgent Care, X Rays & Imaging, Medical Laboratory, Diagnostic Lab Banner Urgent Care 5018 N 7th St Phoenix AZ 85014 Urgent Care, X Rays & Imaging, Medical Laboratory, Diagnostic Lab Banner Urgent Care 7089 N Thornydale Road Suite 101 Tucson AZ 85741 Urgent Care, X Rays & Imaging, Medical Laboratory, Diagnostic Lab Banner Urgent Care 1121 S Gilbert Rd Suite 101 Mesa AZ 85204 Urgent Care, X Rays & Imaging, Medical Laboratory, Diagnostic Lab Banner Urgent Care 1157 S Crismon Rd Ste 101 Mesa AZ 85208 Urgent Care, X Rays & Imaging, Medical Laboratory, Diagnostic Lab, Sports Medicine Banner Urgent Care 1908 E McKellips Rd Mesa AZ 85203 Urgent Care, X Rays & Imaging, Medical Laboratory, Diagnostic Lab Banner Urgent Care - Temporarily Closed 9111 N 7th St Phoenix AZ 85020 Urgent Care, X Rays & Imaging, Medical Laboratory, Diagnostic Lab Banner Urgent Care 7066 E Golf Links Rd Tucson AZ 85730 Urgent Care, X Rays & Imaging, Medical Laboratory, Diagnostic Lab Banner Urgent Care 1660 N Higley Rd Ste 104 Gilbert AZ 85234 Urgent Care, X Rays & Imaging, Medical Laboratory, Diagnostic Lab Banner Urgent Care 1940 W Glendale Ave Phoenix AZ 85021 Urgent Care, X Rays & Imaging, Medical Laboratory, Diagnostic Lab Banner Urgent Care 3611 N Campbell Ave Tucson AZ 85719 Urgent Care, X Rays & Imaging, Medical Laboratory, Diagnostic Lab Banner Urgent Care 7952 N 43rd Ave Glendale AZ 85301 Urgent Care, X Rays & Imaging, Medical Laboratory, Diagnostic Lab Banner Urgent Care 21980 N 83rd Ave Peoria AZ 85383 Urgent Care, X Rays & Imaging, Medical Laboratory, Diagnostic Lab Banner Urgent Care 6501 E Greenway Pkwy Scottsdale AZ 85254 Urgent Care, X Rays & Imaging, Medical Laboratory, Diagnostic Lab Banner Urgent Care 3160 E Queen Creek Rd Gilbert AZ 85297 Urgent Care, X Rays & Imaging, Med. Lab, Diagnostic Lab, Sports Med., Pediatrician Banner Urgent Care 3141 E Indian School Rd Ste 102 103 Phoenix AZ 85016 Urgent Care, X Rays & Imaging, Medical Laboratory, Diagnostic Lab, Sports Medicine Banner Urgent Care 3141 S McClintock Dr Ste 1 Tempe AZ 85282 Urgent Care, X Rays & Imaging, Medical Laboratory, Diagnostic Lab Banner Urgent Care 110 E Boardwalk Dr Fort Collins CO 80525 Urgent Care, X Rays & Imaging, Medical Laboratory, Diagnostic Lab Banner Urgent Care 35945 N Gary Rd San Tan Valley AZ 85143 Urgent Care, X Rays & Imaging, Medical Laboratory, Diagnostic Lab, Sports Medicine Banner Urgent Care 10330 N Scottsdale Rd Ste 25 Scottsdale AZ 85253 Urgent Care, X Rays & Imaging, Medical Laboratory, Diagnostic Lab Banner Urgent Care 11685 W Van Buren Street Avondale AZ 85323 Urgent Care, X Rays & Imaging, Medical Laboratory, Diagnostic Lab Banner Urgent Care 1676 E McMurray Blvd Ste 1 Casa Grande AZ 85122 Urgent Care, X Rays & Imaging, Medical Laboratory, Diagnostic Lab Banner Urgent Care 2950 S Alma School Rd Ste 1 Chandler AZ 85286 Urgent Care, X Rays & Imaging, Medical Laboratory, Diagnostic Lab Banner Urgent Care 40773 N Ironwood Rd San Tan Valley AZ 85140 Urgent Care, X Rays & Imaging, Medical Laboratory, Diagnostic Lab Banner Urgent Care 13901 W Meeker Blvd Sun City West AZ 85375 Urgent Care, X Rays & Imaging, Medical Laboratory, Diagnostic Lab Banner Urgent Care 2015 35th Ave Greeley CO 80634 Urgent Care, X Rays & Imaging, Medical Laboratory, Diagnostic Lab Banner Urgent Care 1 N Central Ave Phoenix AZ 85004 Urgent Care, X Rays & Imaging, Medical Laboratory, Diagnostic Lab Banner Urgent Care 15223 N 87th St Ste 110 Scottsdale AZ 85260 Urgent Care, X Rays & Imaging, Medical Laboratory, Diagnostic Lab Banner Urgent Care 4206 E Chandler Blvd Ste 1 Phoenix AZ 85048 Urgent Care, X Rays & Imaging, Medical Laboratory, Diagnostic Lab, Sports Medicine Banner Urgent Care 4760 E Thunderbird Rd Ste 1 Phoenix AZ 85032 Urgent Care, X Rays & Imaging, Medical Laboratory, Diagnostic Lab, Sports Medicine Banner Urgent Care 4200 E Camelback Rd Ste 106 Phoenix AZ 85018 Urgent Care, X Rays & Imaging, Medical Laboratory, Diagnostic Lab Banner Corporate Center 7251 W 4th St Greeley CO 80634 Medical Business Administration Banner Corporate Center 2901 N Central Ave Ste 160 Phoenix AZ 85012 Medical Business Administration Banner Corporate Center Mesa 525 W Brown Rd Mesa AZ 85201 Medical Business Administration Banner Home Care 525 W Brown Rd Mesa AZ 85201 Home Health Care Service Banner Home Care 708 E Route 260 Ste A1 Payson AZ 85541 Home Health Care Service Banner Home Medical Equipment 575 E River Rd Suite 104 Tucson AZ 85704 Home Medical Equipment Store, Home Health Care Service Banner Home Medical Equipment 1990 59th Ave Ste 300 Greeley CO 80631 Home Health Care Service, Home Medical Equipment Store Banner Home Care 575 E River Rd Suite 102 Tucson AZ 85704 Home Health Care Service Banner Home Infusion 575 E River Rd Suite 103 Tucson AZ 85704 Home Health Care Service Banner Hospice 2001 70th Avenue Ste 100 Greeley CO 80634 Hospice & Long Term Care, Home Health Care Service Banner Hospice 275 E Germann Rd Ste 110 Gilbert AZ 85297 Home Health Care Service Banner Home Care 2001 70th Avenue Suite 110 Greeley CO 80637 Home Health Care Service Banner Home Care 13950 West Meeker Blvd Suite 101 Sun City West AZ 85375 Home Health Care Service Banner Home Medical Equipment 2140 West Broadway Rd Building 7 Mesa AZ 85202 Home Health Care Service Banner Home Infusion 525 W Brown Rd Mesa AZ 85201 Home Health Care Service Banner Home Medical Equipment 14131 Rio Vista Blvd Suite 7 Peoria AZ 85381 Home Medical Equipment Store, Home Health Care Service Banner Home Medical Equipment 1255 East C Street Casper WY 82601 Home Medical Equipment Store, Home Health Care Service Banner - University Advanced Imaging 4291 N Campbell Ave Tucson AZ 85719 Mammography, Breast Imaging, X Rays & Imaging, MRI Center Banner ImagingCasa Grande 1828 E Florence Blvd Bldg B Ste 118 Casa Grande AZ 85122 X Rays & Imaging, Diagnostic Lab, Mammography, MRI Center Banner Imaging Lakes 10474 W Thunderbird Blvd Ste 100 Sun City AZ 85351 X Rays & Imaging, Mammography/Breast Imaging, MRI Center Banner Payson Imaging Center 127 E Main St Ste BC Payson AZ 85541 X Rays & Imaging, Mammography Banner Imaging Webb North 14420 W Meeker Blvd Ste A101 Sun City West AZ 85375 X Rays & Imaging, Radiology, MRI Center Banner Imaging Dobson Breast Center 1450 S Dobson Rd Ste A100 Mesa AZ 85202 Mammography/Breast Imaging, X Rays & Imaging, Radiology Banner Imaging Baywood Breast Center 6553 E Baywood Ave Ste 102 Mesa AZ 85206 Mammography/Breast Imaging, X Rays & Imaging, Radiology Banner Imaging East Mesa 6424 E Broadway Rd Ste 101 Mesa AZ 85206 X Rays & Imaging, Radiology, MRI Center, Nuclear Medicine Banner Imaging Gilbert 665 N Gilbert Rd Ste 154 Gilbert AZ 85234 X Rays & Imaging, Radiology, Mammography/Breast Imaging Banner Imaging Tempe 1840 E Warner Rd Ste 114 Tempe AZ 85284 X Rays & Imaging, Radiology, MRI Center,Mammography, Breast Imaging, Nuclear Medicine Banner Imaging Chandler 1076 W Chandler Blvd Ste 120 Chandler AZ 85224 X Rays & Imaging, Radiology, MRI Center Associated Valley Radiologists LLC 13555 W McDowell Rd Ste 106 Goodyear AZ 85395 X Rays & Imaging, Radiology, MRI Center, Mammography/Breast Imaging Banner Imaging Camino Del Sol 13909 W Camino Del Sol Ste 101 Sun City West AZ 85375 X Rays & Imaging, Radiology, MRI Center, Mammography/Breast Imaging Banner Imaging Estrella 9305 W Thomas Rd Ste 100 Phoenix AZ 85037 X Rays & Imaging, Radiology, MRI Center Banner Imaging Estrella Breast Center 9305 W Thomas Rd Ste 200 Phoenix AZ 85037 Mammography/Breast Imaging, X Rays & Imaging, Radiology Banner Imaging Paradise Valley 16641 N 40th St Ste 1A Phoenix AZ 85032 X Rays & Imaging, Radiology, MRI Center Banner Imaging Paradise Valley Breast Center 16641 N 40th St Ste 1B Phoenix AZ 85032 Mammography, X Rays & Imaging, Radiology, MRI Center Banner Imaging Paseo 1 5601 W Eugie Ave Ste 102 Glendale AZ 85304 X Rays & Imaging, Radiology Banner Imaging Paseo2 5605 W Eugie Ave Ste 110 Glendale AZ 85304 X Rays & Imaging, Radiology, MRI Center Banner Imaging Sunwest Breast Center 5757 W Thunderbird Rd Ste W101 Glendale AZ 85306 Mammography/Breast Imaging, X Rays & Imaging, Radiology Banner Imaging Peoria 13640 N Plaza Del Rio Blvd Ste 1 Peoria AZ 85381 X Rays & Imaging, Radiology, MRI Center, Mammography Banner Imaging Skyline 2555 E 13th St Ste 100 Loveland CO 80537 X Rays & Imaging, Radiology, MRI Center Imaging Services at Banner North Colorado Medical Center 2001 70th Ave Ste 102 Greeley CO 80634 X Rays & Imaging, Radiology, Mammogram, Breast Imaging, MRI Center Banner Imaging 7701 W Aspera Blvd Ste 101 Glendale AZ 85308 X Rays & Imaging, Radiology, MRI Center, Nuclear Medicine, Mammogram/Breast Imaging Banner Imaging Ocotillo 1125 S Alma School Rd Ste 110 Chandler AZ 85286 X Rays & Imaging, Radiology, MRI Center, Nuclear Medicine Banner Imaging Chandler Breast Center 1076 W Chandler Blvd Ste 120B Chandler AZ 85224 X Rays & Imaging, Radiology, Mammography/Breast Imaging, MRI Center Banner Imaging Arcadia 4200 E Camelback Rd Ste 105 Phoenix AZ 85018 X Rays & Imaging, Radiology, Mammography/Breast Imaging, MRI Center Banner Imaging Biltmore MRI 2222 E Highland Ave Suite 106 Phoenix AZ 85016 Diagnostic Radiology/MRI Center on Google Breast Imaging Services at Banner North Colorado Medical Center 2001 70th Ave Ste 102 Greeley CO 80634 Mammography/Breast Imaging, X Rays & Imaging Banner Imaging McKee Breast Center 1900 Boise Ave Ste 110 Loveland CO 80538 Mammography/Breast Imaging, X Rays & Imaging Banner Imaging at Talking Stick 7400 N Dobson Rd Suite 102 Scottsdale AZ 85256 X Rays & Imaging, Radiology - MRI Center Horizon Laboratory 2555 E 13th St Ste 115 Loveland CO 80537 Diagnostic Lab, Medical Laboratory Horizon Laboratory 1230 14th St SW Loveland CO 80537 Diagnostic Lab, Medical Laboratory Horizon Laboratory 102 Hays Ave Sterling CO 80751 Diagnostic Lab, Medical Laboratory Horizon Laboratory 1300 Main St Windsor CO 80550 Diagnostic Lab, Medical Laboratory Horizon Laboratory 4700 Lady Moon Dr Fort Collins CO 80528 Diagnostic Lab, Medical Laboratory Horizon Laboratory 2001 70th Ave Greeley CO 80634 Diagnostic Lab, Medical Laboratory Horizon Laboratory 702 W Drake Rd Fort Collins CO 80526 Diagnostic Lab, Medical Laboratory Banner MD Anderson Cancer Center at Banner Gateway Medical Center 2946 E Banner Gateway Dr Gilbert AZ 85234 Cancer Treatment Center Banner MD Anderson Cancer Center Radiation Oncology Clinic at Banner Boswel l 10424 W Santa Fe Dr Sun City AZ 85351 Cancer Treatment Center Banner MD Anderson Cancer Center Surgical Oncology and Interventional Pulmo nology Clinic at Banner Boswell 10401 W Thunderbird Blvd Ste 300 Sun City AZ 85351 Thoracic Surgery, Medical Clinic, Cancer Treatment Center Banner MD Anderson Cancer Center at Banner Thunderbird Medical Center 5555 W Thunderbird Rd Glendale AZ 85306 Cancer Treatment Center Banner MD Anderson Cancer Center Radiation Oncology Clinic at Banner McKee Medical Center 2000 Boise Ave Loveland CO 80538 Cancer Treatment Center Banner MD Anderson Cancer Center at Banner North Colorado Medical Center 1801 16th St Greeley CO 80631 Cancer Treatment Center Banner MD Anderson Cancer Center Womens Imaging Center at Banner Gateway 2940 E Banner Gateway Dr Suite 150 Gilbert AZ 85234 X Rays & Imaging, Mammography/Breast Imaging, Diagnostic Lab Banner MD Anderson Cancer Center at Banner - University Medical Center Phoe nix 925 E McDowell Rd Phoenix AZ 85006 Cancer Treatment Center Banner MD Anderson Cancer Center Undiagnosed Breast Clinic at Banner Gatewa y 2940 E Banner Gateway Dr Gilbert AZ 85234 Cancer Treatment Center, Mammography, Diagnostic Center Banner MD Anderson Cancer Center at Banner Del E Webb Medical Center 14416 W Meeker Blvd Ste 301 Bldg C Sun City West AZ 85375 Cancer Treatment Center Banner MD Anderson Cancer Medical Oncology Clinic 13041 N Del Webb Blvd Suite 200 Sun City AZ 85351 Cancer Treatment Center, Medical Oncology Banner MD Anderson Cancer Center 2000 Boise Ave Suite A Loveland CO 80538 Cancer Treatment Center Laura Dreier Breast Health Center at Banner MD Anderson Cancer Center 925 E McDowell Rd Second Floor Phoenix AZ 85006 Mam./Breast Img., Cancer Ctr., Breast Srgry., Breast Med. Onc., Surg. Onc., Rat. Onc., MRI Ctr. Banner MD Anderson Cancer Center Plastic Surgery Clinic at Banner North Col orado Medical Center 1800 15th St Ste 130 Greeley CO 80631 Reconstructive Surgery, Plastic Surgery, Medical Clinic Banner MD Anderson Cancer Center at Canyon Springs 2940 E Banner Gateway Dr Suite 10 Gilbert AZ 85234 Cancer Treatment Center Banner MD Anderson Cancer Center at Gateway Medical Pavilion 1920 N Higley Rd Suite 108 Gilbert AZ 85234 Cancer Treatment Center Banner MD Anderson Cancer Center Dermatology Clinic 1920 N Higley Rd Ste 106 Gilbert AZ 85234 cancer treatment center, dermatology Banner Occupational Health Clinic 1 North Central Ave Phoenix AZ 85004 Occupational Medicine Banner Occupational Health Clinic 1676 E McMurray Blvd Ste 2 Casa Grande AZ 85122 Occupational Medicine Banner Occupational Health Clinic 1979 W Ray Rd Chandler AZ 85224 Occupational Medicine Banner Occupational Health Clinic 1641 E Guadalupe Rd Gilbert AZ 85234 Occupational Medicine Banner Occupational Health Clinic 5601 W Eugie Ave Ste 213 Glendale AZ 85304 Occupational Medicine Banner Occupational Health Clinic 1517 16th Ave Greeley CO 80631 Occupational Medicine Banner Occupational Health Clinic 1703 E 18th St Ste 4 Loveland CO 80538 Occupational Medicine Banner Occupational Health Clinic 9305 W Thomas Rd Ste 235 Phoenix AZ 85037 Occupational Medicine Banner Occupational Health Clinic 6021 N Oracle Rd Suite 107 Tucson AZ 85704 Occupational Medicine Banner Occupational Health Clinic 110 E Boardwalk Dr Fort Collins CO 80525 Occupational Medicine, Occupational Health & Safety Banner Occupational Health Clinic 4760 E Thunderbird Rd Ste 2 Phoenix AZ 85032 Occupational Medicine, Occupational Health & Safety Banner Occupational Health Clinic 16430 W Yuma Rd Goodyear AZ 85338 Occupational Medicine Banner Occupational Health Clinic 6323 South Rural Road Suite 107 Tempe AZ 85283 Occupational Medicine Banner Family Pharmacy 1900 N Higley Rd Gilbert AZ 85234 Pharmacy Banner Family Pharmacy 5555 W Thunderbird Rd Glendale AZ 85306 Pharmacy Banner Family Pharmacy 1801 16th St Greeley CO 80631 Pharmacy Banner Family Pharmacy 2001 70th Ave Greeley CO 80634 Pharmacy Banner Family Pharmacy 2555 E 13th St Ste 125 Loveland CO 80537 Pharmacy Banner Family Pharmacy 1400 S Dobson Rd Mesa AZ 85202 Pharmacy Banner Family Pharmacy 6644 E Baywood Ave Mesa AZ 85206 Pharmacy Banner Family Pharmacy 1441 N 12th St Phoenix AZ 85006 Pharmacy Banner Family Pharmacy 9201 W Thomas Rd Phoenix AZ 85037 Pharmacy Banner Family Pharmacy 14502 W Meeker Blvd Sun City West AZ 85375 Pharmacy Banner Family Pharmacy 1625 N Campbell Ave Tucson AZ 85719 Pharmacy Banner Family Pharmacy 2800 E Ajo Way Tucson AZ 85713 Pharmacy Banner Family Pharmacy 1111 E McDowell Rd Phoenix AZ 85006 Pharmacy Banner Family Pharmacy 1800 E Florence Blvd Casa Grande AZ 85122 Pharmacy Banner Family Pharmacy 2946 E Banner Gateway Dr Gilbert AZ 85234 Pharmacy Banner Family Pharmacy 10401 W Thunderbird Rd Sun City AZ 85351 Pharmacy Banner Family Pharmacy 7701 W Aspera Blvd 103 Glendale AZ 85308 Pharmacy Banner Family Pharmacy 3838 N Campbell Ave Building 2 Tucson AZ 85719 Pharmacy Banner Churchill Community Hospital Physical Therapy and Rehabilitation 801 E Williams Ave Fallon NV 89406 Physical Therapy, Rehabilitation Center Banner Lassen Outpatient Physical Therapy 2940 Riverside Dr Ste A Susanville CA 96130 Physical Therapy, Rehabilitation Center, Outpatient Services Banner Physical Therapy and Rehabilitation Center 1632 Hoffman Dr Loveland CO 80538 Physical Therapy, Rehabilitation Center Banner Physical Therapy and Rehabilitation Center 5890 W 13th St Ste 110 Greeley CO 80634 Physical Therapy, Rehabilitation Center Banner Physical Therapy and Rehabilitation Center 1805 E 18th St Ste 7 Loveland CO 80538 Physical Therapy, Rehabilitation Center Banner Physical Therapy and Rehabilitation Center at Banner North Colorado Medical Center 1517 16th Ave Greeley CO 80631 Physical Therapy, Rehabilitation Center Banner Thunderbird Cardiac and Pulmonary Rehabilitation 5555 W Thunderbird Rd Glendale AZ 85306 Rehabilitation Center, Outpatient Services Community Hospital Physical Therapy and Rehabilitation 2000 Campbell Dr Suite B Torrington WY 82240 Physical Therapy, Rehabilitation Center East Morgan County Hospital Physical Therapy and Rehabilitation 2400 Edison St Brush CO 80723 Physical Therapy, Rehabilitation Center Platte County Hospital Physical Therapy and Rehabilitation 204 15th St Wheatland WY 82201 Physical Therapy, Rehabilitation Center Banner Physical Therapy 13055 W McDowell Rd Suite G107 Avondale AZ 85392 Physical Therapy Banner Physical Therapy 10750 W McDowell Rd Suite B-210 Avondale AZ 85392 Physical Therapy Banner Physical Therapy 1828 E Florence Blvd Bldg A Ste 102 Casa Grande AZ 85122 Physical Therapy Banner Physical Therapy 3507 S Mercy Rd Suite 105 Gilbert AZ 85297 Physical Therapy Banner Physical Therapy 2940 E Banner Gateway Dr Suite 4 Gilbert AZ 85234 Physical Therapy Banner Physical Therapy 2120 Airway Ave Kingman AZ 86409 Physical Therapy Banner Physical Therapy 2225 W Southern Ave Mesa AZ 85202 Physical Therapy Banner Physical Therapy 1255 W Baseline Rd Suite 140 Mesa AZ 85202 Physical Therapy Banner Physical Therapy 5151 E Broadway Rd Suite 102 Mesa AZ 85206 Physical Therapy Banner Physical Therapy 10165 E Hampton Ave Suite 111 Mesa AZ 85209 Physical Therapy Banner Physical Therapy 2853 S Sossaman Rd Suite A 106 Mesa AZ 85212 Physical Therapy Banner Physical Therapy 126 E Main St Ste C Payson AZ 85547 Physical Therapy Banner Physical Therapy 9401 W Thunderbird Rd Suite 190 Peoria AZ 85381 Physical Therapy Banner Physical Therapy 14001 N 7th St Suite A-102 Phoenix AZ 85022 Physical Therapy Banner Physical Therapy 4045 E Bell Rd Suite 150 Phoenix AZ 85032 Physical Therapy Banner Physical Therapy 1661 E Camelback Rd Suite 152 Phoenix AZ 85016 Physical Therapy Banner Physical Therapy 2400 W Dunlap Ave Suite 145 Phoenix AZ 85021 Physical Therapy Banner Physical Therapy 755 E McDowell Rd 1st Floor Phoenix AZ 85006 Physical Therapy Banner Physical Therapy 9917 N 95th St Scottsdale AZ 85258 Physical Therapy Banner Physical Therapy 5111 N Scottsdale Rd Suite 100 Scottsdale AZ 85250 Physical Therapy Banner Physical Therapy 10503 W Thunderbird Blvd Suite 26 Sun City AZ 85351 Physical Therapy Banner Physical Therapy 13951 W Grand Ave Unit 201 Surprise AZ 85374 Physical Therapy Banner Physical Therapy 1972 E Baseline Rd Suite 103 Tempe AZ 85283 Physical Therapy Banner Physical Therapy 1025 E Broadway Rd Suite 101 Tempe AZ 85282 Physical Therapy Banner Physical Therapy 1729 W Greentree Dr Suite 101 Tempe AZ 85284 Physical Therapy Banner Physical Therapy 2800 E Ajo Way Ste 201 Tucson AZ 85713 Physical Therapy Banner Physical Therapy 265 W Ina Rd Tucson AZ 85704 Physical Therapy Banner Physical Therapy 4015 S Arizona Ave Suite 2 Chandler AZ 85248 Physical Therapy Banner Physical Therapy 655 S Dobson Rd Suite B-111 Chandler AZ 85224 Physical Therapy Banner Physical Therapy 5605 W Eugie Ave Suites 206 212 Glendale AZ 85304 Physical Therapy Banner Physical Therapy 4344 W Bell Rd Suite 100 Glendale AZ 85308 Physical Therapy Banner Boswell Skilled Nursing Rehabilitation Center 10601 W Santa Fe Drive Sun City AZ 85351 Rehabilitation Center, Physical Therapy Banner Physical Therapy 20045 N 19th Ave 8 Phoenix AZ 85027 Physical Therapy Banner Physical Therapy 6320A W Union Hills Dr Ste 265 Glendale AZ 85308 Physical Therapy Banner Physical Therapy 20851 E Rittenhouse Rd Ste 103 Queen Creek AZ 85142 Physical Therapy Banner Children's Physical Therapy 2225 W Southern Ave Mesa AZ 85202 Physical Therapy Banner Page Physical Therapy 601 N Navajo Dr Page AZ 86040 Physical Therapy, Rehabilitation Center Banner Physical Therapy 885 E Warner Rd Ste 102 Gilbert AZ 85296 Physical Therapy Banner Physical Therapy 37200 N Gantzel Rd Ste 260 Queen Creek AZ 85140 Physical Therapy Banner Physical Therapy 211 N Estrella Prkwy Ste 103 Goodyear AZ 85338 Physical Therapy Banner Physical Therapy 18700 N 64th Dr Ste 210 Glendale AZ 85308 Physical Therapy Banner Physical Therapy 2222 E Highland Ave Ste 310 Phoenix AZ 85016 Physical Therapy Banner Physical Therapy 9377 E Bell Rd Ste 349 Scottsdale AZ 85260 Physical Therapy Banner Physical Therapy 5002 S Mill Ave Ste 105 Tempe AZ 85282 Physical Therapy Banner Physical Therapy 6380 E Grant Road Ste 100 Tucson AZ 85715 Physical Therapy Banner Physical Therapy 5925 West Arizona Pavilions Drive U Tucson AZ 85743 Physical Therapy Banner Physical Therapy 5200 E Cortland Blvd C1 Flagstaff AZ 86004 Physical Therapy Banner Physical Therapy 9321 West Thomas Road Ste 135 Phoenix AZ 85037 Physical Therapy Banner Rehabilitation Hospital East 1702 S Pierpont Dr Mesa AZ 85206 Physical Therapy Banner Physical Therapy https//wwwbannerhealthcom/locati Scottsdale AZ 85266 Physical Therapy Banner Physical Therapy 7430 E Pinnacle Peak Rd Ste 138 Scottsdale AZ 85255 Physical Therapy Banner Physical Therapy 906 W University Ave Ste 120 Flagstaff AZ 86001 Physical Therapy Banner Physical Therapy 2912 N West St Flagstaff AZ 86004 Physical Therapy Banner Physical Therapy 23374 West Yuma Rd Suite 104 Buckeye AZ 85326 Physical Therapy Banner Physical Therapy 4232 East Chandler Blvd Suite 24 Chandler AZ 85048 Physical Therapy Banner Physical Therapy 2830 North 42nd St Phoenix AZ 85018 Physical Therapy Banner Physical Therapy 4200 E Camelback Rd Suite 103 Phoenix AZ 85018 Physical Therapy Banner Physical Therapy 7400 N Dobson Rd Suite 103 Scottsdale AZ 85266 Physical Therapy Banner Physical Therapy 17430 N Porter Road Maricopa AZ 85138 Physical Therapy Banner Alzheimer's Institute 901 E Willetta St 1st Floor and 3rd Phoenix AZ 85006 Alzheimer's Care, Clinical Research Banner Sun Health Research Institute 10515 W Santa Fe Dr Sun City AZ 85351 Alzheimer's Care, Medical Clinic, Clinical Research Banner Alzheimer's Institute 2626 E River Rd Tucson AZ 85718 Alzheimer's Care, Clinical Research Banner Baywood Women's Center 6644 E Baywood Ave Mesa AZ 85206 Mammography/Mammography Services, Breast Imaging, Diagnostic Imaging Banner Baywood Wound Clinic 6644 E Baywood Ave 2nd floor Mesa AZ 85206 Medical Clinic Banner Behavioral Health Outpatient Clinic 8722 E San Alberto Dr Ste 100 Scottsdale AZ 85258 Mental Health Clinic, Outpatient Services Banner Boswell Medical Center Cardiac and Pulmonary Rehabilitation 10503 W Thunderbird Blvd Ste 301 Sun City AZ 85351 Cardiology, Pulmonology, Rehabilitation Center Banner Casa Grande Breast Center 1800 E Florence Blvd Casa Grande AZ 85122 Women's Health Clinic, Mammography Banner Childrens Specialists Cardiology Clinic 5310 W Thunderbird Rd Ste 110 Glendale AZ 85306 Pediatric Cardiology, Medical Clinic Banner Childrens Specialists Cardiology Clinic 1432 S Dobson Rd Ste 512 Mesa AZ 85202 Pediatric Cardiology, Medical Clinic Banner Childrens Specialists Critical Care Clinic 1400 S Dobson Rd Mesa AZ 85202 Pediatric Critical Care Medicine, Medical Clinic Banner Childrens Specialists Gastroenterology Clinic 1432 S Dobson Rd Ste 402 Mesa AZ 85202 Pediatric Gastroenterology, Medical Clinic Banner Childrens Specialists Gastroenterology Clinic 5310 W Thunderbird Rd Ste 311 Glendale AZ 85306 Pediatric Gastroenterology, Medical Clinic Banner Childrens Blood and Cancer Center 1400 S Dobson Rd Mesa AZ 85202 Pediatric Hematology, Pediatric Oncology, Medical Clinic Banner Childrens Specialists Neurology and Neurosurgery Clinic 1432 S Dobson Rd Ste 403 Mesa AZ 85202 Pediatric Neurology, Neurosurgery, Medical Clinic Banner Childrens Specialists Orthopedics Clinic 1432 S Dobson Rd Ste 304 Mesa AZ 85202 Pediatric Orthopedics, Medical Clinic Banner Childrens Specialists Pulmonology Clinic 1432 S Dobson Rd Ste 506 Mesa AZ 85202 Pediatric Pulmonology, Medical Clinic Banner Childrens Specialists Urology Clinic 5310 W Thunderbird Rd Ste 301 Glendale AZ 85306 Pediatric Urology, Medical Clinic Banner Childrens Specialists Urology and Nephrology Clinic 1432 S Dobson Rd Ste 501 Mesa AZ 85202 Pediatric Urology, Medical Clinic Banner Children's Specialists Endocrinology Clinic 5310 W Thunderbird Rd Ste 214 Glendale AZ 85306 Pediatric Endocrinology, Medical Clinic Banner Children's Specialists Endocrinology Clinic 1450 S Dobson Rd Ste B221 Mesa AZ 85202 Pediatric Endocrinology, Medical Clinic Banner Childrens Blood and Cancer Center 5757 W Thunderbird Rd Ste E250 Glendale AZ 85306 Pediatric Hematology, Pediatric Oncology, Medical Clinic Banner Children's Specialists Pediatric Surgery Clinic 1432 S Dobson Rd Ste 301 Mesa AZ 85202 Pediatric Surgery, Medical Clinic Banner Children's Specialists Plastic and Craniofacial Surgery Clinic 1432 S Dobson Rd Ste 301 Mesa AZ 85202 Reconstructive Surgery, Plastic Surgery, Pediatric Surgery, Medical Clinic Banner Children's Specialists Pulmonology and Sleep Medicine Clinic 5310 W Thunderbird Rd Ste 301 Glendale AZ 85306 Pediatric Pulmonology, Sleep Medicine, Medical Clinic Banner Children's Specialists Surgery Clinic 5310 W Thunderbird Rd Ste 310 Glendale AZ 85306 Pediatric Surgery, Medical Clinic Banner Del E Webb Medical Centers Louisa Kellam Center for Women's Health 14502 W Meeker Blvd Sun City West AZ 85375 Women's Health Clinic, Medical Clinic Banner Desert Medical Center Sleep Center 2225 W Southern Ave Bldg 1400 Mesa AZ 85202 Sleep Medicine Banner Estrella Weight Loss Center 9305 W Thomas Rd Ste 360 Phoenix AZ 85037 Bariatric Medicine, Weight Loss Center Banner Gateway Weight Loss Center 1920 N Higley Rd Ste 308 Gilbert AZ 85234 Bariatric Medicine, Weight Loss Center, Surgery CardioVascular Institute of North Colorado Cardiac Thoracic and Vascular Su rgery Clinic 1900 Boise Ave Ste 200 Loveland CO 80538 Cardiology, Medical Clinic CardioVascular Institute of North Colorado Cardiac Vascular and Thoracic Su rgery Clinic 1800 15th Street Suites 220 and 34 Greeley CO 80631 Thoracic Surgery, Vascular Surgery, Medical Clinic CardioVascular Institute of North Colorado Cardiology Clinic 1800 15th St Ste 310 Greeley CO 80631 Cardiology, Medical Clinic CardioVascular Institute of North Colorado Cardiology Clinic 1405 S 8th Ave Ste 104 Sterling CO 80751 Cardiology, Medical Clinic CardioVascular Institute of North Colorado Clinic Cardiology Clinic 1900 N Boise Ave Ste 200 Loveland CO 80538 Cardiology, Medical Clinic CardioVascular Institute of North Colorado Vascular Disease Clinic 1800 15th Street Suite 220 Greeley CO 80631 Cardiology, Medical Clinic CardioVascular Institute of North Colorado Vein Clinic 1800 15th St Ste 340 Greeley CO 80631 Cardiology, Medical Clinic Cleo Roberts Center 10515 W Santa Fe Dr Bldg B 1st Fl Sun City AZ 85351 Alzheimer's Care, Clinical Research Diamond Children's Multispecialty Services Clinic 535 N Wilmot Rd Ste 101 Tucson AZ 85711 Medical Clinic, Pediatrician, Pediatric Internal Medicine Banner North Colorado Family Medicine 1600 23rd Ave Greeley CO 80634 Medical Clinic, Family Practice Physician University of Arizona Cancer Center 3838 N Campbell Ave Tucson AZ 85719 Cancer Treatment Center University of Arizona Cancer Center 1891 W Orange Grove Rd Tucson AZ 85704 Cancer Treatment Center Banner Casa Grande Wound Center 1828 E Florence Blvd Bldg C Ste 1 Casa Grande AZ 85122 Medical Clinic, Wound Care David Walsh Cancer Center 615 Fairhurst St Sterling CO 80751 Cancer Treatment Center Banner Children's Specialists Orthopedics Clinic 5601 W Eugie Ave Ste 100 Glendale AZ 85304 Pediatric Orthopedics, Medical Clinic Banner Neuro Wellness Gilbert 207 N Gilbert Rd Ste 205 Gilbert AZ 85234 Neurology, Medical Clinic TOCA at Banner Health 18700 N 64th Dr Ste 220 Glendale AZ 85308 Orthopedics, Medical Clinic TOCA at Banner Health 2222 E Highland Ave Ste 300 Phoenix AZ 85016 Orthopedics, Medical Clinic TOCA at Banner Health 9377 E Bell Rd Ste 231 Scottsdale AZ 85260 Orthopedics, Medical Clinic TOCA at Banner Health 5002 S Mill Ave Tempe AZ 85282 Orthopedics, Medical Clinic Banner McKee Medical Center Wound Clinic 2000 Boise Ave Loveland CO 80538 Medical Clinic Banner North Colorado Medical Center Wound Clinic 1801 16th St Greeley CO 80631 Medical Clinic Banner North Colorado Medical Center Sleep Center 1801 16th St Area C1-B Greeley CO 80631 Sleep Medicine Banner Children's Specialists Clinic 37100 N Gantzel Rd Ste 214 San Tan Valley AZ 85140 Pediatrician, Medical Clinic Banner Children's Specialists 9305 W Thomas Road Suite 125 Phoenix AZ 85037 Pediatrician, Medical Clinic Banner NERD Wellness Center 1233 E Second St Casper WY 82601 Medical Clinic, Wellness Center Banner Children's Specialists Ear Nose and Throat Clinic 1432 S Dobson Road Ste 209 Mesa AZ 85202 Pediatrician, Medical Clinic Banner Neuro Wellness Tucson 2626 E River Road Tucson AZ 85718 Neurology, Medical Clinic Banner Children's Specialists Sleep Medicine Clinic 1432 S Dobson Rd Ste 509 Mesa AZ 85202 Sleep Medicine, Pediatrician, Medical Clinic Banner Sports Medicine Scottsdale 7400 N Dobson Rd Scottsdale AZ 85256 Med. Clinic, Sports Medicine, Orthopedic Surgery, XRays, Physical Therapy, Nutritionist Banner Sports Medicine High Performance Center 7400 N Dobson Road Suite 101 Scottsdale AZ 85256 Sports Medicine, Nutritionist, Fitness Center, Personal Trainer, Biofeedback Therapy Banner Children's Specialists Postinfectious Autoimmune Encephalopathy Clin ic 1432 S Dobson Rd Ste 403 Mesa AZ 85202 Pediatrician, Ped. Neur., ped. autoimmune neuropsychiatric, Ped. Encephalopathy Banner Children's Specialists Developmental Clinic 1432 S Dobson Rd Ste 206 Mesa AZ 85202 Pediatric psychiatrist Yext - Child Psychiatrist Google Banner Infusion Center 13041 N Del Webb Blvd Suite 100 Sun City AZ 85351 Health & Medicine > Medical Facilities > Outpatient Services The Joint Replacement Center of Northern Colorado 702A W Drake Rd Fort Collins CO 80526 Orthopedics, Orthopedic Surgery Banner - University Medicine General Surgery Clinic 1441 N 12th St Phoenix AZ 85006 Surgery Center, Surgery Banner - University Medicine Obesity and Bariatric Surgery Center 1441 N 12th Street 2nd floor Phoenix AZ 85006 Bariatric Medicine, Weight Loss Center, Surgery Center Banner - University Medicine Trauma and Critical Care Surgery Center 1111 E McDowell Rd Building A Phoenix AZ 85006 Critical Care Medicine, Surgery Center, Surgery Banner Gateway Surgery Center 2940 E Banner Gateway Dr Ste 100 Gilbert AZ 85234 Surgery Center, Surgery Banner Surgery Center - Desert 1500 S Dobson Rd Ste 101 Mesa AZ 85202 Surgery Ctr., Hand Surgery, Orthopedic Surgery, Ophthalmic Surgery, Pain Mgt., Plastic Surgery Banner Surgery Center - Estrella 9301 W Thomas Rd Phoenix AZ 85037 Surg. Ctr., Hand Surgery, Plastic Surgery, Pain Mgt., Orthopedic Surgery, Spine Surgery Banner Surgery Center - Greeley 5890 W 13th St Ste 102 Greeley CO 80634 Surgery Center, Surgery Banner Surgery Center - Peoria 13640 N Plaza Del Rio Blvd Ste 135 Peoria AZ 85381 Surgery Center, Surgery, Hand Surgery, Orthopedic Surgery, Spine Surgery, Pain Management Banner Surgery Center - Sun City West 14416 W Meeker Blvd Ste 103 Sun City West AZ 85375 Surgery Center, Surgery, Pain Management Banner Surgery Center - Union Hills 18301 N 79th Ave Ste E150 Glendale AZ 85308 Surgery Center, Surgery, Orthopedic Surgery, Pain Management Banner Surgery Center - University 1111 E McDowell Rd Suite B Phoenix AZ 85006 Surgery Ctr., hand surgery, plastic surgery, orthopedic surgery, pain mgt., ophthalmic surgery Banner Surgery Center - Thunderbird 5555 W Thunderbird Rd Ste 150 Glendale AZ 85306 Surgery Center, Surgery, Hand Surgery, Orthopedic Surgery Banner Surgery Center - Tempe 1940 E Southern Ave Tempe AZ 85282 Surgery Center, Surgery, Pain Management Banner Surgery Center - 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Tanque Verde 6377 E Tanque Verde Rd Suite 151 Tucson AZ 85715 Surgery Center, Surgery, Cardiovascular Surgery, Vascular Surgery, Pain Management Banner Surgery Center - Sports Medicine 7400 N Dobson Rd Suite 301 Scottsdale AZ 85256 Surgery Center, Orthopedic Surgery, Hand Surgery Banner Surgery Center - Fort Lowell 4741 E Camp Lowell Drive Tucson AZ 85712 Surgery Center Banner Endoscopy Center - Oracle 7490 N Oracle Road Suite 200 Tucson AZ 85704 Surgery Center, Endoscopy Center Banner Endoscopy Center - Mesa 4838 E Baseline Rd Suite 108 Mesa AZ 85206 Surgery Center, Surgery, Cardiovascular Surgery, Vascular Surgery, Pain Management Banner Cardiovascular Center - Arcadia 4200 E Camelback Rd Suite 101 Phoenix AZ 85018 Surgery Center, Surgery, Cardiovascular Surgery, Vascular Surgery Banner - University Medical Center Oral and Maxillofacial Surgery Clinic 1441 N 12th St Phoenix AZ 85006 Medical Clinic, Oral Surgery Banner University Medical Center Sleep Center 755 Annex E McDowell Rd Phoenix AZ 85006 Sleep Medicine Banner - University Medical Center South Campus Multispecialty Services 2800 E Ajo Way Stes 100 -105 Tucson AZ 85713 Medical Clinic Banner - University Medical Center Tucson Sleep Center 1501 N Campbell Ave Tucson AZ 85724 Sleep Medicine Banner - University Medical Center Wound Care and Hyperbaric Medicine Clini c 1012 E Willetta St Phoenix AZ 85006 Medical Clinic Banner - University Medical Group Cholla Pediatrics 2167 W Orange Grove Rd Tucson AZ 85741 Medical Clinic, Pediatrician Banner - University Medicine Behavioral Health Clinic 1300 N 12th St Ste 320 Phoenix AZ 85006 Mental Health Clinic Banner - University Medicine Psychiatry and Behavioral Medicine Clinic 2800 E Ajo Way Ste P3300 Tucson AZ 85713 Mental Health Clinic Banner - University Medicine Clinic South 2800 E Ajo Way Tucson AZ 85713 Medical Clinic Banner - University Medicine Clinic Tucson 1625 N Campbell Ave Tucson AZ 85719 Medical Clinic Banner - University Medicine Multispecialty Services Clinic 7165 N Pima Canyon Dr Tucson AZ 85718 Medical Clinic, Dermatology Banner - 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Clinic, Family Practice Physician, Internal Medicine, Pediatrician, Cardiology, Gynecology Banner - University Medicine Multispecialty Services Clinic 707 N Alvernon Way 2nd Fl Tucson AZ 85711 Medical Clinic, Family Practice Physician, Neurology, Eye Care Center Banner - University Medicine Neurosciences Clinic 755 E McDowell Rd 3rd Floor Phoenix AZ 85006 Medical Clinic, Neurology Banner - University Medicine North 3838 N Campbell Ave Bldg 2 Tucson AZ 85719 Medical Clinic Banner - University Medicine Ophthalmology Clinic 707 N Alvernon Way Ste 301 Tucson AZ 85711 Ophthalmology, Eye Care Center, Medical Clinic Banner - University Orthopedic and Sports Medicine Institute 755 E McDowell Rd Phoenix AZ 85006 Medical Clinic, Orthopedics Banner - University Medicine Orthopedics Clinic 2800 E Ajo Way Ste 200 Tucson AZ 85713 Medical Clinic, Orthopedics Banner - University Medicine Pediatric Specialty Clinic 6261 N La Cholla Blvd Ste 131 Tucson AZ 85741 Medical Clinic, Pediatrician Banner - University Medicine Pediatrics Clinic 1501 N Campbell Ave Ste 3401 Tucson AZ 85724 Medical Clinic, Pediatrician Banner - University Medicine Rehabilitation Institute 1111 E McDowell Rd Phoenix AZ 85006 Rehabilitation Center, Neurology, Clinical Research Banner - University Medicine Rheumatology Clinic 1441 N 12th St 3rd Floor Phoenix AZ 85006 Medical Clinic, Rheumatology Banner - University Medicine Toxicology Clinic 1300 N 12th St 608 Phoenix AZ 85006 Medical Clinic, Toxicology Banner - University Medicine Comprehensive Pain and Addiction Clinic 1441 N 12th St 3rd Floor Phoenix AZ 85006 Medical Clinic Banner - University Medicine Transplant Center and Advanced Liver Disease C linic 1441 N 12th Street 2nd floor Phoenix AZ 85006 Transplant Surgery, Medical Clinic Banner - University Medicine Transplant Institute 1441 N 12th St Phoenix AZ 85006 Transplant Surgery, Medical Clinic, Clinical Research Banner - University Medicine Whole Health Clinic 535 N Wilmot Rd Ste 201 Tucson AZ 85711 Mental Health Clinic, Pyschology Banner - University Medicine Women's Institute 1441 N 12th St Phoenix AZ 85006 Women's Health Clinic, Clinical Research Banner - University Sports Medicine and Concussion Specialists 1320 N 10th St Ste B Phoenix AZ 85006 Sports Medicine, Medical Clinic Banner - University Medicine Primary Care Clinic 8020 Cortaro Rd Ste 150 Marana AZ 85743 Medical Clinic, Family Practice Physician Banner - University Medicine Primary Care Clinic 6860 E Sunrise Dr Ste 100 Tucson AZ 85750 Medical Clinic, Family Practice Physician Banner - University Medicine Primary Care Clinic 8290 S Houghton Rd Ste 150 Tucson AZ 85747 Medical Clinic, Family Practice Physician Banner - University Medicine Neurosurgery Clinic 755 E McDowell Rd 2nd Floor Phoenix AZ 85006 Neurology, Medical Clinic Banner - University Medicine Primary Care Clinic 2945 W Ina Rd Ste 121 Tucson AZ 85741 Medical Clinic, Family Practice Physician, Internal Medicine Banner - University Women's Wellness Clinic 7355 S Houghton Rd Ste 208 Tucson AZ 85747 Women's Health Clinic, Medical Clinic, Obstetrics & Gynecology Banner - University Medicine Colon & Rectal Surgery Clinic 1441 N 12th St 3rd Floor Phoenix AZ 85006 Colon & Rectal Surgery, Surgery, Medical Clinic Banner University Medicine Advanced Heart Failure Clinic 1111 E McDowell Rd 2nd Floor Phoenix AZ 85006 Medical Clinic, Transplant Surgery - Service - Heart Failure Banner - University Medicine Multispecialty Services Clinic 774 W Sahuarita Sahuarita AZ 85629 Cardiology, Medical Clinic Banner - University Medicine Cardiology Clinic 6365 E Tanque Verde Road Building Tucson AZ 85715 Medical Clinic Banner - University Medicine Maternal Fetal Clinic 1400 South Dobson Road Mesa AZ 85202 Medical Clinic Banner - University Medicine Neurosurgery Clinic 5310 W Thunderbird Rd Suite 308 Glendale AZ 85306 Neurosurgery Clinic SONORA QUEST LABORATORIES LLC 10238 E HAMPTON AVE STE 101 MESA AZ 85208 LABORATORY SONORA QUEST LABORATORIES LLC 1031 AZ 89 CHINO VALLEY AZ 86323 LABORATORY SONORA QUEST LABORATORIES LLC 10450 E Riggs Rd 109 Chandler AZ 85248 LABORATORY SONORA QUEST LABORATORIES LLC 10450 E RIGGS ROAD STE 109 SUN LAKES AZ 85248 LABORATORY SONORA QUEST LABORATORIES LLC 10503 W THUNDERBIRD BLVD STE 110 SUN CITY AZ 85351 LABORATORY SONORA QUEST LABORATORIES LLC 1060 E RAY ROAD CHANDLER AZ 85225 LABORATORY SONORA QUEST LABORATORIES LLC 1100 N SAN FRANCISCO ST STE F FLAGSTAFF AZ 86001 LABORATORY SONORA QUEST LABORATORIES LLC 1150 S HIGHWAY 92 STE E SIERRA VISTA AZ 85635 LABORATORY SONORA QUEST LABORATORIES LLC 1151 S LA CANADA DR STE 206 GREEN VALLEY AZ 85614 LABORATORY SONORA QUEST LABORATORIES LLC 1225 W GUADALUPE ROAD MESA AZ 85202 LABORATORY SONORA QUEST LABORATORIES LLC 13620 N SAGUARO BLVD STE 150 FOUNTAIN HILLS AZ 85268 LABORATORY SONORA QUEST LABORATORIES LLC 13640 Plaza Del Rio Blvd Peoria AZ 85381 LABORATORY SONORA QUEST LABORATORIES LLC 13657 W MCDOWELL RD STE 100 GOODYEAR AZ 85338 LABORATORY SONORA QUEST LABORATORIES LLC 13856 W WADDELL ROAD SUITE 107 SURPRISE AZ 85379 LABORATORY SONORA QUEST LABORATORIES LLC 1440 W VALENCIA STE 130 TUCSON AZ 85746 LABORATORY SONORA QUEST LABORATORIES LLC 15810 S 45TH STREET SUITE 101 PHOENIX AZ 85048 LABORATORY SONORA QUEST LABORATORIES LLC 1620 W St Marys Rd Tucson AZ 85745 LABORATORY SONORA QUEST LABORATORIES LLC 1637 N Trekell Rd Inside Safeway Casa Grande AZ 85122 LABORATORY SONORA QUEST LABORATORIES LLC 1707 W St Marys Rd 255 Tucson AZ 85745 LABORATORY SONORA QUEST LABORATORIES LLC 1751 HIGHWAY 95 BULLHEAD CITY AZ 86442 LABORATORY SONORA QUEST LABORATORIES LLC 1848 E INNOVATION PARK ORO VALLEY AZ 85737 LABORATORY SONORA QUEST LABORATORIES LLC 1860 E SALK DR STE A-1 CASA GRANDE AZ 85222 LABORATORY SONORA QUEST LABORATORIES LLC 1925 W ORANGE GROVE SUITE 100 TUCSON AZ 85704 LABORATORY SONORA QUEST LABORATORIES LLC 1964 MESQUITE AVE UNIT A LAKE HAVASU CITY AZ 86403 LABORATORY SONORA QUEST LABORATORIES LLC 2000 E SOUTHERN AVE STE 101 TEMPE AZ 85282 LABORATORY SONORA QUEST LABORATORIES LLC 2001 W CAMELBACK ROAD SUITE 150 PHOENIX AZ 85015 LABORATORY SONORA QUEST LABORATORIES LLC 203 S CANDY LANE STE 4B COTTONWOOD AZ 86326 LABORATORY SONORA QUEST LABORATORIES LLC 20414 N 27TH AVE STE 140 PHOENIX AZ 85027 LABORATORY SONORA QUEST LABORATORIES LLC 2070 W Rudasill Rd Tucson AZ 85704 LABORATORY SONORA QUEST LABORATORIES LLC 2081 W FRYE RD STE 107 CHANDLER AZ 85224 LABORATORY SONORA QUEST LABORATORIES LLC 21300 N JOHN WAYNE PKWY STE 116 MARICOPA AZ 85239 LABORATORY SONORA QUEST LABORATORIES LLC 21803 N SCOTTSDALE RD STE A-210 SCOTTSDALE AZ 85255 LABORATORY SONORA QUEST LABORATORIES LLC 2270 S RIDGEVIEW DRIVE STE 306 YUMA AZ 85364 LABORATORY SONORA QUEST LABORATORIES LLC 2345 E Southern Ave Bldg 1 101 Mesa AZ 85204 LABORATORY SONORA QUEST LABORATORIES LLC 2450 E SHOW LOW LAKE RD STE 3B SHOW LOW AZ 85901 LABORATORY SONORA QUEST LABORATORIES LLC 2505 HUALAPAI MOUNTAIN ROAD SUITE KINGMAN AZ 86401 LABORATORY SONORA QUEST LABORATORIES LLC 2640 W BASELINE ROAD STE 115 PHOENIX AZ 85041 LABORATORY SONORA QUEST LABORATORIES LLC 28455 N VISTANCIA ROAD PEORIA AZ 85383 LABORATORY SONORA QUEST LABORATORIES LLC 2940 E BANNER GATEWAY DR STE 325 GILBERT AZ 85234 LABORATORY SONORA QUEST LABORATORIES LLC 3003 HWY 95 STE H-81 BULLHEAD CITY AZ 86442 LABORATORY SONORA QUEST LABORATORIES LLC 3132 E CAMELBACK ROAD PHOENIX AZ 85016 LABORATORY SONORA QUEST LABORATORIES LLC 3161 N WINDSONG PRESCOTT VALLEY AZ 86314 LABORATORY SONORA QUEST LABORATORIES LLC 32551 N SCOTTSDALE ROAD SCOTTSDALE AZ 85262 LABORATORY SONORA QUEST LABORATORIES LLC 3325 N HUNT HIGHWAY FLORENCE AZ 85132 LABORATORY SONORA QUEST LABORATORIES LLC 3530 S VAL VISTA DR SUITE B206 GILBERT AZ 85297 LABORATORY SONORA QUEST LABORATORIES LLC 3700 E Fort Lowell Rd 130 Tucson AZ 85716 LABORATORY SONORA QUEST LABORATORIES LLC 37100 N GANTZEL RD STE 114 QUEEN CREEK AZ 85240 LABORATORY SONORA QUEST LABORATORIES LLC 3805 E BELL RD STE 1500 PHOENIX AZ 85032 LABORATORY SONORA QUEST LABORATORIES LLC 424 S 56th St 100 Phoenix AZ 85034 LABORATORY SONORA QUEST LABORATORIES LLC 4350 N 19TH AVE STE 5 PHOENIX AZ 85015 LABORATORY SONORA QUEST LABORATORIES LLC 436 W 10th St Mesa Mesa AZ 85201 LABORATORY SONORA QUEST LABORATORIES LLC 4524 N MARYVALE PARKWAY STE 120 PHOENIX AZ 85031 LABORATORY SONORA QUEST LABORATORIES LLC 5111 N Scottsdale Rd 160 Scottsdale AZ 85250 LABORATORY SONORA QUEST LABORATORIES LLC 525 W Brown Rd Mesa Mesa AZ 85201 LABORATORY SONORA QUEST LABORATORIES LLC 5430 Landmark Ln Prescott AZ 86301 LABORATORY SONORA QUEST LABORATORIES LLC 550 E BELL ROAD PHOENIX AZ 85022 LABORATORY SONORA QUEST LABORATORIES LLC 5757 W Thunderbird Rd Suite E157 Glendale AZ 85306 LABORATORY SONORA QUEST LABORATORIES LLC 603 N WILMOT STE 141 TUCSON AZ 85710 LABORATORY SONORA QUEST LABORATORIES LLC 6106 E BROWN ROAD STE 101 MESA AZ 85206 LABORATORY SONORA QUEST LABORATORIES LLC 630 N ALVERNON WAY STE 200 TUCSON AZ 85711 LABORATORY SONORA QUEST LABORATORIES LLC 6320 W UNION HILLS DR STE 160 GLENDALE AZ 85308 LABORATORY SONORA QUEST LABORATORIES LLC 6360 E GOLF LINKS ROAD TUCSON AZ 85730 LABORATORY SONORA QUEST LABORATORIES LLC 6410 S Kings Ranch Rd 3 Gold Canyon AZ 85118 LABORATORY SONORA QUEST LABORATORIES LLC 77 W Forest Ave 301 Flagstaff AZ 86001 LABORATORY SONORA QUEST LABORATORIES LLC 7757 W DEER VALLEY ROAD STE 265 PEORIA AZ 85382 LABORATORY SONORA QUEST LABORATORIES LLC 865 S Watson Rd 112 Buckeye AZ 85326 LABORATORY SONORA QUEST LABORATORIES LLC 9050 E Valencia Rd Tucson AZ 85747 LABORATORY SONORA QUEST LABORATORIES LLC 907 Ainsworth Dr Prescott AZ 86305 LABORATORY Schedule H, Part I, Line 3c Determining Eligibility for Free or Discounted Care Banner Health uses FPG. Dedicated to providing quality, non-discriminating healthcare to all patients regardless of age, sex, sexual orientation, gender preference, race, religion, disability, veteran status, national origin and/or ability to pay, determinations are made based upon Banner's financial assistance policy for hospital patients. This policy establishes: 1) General - Banner Health Financial Assistance programs which, based on household income and the level of medical expenses, determine a patient's qualification for Charity Care or Discounted Covered Services. Eligibility for financial assistance will be provided for those individuals who are Uninsured or Underinsured and who meet the household income guidelines as outlined in this policy, or are members of a Medically Indigent Household. 2) Financial Assistance for Uninsured Patients - Uninsured patients will qualify for BH financial assistance if: (a) their household income is less than 400% of FPL, (b) they cannot qualify for Medicaid/AHCCCS or other government program, or are unable to reasonably complete the application process for such governmental programs, and (c) they complete an application for financial assistance (unless determined to be presumptively eligible, as provided below), in accordance with the following: Financial Assistance-Uninsured Patients: Household Income --> Amounts Charged ______________________________________________________ 200% of < FPL --> Full Charity 100% Discount, write-off entire patient account >201%-300% FPL --> 75% discount off AGB (i.e., patient owes 25% of AGB) >301%-400% FPL --> 50% discount off AGB (i.e., patient owes 50% OF AGB) ______________________________________________________ 3) Financial Assistance for Members of Medically Indigent Households. Patients who are members of Medically Indigent Households will qualify for BH financial assistance, subject to application for financial assistance, as follows: a) If an Uninsured Patient, the patient is responsible for 25% of the patient liability (including any adjustment of the patient liability amount pursuant to application of the BH Financial Assistance Policy for Uninsured Patients, i.e., if the Uninsured Patient is a member of a Medically Indigent Household which has a household income of 400% of FPL, the patient would owe 25% of the BAI (without regard to the amount of the BAI). b) If an Underinsured Patient, the patient is responsible for 25% of the BAI (without regard to the amount of the BAI). Schedule H, Part I, Line 6a COMMUNITY BENEFIT REPORT Banner Health prepares an annual system report of community benefit activities as well as facility specific electronic Banner Health Community Health Needs Assessments which are located at: https://www.bannerhealth.com/staying-well/community/health-needs-assessments-report Schedule H, Part VI, Line 4 CONTINUED Goshen County I) ESTIMATED POPULATION: 12,498 II) MEDIAN HOUSEHOLD INCOME: $64,882 III) Percent of Population in Poverty: 12.30% IV) Percent of Uninsured Persons Under Age 65: 9.50% NATRONA COUNTY I) ESTIMATED POPULATION: 79,555 II) MEDIAN HOUSEHOLD INCOME: $71,381 III) Percent of Population in Poverty: 10.90% IV) Percent of Uninsured Persons Under Age 65: 8.20% PLATTE COUNTY I) ESTIMATED POPULATION: 8,605 II) MEDIAN HOUSEHOLD INCOME: $66,299 III) Percent of Population in Poverty: 10.20% IV) Percent of Uninsured Persons Under Age 65: 22.50% 5) WASHAKIE COUNTY I) ESTIMATED POPULATION: 7,685 II) MEDIAN HOUSEHOLD INCOME: $62,648 III) Percent of Population in Poverty: 8.60% IV) Percent of Uninsured Persons Under Age 65: 12.40% G. BANNER AVERAGE 1) STATE AVERAGE I) ESTIMATED POPULATION: 9,684,401 II) MEDIAN HOUSEHOLD INCOME: $85,298 III) Percent of Population in Poverty: 10.95% IV) Percent of Uninsured Persons Under Age 65: 8.82% V) Per Capita Healthcare Expense: $9,582 VI) Total Percent of Uninsured in Population: 10.03% VI) Percent of Uninsured Adults 19-64 Living in Poverty: 20.98% VII) Percent of Uninsured Nonelderly W Income below 100% of FPL: 22.53% VIII) Percent of Uninsured Nonelderly W Income up to 200% of FPL: 21.17% IX) Percent of Population below 400% of FPL: 58.15% X) Percent of Adults Reporting Fair or Poor Health: 18.30% XI) Percent of Adults Diagnosed with Diabetes: 10.80% XII) Percent of Adults Diagnosed with Cardiovascular Disease: 5.65% XIII) Percent of Adults Who are Overweight or Obese: 30.75% XIV) Percent of Adults Reporting Mental Illness in Past Year: 41.05% XV) Percent of Adults Reporting not Seeing a Doctor Due to Cost: 11.45% XVI) Adults Who Report Having Chronic Conditions: 53.08% 2) COUNTY AVERAGE I) ESTIMATED POPULATION: 490,887 II) MEDIAN HOUSEHOLD INCOME: $86,719 III) Percent of Population in Poverty: 14.07% IV) Percent of Uninsured Persons Under Age 65: 11.82% SOURCES: 2023 U.S. CENSUS BUREAU, KAISER FAMILY FOUNDATION STATE FACTS. Schedule H, Part VI, Line 6 AFFILIATED HEALTH CARE SYSTEM THE ORGANIZATION IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. Schedule H, Part VI, Line 7 STATE FILING OF COMMUNITY BENEFIT REPORT Banner files a community benefit report in California, Colorado and Nebraska. Schedule H, Part V, Section A LINES 1, 3-10, 12, 14, 16-26, 28-31 A SINGLE SCHEDULE H, PART V, SECTION B WAS COMPLETED FOR FACILITY REPORTING GROUP A. THE HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A ARE LISTED IN SCHEDULE H, PART V, SECTION A. Schedule H, Part V, Section A LINES 2 AND 11 BANNER UNIVERSITY MEDICAL CENTER TUCSON AND BANNER UNIVERSITY MEDICAL CENTER SOUTH, RESPECTIVELY, ARE LISTED SEPARATELY AS FACILITY REPORTING GROUP B BECAUSE THEY CONDUCTED THEIR CHNA IN PARTNERSHIP WITH TUCSON MEDICAL CENTER, NORTHWEST HOSPITAL, CARONDELET, EL RIO HEALTH CENTER, AND PIMA COUNTY HEALTH DEPARTMENT. Schedule H, Part V, Section B, Line 18 APPLIES TO ALL HOSPITAL FACILITIES Banner Health makes reasonable efforts to determine the patient's eligibility under the facility's FAP BEFORE taking any action - up to and including any noted. Schedule H, Part V, Section B, Line 19 APPLIES TO ALL HOSPITAL FACILITIES BANNER HEALTH DOES NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS (UP TO AND INCLUDING ANY ACTIONS NOTED IN PART VI, LINE 19), EITHER DIRECTLY OR BY ANY DEBT COLLECTION AGENCY OR OTHER PARTY TO WHICH THE HOSPITAL HAS REFERRED THE PATIENT'S DEBT, BEFORE REASONABLE EFFORTS ARE MADE TO DETERMINE WHETHER A RESPONSIBLE INDIVIDUAL IS ELIGIBLE FOR ASSISTANCE UNDER THE FAP. Schedule H, Part V, Section B, Line 6 APPLIES TO ALL HOSPITAL FACILITIES IN INSTANCES WHERE FACILITIES HAD JOINT SERVICE AREAS FOCUS GROUPS WERE A COMBINED/JOINT EFFORT. EVERYTHING ELSE WAS FACILITY SPECIFIC. Schedule H, Part V, Section A LINES 13, 15, and 27 BANNER CASA GRANDE MEDICAL CENTER, BANNER IRONWOOD MEDICAL CENTER, AND BANNER GOLDFIELD MEDICAL CENTER ARE LISTED AS FACILITY REPORTING GROUP C, BECAUSE ALL ENTITIES HAVE THE SAME REPORTING TIMELINE. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount Accounts are discounted to estimated amounts expected to be received. Those amounts are subject to bad debt polices. Discounts and payments on patient account are recorded as an adjustment to revenue, not bad debt expense. Schedule H, Part III, Line 3 Bad Debt Expense Methodology Banner Health runs a presumptive charity analysis on all accounts to minimize qualifying patients being classified as bad debt. Banner Health estimates that less than 15% of the patient accounts comprising the organization's bad debt may have been eligible for financial assistance under Banner Health policies. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote FOOTNOTE PER AUDITED FINANCIAL STATEMENTS (PAGE 14): Net Patient Accounts Receivable Footnote: Net patient accounts receivable and net patient services revenues have been adjusted to the estimated amounts expected to be received based on contractual rates for services rendered inclusive of the estimated price concession. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs The Medicare Cost Reports that hospitals are required to file do not include all of the costs required to treat Medicare patients. Using a financial statement cost-to-charge ratio methodology, THE 2023 result is a Medicare surplus of $41.5M. This situation is not anticipated to continue and a return to a shortfall position is projected as calculations reflected on the cost report do not customarily take into account all costs incurred by the organization and differs from the cost reflected on the financial statements. Future Medicare shortfalls should be treated as a community benefit because absent this program, many individuals would qualify for financial assistance and other needs based programs, by accepting payment below cost to treat these individuals, the burdens of the government are relieved and the amount spent to cover the Medicare shortfall is money not available to cover financial assistance and other community benefit needs. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance Banner Health's financial assistance policies require that the accounts of patients who are known to qualify for financial assistance be written off either in full or in part, depending upon the level of the financial assistance for which the patient has qualified. If the account is not written off completely, the reduced balance is treated in the same manner as accounts for patients without insurance who do not qualify for financial assistance. For those patients who do not qualify for financial assistance and for the portion of the accounts remaining after application of the financial assistance policies for patients who qualify for such assistance, account collection process is as follows: 1) The patient or guarantor will receive no less than 3 statements prior to the account being placed with an outside agency. The process takes 120 days to complete. The account is outsourced to a third-party collection agency after the final statement cycle and returned to Banner Health after a reasonable collection attempt. 2) Attempts are made to verify physical location of patient and to determine if the patient may be eligible for AHCCCS/Medicaid coverage. 3) Once assigned to an outside collection agency, appropriate debt collection practices are utilized in different states, depending upon local regulations. The collection agency attempts to obtain payment from the patient by means of direct telephone contact. If this is unsuccessful, failure to make payment may result in a report to a credit agency. Schedule H, Part V, Section B, Line 16a FAP website A - BANNER - UNIV MEDICAL CENTER PHOENIX: Line 16a URL: HTTPS://WWW.BANNERHEALTH.COM/PATIENTS/BILLING/FINANCIAL-ASSISTANCE; B - BANNER - UNIV MEDICAL CENTER TUCSON: Line 16a URL: HTTPS://WWW.BANNERHEALTH.COM/PATIENTS/BILLING/FINANCIAL-ASSISTANCE; C - BANNER CASA GRANDE MEDICAL CENTER: Line 16a URL: HTTPS://WWW.BANNERHEALTH.COM/PATIENTS/BILLING/FINANCIAL-ASSISTANCE; - BANNER REHAB HOSPITAL-EAST: Line 16a URL: HTTPS://WWW.BANNERHEALTH.COM/PATIENTS/BILLING/FINANCIAL-ASSISTANCE/BANNER-REHABILITATIONHOSPITAL; Schedule H, Part V, Section B, Line 16b FAP Application website A - BANNER - UNIV MEDICAL CENTER PHOENIX: Line 16b URL: HTTPS://WWW.BANNERHEALTH.COM/PATIENTS/BILLING/FINANCIAL-ASSISTANCE; B - BANNER - UNIV MEDICAL CENTER TUCSON: Line 16b URL: HTTPS://WWW.BANNERHEALTH.COM/PATIENTS/BILLING/FINANCIAL-ASSISTANCE; C - BANNER CASA GRANDE MEDICAL CENTER: Line 16b URL: HTTPS://WWW.BANNERHEALTH.COM/PATIENTS/BILLING/FINANCIAL-ASSISTANCE; - BANNER REHAB HOSPITAL-EAST: Line 16b URL: HTTPS://WWW.BANNERHEALTH.COM/PATIENTS/BILLING/FINANCIAL-ASSISTANCE/BANNER-REHABILITATIONHOSPITAL; Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - BANNER - UNIV MEDICAL CENTER PHOENIX: Line 16c URL: HTTPS://WWW.BANNERHEALTH.COM/PATIENTS/BILLING/FINANCIAL-ASSISTANCE; B - BANNER - UNIV MEDICAL CENTER TUCSON: Line 16c URL: HTTPS://WWW.BANNERHEALTH.COM/PATIENTS/BILLING/FINANCIAL-ASSISTANCE; C - BANNER CASA GRANDE MEDICAL CENTER: Line 16c URL: HTTPS://WWW.BANNERHEALTH.COM/PATIENTS/BILLING/FINANCIAL-ASSISTANCE; - BANNER REHAB HOSPITAL-EAST: Line 16c URL: HTTPS://WWW.BANNERHEALTH.COM/PATIENTS/BILLING/FINANCIAL-ASSISTANCE/BANNER-REHABILITATIONHOSPITAL; Schedule H, Part VI, Line 2 Needs assessment Banner Health utilizes its Strategy and Planning Team to continually identify areas in the communities BH serves where institutional clinical needs are not being satisfied especially for those within underserved, uninsured and minority populations. It also leverages a multi-phased approach to understanding gaps in services provided to communities served by hospitals within the system as well as community resources through a combination of population growth and changing demographics analysis, detailed analysis of national, state and county data sources, healthcare services available through other hospital providers, physician supply in the Banner Health service areas, new and more effective healthcare services that are becoming available that would elevate the quality of healthcare services provided to Banner Health communities, and demand pressures experienced by existing BH facilities and physicians. On a local basis, hospital management teams regularly consult with community leaders and partners, local community-based advisory boards, other service providers (including federally qualified health clinics) and businesses to identify unmet physician and hospital needs. These findings are then prioritized based on system capital and operating resource availability, feasibility, availability of physicians to be recruited to the service area, and sustainability. Based upon this prioritization, capital and operating resources are then integrated into the facility and System budgets and plans. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance Policies and procedures exist to educate our patients on financial assistance eligibility, and they are provided numerous opportunities for education on Banner Health Financial assistance policies. The following are examples of communication/education available to BH patients: a. Signage and collateral in both English and Spanish are posted prominently in-patient waiting lobbies, including the emergency departments, stating that Banner Health has financial assistance programs for those who do not have insurance or may be unable to pay for their share of the cost of services. b. A toll-free number is provided for the patient's/family's convenience. c. After medical screening, self pay patients are visited by staff and informed of the financial policy. Staff also assists potentially eligible patients to apply for enrollment for Medicaid/AHCCCS. d. An insert is included in all of our billing statement to patients. The insert again informs patients of the availability of financial assistance in both English and Spanish and provides toll-free access. e. Department representatives again inform patients of the financial assistance policies during the self-pay collection process. f. Banner Health website provides information in both English and Spanish of the availability of financial assistance. Throughout the process, staff continues to advise potentially eligible patients of the possibility of enrollment in Medicaid/AHCCCS and offer to assist in such enrollment. Schedule H, Part VI, Line 4 Community information Banner Health has 32 hospitals (as of December 31, 2024), and operates or leases nursing homes, physician clinics, home health agencies, ambulatory facilities, and durable medical equipment services in six western states which include demographic areas that range from metropolitan to remote rural areas. The following sets forth pertinent demographic information with respect to the communities and areas served by Banner Health facilities: A. ARIZONA 1) STATE I) Estimated Population: 7,151,502 II) Median Household Income: $81,486 III) Percent of Population in Poverty: 11.7% IV) Percent of Uninsured Persons Under Age 65: 10.3% V) Per Capita Healthcare Expense: $8,756 VI) Total Percent of Uninsured in Population: 12.00% VI) Percent of Uninsured Adults 19-64 Living in Poverty: 20.70% VII) Percent of Uninsured Nonelderly W Income below 100% of FPL: 21.00% VIII) Percent of Uninsured Nonelderly W Income up to 200% of FPL: 21.90% IX) Percent of Population below 400% of FPL: 60.30% X) Percent of Adults Reporting Fair or Poor Health: 19.20% XI) Percent of Adults Diagnosed with Diabetes: 11.40% XII) Percent of Adults Diagnosed with Cardiovascular Disease: 6.20% XIII) Percent of Adults Who are Overweight or Obese: 31.20% XIV) Percent of Adults Reporting Mental Illness in Past Year: 33.10% XV) Percent of Adults Reporting not Seeing a Doctor Due to Cost: 12.20% XVI Adults Who Report Having Chronic Conditions: 52.80% 2) MARICOPA COUNTY I) ESTIMATED POPULATION: 4,420,568 II) MEDIAN HOUSEHOLD INCOME: $90,967 III) Percent of Population in Poverty: 10.20% IV) Percent of Uninsured Persons Under Age 65: 10.50% 3) PINAL COUNTY I) ESTIMATED POPULATION: 425,264 II) MEDIAN HOUSEHOLD INCOME: $81,668 III) Percent of Population in Poverty: 10.6% IV) Percent of Uninsured Persons Under Age 65: 11.600% 4) COCONINO COUNTY I) ESTIMATED POPULATION: 145,101 II) MEDIAN HOUSEHOLD INCOME: $75,164 III) Percent of Population in Poverty: 15.00% IV) Percent of Uninsured Persons Under Age 65: 12.50% 5) GILA COUNTY I) ESTIMATED POPULATION: 53,272 II) MEDIAN HOUSEHOLD INCOME: $59,089 III) Percent of Population in Poverty: 17.80% IV) Percent of Uninsured Persons Under Age 65: 10.00% 6) PIMA COUNTY I) ESTIMATED POPULATION: 1,043,433 II) MEDIAN HOUSEHOLD INCOME: $72,067 III) Percent of Population in Poverty: 13.50% IV) Percent of Uninsured Persons Under Age 65: 8.00% 7) COCHISE COUNTY I) ESTIMATED POPULATION: 125,447 II) MEDIAN HOUSEHOLD INCOME: $60,723 III) Percent of Population in Poverty: 13.30% IV) Percent of Uninsured Persons Under Age 65: 8.00% 8) YAVAPI COUNTY I) ESTIMATED POPULATION: 236,209 II) MEDIAN HOUSEHOLD INCOME: $74,788 III) Percent of Population in Poverty: 9.20% IV) Percent of Uninsured Persons Under Age 65: 9.60% B. CALIFORNIA 1) STATE I) ESTIMATED POPULATION: 39,538,223 II) MEDIAN HOUSEHOLD INCOME: $100,149 III) Percent of Population in Poverty: 11.80% IV) Percent of Uninsured Persons Under Age 65: 5.90% V) Per Capita Healthcare Expense: $10,299 VI) Total Percent of Uninsured in Population: 7.40% VI) Percent of Uninsured Adults 19-64 Living in Poverty: 15.50% VII) Percent of Uninsured Nonelderly With Income below 100% of FPL: 15.40% VIII) Percent of Uninsured Nonelderly With Income up to 200% of FPL: 15.50% IX) Percent of Population below 400% of FPL: 54.80% X) Percent of Adults Reporting Fair or Poor Health: 20.80% XI) Percent of Adults Diagnosed with Diabetes: 11.50% XII) Percent of Adults Diagnosed with Cardiovascular Disease: 5.10% XIII) Percent of Adults Who are Overweight or Obese: 27.70% XIV) Percent of Adults Reporting Mental Illness in Past Year: 36.30% XV) Percent of Adults Reporting not Seeing a Doctor Due to Cost: 10.70% XVI) Adults Who Report Having Chronic Conditions: 49.80% 2) LASSEN COUNTY I) ESTIMATED POPULATION: 32,730 II) MEDIAN HOUSEHOLD INCOME: $64,395 III) Percent of Population in Poverty: 13.70% IV) Percent of Uninsured Persons Under Age 65: 6.70% C. COLORADO 1) STATE I) ESTIMATED POPULATION: 5,773,714 II) MEDIAN HOUSEHOLD INCOME: $97,113 III) Percent of Population in Poverty: 9.60% IV) Percent of Uninsured Persons Under Age 65: 7.90% V) Per Capita Healthcare Expense: $8,583 VI) Total Percent of Uninsured in Population: 7.80% VI) Percent of Uninsured Adults 19-64 Living in Poverty: 14.40% VII) Percent of Uninsured Nonelderly W INCOME below 100% of FPL: 15.00% VIII) Percent of Uninsured Nonelderly w Income up to 200% of FPL: 15.50% IX) Percent of Population below 400% of FPL: 49.10% X) Percent of Adults Reporting Fair or Poor Health: 15.20% XI) Percent of Adults Diagnosed with Diabetes: 8.60% XII) Percent of Adults Diagnosed with Cardiovascular Disease: 4.70% XIII) Percent of Adults Who are Overweight or Obese: 24.90% XIV) Percent of Adults Reporting Mental Illness in Past Year: 41.80% XV) Percent of Adults Reporting not Seeing a Doctor Due to Cost: 12.10% XVI) Adults Who Report Having Chronic Conditions: 51.80% 2) LARIMER COUNTY I) ESTIMATED POPULATION: 359,066 II) MEDIAN HOUSEHOLD INCOME: $93,276 III) Percent of Population in Poverty: 10.70% IV) Percent of Uninsured Persons Under Age 65: 4.80% 3) LOGAN COUNTY I) ESTIMATED POPULATION: 21,528 II) MEDIAN HOUSEHOLD INCOME: $55,074 III) Percent of Population in Poverty: 13.10% IV) Percent of Uninsured Persons Under Age 65: 8.80% 4) MORGAN COUNTY I) ESTIMATED POPULATION: 29,211 II) MEDIAN HOUSEHOLD INCOME: $75,4071 III) Percent of Population in Poverty: 12.30% IV) Percent of Uninsured Persons Under Age 65: 10.80% 5) WELD COUNTY I) ESTIMATED POPULATION: 328,981 II) MEDIAN HOUSEHOLD INCOME: $101,563 III) Percent of Population in Poverty: 9.80% IV) Percent of Uninsured Persons Under Age 65: 7.70% D. NEBRASKA 1) STATE I) ESTIMATED POPULATION: 1,961,504 II) MEDIAN HOUSEHOLD INCOME: $76,376 III) Percent of Population in Poverty: 10.90% IV) Percent of Uninsured Persons Under Age 65: 7.10% V) Per Capita Healthcare Expense: $10,514 VI) Total Percent of Uninsured in Population: 7.50% VI) Percent of Uninsured Adults 19-64 Living in Poverty: 18.80% VII) Percent of Uninsured Nonelderly w Income below 100% of FPL: 18.60% VIII) Percent of Uninsured Nonelderly w Income up to 200% of FPL: 19.30% IX) Percent of Population below 400% of FPL: 60.50% X) Percent of Adults Reporting Fair or Poor Health: 15.60% XI) Percent of Adults Diagnosed with Diabetes: 10.60% XII) Percent of Adults Diagnosed with Cardiovascular Disease: 5.70% XIII) Percent of Adults Who are Overweight or Obese: 36.60% XIV) Percent of Adults Reporting Mental Illness in Past Year: 40.80% XV) Percent of Adults Reporting not Seeing a Doctor Due to Cost: 8.80% XVI) Adults Who Report Having Chronic Conditions: 51.50% 2) KEITH COUNTY I) ESTIMATED POPULATION: 8,335 II) MEDIAN HOUSEHOLD INCOME: $58,132 III) Percent of Population in Poverty: 10.70% IV) Percent of Uninsured Persons Under Age 65: 6.90% E. NEVADA 1) STATE I) ESTIMATED POPULATION: 3,104,614 II) MEDIAN HOUSEHOLD INCOME: $81,134 III) Percent of Population in Poverty: 11.60% IV) Percent of Uninsured Persons Under Age 65: 11.40% V) Per Capita Healthcare Expense: $8,348 VI) Total Percent of Uninsured in Population: 12.60% VI) Percent of Uninsured Adults 19-64 Living in Poverty: 25.20% VII) Percent of Uninsured Nonelderly w Income below 100% of FPL: 26.20% VIII) Percent of Uninsured Nonelderly w Income up to 200% of FPL: 25.00% IX) Percent of Population below 400% of FPL: 61.80% X) Percent of Adults Reporting Fair or Poor Health: 21.40% XI) Percent of Adults Diagnosed with Diabetes: 11.90% XII) Percent of Adults Diagnosed with Cardiovascular Disease: 5.60% XIII) Percent of Adults Who are Overweight or Obese: 30.80% XIV) Percent of Adults Reporting Mental Illness in Past Year: 41.20% XV) Percent of Adults Reporting not Seeing a Doctor Due to Cost: 15.20% XVI) Adults Who Report Having Chronic Conditions: 57.10% 2) CHURCHILL COUNTY I) ESTIMATED POPULATION: 25,516 II) MEDIAN HOUSEHOLD INCOME: $73,268 III) Percent of Population in Poverty: 9.10% IV) Percent of Uninsured Persons Under Age 65: 8.8% F. WYOMING 1) STATE I) ESTIMATED POPULATION: 576,851 II) MEDIAN HOUSEHOLD INCOME: $75,532 III) Percent of Population in Poverty: 10.10% IV) Percent of Uninsured Persons Under Age 65: 10.30% V) Per Capita Healthcare Expense: $10,989 VI) Total Percent of Uninsured in Population: 12.90% VI) Percent of Uninsured Adults 19-64 Living in Poverty: 31.30% VII) Percent of Uninsured Nonelderly W Income below 100% of FPL: 39.00% VIII) Percent of Uninsured Nonelderly W Income up to 200% of FPL: 29.80% IX) Percent of Population below 400% of FPL: 62.40% X) Percent of Adults Reporting Fair or Poor Health: 17.60% XI) Percent of Adults Diagnosed with Diabetes: 10.80% XII) Percent of Adults Diagnosed with Cardiovascular Disease: 6.60% XIII) Percent of Adults Who are Overweight or Obese: 33.30% XIV) Percent of Adults Reporting Mental Illness in Past Year: 53.10% XV) Percent of Adults Reporting not Seeing a Doctor Due to Cost: 9.80% XVI) Adults Who Report Having Chronic Conditions: 55.50% Schedule H, Part VI, Line 5 Promotion of community health Banner Health is governed by a community board, drawn primarily from the communities served by Banner Health. This board establishes Banner Health's priorities and ensures that it operates in a manner that will further its charitable, nonprofit purpose to improve the health of the communities it serves. As a nonprofit entity, BH exists to provide health care services to the communities we serve, not to generate profits. To that end, every dollar earned is reinvested in new equipment, new or expanded patient care services, new technologies, maintaining existing equipment and facilities and new facilities to meet market needs or to ensure the long-term success of the organization. In particular, Banner Health's heavy reinvestment in clinical systems and health information technology enables Banner Health to provide a uniformly high quality of care throughout the system, including Banner Health's small, rural, critical access hospitals. Physicians and staff practicing in these sole community providers have the same electronic health record systems and computerized physician order entry and decision support tools as are utilized in Banner Health's largest teaching hospital. In addition, by means of remote monitoring and telemedicine technologies, these small rural hospitals have access to the clinical and operational support of the entire system, thereby bringing a level of sophisticated health care to these communities that would not otherwise be possible. Except in limited circumstances where necessary to ensure the availability of consistent and efficient physician services, Banner Health utilizes an open medical staff model, thereby making the facilities available to local physicians to provide high quality hospital services to our communities. In addition, Banner Health is aggressively pursuing an integration strategy involving networks of employed and independent physicians capable of providing efficient, evidence-based and high-quality clinical care within an integrated system covering the full continuum of care. This will enable Banner Health to improve the health of the communities it serves while limiting the costs of providing such care. true 911 TOWER CHALLENGE FOUNDATION PO BOX 43431 TUCSON AZ 857333431 812701885 501(C)(3) 5275 GENERAL SUPPORT APACHE JUNCTION CHAMBER OF COMMERCE PO BOX 1747 APACHE JUNCTION AZ 85117 237217518 501(C)(6) 5800 GENERAL SUPPORT ALZHEIMERS ASSOCIATION 340 E Palm Lane Ste 230 PHOENIX AZ 85006 133039601 501(C)(3) 37250 GENERAL SUPPORT AMERICAN CANCER SOCIETY 2929 E THOMAS ROAD PHOENIX AZ 85016 841316555 501(C)(3) 170085 GENERAL SUPPORT AMERICAN HEART ASSOCIATION 2929 S 48TH ST TEMPE AZ 85282 135613797 501(C)(3) 48420 GENERAL SUPPORT AMERICAN TELEMEDICINE ASSOCIATION PO BOX 392741 PITTSBURGH PA 152519741 742676503 501(C)(3) 15000 GENERAL SUPPORT AREA AGENCY ON AGING 1010 6th St GREELEY CO 80631 742371957 501(C)(3) 13500 GENERAL SUPPORT ASU Foundation 200 W CURRY TEMPE AZ 85287 866051042 501(C)(3) 6500 GENERAL SUPPORT AUNT RITAS FOUNDATION 1101 N CENTRAL AVE PHOENIX 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OF ARIZONA GLOBAL CAMPUS 2 2000 SOS-BH EMPLOYEE ASSISTANCE PROGRAM 835 477878 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds THE OFFICE OF GRANT STRATEGY DEVELOPMENT AND ADMINISTRATION MANAGES ALL RESEARCH AND FEDERALLY FUNDED GRANTS FOR BANNER HEALTH. ALL AWARDS ARE MANAGED IN ACCORDANCE WITH THE FEDERAL OMB A-133 COMPLIANCE SUPPLEMENT. Banner Health ALSO MAINTAINS RECORDS AND SCHEDULES OF ALL FEDERAL AND NON-FEDERAL AWARDS AND THEIR EXPENDITURES, AND WE DO MONITOR OUR SUB-RECIPIENTS FOR THEIR COMPLIANCE AS WELL. Banner Health's GUIDELINES REGARDING CHARITABLE CONTRIBUTIONS TO OUTSIDE ORGANIZATIONS DIRECT US TO MAKE CONTRIBUTIONS TO OTHER ORGANIZATIONS WHOSE CHARITABLE MISSIONS ALIGN WITH Banner Health's MISSION OF "MAKING HEALTH CARE EASIER, SO LIFE CAN BE BETTER". IN SELECTED CIRCUMSTANCES WHEN A CONTRIBUTION IS NOT DIRECTLY LINKED TO PATIENT CARE, IT SERVES TO BETTER SUPPORT OUR COMMUNITY'S NEEDS. X true true X X X X X false true false false false false false true false PETER S FINE CHIEF EXECUTIVE OFFICER 1818398 0 6314634 0 438139 0 4940672 0 23469 0 13535312 0 3670321 0 ANNE MARIUCCI DIRECTOR/VICE-CHAIR 161000 0 0 0 0 0 0 0 0 0 161000 0 0 0 DAVID BIXBY FORMER OFFICER 258418 0 0 0 0 0 76239 0 0 0 334657 0 0 0 REBECCA KUHN FORMER OFFICER 280640 0 0 0 0 0 0 0 0 0 280640 0 0 0 JULIE A ALVARADO-DUBEK EVP, CHIEF HUMAN RESOURCES OFFICER 550660 0 912618 0 46938 0 866399 0 27231 0 2403846 0 354893 0 MARJORIE BESSEL MD EVP, CHIEF CLINICAL OFFICER 667671 0 1118288 0 112439 0 1003975 0 19022 0 2921395 0 658556 0 STACI DICKERSON EVP, CHIEF FINANCIAL OFFICER 923792 0 762198 0 24579 0 902778 0 23891 0 2637238 0 117803 0 JEAN FITTERER LANCE EVP, CHIEF LEGAL OFFICER & GENERAL COUNSEL 628197 0 1278213 0 49763 0 945190 0 24760 0 2926123 0 339533 0 JOSH GROESBECK SENIOR VP - ACUTE CARE COMM. DELIVERY 476812 0 329432 0 47560 0 289010 0 36363 0 1179177 0 0 0 DONALD NORDLUND EVP, CHIEF STRATEGY & GROWTH OFFICER 745551 0 1217591 0 102750 0 1087065 0 20702 0 3173659 0 702027 0 AMY PERRY PRESIDENT 1408566 0 3144358 0 27902 0 4437208 0 34614 0 9052648 0 1039974 0 BRENDA SCHAEFER VP, CHIEF INVESTMENT OFFICER 421541 0 310453 0 41583 0 122194 0 13515 0 909286 0 111992 0 MARY SCHUBERT Executive Director, Legal Services & Assistant Secretary 274535 0 95273 0 21945 0 10741 0 13090 0 415584 0 0 0 DEBRA FLORES Chief Executive Officer - Large Facility 512673 0 450755 0 65982 0 126834 0 27294 0 1183538 0 125154 0 SARAH FROST Chief Executive Officer - Large Facility (THRU 04/24) 163352 0 428531 0 26989 0 6534 0 889 0 626295 0 148258 0 MARGO KARSTEN Division President 521076 0 535553 0 81637 0 361694 0 25281 0 1525241 0 244639 0 DANIEL POST Chief Executive Officer - Large Facility 649443 0 484315 0 74757 0 183260 0 31220 0 1422995 0 181312 0 LAURA ROBERTSON Chief Executive Officer - Large Facility 560855 0 439329 0 68040 0 177967 0 33532 0 1279723 0 169743 0 TODD S WERNER SVP, ACUTE CARE DELIVERY 913067 0 1078386 0 125959 0 859672 0 29655 0 3006739 0 506700 0 LAMONT YODER DIVISION PRESIDENT 172955 0 561262 0 37057 0 7050 0 8700 0 787024 0 206831 0 CHARLES BOWEN SVP, Chief Supply Chain Officer (THRU 01/24) 480251 0 474241 0 57243 0 55885 0 19146 0 1086766 0 87682 0 MATTHEW CALLISTER Senior Physician Executive Oncology & BMDACC 743267 0 275886 0 26509 0 67860 0 31363 0 1144885 0 0 0 RAMANJIT DHALIWAL VP, CMO Delivery 484557 0 410032 0 63276 0 148612 0 26222 0 1132699 0 0 0 MICHAEL REAGIN Executive VP, Chief Technology Officer 409692 0 400000 0 390126 0 410040 0 7941 0 1617799 0 0 0 DEANNA WISE SVP, CHIEF INFORMATION OFFICER (THRU 03/24) 130035 0 604902 0 706260 0 5255 0 4598 0 1451050 0 392862 0 Schedule J, Part I, Line 1a First-class or charter travel First class and business class travel are not reimbursable except as follows: (a) as set forth in a written agreement approved by the Banner Health Board Compensation Committee; or (b) upon prior written approval of the Banner Health CEO based on business need. First class or business class upgrades or coupon books are not reimbursable, unless: (a) as set forth in a written agreement approved by the Banner Health Board Compensation Committee; or (b) upon prior written approval of the Banner Health CEO based on business need. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan 1. SERP III - COVERED 1 EXECUTIVE (PETER FINE). THIS NONQUALIFIED PLAN IS TO BE PAID OUT IN THE FIRST QUARTER OF 2025. PAYMENT WAS REVIEWED BY AN INDEPENDENT COMPENSATION COMMITTEE TO DeTERMINE REASONABLENESS AND IS PAYABLE AFTER THE EXECUTIVE VESTS ON January 31, 2025. 2. EXEC 457(F) - COVERED APPROXIMATELY 100 FORMER AND CURRENT EXECUTIVES. THIS NONQUALIFIED PLAN IS HELD AT FIDELITY INVESTMENTS. VESTING OCCURS UPON MEETING VESTING REQUIREMENTS (SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE). AWARDS ARE SUBJECT TO A ROLLING THREE-YEAR VESTING SCHEDULE - OR A TEAM MEMBER REACHES THE AGE OF 65, 3 YEARS FROM THE DATE OF DEPOSIT. TAXATION OCCURS UPON DISTRIBUTION (IF VESTED). THE ONLY CONTRIBUTIONS ALLOWED ARE EMPLOYER CONTRIBUTIONS. PAYOUT AMOUNTS ARE TAXABLE AND INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III). DEPOSIT AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C). 2024 457(F) Distributions: JULIE ALVARADO-DUBEK $21,298 MAJORIE BESSELL $84,496 CHARLES BOWEN $31,990 Ramanjit Dhaliwal $37,849 PETER FINE $405,251 Debra Flores $37,792 Sarah Frost $26,464 John Groesbeck $22,367 MARGO KARSTEN $54,572 JEAN FRITTERER LANCE $22,101 DONALD SCOTT NORDLUND $74,183 Daniel Post $46,840 LAURA ROBERTSON $41,915 BRENDA SCHAEFER $15,537 TODD WERNER $98,437 DEANNA WISE $208,552 LAMONT YODER $36,330 2024 457(F) Contributions: JULIE ANN ALVARADO-DUBEK $57,032 MAJORIE BESSELL $84,560 CHARLES BOWEN $42,085 Ramanjit Dhaliwal $31,218 Staci Dickerson $51,248 John Groesbeck $21,519 MARGO KARSTEN $50,333 JEAN FRITTERER LANCE $65,648 DONALD SCOTT NORDLUND $93,538 Amy Perry $191,067 DANIEL POST $44,497 LAURA ROBERTSON $17,860 BRENDA SCHAEFER $17,860 TODD WERNER $119,525 Schedule J, Part I, Line 7 Non-fixed payments 1. BANNER HEALTH PARTICIPATES IN A LONG-TERM INCENTIVE PLAN (LTIP) COVERING THREE-YEAR CYCLES FROM, 2022-2024, 2023-2025 AND 2024-2026. THE LTIP WAS DESIGNED AT THE INITIATIVE OF THE BANNER BOARD OF DIRECTORS WITH THE ASSISTANCE OF WILLIS TOWERS WATSON, AND ALL COMPONENTS WERE APPROVED BY THE BOARD. THE PLANS' AREAS OF PERFORMANCE TARGETS INCLUDE: IMPROVING THE RN EXPERIENCE, EXPANDING MARKET PRESENCE, and JOURNEY TO ZERO HARM. AWARDS ARE CALCULATED AS A PERCENTAGE OF BASE SALARY ON THE LAST DAY OF THE THREE-YEAR CYCLE, AND OPPORTUNITY VARIES BY POSITION LEVEL. THE PLAN REQUIRES A THRESHOLD LEVEL OF FINANCIAL PERFORMANCE BEFORE ANY AWARDS CAN BE MADE, AND THE AMOUNT OF THE AWARDS VARIES WITH THE DEGREE OF ACHIEVEMENT OF THE TARGETS. THE MAXIMUM LTIP PAYOUT OPPORTUNITY RANGES FROM 30% TO 255% OF THE BASE SALARY as of December 31 in the last year of the three-year plan. AWARDS HAVE BEEN ACCRUED UNDER THE LTIP, BUT NO PAYMENTS ARE MADE UNTIL AFTER YEAR-END AND ACHIEVEMENT IS VERIFIED BY THE BANNER HEALTH BOARD COMPENSATION COMMITTEE AND APPROVED BY THE FULL BOARD OF DIRECTORS OF BANNER HEALTH. ALL LTIP COMPENSATION PAYMENTS ARE REPORTED IN THE INCENTIVE AND BONUS COMPENSATION SHOWN IN SCHEDULE J, PART II, COLUMN (B)(II). AMOUNTS PAID FOR THE 2021-2023 CYCLE ARE REPORTED IN SCHEDULE J, PART II, COLUMN (B) AS BONUS & INCENTIVE COMPENSATION. AMOUNTS ACCRUED FOR 2024 FOR THE 2022-2024, 2023-2025, 2024-2026 CYCLES (TO BE PAID OUT IN 2025, 2026, AND 2027 RESPECTIVELY) ARE REPORTED IN SCHEDULE J, PART II, COLUMN (C) AS DEFERRED COMPENSATION. 2. Banner Health HAS A MANAGEMENT INCENTIVE PLAN (MIP) WHICH IS BASED ON COMPANY ACHIEVEMENT OF SEVERAL FINANCIAL AND NON-FINANCIAL/CLINICAL QUALITY METRICS THAT ARE ESTABLISHED ANNUALLY BY THE Banner Health BOARD OF DIRECTORS. AWARDS ARE GRANTED AS A PERCENTAGE OF THE PARTICIPANT'S BASE SALARY AND VARY WITH THE POSITION LEVEL OF THE PARTICIPATING EMPLOYEE, RANGING FROM 7% TO 110% OF BASE SALARY. IN 2024, THERE WERE 1,441 MIP PARTICIPANTS. THE MIP WAS ACCRUED IN 2023 FOR THE 2024 MIP payout. MIP COMPENSATION IS INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(II). A ARIZONA HEALTH FACILITIES AUTHORITY 860453292 040507HMO 2007-05-10 600002793 SERIES 2007A-B - SEE PART VI true false false B ARIZONA HEALTH FACILITIES AUTHORITY 860453292 040507QM0 2015-11-05 109938631 SERIES 2015A - SEE PART VI false false false C ARIZONA HEALTH FACILITIES AUTHORITY 860453292 040507QA6 2015-11-05 301550000 SERIES 2015B-C - SEE PART VI true false false D THE INDUSTRIAL DEVELOPMENT AUTHORITY OF MARICOPA 860445263 56682HCH0 2016-11-17 931052179 SERIES 2016A - SEE PART VI false false false A 190920000 654681003 3221064 651459939 2009 false false true true B 83808000 109938631 899345 109039286 2015 false true true true C 103730000 15895000 301550000 1550000 300000000 2015 false false true true D 126215000 931052179 5747005 925305174 2017 false true true true A false true true true true true 0.0002 0.0 0.0002 false false 0 false true B false true true true true true 0.0002 0.0 0.0002 false false 0 false true C false true true true false false 0.0 0.0 0.0 false false 0 false true D false true true true true true 0.0011 0.0 0.0011 false false 0 false true A false false false true true true MORGAN STANLEY 29.7 true false true MORGAN STANLEY 3.0 true false true B false false false true false false 0 false false false 0 false false true C false false true false true false 0 false false false 0 false false true D false false false true false false 0 false false false 0 false false true A true B true C true D true Schedule K, Part VI INFORMATION ABOUT THE USE OF PROCEEDS 2007A-B: THE BONDS WERE ISSUED TO: (1) FINANCE A PORTION OF THE COSTS OF ACQUISITION, CONSTRUCTION, RENOVATION, INSTALLATION AND EQUIPPING OF THE VARIOUS PROJECTS, INCLUDING THE REIMBURSEMENT OF CERTAIN PRIOR CAPITAL EXPENDITURES PAID BY BANNER HEALTH; (2) REFUND AND REDEEM ON A CURRENT BASIS A PORTION OF BANNER HEALTH'S OUTSTANDING COMMERCIAL PAPER NOTES; (3) PAY CERTAIN LEGAL, ACCOUNTING AND FINANCING COSTS, INCLUDING UNDERWRITERS' DISCOUNT, INCURRED IN CONNECTION WITH THE ISSUANCE OF THE BONDS; AND (4) PAY PREMIUMS FOR MUNICIPAL BONDS INSURANCE POLICIES TO SECURE PAYMENT OF DEBT SERVICE ON THE BONDS. 2015A: THE BONDS WERE USED TO: (1) ADVANCE REFUND THE PORTION OF THE AUTHORITY'S REVENUE BONDS (BANNER HEALTH), SERIES 2007A MATURING ON JANUARY 1 IN THE YEARS 2018 THROUGH 2025; (2) PAY CERTAIN LEGAL, ACCOUNTING AND FINANCING COSTS, INCLUDING UNDERWRITERS' DISCOUNT, INCURRED IN CONNECTION WITH THE ISSUANCE OF THE BONDS (THE "COST OF ISSUANCE"). 2015B-C: THE PROCEEDS OF THE BONDS ARE BEING USED FOR: (1) REFINANCE A PORTION OF THE OUTSTANDING PRINCIPAL AMOUNT OF A TAXABLE TERM LOAN TO THE BANNER HEALTH FROM MIZUHO BANK LTD. THE PROCEEDS OF THE LOAN WERE USED TO ACQUIRE A PORTION OF THE ASSETS OF THE UNIVERSITY OF ARIZONA HEALTH NETWORK, INC.; (2) REFINANCE A PORTION OF THE OUTSTANDING PRINCIPLE AMOUNT OF A TAXABLE REVOLVING CREDIT LOAN TO BANNER HEALTH FROM THE BANK OF AMERICA, N.A.. THE PROCEEDS OF THE LOAN WERE USED BY BANNER HEALTH TO ACQUIRE A PORTION OF THE ASSETS OF PAYSON REGIONAL MEDICAL CENTER.; (3) CONSTRUCT A 1,100 CAR PARKING GARAGE AT THE BANNER-UNIVERSITY MEDICAL CENTER PHOENIX; (4) PAY THE FEES AND EXPENSES WITH RESPECT TO A DIRECT-PAY LETTER OF CREDIT RELATING TO THE 2015B BONDS PROVIDED BY THE BANK OF TOKYO-MITSUBISHI UFJ LTD.; (5) PAY THE FEES AND EXPENSES WITH RESPECT TO DIRECT-PAY LETTER RELATING TO THE 2015C BONDS AND TOGETHER WITH THE 2015B LETTER OF CREDIT PROVIDED BY BANK OF AMERICA, N.A.; AND (6) PAY CERTAIN LEGAL, ACCOUNTING AND FINANCING COSTS, INCLUDING UNDERWRITERS' DISCOUNT, INCURRED IN CONNECTION WITH THE ISSUANCE OF THE BONDS (THE "COST OF ISSUANCE"). 2016A: THE PROCEEDS OF THE BONDS, TOGETHER WITH OTHER AVAILABLE MONEYS OF BANNER HEALTH, ARE BEING USED TO: (1) ADVANCE REFUND THE PORTION OF THE ARIZONA HEALTH FACILITIES AUTHORITY REVENUE BONDS SERIES 2008A MATURING ON JANUARY 1 IN THE YEARS 2022 THROUGH 2035; (2) ADVANCE REFUND THE PORTION OF ARIZONA HEALTH FACILITIES AUTHORITY REVENUE BONDS SERIES 2008D AND COLLECTIVELY WITH THE SERIES 2008A BONDS MATURING ON JANUARY 1 IN THE YEARS 2020 THROUGH 2038 (OTHER THAN 2030); (3) PAY CERTAIN LEGAL, ACCOUNTING AND FINANCING COSTS, INCLUDING UNDERWRITERS' DISCOUNT, INCURRED IN CONNECTION WITH THE ISSUANCE OF THE BOND. 2017ABC: THE PROCEEDS OF THE SERIES 2017ABC BONDS, TOGETHER WITH OTHER AVAILABLE MONEYS OF THE INSTITUTION, ARE BEING USED TO: (1) FINANCE A PORTION OF THE COSTS OF ACQUISITION, CONSTRUCTION, RENOVATION, INSTALLATION AND EQUIPPING OF THE 2017 PROJECTS, INCLUDING REIMBURSEMENT OF CERTAIN PRIOR CAPITAL EXPENDITURES PAID BY THE INSTITUTION. (2) PAY CERTAIN LEGAL, ACCOUNTING AND FINANCING COSTS, INCLUDING UNDERWRITERS' DISCOUNT, INCURRED IN CONNECTION WITH THE ISSUANCE OF THE SERIES 2017ABC BONDS (THE "COSTS OF ISSUANCE"). THE 2017 PROJECTS INCLUDE (A) CONSTRUCTION, FURNISHING AND EQUIPPING OF A NEW 16 STORY PATIENT CARE AND CLINICAL TOWER TO BE LOCATED ON THE BANNER-UNIVERSITY MEDICAL CENTER PHOENIX CAMPUS (BANNER UMC PHOENIX) LOCATED AT 1111 E. MCDOWELL ROAD, PHOENIX, ARIZONA 85006, CONSISTING OF APPROXIMATELY 700,000 SQUARE FEET AND HOUSING APPROXIMATELY 256 PATIENT BEDS, A NEW EMERGENCY DEPARTMENT AND TRAUMA CENTER, OPERATING ROOMS, DIAGNOSTIC AND LABORATORY FACILITIES, AND RELATED CAMPUS IMPROVEMENTS AND MISCELLANEOUS CAPITAL EXPENDITURES ON THE BANNER UMC PHOENIX CAMPUS, AND (B) CONSTRUCTION, FURNISHING AND EQUIPPING OF A NEW 9-STORY PATIENT CARE AND CLINICAL TOWER TO BE LOCATED ON THE BANNER-UNIVERSITY MEDICAL CENTER TUCSON CAMPUS (BANNER UMC TUCSON) LOCATED AT 1501 N. CAMPBELL AVENUE, TUCSON, ARIZONA 85724, CONSISTING OF APPROXIMATELY 700,000 SQUARE FEET AND HOUSING APPROXIMATELY 204 PATIENT BEDS, OPERATING ROOMS, DIAGNOSTIC AND LABORATORY FACILITIES AND RELATED CAMPUS IMPROVEMENTS AND MISCELLANEOUS CAPITAL EXPENDITURES ON THE BANNER UMC TUCSON CAMPUS. 2017D: THE PROCEEDS OF THE SERIES 2017D BONDS, TOGETHER WITH OTHER AVAILABLE MONEYS OF THE INSTITUTION, ARE BEING USED TO: (1) FINANCE A PORTION OF THE COSTS OF ACQUISITION, CONSTRUCTION, RENOVATION, INSTALLATION AND EQUIPPING OF THE 2017 PROJECTS, INCLUDING REIMBURSEMENT OF CERTAIN PRIOR CAPITAL EXPENDITURES PAID BY THE INSTITUTION; (2) PAY CERTAIN LEGAL, ACCOUNTING AND FINANCING COSTS, INCLUDING UNDERWRITERS' DISCOUNT, INCURRED IN CONNECTION WITH THE ISSUANCE OF THE SERIES 2017D BONDS (THE "COSTS OF ISSUANCE"). THE 2017 PROJECTS INCLUDE: (A) CONSTRUCTION, FURNISHING AND EQUIPPING OF A NEW 16-STORY PATIENT CARE AND CLINICAL TOWER TO BE LOCATED ON THE BANNER-UNIVERSITY MEDICAL CENTER PHOENIX CAMPUS (BANNER UMC PHOENIX) LOCATED AT 1111 E. MCDOWELL ROAD, PHOENIX, ARIZONA 85006, CONSISTING OF APPROXIMATELY 700,000 SQUARE FEET AND HOUSING APPROXIMATELY 256 PATIENT BEDS, A NEW EMERGENCY DEPARTMENT AND TRAUMA CENTER, OPERATING ROOMS, DIAGNOSTIC AND LABORATORY FACILITIES, AND RELATED CAMPUS IMPROVEMENTS AND MISCELLANEOUS CAPITAL EXPENDITURES ON THE BANNER UMC PHOENIX CAMPUS, AND (B) CONSTRUCTION, FURNISHING AND EQUIPPING OF A NEW 9-STORY PATIENT CARE AND CLINICAL TOWER TO BE LOCATED ON THE BANNER-UNIVERSITY MEDICAL CENTER TUCSON CAMPUS (BANNER UMC TUCSON) LOCATED AT 1501 N. CAMPBELL AVENUE, TUCSON, ARIZONA 85724, CONSISTING OF APPROXIMATELY 700,000 SQUARE FEET AND HOUSING APPROXIMATELY 204 PATIENT BEDS, OPERATING ROOMS, DIAGNOSTIC AND LABORATORY FACILITIES AND RELATED CAMPUS IMPROVEMENTS AND MISCELLANEOUS CAPITAL EXPENDITURES ON THE BANNER UMC TUCSON CAMPUS. 2019ABCD: THE PROCEEDS OF THE SERIES 2019ABCD BONDS, ALONG WITH OTHER AVAILABLE MONIES OF BANNER HEALTH, WILL BE USED TO 1) FINANCE A PORTION OF THE COSTS OF ACQUISITION, CONSTRUCTION, RENOVATION, INSTALLATION AND EQUIPPING OF A NEW 16-STORY PATIENT CARE AND CLINICAL TOWER ON THE BANNER--UNIVERSITY MEDICAL CENTER PHOENIX CAMPUS, A NEW 9-STORY PATIENT CARE AND CLINICAL TOWER ON THE BANNER--UNIVERSITY MEDICAL CENTER TUCSON CAMPUS AND RELATED IMPROVEMENTS AND MISCELLANEOUS CAPITAL EXPENDITURES ON THE BANNER--UNIVERSITY MEDICAL CENTER TUCSON CAMPUS, 2) CURRENT REFUND OF THE OUTSTANDING AMOUNT OF THE ARIZONA FACILITIES AUTHORITY REVENUE BONDS SERIES 2008B BONDS. 3) CURRENT REFUND OF THE OUTSTANDING AMOUNT OF THE ARIZONA FACILITIES AUTHORITY REVENUE BONDS SERIES 2008C BONDS. 4) CURRENT REFUND OF THE OUTSTANDING AMOUNT OF THE ARIZONA FACILITIES AUTHORITY REVENUE BONDS SERIES 2015D BONDS. 5) PAY LEGAL, ACCOUNTING AND FINANCING COSTS, INCLUDING UNDERWRITERS' DISCOUNT, INCURRED IN CONNECTION WITH THE ISSUANCE OF THE BOND. 2019EF: THE PROCEEDS OF THE SERIES 2019EF BONDS, ALONG WITH OTHER AVAILABLE MONIES OF BANNER HEALTH, WILL BE USED TO 1) FINANCE A PORTION OF THE COSTS OF ACQUISITION, CONSTRUCTION, RENOVATION, INSTALLATION AND EQUIPPING OF A NEW 16-STORY PATIENT CARE AND CLINICAL TOWER ON THE BANNER--UNIVERSITY MEDICAL CENTER PHOENIX CAMPUS, A NEW 9-STORY PATIENT CARE AND CLINICAL TOWER ON THE BANNER--UNIVERSITY MEDICAL CENTER TUCSON CAMPUS AND RELATED IMPROVEMENTS AND MISCELLANEOUS CAPITAL EXPENDITURES ON THE BANNER--UNIVERSITY MEDICAL CENTER TUCSON CAMPUS, 2) PAY LEGAL, ACCOUNTING AND FINANCING COSTS, INCLUDING UNDERWRITERS' DISCOUNT, INCURRED IN CONNECTION WITH THE ISSUANCE OF THE BOND. 2023AB: The purpose of the issue is to (1) finance a portion of the costs of acquisition, construction, renovation and equipping of the 2023 projects, including reimbursement of certain prior capital expenditures paid by Banner related to the new women's tower at Banner's Desert Ridge location and the new tower expansion at Banner's Gateway location, (2) refinance a certain line of credit, the proceeds which were used to refinance and redeem the Authority's revenue bonds, Series 2017B on 10/1//2017, and (3) pay cost of issuance Schedule K, Part I LINE A - COLUMN B THE FOLLOWING CUSIP'S ARE REFERENCED BY SERIES IN THE 8038 - SERIES 2023A-1 - 566821HDU0, SERIES 2023A-2 - 56682HDV8, SERIES 2023A-3 - 56682HDW6, AND SERIES 2023B- 56682HDT3. Schedule K, Part II, Line 3 COLUMN C - SERIES 2019ABCD THE TOTAL PROCEEDS OF THE ISSUE DIFFERS FROM THE ISSUE PRICE DUE TO INVESTMENT EARNING IN THE AMOUNT OF $300,521. Schedule K, Part II, Line 11 COLUMN C - SERIES 2019ABCD THE OTHER SPENT PROCEEDS ARE REFUNDING PROCEEDS OF THE ISSUE THAT ARE NO LONGER IN ESCROW. Schedule K, Part IV, Line 2c COLUMN A Issuer name: ARIZONA HEALTH FACILITIES AUTHORITY The calculation for computing no rebate due was performed on 05/10/2022 Schedule K, Part IV, Line 2c COLUMN B Issuer name: ARIZONA HEALTH FACILITIES AUTHORITY The calculation for computing no rebate due was performed on 11/05/2020 Schedule K, Part IV, Line 2c COLUMN D Issuer name: THE INDUSTRIAL DEVELOPMENT AUTHORITY OF MARICOPA The calculation for computing no rebate due was performed on 12/12/2018 Schedule K, Part IV, Line 2c COLUMN A Issuer name: THE INDUSTRIAL DEVELOPMENT AUTHORITY OF MARICOPA The calculation for computing no rebate due was performed on 11/16/2022 Schedule K, Part IV, Line 2c COLUMN B Issuer name: THE INDUSTRIAL DEVELOPMENT AUTHORITY OF MARICOPA The calculation for computing no rebate due was performed on 12/06/2022 Schedule K, Part IV, Line 2c COLUMN C Issuer name: THE INDUSTRIAL DEVELOPMENT AUTHORITY OF MARICOPA The calculation for computing no rebate due was performed on 07/24/2024 Schedule K, Part IV, Line 2c COLUMN D Issuer name: THE INDUSTRIAL DEVELOPMENT AUTHORITY OF MARICOPA The calculation for computing no rebate due was performed on 07/24/2024 A THE INDUSTRIAL DEVELOPMENT AUTHORITY OF MARICOPA 860445263 56682HCK3 2017-10-18 403357634 SERIES 2017ABC - SEE PART VI false false false B THE INDUSTRIAL DEVELOPMENT AUTHORITY OF MARICOPA 860445263 56682HCP2 2017-10-18 100000000 SERIES 2017D - SEE PART VI false false false C THE INDUSTRIAL DEVELOPMENT AUTHORITY OF MARICOPA 860445263 56682HCU1 2019-06-20 365299009 SERIES 2019ABCD - SEE PART VI false false false D THE INDUSTRIAL DEVELOPMENT AUTHORITY OF MARICOPA 860445263 56682HCV9 2019-06-20 200000000 SERIES 2019EF - SEE PART VI false false false A 171885000 403544851 2878298 400666553 2018 false false true true B 8295000 100000000 479336 99520664 2018 false false true true C 103455000 365632214 2241525 102150689 261240000 2019 true false false true D 11010000 200000000 817409 199182591 2019 false false true true A false true true true true true 0.0 0.0 0.0 false false 0 false true B false true true true true true 0.0 0.0 0.0 false false 0 false true C false true true true true true 0.0005 0.0 0.0005 false false 0 false true D false true true true true true 0.0 0.0 0.0 false false 0 false true A false false false true true false 0 false false false 0 false false true B false false false true false false 0 false false false 0 false false true C false false false true true false 0 false false false 0 false false true D false false false true true false 0 false false false 0 false false true A true B true C true D true A The Ind Dev Auth of Cnty of Maricopa 860445263 56682HDU0 2023-06-15 413468688 2023AB - See Part VI false false false A 413468688 2468688 325095788 86000000 2023 false true false true A false true true true true true 0.0 0.0 0.0 false false 0 false true A false true false false true false 0 false false false 0 false false true A true Abigail Robertson Family Member of Key Employee - Laura Robertson 95825 Employed By Banner Health false Jack Robertson Family Member of Key Employee - Laura Robertson 80281 Employed by Banner Health false Alyssa Post Family Member of Key Employee - Daniel Post 63331 Employed by Banner Health false Form 990, Part I, Line 6 VOLUNTEERS AT BANNER HEALTH, OUR VOLUNTEERS ARE AN IMPORTANT PART OF OUR TEAM, AND EACH YEAR THOUSANDS OF PEOPLE SERVE BANNER Health AND, IN TURN, SERVE LOCAL COMMUNITY NEEDS. PEOPLE OF ALL AGES, FROM ALL WALKS OF LIFE, AND WITH DIVERSE BACKGROUNDS AND SKILLS CHOOSE TO GIVE THEIR TIME TO BANNER Health. OUR VOLUNTEERS RANGE FROM TEENS AND ADULTS TO SEASONAL VISITORS AND RETIREES. THE ONLY CONSISTENCY IS THAT THEY ALL HAVE A DESIRE TO HELP AND SERVE OTHERS. THESE COMPASSIONATE AND CARING INDIVIDUALS MAKE A POSITIVE DIFFERENCE IN THE LIVES OF PATIENTS, STAFF AND GUESTS BY PROVIDING A PERSONAL AND COMPASSIONATE APPROACH TO PATIENT AND GUEST SERVICE. VOLUNTEERS WITHIN Banner Health WORK DIRECTLY WITH PEOPLE AND PROVIDE BEHIND-THE-SCENES SUPPORT TO ENHANCE THE PATIENTS' EXPERIENCE AND COMFORT. WITHIN THE VARIOUS PATIENT CARE AND PUBLIC AREAS, VOLUNTEERS GREET GUESTS, PROVIDE INFORMATION AND DIRECTIONS, ESCORT PATIENTS AND FAMILIES TO THEIR DESTINATIONS, AND TRANSPORT AND LINK VISITORS TO STAFF AND OTHER RESOURCES. VOLUNTEERS ALSO PROVIDE COMFORT THROUGH THERAPY DOG VISITS, PERSONAL VISITS, AND BY PROVIDING COMFORT ITEMS SUCH AS PILLOWS, PHONE CARDS, AND CATERING. FINALLY, OTHER VOLUNTEERS SUPPORT STAFF THROUGH ADMINISTRATIVE PROJECTS AND ASSISTANCE - ALLOWING THEM MORE TIME TO DEVOTE TO PATIENT CARE. Banner Health HONORS THE MANY VOLUNTEERS WHO DONATE NUMEROUS HOURS AND COUNTLESS TALENTS TO OUR ORGANIZATION IN FURTHERANCE OF OUR EXEMPT PURPOSE. THEY EXEMPLIFY OUR MISSION IN THAT EVERY DAY THEY MAKE A DIFFERENCE IN THE LIVES OF OUR PATIENTS AND COMMUNITY. Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION Headquartered in Phoenix, Arizona, Banner Health is one of the largest nonprofit health care systems in the country. In addition to thirty-one acute-care hospitals and three rehabilitation hospitals, Banner Health also operates an academic medicine division, Banner - University Medicine, and Banner MD Anderson Cancer Center, a partnership with one of the world's preeminent cancer programs, MD Anderson Cancer Center. Banner Health's array of services includes health insurance, employed physician groups, outpatient surgery centers, urgent care, home care and hospice, retail pharmacies, imaging centers, physical therapy and rehabilitation, behavioral health, telehealth, global research, and a nursing registry. Guided by and deeply committed to our nonprofit mission: "Making health care easier, so life can be better," Banner Health is the leading nonprofit provider of hospital services in all the communities served and, in some cases, the only inpatient/acute care facility available within the community. This mission serves as the cornerstone of operations at our facilities located in small and large, rural, and urban communities, spanning six western states and their incredibly diverse populations. Regarded and recognized as a top health system in the country for the clinical quality consistency, nonprofit Banner Health has evolved from a health system of hospitals to a fully integrated system including significantly expanded services through Medical Group and Insurance Divisions. The comprehensive, integrated services provided by Banner Health include acute care, ambulatory care, long-term care, home health care, urgent care, medical imaging, rehabilitation, telemedicine, and hospice and palliative care. In addition to providing major, accredited medical education programs that train qualified physicians, Banner Health participates in national and international research efforts. Banner Health has not only demonstrated the ability to effectively manage the health and wellness of those in our service areas but has expanded convenient access to quality care throughout the communities served. Formed to accelerate Banner Health into the future the Banner Health Innovation Group (BIG) identifies, creates, and implements solutions that introduce and connect emerging ideas in health care. BIG takes a practical, people-first approach to innovation to achieve our vision of being our community's most trusted health partner; constantly evaluating how innovative solutions impact the quality, reliability, and value of the care Banner Health provides. The innovations arising from our staff and partners not only improve and simplify care, but also deepen the relationships between patients and clinicians, communities and institutions, and individuals and their own health. This holistic view prioritizes the interactions among the people that make health care possible, and we believe it is the key to a healthier future. By focusing on what patients, caregivers, and clinicians truly need, BIG aims to make health care better and more accessible for everyone. Through partnerships, human-centered design principles, and collaborative ventures with other health innovators, BIG builds a future where health care is more than a service delivered at a point in time - it is a boundless resource that helps people build a capability for wellness and foundation for a thriving life. BIG delivers results to make that future a reality, developing fresh ideas and cultivating strong partners to make health care easier so life can be better. Banner Health is dedicated to strengthening patient care through a continuous focus on improving patient outcomes and service, development and training of an engaged workforce, use of innovative technologies, and expansion of our facilities and services to meet community needs. At Banner Health people have always come first and whether welcoming newborns, or providing care for thriving in later years, our patients provide the motivation that keeps us moving forward. At all stages in life, Banner Health meets the health and medical needs of its patients through compassionate professionals and outstanding service. Banner Health's reach provides patients with access to these services be it from a hospital bed, mobile web site, virtual telehealth space, or physical presence in a Banner Health clinic or physician's office. Banner Health meets the patient where they are and at their desired locale. Banner Health's mission is "Making health care easier, so life can be better as a nonprofit organization, we exist to support our charitable mission of providing excellent health care services to the communities we serve, rather than generating income for investors or stockholders. Every dollar we earn is reinvested into new equipment, new or expanding patient care services, new physician services, modern technologies, maintaining existing equipment and facilities, and employees' salaries in addition to subsidizing the medical education costs for hundreds of physicians in training. To fulfill our mission and serve our incredibly diverse patient population, Banner Health operates a system of rural and urban facilities that preserve the dignity of everyone regardless of race, creed, sex, sexual orientation, gender identity, age, social status, or ability to pay for services rendered. Banner Health facilities are operated in a cost-effective and financially responsible manner to ensure that all who turn to Banner Health receive the excellent patient care they deserve. We leverage our size to reduce supply and equipment costs and to operate more efficiently and aggressively pursue best practices both inside and outside of Banner Health for opportunities to reduce waste and inefficiency. Banner Health values and celebrates equity, diversity, and inclusion. We promote and cultivate a culturally rich workforce that is honored to serve, support and provide services to our diverse communities. We respect and value the various backgrounds and differences among our team members that allows them to be who they are. We believe leveraging these unique perspectives, experiences and talents not only enhances our Banner Health family, but supports our effectiveness and success as an organization. With approximately 60,000 employees, Banner Health is one of the country's largest employers, a leading nonprofit employer in every community we served, largest private employer in Arizona and one of Northern Colorado's largest employers. As a Banner Health team dedicated to our community and people, Banner Health recognitions and acknowledgements have included: * 100 Best Places to Work in Information Technology * Aetna Workplace Well-Being Making a Difference Award * American Heart Association Workplace Health Index Award, Silver Level * American Medical Association - "Joy in Medicine" * Arizona Corporate Counsel Lifetime Achievement * Arizona Veteran Supportive Employs Award * AzPHA Public Health Awards * Becker's Hospital Review "36 ACOs To Know" * Becker's Hospital Review "Best Places to Work" * Becker's Hospital Review "Great Healthcare Leaders to Know - CEO" * Copper Anvil Awards - Crisis, Integrated and External Communications * CMS - Quality Performance and Cost Reduction * Denver Business Journal Healthiest Employers * Excellence in Health Care Facility Management Awards * Forbes - America's Best Employer by State - Wyoming * Great Place to Work Certification * Healthcare Information and Management Systems Society Changemaker in Health * Healthcare Leader for Older Adults * Healthcare Purchasing Supply Chain Department of the Year * Healthiest Arizona Workplace Program Award * Integrity Summit Integrity Tiger Awards * Larimer County - Outstanding Employer * Lown Institute - Most Socially Responsible Hospitals in America - A Grade in Health Equity, Value and Patient Outcomes * Magnet Recognition - Nursing Excellence * Medicare Shared Savings Program (MSSP) ACOs * Modern Healthcare's Top Diversity Leaders in Healthcare * Modern Healthcare's 100 Most Influential People in Healthcare * Modern Healthcare's 50 Most Influential Clinical Executives * Modern Healthcare's Top 25 Women leaders * Newsweek - Best Maternity Hospital * Surprise Organization of the Year - Olive Branch * Pacific Southwest Minority Supplier Development Council Corporate Spend Award * Pacific Southwest Minority Supplier Development Council Corporate and Regional MBE Spend Award * Phoenix Business Journal Healthcare Heroes Community Outreach Award * Phoenix Business Journal Healthcare Heroes Lifetime Achievement Award * Phoenix Business Journal Healthiest Employers * Premier Supply Chain Diversity Award * PRSA Phoenix Communications Team of the Year * Salt River Project Champions of Energy Efficiency Awards * SDI and Modern Healthcare Magazine Top 10 Integrated Health Systems * Top 10 Diversity Action Award * Top 10 Strategic or Enterprise-Wide ERG Award Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION CONTINUED * Top 25 ERGs & Diversity Councils Award * Tourette Association of America (TAA) Center of Excellence * Truven Analytics - Top 5 Large Health System * World's Best Intranet * WebMD Choice Awards Fulfillment of the Banner Health mission and exempt purpose is accomplished in part by providing patients financial assistance and charity care, as well as community benefit programs and services (See Schedule H). Banner Health is noted for its community service programs and Banner Health employees work tirelessly and devote significant hours, a generous portion of which are on Banner Health work time as volunteers at clinics for the working poor, providing general health and behavioral health screenings, and conducting outreach, seminars, presentations, and educational events. In addition, Banner Health employees routinely serve on local community boards and actively participate in various community events and public service opportunities. Services and programs conducted by Banner Health hospitals and clinics include but are not limited to: * Community health education programs * Support groups * Self-help programs * Community blood drives and health screenings * Community wellness clinics and programs * Community health fairs * Mobile screenings and clinics * Subsidized clinics and services * Live and web-based and electronic consumer health education and assistance * Primary and clinical research with an emphasis on Alzheimer's disease and other age-related diseases * School-based clinics, education, and physical examinations * Donated conference room and related space to community-based organizations * Donated medical supplies * Partnerships with educational institutions to promote healthcare careers * Facility and staff involvement in community-based organizations * Community leadership training and coalition building Banner Health is committed to the health and well-being of the communities it serves. Notable 2024 new or on-going community benefit activities include: COMMUNITY HEALTH IMPROVEMENT and SUPPORT SERVICES *Library Services Accessible information is important when making medical decisions and many Banner Health hospitals have libraries with staff who can assist not only provides, staff and affiliates but also the public. Banner University Medical Center - Phoenix, Banner Desert Medical Center, Banner University Medical Center-Tucson, North Colorado Medical Center, and McKee Medical Center offered community members access to books, tapes, videos, and journal articles on health-related topics. At Banner Health, we believe knowledge-based information and services empower our employees, providers and community access and provide excellent patient care and Banner Health Library Sciences supports this belief with the mission of "Providing knowledge-based information and services that empower Banner Health to make health care easier." * Banner Health Internet - Web-Based Consumer Education At Banner Health, our priority is keeping the community healthy, and we strive to be the leading health care provider in every community we serve. We understand the significance of providing robust and up-to-date health care information and support. You can find the latest health news, wellness tips, trends, infographics and more on Banner Healthhealth.com, in both English and Spanish. In 2024, our total website and blog content received over 63 million views. Our resolute staff curates' content and maintains the website for the community, offering a wealth of resources on adult and children's health, wellness information sections that provide access to a wide range of written and video formats. We also provide a diverse selection of online and engaging blog content, along with interactive health assessment tools. This health and wellness information is accessible on Facebook, Instagram, Twitter, and YouTube. Our content covers wellness, disease conditions, procedures, and medications, ensuring easily accessible and valuable information whether the goal is fitness or disease management. Using over 4,000 health care professionals who are experts in their respective fields, Banner Health addresses questions on a variety of health care topics including: * Allergy and Immunology * Alzheimer's Disease and Dementia * Behavioral Health * Burns * Cancer * Child Safety * Concussions * COVID-19 * Dermatology * Diabetes * Diet and Nutrition * Emergency Care and Preparedness * Endocrinology * Endoscopy * Eye Care * Farm Safety * Fitness * Gastroenterology * Geriatrics * Health Risk Assessments * Healthy and Mental Wellness * Heart and Cardiac Care * Holiday Safety * Infectious Diseases * Injury Prevention * Maternity * Mental Health and Well-Being * Neurology * Nutrition * Orthopedics * Pediatrics * Pharmacy * Poison and Drug Information * Pulmonology and Asthma * Recreation Safety * Safety * Sleep Apnea and Medicine * Smoking Cessation * Sports Medicine * Urology * Water Safety * Wellness * Weight Loss and Bariatrics * Women's Health Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION CONTINUED * Mission of Mercy Mobile Medical Van Since 1997, Mission of Mercy (MOM), a mobile medical clinic has provided more than 300,000 patient visits and dispensed more than 500,000 prescriptions to individuals and families who are uninsured, underinsured or newly unemployed. With the mission to restore dignity, "Healing through Love," MOM is a medical home for those without a primary care doctor and the fully equipped mobile unit, can diagnose, and treat conditions ranging from acute to chronic illnesses. Clinics have been designed to resemble a private primary care clinic office and provide a continuum of care, not just urgent or screening services. With an emphasis on preventive care and chronic disease management, MOM helps patients avoid dangerous complications and costly emergency care. The only completely free mobile medical unit dispensing free prescription medications on-site in Arizona, and six clinic sites throughout Maricopa County, MOM helps to provide thousands of patients with access to free medical visits, prescription medications and patient education. As a Compassionate Partners program member Banner Health participates in a network of local healthcare providers and service organizations to offer community members and patients free or reduced rate services. The rolling clinic on wheels is supported entirely by volunteer labor and donated supplies. A present community partner, Banner Health's collaborative relationship enables patients to receive additional no-cost medical care, including lab tests and X-rays, mammograms, and more. The committed support - time, resources, energy, and effort ensures everyone in our community has access to quality, compassionate healthcare. * Child Safety and Injury Prevention Banner Health Children's Injury Prevention program is a free health and safety program that provides information on preventable injuries and deaths for children. Our program sends safety advocates out to visit schools, church, and community groups, as well as health fairs and safety fairs to give the East Valley community easy-to-follow advice about being safe. Our Injury Prevention program provides education for children of all ages and their parents. Programs targeted to children include: * Bicycle/helmet safety * Bullying * Fire safety * Fireworks safety * Gun safety * Hand washing/germs * Pedestrian safety * Poison prevention * Safe babysitting * Stranger danger * Car seat safety and facts (Including car seats, boosters, and seatbelts) * Water safety and Drowning Prevention * Holiday Safety Tips Programs targeted to adults include: * Child safety seats * General Safety * Infant CPR/First Aid * Injury Prevention Tips for Parents * Banner Health Call Center, Nurse Now and Crisis Helplines In 2024, Banner Health managed phone calls for physician referrals, health related information, crisis counseling, behavioral health, and information on Banner Health programs and services. Two examples include the Customer Experience Center Nurse Now program and Tucson Crisis Response Center. Nurse Now, 24 hours a day, 365 days a year nurse triage phone line responded to approximately 59,000 calls. Providing clinical Registered Nurse (RN) expertise to the community at no cost to the caller, this line currently serves callers located in Arizona, Colorado, Wyoming, Nevada, California, and Nebraska; all of which include underserved rural areas. In many cases Nurse Now is a lifeline resource for persons who may not have access to immediate care for themselves or family. Also assisting families, parents and individuals who may not be sure of the level of care needs, Nurse Now RN's listen, evaluate, document, and triage the concern providing clinical expertise to the caller and when emergent care is needed have been known to dispatch 911 or remain with the patient until arrival at the nearest facility. Patient education is likewise a large part of this community service educating and providing patients with care at home treatment advice eliminating unnecessary Emergency Room (ER) visits and minimizing local ER resources needed for more clinically serious patients. The Tucson, Arizona Crisis Response Center also provides 24 hour, 7-day access to mental health and substance use services for children, teens and adults and helps patients who are experiencing suicidal thoughts or behaviors, anxiety, hallucinations, and substance use/detox. Valued at $741,000, inquires to the Banner Health call centers and crisis helplines were primarily from low-income persons needing health advice and immediate crisis services. Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION CONTINUED * Banner Health Research Institutes Banner Health Research Institutes (BHRI), pillared by Banner Sun Health Research Institute and Banner Alzheimer's Institute serves the community through lectures, events, speaker's bureau, online education platforms and tours. BHRI offers community outreach with the latest news and treatment information on diseases, as well as support from our experts through BHRI's community outreach. The resources to help with the diseases impacting the community include: * Health assessments * Screenings * Education classes and lectures * Support groups * Community resources and referrals * Volunteer service opportunities * Outreach Programs * All of Us - Health Disparities and Social Determinants of Health As an organization dedicated to providing the best care to our patients, Banner Health is committed more than ever to its communities. Banner Health took the American Hospital Association's #123forEquity pledge to act on specific areas to promote and improve diversity and health equity with the public. In addition to this pledge, Banner Health has focused on establishing strategic partnerships to increase access to care and advocate for cultural competency. All of Us is a national effort that aims to build the largest most diverse database of health information of its kind that researchers can use to study health and illness. Banner Health has partnered with the University of Arizona Health Sciences as National Institute of Health (NIH) grant recipients to participate in the program which aims to enroll 1 million or more U.S. participants to improve prevention and treatment of disease based on individual differences in lifestyle, environment, and genetics. The mission of All of Us is simple - speed up health research. All of Us Research Program, is a participant-engaged, data-driven enterprise supporting research at the intersection of lifestyle, environment, and genetics to produce new knowledge with the goal of developing more effective ways to prolong health and treat disease. To reflect the diversity of the U.S. population, the program enrolls participants from diverse social, racial/ethnic, ancestral, geographic, and economic backgrounds, from all age groups and health statuses. Information from the program will be a broad, powerful resource for researchers working on a variety of important health questions. Importantly, the program will focus not just on disease, but also on ways to increase an individual's chances of remaining healthy throughout life - tenants at the core of and fully supported by Banner Health. * Caring Connections Banner Health Hospice provides high-quality, comprehensive, and compassionate end-of-life care and Caring Connections is a unique program offered by Banner Health Hospice that provides support and assistant for patients and families who face the challenges of chronic or life limiting illness. Through Caring Connections, patients and their families have access to community resources, crisis intervention, telephone support and education valued at approximately $372,000, all designed to provide patients and their loved ones with comfort, peace, and dignity during life's most intimate and vulnerable times. Services are available to anyone who is planning, caregiving, living with a serious illness or grieving a loss. * Community Education Banner Health has set its sights on improving the health of the communities it serves and focuses on providing the best possible care to our customers. In this process, Banner Health recognizes delivering excellent care is more than clinical treatment. Banner Health is committed to providing education in all the communities it serves and doing its part to keep Banner Health communities strong and healthy. Across the system, area residents and community members had access to in-person and online educational opportunities valued more than $3.5 million including classes, symposiums, presentations, and forums aimed at community health awareness. Topics included discussions specific to various diseases and disease prevention techniques, holistic therapies, wellness, caregiver support and safety. Also available were speaker bureaus and physician lectures dedicated to meeting the health-related community request or need. Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION CONTINUED * COVID - 19 As the largest health care system in Arizona and one of the largest in the western United States, Banner Health focuses on emergency preparedness year-round to be able to respond to any public health crisis and the arrival of the COVID-19 pandemic to the U.S. put those plans into immediate action. Since then, Banner Health has been ever present, providing quality-care and access and leading the way in our communities. Profoundly altered by the global pandemic and amid the COVID-19 challenges, the importance of high-quality, accessible health care was never more evident and in the endemic era, Banner Health continues to steadfastly focus on caring for our diverse communities including safe testing, vaccinations, education, protection, and care. One example is the offering of free COVID-19 vaccines, flu shots, and free transportation provided Banner Olive Branch Senior Center in conjunction with the National Council on Aging. Banner Health continually works to develop and implement practices to ensure the safety of patients and health care workers across its six-state service area; constantly reviewing and enhancing measures. The importance of health care worker and patient safety is paramount with an overarching message - Banner Health is A SAFE PLACE - FOR CARE and WORK. * Safety Education At Banner Health Banner Health, we are committed to promoting a culture of safety and embracing high reliability principles. We prioritize the well-being of our patients and team members by implementing robust safety measures and foster an environment of constant learning and improvement. We want to help keep our patients and families safe - at home, rest, or play and safety is the foremost priority at our facilities. As part of our efforts, we offer safety education related to handwashing, farm, recreation, water, holiday, poison prevention, and summer safety along with free guides to help individuals and families prepare for any kind of emergency. * General Education Banner Health offers a variety of community health activities and support. The following community health and support service activities were completed in 2024: * Alzheimer's Education, Screening and Support Services - Banner Health is a national leader in the diagnosis and treatment of Alzheimer's disease and other dementias as well as in innovative research across several campuses. BAI provided community presentations, caregiver support services and screenings to individuals and families. Of note is BAI's partnership with Arizona tribal and urban Indian communities, as well as Native American health organizations. to increase community knowledge and awareness of Alzheimer's disease, dementia-related diseases, and caregiver strategies. Some of the topics the care strategies cover includes useful tips to maintain memory, techniques for avoiding unnecessary arguments and meaningful activities for those diagnosed with Alzheimer's and dementia-related diseases. * Auto, Car Seat and Seat Belt Safety - Using a car seat correctly is essential for protecting a child during travel. Parents, youth, and family members provided with car seat and seat belt safety instructions and certification opportunities valued at $13,000. * Babyscripts - Digital therapeutics are changing the healthcare delivery system with clinically proven technologies that improve patient outcomes for a wide range of diseases and disorders, accessible through devices such as smartphones or personal tablets. Supporting our mission of making health care easier, this digital tool allows pregnant women to monitor their prenatal health at home and make fewer trips to the doctor's office. Available system wide, Babyscripts facilitates remote monitoring, delivering flexibility to prenatal visits. The English/Spanish app enables access to a variety of information and offers patients remote monitoring experiences, an especially valuable tool during the COVID-19 pandemic. By enabling digital prescriptions, with Babyscripts, Banner Health is innovating in a way that helps contribute to Banner's purpose to create a new model of care. * Banner Health Hospice Dottie Kissinger Bereavement Camp - Following the death of a loved one, it is natural to feel grief, a universal but potentially isolating experience and grief in adults is complicated and painful. For children, it is even more complex and confusing and helping a child through loss is a delicate and difficult challenge for parents and caregivers, especially when they are grieving as well. The Dottie Kissinger Children's Bereavement Camp is a symbol of hope for kids facing a significant crisis - the loss of someone they love. The Dottie Kissinger Bereavement Camp is a free community program that helps grieving families work toward healing and is unique as it offers entire families - not just children an opportunity to gain experience coping mechanisms for dealing with the loss of a loved one. For over 20 years, families who have experienced loss have come to the camp to learn how to ease feelings of guilt, anger, and sadness. Staying together in a cabin for a weekend experience, children and parents participate in activities that inform, educate, and provide opportunities to talk about difficult aspects of loss. In 2024, children ranging in age from 5 to 19 and their immediate family members gathered with Banner Health Hospice staff and volunteers at The Spirit in the Desert in Carefree, AZ to process the losses of fathers, mothers, grandparents, and siblings. The staff of bereavement counselors, music therapists, social work supervisor and several volunteers created a safe place of love and acceptance where individuals could share their experience without judgement. The healing of broken hearts happened through education, crafts, music, tears and fun for children and adults alike. * Behavioral Health - Banner Health provides mental health education and support to the communities we serve and hosts support groups for those who suffer with substance abuse, loss, mental health crises and other conditions and provide education and resources related to suicide prevention, depression, chemical dependency, childhood behavior issues, grief, and anxiety. * Bike and Helmet Safety - Safe cycling for kids starts with the right gear and education. Banner Health provided bike and helmet safety lessons and/or supplies of $ 1,300. * Blood Drives and Screenings - Valued at $25,000, enterprise wide, low-cost, or no-cost blood education and health profile screening benefits were provided to area residents in communities served by Banner Health. * Cancer Education, Screenings and Support - Banner Health community members and their families were provided with education and activities in support of cancer care and healing. These services were valued more than $418,000 and include events such as "Pink Night Out", Tai Chi, Yoga for Health, survivor's activities, and the Men's Breakfast Club provides support for cancer patients. Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION CONTINUED * Cardiac Care, Healthy Heart, Chronic Obstructive Pulmonary Disease, and Stroke Education and Awareness - Services valued at $8,000 were provided to 265 residents. * Children and Youth - Child development, early education and safety awareness valued at $23,000 provided to area youth. Banner Health Children's Injury Prevention program is a free health and safety program that provides information on preventable injuries and deaths for children. Our program sends safety advocates out to visit schools, church, and community groups, as well as health fairs and safety fairs to give the East Valley community easy-to-follow advice about being safe. Our Injury Prevention program provides education for children of all ages and their parents. * Children's Safety Fair - This annual award-winning community program covers everything from fire, home and bicycle safety to stranger danger and Internet predators. * Community Clinics- Valued at $373,000 Banner Health provided residents access to A1C, Sickle Cell, COVID-19, Flu, and Heart Health monitoring. * Community Newsletters - Quarterly health information provided to thousands of residents. * COVID-19 - Understanding the severity and level of concern when it comes to COVID-19 Banner Health continued to led efforts to educate and direct the community on COVID-19 resources, testing and education including vaccine access, symptoms, prevention, and testing and continues to be a community leader in post-pandemic/endemic efforts. * CPR and First Aid - Residents trained on CPR, first aid and emergency response protocol valued at $3,800. * Diabetes Screening and Support- Lectures, screenings and community expos aimed at educating the community on diabetes. Participants received free screenings and education valued more than $1,000. * East Valley Wellness Program: Health Beyond the Walls - Improve the lives of community residents through free wellness screenings and health education. Banner Health brings health care services to those who cannot easily access them. Monthly, a community health nurse visits the east Phoenix metro area; checking blood pressure and blood glucose and providing education and counseling to persons who do not have a physician or may have trouble getting to their doctor's offices. * Fitness and Exercise - Opportunity for adults and youth to improve health via Pilates, yoga, strength training, fitness challenges, Zumba, worksite wellness opportunities and body mechanics training. * Food, Nutrition, & Healthy Eating - Community education and countless opportunities provided to area residents to learn about healthy food choices, nutrition, healthy cooking, and combating food insecurities. * Germs and Germ Safety - Germs are everywhere, and not all germs are bad. Germs reside in our gut, on our skin and on every surface we touch. and we need some to keep us healthy and our immune systems strong. Children and adults were educated on germ prevention and the importance of hand washing and sanitation. * Gun Safety - Every 2 hours a child is killed with a loaded gun, Arizona has a higher rate of death from firearm injuries than the US average, a gun kept in the home is forty-three times more likely to kill someone known to the family than in self-defense. Community adults and youth are educated on the potential dangers of guns and gun safety. * Grief Support - The pain of loss can feel overwhelming and true grieving takes time and healing happens gradually, Banner Health's grief support integrates practical tools to help navigate loss to move toward joy, hope and meaning. Individuals were supported by services and activities to assist with grief and programs follows a step-by-step approach as a way of healing from loss, addressing death, divorce, and other significant emotional losses. Banner Health offers grief and bereavement services for up to 13-24 months after the loss of a loved one. * Health Care Support Services - Public AHCCCS/Medicaid program enrollment assistance and care coordination valued at $6.2 million provided to individuals in need. * Health Fairs - These events provided to residents and held at community events, county fairs, local businesses, malls, senior centers, schools, and Banner Health facilities address critical community needs were valued more than $8,300. In addition to skilled physicians and nurses, other employees donate their time to provide free screenings and education at community events to increase awareness and educate the public. Dedicated to our community and collaboration with other community organizations for our underserved population, activities include but are not limited to diabetes screenings, hearing and vision tests, blood pressure screenings, balancing tests, blood sugar screenings, body mass indexes, chest compression demonstrations, children's Teddy Bear clinics, car seat safety clinics, and other educational and health related topics. * Hospice Resources and Palliative Care - Going through the hospice process is difficult and is normal to feel a wide range of emotions during this time. With many stages of grief, it is important to have support. Banner Health staff offer a broad range of additional resources to navigate hospice or if you are a family member with a loved one in hospice. Educational opportunities are available to residents to assist with grief, end of life care and caregiving concerns. * Injury Prevention - At Banner Health, we not only treat injuries, but we help you prevent them. Our goal is to keep you and your family safe. Our injury prevention educators, along with some of our clinical team, collaborate with the community to provide the latest health and safety information. Injury prevention coordinators work to keep the community accident-free by participating in health fairs, seat belt education programs and health education for high school and elementary-school kids and presenting at other safety workshops. * NCMC Hospitality House - The Hospitality House at North Colorado Medical Center offers affordable overnight accommodations for families visiting their hospitalized loved ones. In 2024, 20 rooms, three apartments and four common rooms were available to families who live outside of the Greeley/Evans area and have a loved one that is a NCMC patient and who could not afford to pay for housing in a community hotel. * Lunch & Learn- Opportunities for area residents to learn about pertinent health issues during lunch-hour presentations valued at $5,000. * Men and Boys - Male health and wellness education valued at $1,000. * Lodging and Transportation - Individuals provided lodging and transportation assistance. Banner MD Anderson Cancer Center and the Banner Health Foundation, in collaboration with Taylor Morrison, partnered to create a new community of homes that will house patients and their loved ones while they undergo treatment at Banner MD Anderson in Gilbert, Arizona. Within walking distance of the cancer center, the homes will eliminate the financial burden of travel and hotel stays for approximately eighty patients and their care partners each year so they can focus on recovery in a comfortable environment. Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION CONTINUED * New Mom Education - Education for moms, dads, families, and siblings provided more than $143,000. * Orthopedics - Residents received education on healthy bones, orthopedic pain control, arthritis, joint replacements. * Patient Wellness - At Banner Health, we are committed to helping persons be the healthiest they can be, and we offer many ways to learn how to maintain or improve your health. In 2024 community education and wellness activities were valued at $2.8 million. * Pediatrics - We're not just here for children; we are here because of children. We know nothing is more important to you than your child's health. At Banner Health Children's, we understand what interests' kids, what frightens them and most importantly-what helps them heal and stay healthy. From pediatric specialty care to kids' comprehensive health and routine wellness, Banner Health Children's provides comprehensive, family-centered medical care for your child. * Poison Safety and Prevention - School and community based poison safety education provide to educators, parents, students, and community members covering topics such as fentanyl, lead toxicity, naloxone, and native envenomation's Banner Health Poison Center partnered with Arizona Dispensaries Association, the voice of Arizona's cannabis industry on an awareness campaign addressing cannabis product safety use and in the home and providing consumers with resources and tips on safe product use and protecting children from accidental ingestion. * Screenings - Everyone benefits from a healthy community. Banner Health's Community wellness screenings provide education and encouragement to lead a healthier life. Banner Health offers classes and screenings around the community. Many of our services are offered at the local hospital or at sites in the community with the goal to help prevent common health conditions, help people understand their health better or return an individual to health Some of the screenings and education include blood pressure checks, memory screenings, and diabetes. Banner Health Brain & Spine offering free neurological screening to community at Dia de Los Muertos event Recognizing the need for targeted outreach, Banner Health Brain & Spine has dedicated a team of bilingual providers who are committed to catering to the needs of the Hispanic community. By offering care in both English and Spanish, the team ensures that patients receive essential information in the language in which they are most comfortable. * Seniors - Senior services and health fairs as well as education on pertinent issues such as diet and nutrition, graceful aging, dementia and memory, healthy aging, finances and fall prevention were provided to area seniors valued at $31,000. * Sitter Safety - Classes valued amounting to $1,000 provided to area youth to train and enhance babysitting skills and safety. * Sport Screenings - Physicals, education, and support for local student athletes. Through partnership with Sway Medical, Inc, Banner Health provides free concussion baseline testing for every high school in Arizona. Banner Health has always been at the forefront of sports medicine and technology and this partnership will ensure that every high school athletic trainer has access to state-of-the-art soft software to help provide the best care possible for their athletes. * Support Groups - Banner Health is the leading health care provider in every community we serve, and we recognize the importance of providing health care information and support. Throughout Banner Health thousands of patients and families were aided in coping with Alzheimer's, brain injuries, cancer, bariatric concerns, diabetes, heart disease, pulmonary disease, behavioral health, kidney health, grief and recovery, infectious disease, ICD, injury prevention, transplant services, behavioral and mental health, nutrition, Parkinson's, obstetric and gynecological concerns, men's issues, dementia, strokes, care giving and death. These services are valued more than $85,940. * Teens and Youth - In 2024, teens and youth received training on issues such as teen pregnancy, youth sport injuries, responsible versus risky behaviors, drunk driving, teen drinking, and abstinence valued at $2,000. * Vaccinations and Inoculations - Vaccines are an important part of staying healthy at every stage of life. Immunization clinics and mobile flu shot opportunities provided to area residents to protect you from serious diseases - and they help keep families and communities safe. * Water/Pool Safety - Whether you are going to a pool, beach, river or out on a boat, knowing how to stay safe around water is especially important. Services educate individuals and family members in water safety and protection, water hazards, and common water safety risk. * Women's Health Programs - Opportunities provided to area women related to women's health and wellness education for all phases of a woman's life. Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION CONTINUED HEALTH PROFESSION EDUCATION and TRAINING PROGRAMS AND ACADEMIC MEDICINE Banner Health offers the most sought-after Graduate Medical Education programs in the United States and is committed to the training of medical residents, nursing students, other health-care service providers, and community members. We are a leading provider of well-trained and highly skilled physicians through medical education programs at Banner Health - University Medical Center Phoenix and Banner Health - University Medical Center Tucson in Arizona and North Colorado Medical Center in Greeley, Colorado. All residency and fellowship training programs are fully accredited and lead to eligibility for certification by the respective specialty boards. Since 1965, Banner Health has offered Graduate Medical Education at Banner Health University Medical Center - Phoenix (formerly Banner Health Good Samaritan Medical Center) and hundreds of physicians who have graduated from this program serve our communities. The Banner Health - University Medical Center Phoenix Graduate Medical Education Programs, now University of Arizona College of Medicine - Phoenix and Tucson Programs offer a vast array of residency programs and fellowships across its campuses. The variety of residency programs in Arizona and Colorado, sub-specialty fellowship programs in Arizona and affiliated residencies and training opportunities in the six states we serve include: * Emergency Medicine * Family Medicine * Internal Medicine * Med-Peds * Neurology * OB/GYN * Oral Maxillofacial Surgery * Orthopedic Surgery * Pharmacy * Psychiatry * Surgery * Radiation Physics * Podiatric Medicine and Surgical * Family Medicine - Geriatrics * Cardiology * Interventional Cardiology * Endocrinology * Gastroenterology * Geriatric Medicine * Hand, Upper Extremity and Microsurgery * Medical Toxicology * Hospice and Palliative Medicine * Pulmonary/Critical Care Medicine * Primary Care Sports Medicine Banner Health has been instrumental in educating the Colorado physician community as well with the family medical residency at North Colorado Medical Center (NCMC). The NCMC family medical residency program is five residency programs under one umbrella, offering unopposed training including surgical obstetrics and advanced rural training specially designed to enable physicians to provide a wide variety of services in underserved rural areas. Providing quality patient care in a supportive, collaborative environment that celebrates education as a lifelong process this program provides excellent training for physicians planning to practice full-spectrum family medicine in any setting. Banner Health also performs life-changing research, providing Graduate Medical Education to those who go on to touch lives across Arizona, the nation, and the world and the Banner Health Academic Medical Centers are a vital part of Banner Health's mission to making health care easier, so life can be better. All our residency and fellowship training programs are fully accredited and lead to eligibility for certification by the respective specialty boards. As part of community service, Banner Health provided approximately $157.9 million for the training of future doctors, nurses and therapists, and the continuing education of current health care professionals. Banner Health's nonprofit mission demonstrates that we recognize the importance of holistic healing. In today's world of high-tech treatments, we know that including the spiritual aspect in the healing process takes purposeful effort, and this is the mission of the chaplains who make up the system's Departments of Spiritual Care. Accredited by the Association of Clinical Pastoral Education, the gold standard in spiritual care and education, Banner Health offers Clinical Pastoral Education. Banner Health trains persons of all faith traditions to become Board Certified Chaplains. Clinical Pastoral Education is interfaith professional education for ministry. It brings theological students and ministers of all faiths (pastors, priests, rabbis, imams, and others) into supervised encounter with persons in crisis. Out of an intense involvement with persons in need, and the feedback from peers and teachers, students develop new awareness of themselves as persons and of the needs of those to whom they minister. From theological reflection on specific human situations, they gain a new understanding of ministry. Within the interdisciplinary team process of helping persons, they develop skills in interpersonal and interprofessional relationships. At Banner Health we offer learning options for professional and non-professional religious and spiritual leaders to take CPE. In holistic care, body, mind, and spirit are addressed, and chaplains focus on emotional and spiritual suffering. They offer a listening ear, a spiritual presence. In respect of the diversity of spiritual and religious beliefs, as well as of cultural expressions, they provide a safe and competent environment to explore the various emotional and spiritual crises that patients and families may experience during a hospitalization. Banner Health provided $217.6 thousand for the training of future spiritual care leaders. Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION CONTINUED The Banner Health Simulation System is one of the country's largest simulation education programs to train physicians, nurses, allied health providers and emergency responders. At the heart of our simulation education program is the 55-bed, 55,000-square-foot Banner Health Simulation Medical Center in Mesa, Arizona, the nation's largest virtual hospital and one of the biggest centers of its kind in the world. It is complemented by other Banner Health Simulation sites in Arizona and Colorado, as well as a mobile training program that serves hospitals throughout the Western Region. The downtown Mesa facility contains everything from neonatal intensive care and adult acute care units to an operating room with virtual-operation capabilities. One of the largest centers of its kind in the world, this priceless resource elevates Banner Health's educational efforts in Arizona to exceptional heights. We use mannequins, simulators, and virtual-reality programs to offer the next generation of learning collaborating with area colleges and emergency response departments to provide simulation exercises. With a hospital full of virtual reality "patients,'' Banner Health employees, medical students and other health professionals can learn and perfect their medical techniques before they care for real patients in our facilities. Banner Health Simulation Education's vision is to "transform health care delivery through simulation, learning and research' we are fulfilling that vision with our extensive, rapidly expanding program. We offer one of the country's largest Simulation Education Programs and through its existing simulation-education programs, Banner Health has trained thousands of health care professionals using a wide array of equipment to provide the most realistic firsthand education possible. The American College of Surgeons have accredited Banner Health's Simulation Education program - becoming the first program that it has accredited across an entire health care system. There are over sixty accredited simulation programs around the world and Banner Health is one of the few that is non-academic and non-university supported. Banner Health's system wide Simulation Education program is also internationally accredited by The Society for Simulation in Healthcare. It is one of only three organizations worldwide to be accredited in five all areas: core, assessment, research, teaching, and system integration and has as extensive medical research program leading the field of simulation learning into the future. A community is a place to feel valued and supported. Banner Health offers a community of nurses and healthcare professionals who are united by a shared mission and committed to the principles of respect and inclusion. In 2024, Banner Health supported health profession education with the following programs: * Student Nursing Education - Collaboration with local universities to enhance and provide education and practical training. Banner Health invests in our nurses by training them to deliver excellent patient care confidently and safely. The New Graduate RN Residency Program at Banner Health is recognized by the ANCC Practice Transition Accreditation Program (PTAP) as an Industry Recognized Apprenticeship Program (IRAP). Banner Health's New Nurse Experience (NNE) provides a collaborative learning environment in which the individual can refine their nursing skills, enhance their knowledge, and transition from a new graduate to a fully competent, professional nurse. * Pharmacy Education - As part of community service, Banner Health provided approximately $4.8 million for the training of future pharmacists. * Nursing Professional Education - Nursing education provided on a variety of relevant topics and skill sets including advance trauma support and midwifery. * Nursing Development Fund - Recognizing the significance of innovation, research, and continuing education, in conjunction with the Banner Health Foundation, Banner Health has established a nursing development fund, fueled through Better Together donations to support nursing research and nursing evidence-based practice (EBP) projects. In addition to applying for scholarships, nurses throughout Banner Health can submit applications for grants to conduct EBP and research projects that seek to improve patient care and nurse outcomes. * EMS/Paramedics - Services provided to local emergency medical personnel and agencies. * Job Shadowing and Career Day Presentations - These programs and services encourage healthcare careers through education and observation of daily activities to area youth and others interested in health care careers. Examples include: * Banner Health Estrella Medical Center and Arizona State University partnered to host the TRIO Summit, a program aiming to assist first generation low-income students or students with disabilities and veterans to pursue a career in the medical field. Students who attended the TRIO Summit gained a deeper understanding of the commitment, challenges, and possibilities associated with various medical and non-medical professions needed at a hospital. This collaboration highlights a shared commitment to fostering the next generation of healthcare leaders. By investing in young minds and encouraging their interest in the medical field, both organizations recognize the importance of preparing future professionals for the rapidly evolving healthcare industry. * Banner Health Ironwood Campus Scrubs student program provides firsthand medical experience for students interested in health care. High school middle school students from San Tan, Queen Creek, and other areas in Pinal County can explore their interest in the medical field at this week-long program where activities focus on giving these students insight into the health care industry. Students can shadow medical experts, learn about patient safety, and participate in simulation activities where they can diagnose and treat different medical conditions. The students also receive training and certification in cardiopulmonary resuscitation (CPR) and learn about community partners that work with the hospital like Banner Health, a hospital-based air critical and lifesaving medical transport program. * Banner Health open summer opportunities for neuroscience scholars via the Banner Health-ASU Neuroscience Scholars program. Top-achieving college undergraduate and graduate science students are eligible for the eight-week training program. Students work side-by-side with some of the world's most talented scientists, clinicians and researchers in an environment devoted to neuroscientific biomedical research and clinical care. The Banner Health-ASU Neuroscience Scholars program provides invaluable hands-on experiences in a lab or clinic that fuel the curiosity, creativity and talent of the young people who participate each year, and students work on a research project full-time in a laboratory under the mentorship of a scientist from Banner Health or the Biodesign Institute. Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION CONTINUED * Banner Research - Banner Research is expanding educational opportunities for future medical researchers through a collaboration that aims to provide valuable direct experience for students while helping develop the next generation of clinical research professionals. Community college students working on their health care investigation certification can take part in a clinical-rotation program offered through Banner Research; having the opportunity to work side-by-side with experts to obtain real world experience in medical discovery. Students are paired with a mentor and take part in chart review, data collection, data entry, assist with observational studies and attend investigator meetings. * Camp Scrubs - Tucson-area middle school students receive a unique, direct lesson in health care at Banner - University Medical Center Tucson. Camp Scrubs has been a cornerstone of inspiration in Tucson, illuminating health care careers and shaping the aspirations of youth children. The program for middle schoolers is investing directly in Tucson's health and well-being, by building a stronger and healthier community guiding our children toward vital health care roles and fostering the next generation of caregivers and leaders * ACLS, BLS and PALS - Training and certification provided on basic and advanced techniques. * Banner Health Center for Health Education - The Banner Health Center for Health Careers (BCHC) was established in 2003 to positively address Banner Health's current and projected needs for clinical positions through both innovative academic and community partnerships. Today BCHC partners with educators and other organizations within the communities we serve to provide a variety of education assistance programs for individuals pursuing health care degrees. We also manage career and incentive programs for employees and coordinate all onsite student experiences. The goal is to contribute to the ongoing development and placement of individuals who exemplify the mission of Banner Health: "Making health care easier, so life can be better.". * Scholarships - Banner Health Center for Health Careers partners with numerous academic and community organizations to identify and assist individuals interested in pursuing medical careers and higher education. SUBSIDIZED HEALTH SERVICES Banner Health provides important, free, and reduced or sliding fee-based services like the Banner Health Poison and Drug Information Center Hotline, health information provided by registered nurses through our Banner Health Call Center, and school-based health centers for kids in economically challenged areas. Banner Health also provides numerous clinical services to meet the needs of Banner Health communities and the uninsured or under-insured. Included in the subsidized services provided in 2024 are: * Funded Discharge Program System initiative to provide post-discharge services to the vulnerable and underserved. Improves the health of the community by providing access to and resources for post-discharge care which leverages' the patient's recovery options, helps minimize return visit, and addresses access to Care. Approximately $4.6 million provided to needy community residents for post discharge care. * The Banner Health University Medical Center - Phoenix Poison and Drug Information Center The nationally recognized Banner Health Poison and Drug Information Center (BPDIC) is one of fifty-five accredited by the American Association of Poison Control Centers (AAPCC) and is designated by the state of Arizona to provide free 24-hour emergency management of poisonings to residents and health care professionals in Maricopa County. Established in 1979, the BPDIC has continuously served the citizens of Maricopa County and surrounding counties for over 44 years. With services available in more than 150 languages, no matter where you are in the United States, if you are having an emergency related to drugs or poisoning, you can dial (800) 222-1222 to be connected to the local poison and drug information center. BPDIC participates in a national surveillance program, which is currently the only near real time system in place, to monitor potentially critical trends in reported substances and symptoms that could indicate a biological or chemical threat in the United States. In 2024, over 100,000 calls from the public and healthcare providers were answered by Registered Nurses and Pharmacists who are Specialists in Poison (SPI) Information, along with Poison Information Providers (PIP) at a value of $1.9 million. Medical Direction and on-call physician support for the poison center is provided by physician toxicologists from the Department of Medical Toxicology at the Banner Health-University Medical Center Phoenix. The most common exposures include bites/stings, drug overdoses, accidental pediatric exposures, adults with therapeutic errors taking medications, and questions about COVID-19 (illness, treatments, vaccines, etc.). The SPIs and PIPs at BPDIC serve to provide a phone-based triage service for questions related to poisoning, envenomations, and/or overdoses. These calls primarily originate from a residence, though we also provide expert advice on the management of the poisoned patient presenting to a healthcare facility. Close to 90% of poison emergencies (called from outside a healthcare facility) were managed safely at home by phone follow-up eliminating the need for a visit to a physician or the local emergency room. BPDIC also answers various phone lines through the partnership with Maricopa County Department of Public Health and the Arizona Department of Health Services AZDHS). These include: * Zika * COVID-19 * Immunizations * Drug Information * Disease Reporting Line * Public Health Information Line * Opioid Assistance and Referral Line * Occupational Post-Exposure Prophylaxis The center also provides extensive community education on the prevention of poisonings and public education focuses on current, high-risk poisonings and poison center utilization through participation in community health fairs, professional organizations, and CME presentations including warnings of chloroquine/hydroxychloroquine, methanol containing hand sanitizers, and additional non-FDA approved COVID-19 treatments. Funded by AZDHS and operated by the two Arizona poison and drug information centers at the University of Arizona College of Pharmacy in Tucson and at Banner Health - University Medical Center Phoenix, the Arizona Opioid Assistance & Referral (OAR) Line provides free, confidential 24/7/365 assistance and advice for all questions and injuries related to opioids and opioid use disorders and Arizona. As Arizonans continue to die g at alarming rates due to illicit fentanyl, and reports of overdoses and poisonings continue to proliferate in the state, OAR praised the addition of naloxone, an opioid reversal drug kits in area automated external defibrillator boxes. Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION CONTINUED * Healthy Beginnings Prenatal Program A service of McKee Medical Center, Healthy Beginnings Prenatal Plus is a Loveland, Colorado community-based prenatal program that promotes healthy mothers, babies, and families through the provision of prenatal care, and education and support services. Serving uninsured and under-insured pregnant women who reside in Larimer County and surrounding areas, the program helps to coordinate services of the hospital, health department, social services, and private physicians and midwives. Healthy Beginnings offers health care, education, and support for families with little or no health insurance and allows access quality prenatal care and education. The primary purpose is to help women access prenatal care as early as possible to deliver a healthy baby, no matter their income or insurance situation. Realizing every baby needs a fighting chance; classes are available in breastfeeding, stress management, and basic infant care. There is a monthly "Mom's Group, even the opportunity for expectant fathers to meet with a male social worker. Established in 1991, this program serves many local families a year, assists thousands of families with prenatal care, delivery services, education, support and referral services, improved the first trimester prenatal care among low-income women, consistently decreased the incidence of low-birth-weight babies among low-income women, and connected families with other community resources and agencies for a continuation of care throughout their lives. * Banner Health Children's Community Clinics Keeping kids healthy can be quite a task, especially if your child is not covered by insurance. That is why Banner Health Children's is here to help. We offer free health services to uninsured children in the Phoenix Metropolitan area through our Community Clinics and the Banner Health Children's Healthmobile, a 38-foot RV is specially outfitted with an upbeat waiting room and two exam rooms and operates just like a mobile doctor's office. For more than 20 years Banner Health has partnered intentionally with local school districts to bring needed services to their uninsured population right inside the school's walls. Staffed by pediatric or family nurse practitioners, Banner Health Children's Community Clinics - formerly known as Banner Health Children's School-based Health Centers - provide patients with well visits, and treat minor illnesses or, even, major, and chronic health problems. In conjunction with the Banner Health Foundation, the clinics provide primary care services to uninsured children enrolled in schools throughout Chandler, Glendale, Mesa, Phoenix, and Tempe. Conveniently located on school campuses, the school-based health clinics operate like a regular doctor's office helping uninsured children with health problems, physicals, and routine check-ups. Lack of health services to uninsured children is a critical problem in Arizona, where a sizable portion of children are without health insurance. The program's goal is to keep uninsured children healthy, in school, and out of the emergency room. This invaluable program also works directly with local labs and imaging departments for supplementary assessment and diagnosis, when needed. Importantly, too, the Clinics partner with our very own Banner Health Children's Specialists who generously offer patients specialty consultations for only $5 per visit. This service is efficient, cost effective, and easily accessible through the school nurse and includes health assessments and histories, health promotions, diagnosis and treatment of episodic illness and sports and camp physicals and students do not need to attend these schools to receive care. With an annual 3,000 uninsured patients served, these Community Clinics are another fundamental lifeline and a helping hand extended by Banner Health. * Banner Health Children's Healthmobile At Banner Health Children's, we are driven to help others! Each week, our Banner Health Children's Healthmobile hits the road to provide children ages newborn through high school age with the healthcare they need. This 38-foot RV is specially outfitted with an upbeat waiting room and two exam rooms and operates just like a mobile doctor's office. The "Banner Health Children's Healthmobile" is a licensed outpatient treatment center offering children under 18 years of age treatment for health problems, physicals, and routine annual check-ups. The mobile clinic complements Banner Health's School-Based Health Centers, which have treated thousands of patients for free at Valley campuses. A necessity for uninsured and underinsured children in the Phoenix Metropolitan area, young people were provided exceptional medical treatment in 2024 and further supports our local communities and hospitals by providing more convenience for families who previously had to travel long distances for treatment. Our Healthmobile team, including a nurse practitioner and a bilingual medical assistant, provide caring, compassionate, and free healthcare services to children around the Valley. In a significant step towards promoting accessible healthcare, Banner Children's community clinics and its HealthMobile offers medical appointments for uninsured youth in metropolitan Phoenix ensuring that everyone under age 18 has access to essential healthcare services, regardless of their socioeconomic status and providing an array of free medical services is offered at the community clinics and HealthMobile, including sick visits and follow-up care, well-child exams, sports and camp physicals including eye and ear exams, health education, COVID tests, medical consultations, vaccines and other services. With a commitment to improving pediatric healthcare outcomes, these services are designed to cater to the diverse healthcare needs of children in low-income areas with a bilingual medical team available at all locations. Bringing health care to our most vulnerable young patients where they live is just one of the ways that Banner is working to make childhood well and wonderful * Banner Health Children's Hospital School A stay in the hospital can be an overwhelming experience for children and their families, and Banner Health Children's tries to provide sick kids with as much normalcy as possible. One big consideration, especially for longer stays, is that a kid's need for learning and creativity does not stop while they are in the hospital. The Banner Health Children's Hospital School program helps by bringing the classroom to the hospital itself. We have our very own staff of experienced teachers who offer on-site classroom or bedside teaching to help kids keep up with their studies while they are in the hospital. The goal of the hospital school program is to provide children with individualized educational support to prevent them from falling behind academically. We assist with a seamless re-entry to their school when they are medically ready to return. Children can face a variety of challenges if their education is interrupted including being held back a grade, losing scholarship opportunities and even being asked to leave a school. Valued in excess of $200 thousand, the Banner Health Children's Hospital School program helps to avoid these pitfalls while allowing kids to focus on what is important - getting better. * Banner Health Academy Banner Health Academy is a nationally accredited private school in Tempe, Arizona, with a long history of providing education to children with autism spectrum disorder as well as emotional and learning disabilities. The school is open to students in grades 4th through 12th. Families and school districts in the Metropolitan Phoenix area place students with special needs in our school because of our success with increasing academic and social skills, as well as reintegrating students into their home schools. We offer small classes, certified teachers, and an individualized curriculum to help students reach their full academic potential. The Banner Health Academy has been accredited by the North Central Association Commission on Accreditation and School Improvement, a division of Cognia since 1986, the first special needs school accredited in Arizona. Our school also meets the criteria set forth by the Arizona Department of Education as an approved Private Day School for students with special needs. Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION CONTINUED * Adult Day and Residential Services Season's Club, Olive Branch Senior Center, Adult Residential Care, and Memories in the Making enhance the quality of life for mature Arizona and Colorado adults through health promotion, education, and recreation. In 2024 approximately $1.2 million was invested in the Loveland and Northwest Phoenix communities to enhance the lives of area seniors. The Seasons Club is a free program that helps people aged fifty and older get the most out of life through health promotion, education, and recreation Participants are given the opportunity to socialize, build friendships and enjoy stimulating activities in a safe, caring environment. Since 1988, Banner Health Olive Branch Senior Center has been providing services to our community to help participants remain healthy, active, and independent. The Center's humble beginnings started with a food program in a local church, paying $1 annually in rent, with one loaned vehicle to deliver food. Today, Banner Health Olive Branch Senior Center has a fleet of thirteen vehicles including two buses and offers over twenty-five programs and services. The Banner Health Olive Branch Senior Center offers a place for residents in the Sun Cities to gather, have a hot meal, participate in free activities, and make friends. Banner Health Olive Branch offers a variety of social and educational activities as well as delicious and nutritious meals cooked in house. For individuals who are 60 years of age or older, their spouses and handicapped persons of all ages, benefits include check-ups, blood pressure checks, classes including exercise and nutrition programs, counseling, health and educational events, health screenings, budgeting, legal assistance, mobile pantry, meal programs and trips, and entertainment. The COVID-19 pandemic required Olive Branch to expand home and delivery services to accommodate social distancing mandates. The center went form delivering approximately 1,800 means each month to homebound seniors in 2019 to delivering over 7,500 meals monthly during the pandemic. In 2024, Banner Health Olive Branch Senior Center, in partnership with the National Council on Aging (NCOA), joined a nationwide effort to fight senior hunger by dramatically increasing participation by eligible seniors in the Supplemental Nutrition Assistance Program (SNAP). Even before the COVID-19 pandemic older Americans experienced food insecurity, a lack of consistent access to adequate, nutritious food. Today, those numbers are quickly rising, and federal research shows that participation in SNAP, the largest program of its kind, can reduce food insecurity by 30 percent but only 48 percent of eligible adults aged 60 years of age and older participate in the program. Beyond putting food on the table, Olive Branch provides services that help support daily living. Individuals and their spouses, ages sixty and older and disabled persons of all ages are offered health screenings, blood pressure checks, trip and entertainment, legal assistance, counseling, and classes including exercise and nutrition. The Lifeline Assistance Fund provides installation and monthly service fees to underinsured or uninsured, low-income seniors who require Lifeline support to maintain their independence and continue to live at home. Lifeline, manufactured by Phillips, is an easy-to-use medical alert service designed to reduce the risks associated with living alone. Banner Health also partners with a nonprofit organization called Benefits CheckUp through NCOA, which helps thousands of people find programs for those age 55 and older. These benefits may pay for costs of prescription drug, health care, utilities, and other essential items or services. * Hospice and Palliative Care Multidisciplinary teams in Arizona and Colorado strive to assist patients, families, and caregivers with end-of-life issues, an uncomfortable subject to many. Banner Health's approach encourages open communication and helps identify and conduct individualized goals for end-of-life care. Specialized symptom management along with consultation addresses the medical, emotional, psychological, and spiritual issues that occur regarding the management of advanced chronic and life-limiting illness. In 2024, over $4.4million was devoted to these efforts. At Banner Health, our palliative care program provides compassionate, comprehensive, and interdisciplinary care that reduces suffering and optimizes quality of life by addressing physical, emotional and spiritual needs for patients and families experiencing serious illness. Our palliative care team of doctors, nurses and other specialists are specially trained in symptom management and provide treatment by Assessing the patient and/or family in a holistic manner Including the patient and family as an integral part of the treatment team Controlling pain and other symptoms as well as relieving suffering Restoring the highest possible functional capacity for each individual and family member as well as providing psychosocial support with a focus on dignity, support services for patient and family and a sensitivity to the cultural and religious values of the patient and family. Banner Health University - Medical Center Phoenix offers specialized program that improves care for seniors in a unit specifically created to enhance clinical care standards for patients The unit in the hospital's Center for Healthy Aging provides for some of the community's most vulnerable patients who often require more specialized treatment and are at higher risk for complications. Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION CONTINUED * Trauma Seeking care quickly at a Banner Health trauma center can make the difference between death or serious long-term injury and full recovery. Several Banner Health facilities are designated at Level 1 Trauma Centers. In Arizona, more than 60 percent of Arizona trauma patients are injured in rural areas, meaning they must be transported long distances to receive specialized care. In fact, more than 40 percent of Arizona trauma patients do not reach a designated trauma center within the first hour or "Golden Hour" after their injury. Receiving treatment in this first hour may be critical to their survival. The Trauma department at Banner Health University Medical Center - Phoenix recognizes the life-saving importance of partnering with rural communities in Arizona to improve trauma care. has partnered with rural health care facilities to provide training critical to treat patients during this time while they are awaiting transport to Level I Trauma Centers. The team has also been honored for their commitment to providing this kind of training to Arizona rural emergency personnel. Until 2024, Banner Health - University Medical Center Tucson had the distinction of being Southern Arizona's only Level I Trauma Center, caring for the most critically injured patients. As the only one of two Level 1 Trauma Center in Southern Arizona, Banner Health and University Medical Center Tucson play a leading role in issues related to trauma and critical care. Trauma outreach programs include information for community groups interested in learning more about how to prevent trauma and how the trauma system works, outreach to government officials to help them develop public policy to improve trauma care systems and outreach to lawmakers so they can create better laws concerning the trauma care system and injury prevention. To ensure Tucson and surrounding communities have access to the most current, life-saving trauma care, the Banner Health - University Medicine trauma surgery team each year hosts the Southwest Regional Trauma Conference. During the conference, registered emergency medical services and trauma professionals have access to interactive learning on the most current research and advances in trauma and emergent care, including stabilizing injured persons and getting them to the appropriate level of care. * Memory Disorders Clinic At Banner Health, we are leading groundbreaking research and care to help those affected by memory and cognitive disorders. Our memory care centers of excellence - led by world-renowned cognitive and memory disorders and dementia specialists - provide comprehensive world-class care that brings together advanced diagnostics, innovative treatments and critical support services and resources. BAI embraces a three-part mission to set a new national standard of patient and family care, conduct revolutionary studies in the detection and treatment of Alzheimer's, and forge scientific collaborations that bring together institutions and disciplines internationally. Combining exceptional services, groundbreaking research, and innovative programs, including complete medical, neurological, and neuropsychological evaluations, treatment and therapy, support services that address both medical and non-medical need, comprehensive information and resources and access to promising investigational treatments BAI provides ongoing hope and help for people with Alzheimer's/dementia and their families. Directed by internationally recognized leaders in the care and study of people with Alzheimer's disease, BAI offers a compassionate center of excellence for anyone affected by Alzheimer's disease, dementia, or a related memory disorder. Support and innovative approaches to medical treatment, family and community services are offered to this extremely complicated population and memory loss care specialists work to customize a specific action plan tailored to the precise needs of the patient and family as they change during time. In 2024, these services valued at approximately $6.6 million included memory assistance and medical, legal, and financial planning services, connection to community services and resources, and counseling and support during trying times. Memory Centers located in Phoenix, Sun City, and Tucson are led by a team of internationally renowned memory disorder and dementia specialists who will tailor care specifically for the patient or loved one. Caring for a person with dementia/movement disorder takes ongoing education, support, and mentoring. Family Community Services has designed classes and programs to meet your in-person, online webinars, and select DVDs. Services include a comprehensive diagnosis, targeted treatment plans, planning resources that include education and support groups and research opportunities that involved innovative treatments and when appropriate and patient centric, and convenient virtual telehealth visits. * Hospital Paramedic Programs EMS based services are provided to Arizona and Western Region emergency responders. Without this subsidy and service, localities would be responsible for these services valued at $1.5 million. * Ambulance and Evacuation Services Ambulance and emergency evacuation services are provided to Arizona and Western Region communities. Without this subsidy and service, localities would be responsible for these services valued at $5.3 million. * Banner Health MD Anderson Patient Assistance Fund The Patient Assistance Fund provides support to Banner Health MD Anderson Cancer Center patients with financial needs for diagnostic imaging, radiation treatment and wig assistance. In conjunction with the Banner Health Foundation, relief is provided during a difficult journey. Form 990, Part III, Line 4a Program Services Description Continued * Behavioral Health Mental and emotional wellbeing is just as important as physical health and Banner Health Behavioral Health provides a nationally recognized, behavioral health care program for children, teens and adults faced with psychiatric, behavioral health, or chemical dependency challenges. In 2024, $3.8 million was devoted to the mental health needs of the communities Banner Health serves and Banner Health provides safe, confidential, and compassionate treatment with customized treatment plans to meet each patient's needs - in the least restrictive therapeutic environment. We also can help patients with co-existing psychiatric and substance abuse problems. Banner Health is now partnering with Phoenix-based evolvedMD to place mental-health providers at Banner Health's primary-care clinics, making it easier for people to receive mental health services they may need. This innovative embedding of mental health services in primary-care settings will be phased in at Banner Health Medical Group sites throughout metro Phoenix, s * Western States Burn Center Located in Greeley, Colorado, the Western States Burn Center at North Colorado Medical Center provides the most sophisticated treatment and technology currently available for the treatment of burn injuries. Opened in 2009, the center focuses on the care of adult burn patients and has an expanded unit with ten acuity-adaptable rooms in addition, burn center staff can care for four additional burn patients if the demand arises. The Western States Burn Center at North Colorado Medical Center offers a variety of inpatient and outpatient services including inpatient management of complex thermal, chemical, and electrical burn injuries as well as TENS and necrotizing fasciitis, outpatient management of thermal, chemical, and electrical burn injuries, outpatient management and consultation of complex wounds (non-burn), outpatient and inpatient rehabilitation, and Advanced Burn Life Support courses. The current state-of-the-art burn center provides burn care to eight states - Colorado, Idaho, Kansas, Montana, Nebraska, North Dakota, South Dakota, and Wyoming. Our burn center professionals provide patient care through a multi-disciplinary team approach. This team includes physicians, nurse practitioner, critical care nurses, physical, occupational, and respiratory therapists, social workers, dieticians, pharmacists, and mental health professionals. Coordination of these services provides excellent patient care in all aspects, from the initial acute setting to the outpatient rehabilitation process. As a regional burn center, we provide burn outreach education to our service area. This includes Continuing Medical Education presentations, Advanced Burn Life Support (ABLS) classes through the American Burn Association, and presentations to chemical, electrical, oil/gas and other industrial companies. Without Banner Health's $356,000 thousand support, multiple western states would be without this comprehensive coverage. * Women's Centers People are not the same and Banner Health understands issues that are unique to women. At Banner Health's hospitals, clinics, and centers, we offer comprehensive, compassionate women's health services - routine and specialized care, education, and support - for all stages of a woman's life. Banner Health is committed to women's health with specialized services provided at the Banner Health Heart Clinic, McKee's Center for Women's Health, and Banner Health University Medical Center - Phoenix valued more than $2.2 million. The Women's Center at Banner Health University Medical Center - Phoenix takes a unique approach to women's health by combining academic training for obstetrics and gynecology residents with experienced board-certified faculty physicians. The Breast Health Center at Banner Health - University Medical Center Phoenix provides a full spectrum of exceptional breast care services, ranging from breast cancer prevention and screening, to detection, diagnosis, and the most advanced treatment options. The highly trained staff is committed to alleviating the stress and anxiety that often comes with mammography and other breast health services by delivering superior, patient-focused care in a state-of-the-art, peaceful, and spa-like environment. The Breast Health Center is committed to improving women's lives through early detection of breast cancer and providing a wide range of breast health services from screening mammography and latest diagnostics to education and support programs. Our breast specialists use the most advanced tools to ensure accurate and timely answers. Of note, is the BIG Pink Bus, a mobile mammography unit hitting valley streets that offers 3D mammogram screenings to thousands, particularly those in outlying areas. The bus is life-changing for women who might want or need a mammogram, but do not have the ability to get to an imaging site themselves, the most convenient option to stay on top of their breast cancer screenings. The mobile mammography unit brings comprehensive breast program and its breast cancer experts right to people's doorstep making healthcare easier for the Phoenix metropolitan population. Form 990, Part III, Line 4a PROGRAM SERVICES DESCRIPTION CONTINUED BANNER RESEARCH Banner Research is at the leading edge in scientific discovery and innovation in treating and curing specific diseases across multiple states. Including Banner Sun Health Research Institute (BSHRI), Banner Alzheimer's Institute (BAI), and Banner MD Anderson Cancer Center, scientific study drives Banner Research and the knowledge created by advancing clinical research sets the foundation for tomorrow's treatments today. As one of the country's leaders in innovative medical research, Banner Health and Banner Research are committed to clinical discovery resulting in exclusive accolades for its dedication to scientific study and BSHRI, BAI, and Banner MD Anderson Cancer Center have been recognized as Centers of Excellence by the National Institutes of Health (NIH). As a Banner Health Center of Excellence, research endeavors are integrated with expert outpatient clinical care through innovative diagnostics and observational studies and clinical trials. This provides patients and their families direct access to the latest diagnostic technologies and investigational treatments for their conditions and allows study participants and researchers to partner to develop new therapies and disease prevention approaches that will positively impact future generations. Founded in 1986, BSHRI is an international leader in the fight against Alzheimer's disease and related dementias, Lewy body diseases, and Parkinson's disease, as well as the study of brain and cognitive aging. BSHRI is home to a world-renowned Brain and Body Donation Program and the Center for Healthy Aging which is a biopsychosocial study of longevity and successful aging. Leveraging decades of experience and leadership in the field, the team also offers important training and continuing medical education opportunities to health care providers, students, and residents and fellows. Over decades, the institute and team have made seminal medical and scientific contributions to advance diagnostics and therapeutics, including development and validation of powerful strategies and methods to aid in early and accurate detection of Alzheimer's disease, and helping to accelerate development and testing of more effective therapies to slow, treat and prevent Alzheimer's and related neurodegenerative brain disorders. BSHRI, together with its Arizona consortium partners, has been designated by the National Institutes of Health as one of just 31 Alzheimer's disease Centers in the nation. In addition, the first state-sponsored Arizona Parkinson's Disease Center was established at BSHRI. BSHRI is also home to The Center for Healthy Aging, which explores the multiple factors contributing to healthy aging to enhance the quality of life for older adults. The internationally known BAI has a goal to end Alzheimer's disease without losing a generation. Since 2006, BAI has revolutionized the medical landscape for Alzheimer's disease, making major discoveries in how the disease is diagnosed, treated, and evaluated over time. BAI integrates the latest advancements and research opportunities into a continuum of care, giving patients access to groundbreaking detection and treatment methods for Alzheimer's and related dementias. BAI strives to search for viable prevention and treatment therapies to deliver on our unique promise that both hope and help are possible in the fight against Alzheimer's disease. Pioneering contributions are credited to our forward-thinking and experienced research leadership teams who have developed and lead numerous groundbreaking NIH research grants, data sharing programs and industry sponsored clinical trials. Efforts have led to precedent-setting research initiatives, as well as new paradigms and methods in the early detection of Alzheimer's, which have resulted in landmark findings and established us as world leaders in Alzheimer's research and care. and collaborated with other academic, scientific and industry leaders to launch the global Alzheimer's Prevention Initiative to study people who are at considerable risk for Alzheimer's before they develop symptoms. The facility's state-of-the-art Cyclotron and Radiochemistry Laboratory is a regional resource for researchers developing innovative and specialized PET imaging radioactive isotopes. The Banner MD Anderson's Clinical Research Division was formed in 2015 with the goal of building a premier cancer research program that would enable clinical investigators to conduct innovative research in a safe and ethical manner. Founded on the expertise and resources of both Banner Research and MD Anderson Research, and together with regional and national community and academic partners, we facilitate high-impact collaborative projects to elevate the quality of cancer care. Banner MD Anderson Cancer Center collaborates with physicians from MD Anderson and other nationally recognized oncology research consortiums on the latest and most advanced trials. Banner Research is a leading contributor in research collaborations and consortia and the revolutionary medical discoveries developed from Banner Research are successful in part because of the spirited nature of our partnerships and collaborations. Ideas and hypotheses turn into scientific innovations that change the future of medicine, impacting millions of people globally; forging scientific collaborations that bring together institutions and disciplines internationally, Banner Research is proud to partner with scientific, medical, academic and industry partners including: * Arizona Alzheimer's Consortium (ACC) - Setting the standard for Alzheimer's disease research collaboration at the state level, ACC's mission is to search for new and promising approaches for the detection, treatment, and prevention of Alzheimer's. Founded in 1998, ACC leverages its member institutions' strengths in neuroscience, brain imaging, genomics, computer science and clinical and neuropathology research to foster solidarity with an eye toward advancing the understanding of Alzheimer's and discovering new treatments that prevent and cure Alzheimer's. Furthermore, ACC strives to educate Arizona communities about the medical advancements being made with Alzheimer's research, as well as the resources available to families, patients, and professionals so they can effectively manage the disease. * Alzheimer's Disease Research Centers (ADRC) - Banner Health is one of only thirty-three major medical institutions that receive funding from NIA as a recognized ADRC. These centers receive grant funds from the National Institute on Aging (NIA) to focus on improving the diagnosis and care for those affected by Alzheimer's disease as well find a treatment or way to prevent Alzheimer's and other dementia-related diseases. As a designated ADRC, Banner Health Research can provide opportunities for those with Alzheimer's disease to join clinical trials, as well as advanced care for those living with this condition. As part of a recognized Arizona Alzheimer's Disease Research Center, Alzheimer's Institute and BSHRI offer patients at Banner Health the chance to participate in Alzheimer's clinical trials and prevention studies, access to support groups and programs and assistance with getting a diagnosis and the care that follows. Form 990, Part III, Line 4a PROGRAM SERVICES DESCRIPTION CONTINUED * Alzheimer's Drug Discovery Foundation (ADDF) - Founded in 1998, the mission of the ADDF is to rapidly accelerate the discovery of treatments to prevent, treat and cure Alzheimer's disease. The foundation is the only charity solely focused on finding treatments for Alzheimer's through the funding of preclinical treatment discovery and early-stage clinical trials for potential treatment targets - enabling leading scientists to pursue pioneering ideas to cure Alzheimer's disease that would otherwise be unexplored. * Alzheimer's Association National Best Clinical Practice Guidelines Workgroup - The Alzheimer's Association has forged a workgroup of experts from multiple disciplines in dementia care and research, including medical, neuropsychology and nursing specialties, to focus on defining evidence-based multidisciplinary consensus guidelines for all practicing clinicians in the U.S. * Arizona Community Engagement Alliance (CEAL) - CEAL is made up of twenty-one states, whose mission is to educate and reduce misinformation in local communities that have been hit hardest by COVID-19 through community-focused research and outreach. As a participating member of the alliance, Arizona receives grant funding from NIH to support the alliance's initiative of increasing COVID-19 awareness, education and prevention strategies to areas disproportionately impacted by the disease. With an urgent focus on mitigating the development and spread of COVID-19 to aid in ending the pandemic, Banner Health and The University of Arizona formed the COVID-19 Research Oversight Committee committed to developing and executing strategies to leverage their current systems and expertise to create an environment of inclusiveness for hard-hit communities, encourage preventive measures and leverage the current systems and expertise to position Arizona for highly impactful research opportunities. * Parkinson's Progression Markers Initiative - Since 2010, BSHRI has participated in a breakthrough program called the Parkinson's Progression Markers Initiative, sponsored by the Michael J. Fox Foundation. This effort aims to identify biomarkers that could lead to Parkinson's disease and designed to leverage the wealth of clinical and neuropathological samples from the Brain and Body Donation Program. This international research undertaking continues multiple industry partners and clinical sites. * Alzheimer's Prevention Initiative (API) -Championed and led by BAI, API is an international collaborative formed to launch a new era of Alzheimer's prevention research by evaluating the most promising therapies in cognitively normal people who - based on age and genetic background - are at highest risk of developing Alzheimer's disease symptoms as quickly as possible. The goal of API is to identify pre-symptomatic treatments or interventions that will postpone, slow, or prevent the disease's progression. * Arizona State University-Banner Health Neurodegenerative Research Collaborative - Arizona State University (ASU) and Banner Health have formed a research alliance to advance the scientific study, treatment, and prevention of Alzheimer's, Parkinson's, and other neurodegenerative diseases. This research partnership will include the launch of a new ASU-Banner Health Neurodegenerative Disease Research Center on ASU's Tempe campus. * University of Arizona - The partnership between Banner Health and the University of Arizona brings clinical care delivery, education, and research to the forefront of the patient experience. In coordination with Banner Health's University Medicine the University of Arizona also conducts a variety of research studies and clinical trials to support a commitment to improving patient care. * RECOVER Long COVID Program - Banner Health Research has partnered with entities such as NIH to participate in the RECOVER Long COVID Program. This national medical research program is focused on studying the long-term effects of SARS-CoV-2 virus infection. Involved researchers seek to understand PASC, which stands for post-acute sequelae of SARS-CoV-2, and better understand, prevent, and treat Long COVID. Because millions of people have been affected by COVID-19, this program could offer a significant impact on public health. * All of Us Research Program - The All of Us Research Program is a partnership between Banner Health and the University of Arizona that seeks to recruit one million or more people to share their health data in a database. The goal of the All of Us Research Program is to provide clinical researchers with the data required to understand how genetic and environmental factors and lifestyle impact overall health. Researchers and scientists use the information in the database to conduct a variety of studies on diseases, illnesses, and health. Volunteers from Arizona and northern Colorado can participate. Clinical research is the catalyst for bringing groundbreaking scientific discoveries to the forefront in finding new ways to treat, prevent and detect illnesses. Having supported thousands of research studies, Banner Health Research is dedicated to transforming discoveries into new diagnostic, treatment and prevention methods for Alzheimer's, Parkinson's, cardiovascular disease, respiratory disease, infectious disease, COVID-19, and cancer. The trailblazing research programs at Banner Health advance medical science to improve patient outcomes and the health care landscape. As a leader in clinical study, Banner Health Research diligently works to uncover new knowledge and converts groundbreaking discoveries into better care for patients. Of note are: * Alzheimer's Prevention Registry) - The Alzheimer's Prevention Registry, established by BAI, is an online community that matches researchers and scientists with potential study participants. Additionally, registry participants have access to the latest news, research updates and upcoming opportunities via email newsletters. * GeneMatch - Like the Alzheimer's Prevention Registry, GeneMatch also places Alzheimer's research ahead of the curve by matching eligible volunteers with prevention studies based on genetic information. Healthy volunteers can participate in studies to benefit scientific advancement and aid in finding a cure to this devastating disease. GeneMatch volunteers must be between 50 and 90 years old, live in the United States and not have any cognitive impairment like Alzheimer's disease or dementia. * Brain & Body Donation Program - Elderly volunteers in the Phoenix, Arizona, metropolitan area can participate in the Brain & Body Donation Program through the Banner Health Sun Health Research Institute. Through their generous gift, those who choose to donate their bodies allow pioneering BSHRI scientists and researchers to move medicine forward. Participants in the program are studied before and after death. Organs, tissues, biomaterials and biospecimens collected after death are shared with qualified researchers worldwide. More than 3,000 program participants have joined in scientific efforts since Banner Health Research's Brain & Body Donation Program launched in 1987. * Center for Healthy Aging - Elderly volunteers can participate in longevity studies through the BSHRI Center for Healthy Aging. * The Learning from Our Elders program is the first medical research study in Arizona to explore factors contributing to healthy aging through non-invasive observation. Seniors over age 50 can enroll. Participants complete questionnaires and interviews about their demographics, family and medical histories, physical activities, memory, and psychosocial behavior. * Banner Health Partnered with nference, a science-first software company transforming healthcare by making biomedical data computable to accelerate scientific discovery for patient care. By incorporating nference's state-of-the-art analytics capabilities, Banner Health and its researchers can gain valuable insight into diseases and treatments, adapting the practice of medicine to meet the needs of its communities. In 2024, Banner Health Research provided the clinical environment with research compliance infrastructure, central IRB, and patient population mix for collaboration with pharmaceutical and biotech companies, academic and research institutions, in the identification of disease stage biomarkers, development of diagnostic tools, and pertinent prevention and treatment modalities valued at approximately $10.6 million. Form 990, Part III, Line 4a PROGRAM SERVICES DESCRIPTION CONTINUED FINANCIAL CONTRIBUTIONS and IN-KIND DONATIONS Banner Health is committed to assisting financially and through in-kind contributions to individuals and the community at large. In 2024 Banner Health provided the following contributions or in-kind donations to support charity care, health professions education and other community benefit activities: * Project Cure Banner Health works closely with Project Cure in delivering life-saving medical equipment and supplies to hospitals and clinics throughout the under-resourced world by donating medical supplies to developing countries. Each facility within Banner Health sets aside supplies every month which are then secured by PC and inventoried at a local PC site. Once inventoried, individuals and missions request these supplies though out the world, and an incredible need is met. Banner Health is proud to support this outreach mission that helps millions. In 2024, Banner Health donated $2.9 million in supplies to Project Cure. * Ronald McDonald Charities The mission of RMHC is to create, find, and support programs that directly improve the health and well-being of children and their families. Located on the campus of Banner Health Desert Medical Center, The Ronald McDonald House at Cardon Children's Medical Center provides a home away from home for families, providing a level of safety and comfort at an incredibly challenging time in their lives and relieving stress by being with other families facing similar challenges. The facility features sixteen bedrooms, including three apartments with kitchens for families with children with suppressed immune systems; a community kitchen and dining room; a play area for children and an outdoor area for adults. Through low-cost lease subsidies, the partnership between Ronald McDonald House and Cardon Children's Medical Center is vital in the healing process for the children and their families. * Fresh Start Women's Foundation Banner Health provides low-cost lease subsidies to the Fresh Start Women's Foundation. Fresh Start is an Arizona nonprofit whose mission is to provide education, resources, and support for women to positively transform their lives and strengthen our community; envisioning a community where every woman reaches her full potential through achieving personal empowerment and financial self-sufficiency. Programs and services focus on three core values: economic self-sufficiency, personal development, and education. All Fresh Start's services are free or low cost and are available to any woman over the age of eighteen and up focus on key areas of their lives, with a wide range of services, classes and workshops designed to teach self-confidence, life skills and career development. Fresh Start Women's Foundation has empowered thousands of women to transform their lives. * Employee Giving: Better Together Banner Health has a long history of employee giving to support a wide range of health and wellness programs that benefit and improve our community. A partnership between Banner Health Foundation, Sun Health Foundation and United Way, Better Together promotes a spirit of philanthropy among employees and enables them to support to a wide range of hospital and community-based programs made possible by charitable contributions. Among the services and resources supported by philanthropic gifts are bereavement camps for children, free health services for uninsured school children, and breast disease prevention, memory care and treatment services for uninsured women. Form 990, Part III, Line 4a PROGRAM SERVICES DESCRIPTION CONTINUED * Donations and In-Kind Contributions Ever committed to the community, the following organizations are representative of those receiving financial, in-kind, or volunteer donations from Banner Health in 2024: * All About You * ALMA * Alzheimer's Association * American Burn Association * American Cancer Society * American Heart Association * Arizona Burn Foundation * Arizona Career Pathways * Arizona College of Nursing * Arizona Council of Human Service Providers * Arizona Suicide Prevention Coalition * Aspire Arizona Foundation * ASU Foundation * Autism Society of Southern Arizona * AWHONN * AZHHA Foundation * Baby Bear Hugs * Bald Beauties Project * Benevilla * Big Brothers Big Sisters * Boys and Girls Clubs of Sun Corridor * Breast Walk * CareNet * Carrington College * Centerra Engagement Assembly * Central Arizona College Foundation * CG Lifestyle Show * Colorado Center for the Advancement of Patient Safety * Community Foundation * Connect Maricopa * Courage Worldwide Inc. * Creighton University * Donation for Veterans Golf Event * El Rio Foundation * Elevate Maricopa * FC Tucson * FIBCo Family Services * Foundation for Blind Children * Foundation for Senior Living * Foundation for the Blind * Frontier House * Gateway Community College * Glendale Community College * Gracie's Promise * Grand Canyon University * Health Management Academy * Heart Failure Society of America * Heart Walk * Integrative Touch * Lassen Community College * Leisure World Association * Leukemia and Lymphoma Society * Life Stories Child and Family Advocacy * Living Streets Alliance * Lung Force Walk * Make a Wish Arizona * March of Dimes * March of Dimes Donation * Maricopa Community College District * Mayors Youth Fund * Larimer County - EW Symposium * McKee Foundation * McKee Wellness Foundation * Melanoma Foundation * Mesa United Way * MHA Foundation * Morgan Community College Foundation * Mountain High Home * NAMI * National Kidney Foundation * NCDSA * NCMC - AWP INC DBA AWP SAFETY - Turkey Trot * Nevada Rural Hospital Partners * New Frontier Behavioral Health * New Frontier Churchill Council on Alcohol and Other Drugs * Northern Colorado Down Syndrome Association * Northern Nevada Nurses Achievement * NRHP Foundation * OASIS Academy * Obesity Help Inc. * Paradise Valley Community College * Pima Council on Aging * Pinal County Law Enforcement * PKD Foundation * PPEP Inc. * Prevent Child Abuse Arizona * Ranbow Treasures * Ronald McDonald House * Run Windsor * Rural Emergency Assistance Program * Scholarship America * School Choice Arizona * Scottsdale Christian Academy * Seeds of Hope * Sickle Cell Foundation of Arizona * Silent Witness * Sleep in Heavenly Peace * Society of Trauma Nurses * Sounds of Centerra * Steven M. Gooter Foundation * Sun Health Foundation * Town of Gilbert * Trauma Center Association of America * United Way of Larimer County * United Way of Lassen County * United Way of Logan County * United Way of Morgan County * United Way of Natrona County * United Way of Northern Nevada and the Sierra * United Way of Pinal County * United Way of Southwest Wyoming * United Way of Tucson and Southern Arizona * United Way of Weld County * United Way of Western Nebraska * University of Arizona * University of Northern Colorado * University of Wyoming * Valley of the Sun United Way * Washakie Hospital Foundation * Weld Legacy Foundation * West Valley Health Equity * Western Governors University * Western Nevada College * WY Foundation for Cancer Care COMMUNITY BUILDING As a good corporate citizen and partner, Banner Health participates in several activities designed to promote community health and address community needs including community health improvement advocacy, housing, economic development, coalition building, community health advocacy, leadership development, workforce development and enhancement, and disaster preparedness. Banner Health employees are encouraged to and recognized for service and participation on community boards and task forces and Banner Health frequently provides facility usage to community non-profits. These activities are not included elsewhere on Schedule H. The following are ways in which Banner Health promotes, protects, or improves community health and safety: Form 990, Part III, Line 4a PROGRAM SERVICES DESCRIPTION CONTINUED * Economic and Leadership Development Banner Health leaders embrace stewardship as a guiding philosophy of their respective management roles Banner Health equips its leaders to serve and support the communities it serves and supports the development of these same communities. To provide leadership, analyze community needs and support business expansion Banner Health has historically been a member and/or event sponsor for organizations including: * 100 Club of Arizona * American Legion * Apache Junction Chamber of Commerce * Arizona Hispanic Chamber of Commerce * Brush Area Chamber of Commerce * Casa Grande Chamber of Commerce * Chandler Gilbert Chamber of Commerce * Chicanos Por La Casa * City of Brush * City of Fallon * City of Greeley * City of Mesa * City of Sterling * City of Surprise * City of Susanville * Coolidge Chamber * Fallon Chamber of Commerce * Fort Collins Area Chamber of Commerce * Fort Morgan Area Chamber of Commerce * Greater Phoenix Chamber of Commerce * Greater Phoenix Economic Council * Greater Phoenix Leadership * Greater Tucson Leadership * Keith County Chamber of Commerce * Kiwanis Club of Casa Grande * Kiwanis Club of Ogalala * Kiwanis Club of Wheatland * Leadership West * Logan County Chamber of Commerce * Logan County Economic Development * Loveland Chamber of Commerce * Loveland Rotary Club * Mesa Chamber of Commerce * Mesa Rotary * NW Valley Community Advisory Board * Payson Lion's Club * Pinal 40 * Queen Creek Chamber of Commerce * Platte County Chamber of Commerce * Rotary Club of Worland * Scottsdale Chamber of Commerce * Soroptimist International of Fallon * Southern Arizona Leadership Council * Town of Gilbert * Town of Queen Creek * Town of Windsor * Tucson Hispanic Chamber * West Valley Health Equity * Washakie Development Association * Windsor Chamber of Commerce * Worland Ten Sleep Chamber * Community Support, Coalition Building and Strategic Community Partnerships Banner Health supports and partners with community agencies in support of various community initiatives. Banner Health is also represented at various events and coalitions designed to enhance community health. Banner Health supported teen health education and safety through donations to club and team events, expanded appreciation of the arts and increased cultural and environmental awareness for residents by support to various community organizations. Examples of these partnerships include: * 2Shot Goose Hunt * Apache Junction Unified School District * Arizona Alliance for Community Health Centers * Arizona Crime Prevention Association * Arizona Heroes Memorial * Arizona Wilderness Phoenix * AWP - Turkey Trot * AZ Summit Public Safety * Battle Born Broncos * Bluffs Baseball * Brush Area Museum Cultural Center * Brush Fire Department * Brush High School * Brush Little League * Brush Rodeo Association * Canyon Del Oro Soccer Club * Casa Grande Public Safety Foundation * Casa Grande Valley Lodge * Churchill Armed Forces Day * Churchill Arts Council * Churchill County High School * Churchill County Youth Softball Association * Churchill Grad Night Sponsorship * Churchill Greenwave Youth Wrestling * Churchill High School * Churchill Youth Soccer * City of Surprise Community Legend Awards * Churchill Coalition Color Run * Coalition to Protect Americas * Coalition to Strengthen Americas Healthcare * Colorado Center for the Advancement of Patient Safety * Colorado Youth Outdoors * Connect Maricopa * Cultural Coalition Inc. * Denver Seminary * Eaton Area Park and Recreation * Eaton High School * Elevate Maricopa * Fallon Churchill Fire Department * Fallon Daily Bread * Fallon Festival Association * Fallon Youth Club * Falon Jr. Rodeo Association * First English Lutheran Church * FMHS Athletic Booster * Frenchman Valley Co-Op * FRHS Boys Basketball * Gilbert Day Parade * Go Goshen * Golden Frontiers Homeowners Association * Goshen County Fair * Goshen County Jr. Livestock * Goshen County Library * Greely Independence * Heard Museum * High Desert Grange * High Desert Little League * Hot Springs County School * Hyattsville Community Services Association * Junior Achievement of Arizona * Lassen County Fair * Lassen County Workforce * Lassen Fire Department * Lassen Jr. Livestock * Lassen Land and Trails Trust * Local Area Revitalization Project * Lodge on the Desert * Logan County Fair and Rodeo * Lost Dutchman Days * Mesa Dr. Martin Luther King Celebration * NCCA * Ogallala Baseball Association * Ogallala Regional Arts Council * Ogallala Roundup Rodeo * One N Ten * Panhandler Co-Op Association * Payson High School * Payson Lion's Club * Payson Rodeo * Payson Roundup * Phoenix Zoo * Picklin for a Cure * Pinal County Law Enforcement * Platte County Fair Board * Platte County Youth Baseball * Queen Creek Schools * Roots N Boots * Run Windsor * Silent Witness * Southern Arizona Book Heroes * Southern Arizona Law Enforcement * St. Mary's Food Bank * St. Vincent DePaul * Sterling Baseball * Sterling High School * Sterling Lions Club * Sugar Beet Days * Susanville Little League * Susanville Symphony * Tonto Apache Tribe Recreation * Tonto Community Concert Association * Torrington High School * Torrington Tiger League * Tucson Conquistadores * Tucson Festival of Books * Tucson Lesbian and Gay Alliance * Tucson Rodeo * United Phoenix Firefighters * US Tennis Association * Veterans Club of Encanterra * Washakie County 4-H Youth * Washakie Museum and Cultural Center * Welcome Arizona Neighbors * Westwood Performing Arts * Wheatland High School * Wyoming State BBQ Form 990, Part III, Line 4a PROGRAM SERVICES DESCRIPTION CONTINUED * Health Improvement Advocacy Advocacy matters and as an organization dedicated to providing the best care to our patients, Banner is dedicated to our communities. On local and national levels Banner advocates for communities, patients, and employees to promote health, wellness, medical expansion, and cultural representation. * Work Enhancement Banner Health actively recruited physicians to serve in Federal medically underserved areas and invested to enhance community workforce. * Disaster Preparedness Banner's Emergency Management Program focuses on hospital readiness, disaster and employee preparedness through community planning, staff training and education, and disaster exercises to evaluate emergency procedures. In 2024, Banner Health provided disaster training and education opportunities to community residents and first responders. These activities included evacuation and decontamination training, bomb threats, emergency disaster drills, community decontamination efforts, natural disaster planning, emergency management incident command, and mass casualty exercises - all aimed at improving safety awareness for residents and ensuring health care providers, local businesses and agencies, emergency responders and citizens know what to do in a large-scale disaster. * Environmental Improvements Banner Health has taken an initiative-taking approach towards sustainability and decarbonization with the implementation of several strategic initiatives across the system. These initiatives include: * The Award-winning Facilities Services Remote Operations Center (ROC) was created to support our Sustainability and Energy Program across the organization. As part of this program Banner Health has been the recipient of significant energy savings through our Monitoring Based Commissioning MBCx efforts, avoided unnecessary energy penalties through fault detection analytics, and improved utility (water/gas/electric) management. The ROC Team provides high level regulatory compliance, and 24/7 on call services to ensure our major building equipment across the enterprise is operating efficiently and has been incorporating best practices from the industry and collaborating with Design and Construction to maintain current design standards. * Electric Vehicle (EV) Charging Stations 6 locations have been outfitted with continued efforts to identify future demand and best practices for additional station rollouts. Patients and employees are able access the Alternate Fuels Data Center interactive map to see all EV Charging Stations throughout the U.S. * Solar - Banner Health has installed and utilized solar projects at Ironwood Medical Center and Corporate Mesa in Arizona, Lassen Medical Center in California, and a solar farm in Sterling, Colorado of solar modules. The addition of approximately 15,000 solar modules reduces the enterprise carbon footprint. To date the installation is equivalent to 1,428 homes of energy use and 22,739 barrels of oil consumed per year. * LED Lighting Conversion - This multi-year initiative will help improve energy efficiencies as well as increase lighting quality for patients and team members. To date the conversion of 12,797 lights is equivalent to 101 hones of energy use and 1,863 barrels of oil consumed per year. * Holiday Helper Working as teams, Banner Health departments pooled resources to provide food, clothing and gifts for needy local families and children during the holiday season. * Clothing and Food Drives Employees around the system unite to assist those in the community less fortunate than themselves. Of note are the annual coat drive held at Banner Health Lassen Medical Center and the various food drives held to support the local communities. In addition, appeals are made to assist that population of patients who live under challenging circumstances, and often when they arrive to our facilities, their clothing may be lost or destroyed in the process of their care or simply may need a refresh. * Vitalant Banner Health partnered with Vitalant to provide community blood drives to support local blood shortages. * Space Usage Banner Health facilities provided meeting room, electronic teleconference technology, and other space for various community groups. Without these generous in-kind donations, these organizations would be required to expend funds, funds needed in support of their missions for space rental. * Toy Closets Toys have an amazing way of making kids smile, distracting them during unpleasant times and helping them look past their pain. That is why Banner Health created toy closets at Banner Health hospitals stocked with new, unused toys for pediatric patients of all ages. Made possible by monetary and toy donations from individuals, schools, and youth organizations, businesses, and corporations, these toy-filled havens enable our young patients to find fun and joy during their hospital experience. Patients visit the closets following treatments and procedures to choose a toy as a reward for their bravery. From dolls and stuffed animals, to coloring books, video games, craft kits and more, the donated items are effective for our young patients. Form 990, Part VI, Line 11b Review of form 990 by governing body Banner Health's Tax Department (Banner Health Tax) is RESPONSIBLE FOR OVERSEEING THE PROCESSES FOR PREPARING THE FORM 990. Banner Health Tax TAKES THE LEAD ROLE IN THE PROCESS AND IS CHARGED WITH THE DUTY TO COLLECT THE FINANCIAL AND OTHER INFORMATION NEEDED TO COMPLETE THE FORM 990. THIS INCLUDES COORDINATING WITH OTHER Banner Health DEPARTMENTS, SUCH AS THE LEGAL, PAYROLL, GOVERNMENT RELATIONS, LICENSING, COMMUNITY BENEFIT, COMPENSATION AND BENEFITS, ACCOUNTS PAYABLE, RISK MANAGEMENT, CERTIFICATION, CREDENTIALING, FINANCIAL SERVICES, AND TREASURY DEPARTMENTS IN ORDER TO ENSURE THAT THE EXPERTISE OF EACH DEPARTMENT IS UTILIZED IN THE INFORMATION-GATHERING PROCESS. ONCE THE INFORMATION IS GATHERED, IT IS ORGANIZED AND ASSEMBLED INTO AN ORGANIZER THAT WILL BE USED BY AN OUTSIDE ACCOUNTING FIRM TO PREPARE THE FORM 990. BH HAS AUDITED FINANCIAL STATEMENTS PREPARED ANNUALLY BY AN INDEPENDENT CERTIFIED PUBLIC ACCOUNTING FIRM AND USES THIS SAME FIRM TO PREPARE ITS FORM 990 BECAUSE OF ITS EXPERTISE IN NON-PROFIT HOSPITAL SYSTEMS AND ITS SPECIFIC KNOWLEDGE OF BH'S OPERATIONS AND RETURN COMPLEXITY. ONCE THE INFORMATION GATHERING PROCESS IS COMPLETE, A FIRST DRAFT OF THE FORM 990 IS PREPARED by the outside accounting firm AND READIED FOR REVIEW. THE REVIEW PROCESS BEGINS WITH AN INITIAL REVIEW DONE BY Banner Health Tax. DURING THIS REVIEW, A LIST OF QUESTIONS, ISSUES AND ADDITIONAL TASKS IS COMPILED. THIS LIST IS THEN DISSEMINATED TO THE APPROPRIATE BH DEPARTMENTS FOR FURTHER ACTION. ONCE ALL QUESTIONS, ISSUES AND TASKS HAVE BEEN COMPLETED, A SECOND REVIEW BY Banner Health Tax is and the accounting firm is DONE. AGAIN, IF APPLICABLE, A LIST OF QUESTIONS, ISSUES AND ADDITIONAL TASKS IS COMPILED. THIS LIST IS THEN DISSEMINATED TO THE APPROPRIATE Banner Health DEPARTMENTS FOR FURTHER ACTION. ONCE THIS SECOND REVIEW PROCESS IS COMPLETED, A FINAL DRAFT OF THE FORM 990 IS PRESENTED TO THE CHIEF LEGAL OFFICER & GENERAL COUNSEL AND CHIEF FINANCIAL OFFICER FOR REVIEW AND APPROVAL. CHANGES TO THE FORM 990 ARE MADE IF NECESSARY AND APPROVAL IS GRANTED TO SEND THE FORM 990 TO THE BOARD MEMBERS. EACH MEMBER OF THE BOARD IS THEN SENT THE DRAFT FORM 990 ALONG WITH AN EXECUTIVE SUMMARY OF KEY ITEMS REPORTED IN THE FORM 990. ANY ISSUES ARE ADDRESSED AND RESOLVED AND THE FINAL VERSION OF THE FORM 990 IS SIGNED BY THE CFO OR ANOTHER OFFICER IF REQUIRED TO MEET TIMELY FILING REQUIREMENTS. Form 990, Part VI, Line 12c Conflict of interest policy PURSUANT TO BANNER HEALTH'S CONFLICT OF INTEREST POLICY, ALL BOARD MEMBERS AND OFFICERS MUST DISCLOSE THE EXISTENCE OF ANY FINANCIAL INTEREST THAT MAY GIVE RISE TO A CONFLICT OF INTEREST PROMPTLY TO THE BOARD AUDIT COMMITTEE. THE COMMITTEE MUST THEN CONSIDER THE DISCLOSED INTEREST AND EITHER AUTHORIZE THE CONTINUATION OF THE POTENTIAL FINANCIAL INTEREST AND ANY RELATED TRANSACTION WITH APPROPRIATE PROTECTIONS, OR DISAPPROVE OF IT. OTHER BANNER HEALTH EMPLOYEES MUST GO THROUGH A SIMILAR PROCESS OF DISCLOSURE TO THEIR RESPECTIVE SUPERVISOR AND TO THE ETHICS & COMPLIANCE DEPARTMENT, WHO MAINTAINS ALL OF THE DISCLOSED FINANCIAL INTERESTS/CONFLICTS. IN ADDITION, ALL BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES MUST COMPLETE AN ANNUAL SURVEY THAT IS DISTRIBUTED ELECTRONICALLY UNDER THE SUPERVISION OF THE CHIEF ETHICS & COMPLIANCE OFFICER. THE SURVEY INCLUDES A QUESTIONNAIRE THAT IS DESIGNED TO IDENTIFY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST, AS WELL AS OTHER TRANSACTIONS AND RELATIONSHIPS REQUIRED TO BE DISCLOSED IN THE FORM 990 AND SCHEDULE L. MEMBERS OF EXECUTIVE MANAGEMENT ARE ALSO REQUIRED TO COMPLETE A QUARTERLY QUESTIONNAIRE MANAGED UNDER THE SUPERVISION OF THE EXECUTIVE DIRECTOR OF INTERNAL ASSURANCE . THIS QUESTIONNAIRE IS PRIMARILY DESIGNED TO IDENTIFY WEAKNESSES IN INTERNAL CONTROLS OR ACCOUNTING, BUT ALSO REQUIRES DISCLOSURE OF ANY KNOWLEDGE BY THE RESPONDING MANAGER OF ANY VIOLATIONS OF BH'S CONFLICT OF INTEREST POLICY. THE CHIEF ETHICS & COMPLIANCE OFFICER COMPILES A SUMMARY OF THE CONFLICT OF INTEREST DISCLOSURES OBTAINED THROUGH THE ANNUAL SURVEY PROCESS INVOLVING BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES. THIS SUMMARY IS REVIEWED WITH BH'S GENERAL COUNSEL TO DETERMINE THE APPROPRIATE ACTION TO BE TAKEN UNDER CONFLICT OF INTEREST POLICY. IN ADDITION, THE CHIEF ETHICS & COMPLIANCE OFFICER REVIEWS THE SUMMARY OF APPLICABLE DISCLOSURES ANNUALLY WITH THE BOARD AUDIT COMMITTEE IN ORDER TO ENSURE THAT ALL DISCLOSED ACTUAL OR POTENTIAL CONFLICTS HAVE BEEN REVIEWED AND PROCESSED APPROPRIATELY UNDER THE CONFLICT OF INTEREST POLICY. WHEN A POTENTIAL CONFLICT OF INTEREST IS UNDER CONSIDERATION, THE INTERESTED INDIVIDUAL MAY MAKE A PRESENTATION TO THE BOARD AUDIT COMMITTEE, BUT MUST NOT PARTICIPATE IN THE DISCUSSION OR VOTE ON THE TRANSACTION OR ARRANGEMENT. ADDITIONALLY, AN INTERESTED INDIVIDUAL SHALL NOT PARTICIPATE IN ANY CORPORATE DECISION REGARDING ANY OUTSIDE ENTITY IN WHICH THEY HAVE A FINANCIAL INTEREST. Form 990, Part VI, Line 15a Process to establish compensation of top management official BANNER HEALTH UTILIZES A COMPENSATION COMMITTEE COMPRISED OF INDEPENDENT DIRECTORS THAT EXERCISES OVERSIGHT OVER ALL ASPECTS OF THE COMPENSATION PAID TO OR FOR THE BENEFIT OF THE CEO AND ALL OTHER SENIOR EXECUTIVES OF BANNER HEALTH AND ANY OF ITS AFFILIATES AND ALL OTHER PERSONS WHO CONSTITUTE "DISQUALIFIED PERSONS" WITH RESPECT TO BANNER HEALTH UNDER CODE SECTION 4958. THE COMMITTEE: - ASSESSES ANNUALLY THE PERFORMANCE OF THE CEO - EXERCISES OVERSIGHT OVER ALL ASPECTS OF COMPENSATION FOR THE CEO - REVIEWS AND DETERMINES THE EXECUTIVE TOTAL COMPENSATION PHILOSOPHY OF BANNER HEALTH - ESTABLISHES THE PERMISSIBLE RANGES OF COMPENSATION FOR SENIOR EXECUTIVES AND DISQUALIFIED PERSONS - REVIEWS AND APPROVES THE DESIGN OF THE COMPONENTS OF COMPENSATION FOR SENIOR EXECUTIVES AND ANY OTHER DISQUALIFIED PERSONS AND MONITORS COMPLIANCE OF BANNER HEALTH WITH THE PHILOSOPHY AND DESIGN COMPONENTS OF EXECUTIVE COMPENSATION - RECEIVES THE CEO'S REPORT CONCERNING THE OVERALL PERFORMANCE AND DEVELOPMENT ASSESSMENT OF THE SENIOR EXECUTIVES - ACTS FOR THE BOARD IN THE ENGAGEMENT AND DIRECT OVERSIGHT OF EXTERNAL INDEPENDENT COMPENSATION CONSULTANTS ENGAGED TO PROVIDE ADVICE AND INFORMATION WITH RESPECT TO THE REASONABLENESS AND COMPETITIVENESS OF THE COMPENSATION PAID TO THE CEO, SENIOR EXECUTIVES AND ANY OTHER DISQUALIFIED PERSONS, WHICH CONSULTANT REPORTS DIRECTLY TO THE COMMITTEE. IN ADDITION, THE COMMITTEE HAS ADOPTED THE FOLLOWING BEST PRACTICES WITH RESPECT TO ITS EXECUTIVE COMPENSATION OVERSIGHT FUNCTION: - REVIEWS ALL INCENTIVE PLANS, BENEFIT PLANS AND PROGRAMS THAT APPLY TO EMPLOYEES AND PHYSICIANS - APPROVES CEO'S RECOMMENDATIONS AS TO THE COMPENSATION OF SENIOR EXECUTIVES - USES TALLY SHEETS SUMMARIZING ALL COMPONENTS OF THE CEO'S AND SENIOR EXECUTIVES' COMPENSATION, INCLUDING A THREE-YEAR EARNINGS HISTORY AND THE COST OF ALL COMPENSATION (INCLUDING SPECIFICALLY DEFERRED COMPENSATION) AT THE TIME THAT ANY ACTION IS TAKEN WITH RESPECT TO THE CEO'S OR SENIOR EXECUTIVES' COMPENSATION IN ORDER TO ENSURE THAT THE COMMITTEE IS FULLY INFORMED OF THE COMPLETE COMPENSATION PACKAGE BEFORE TAKING ANY SUCH ACTION - REVIEWS THE ANNUAL FORM 990 DISCLOSURES RELATING TO EXECUTIVE COMPENSATION TO ENSURE THE DISCLOSURES ACCURATELY RECONCILE TO THE COMPENSATION PACKAGES APPROVED BY THE COMMITTEE. THE COMPENSATION COMMITTEE RETAINS AN EXTERNAL INDEPENDENT COMPENSATION CONSULTING FIRM TO ASSIST THE COMMITTEE. THE COMMITTEE ENGAGES A NATIONALLY RECOGNIZED COMPENSATION CONSULTING FIRM WITH SUBSTANTIAL HEALTHCARE EXPERIENCE. THIS FIRM REVIEWED AND OPINED AS TO THE REASONABLENESS OF THE TOTAL COMPENSATION PACKAGE OF THE CEO, SENIOR EXECUTIVE MANAGEMENT, AND OTHER EXECUTIVE MANAGEMENT IDENTIFIED BY THE COMMITTEE AS POTENTIAL DISQUALIFIED PERSONS. THE COMMITTEE ANNUALLY REVIEWS THE RELATIONSHIP BETWEEN BANNER HEALTH AND EACH CONSULTANT TO ENSURE THE CONSULTANT'S INDEPENDENCE. IN CONNECTION WITH EACH SUCH EVALUATION, THE COMMITTEE REQUESTS A WRITTEN CERTIFICATION FROM EACH CONSULTANT THAT: - INCLUDES AN INDEPENDENCE ATTESTATION AFFIRMING THAT THE CONSULTANT HAS CONDUCTED ITS OWN INTERNAL ASSESSMENT AND BASED ON SUCH ASSESSMENT AND ITS INTERNAL CONTROLS, CONCLUDED THAT IT HAS PERFORMED ITS SERVICES FOR THE COMMITTEE IN AN INDEPENDENT MANNER AND IS INDEPENDENT AS DEFINED IN THE INTERMEDIATE SANCTION REGULATIONS UNDER CODE SECTION 4958 - CONFIRMS THAT THE CONSULTANT REPORTS TO THE COMMITTEE THROUGH THE CHAIR OF THE COMMITTEE AND THAT ALL CONSULTING ACTIVITY FOR BANNER HEALTH CONDUCTED BY SUCH CONSULTANT DURING THE PRECEDING YEAR WAS CONDUCTED WITH THE KNOWLEDGE AND CONSENT OF THE CHAIR OF THE COMMITTEE - DETAILS THE AMOUNTS PAID BY BANNER HEALTH TO THE CONSULTANT IN ITS CAPACITY AS AN EXTERNAL COMPENSATION CONSULTANT TO THE COMMITTEE, AND THE AMOUNTS PAID BY BANNER HEALTH, IF ANY, TO THE CONSULTANT AND ITS AFFILIATES FOR ANY OTHER ENGAGEMENTS. WITH THE ASSISTANCE OF THE INDEPENDENT COMPENSATION CONSULTANT, THE COMPENSATION COMMITTEE ANNUALLY REVIEWS THE PERFORMANCE OF THE CEO AND RECOMMENDS ADJUSTMENTS TO HIS BASE SALARY AS DEEMED APPROPRIATE BASED UPON THE REVIEW, SUBJECT TO CONFIRMATION FROM THE CONSULTANT (WHO ATTENDS SUCH MEETING) THAT THE RECOMMENDATION IS APPROPRIATE AND WILL NOT RESULT IN THE OVERALL COMPENSATION OF THE CEO BECOMING UNREASONABLE. IN ORDER TO ENSURE THAT THE COMPENSATION DECISION IS SUBJECT TO THE ACTION OF INDEPENDENT DIRECTORS, THE BOARD MAY NOT APPROVE A SALARY ACTION DIFFERENT FROM THAT RECOMMENDED BY THE COMPENSATION COMMITTEE WITHOUT THE CONCURRENCE OF THE COMMITTEE. THE CEO ESTABLISHES THE BASE SALARY OF THE EXECUTIVES WHO DIRECTLY REPORT TO HIM, AND THOSE EXECUTIVES IN TURN ESTABLISH THE BASE SALARY OF THOSE INDIVIDUALS WHO REPORT TO THEM. ALL BASE SALARIES ARE, HOWEVER, BASED UPON POSITION-SPECIFIC MARKET DATA PROVIDED BY THE BANNER Health COMPENSATION AND BENEFITS DEPARTMENT. THESE RANGES ARE ESTABLISHED IN ACCORDANCE WITH AN EXECUTIVE COMPENSATION PHILOSOPHY THAT IS ESTABLISHED, AND PERIODICALLY REVIEWED, BY THE COMPENSATION COMMITTEE. ANNUAL EQUITY ADJUSTMENTS MAY BE MADE UPON APPROVAL OF THE CEO AND BASED UPON SPECIFIC MARKET DATA. THE COMPENSATION COMMITTEE RECEIVES AN ANNUAL REPORT FROM THE COMPENSATION AND BENEFITS DEPARTMENT SHOWING THAT BASE SALARIES ARE BEING MAINTAINED CONSISTENT WITH THE EXECUTIVE COMPENSATION PHILOSOPHY APPROVED BY THE COMMITTEE. AS STATED IN THE RESPONSE TO SCHEDULE J, PART I, LINE 7, THE SIGNIFICANT NON-FIXED COMPONENTS OF THE COMPENSATION OF THE CEO AND OTHER SENIOR MANAGEMENT ARE ESTABLISHED AND MONITORED BY THE COMPENSATION COMMITTEE WITH THE ASSISTANCE OF THE INDEPENDENT COMPENSATION CONSULTANT AND ARE INCLUDED IN THE ANNUAL REASONABLENESS OPINION RENDERED BY THE INDEPENDENT COMPENSATION CONSULTANT. CONTEMPORANEOUS MINUTES ARE KEPT OF ALL MEETINGS OF THE COMPENSATION COMMITTEE AND OF THE ACTIONS OF THE BOARD OF DIRECTORS IN APPROVING THE COMPENSATION OF CEO AND REVIEWING AND MONITORING THE COMPENSATION FOR ALL OTHER SENIOR EXECUTIVES AND TOP MANAGEMENT. THE COMPENSATION REVIEW PROCESS WAS LAST COMPLETED IN 2024. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, AND TAX RETURNS ARE AVAILABLE UPON REQUEST. COPIES ARE MAINTAINED AT EACH ADMINISTRATIVE OFFICE AND IN THE LEGAL AND TAX DEPARTMENTS. THE ORGANIZATION'S GOVERNING DOCUMENTS ARE NOT REQUIRED TO BE MADE AVAILABLE TO THE PUBLIC AND THEREFORE THEY ARE NOT MADE PUBLIC. 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