2021-11-15T16:11:36-06:00 2020-12-31 ERNST & YOUNG US LLP 101 E WASHINGTON ST STE 910 PHOENIX AZ 85004 990 2020-01-01 450233470 Banner Health % DAVID BIXBY BANN 6027474000 2901 N CENTRAL AVE Suite 160 PHOENIX AZ 85012 DENNIS LARAWAY CFO 6027474000 2021-11-15 true DENNIS LARAWAY 999009999 PATRICK SHIELDS P01508556 6023223000 2021-11-15 2 2020 2022-09-23 18:48:47Z PETER S FINE 2901 N CENTRAL AVE STE 160 PHOENIX AZ 85012 14232801532 false X WWW.BANNERHEALTH.COM X 1938 AZ BANNER HEALTH'S NONPROFIT MISSION IS "MAKING HEALTH CARE EASIER, SO LIFE CAN BE BETTER". 14 12 52710 4093 53345795 36343674 336884850 6922758403 7073258682 175045862 58336054 4318959 3858557 7138466898 7472338143 31758841 22272393 0 0 3224794180 3518961772 0 0 0 3199506978 3443941021 6456059999 6985175186 682406899 487162957 12582869489 14496823687 5781254535 7481821391 6801614954 7015002296 X BANNER HEALTH'S NONPROFIT MISSION IS "MAKING HEALTH CARE EASIER, SO LIFE CAN BE BETTER". false false 6316201785 22272393 7073258682 SEE SCHEDULE O 6316201785 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 false true true false false false false false false false false true true false false false false true true true true false false true 2331 0 true 52710 true true true true CJ false false false false false false false false true false X 14 12 true false false false false false false true true false false true true true true true true true true true true CA X DAVID BIXBY 6027474000 2901 N CENTRAL AVE SUITE 160 PHOENIX AZ 85012 Peter S Fine PRESIDENT & CEO 40.0 8.0 X X 7080356 0 4414604 Rebecca Kuhn CHIEF OPERATING OFFICER 40.0 8.0 X 2659410 0 1289489 Dennis Laraway CHIEF FINANCIAL OFFICER 40.0 16.0 X 2071352 0 1100686 David Bixby CLO/GENERAL COUNSEL 40.0 8.0 X 1535916 0 664266 Majorie Bessel MD CHIEF CLINICAL OFFICER 40.0 8.0 X 1443780 0 727901 Donald S Nordlund CHIEF STRATEGY/GROWTH OFFICER 40.0 8.0 X 1321630 0 686939 Todd S Werner PRESIDENT - ARIZONA EAST 40.0 0.0 X 1489282 0 469460 Naomi Cramer Chief HR Officer 40.0 8.0 X 1245574 0 637108 FRANCISCO ARABIA PHYS EXEC ADV HEART PROGRAM 40.0 0.0 X 1516449 0 127807 Alexandra Morehouse McReynolds CHIEF MARKETING OFFICER 40.0 0.0 X 1076263 0 499307 Charles Lehn FORMER OFFICER 0.0 48.0 X 0 1198205 263342 Deanna Wise SENIOR VP & CIO 40.0 0.0 X 977793 0 325304 Margo Karsten CEO - Northern Colorado 40.0 0.0 X 965241 0 306669 ERIC REIMAN CEO/CSO - BANNER RESEARCH 40.0 0.0 X 1008763 0 70101 Rogerio Lilenbaum SENIOR PHYS EXEC ONC & BMDACC 40.0 0.0 X 972240 0 19619 DANIEL POST CEO - LARGE FACILITY 40.0 0.0 X 722648 0 119012 Brenda Schaefer VP, Treasury/Treasurer 40.0 8.0 X 608948 0 135669 JOHN HENSING MD FORMER OFFICER 40.0 0.0 X 181014 0 6758 Elizabeth Avant Asst. Secretary & Legal Ops 40.0 0.0 X 144297 0 9769 Kathy Bollinger FORMER OFFICER 0.0 0.0 X 115999 0 13649 Michael Garnreiter Vice-Chair/Director 6.0 0.0 X X 79000 0 0 Vickie Keiser Director 4.0 0.0 X 75000 0 0 Quentin P Smith Jr Director 4.0 0.0 X 75000 0 0 Ronald J Creasman MD Director 4.0 0.0 X 72000 0 0 David Kikumoto Director 4.0 0.0 X 72000 0 0 John Koster MD Director 4.0 0.0 X 72000 0 0 Steve Lynn Director 4.0 0.0 X 72000 0 0 Anne Mariucci Director 4.0 0.0 X 72000 0 0 Christopher Volk Chairman/Director 6.0 0.0 X X 72000 0 0 Sujata Gosalia Director 4.0 0.0 X 65000 0 0 Larry S Lazarus Director 4.0 0.0 X 65000 0 0 Marc Schmittlein DIRECTOR 4.0 0.0 X 65000 0 0 Gilbert Davila Director 4.0 0.0 X 16250 0 0 27509955 1198205 11887459 4428 true true false MCKESSON CORPORATION 6555 State Hwy 161 IRVING TX 75039 PHARMACEUTICAL 619028140 BANK OF AMERICA 100 North Tryon St CHARLOTTE NC 28255 HEALTHCARE IT 175736776 AMERICAN EXPRESS 200 VESEY ST NEW YORK NY 10285 FINANCIAL SERVICES 161974775 PROLINK HEALTHCARE LLC 99 Vanderbilt Beach Road Suite 200 NAPLES FL 34108 HLTHCARE CONSULTING 63562815 CERNER CORPORATION PO BOX 959156 ST LOUIS MO 63195 HEALTHCARE IT 53769474 2086 17658987 311832256 7393607 336884850 HEALTHCARE SERVICES 622110 7021482192 7021482192 PARTNERSHIP INCOME 523900 608073 608073 PHARMACY 446110 4690059 4690059 LABORATORY 621500 39172208 39172208 MANAGEMENT SERVICES 561000 7306150 7306150 7073258682 49453114 1569305 47883809 23677 23677 0 13057723 9199166 3858557 0 3858557 3858557 6760123486 6751264223 8859263 8859263 8859263 0 0 0 0 0 0 0 0 0 0 7472338143 7021482192 53345795 60625306 22272393 22272393 0 0 0 38808245 38808245 1575570 139353 1436217 2862811970 2533588593 329223377 69402086 61420846 7981240 344517549 304898031 39619518 201846352 178634022 23212330 27787509 24591945 3195564 6635884 5872757 763127 1719247 1521534 197713 777425 688021 89404 0 22218066 22218066 599660077 530699168 68960909 19274619 17058038 2216581 172187099 152385583 19801516 152481175 134945840 17535335 0 89469092 79180146 10288946 1946956 1723056 223900 0 63813 56475 7338 136513913 120814813 15699100 0 468307495 414452133 53855362 32203951 28500497 3703454 MEDICAL SUPPLIES 1487249979 1487249979 0 0 STATE HOSPITAL ASSESSMENT 136516727 136516727 0 0 PROVIDER TAX 39410540 39410540 0 0 INCOME TAXES 4792827 0 4792827 0 44724627 39581295 5143332 6985175186 6316201785 668973401 0 191193607 941072720 113186898 336950023 0 0 1185175519 1160837372 0 0 0 0 84749675 74878903 218327781 289832188 110290931 102705217 8978861704 4771862628 4140497746 4206999076 4890756611 6016333198 350836577 103165455 0 0 270821137 267882161 1027033007 996167374 12582869489 14496823687 919369378 1193230712 0 0 18651855 772000514 3117725002 3334129152 0 0 0 0 894822017 1271692508 0 0 830686283 910768505 5781254535 7481821391 X 6609271422 6844643478 192343532 170358818 6801614954 7015002296 12582869489 14496823687 X 487162957 320072729 -593848344 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 217169 false true 560256 777425 false SCHEDULE C, PART II-B, LINE 1G AND 1I BANNER HEALTH (BH) ENGAGED SEVERAL INDEPENDENT CONTRACTORS TO PROVIDE GOVERNMENT RELATIONS AND POLITICAL CONSULTING SERVICES FOR BH. THESE CONTRACTORS WORKED WITH BOTH THE FEDERAL AND STATE GOVERNMENTS ON ISSUES IMPORTANT TO BANNER HEALTH'S CHARITABLE MISSION. IN 2020, BANNER HEALTH PAID $217,169 FOR THESE SERVICES AND THESE AMOUNTS ARE REPORTED ON LINE 1G. BH MAINTAINS A GOVERNMENT RELATIONS DEPARTMENT. $560,256 OF THE AMOUNT REPORTED ON LINE 1I 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. $125,188 OF THE AMOUNT REPORTED ON LINE 1I 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. 277608036 277608036 1865619145 776227895 1089391250 70754726 63380766 7373960 6429464649 3867095075 2562369574 335415148 65158892 270256256 4206999076 DUE FROM AFFILIATES 635958918 RIGHT OF USE ASSET - LEASE 207013123 BOND FUND 90809795 RESTRICTED ASSETS 51359535 CEDED RESERVES 9665457 OTHER ASSETS 1360546 996167374 0 LONG-TERM SWAPS 394565469 FINANCE LEASE OBLIGATION 40434086 457(B) LIABILITY 88420615 SELF-INSURANCE LIABILITIES 56862192 SERP LIABILITY 60550062 CP FINANCE LEASE OBLIGATION 46486248 THIRD PARTY PAYOR SETTLEMENTS 25842306 MISCELLANEOUS LIABILITIES 197607527 910768505 X SCHEDULE D, PART X, LINE 2 BANNER HAS NOT RECORDED ANY EXPENSE OR ACCRUED FOR ANY RELATED EXPENSE FOR ANY UNCERTAIN TAX POSITIONS. BANNER'S 2017 THROUGH 2020 TAX YEARS REMAIN SUBJECT TO EXAMINATION FOR FEDERAL INCOME TAX PURPOSES, WHEREAS THE 2016 THROUGH 2020 TAX YEARS REMAIN SUBJECT TO EXAMINATION FOR STATE TAXING JURISDICTIONS IN WHICH BANNER OPERATES. Central America and the Caribbean Investments true false true true true false true true X true X true X true true true false true true 105886928 105886928 0.01520 1755755033 1238659869 517095164 0.07400 1861641961 1238659869 622982092 0.08920 10416571 60776 10355795 0.00150 139828586 43458976 96369610 0.01400 28292245 2021183 26271062 0.00380 56718223 39948000 16770223 0.00240 2387259 2387259 0.00030 237642884 85488935 152153949 0.02200 2099284845 1324148804 775136041 0.11120 596 596 42130 42130 58464 58464 16482 16482 56844 56844 21897 21897 126536 126536 322949 322949 false 48525347 29115208 1374531397 1301854387 72677010 X true true LOVELAND ENDOSCOPY ENDOSCOPY CENTER 0.25 0.0 0.75 PHOENIX-TUCSON INTER NEPHROLOGY CENTER 0.333 0.0 0.667 BANNERCORE ORTHOPED HEALTHCARE MANAGEMENT 0.5 0.0 0.5 BHSM Rehabilitation Rehabilitation 0.51 0.0 0.49 Banner Atlas JV LLC Ambulatory Surgery Center 0.75 0.0 0.25 Banner Atlas JV Temp Ambulatory Surgery Center 0.3825 0.0 0.49 Banner Union Hills Ambulatory Surgery Center 0.3825 0.0 0.49 Banner Peoria Surg Ambulatory Surgery Center 0.39 0.0 0.48 Surg Center of Mesa Ambulatory Surgery Center 0.5025 0.0 0.25 Banner Enticare Temp Ambulatory Surgery Center 0.195 0.0 0.74 Banner Alvernon LLC Ambulatory Surgery Center 0.75 0.0 0.0 Queen Creek Surgical Ambulatory Surgery Center 0.3825 0.0 0.49 Banner Thunderbird Ambulatory Surgery Center 0.75 0.0 0.0 Banner NOCO Endo JV Endoscopy Center 0.75 0.0 0.0 Banner Mesa Surgery Ambulatory Surgery Center 0.3825 0.0 0.25 31 1 BANNER - UNIV MEDICAL CENTER PHOENIX 1111 E MCDOWELL RD PHOENIX AZ 85006 WWW.BANNERHEALTH.COM H0016 X X X X A 2 BANNER - UNIV MEDICAL CENTER TUCSON 1501 N CAMPBELL AVE TUCSON AZ 85724 WWW.BANNERHEALTH.COM H7035 X X X X X X D 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 ST GLENDALE AZ 85304 WWW.BANNERHEALTH.COM H0092 X X X A 5 BANNER GATEWAY MEDICAL CENTER 1900 S RIGLEY ROAD GILBERT AZ 85234 WWW.BANNERHEALTH.COM H4237 X X X A 6 BANNER ESTRELLA MEDICAL CENTER 9201 W THOMAS ROAD PHOENIX AZ 85037 WWW.BANNERHEALTH.COM H3690 X X X A 7 BANNER DEL E WEBB MEDICAL CENTER 14502 WEST MEEKER BLVD SUN CITY WEST AZ 85375 WWW.BANNERHEALTH.COM H4434 X X X A 8 BANNER BOSWELL MEDICAL CENTER 10401 W THUNDERBIRD ROAD SUN CITY AZ 85351 WWW.BANNERHEALTH.COM H4436 X X X A 9 NORTH COLORADO MEDICAL CENTER 1801 16TH STREET GREELEY CO 80631 WWW.BANNERHEALTH.COM 10386 X X X X A 10 BANNER BAYWOOD MEDICAL CENTER 6644 E BAYWOOD AVE 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 D 12 BANNER HEART HOSPITAL 6750 E BAYWOOD AVE MESA AZ 85206 WWW.BANNERHEALTH.COM SH3034 X X A 13 MCKEE MEDICAL CENTER 2000 BOISE AVE LOVELAND CO 80538 WWW.BANNERHEALTH.COM 10340 X X A 14 BANNER CASA GRANDE MEDICAL CENTER 1800 E FLORENCE BLVD CASA GRANDE AZ 85122 WWW.BANNERHEALTH.COM H6592 X X X B 15 BANNER IRONWOOD MEDICAL CENTER 37000 N GANTZEL ROAD SAN TAN VALLEY AZ 85142 WWW.BANNERHEALTH.COM H4946 X X X B 16 STERLING REGIONAL MEDICAL CENTER 615 FAIRHURST STREET STERLING CO 80751 WWW.BANNERHEALTH.COM 10140 X X X A 17 BANNER BEHAVIORAL HEALTH HOSPITAL 7575 E EARLL DRIVE SCOTTSDALE AZ 85251 WWW.BANNERHEALTH.COM SH0147 X BEHAVIORAL HEALTH HOSPITAL A 18 BANNER FORT COLLINS MEDICAL CENTER 4700 LADY MOON DRIVE FORT COLLINS CO 80528 WWW.BANNERHEALTH.COM O1K608 X X X A 19 BANNER CHURCHILL COMMUNITY HOSPITAL 801 E WILLIAMS AVE FALLON NV 89406 WWW.BANNERHEALTH.COM 638RUH-29 X X X A 20 BANNER PAYSON MEDICAL CENTER 807 S PONDEROSA ST PAYSON AZ 85072 WWW.BANNERHEALTH.COM H7250 X X X B 21 BANNER LASSEN MED CTR-CRITICAL ACCESS 1800 SPRING RIDGE DRIVE SUSANVILLE CA 96130 WWW.BANNERHEALTH.COM 230000020 X X X X A 22 EAST MORGAN CNTY HOSP-CRITICAL ACCESS 2400 EDISON ST BRUSH CO 80723 WWW.BANNERHEALTH.COM 25017J X X X X A 23 WASHAKIE MED CENTER-CRITICAL ACCESS 400 S 15TH STREET WORLAND WY 82401 WWW.BANNERHEALTH.COM 10250 X X X X A 24 COMMUNITY HOSP-TORRINGTON-CRIT ACCESS 2000 CAMPBELL DRIVE TORRINGTON WY 82240 WWW.BANNERHEALTH.COM 0713060 X X X X A 25 OGALLALA COMMUNITY HOSPITAL 2601 N SPRUCE STREET OGALLALA NE 69153 WWW.BANNERHEALTH.COM 470001 X X X X A 26 BANNER GOLDFIELD MEDICAL CENTER 2050 W SOUTHERN AVE APACHE JUNCTION AZ 85120 WWW.BANNERHEALTH.COM H5738 X X X B 27 PAGE HOSPITAL - CRITICAL ACCESS 501 N NAVAJO 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 Banner Ocotillo Medical Center 1405 S Alma School ROAD CHANDLER AZ 85286 WWW.BANNERHEALTH.COM H10461 X X X C 30 Banner Rehab Hospital - Phoenix 775 EAST WILLETTA STREET PHOENIX AZ 85006 WWW.BANNERHEALTH.COM SH10446 X REHABILITATION CENTER C 31 Banner Rehab HOSPITAL - West 12740 NORTH PLAZA DEL RIO BLVD PEORIA AZ 85381 WWW.BANNERHEALTH.COM SH10354 X REHABILITATION CENTER C A false false true X X X X X X X X X X 19 true false false true X SEE SCHEDULE H, PART V, SECTION C X true 19 true SEE SCHEDULE H, PART V, SECTION C false true X 200. 200. X X true true X X X true X SEE SCHEDULE H, PART V, SECTION C X SEE SCHEDULE H, PART V, SECTION C X SEE SCH. H, PART V, SEC. C X X X X X X X true X false X X X X true X false false B false false true X X X X X X X X X X 20 true false false true X SEE SCHEDULE H, PART V, SECTION C X true 20 true SEE SCHEDULE H, PART V, SECTION C false true X 200. 200. X X true true X X X true X SEE SCHEDULE H, PART V, SECTION C X SEE SCHEDULE H, PART V, SECTION C X SEE SCH. H, PART V, SEC. C X X X X X X X true X false X X X X true X false false C true true false false true X 200. 200. X X true true X X X true X SEE SCHEDULE H, PART V, SECTION C X SEE SCHEDULE H, PART V, SECTION C X SEE SCH. H, PART V, SEC. C X X X X X X X true X false X X X X true X false false D false false true X X X X X X X X X X 18 true true true true X SEE SCHEDULE H, PART V, SECTION C X true 19 true SEE SCHEDULE H, PART V, SECTION C false true X 200. 200. X X true true X X X true X SEE SCHEDULE H, PART V, SECTION C X SEE SCHEDULE H, PART V, SECTION C X SEE SCH H, PART V, SECTion c X X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION A, LINES 1, 3-10, 12-13, 16-19, 21-25, 27-28 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 D BECAUSE THEY CONDUCTED THEIR CHNA IN PARTNERSHIP WITH PIMA COUNTY HEALTH DEPARTMENT, TUCSON MEDICAL CENTER, CARONDELET HEALTH NETWORK, EL RIO COMMUNITY HEALTH CENTER, NORTHWEST MEDICAL CENTER, THE PASCUA YAQUI TRIBE AND HEALTHY PIMA. SCHEDULE H, PART V, SECTION A, LINES 14-15, 20 AND 28 BANNER CASA GRANDE MEDICAL CENTER, BANNER IRONWOOOD, BANNER PAYSON MEDICAL CENTER, AND BANNER GOLDFIELD MEDICAL CENTER ARE LISTED AS FACILITY REPORTING GROUP B, BECAUSE All ENTITIES HAVE THE SAME REPORTING TIMELINE. SCHEDULE H, PART V, SECTION A, LINES 29-31 BANNER OCOTILLO MEDICAL CENTER, BANNER REHAB HOSPITAL - PHOENIX, AND BANNER REHAB HOSPITAL - WEST ARE LISTED AS FACILITY REPORTING GROUP C, BECAUSE ALL THE HOSPITALS ARE NEW IN 2020 AND HAVE NOT YET COMPLETED THEIR COMMUNITY HEALTH NEEDS ASSESSMENTS. 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 D BECAUSE THEY CONDUCTED THEIR CHNA IN PARTNERSHIP WITH PIMA COUNTY HEALTH DEPARTMENT, TUCSON MEDICAL CENTER, CARONDELET HEALTH NETWORK, EL RIO COMMUNITY HEALTH CENTER, NORTHWEST MEDICAL CENTER, THE PASCUA YAQUI TRIBE AND HEALTHY PIMA. TRIBE AND HEALTHY PIMA. THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 3E APPLIES TO ALL HOSPITAL FACILITIES EXCEPT FOR HOSPITALS IN FACILITY REPORTING GROUP C: THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED IN EACH HOSPITAL FACILITY'S CHNA ARE PRESENTED AS A PRIORITIZED DESCRIPTION. THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 3J APPLIES TO ALL HOSPITAL FACILITIES EXCEPT FORHOSPITALS 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 FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 5 APPLIES TO ALL HOSPITAL FACILITIES EXCEPT FOR HOSPITALS IN FACILITY REPORTING GROUP C: EMPHASISING AN ONGOING FOCUS ON ENSURING THAT THE MEMBERS OF BANNER COMMUNITEES HAVE GREATER ACCESS TO NEEDED HEALTHCARE RESOURCES AND A VOICE, BANNER HEALTH'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) STEERING COMMITTEE IN COLLABORATION WITH THE FACILITY LEADERSHIP TEAMS, AND THE STATEGIC PLANNING AND ALIGNEMNT DEPARTMENT, CREATED A COMMUNITY ADVISORY COUNCIL (CAC) OF COMMUNITY LEADERS THAT REPRESENTED HIGH NEED POPULATIONS - THIS INCLUDES MINORITY GROUPS, LOW-INCOME INDIVIDUALS, MEDICALLY UNDERSERVED AND THOSE WITH CHRONIC CONDITIONS. PARTICIPANTS WERE IDENTIFIED BASED ON THEIR ROLE IN THE PUBLIC HEALTH REALM OF THE HOSPITAL'S SURROUNDING COMMUNITIES AND EMPHASIS WAS PLACED ON IDENTIFYING POPULATIONS WITHIN THE SERVICE AREA THAT ARE CONSIDERED UNDERSERVED, UNINSURED, AND/OR MINORITY. TO FURTHER ENSURE REPESENTATION AND CONTINUATION OF BANNER'S COMMITMENT TO PROVIDING SERVICES THAT MEET COMMUNITY HEALTH NEEDS VARIOUS GROUPS IN ADDITION TO THE CHNA STEERING COMMITTEE AND CAC WERE ENGAGED INCLUDING: - COMMUNITY FOCUS GROUPS: FOCUS GROUPS WITH MEDICALLY UNDERSERVED POPULATIONS WERE CONDUCTED TO HELP IDENTIFY PRIORITY HEALTH ISSUES, RESOURCES, AND BARRIERS TO CARE). MEMBERS OF THE COMMUNITY REPRESENTED A VARIED CROSS-SECTION WITH UNIQUE ATTRIBUTES (RACE AND ETHNICITY, AGE, SEX, CULTURE, LIFESTYLE, OR RESIDENTS OF A PARTICULAR AREA. GROUPS WERE COMPRISED OF COMMUNITY MEMBERS FROM GROUPS SUCH AS (1) OLDER ADULTS (50-64, 65-74, 75+ YEARS OF AGE); (2) ADULTS WITHOUT CHILDREN; (3) ADULTS WITH CHILDREN; (4) AMERICAN INDIAN ADULTS; (5) LESBIAN, GAY, BISEXUAL, TRANSGENDER, AND QUESTIONING (LGBTQ) ADULTS; (6) AFRICAN AMERICAN ADULTS; (7) HISPANIC/LATINO ADULTS (ENGLISH); (8) ADULTS WITH CHILDREN (SPANISH); (9) LOW SOCIO-ECONOMIC STATUS ADULTS (SPANISH), AND (10) YOUNG ADULTS (18-30 YEARS OF AGE), (11) ADULT MALES (SPANISH), (12) ADULT FEMALES (SPANISH), (13) CAREGIVERS, AND (14) ASIAN AMERICAN ADULTS. INDIVIDUALS REPRESENTING THESE POPULATIONS WERE INVITED TO REVIEW AND VALIDATE THE QUANTITATIVE DATA, PROVIDE ADDITIONAL HEALTH CONCERNS AND FEEDBACK AS TO THE UNDERLYING ISSUES AND POTENTIAL STRATEGIES FOR ADDRESSING SAID CONCERNS. GIVEN THE OVERLAP IN PRIMARY SERVICE AREAS IN SOME BANNER SERVICE AREAS, FOCUS GROUPS WERE COMBINED. - EXTERNAL STAKEHOLDERS: A TEAM OF EXTERNAL STAKEHOLDERS MADE UP OF INDIVIDUALS AND ORGANIZATIONS EXTERNAL TO BANNER HEALTH, AND REPRESENTING THE UNDERSERVED, UNINSURED, AND MINORITY POPULATIONS WERE IDENTIFIED BASED ON THEIR ROLE IN THE PUBLIC HEALTH REALM OF THE HOSPITAL'S SURROUNDING COMMUNITY. THESE STAKEHOLDERS ARE INDIVIDUALS/ ORGANIZATIONS WITH WHOM BANNER COLLABORATES OR HOPES TO, AROUND IMPROVING OUR COMMUNITIES. EACH STAKEHOLDER IS VESTED IN THE OVERALL HEALTH OF THE COMMUNITY AND BROUGHT FORTH A UNIQUE PERSPECTIVE WITH REGARDS TO THE POPULATION'S HEALTH NEEDS. THIS GROUP CONSISTS OF MEMBERSHIP MADE UP OF EXECUTIVE DIRECTORS, CEO'S, PROGRAM MANAGERS, COORDINATORS, NURSES, PATIENT NAVIGATORS, AND OTHER COMMUNITY STAKEHOLDERS. COMMUNITY AND HEALTHCARE LEADERS WHO HAVE PROVIDED SOLID INSIGHT INTO THE SPECIFIC AND UNIQUE NEEDS OF THE COMMUNITY SINCE THE PREVIOUS CYCLE. - THERE WAS ADDITIONAL DIALOGUE (VIA EMAIL, TELEPHONE CONVERSATIONS AND IN-PERSON MEETINGS) WITH LEADERS FROM THE RESPECTIVE COUNTY AND STATE PUBLIC HEALTH DEPARTMENTS (MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH, NEVADA DEPARTMENT OF HEALTH AND HUMAN SERVICES, PLATTE COUNTY PUBLIC HEALTH DEPARTMENT ETC.) TO FURTHER REVIEW THE DATA, EXISTING RESOURCES AND STRATEGIES FOR ADDRESSING THE SIGNIFICANT HEALTH CONCERNS, INCLUDING OPPORTUNITIES FOR COLLABORATION WITH THOSE DEPARTMENTS AND OTHER GOVERNMENT AND NONPROFIT ORGANIZATIONS. - FACILITY BASED CHAMPIONS: INDIVIDUALS FROM EACH OF BANNER HEALTH'S 28 HOSPITALS MET ON A MONTHLY BASIS TO REVIEW THE ONGOING PROGRESS ON COMMUNITY STAKEHOLDER MEETINGS, REPORT CREATION, AND ACTION PLAN IMPLEMENTATION. THIS GROUP CONSISTS OF MEMBERSHIP MADE UP OF CEOS, CNOS, COOS, FACILITY DIRECTORS, QUALITY MANAGEMENT PERSONNEL, AND OTHER CLINICAL STAKEHOLDERS. PARTICIPANTS IN THE CHNA PROCESS INCLUDED MEMBERS OF BANNER HEALTH'S LEADERSHIP TEAMS AND STRATEGIC ALIGNMENT TEAM, PUBLIC HEALTH EXPERTS, COMMUNITY REPRESENTATIVES AND CONSULTANTS. THE CHNA PROCESS UTILIZED A MULTI-FACETED APPROACH TO DATA GATHERING WHICH INCLUDED: 1. DATA ANALYTICS - A COLLECTION OF SECONDARY OR QUANTITATIVE DATA FROM EXISTING DATA SOURCES AND COMMUNITY INPUT OR QUALITATIVE DATA FROM FOCUS GROUPS, HEALTH PROVIDERS, POLICYMAKERS, AND MEETINGS WITH INTERNAL LEADERSHIP WERE ANALYZED. THE PROCESS WAS REITERATIVE AS BOTH THE SECONDARY AND PRIMARY DATA WERE USED TO HELP INFORM EACH OTHER. THE BROAD INTERESTS OF THE COMMUNITY WERE INCORPORATED THROUGH THREE MEANS. FIRST, DATA WAS COLLECTED THROUGH FOCUS GROUPS ENGAGING MEMBERS OF UNDERSERVED POPULATIONS AND COMMUNITIES. SECOND, SURVEYS WERE CONDUCTED WITH KEY INFORMANTS WHO SERVE THE PRIMARY SERVICE AREA. FINALLY, A SERIES OF MEETINGS WERE HELD WITH KEY STAKEHOLDERS. THE ADVANTAGE OF USING THIS APPROACH WAS VALIDATION OF DATA VIA CROSS-VERIFICATION FROM A MULTITUDE OF SOURCES. THIS DATA ALONG WITH PRIOR COLLABORATIVE EFFORTS WAS USED TO INITIATE DISCUSSIONS AMONG THE VARIOUS PARTIES. 2. COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) STEERING COMMITTEE - THIS COMMITTEE, WHICH WAS COMMISSIONED TO GUIDE THE CHNA PROCESS, WAS COMPRISED OF PROFESSIONALS FROM A VARIETY OF DISCIPLINES ACROSS THE ORGANIZATION. THIS STEERING COMMITTEE PROVIDED GUIDANCE IN ALL ASPECTS OF THE CHNA PROCESS, INCLUDING DEVELOPMENT OF THE PROCESS, PRIORITIZATION OF THE SIGNIFICANT HEALTH NEEDS IDENTIFIED AND DEVELOPMENT OF THE IMPLEMENTATION STRATEGIES, ANTICIPATED OUTCOMES AND RELATED MEASURES. THE CHNA RESULTS WERE PRESENTED TO THE LEADERSHIP TEAM AND BOARD MEMBERS TO ENSURE ALIGNMENT WITH THE SYSTEM-WIDE PRIORITIES AND LONG-TERM STRATEGIC PLAN AND THE PROCESS FACILITATES AN ONGOING FOCUS ON COLLABORATION WITH GOVERNMENTAL, NONPROFIT AND OTHER HEALTH-RELATED ORGANIZATIONS TO ENSURE THAT MEMBERS OF THE COMMUNITY WILL HAVE GREATER ACCESS TO NEEDED HEALTH CARE RESOURCE. 3. COMMUNITY ADVISORY COUNCIL - FACILITY LEADERSHIP TEAMS IN COLLABORATION WITH MEMBERS OF BANNER HEALTH'S CHNA STEERING COMMITTEE, CREATED A COMMUNITY ADVISORY COUNCIL (CAC) OF COMMUNITY LEADERS THAT REPRESENTED THE UNDERSERVED, UNINSURED AND MINORITY POPULATIONS. CAC PARTICIPANTS WERE IDENTIFIED BASED ON THEIR ROLE IN THE PUBLIC HEALTH REALM OF THE HOSPITAL'S SURROUNDING COMMUNITY. EMPHASIS WAS PLACED ON IDENTIFYING POPULATIONS WITHIN THE SERVICE AREA THAT ARE CONSIDERED MINORITY AND/OR UNDERSERVED. DATA ANALYTICS WERE ALSO USED TO ANALYZE ACCESS GAPS AND DRIVE CAC PARTICIPATION. ONCE GAPS IN ACCESS TO HEALTH SERVICES WERE IDENTIFIED WITHIN THE COMMUNITY, THE STEERING COMMITTEE WORKED WITH FACILITY LEADERSHIP TO IDENTIFY THOSE IMPACTED BY A LACK OF HEALTH AND RELATED SERVICES. INDIVIDUALS THAT REPRESENTED THESE POPULATIONS, INCLUDING THE UNINSURED, UNDERSERVED AND MINORITY POPULATIONS WERE INVITED TO PARTICIPATE IN A FOCUS GROUP TO REVIEW AND VALIDATE THE DATA, PROVIDE ADDITIONAL HEALTH CONCERNS AND FEEDBACK AS TO THE UNDERLYING ISSUES AND POTENTIAL STRATEGIES FOR ADDRESSING. EACH CAC PARTICIPANT WAS VESTED IN THE OVERALL HEALTH OF THE COMMUNITY AND BROUGHT FORTH A UNIQUE PERSPECTIVE WITH REGARDS TO THE POPULATION'S HEALTH NEEDS. THE CAC PROVIDED BANNER HEALTH WITH THE OPPORTUNITY TO GATHER VALUABLE INPUT DIRECTLY FROM THE COMMUNITY. 4. COMMUNITY INTERESTS - THE BROAD INTERESTS OF THE COMMUNITY WERE INCORPORATED THROUGH A SERIES OF FOCUS GROUPS HELD WITH MEMBERS OF MINORITY AND UNDERSERVED POPULATIONS. ALL PRIMARY DATA COLLECTION EFFORTS WERE INTENDED TO OBTAIN AND UNDERSTAND INFORMATION ON THE MOST PRESSING COMMUNITY CONCERNS, IDENTIFICATION OF COMMUNITY STRENGTHS AND ASSETS AND AREAS OF OPPORTUNITY FOR HEALTH IMPROVEMENT STRATEGIES. FOCUS GROUP PARTICIPANTS WERE INVITED TO VALIDATE THE QUANTITATIVE DATA, PROVIDE ADDITIONAL HEALTH CONCERNS AND FEEDBACK AS TO THE UNDERLYING ISSUES AND POTENTIAL STRATEGIES FOR ADDRESSING SAID CONCERNS. ADDITIONAL DIALOGUE OPPORTUNITIES (EMAIL, TELEPHONE CONVERSATIONS AND IN-PERSON MEETINGS WERE PROVIDED FOR THOSE PERSONS WHO DESIRED TO PARTICIPATE BUT WERE UNABLE TO PERSONALLY ATTEND A FOCUS GROUP SESSION. GIVEN THE OVERLAP IN PRIMARY SERVICE AREAS IN SOME BANNER SERVICE AREAS, FOCUS GROUPS WERE COMBINED. 5. PUBLIC HEALTH AGENCIES - COORDINATION WITH AND INVOLVEMENT FROM RESPECTIVE COUNTY AND STATE PUBLIC HEALTH DEPARTMENTS AND AGENCIES (MARICOPA COUNTY COORDINATED HEALTH NEEDS ASSESSMENT (CCHNA) COLLABORATIVE, THE MARICOPA COUNTY HEALTH IMPROVEMENT PARTNERSHIP (HIPMC), MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH (MCDPH), NEVADA DEPARTMENT OF HEALTH AND HUMAN SERVICES, PLATTE COUNTY PUBLIC HEALTH DEPARTMENT ETC.) TO FURTHER REVIEW THE DATA, EXISTING RESOURCES AND STRATEGIES FOR ADDRESSING THE SIGNIFICANT HEALTH CONCERNS, INCLUDING OPPORTUNITIES FOR COLLABOR THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINES 6A & 6B APPLIES TO ALL HOSPITAL FACILITIES EXCEPT HOSPITALS IN FACILITY REPORTING GROUP C: IN INSTANCES WHERE FACILITIES HAD JOINT SERVICE AREAS, FOCUS GROUPS WERE A COMBINED/JOINT EFFORT. EVERYTHING ELSE WAS FACILITY SPECIFIC. APPLIES TO FACILITY REPORTING GROUP B: Banner Casa Grande Medical Center, Banner Goldfield Medical Center and Banner Ironwood are listed separately as Facility Reporting Group B because they have the same reporting timeline. Focus group was a joint effort with Pinal County Public Health Services, AND Sun Life Family Health Services. THE FOCUS GROUP FOR BANNER PAYSON MEDICAL CENTER was a joint effort with Gila County Health Department, Guild Health Group, First Things First, Arizona Youth Partnership, Globe Public Library, AND Globe Miami Chamber of Commerce. Applies to Facility Reporting Group D: Banner-University Medical Center - Tucson and Banner-University Medical Center South, respectively are listed separately as Facility Reporting Group D because they conducted their CHNA in partnership with Tucson Medical Center, Northwest Hospital, Carondelet, El Rio Health Center, and Pima County Health Department. THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 7A APPLIES TO ALL HOSPITAL FACILITIES EXCEPT FOR HOSPITALS IN FACILITY REPORTING GROUP C: Each facility posted the CHNA to the facility website and made copies available to the public using the following URL: HTTPS://WWW.BANNERHEALTH.COM/STAYING-WELL/COMMUNITY/HEALTH-NEEDS-ASSESSMEN TS-REPORTS THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 10A APPLIES TO ALL HOSPITAL FACILITIES: THE MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGIES CAN BE FOUND AT THE URL LISTED ON SCHEDULE H, PART V, SECTION B, LINE 7D. THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 11 (2) BANNER UNIVERSITY MEDICAL CENTER - TUCSON (A) PRIORITIES 1. Behavioral Health 2. Obesity & Related Chronic Diseases 3. Access to Services B) IMPACT OF ACTIONS TAKEN SINCE PRECEDING CHNA Evaluation of Impact of Actions Taken Since Prior CHNA: Addressing the Opioid Epidemic The collaborative approach between hospitals, public health, health centers and community organizations that Pima County stakeholders have undertaken since the enactment of the Affordable Care Act has enabled these organizations to identify collective actions to address the community's most pressing health needs. For example, in 2013, stakeholders agreed to collectively address access to care as measured by the number of individuals enrolled in health insurance. In 2015, the Pima County Community Health Needs Assessment identified opioid dependency and substance abuse disorder as emerging health needs in the county. Substance abuse disorder had escalated as a community health need and the opioid epidemic had elevated to a top priority. To begin to better understand this community health need, the assessment planning group joined with the Mayor Jonathon Rothschild Healthcare Sector Partnership Taskforce on community collaboration to better understand the problem in the region. To promote that understanding, a community visioning session was held in February 2017 with 75 community participants, including first responders, healthcare providers, public health officials, and general community members impacted by the epidemic. The group prioritized the following areas of focus: decreasing the number of opioid prescriptions, more treatment sites and services to accommodate an increase in those needing treatment, and education for health professionals and the broader community. The group also identified the importance of maintaining access to health coverage provided by the Affordable Care Act and support from elected officials and community leaders. As a community, what was learned was used to inform work addressing the opioid epidemic. Numerous professional development and community health symposiums have been held on the topic to educate care providers. Providers have worked with local, state and federal officials to develop public policy to decrease prescribing and increase access to services; and individual health systems have developed programs to address this critical community health need. Like much of the nation, a significant decline in rates of opioid abuse and misuse in Pima County has not been seen and it continues to be identified as a community health need in the 2018 CHNA. By shining the light on the epidemic, the beginnings of community infrastructure have been built to both prevent future addictions and provide a path to recovery for those seeking it. The problem was years in the making and will require a similar long-term focus to significantly reduce the rate of opioid use and misuse across Pima County. While nonprofit hospitals are required to develop system-specific plans to address the key health needs identified by the CHNA, the value of taking a collective impact approach to address key health needs cannot be overstated. System-specific plans can be found on each nonprofit hospital's respective websites. (3) BANNER DESERT/CARDON CHILDREN'S (A) PRIORITIES 1. ACCESS TO CARE 2. MENTAL/BEHAVIORAL HEALTH 3. CHRONIC DISEASE (B) IMPACT OF ACTIONS TAKEN SINCE PRECEDING CHNA ACCESS TO CARE: - In 2018 4,000 Banner Health patients were supported through Banner services, saving patients a total in $50M in OOP. - Efforts and resources were invested to increase the use of online scheduling for Banner Urgent Care facilities, the results showed a growth from 8% encounters via online scheduling in 2017 to 25% in 2020. - We have expanded our primary care capabilities through Banner Medical Group and aligned physicians - We have partnered with Mission of Mercy to fund and implement My Direct Healthcare scheduling exchange - We promote participation in MyBannner, our online patient portal - Discharge education and follow up is hard wired in Cerner. - Case managers / Social Workers are available to cover the ED - We have partnered with Hospital Patient Services to provide Medicaid enrollment assistance for self-pay patients - Pediatric services are provided to uninsured and underinsured families through Banner HealthMobile and School-based clinics. - Nurse on call line was developed in early 2018 to provide free health care advice 24/7 CHRONIC DISEASE: - We have partnered with community programs based on patient's health needs and background to provide a network of services and events to educate on chronic diseases. - We have worked to close care gaps for our Banner Health Network Members through adherence to our internal patient care and preventative initiatives. - Using a Chronic Disease webpage on our facility website, we increased access to online educational opportunities and resource awareness. - We have deployed a proactive case management approach and outreach method for chronic disease patients within our Banner Health managed population. - We continue to promote our Chronic Disease webpage to increase on-line educational opportunities and resource awareness. - Asthma screenings, education, and medication to the pediatric population is provided through our Banner HealthMobile. - We have implemented the Banner Health Network High Value Networks for specialty care, this includes cardiology, oncology, orthopedics, imaging, ophthalmology, GI and neurology. BEHAVIORAL HEALTH: - Services and support are offered to those in crisis through our Banner Psychiatric Center and Behavioral Health Pavilion. - We continue to promote use of Doctors on Demand, now Teladoc for lost cost e-visits and virtual care. - We have partnered with Desert Vista to provide counseling services through the School Based Clinic. - We have a depression screening tool Banner Medical Group uses for both adults and pediatric patients. - We have partnered with Community Bridges, a local non-profit behavioral health provider, to help align our patients to available resources in the community. WHILE BANNER HEALTH SEEKS TO IMPROVE ALL HEALTH AND ADDRESS ALL NEEDS OF OUR COMMUNITY, IT IS NOT FEASIBLE OR REALISTIC TO TAKE AN ISOLATED APPROACH TO THOSE ISSUES. WE HAVE COME TO REALIZE THE VALUE OF A COMMUNITY WIDE COLLECTIVE IMPACT APPROACH. THOUGH WE CANNOT ADDRESS ALL THE ISSUES IDENTIFIED IN THE CHNA REPORT, WE ARE BEING PROACTIVE BY PARTNERING WITH THE HEALTH IMPROVEMENT PARTNERSHIPS OF MARICOPA COUNTY TO STRATEGICALLY ADDRESS ISSUES IDENTIFIED IN OUR CHNA REPORT AND COMMON TO OTHER PARTS OF THE COMMUNITY. WE WILL BE LOOKING AT COLLECTIVE IMPACT PARTNERSHIPS IN WHICH WE AGREE UPON COMMON GOALS OR AGENDAS; AGREE UPON MEASURES; MAINTAIN EXCELLENT AND CONTINUOUS COMMUNICATIONS; UTILIZE THE CONTINUED BACKBONE SUPPORT OF MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH; AND BE INTENTIONAL AND REINFORCING WITH THE ACTIVITIES AND STRATEGIES WE COORDINATE. WHILE WE WILL CONTINUE TO OFFER PROGRAMS AND SERVICES WITHIN THE HOSPITAL TO SPECIFICALLY ADDRESS THE TOP ISSUES FOUND IN OUR REPORT, WE WILL NOW SEEK TO UTILIZE THE POWER OF A COMMUNITY-WIDE APPROACH TO ADDRESSING THE OTHER ISSUES FOUND IN OUR CHNA REPORT. WE ARE CURRENTLY IN TALKS WITH THE HIPMC COLLABORATIVE TO DESIGN A STRATEGIC PLAN THAT WILL ADDRESS, NOT ONLY OUR HEALTH NEEDS, BUT THE HEALTH NEEDS OF ALL MARICOPA COUNTY RESIDENTS. An overarching concern in the community was the lack of access to information and community resources in the community. When identifying our overarching health needs, this was not included due to the large scale community work that would need to take place to increase information and community resources, however, Banner works to provide multi-level health communication through social media, in person communication with medical providers, and working with health partners in their communities. (4) BANNER THUNDERBIRD MEDICAL CENTER (A) PRIORITIES 1. ACCESS TO CARE 2. Mental/Behavioral Health 3. Chronic Disease (B) Impact of Actions Taken Since Preceding CHNA ACCESS TO CARE: - In 2018 4,000 Banner Health patients were supported through Banner services, saving patients a total in $50M in OOP. - Efforts and resources were invested to increase the use of online scheduling for Banner Urgent Care facilities, the results showed a growth from 8% encounters via online scheduling in 2017 to 25% in 2020. - We promote participation on MyBanner an online patient portal. - We have dedicated ED case managers / social workers for the ED discharge process. - We are partnered with Hospital Patient Services to provide Medicaid enrollment assistance for self-pay patients. - Provide pediatric services to uninsured and underinsured families through Banner Health Mobile and School-Based clinics. - Discharge education and follow up is hard wired in Cerner. - Nurse on call line was developed in early 2018 to provide free health care advice 24/7 CHRONIC DISEASE: - We have worked to close care gaps for our Banner Health Network Members through adherence to our internal patient care and preventative initiatives. - We are promoting Doctors on Demand (now Teladoc) for low cost e-visits and virtual care, including iCare for Chronic Disease care management and in-home and EICU services for acute care. - We have deployed a proactive case management approach and outreach process for our Chronic Disease patients within Banner Health's managed population. - We have implemented the Banner Health Network High Value Networks for specialty care, this includes cardiology, oncology, orthopedics, imaging, ophthalmology, GI and neurology. BEHAVIORAL HEALTH: - We are utilizing outpatient services such as Banner Psychiatric Center to deploy telehealth services to patients presenting in the Emergency Department (ED) with mental health and/or substance abuse issues. - We continue to promote use of Doctors on Demand, now Teladoc, for lost cost e-visits and virtual care. - We offer inpatient and intensive outpatient services. - We have a depression screening tool Banner Medical Group uses for both adults and pediatric patients. - We have partnered with Community Bridges, a local not-for profit behavioral health provider, to help align patients to available resources in the community. WHILE BANNER HEALTH SEEKS TO IMPROVE ALL HEALTH AND ADDRESS ALL NEEDS OF OUR COMMUNITY, IT IS NOT FEASIBLE OR REALISTIC TO TAKE AN ISOLATED APPROACH TO THOSE ISSUES. WE HAVE COME TO REALIZE THE VALUE OF A COMMUNITY WIDE COLLECTIVE IMPACT APPROACH. THOUGH WE CANNOT ADDRESS ALL THE ISSUES IDENTIFIED IN THE CHNA REPORT, WE ARE BEING PROACTIVE BY PARTNERING WITH THE HEALTH IMPROVEMENT PARTNERSHIPS OF MARICOPA COUNTY TO STRATEGICALLY ADDRESS ISSUES IDENTIFIED IN OUR CHNA REPORT AND COMMON TO OTHER PARTS OF THE COMMUNITY. WE WILL BE LOOKING AT COLLECTIVE IMPACT PARTNERSHIPS IN WHICH WE AGREE UPON COMMON GOALS OR AGENDAS; AGREE UPON MEASURES; MAINTAIN EXCELLENT AND CONTINUOUS COMMUNICATIONS; UTILIZE THE CONTINUED BACKBONE SUPPORT OF MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH; AND BE INTENTIONAL AND REINFORCING WITH THE ACTIVITIES AND STRATEGIES WE COORDINATE. WHILE WE WILL CONTINUE TO OFFER PROGRAMS AND SERVICES WITHIN THE HOSPITAL TO SPECIFICALLY ADDRESS THE TOP ISSUES FOUND IN OUR REPORT, WE WILL NOW SEEK TO UTILIZE THE POWER OF A COMMUNITY-WIDE APPROACH TO ADDRESSING THE OTHER ISSUES FOUND IN OUR CHNA REPORT. WE ARE CURRENTLY IN TALKS WITH THE HIPMC COLLABORATIVE TO DESIGN A STRATEGIC PLAN THAT WILL ADDRESS, NOT ONLY OUR HEALTH NEEDS, BUT THE HEALTH NEEDS OF ALL MARICOPA COUNTY RESIDENTS. Injury related deaths were a concern for minority groups throughout Maricopa County, in the Thunderbird PSA they had a higher rate compared to the county. While Banner works to increase access to care via a variety of services, we are not working to directly address the needs of this high leading cause of death in the PSA. (5) BANNER GATEWAY MEDICAL CENTER (A) PRIORITIES 1. ACCESS TO CARE 2. Mental/Behavioral Health 3. CHRONIC DISEASE (B) Impact of Actions Taken Since Preceding CHNA ACCESS TO CARE: - In 2018 4,000 Banner Health patients were supported through Banner services, saving patients a total in $50M in OOP. - Efforts and resources were invested to increase the use of online scheduling for Banner Urgent Care facilities, the results showed a growth from 8% encounters via online scheduling in 2017 to 25% in 2020. - We have expanded our primary care capabilities through Banner Medical Group and aligned physicians. - We promote participation in MyBannner, our online patient portal. - Discharge education and follow up is hard wired in Cerner. - We have deployed use of our case management services in the ambulatory setting to support continuum of care. - Case managers / Social Workers are available to cover the ED. - We have partnered with Hospital Patient Services to provide Medicaid enrollment assistance for self-pay patients. - Pediatric services are provided to uninsured and underinsured families through Banner HealthMobile and School-based clinics. - Nurse on call line was developed in early 2018 to provide free health care advice 24/7. - We are partnered with East Valley Senior Center to implement and support the Sustainability Program for Seniors. CHRONIC DISEASE: - We have partnered with community programs based on patient's health needs and background to provide a network of services and events to educate on chronic diseases. - We have worked to close care gaps for our Banner Health Network Members through adherence to our internal patient care and preventative initiatives. - We are promoting use of Doctors of Demand (now Teladoc) for low cost e-visit and virtual care, which includes iCare for chronic care management and in-home EICU services for acute care. - Using a Chronic Disease webpage on our facility website, we increased access to online educational opportunities and resource awareness. - We have deployed a proactive case management approach and outreach method for chronic disease patients within our Banner Health managed population. - Asthma screenings, education, and medication to the pediatric population is provided through our Banner HealthMobile. - We have implemented the Banner Health Network High Value Networks for specialty care, this includes cardiology, oncology, orthopedics, imaging, ophthalmology, GI and neurology. Behavioral health: - We continue to promote use of Doctors on Demand, now Teladoc for lost cost e-visits and virtual care. - We offer services and support to those in crisis through the Banner Psychiatric Center and Behavioral Health Pavilion. - We have a depression screening tool Banner Medical Group uses for both adults and pediatric patients. - We have partnered with Community Bridges, a local non-profit behavioral health provider, to help align our patients to available resources in the community. - Support groups for anxiety, depression, and other mental health issues are offered at Banner Gateway Medical Center. WHILE BANNER HEALTH SEEKS TO IMPROVE ALL HEALTH AND ADDRESS ALL NEEDS OF OUR COMMUNITY, IT IS NOT FEASIBLE OR REALISTIC TO TAKE AN ISOLATED APPROACH TO THOSE ISSUES. WE HAVE COME TO REALIZE THE VALUE OF A COMMUNITY WIDE COLLECTIVE IMPACT APPROACH. THOUGH WE CANNOT ADDRESS ALL THE ISSUES IDENTIFIED IN THE CHNA REPORT, WE ARE BEING PROACTIVE BY PARTNERING WITH THE HEALTH IMPROVEMENT PARTNERSHIPS OF MARICOPA COUNTY TO STRATEGICALLY ADDRESS ISSUES IDENTIFIED IN OUR CHNA REPORT AND COMMON TO OTHER PARTS OF THE COMMUNITY. WE WILL BE LOOKING AT COLLECTIVE IMPACT PARTNERSHIPS IN WHICH WE AGREE UPON COMMON GOALS OR AGENDAS; AGREE UPON MEASURES; MAINTAIN EXCELLENT AND CONTINUOUS COMMUNICATIONS; UTILIZE THE CONTINUED BACKBONE SUPPORT OF MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH; AND BE INTENTIONAL AND REINFORCING WITH THE ACTIVITIES AND STRATEGIES WE COORDINATE. WHILE WE WILL CONTINUE TO OFFER PROGRAMS AND SERVICES WITHIN THE HOSPITAL TO SPECIFICALLY ADDRESS THE TOP ISSUES FOUND IN OUR REPORT, WE WILL NOW SEEK TO UTILIZE THE POWER OF A COMMUNITY-WIDE APPROACH TO ADDRESSING THE OTHER ISSUES FOUND IN OUR CHNA REPORT. WE ARE CURRENTLY IN TALKS WITH THE HIPMC COLLABORATIVE TO DESIGN A STRATEGIC PLAN THAT WILL ADDRESS, NOT ONLY OUR HEALTH NEEDS, BUT THE HEALTH NEEDS OF ALL MARICOPA COUNTY RESIDENTS. An overarching concern in the community was the lack of access to information and community resources in the community. When identifying our overarching health needs, this was not included due to the large scale community work that would need to take place to increase information and community resources, however, Banner works to provide multi-level health communication through social media, in person communication with medical providers, and working with health partners in their communities. (6) BANNER ESTRELLA MEDICAL CENTER (A) PRIORITIES 1. ACCESS TO CARE 2. MENTAL/BEHAVIORAL HEALTH 3. CHRONIC DISEASE MANAGEMENT (B) Impact of Actions Taken Since Preceding CHNA ACCESS TO CARE: - In 2018 4,000 Banner Health patients were supported through Banner services, saving patients a total in $50M in OOP. - Efforts and resources were invested to increase the use of online scheduling for Banner Urgent Care facilities, the results showed a growth from 8% encounters via online scheduling in 2017 to 25% in 2020. - Expand Primary Care capabilities through Banner Medical Group and aligned physicians. - Promote use of Doctors on Demand for low cost e-visits and virtual care. - We promote participation on MyBanner an online patient portal - We have dedicated ED case managers / social workers for the ED discharge process. - We are partnered with Hospital Patient Services to provide Medicaid enrollment assistance for self-pay patients. Provide pediatric services to uninsured and underinsured families through Banner Health Mobile and School-Based clinics. - Discharge education and follow up is hard wired in Cerner. - Nurse on call line was developed in early 2018 to provide free health care advice 24/7 Chronic Disease: - We have partnered with community programs based on patient's health needs and background to provide a network of services and events to educate on chronic diseases. - We have worked to close care gaps for our Banner Health Network Members through adherence to our internal patient care and preventative initiatives. - We are promoting Doctors on Demand (now Teladoc) for low cost e-visits and virtual care, including iCare for Chronic Disease care management and in-home and EICU services for acute care. - We have deployed a proactive case management approach and outreach process for our Chronic Disease patients within Banner Health's managed population. Behavioral health: - We are utilizing outpatient services such as Banner Psychiatric Center to deploy telehealth services to patients presenting in the Emergency Department (ED) with mental health and/or substance abuse issues. - We continue to promote use of Doctors on Demand, now Teladoc, for lost cost e-visits and virtual care. - We have a depression screening tool Banner Medical Group uses for both adults and pediatric patients. - We have partnered with Community Bridges, a local not-for profit behavioral health provider, to help align patients to available resources in the community. WHILE BANNER HEALTH SEEKS TO IMPROVE ALL HEALTH AND ADDRESS ALL NEEDS OF OUR COMMUNITY, IT IS NOT FEASIBLE OR REALISTIC TO TAKE AN ISOLATED APPROACH TO THOSE ISSUES. WE HAVE COME TO REALIZE THE VALUE OF A COMMUNITY WIDE COLLECTIVE IMPACT APPROACH. THOUGH WE CANNOT ADDRESS ALL THE ISSUES IDENTIFIED IN THE CHNA REPORT, WE ARE BEING PROACTIVE BY PARTNERING WITH THE HEALTH IMPROVEMENT PARTNERSHIPS OF MARICOPA COUNTY TO STRATEGICALLY ADDRESS ISSUES IDENTIFIED IN OUR CHNA REPORT AND COMMON TO OTHER PARTS OF THE COMMUNITY. WE WILL BE LOOKING AT COLLECTIVE IMPACT PARTNERSHIPS IN WHICH WE AGREE UPON COMMON GOALS OR AGENDAS; AGREE UPON MEASURES; MAINTAIN EXCELLENT AND CONTINUOUS COMMUNICATIONS; UTILIZE THE CONTINUED BACKBONE SUPPORT OF MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH; AND BE INTENTIONAL AND REINFORCING WITH THE ACTIVITIES AND STRATEGIES WE COORDINATE. WHILE WE WILL CONTINUE TO OFFER PROGRAMS AND SERVICES WITHIN THE HOSPITAL TO SPECIFICALLY ADDRESS THE TOP ISSUES FOUND IN OUR REPORT, WE WILL NOW SEEK TO UTILIZE THE POWER OF A COMMUNITY-WIDE APPROACH TO ADDRESSING THE OTHER ISSUES FOUND IN OUR CHNA REPORT. WE ARE CURRENTLY IN TALKS WITH THE HIPMC COLLABORATIVE TO DESIGN A STRATEGIC PLAN THAT WILL ADDRESS, NOT ONLY OUR HEALTH NEEDS, BUT THE HEALTH NEEDS OF ALL MARICOPA COUNTY RESIDENTS. A high population (40%) of female households with no husband present utilized SNAP in the Estrella PSA compared to the overall county (35%) The third leading cause of death in Estrella's PSA is unintentional injury, while Banner works to increase access to care via a variety of services, we are not working to directly address the needs of this high leading cause of death in the PSA. (7) BANNER DEL E. WEBB MEDICAL CENTER (A) PRIORITIES 1. ACCESS TO CARE 2. Mental/Behavioral Health 3. Chronic Disease Management (B) Impact of Actions Taken Since Preceding CHNA ACCESS TO CARE: - In 2018 4,000 Banner Health patients were supported through Banner services, saving patients a total in $50M in OOP. - Efforts and resources were invested to increase the use of online scheduling for Banner Urgent Care facilities, the results showed a growth from 8% encounters via online scheduling in 2017 to 25% in 2020. - We promote participation on MyBanner an online patient portal. - We have dedicated ED case managers / social workers for the ED discharge process. - We are partnered with Hospital Patient Services to provide Medicaid enrollment assistance for self-pay patients. - Discharge education and follow up is hard wired in Cerner. - Nurse on call line was developed in early 2018 to provide free health care advice 24/7. Chronic Disease: - We have partnered with community programs based on patient's health needs and background to provide a network of services and events to educate on chronic diseases. - We have worked to close care gaps for our Banner Health Network Members through adherence to our internal patient care and preventative initiatives. - We have deployed a proactive case management approach and outreach process for our Chronic Disease patients within Banner Health's managed population. - Using a Chronic Disease webpage on our facility website, we increased access to online educational opportunities and resource awareness. - We provide asthma screenings, education, and medication to our pediatric populations through the Banner HealthMobile. Behavioral health: - We are utilizing outpatient services such as Banner Psychiatric Center to deploy telehealth services to patients presenting in the Emergency Department (ED) with mental health and/or substance abuse issues. - We continue to promote use of Doctors on Demand, now Teladoc, for lost cost e-visits and virtual care. - We have a depression screening tool Banner Medical Group uses for both adults and pediatric patients. - We have partnered with Community Bridges, a local not-for profit behavioral health provider, to help align patients to available resources in the community. - Support groups for anxiety, depression, and other mental health issues are offered at Banner Del E. Webb Medical Center. WHILE BANNER HEALTH SEEKS TO IMPROVE ALL HEALTH AND ADDRESS ALL NEEDS OF OUR COMMUNITY, IT IS NOT FEASIBLE OR REALISTIC TO TAKE AN ISOLATED APPROACH TO THOSE ISSUES. WE HAVE COME TO REALIZE THE VALUE OF A COMMUNITY WIDE COLLECTIVE IMPACT APPROACH. THOUGH WE CANNOT ADDRESS ALL THE ISSUES IDENTIFIED IN THE CHNA REPORT, WE ARE BEING PROACTIVE BY PARTNERING WITH THE HEALTH IMPROVEMENT PARTNERSHIPS OF MARICOPA COUNTY TO STRATEGICALLY ADDRESS ISSUES IDENTIFIED IN OUR CHNA REPORT AND COMMON TO OTHER PARTS OF THE COMMUNITY. WE WILL BE LOOKING AT COLLECTIVE IMPACT PARTNERSHIPS IN WHICH WE AGREE UPON COMMON GOALS OR AGENDAS; AGREE UPON MEASURES; MAINTAIN EXCELLENT AND CONTINUOUS COMMUNICATIONS; UTILIZE THE CONTINUED BACKBONE SUPPORT OF MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH; AND BE INTENTIONAL AND REINFORCING WITH THE ACTIVITIES AND STRATEGIES WE COORDINATE. WHILE WE WILL CONTINUE TO OFFER PROGRAMS AND SERVICES WITHIN THE HOSPITAL TO SPECIFICALLY ADDRESS THE TOP ISSUES FOUND IN OUR REPORT, WE WILL NOW SEEK TO UTILIZE THE POWER OF A COMMUNITY-WIDE APPROACH TO ADDRESSING THE OTHER ISSUES FOUND IN OUR CHNA REPORT. WE ARE CURRENTLY IN TALKS WITH THE HIPMC COLLABORATIVE TO DESIGN A STRATEGIC PLAN THAT WILL ADDRESS, NOT ONLY OUR HEALTH NEEDS, BUT THE HEALTH NEEDS OF ALL MARICOPA COUNTY RESIDENTS. An overarching concern from the community via surveys and focus groups was inadequate transportation services, specifically its effects on elderly, disabled, and poor communities. While Banner is not specifically addressing this health concern, there are tactics that have been developed that increase access to healthcare services through Uber/Lyft vouchers in respective markets. (8) BANNER BOSWELL MEDICAL CENTER (A) PRIORITIES 1. ACCESS TO CARE 2. Mental/Behavioral Health 3. CHRONIC DISEASE (B) Impact of Actions Taken Since Preceding CHNA ACCESS TO CARE: - In 2018 4,000 Banner Health patients were supported through Banner services, saving patients a total in $50M in OOP. - Efforts and resources were invested to increase the use of online scheduling for Banner Urgent Care facilities, the results showed a growth from 8% encounters via online scheduling in 2017 to 25% in 2020. - We have expanded our primary care capabilities through Banner Medical Group and aligned physicians. - We promote participation on MyBanner an online patient portal - We have deployed use of our case management services in the ambulatory setting to support continuum of care. - We are partnered with Hospital Patient Services to provide Medicaid enrollment assistance for self-pay patients. - Pediatric services are provided to uninsured and underinsured families through Banner HealthMobile and School-based clinics. - Discharge education and follow up is hard wired in Cerner. - Nurse on call line was developed in early 2018 to provide free health care advice 24/7. Chronic Disease: - We have partnered with community programs based on patient's health needs and background to provide a network of services and events to educate on chronic diseases. - We have worked to close care gaps for our Banner Health Network Members through adherence to our internal patient care and preventative initiatives. - We are promoting Doctors on Demand (now Teladoc) for low cost e-visits and virtual care, including iCare for Chronic Disease care management and in-home and EICU services for acute care. - We have deployed a proactive case management approach and outreach process for our Chronic Disease patients within Banner Health's managed population. - Using a Chronic Disease webpage on our facility website, we increased access to online educational opportunities and resource awareness. - We provide asthma screenings, education, and medication to our pediatric populations through the Banner HealthMobile. Behavioral health: - We are utilizing outpatient services such as Banner Psychiatric Center to deploy telehealth services to patients presenting in the Emergency Department (ED) with mental health and/or substance abuse issues. - We continue to promote use of Doctors on Demand, now Teladoc, for lost cost e-visits and virtual care. - We have a depression screening tool Banner Medical Group uses for both adults and pediatric patients. - We have partnered with Community Bridges, a local not-for profit behavioral health provider, to help align patients to available resources in the community - Support groups for anxiety, depression, and other mental health issues are offered at Banner Boswell Medical Center. WHILE BANNER HEALTH SEEKS TO IMPROVE ALL HEALTH AND ADDRESS ALL NEEDS OF OUR COMMUNITY, IT IS NOT FEASIBLE OR REALISTIC TO TAKE AN ISOLATED APPROACH TO THOSE ISSUES. WE HAVE COME TO REALIZE THE VALUE OF A COMMUNITY WIDE COLLECTIVE IMPACT APPROACH. THOUGH WE CANNOT ADDRESS ALL THE ISSUES IDENTIFIED IN THE CHNA REPORT, WE ARE BEING PROACTIVE BY PARTNERING WITH THE HEALTH IMPROVEMENT PARTNERSHIPS OF MARICOPA COUNTY TO STRATEGICALLY ADDRESS ISSUES IDENTIFIED IN OUR CHNA REPORT AND COMMON TO OTHER PARTS OF THE COMMUNITY. WE WILL BE LOOKING AT COLLECTIVE IMPACT PARTNERSHIPS IN WHICH WE AGREE UPON COMMON GOALS OR AGENDAS; AGREE UPON MEASURES; MAINTAIN EXCELLENT AND CONTINUOUS COMMUNICATIONS; UTILIZE THE CONTINUED BACKBONE SUPPORT OF MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH; AND BE INTENTIONAL AND REINFORCING WITH THE ACTIVITIES AND STRATEGIES WE COORDINATE. WHILE WE WILL CONTINUE TO OFFER PROGRAMS AND SERVICES WITHIN THE HOSPITAL TO SPECIFICALLY ADDRESS THE TOP ISSUES FOUND IN OUR REPORT, WE WILL NOW SEEK TO UTILIZE THE POWER OF A COMMUNITY-WIDE APPROACH TO ADDRESSING THE OTHER ISSUES FOUND IN OUR CHNA REPORT. WE ARE CURRENTLY IN TALKS WITH THE HIPMC COLLABORATIVE TO DESIGN A STRATEGIC PLAN THAT WILL ADDRESS, NOT ONLY OUR HEALTH NEEDS, BUT THE HEALTH NEEDS OF ALL MARICOPA COUNTY RESIDENTS. Minority populations in the Banner Boswell PSA have consistently higher rates of inadequate prenatal health care trends when compared to local Banner facilities and the overall Maricopa County average. While Banner works to increase access to care via a variety of services, we are not working to directly address the needs of this PSA concern. (9) NORTH COLORADO MEDICAL CENTER (A) PRIORITIES 1. ACCESS TO CARE 2. Mental/Behavioral Health 3. CHRONIC DISEASE (B) Impact of Actions Taken Since Preceding CHNA ACCESS TO CARE: - NCMC has offered extended hours for PCP clinics within Banner Medical Group - We have collaborated with other local healthcare resources to align potential patients with services - Our facility has participated in free health activities, including screenings, health fairs, and blood drives - We are continuing to promote participation in MyBanner, our online patient portal - NCMC has implemented Patient Centered Medical Homes in the community Chronic Disease: - We are continuing to work to increase the rate of mammography screenings - NCMC provides chronic disease educational offerings in the community, leveraging our partnerships with community-based organizations to help host and promote these events to a broader community population Behavioral Health: - We have deployed a depression screening tool in Primary Care Provider (PCP) clinics and Pediatric Provider clinics within Banner Medical Group - We are continuing to partner with local behavioral health inpatient facilities to provide acute stabilization care and discharge planning and follow-up for patients who do not have a payer source. - We are opening a 17-bed acute psychiatric stabilization unit for geriatric patients. - We are opening a senior behavioral health outpatient clinic that will provide outpatient psychiatric care for geriatric patients with behavioral health needs. This unit will also provide step-down care for the Inpatient geriatric psychiatric unit to provide a continue of care and to prevent readmission. - We provide psychiatric crisis assessments in all three Banner emergency departments. - We have added tele-psych assessment capability to all three Banner emergency departments. - We participate in local community interagency groups which identify and collaborate regarding services for residents. - We partner with Rocky Mountain Crisis Partners for follow care for at risk patients. - We collaborate with local law enforcement and mobile assessment team to identify behavioral health needs and proper use of resources. Needs Identified but not Prioritized Focus Group participants discussed their concerns regarding inactivity, lifestyle choices, tobacco cessation, and health education in their communities. It was determined that while all are important and addressing these health needs in the long term would have a positive effect on the community's health, the current health priorities were encompassing enough that the listed health needs would be addressed in the upcoming cycle by the three prioritized community health needs. (10) BANNER BAYWOOD MEDICAL CENTER (A) PRIORITIES 1. ACCESS TO CARE 2. Mental/Behavioral Health 3. CHRONIC DISEASE (B) Impact of Actions Taken Since Preceding CHNA ACCESS TO CARE: - In 2018 4,000 Banner Health patients were supported through Banner services, saving patients a total in $50M in OOP. - Efforts and resources were invested to increase the use of online scheduling for Banner Urgent Care facilities, the results showed a growth from 8% encounters via online scheduling in 2017 to 25% in 2020. - Discharge education and follow up is hard wired in Cerner. - As a Level 1 trauma center we have a dedicated ED case manager / Social Worker for ED discharges. - Pediatric services are provided to uninsured and underinsured families through Banner HealthMobile and School-based clinics. Chronic Disease: - BBMC has partnered with community programs based on patient's health needs and background to provide a network of services and events to educate on chronic diseases. - We have worked to close care gaps for our Banner Health Network Members through adherence to our internal patient care and preventative initiatives. - We provided Chronic Disease and health living education through our Smart and Healthy Magazine (began in 2017). - Using a Chronic Disease webpage on our facility website, we increased access to online educational opportunities and resource awareness. - Achieved a system level initiative for chronic care and health management that focuses on chronic care and prevention strategies. Behavioral health: - We have expanded our Behavioral Health services and capabilities through capital investments - We offer a support groups for those who have anxiety, depression, and other mental health issues. WHILE BANNER HEALTH SEEKS TO IMPROVE ALL HEALTH AND ADDRESS ALL NEEDS OF OUR COMMUNITY, IT IS NOT FEASIBLE OR REALISTIC TO TAKE AN ISOLATED APPROACH TO THOSE ISSUES. WE HAVE COME TO REALIZE THE VALUE OF A COMMUNITY WIDE COLLECTIVE IMPACT APPROACH. THOUGH WE CANNOT ADDRESS ALL THE ISSUES IDENTIFIED IN THE CHNA REPORT, WE ARE BEING PROACTIVE BY PARTNERING WITH THE HEALTH IMPROVEMENT PARTNERSHIPS OF MARICOPA COUNTY TO STRATEGICALLY ADDRESS ISSUES IDENTIFIED IN OUR CHNA REPORT AND COMMON TO OTHER PARTS OF THE COMMUNITY. WE WILL BE LOOKING AT COLLECTIVE IMPACT PARTNERSHIPS IN WHICH WE AGREE UPON COMMON GOALS OR AGENDAS; AGREE UPON MEASURES; MAINTAIN EXCELLENT AND CONTINUOUS COMMUNICATIONS; UTILIZE THE CONTINUED BACKBONE SUPPORT OF MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH; AND BE INTENTIONAL AND REINFORCING WITH THE ACTIVITIES AND STRATEGIES WE COORDINATE. WHILE WE WILL CONTINUE TO OFFER PROGRAMS AND SERVICES WITHIN THE HOSPITAL TO SPECIFICALLY ADDRESS THE TOP ISSUES FOUND IN OUR REPORT, WE WILL NOW SEEK TO UTILIZE THE POWER OF A COMMUNITY-WIDE APPROACH TO ADDRESSING THE OTHER ISSUES FOUND IN OUR CHNA REPORT. WE ARE CURRENTLY IN TALKS WITH THE HIPMC COLLABORATIVE TO DESIGN A STRATEGIC PLAN THAT WILL ADDRESS, NOT ONLY OUR HEALTH NEEDS, BUT THE HEALTH NEEDS OF ALL MARICOPA COUNTY RESIDENTS. Survey respondents in Maricopa County overwhelmingly identified substance abuse as a health concern in their communities. While Banner has chosen not to have a Significant Health Need focus directly on substance abuse, strategies and tactics within the Behavioral Health significant health need focus on areas that involve substance abuse. (11) BANNER UNIVERSITY MEDICAL CENTER - South (A) PRIORITIES 1. Behavioral Health 2. Obesity & Related Chronic Diseases 3. Access to Services (B) IMPACT OF ACTIONS TAKEN SINCE PRECEDING CHNA Addressing the Opioid Epidemic The collaborative approach between hospitals, public health, health centers and community organizations that Pima County stakeholders have undertaken since the enactment of the Affordable Care Act has enabled these organizations to identify collective actions to address the community's most pressing health needs. For example, in 2013, stakeholders agreed to collectively address access to care as measured by the number of individuals enrolled in health insurance. In 2015, the Pima County Community Health Needs Assessment identified opioid dependency and substance abuse disorder as emerging health needs in the county. Substance abuse disorder had escalated as a community health need and the opioid epidemic had elevated to a top priority. To begin to better understand this community health need, the assessment planning group joined with the Mayor Jonathon Rothschild Healthcare Sector Partnership Taskforce on community collaboration to better understand the problem in the region. To promote that understanding, a community visioning session was held in February 2017 with 75 community participants, including first responders, healthcare providers, public health officials, and general community members impacted by the epidemic. The group prioritized the following areas of focus: decreasing the number of opioid prescriptions, more treatment sites and services to accommodate an increase in those needing treatment, and education for health professionals and the broader community. The group also identified the importance of maintaining access to health coverage provided by the Affordable Care Act and support from elected officials and community leaders. As a community, what was learned was used to inform work addressing the opioid epidemic. Numerous professional development and community health symposiums have been held on the topic to educate care providers. Providers have worked with local, state and federal officials to develop public policy to decrease prescribing and increase access to services; and individual health systems have developed programs to address this critical community health need. Like much of the nation, a significant decline in rates of opioid abuse and misuse in Pima County has not been seen and it continues to be identified as a community health need in the 2018 CHNA. By shining the light on the epidemic, the beginnings of community infrastructure have been built to both prevent future addictions and provide a path to recovery for those seeking it. The problem was years in the making and will require a similar long-term focus to significantly reduce the rate of opioid use and misuse across Pima County. While nonprofit hospitals are required to develop system-specific plans to address the key health needs identified by the CHNA, the value of taking a collective impact approach to address key health needs cannot be overstated. System-specific plans can be found on each nonprofit hospital's respective websites. (12) BANNER HEART HOSPITAL (A) PRIORITIES 1. ACCESS TO CARE 2. Mental/Behavioral Health 3. CHRONIC DISEASE (B) Impact of Actions Taken Since Preceding CHNA ACCESS TO CARE: - In 2018 4,000 Banner Health patients were supported through Banner services, saving patients a total in $50M in OOP. - Efforts and resources were invested to increase the use of online scheduling for Banner Urgent Care facilities, the results showed a growth from 8% encounters via online scheduling in 2017 to 25% in 2020. - We have expanded our primary care capabilities through Banner Medical Group and aligned physicians. - Discharge education and follow up is hard wired in Cerner. - We have deployed use of our case management services in the ambulatory setting to support continuum of care. - Pediatric services are provided to uninsured and underinsured families through Banner HealthMobile and School-based clinics. - Nurse on call line was developed in early 2018 to provide free health care advice 24/7. - We are partnered with East Valley Senior Center to implement and support the Sustainability Program for seniors. Chronic Disease: - We have partnered with community programs based on patient's health needs and background to provide a network of services and events to educate on chronic diseases. - We have worked to close care gaps for our Banner Health Network Members through adherence to our internal patient care and preventative initiatives. - We provide Chronic Disease and healthy living education through publication of Smart and Healthy Magazine (initiated in 2017). - Using a Chronic Disease webpage on our facility website, we increased access to online educational opportunities and resource awareness. - We have achieved Banner Health's strategic initiatives for care and health management that focuses on chronic care and preventative strategies Behavioral health: - We continue to promote use of Doctors on Demand, now Teladoc for lost cost e-visits and virtual care. - We have a depression screening tool Banner Medical Group uses for both adults and pediatric patients. - Support groups for anxiety, depression, and other mental health issues are offered at Banner Heart Hospital. WHILE BANNER HEALTH SEEKS TO IMPROVE ALL HEALTH AND ADDRESS ALL NEEDS OF OUR COMMUNITY, IT IS NOT FEASIBLE OR REALISTIC TO TAKE AN ISOLATED APPROACH TO THOSE ISSUES. WE HAVE COME TO REALIZE THE VALUE OF A COMMUNITY WIDE COLLECTIVE IMPACT APPROACH. THOUGH WE CANNOT ADDRESS ALL THE ISSUES IDENTIFIED IN THE CHNA REPORT, WE ARE BEING PROACTIVE BY PARTNERING WITH THE HEALTH IMPROVEMENT PARTNERSHIPS OF MARICOPA COUNTY TO STRATEGICALLY ADDRESS ISSUES IDENTIFIED IN OUR CHNA REPORT AND COMMON TO OTHER PARTS OF THE COMMUNITY. WE WILL BE LOOKING AT COLLECTIVE IMPACT PARTNERSHIPS IN WHICH WE AGREE UPON COMMON GOALS OR AGENDAS; AGREE UPON MEASURES; MAINTAIN EXCELLENT AND CONTINUOUS COMMUNICATIONS; UTILIZE THE CONTINUED BACKBONE SUPPORT OF MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH; AND BE INTENTIONAL AND REINFORCING WITH THE ACTIVITIES AND STRATEGIES WE COORDINATE. WHILE WE WILL CONTINUE TO OFFER PROGRAMS AND SERVICES WITHIN THE HOSPITAL TO SPECIFICALLY ADDRESS THE TOP ISSUES FOUND IN OUR REPORT, WE WILL NOW SEEK TO UTILIZE THE POWER OF A COMMUNITY-WIDE APPROACH TO ADDRESSING THE OTHER ISSUES FOUND IN OUR CHNA REPORT. WE ARE CURRENTLY IN TALKS WITH THE HIPMC COLLABORATIVE TO DESIGN A STRATEGIC PLAN THAT WILL ADDRESS, NOT ONLY OUR HEALTH NEEDS, BUT THE HEALTH NEEDS OF ALL MARICOPA COUNTY RESIDENTS. An overarching concern from the community via surveys and focus groups was inadequate transportation services, specifically it's effects on elderly, disabled, and poor communities. While Banner is not specifically addressing this health concern, there are tactics that have been developed that increase access to healthcare services through Uber / Lyft vouchers in respective markets. (13) BANNER MCKEE MEDICAL CENTER (A) PRIORITIES 1. ACCESS TO CARE 2. CHRONIC DISEASE 3. Substance Abuse (B) Impact of Actions Taken Since Preceding CHNA ACCESS TO CARE: - We offer extended hours of Primary Care Provider (PCP) clinics within Banner Medical Group - We collaborate with other local healthcare resources to align potential patients with our services - MMC offers and participates in free health activities for the community, including health screenings, and health fairs - McKee Medical Center continues to promote participation in MyBanner, our online patient portal - We have implemented patient centered medical homes in our community, via Banner Medical Group. Chronic Disease: - MMC continues to work to increase our mammography screenings - We provide chronic disease educational offerings in the community, leveraging our partnerships with community-based organizations to help host and promote the events to a broader community population Behavioral Health: - We have deployed a depression screening tool in Primary Care Provider (PCP) clinics and Pediatric Provider clinics within Banner Medical Group. - We are continuing to partner with local behavioral health inpatient facilities to provide acute stabilization care and discharge planning and follow-up for patients who do not have a payer source. - We are opening a 17-bed acute psychiatric stabilization unit for geriatric patients. - We are opening a senior behavioral health outpatient clinic that will provide outpatient psychiatric care for geriatric patients with behavioral health needs. This unit will also provide step-down care for the Inpatient geriatric psychiatric unit to provide a continue of care and to prevent readmission. - We provide psychiatric crisis assessments in all three Banner emergency departments. - We have added tele-psych assessment capability to all three Banner emergency departments. - We participate in local community interagency groups which identify and collaborate regarding services for residents. - We partner with Rocky Mountain Crisis Partners for follow care for at risk patients. - We collaborate with local law enforcement and mobile assessment team to identify behavioral health needs and proper use of resources. (14) BANNER CASA GRANDE MEDICAL CENTER (A) PRIORITIES: 1. ACCESS TO CARE 2. CHRONIC DISEASE 3. BEHAVIORAL HEALTH (B) NEEDS IDENTIFIED BUT NOT PRIORITIZED Other health needs that were identified but not prioritized focus on other areas of behavioral health, such as overdose and addiction. Banner Health believes that by addressing behavioral health needs these other non-prioritized health needs will be recognized. Additionally, participants in surveys and facilitated conversations identified incarceration as a health priority for the community, Banner opted out of using this as a health need due to the lack of direct impact Banner Health can make in this area. Impact of Actions Taken Since Preceding CHNA Implementation Strategies for Banner Casa Grande Medical Center Primary Service Area Significant Need #1: Access to Care Financial assistance in the form of . Discounted rates for self-pay patients . Prompt pay discounts . Payment plan options - including interest free availability Financing availability . Implementation of Banner Curae line of credit Helping patients when applying for state programs (AHCCCS, unemployment, etc.) . IHMS vender on site Significant Health Need #2: Chronic Disease (Diabetes / Heart Disease) . Our Respiratory Department hosts a better breather club monthly for COPD management . MD's provided lunch and learns for the community on different topics monthly Significant Need #3: Behavioral Health (Mental Health & Substance Abuse) . Changed from one individual Mental Health Professional to a group (CPR) for 24/7 behavioral health screening. Opened outpatient Behavioral Health Services on campus. (15) BANNER IRONWOOD MEDICAL CENTER (A) PRIORITIES 1. ACCESS TO CARE 2. CHRONIC DISEASE 3. BEHAVIORAL HEALTH (SUBSTANCE ABUSE, DEPRESSION, BEHAVIORAL HEALTH) (B) IMPACT OF ACTIONS TAKEN SINCE PRECEDING CHNA Access to Care: - There are two Banner Health Centers with primary care providers as well as specialists, one of which is in Queen Creek. The other is located on the Banner Ironwood Campus. - There are two Banner Urgent Care locations in San Tan Valley. - A representative is available on the Ironwood campus to help patients determine eligibility and apply for AHCCCS. - Banner Ironwood Community of Care Brochures were created and are being handed out through partnerships with local Realtors to new residents of the area to ensure they know where primary care, urgent care and the hospital are located in their community. Chronic Disease: - Case Management, the ED providers and Hospitalist team ensure follow up appointments are scheduled with a primary care provider or specialist as needed. - Banner Ironwood Medical Center participates in many community events such as the Roots N Boots Rodeo where we share resources on how to access care and how to live a healthy lifestyle. Behavioral Health: - Through the partnership with the Town of Queen Creek, Banner Ironwood sponsored several community forums hosted at the Town Council Chambers for the community. The first was moderated by Ironwood's CEO on the topic of Teen Suicide Prevention. A Banner Health Mental Health Professional served as a member of this initial panel. - Partnerships have begun to be formed with community mental health providers to facilitate a warm handoff back into the community after emergent care is sought. - Enhancement of partnership with Banner Tele Behavioral health and Crisis P Response to improve evaluation, treatment planning and facilitate transfer of patients qualifying for inpatient care. Needs Identified but not Prioritized Other health needs that were identified but not prioritized focus on other areas of behavioral health, such as overdose and addiction. Banner Health believes that by addressing behavioral health needs these other non-prioritized health needs will be recognized. Additionally, participants in surveys and facilitated conversations identified incarceration as a health priority for the community, Banner opted out of using this as a health need due to the lack of direct impact Banner Health can make in this area. (16) STERLING REGIONAL MEDICAL CENTER (A) PRIORITIES 1. ACCESS TO CARE 2. CHRONIC DISEASE 3. BEHAVIORAL HEALTH/SUBSTANCE ABUSE (B) Impact of Actions Taken Since Preceding CHNA ACCESS TO CARE: - We work with other healthcare resources to increase and improve access to care. - We have developed educational materials to educate our patients and the community on the insurance marketplace. - We participate and offer health activities in the community. - Yes, we are continuing to promote utilization of our MyBanner portal, our online patient portal. - In 2015 our Banner Health Clinic was opened, and we continue to support the facility in order to expand access to PCP's for our patients. Chronic Disease: - We are continuing to work to increase mammography screening at our facility - We provide educational offerings to the community, and work with our partners to educate our broader community on chronic disease. Behavioral health: - We use the depression screening tool with both our adult and pediatric patients in our Primary Care Provider clinics. - Our mental health and substance abuse webpage, with information and resources is utilized by our patients Needs Identified but not Prioritized Focus Group participants brought up care transitions, social determinants of health, and perinatal care as other health priorities. However, since some were able to be addressed in the other health priorities, such as social determinants of health in health access, participants decided these priorities were not something they felt should be addressed at this time. (17) BANNER BEHAVIORAL HEALTH HOSPITAL (A) PRIORITIES 1. ACCESS TO CARE 2. BEHAVIORAL HEALTH/SUBSTANCE ABUSE 3. CHRONIC DISEASE (B) Impact of Actions Taken Since Preceding CHNA ACCESS TO CARE: - In 2018 4,000 Banner Health patients were supported through Banner services, saving patients a total in $50M in OOP. - Efforts and resources were invested to increase the use of online scheduling for Banner Urgent Care facilities, the results showed a growth from 8% encounters via online scheduling in 2017 to 25% in 2020. - Discharge education and follow up is hard wired in Cerner. - Case managers are available to cover the ED. - Pediatric services are provided to uninsured and underinsured families through Banner HealthMobile and School-based clinics. Chronic Disease: - BBHH has partnered with community programs based on patient's health needs and background to provide a network of services and events to educate on chronic diseases. - We have worked to close care gaps for our Banner Health Network Members through adherence to our internal patient care and preventative initiatives. - Using a Chronic Disease webpage on our facility website, we increased access to online educational opportunities and resource awareness. Behavioral health: - Services and support are offered to those in crisis through Behavioral Health Pavilion. - We have expanded our Behavioral Health services and capabilities through capital investments - We have a depression screening tool Banner Medical Group uses for both adults and pediatric patients. - We offer a support groups for those who have anxiety, depression, and other mental health issues. WHILE BANNER HEALTH SEEKS TO IMPROVE ALL HEALTH AND ADDRESS ALL NEEDS OF OUR COMMUNITY, IT IS NOT FEASIBLE OR REALISTIC TO TAKE AN ISOLATED APPROACH TO THOSE ISSUES. WE HAVE COME TO REALIZE THE VALUE OF A COMMUNITY WIDE COLLECTIVE IMPACT APPROACH. THOUGH WE CANNOT ADDRESS ALL THE ISSUES IDENTIFIED IN THE CHNA REPORT, WE ARE BEING PROACTIVE BY PARTNERING WITH THE HEALTH IMPROVEMENT PARTNERSHIPS OF MARICOPA COUNTY TO STRATEGICALLY ADDRESS ISSUES IDENTIFIED IN OUR CHNA REPORT AND COMMON TO OTHER PARTS OF THE COMMUNITY. WE WILL BE LOOKING AT COLLECTIVE IMPACT PARTNERSHIPS IN WHICH WE AGREE UPON COMMON GOALS OR AGENDAS; AGREE UPON MEASURES; MAINTAIN EXCELLENT AND CONTINUOUS COMMUNICATIONS; UTILIZE THE CONTINUED BACKBONE SUPPORT OF MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH; AND BE INTENTIONAL AND REINFORCING WITH THE ACTIVITIES AND STRATEGIES WE COORDINATE. WHILE WE WILL CONTINUE TO OFFER PROGRAMS AND SERVICES WITHIN THE HOSPITAL TO SPECIFICALLY ADDRESS THE TOP ISSUES FOUND IN OUR REPORT, WE WILL NOW SEEK TO UTILIZE THE POWER OF A COMMUNITY-WIDE APPROACH TO ADDRESSING THE OTHER ISSUES FOUND IN OUR CHNA REPORT. WE ARE CURRENTLY IN TALKS WITH THE HIPMC COLLABORATIVE TO DESIGN A STRATEGIC PLAN THAT WILL ADDRESS, NOT ONLY OUR HEALTH NEEDS, BUT THE HEALTH NEEDS OF ALL MARICOPA COUNTY RESIDENTS. Survey respondents in Maricopa County overwhelmingly identified substance abuse as a health concern in their communities. While Banner has chosen not to have a Significant Health Need focus directly on substance abuse, strategies and tactics within the Behavioral Health significant health need focus on areas that involve substance abuse. (18) BANNER FORT COLLINS MEDICAL CENTER (A) PRIORITIES 1. ACCESS TO CARE 2. CHRONIC DISEASE MANAGEMENT, WITH A FOCUS ON DIABETES AND HEART DISEASE 3. BEHAVIORAL HEALTH, INCLUDING MENTAL HEALTH AND SUBSTANCE ABUSE (B) IMPACT OF ACTIONS TAKEN SINCE PRECEDING CHNA Access to Care: - BFCMC has offered and participated in free health activities for the community including screenings, health fairs, and blood drivers - Banner Fort Collins promotes participation in the Banner Health online patient portal. Chronic Disease: - We continue to work to increase the rate of mammography screenings. Behavioral health: - BFCMC promotes the use of Doctors on Demand (new partner is Teladoc) for low-cost e-visits and virtual care for behavioral health access - Deployed depression screening tool in Primary Care Provider (PCP) clinics and Pediatric Provider clinics within Banner Medical Group - We are continuing to partner with local behavioral health inpatient facilities to provide acute stabilization care and discharge planning and follow-up for patients who do not have a payer source. - We are opening a 17-bed acute psychiatric stabilization unit for geriatric patients. - We are opening a senior behavioral health outpatient clinic that will provide outpatient psychiatric care for geriatric patients with behavioral health needs. This unit will also provide step-down care for the Inpatient geriatric psychiatric unit to provide a continue of care and to prevent readmission. - We provide psychiatric crisis assessments in all three Banner emergency departments. - We have added tele-psych assessment capability to all three Banner emergency departments. - We participate in local community interagency groups which identify and collaborate regarding services for residents. - We partner with Rocky Mountain Crisis Partners for follow care for at risk patients. - We collaborate with local law enforcement and mobile assessment team to identify behavioral health needs and proper use of resources. Needs Identified but not Prioritized Focus Group participants discussed their concerns regarding inactivity, lifestyle choices, tobacco cessation, and health education in their communities. It was determined that while all are important and addressing these health needs in the long term would have a positive effect on the community's health, the current health priorities were encompassing enough that the listed health needs would be addressed in the upcoming cycle by the three prioritized community health needs. (19) BANNER CHURCHILL COMMUNITY HOSPITAL (A) PRIORITIES 1. ACCESS TO CARE 2. CHRONIC DISEASE 3. BEHAVIORAL HEALTH/SUBSTANCE ABUSE (B) IMPACT OF ACTIONS TAKEN SINCE PRECEDING CHNA Access to Care: - We offer a Same Day Sick clinic - We are continuing to work with other healthcare resources to increase and improve access to care. - We have continued to provide resources to patients to access and learn about the insurance marketplace. - We participate and offer health activities in the community through Wellness Labs, Blood Drives and Safe Kids Days (Kids Health Fait). BCCH has recently added Cardiopulmonary Rehabilitation, 3-D Mammography and Tomosynthesis to our facility offerings. - We are continuing to promote utilization of our MyBanner, our online patient portal. - Provide post-discharge scheduling of follow-up appointments and transportation assistance, where appropriate Chronic Disease: - We have worked to increase the rate of mammography screenings - We continue to promote our Chronic Disease webpage on the facility website to increase educational opportunities and resource awareness - We offer clinic screenings which offers Fall Risk Assessments, HGB A1C screenings, Colonoscopy Screenings (direct access scheduling of endoscopy procedure), and Mammography Screenings (direct access scheduling) Behavioral health: - We continue to utilize Teladoc to increase access to behavioral health care that is cost effective. - We continue to use the depression screening tool with both our adult and pediatric patients. Needs Identified but not Prioritized Focus groups identified additional health needs in the community, patients facing financial difficulty and a need for more activities in the community were both identified. However, since both were not health needs that BCCH could address solely on their own it was determined that Banner Churchill Community Hospital would not work on these health needs at this time. (20) BANNER PAYSON MEDICAL CENTER (A) PRIORITIES 1. ACCESS TO CARE 2. CHRONIC DISEASE MANAGEMENT 3. BEHAVIORAL HEALTH (SUBSTANCE ABUSE, DEPRESSION, BEHAVIORAL HEALTH) (B) IMPACT OF ACTIONS TAKEN SINCE PRECEDING CHNA Access to Care: - Promoted use of Banner Urgent Care to enhance access to lower-cost care for non-emergent issues. - Expanded Primary Care capabilities through Banner Medical Group and aligned physicians. - Promoted use of Doctors on Demand for low cost e-visits and virtual care. - Offering extended hours of Primary Care Provider clinics within Banner Medical Group. - Continue the promotion of the online patient portal. - Assigned dedicated case managers to the ED to support the discharge process and continuum of care. - Deployed case management services in the ambulatory setting to support the continuum of care. - Partnered with Hospital patient services to provide Medicaid enrollment assistance for self-pay patients. - Providing post discharge education for high utilizers where appropriate. - Leveraging the Banner Health Network Member Experience Center to direct care efficiently and effectively - Implemented universal cost reduction to continue to address cost of care. Chronic Disease: - Providing relevant chronic disease educational offerings in the community, leveraging partnerships with community-based organizations to help host and promote the events to a broader community population - Added Cardiac Rehabilitation services - Closing the gaps of for BHN members through adherence to patient care and preventative initiatives. - Promote Teladoc for low-cost e-visits and virtual care, including iCare for chronic care management and in-home and eICU services for acute care - Providing chronic disease and healthy living education through publication of Smart & Healthy Magazine - Deployed a proactive case management approach and outreach for chronic disease patients within Banner Health managed populations. - Implemented BHN High Value Networks for specialty care including cardiology, oncology, orthopedics, imaging, and neurology. - Implemented free diabetes education class for the community. Behavioral Health: - Mental health counseling provided at Cardiac Rehabilitation - Work with substance abuse centers in the community to bridge care from the ED to the community. - Expand services and capabilities through Banner Behavioral Health capital investments. - Deployed depression screening tool in Primary Care Provider clinics and Pediatric Provider clinics within Banner Medical Group - Partner with Community Bridges, a local not-for profit behavioral health provider, to help align patients to available resources in the community. - Offer support groups for anxiety, depression, and other mental health issues. Needs Identified but not Prioritized Other health needs that were identified but not a prioritized focus for Banner Health's Implementation Strategies included aging, however chronic disease and access to care area two areas where the needs of an aging community are being focused on by Banner Health. Survey respondents also identified drug and alcohol abuse as a health problem in their community - this is an area where the health need for Behavioral Health is addressing via counseling, screening and other opioid prevention/reduction strategies. (21) BANNER LASSEN MEDICAL CENTER - CRITICAL ACCESS (A) PRIORITIES 1. ACCESS TO CARE 2. CHRONIC DISEASE 3. BEHAVIORAL HEALTH/SUBSTANCE ABUSE (B) IMPACT OF ACTIONS TAKEN SINCE PRECEDING CHNA Access to Care: - Developed the Lassen Healthcare Collaborative - Collaboration with other local healthcare resources to align patients with services. - We have implemented a service of offering educational materials and links to community resources related to the insurance marketplace. - Free health activities continue to be scheduled and attended by the community. - We are continuing to promote participation in MyBanner, our online patient portal. Chronic Disease: - We continue to work towards increasing the rate of mammography screenings. - Banner Lassen works with the community in providing educational programs to educate the community on chronic disease. - We provided manicures, Massages, and Mammograms in helping our patients have a holistic approach to managing their health needs. Behavioral health: - No implemented Banner Health identified tactics to achieve this strategy. Needs Identified but not Prioritized The focus group identified the following as additional areas of health needs: oral care, including caries and dental care education; the homeless population, and their access to health services and preventative health programs; lack of daycare services, specifically infant care; lack of transportation; and, lack of housing in the community. Because some of these health needs were being addressed through strategies and tactics within the prioritized health needs or were areas where Banner Lassen Medical Center could not address the health need solely, the focus group decided not to focus on these health needs at this time. (22) EAST MORGAN HOSPITAL (A) PRIORITIES 1. ACCESS TO CARE 2 CHRONIC DISEASE 3. MENTAL/BEHAVIORAL HEALTH (B) IMPACT OF ACTIONS TAKEN SINCE PRECEDING CHNA Access to Care: - We have extended our hours and patients have utilized the additional time. - We are working with other healthcare resources to increase and improve local access to care - EMCH developed educational materials to educate our patients and community on the insurance marketplace while also working to distribute information around the community. - Our facility participates in free health activities, offering wellness screenings and blood drives. - We are continuing to promote utilization of MyBanner, our online patient portal. - We have implemented post-discharge scheduling to follow-up on appointments and provide transportation assistance, where appropriate Chronic Disease: - We have increased promotional items, marketing and events, and provide giveaways in October to increase mammography screenings. - We provide a chronic disease support groups for our patients. - Educational offerings to the community are provided, we work with our partners to educate our broader community on chronic disease. Behavioral Health: - We have deployed a depression screening tool in our PCP and Pediatric Provider clinics within Banner Medical Group. - We continue to promote our Mental Health and Substance Abuse webpage to provide information and resources to our patients and community. Needs Identified but not Prioritized Focus group participants wanted to focus specifically on vaping, specifically youth and their utilization of e-tobacco products. Since vaping falls into the health priority of behavioral health, it was decided not to focus on specifically at this time. (23) WASHAKIE MEDICAL CENTER (A) PRIORITIES 1. ACCESS TO CARE 2. CHRONIC DISEASE 3. BEHAVIORAL HEALTH/SUBSTANCE ABUSE (B) IMPACT OF ACTIONS TAKEN SINCE PRECEDING CHNA Access to Care: - Yes, we have extended our hours for PCP clinics. - We are collaborating with other local healthcare resources to align our patients with the services that are available in the community. - We are actively participating in health activities that are free to the public. - WMC continues to promote MyBanner to patients, our online patient portal. Chronic Disease: - We have worked to increase the rate of mammography screenings. - We provide chronic disease educational offerings in the community by leveraging our partnerships with community-based organizations to help host and promote and reach out to potential partners. Behavioral health: - We have deployed our depression screening tool in Primary Care Provider (PCP) clinics and Pediatric Provider clinics within Banner Medical Group Needs Identified but not Prioritized Focus group participants also identified Women's Health, e-vaping, and hospice care as health needs for the community. However, they felt they were not health needs that should be addressed at this time, and health needs, such as e-vaping would indirectly be addressed in the behavioral health priority. (24) COMMUNITY HOSPITAL - TORRINGTON (A) PRIORITIES 1. ACCESS TO CARE 2. CHRONIC Disease 3. BEHAVIORAL HEALTH/SUBSTANCE ABUSE (B) IMPACT OF ACTIONS TAKEN SINCE PRECEDING CHNA Access to Care: - We are continuing to work with other healthcare resources to increase and improve access to care. - Torrington Community Hospital participates in and offers health activities in the community through Blood Drives and Safe Kids Days (Kids Health Fair) - We promote use of MyBanner, our online patient portal. Chronic Disease: - Torrington Community Hospital continues to work to increase our rate of mammography screenings through increasing promotional items, marketing, and events and providing giveaways in October. - Chronic Disease support groups are provided to our patients. - Educational offerings are provided to the community to educate and broaden the community on chronic disease. Behavioral health: - We utilize Teladoc to increase access to behavioral health care that is cost effective. - We use a depression screening tool with both our adult and pediatric patients - We have a webpage available to provide information and resources regarding mental health and substance abuse. Needs Identified but not Prioritized Focus group participants identified the aging of the community and the need for additional resources for wellness and preventative care as other health needs in the community. The 2020 Implementation Strategies specifically focuses on wellness and preventative care in the health need of chronic disease, and aging was also going to be partially addressed through access to care and behavioral health, thus it was determined that it did not to be focused on as its own health need at this time. (25) OGALLALA COMMUNITY HOSPITAL (A) PRIORITIES 1. ACCESS TO CARE 2. CHRONIC DISEASE 3. BEHAVIORAL HEALTH/SUBSTANCE ABUSE B) IMPACT OF ACTIONS TAKEN SINCE PRECEDING CHNA Access to Care: - We have collaborated with other local healthcare resources to align patients with services. - We offer educational materials and links to community resources related to the insurance marketplace - OCH continues to offer and participate in free health activities such as screenings and blood drives. - We continue to promote MyBanner, our online patient portal. Chronic Disease: - We have 3D mammography now in place. - We promote our Chronic Disease webpage on the facility website to increase the educational opportunities and resource awareness. Behavioral health: - We are using Banner Health's depression screening tool in primary care provider clinics and pediatric provider clinics within Banner Medical Group - We promote our Behavioral Health webpage with resources and information for Mental Health and Substance Abuse. Needs Identified but not Prioritized Focus Group participants identified e-cigarette use, specifically youth and their utilization of the e-tobacco product, as a health priority. Since vaping falls into the priority of substance abuse / behavioral health, it was decided not to focus on at this time. (26) BANNER GOLDFIELD MEDICAL CENTER (A) PRIORITIES: 1. ACCESS TO CARE 2. CHRONIC DISEASE MANAGEMENT 3. BEHAVIORAL HEALTH (B) NEEDS IDENTIFIED BUT NOT PRIORITIZED: Other health needs that were identified but not prioritized focus on other areas of behavioral health, such as overdose and addiction. Banner Health believes that by addressing behavioral health needs these other non-prioritized health needs will be recognized. Additionally, participants in surveys and facilitated conversations identified incarceration as a health priority for the community, Banner opted out of using this as a health need due to the lack of direct impact Banner Health can make in this area. Impact of Actions Taken Since Preceding CHNA Implementation Strategies for Banner Goldfield Medical Center Primary Service Area Significant Need #1: Access to Care . There are two Banner Health Centers in this market. One in East Mesa with primary care providers as well as specialists and the other with Pediatric primary care providers in Apache Junction. . There is a Banner Urgent Care location in East Mesa. . Banner Goldfield Community of Care Brochures were created and are being handed out through partnerships with local Realtors to new residents of the area to ensure they know where primary care, urgent care and the hospital are all located in their community. Significant Health Need #2: Chronic Disease (Diabetes / Heart Disease) . Case Management, the ED providers and Hospitalist team ensure follow up appointments are scheduled with a primary care provider or specialist as needed. . Banner Goldfield Medical Center participates in many community events such as the Lost Dutchman Days where we share resources on how to access care and how to live a healthy lifestyle. Significant Need #3: Behavioral Health (Mental Health & Substance Abuse) . Through the partnership with Apache Junction, Banner Ironwood sponsored several community forums hosted at the Town Council Chambers for the community. The first was moderated by Ironwood's CEO on the topic of Teen Suicide Prevention. A Banner Health Mental Health Professional served as a member of this initial panel. . Partnerships have begun to be formed with community mental health providers to facilitate a warm handoff back into the community after emergent care is sought. . Enhancement of partnership with Banner Tele Behavioral health and Crisis P Response to improve evaluation, treatment planning and facilitate transfer of patients qualifying for inpatient care. (27) PAGE HOSPITAL (A) PRIORITIES 1. ACCESS TO CARE 2. CHRONIC DISEASE 3. MENTAL/BEHAVIORAL HEALTH (B) IMPACT OF ACTIONS TAKEN SINCE PRECEDING CHNA Access to Care: - The facility continues to promote participation to MyBanner, our online patient portal, to patients. Utilization is currently at 8.2%, an increase from 4% in 2017. - We have assigned case managers to cover ED and inpatient cases to support the discharge process and continuum of care. - We have contracted with Integrated Healthcare Management Services, to provide assistance for self-pay patients, they have an office onsite at our hospital. - We provide post-discharge education to our high utilizers where appropriate. - We provide chronic disease educational offerings in the community, leveraging partnerships with community stakeholders through Community Wellness Collaborative with Canyonlands Healthcare and Encompass Health Services Chronic Disease: - We provide relevant chronic disease educational offerings in the community, leveraging partnerships with community-based organizations to help host and promote the events to the broader community population. - We continue to adhere to the patient care and preventative initiates to close care gaps for our BHN members. - Page Hospital promotes use of Doctors on Demand (new partner is Teladoc) for low-cost e-visits and virtual care, including iCare for chronic care management and in-home and E-ICU services for acute care. - We provide a subscription service for chronic disease and health living through the Smart and Healthy Magazine. - We developed a plan to reach out to our chronic disease patient population through proactive case management. - Our Chronic Disease webpage is promoted to our patients to provide an educational opportunity and resource awareness. - We implemented Banner Health Network High Value Networks for specialty care including cardiology, oncology, and orthopedics, imaging, and neurology Behavioral health: - We promote the use of Doctors on Demand (new partner is Teladoc) for low-cost e-visits and virtual care. - We provided support groups to our patients for behavioral health needs such as anxiety, depression, and other mental health needs Needs Identified but not Prioritized The focus groups discussed a high need in their PSA being lack of access to a skilled nursing facility, the closed two are 70 and 120 miles away. It was decided that while this is a concern, it was determined that the CHNA will not focus on this need at this time. (28) PLATTE COUNTY MEMORIAL HOSPITAL (A) PRIORITIES 1. ACCESS TO CARE 2. CHRONIC DISEASE 3. BEHAVIORAL HEALTH/SUBSTANCE ABUSE (B) IMPACT OF ACTIONS TAKEN SINCE PRECEDING CHNA Access to Care: - PCMH collaborates with local health care resources to align patients with services. - PCMH offers and participates in free health activities in the community - We continue to promote and encourage us of MyBanner, our online patient portal. - The Banner team works very hard to partner with our providers to recruit and retain additional healthcare providers. The team works with community partners to ensure that any candidate interested in the area gets a tour of our community, the school systems, real estate and other benefits of becoming a resident of Platte County. - The CHNA Advisory group created a Community Health Resource Directory which is free to any community member and has been shared with community partners and anyone asking to know more about local healthcare resources. - Our healthcare team follows up with all patients with a discharge phone call to ensure they understand their discharge instructions, how to take the medications they have been prescribed, and ensure they understand when their follow up appointment is. - We have created a team that will be developing a provider pain plan. Chronic Disease: - Our radiology team has partnered with several resources in an effort to offer free or reduced mammograms for those who qualify. - We have a Chronic Disease webpage that promotes further education and provides resources to our patients. - We continue to evaluate the need for the hospital to provide additional resources to support the programs that are already in place through these community partners. Behavioral health: - We have a contract for the tele-psych services in the ED and are working on a contract with an outpatient group for additional outpatient tele-psych services. - Banner Total Care will be implemented by the end of 2020. This is a screening process that allows providers to refer at risk patients for additional services to follow up on depression. Needs Identified but not Prioritized All community needs that were brought forward fell within one of the three health priorities; the team agreed to work on all topics since they fit in those areas. For example, the team discussed quality of life for seniors, it was identified that this topic fell within the Chronic Disease and Behavioral Health priority. Vaccination rates were also discussed, and the team identified that this was related to Access to Care. The team also discussed the lack of prenatal care and continuity of postnatal care with community partners, this topic also fell under the Access to Care priority. (29) BANNER OCOTILLO MEDICAL CENTER No prior CHNA, hospital facility licensed in the current tax year or the immediately preceding tax year. (30) BANNER REHAB WEST No prior CHNA, hospital facility licensed in the current tax year or the immediately preceding tax year. (31) BANNER REHAB PHOENIX No prior CHNA, hospital facility licensed in the current tax year or the immediately preceding tax year. THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 16A-C APPLIES TO ALL HOSPITAL FACILITIES: THE FAP, APPLICATION, AND PLAIN LANGUAGE SUMMARY ARE AVAILABLE AT THE FOLLOWING URL FOR ALL HOSPITAL FACILITIES: WWW.BANNERHEALTH.COM/PATIENTS/BILLING/FINANCIAL-ASSISTANCE THE FAP, APPLICATION, AND PLAIN LANGUAGE SUMMARY ARE AVAILABLE AT THE FOLLOWING URL FOR REPORTING BANNER REHAB HOSPITAL - PHOENIX AND BANNER REHAB HOSPITAL - WEST: www.bannerhealth.com/patients/billing/financial-assistance/banner-rehabili tation-hospital SCHEDULE H, PART V, SECTION B, LINE 16J IN ADDITION TO ALL ACTIONS NOTED, BANNER OFFERS FAP WITH EACH BILLING STATEMENT TO THE PATIENT/GUARANTOR. THE FOLLOWING DESCRIPTION FOR 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. THE FOLLOWING DESCRIPTION FOR 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. THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 22 APPLIES TO ALL HOSPITAL FACILITIES: 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 table: Household Income Care Household Income Amounts Charged 200% of < FPL Full Charity 100% Discount, write-off entire patient account >200%-300% FPL 75% discount off AGB (i.e., patient owes 25% of AGB) >300%-400% FPL 50% discount off AGB (i.e., patient owes 50% of AGB) 298 SONORA QUEST LABORATORIES LLC 1255 W WASHINGTON ST TEMPE AZ 85281 LABORATORY BANNER BOSWELL MEDICAL CENTER REHAB 10601 WEST SANTA FE DR SUN CITY AZ 85351 LONG TERM 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110 GLENDALE AZ 85304 IMAGING CENTER BANNER IMAGING CENTER 5601 W EUGIE AVE STE 102 GLENDALE AZ 85304 IMAGING CENTER BANNER PHYSICAL THERAPY 5605 W EUGIE AVE SUITES 206 212 GLENDALE AZ 85304 PHYSICAL THERAPY BANNER URGENT CARE 1940 WEST GLENDALE RD PHOENIX AZ 85021 URGENT CARE BANNER GATEWAY WEIGHT LOSS CENTER 1920 N HIGLEY ROAD SUITE 306 GILBERT AZ 85231 OUTPATIENT TREATMENT BANNER URGENT CARE 7066 EAST GOLF LINKS ROAD TUCSON AZ 85730 URGENT CARE CENTERS/CLINICS BANNER PHYSICAL THERAPY 13951 W GRAND AVE UNIT 201 SURPRISE AZ 85374 PHYSICAL THERAPY BANNER URGENT CARE 6501 EAST GREENWAY PARKWAY SCOTTSDALE AZ 85254 URGENT CARE BANNER PHYSICAL THERAPY 219 LEXINGTON AVE PHOENIX AZ 85012 PHYSICAL THERAPY BANNER URGENT CARE 1955 WEST GUADALUPE ROAD MESA AZ 85202 URGENT CARE BANNER URGENT CARE 1641 EAST GUADALUPE ROAD GILBERT AZ 85234 URGENT CARE BANNER URGENT CARE 7952 NORTH 43RD AVENUE GLENDALE AZ 85308 URGENT CARE BANNER URGENT CARE 2950 SOUTH ALMA SCHOOL SUITE 1 CHANDLER AZ 85286 URGENT 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BANNER URGENT CARE 3617 S COLLEGE AVE SUITE C FORT COLLINS CO 80525 URGENT CARE BANNER PHYSICAL THERAPY 1632 HOFFMAN DR LOVELAND CO 80538 PHYSICAL THERAPY BANNER PHYSICAL THERAPY 13055 W MCDOWELL RD SUITE G107 AVONDALE AZ 85392 PHYSICAL THERAPY BANNER PHYSICAL THERAPY 10750 W MCDOWELL RD SUITE B-210 AVONDALE AZ 85392 PHYSICAL THERAPY BANNER URGENT CARE 1676 E MCMURRAY BLVD CASA GRANDE AZ 85122 URGENT CARE BANNER PHYSICAL THERAPY 126 E MAIN ST STE C PAYSON AZ 85541 PHYSICAL THERAPY CENTERS/CLINICS BANNER IMAGING CENTER 127 E MAIN STREET SUITE C PAYSON AZ 85541 IMAGING CENTER BANNER PHYSICAL THERAPY 6320 W UNION HILLS DR SUITE 265 GLENDALE AZ 85308 PHYSICAL THERAPY BANNER PHYSICAL THERAPY 2800 E AJO WAY SUITE 201 TUCSON AZ 85713 PHYSICAL THERAPY BANNER IMAGING CENTER 6424 E BROADWAY RD STE 101 MESA AZ 85206 IMAGING CENTER BANNER IMAGING CENTER 9305 W THOMAS RD STE 200 PHOENIX AZ 85037 IMAGING CENTER BANNER IMAGING CENTER 9305 W THOMAS RD STE 100 PHOENIX AZ 85037 IMAGING CENTER BANNER FAMILY PHARMACY 1800 E FLORENCE BLVD CASA GRANDE AZ 85122 RETAIL PHARMACY BANNER IMAGING CENTER 1828 E FLORENCE BLVD BLDG B STE 118 CASA GRANDE AZ 85122 IMAGING CENTER BANNER PHYSICAL THERAPY 1828 E FLORENCE BLVD BLDG A STE 102 CASA GRANDE AZ 85122 PHYSICAL THERAPY BANNER CASA GRANDE COUMADIN CLINIC 1800 E FLORENCE BLVD CASA GRANDE AZ 85122 LABORATORY BANNER URGENT CARE 7089 N THORNYDALE RD SUITE 101 TUCSON AZ 85741 URGENT CARE BANNER PHYSICAL THERAPY 2853 S SOSSAMAN RD SUITE A 106 MESA AZ 85212 PHYSICAL THERAPY BANNER PHYSICAL THERAPY 755 E MCDOWELL RD 1ST FLOOR PHOENIX AZ 85006 PHYSICAL THERAPY BANNER URGENT CARE 3160 EAST QUEEN CREEK ROAD GILBERT AZ 85297 URGENT CARE BANNER URGENT CARE 1979 WEST RAY ROAD CHANDLER AZ 85224 URGENT CARE BANNER PHYSICAL THERAPY 1729 W GREENTREE DR SUITE 101 TEMPE AZ 85284 PHYSICAL THERAPY BANNER PHYSICAL THERAPY 20851 E RITTENHOUSE RD STE 103 QUEEN CREEK AZ 85142 PHYSICAL THERAPY BANNER PHYSICAL THERAPY 4015 S ARIZONA AVE SUITE 2 CHANDLER AZ 85248 PHYSICAL THERAPY BANNER IMAGING CENTER 1840 E WARNER RD STE 114 TEMPEPE AZ 85284 IMAGING CENTER BANNER PHYSICAL THERAPY 5151 E BROADWAY RD SUITE 102 MESA AZ 85206 PHYSICAL THERAPY BANNER PHYSICAL THERAPY 1025 E BROADWAY RD SUITE 101 TEMPE AZ 85282 PHYSICAL THERAPY CENTERS/CLINICS BANNER PHYSICAL THERAPY 2940 RIVERSIDE DR STE A SUSANVILLE CA 96130 PHYSICAL THERAPY BANNER IMAGING CENTER 6553 E BAYWOOD AVE STE 102 MESA AZ 85206 IMAGING CENTER BANNER PHYSICAL THERAPY 2055 W FRYE RD SUITE 2 CHANDLER AZ 85224 PHYSICAL THERAPY BANNER FAMILY PHARMACY 1801 16TH STREET GREELEY CO 80631 RETAIL PHARMACY ICARE OFFICE 1434 6TH STREET ROOM 5 SANTA MONICA CA 90401 OUTPATIENT TREATMENT STEPPING STONES ADULT DAY PROGRAM 302 3RD ST SE STE 100 LOVELAND AZ 80537 OUTPATIENT TREATMENT CENTERS/CLINICS BANNER URGENT CARE 21980 NORTH 83RD AVE PEORIA AZ 85383 URGENT CARE CENTERS/CLINICS BANNER PHYSICAL THERAPY 2942 N 7TH AVE PHOENIX AZ 85013 PHYSICAL THERAPY BANNER URGENT CARE 35945 NORTH GARY ROAD SAN TAN VALLEY AZ 85143 URGENT CARE BANNER URGENT CARE 40773 NORTH IRONWOOD ROAD SAN TAN VALLEY AZ 85140 URGENT CARE BANNER URGENT CARE 10330 NORTH SCOTTSDALE ROAD PARADISE VALLEY AZ 85253 URGENT CARE BANNER FAMILY PHARMACY 1441 N 12TH STREET PHOENIX AZ 85006 RETAIL PHARMACY BANNER FAMILY PHARMACY 2555 E 13TH STREET SUITE 125 LOVELAND CO 80537 RETAIL PHARMACY BANNER URGENT CARE 2555 E 13TH STREET SUITE 110 LOVELAND CO 80537 URGENT CARE BANNER URGENT CARE 16430 W YUMA ROAD GOODYEAR AZ 85338 URGENT CARE BANNER IMAGING CENTER 5757 W THUNDERBIRD RD STE W101 GLENDALE AZ 85306 IMAGING CENTER BANNER IMAGING CENTER 5757 W THUNDERBIRD RD STE W100 GLENDALE AZ 85306 IMAGING CENTER SONORA QUEST LABORATORIES LLC 5310 W THUNDERBIRD RD SUITE 200 GLENDALE AZ 85306 LABORATORY BANNER IMAGING CENTER 5310 W THUNDERBIRD RD STE 100 GLENDALE AZ 85306 IMAGING CENTER BANNER PHYSICAL THERAPY 2400 W DUNLAP AVE SUITE 145 PHOENIX AZ 85021 PHYSICAL THERAPY BANNER IMAGING CENTER 1940 S COUNTRY CLUB DR STE 101 MESA AZ 85210 IMAGING CENTER BANNER PHYSICAL THERAPY 2225 W SOUTHERN AVE MESA AZ 85202 PHYSICAL THERAPY BANNER PHYSICAL THERAPY 707 N ALVERNON WAY STE 203 TUCSON AZ 85711 PHYSICAL THERAPY BANNER HOME CARE ARIZONA 14131 RIO VISTA BLVD SUITE 7 PEORIA AZ 85381 HOME HEALTH BANNER URGENT CARE 641 WEST WARNER ROAD GILBERT AZ 85233 URGENT CARE SONORA QUEST LABORATORIES LLC 9890 S ESTRELLA PARKWAY GOODYEAR AZ 85338 LABORATORY SONORA QUEST LABORATORIES LLC 32551 N SCOTTSDALE ROAD SCOTTSDALE AZ 85262 LABORATORY SONORA QUEST LABORATORIES LLC 550 E BELL ROAD PHOENIX AZ 85022 LABORATORY SONORA QUEST LABORATORIES LLC 3800 W HAPPY VALLEY ROAD GLENDALE AZ 85310 LABORATORY SONORA QUEST LABORATORIES LLC 3132 E CAMELBACK ROAD PHOENIX AZ 85016 LABORATORY SONORA QUEST LABORATORIES LLC 3325 N HUNT HIGHWAY FLORENCE AZ 85132 LABORATORY SONORA QUEST LABORATORIES LLC 6360 E GOLF LINKS ROAD TUCSON AZ 85730 LABORATORY SONORA QUEST LABORATORIES LLC 1940 E BROADWAY ROAD TUCSON AZ 85719 LABORATORY SONORA QUEST LABORATORIES LLC 1031 AZ 89 CHINO VALLEY AZ 86323 LABORATORY SONORA QUEST LABORATORIES LLC 2300 W STATE ROUTE 89A SEDONA AZ 86336 LABORATORY SONORA QUEST LABORATORIES LLC 3970 STOCKTON HILL ROAD KINGMAN AZ 86401 LABORATORY BANNER IMAGING CENTER 9305 W THOMAS RD STE 360 PHOENIX AZ 85037 IMAGING CENTER Banner Imaging 10474 W Thunderbird Blvd Ste 100 Sun City AZ 853513015 IMAGING CENTER Banner Imaging 1076 W Chandler Blvd Ste 120 Chandler AZ 852245224 IMAGING CENTER Banner Imaging 13640 N Plaza Del Rio Blvd Ste 105 Peoria AZ 853814846 IMAGING CENTER Banner Imaging 13909 W Camino Del Sol Ste 101 Sun City West AZ 853751413 IMAGING CENTER Banner Desert Med Ctr- Children'S CANCER 1432 S Dobson Rd Ste 107 Mesa AZ 852024769 OUTPATIENT TREATMENT CENTERS/CLINICS Banner Imaging 14420 W Meeker Blvd Ste A101 Sun City West AZ 853755287 IMAGING CENTER Banner Imaging 1450 S Dobson Rd Ste A100 Mesa AZ 852024709 IMAGING CENTER Banner University Medicine Women's Svcs 15810 S 45th St Ste 105 Phoenix AZ 850487694 OUTPATIENT TREATMENT CENTERS/CLINICS Banner Imaging 16641 N 40th St Ste 1 2 Phoenix AZ 850323343 IMAGING CENTER McKee Med Ctr - Banner Phys Therapy & rh 1805 E 18th St Ste 7 8 Loveland CO 805384237 OUTPATIENT TREATMENT CENTERS/CLINICS Banner Imaging 18275 N 59th Ave Ste K-168 Glendale AZ 853081254 IMAGING CENTER Banner Imaging 1828 E Florence Blvd Bldg B Ste 118 Casa Grande AZ 851224784 IMAGING CENTER Banner Casa Grande Medical Ctr Wound ctr 1828 E Florence Blvd Bldg C Ste 139 Casa Grande AZ 851224783 OUTPATIENT TREATMENT CENTERS/CLINICS Banner Imaging 1840 E Warner Rd Ste 114 Tempe AZ 852843445 IMAGING CENTER Banner Imaging 18444 N 25th Ave Ste 140 Phoenix AZ 850231263 IMAGING CENTER Banner Univ Medicine Maternity Care 18861 S La Canada Dr Tucson AZ 85724 OUTPATIENT TREATMENT CENTERS/CLINICS Banner Imaging 1940 S Country Club Dr Ste 101 Mesa AZ 852106042 IMAGING CENTER Banner Health Clinic 2001 70th Ave Ste 110 Greeley AZ 806344628 OUTPATIENT TREATMENT CENTERS/CLINICS Banner Health Clinic 201 14th St Ste B100 Wheatland WY 822013201 OUTPATIENT TREATMENT CENTERS/CLINICS TOCA at Banner Health Phoenix 2222 E Highland Ave Ste 106 Phoenix AZ 850164874 OUTPATIENT TREATMENT CENTERS/CLINICS Banner Occupational Health Clinic 2225 W Southern Ave Mesa AZ 852024716 OUTPATIENT TREATMENT CENTERS/CLINICS Banner Health Clinic 2300 Gasser Rd Riverton WY 825012204 OUTPATIENT TREATMENT CENTERS/CLINICS Banner Alzheimer's Institute - Tucson 2626 E River Road Tucson AZ 857186632 OUTPATIENT TREATMENT CENTERS/CLINICS Banner Imaging 5310 W Thunderbird Rd Ste 100 Glendale AZ 853064709 IMAGING CENTER Banner Imaging 5601 W Eugie Ave Ste 102 Glendale AZ 853041256 IMAGING CENTER Banner Imaging 5605 W Eugie Ave Ste 110 Glendale AZ 853041273 IMAGING CENTER Banner Imaging 5757 W Thunderbird Rd Ste W100 W1 Glendale AZ 853065612 IMAGING CENTER Banner Imaging 6424 E Broadway Rd Ste 101 Mesa AZ 852061750 IMAGING CENTER Banner Imaging 6553 E Baywood Ave Ste 102 Mesa AZ 852061753 IMAGING CENTER Banner Imaging 665 N Gilbert Rd Ste 154 Gilbert AZ 852343395 IMAGING CENTER Banner Imaging 9305 W Thomas Rd Ste 100 200 Phoenix AZ 850373333 IMAGING CENTER TOCA at Banner Health Scottsdale 9377 E Bell Rd Ste 231 Scottsdale AZ 852601503 OUTPATIENT TREATMENT CENTERS/CLINICS SCHEDULE H, PART I, LINE 3C Banner Health (Banner/BH) uses FPG. Dedicated to providing quality, non-discriminating healthcare to all patients regardless of age, sex, sexual orientation, gender preference, race, religion, disability, veteran status, national origin and/or ability to pay, determinations are made based upon Banner's financial assistance policy for hospital patients. This policy establishes: 1) General - BH Financial Assistance programs which, based on household income and the level of medical expenses, determine a patient's qualification for Charity Care or Discounted Covered Services. Eligibility for financial assistance will be provided for those individuals who are Uninsured or Underinsured and who meet the household income guidelines as outlined in this policy, or are members of a Medically Indigent Household. 2) Financial Assistance for Uninsured Patients - Uninsured patients will qualify for BH financial assistance if: (a) their household income is less than 400% of FPL, (b) they cannot qualify for Medicaid/AHCCCS or other government program, or are unable to reasonably complete the application process for such governmental programs, and (c) they complete an application for financial assistance (unless determined to be presumptively eligible, as provided below), in accordance with the following: Financial Assistance-Uninsured Patients Household Income Amounts Charged 200% of < FPL Full Charity 100% Discount, write-off entire patient account >200%-300% FPL 75% discount off AGB (i.e., patient owes 25% of AGB) >300%-400% FPL 50% discount off AGB (i.e., patient owes 50% OF AGB) 3) Financial Assistance for Underinsured Patients. - Underinsured Patients will qualify for financial assistance if: (a) they have a minimum BAI of $2500 and a household income of less than 400% of FPL, and (b) they complete an application for financial assistance, in accordance with the following table: Financial Assistance-Underinsured Patients with a Balance After Insurance in excess of $2,500 Household Income Balance After Insurance <200% of FPL 100% discount of BAI in excess of $2,500 (i.e., write-off patient liability in excess of $2,500) >200%-300% FPL 75% discount of BAI in excess of $2,500 (i.e., patient owes 25% of the BAI in excess of $2,500 and 100% of the BAI up to $2,500) >300%-400% FPL 50% discount of BAI in excess of $2,500 (i.e., patient owes 50% of the BAI in excess of $2,500 and 100% of the BAI up to $2,500) >400% FPL Does not qualify for BH financial assistance unless a member of a Medically Indigent Household 4) 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 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-assessmen ts-report SCHEDULE H, PART I, LINE 7 1) Financial Assistance at Cost, Medicaid and Other Means -Tested Government Programs - Using the cost-to charge methodology determined by the cost accounting system, the ratio of patient care cost to charges or relative value units is applied to patient accounts to calculate the estimated cost of financial assistance. The cost account system addresses all patient segments at the acute care facilities. The cost accounting application is not implemented at the Health Centers, Physician Practices, Home Care, Surgical Centers, or Occupational Health. 2) Community Health Improvement - Banner uses the CBISA, community benefit inventory tool to coordinate and estimate the costs associated with community health improvement initiatives. 3) Health Professions Education, Subsidized Health Services, and Research - Actual cost less reimbursements as reported in the general ledger are used to value these activities, which operated at a loss provide invaluable services to BH communities. 4) Cash and In-kind Contributions - Actual or fair market value is used to value these contributions or activities. SCHEDULE H, PART II In furtherance of its exempt mission, BH provides a broad range of benefits to the communities it serves. These activities promoted the health, safety and well-being of local communities by providing advocacy services to its constituents through participation in local and national health campaigns, enhancing community workforce through recruitment for medically underserved areas, provision of leaders to develop local talent, provision of staff for community volunteerism, recognizing the employee volunteer base, participation in various community awareness programs, involvement in community economic development efforts and being a good corporate citizen. The results of these efforts include but are not limited to: - Promoting community health - Providing volunteer leadership to local boards and task forces thereby allowing the entity to channel resources to the community need instead of salaries. - Providing Federal medically underserved areas with physicians. - Providing disaster training and education to improve community safety and awareness for residents. - Partnering with local blood banks to blood combat shortages. - Providing meeting room, electronic teleconference technology and other space for various community groups. Without these in-kind donations, these organizations would be required to expend funds, funds needed in support of their missions for space rental - Partnering with local United Way agencies to improve and enhance community initiatives. - Support of community social service needs through employee food and clothing initiatives. SCHEDULE H, PART III, LINE 2 THE PATIENT CARE COST-TO-CHARGES RATIO IS APPLIED TO THE BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS TO CALCULATE THE ESTIMATED COST OF BAD DEBT ATTRIBUTABLE TO ACCOUNTS/AMOUNTS REPORTED ON LINE 2. DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE RECORDED AS AN ADJUSTMENT TO REVENUE, NOT BAD DEBT EXPENSE. SCHEDULE H, PART III, LINE 3 Previously the organization engaged a third party to assess the validity of accounts attributable to bad debt and to analyze what percent of bad debt could be/should be attributable to patients who would otherwise have qualified for financial assistance under the BH financial assistance policies. Based on that study, BH estimates that in excess of 60% of the patient accounts comprising the organization's bad debt may have been eligible for financial assistance under BH policies. Following this study, the organization endeavored to enhance efforts to inform patients of its financial assistance policies. However, in order to ensure that the organization's enhanced financial assistance policy is utilized only by those persons who truly require such enhanced assistance, the policy requires that patients must first apply complete an application, provide supporting documentation and (with some exceptions) apply for Medicaid. Despite encouragement by the organization, there are many times when the patient refuses or is unable to complete an application to BH, provide information to support qualification, or apply for Medicaid. SCHEDULE H, PART III, LINE 4 FOOTNOTE PER AUDITED FINANCIAL STATEMENTS (PAGE 12): 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 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 2020 RESULT IS A MEDICARE SURPLUS OF $72.7M. 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 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 BH's financial assistance policies require that the accounts of patients who are known to qualify for financial assistance be written off either in full or in part, depending upon the level of the financial assistance for which the patient has qualified. If the account is not written off completely, the reduced balance is treated in the same manner as accounts for patients without insurance who do not qualify for financial assistance. For those patients who do not qualify for financial assistance and for the portion of the accounts remaining after application of the financial assistance policies for patients who qualify for such assistance, account collection process is as follows: 1) The patient or guarantor will receive 3 statements prior to the account being placed with an outside agency. The statement process involves 3 statement cycles for each account: i. 1 day after final bill, ii. 30 days after final bill, and iii. 71 days after final bill. The process takes 105 days to complete. The account is sent to collections 5 days after the final statement cycle. 2) Attempts are made to verify physical location of patient and to determine if the patient may be eligible for AHCCCS/Medicaid coverage. 3) Accounts are turned over to an outside agency under contract with BH when all efforts have been exhausted. 4) Once assigned to an outside collection agency, various debt collection practices are utilized in different states, depending upon local custom and practice. In almost all situations, the collection agency attempts to obtain payment from the patient by means of direct telephone contact. If this is unsuccessful, failure to make payment upon an account results in a report to a credit agency. In certain states, the collection agency will file a collection lawsuit to obtain a judgment upon the unpaid account, depending upon the assessment of the agency as to the potential collectability of the account. In the organization's primary state, Arizona, lawsuits are rarely initiated, typically only when there is reason to believe that the patient has sufficient net assets to pay the account and require the prior approval of BH. SCHEDULE H, PART VI, LINE 2 BH utilizes its Strategy and Planning Team to continually identify areas in the communities BH serves where institutional clinical needs are not being satisfied especially for those within underserved, uninsured and minority populations. It also leverages a multi-phased approach to understanding gaps in services provided to communities served by hospitals within the system as well as community resources through a combination of population growth and changing demographics analysis, detailed analysis of national, state and county data sources, healthcare services available through other hospital providers, physician supply in the BH service areas, new and more effective healthcare services that are becoming available that would elevate the quality of healthcare services provided to BH communities, and demand pressures experienced by existing BH facilities and physicians. On a local basis, hospital management teams regularly consult with community leaders and partners, local community-based advisory boards, other service providers (including federally qualified health clinics) and businesses to identify unmet physician and hospital needs. These findings are then prioritized based on system capital and operating resource availability, feasibility, availability of physicians to be recruited to the service area, and sustainability. Based upon this prioritization, capital and operating resources are then integrated into the facility and System budgets and plans. SCHEDULE H, PART VI, LINE 3 Policies and procedures exist to educate our patients on financial assistance eligibility, and they are provided numerous opportunities for education on Banner Health Financial assistance policies. The following are examples of communication/education available to BH patients: a. Signage and collateral in both English and Spanish are posted prominently in-patient waiting lobbies, including the emergency departments, stating that Banner has financial assistance programs for those who do not have insurance or may be unable to pay for their share of the cost of services. b. A toll-free number is provided for the patient's/family's convenience. c. After medical screening, 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. A brightly colored 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 BH had 28 hospitals (as of December 31, 2020), and operates or leases nursing homes, physician clinics, home health agencies, ambulatory facilities, and durable medical equipment services in six western states which include demographic areas that range from metropolitan to remote rural areas. The following sets forth pertinent demographic information with respect to the communities and areas served by BH facilities: A. ARIZONA 1) STATE I) Estimated Population: 7,278,717 II) Median Household Income: $58,945 III) Percent of Population in Poverty: 13.50% IV) Percent of Uninsured Persons Under Age 65: 13.60% V) Per Capita Healthcare Expense: $6,452 VI) Total Percent of Uninsured in Population: 11.10% VI) Percent of Uninsured Adults 19-64 Living in Poverty: 23.40% VII) Percent of Uninsured Nonelderly W Income below 100% of FPL: 17.90% VIII) Percent of Uninsured Nonelderly W Income up to 200% of FPL: 20.10% IX) Percent of Population below 400% of FPL: 64.00% X) Percent of Adults Reporting Fair or Poor Health: 19.00% XI) Percent of Adults Diagnosed with Diabetes: 9.70% XII) Percent of Adults Diagnosed with Cardiovascular Disease: 6.40% XIII) Percent of Adults Who are Overweight or Obese: 31.40% XIV) Percent of Adults Reporting Mental Illness in Past Year: 25.70% 2) MARICOPA COUNTY I) ESTIMATED POPULATION: 4,485,414 II) MEDIAN HOUSEHOLD INCOME: $64,468 III) Percent of Population in Poverty: 12.20% IV) Percent of Uninsured Persons Under Age 65: 13.30% 3) PINAL COUNTY I) ESTIMATED POPULATION: 462,789 II) MEDIAN HOUSEHOLD INCOME: $58,174 III) Percent of Population in Poverty: 12.10% IV) Percent of Uninsured Persons Under Age 65: 12.80% 4) COCONINO COUNTY I) ESTIMATED POPULATION: 143,476 II) MEDIAN HOUSEHOLD INCOME: $59,460 III) Percent of Population in Poverty: 15.90% IV) Percent of Uninsured Persons Under Age 65: 15.20% 5) GILA COUNTY I) ESTIMATED POPULATION: 54,018 II) MEDIAN HOUSEHOLD INCOME: $43,524 III) Percent of Population in Poverty: 21.10% IV) Percent of Uninsured Persons Under Age 65: 14.80% B. CALIFORNIA 1) STATE I) ESTIMATED POPULATION: 39,512,223 II) MEDIAN HOUSEHOLD INCOME: $75,235 III) Percent of Population in Poverty: 11.80% IV) Percent of Uninsured Persons Under Age 65: 8.90% V) Per Capita Healthcare Expense: $7,549 VI) Total Percent of Uninsured in Population: 7.80% VI) Percent of Uninsured Adults 19-64 Living in Poverty: 17.80% VII) Percent of Uninsured Nonelderly W Income below 100% of FPL: 13.00% VIII) Percent of Uninsured Nonelderly W Income up to 200% of FPL: 14.30% IX) Percent of Population below 400% of FPL: 55.60% X) Percent of Adults Reporting Fair or Poor Health: 18.30% XI) Percent of Adults Diagnosed with Diabetes: 9.70% XII) Percent of Adults Diagnosed with Cardiovascular Disease: 4.70% XIII) Percent of Adults Who are Overweight or Obese: 26.10% XIV) Percent of Adults Reporting Mental Illness in Past Year: 24.00% 2) LASSEN COUNTY I) ESTIMATED POPULATION: 30,574 II) MEDIAN HOUSEHOLD INCOME: $56,352 III) Percent of Population in Poverty: 16.50% IV) Percent of Uninsured Persons Under Age 65: 5.00% C. COLORADO 1) STATE I) ESTIMATED POPULATION: 5,758,736 II) MEDIAN HOUSEHOLD INCOME: $72,331 III) Percent of Population in Poverty: 9.30% IV) Percent of Uninsured Persons Under Age 65: 7.20% V) Per Capita Healthcare Expense: $6,804 VI) Total Percent of Uninsured in Population: 7.80% VI) Percent of Uninsured Adults 19-64 Living in Poverty: 16.20% VII) Percent of Uninsured Nonelderly W INCOME below 100% of FPL: 13.80% VIII) Percent of Uninsured Nonelderly w Income up to 200% of FPL: 16.00% IX) Percent of Population below 400% of FPL: 51.60% X) Percent of Adults Reporting Fair or Poor Health: 14.10% XI) Percent of Adults Diagnosed with Diabetes: 6.20% XII) Percent of Adults Diagnosed with Cardiovascular Disease: 4.00% XIII) Percent of Adults Who are Overweight or Obese: 23.80% XIV) Percent of Adults Reporting Mental Illness in Past Year: 28.70% 2) LARIMER COUNTY I) ESTIMATED POPULATION: 356,899 II) MEDIAN HOUSEHOLD INCOME: $71,881 III) Percent of Population in Poverty: 10.30% IV) Percent of Uninsured Persons Under Age 65: 6.40% 3) LOGAN COUNTY I) ESTIMATED POPULATION: 22,409 II) MEDIAN HOUSEHOLD INCOME: $53,318 III) Percent of Population in Poverty: 12.90% IV) Percent of Uninsured Persons Under Age 65: 9.20% 4) MORGAN COUNTY I) ESTIMATED POPULATION: 29,068 II) MEDIAN HOUSEHOLD INCOME: $53,682 III) Percent of Population in Poverty: 11.90% IV) Percent of Uninsured Persons Under Age 65: 7.70% 5) WELD COUNTY I) ESTIMATED POPULATION: 324,492 II) MEDIAN HOUSEHOLD INCOME: $74,150 III) Percent of Population in Poverty: 8.40% IV) Percent of Uninsured Persons Under Age 65: 7.10% D. NEBRASKA 1) STATE I) ESTIMATED POPULATION: 1,934,408 II) MEDIAN HOUSEHOLD INCOME: $61,439 III) Percent of Population in Poverty: 9.90% IV) Percent of Uninsured Persons Under Age 65: 9.80% V) Per Capita Healthcare Expense: $8,412 VI) Total Percent of Uninsured in Population: 7.90% VI) Percent of Uninsured Adults 19-64 Living in Poverty: 31.50% VII) Percent of Uninsured Nonelderly w Income below 100% of FPL: 23.90% VIII) Percent of Uninsured Nonelderly w Income up to 200% of FPL: 17.90% IX) Percent of Population below 400% of FPL: 60.20% X) Percent of Adults Reporting Fair or Poor Health: 14.60% XI) Percent of Adults Diagnosed with Diabetes: 8.00% XII) Percent of Adults Diagnosed with Cardiovascular Disease: 5.80% XIII) Percent of Adults Who are Overweight or Obese: 34.10% XIV) Percent of Adults Reporting Mental Illness in Past Year: 25.20% 2) KEITH COUNTY I) ESTIMATED POPULATION: 8,034 II) MEDIAN HOUSEHOLD INCOME: $50,735 III) Percent of Population in Poverty: 11.10% IV) Percent of Uninsured Persons Under Age 65: 10.20% E. NEVADA 1) STATE I) ESTIMATED POPULATION: 3,080,156 II) MEDIAN HOUSEHOLD INCOME: $60,365 III) Percent of Population in Poverty: 12.50% IV) Percent of Uninsured Persons Under Age 65: 13.40% V) Per Capita Healthcare Expense: $6,714 VI) Total Percent of Uninsured in Population: 11.50% VI) Percent of Uninsured Adults 19-64 Living in Poverty: 26.80% VII) Percent of Uninsured Nonelderly w Income below 100% of FPL: 20.40% VIII) Percent of Uninsured Nonelderly w Income up to 200% of FPL: 20.80% IX) Percent of Population below 400% of FPL: 64.00% X) Percent of Adults Reporting Fair or Poor Health: 21.00% XI) Percent of Adults Diagnosed with Diabetes: 10.10% XII) Percent of Adults Diagnosed with Cardiovascular Disease: 7.10% XIII) Percent of Adults Who are Overweight or Obese: 30.60% XIV) Percent of Adults Reporting Mental Illness in Past Year: 27.60% 2) CHURCHILL COUNTY I) ESTIMATED POPULATION: 24,909 II) MEDIAN HOUSEHOLD INCOME: $57,824 III) Percent of Population in Poverty: 11.70% IV) Percent of Uninsured Persons Under Age 65: 13.40% F. WYOMING 1) STATE I) ESTIMATED POPULATION: 578,759 II) MEDIAN HOUSEHOLD INCOME: $64,049 III) Percent of Population in Poverty: 10.10% IV) Percent of Uninsured Persons Under Age 65: 14.80% V) Per Capita Healthcare Expense: $8,302 VI) Total Percent of Uninsured in Population: 12.30% VI) Percent of Uninsured Adults 19-64 Living in Poverty: 22.80% VII) Percent of Uninsured Nonelderly W Income below 100% of FPL: 19.30% VIII) Percent of Uninsured Nonelderly W Income up to 200% of FPL: 28.00% IX) Percent of Population below 400% of FPL: 59.40% X) Percent of Adults Reporting Fair or Poor Health: 16.70% XI) Percent of Adults Diagnosed with Diabetes: 7.60% XII) Percent of Adults Diagnosed with Cardiovascular Disease: 6.00% XIII) Percent of Adults Who are Overweight or Obese: 29.70% XIV) Percent of Adults Reporting Mental Illness in Past Year: 20.30% 2) GOSHEN COUNTY I) ESTIMATED POPULATION: 13,211 II) MEDIAN HOUSEHOLD INCOME: $54,289 III) Percent of Population in Poverty: 13.00% IV) Percent of Uninsured Persons Under Age 65: 15.50% 3) PLATTE COUNTY I) ESTIMATED POPULATION: 8,393 II) MEDIAN HOUSEHOLD INCOME: $50,903 III) Percent of Population in Poverty: 11.50% IV) Percent of Uninsured Persons Under Age 65: 15.00% 4) WASHAKIE COUNTY I) ESTIMATED POPULATION: 7,805 II) MEDIAN HOUSEHOLD INCOME: $54,158 III) Percent of Population in Poverty: 11.10% IV) Percent of Uninsured Persons Under Age 65: 15.90% G. BANNER AVERAGE 1) STATE AVERAGE I) ESTIMATED POPULATION: 9,690,500 II) MEDIAN HOUSEHOLD INCOME: $65,394 III) Percent of Population in Poverty: 11.18% IV) Percent of Uninsured Persons Under Age 65: 11.28% V) Per Capita Healthcare Expense: $7,372 VI) Total Percent of Uninsured in Population: 9.73% VI) Percent of Uninsured Adults 19-64 Living in Poverty: 23.08% VII) Percent of Uninsured Nonelderly W Income below 100% of FPL: 18.05% VIII) Percent of Uninsured Nonelderly W Income up to 200% of FPL: 19.52% IX) Percent of Population below 400% of FPL: 59.13% X) Percent of Adults Reporting Fair or Poor Health: 17.28% XI) Percent of Adults Diagnosed with Diabetes: 8.55% XII) Percent of Adults Diagnosed with Cardiovascular Disease: 5.80% XIII) Percent of Adults Who are Overweight or Obese: 29.28% XIV) Percent of Adults Reporting Mental Il SCHEDULE H, PART VI, LINE 5 BH is governed by a community board, drawn primarily from the communities served by BH. This board establishes BH' priorities and ensures that it operates in a manner that will further its charitable, nonprofit purpose to improve the health of the communities it serves. As a nonprofit entity, BH exists to provide health care services to the communities we serve, not to generate profits. To that end, every dollar earned is reinvested in new equipment, new or expanded patient care services, new technologies, maintaining existing equipment and facilities and new facilities to meet market needs or to ensure the long-term success of the organization. In particular, Banner's heavy reinvestment in clinical systems and health information technology enables BH to provide a uniformly high quality of care throughout the system, including BH's small, rural, critical access hospitals. Physicians and staff practicing in these sole community providers have the same electronic health record systems and computerized physician order entry and decision support tools as are utilized in BH's largest teaching hospital. In addition, by means of remote monitoring and telemedicine technologies, these small rural hospitals have access to the clinical and operational support of the entire system, thereby bringing a level of sophisticated health care to these communities that would not otherwise be possible. Except in limited circumstances where necessary to ensure the availability of consistent and efficient physician services, BH utilizes an open medical staff model, thereby making the facilities available to local physicians to provide high quality hospital services to our communities. In addition, BH is aggressively pursuing an integration strategy involving networks of employed and independent physicians capable of providing efficient, evidence-based and high-quality clinical care within an integrated system covering the full continuum of care. This will enable BH to improve the health of the communities it serves while limiting the costs of providing such care. SCHEDULE H, PART VI, LINE 6 THE ORGANIZATION IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. SCHEDULE H, PART VI, LINE 7 As required by law, Banner files a community benefit report in California. Banner also reports in those states with voluntary hospital association reporting requirements (Colorado and Nebraska). true UNITED WAY OF TUCSON AND SOUTHERN ARIZONA 330 N COMMERCE PARK 200 TUCSON AZ 85745 860098932 501(c)(3) 20000 0 GENERAL SUPPORT AMERICAN CANCER SOCIETY 2929 E THOMAS ROAD PHOENIX AZ 85016 841316555 501(c)(3) 55140 GENERAL SUPPORT ASU FOUNDATION FOR A NEW AMERICAN UNIV PO BOX 2260 TEMPE AZ 85280 866051042 501(c)(3) 16500 GENERAL SUPPORT BOYS AND GIRLS CLUBS OF WELD COUNTY 2400 1ST AVENUE GREELEY CO 80631 840529902 501(c)(3) 30000 GENERAL SUPPORT EL RIO FOUNDATION 839 WEST CONGRESS TUCSON AZ 85745 860816675 501(c)(3) 8500 GENERAL SUPPORT GREATER PHOENIX ECONOMIC COUNCIL 2 N CENTRAL AVE STE 2500 PHOENIX AZ 85004 860539979 501(c)(3) 25000 GENERAL SUPPORT GREATER PHOENIX LEADERSHIP 400 e VAN BUREN STE 555 PHOENIX AZ 85004 860559918 501(c)(6) 28875 GENERAL SUPPORT GREATER TUCSON FIRE FOUNDATION 300 S FIRE CENTRAL PLACE TUCSON AZ 85701 273155431 501(c)(3) 10000 GENERAL SUPPORT INTEGRATIVE TOUCH FOR KIDS 5675 N ORACLE RD STE 3201 TUCSON AZ 85704 743145036 501(c)(3) 20000 GENERAL SUPPORT LOVELAND CHAMBER OF COMMERCE 5400 STONE CREEK 200 LOVELAND CO 80538 840254565 501(c)(6) 5675 GENERAL SUPPORT MCKEE FOUNDATION 1805 E 18TH STREET LOVELAND CO 80539 742182919 501(c)(3) 11835 GENERAL SUPPORT MESA CHAMBER OF COMMERCE 165 N CENTENNIAL WAY MESA AZ 85201 860038150 501(c)(6) 9500 GENERAL SUPPORT NORTH COLORADO MEDICAL CENTER FOUNDATION 1801 16TH STREET GREELEY CO 80631 840718355 501(c)(3) 94100 GENERAL SUPPORT PERIMETER BICYCLING ASSOCIATION OF AMERICA INC 2609 E BROADWAY TUCSON AZ 85716 860830696 501(c)(3) 175000 GENERAL SUPPORT SCHOOL CHOICE ARIZONA 2241 E PECOS RD STE 3 CHANDLER AZ 85225 204879504 501(c)(3) 120000 GENERAL SUPPORT THE DAISY FOUNDATION 11995 DUNBAR ROAD GLEN ELLEN CA 95442 912009739 501(c)(3) 12018 GENERAL SUPPORT THE UNIVERSITY OF ARIZONA FOUNDATION 1111 N CHERRY AVE TUCSON AZ 85721 866050388 501(c)(3) 20842668 GENERAL SUPPORT UNITED WAY OF LARIMER COUNTY INC 424 PINE ST STE 102 FORT COLLINS CO 80524 846031503 501(c)(3) 20000 GENERAL SUPPORT UNIVERSITY OF NORTHERN COLORADO FOUNDATION CAMPUS BOX 20 GREELEY CO 80629 846044833 501(c)(3) 150000 GENERAL SUPPORT AUTISM SOCIETY OF SOUTHERN ARIZONA 2600 N Wyatt Drive TUCSON AZ 85712 472524160 501(c)(3) 10000 GENERAL SUPPORT AZ HISPANIC CHAMBER 1020 E Missouri Avenue PHOENIX AL 85014 860445372 501(c)(3) 7500 GENERAL SUPPORT CHICANOS POR LA CAUSA 1112 E Buckeye Road PHOENIX AZ 85034 860227210 501(c)(3) 35000 GENERAL SUPPORT Greater Casa Grande Chamber OF COMMERCE 575 N Marshall STREET CASA GRANDE AZ 85122 860085252 501(C)(6) 5807 GENERAL SUPPORT GREELEY Chamber of Commerce 902 7th Avenue GREELEY CO 80631 840216900 501(C)(6) 8000 GENERAL SUPPORT Lassen Community College HIGHWAY 139 SUSANVILLE CA 96130 GOVERNMENT 15000 GENERAL SUPPORT Leukemia & Lymphoma Society 3877 N 8th ST Ste 300 PHOENIX AZ 85014 135644916 501(C)(3) 15000 GENERAL SUPPORT Scholarship America PO Box 240 ST PERTER MN 56082 042296967 501(C)(3) 22300 GENERAL SUPPORT Sun Health Foundation PO Box 6030 SUN CITY WEST AZ 85376 237107959 501(C)(3) 30000 GENERAL SUPPORT UNIVERSITY OF COLORADO 1200 Whitehall Drive Longmont CO 80501 841287602 501(C)(3) 130000 GENERAL SUPPORT RONALD MCDONALD HOUSE CHARITIES PHOENIX 501 E ROANOKE AVE PHOENIX AZ 85004 860483792 501(C)(3) 10000 GENERAL SUPPORT NORTH COLORADO MEDICAL CENTER FOUNDATION 1801 16TH STREET GREELEY CO 80631 840718355 501(C)(3) 93850 GENERAL SUPPORT 26 5 SCHEDULE I, PART I, LINE 2 THE OFFICE OF GRANT STRATEGY DEVELOPMENT AND ADMINISTRATION MANAGES ALL RESEARCH AND FEDERALLY FUNDED GRANTS FOR BANNER HEALTH (BH). ALL AWARDS ARE MANAGED IN ACCORDANCE WITH THE FEDERAL OMB A-133 COMPLIANCE SUPPLEMENT. BH ALSO MAINTAINS RECORDS AND SCHEDULES OF ALL FEDERAL AND NON-FEDERAL AWARDS AND THEIR EXPENDITURES, AND WE DO MONITOR OUR SUB-RECIPIENTS FOR THEIR COMPLIANCE AS WELL. BH'S GUIDELINES REGARDING CHARITABLE CONTRIBUTIONS TO OUTSIDE ORGANIZATIONS DIRECT US TO MAKE CONTRIBUTIONS TO OTHER ORGANIZATIONS WHOSE CHARITABLE MISSIONS ALIGN WITH BH'S MISSION OF "MAKING HEALTH CARE EASIER, SO LIFE CAN BE BETTER". IN SELECTED CIRCUMSTANCES WHEN A CONTRIBUTION IS NOT DIRECTLY LINKED TO PATIENT CARE, IT SERVES TO BETTER SUPPORT OUR COMMUNITY'S NEEDS. X true true X X X X X false true false false false false false true false Elizabeth Avant Asst. Secretary & Legal Ops 124928 0 18782 0 587 0 1970 0 7799 0 154066 0 0 0 Majorie Bessel MD CHIEF CLINICAL OFFICER 583311 0 794478 0 65991 0 710150 0 17751 0 2171681 0 418275 0 David Bixby CLO/GENERAL COUNSEL 592962 0 905578 0 37376 0 655168 0 9098 0 2200182 0 479782 0 Naomi Cramer Chief HR Officer 478158 0 741504 0 25912 0 605456 0 31652 0 1882682 0 404668 0 Rebecca Kuhn CHIEF OPERATING OFFICER 813572 0 1697676 0 148162 0 1268000 0 21489 0 3948899 0 995667 0 Dennis Laraway CHIEF FINANCIAL OFFICER 869044 0 1178517 0 23791 0 1079169 0 21517 0 3172038 0 557813 0 Alexandra Morehouse McReynolds CHIEF MARKETING OFFICER 391099 0 619879 0 65285 0 474110 0 25197 0 1575570 0 370783 0 Brenda Schaefer VP, Treasury/Treasurer 331324 0 261483 0 16141 0 124043 0 11626 0 744617 0 94697 0 Margo Karsten CEO - Northern Colorado 481925 0 471540 0 11776 0 280922 0 25747 0 1271910 0 163333 0 Todd S Werner PRESIDENT - ARIZONA EAST 731221 681341 76720 436104 33356 1958742 313133 Kathy Bollinger FORMER OFFICER 0 0 115999 0 0 0 13647 0 2 0 129648 0 115999 0 JOHN HENSING MD FORMER OFFICER 0 0 181014 0 0 0 6758 0 0 0 187772 0 181014 0 Peter S Fine PRESIDENT & CEO 1550867 0 5182075 0 347414 0 4382813 0 31791 0 11494960 0 3187500 0 Donald S Nordlund CHIEF STRATEGY/GROWTH OFFICER 549523 0 749972 0 22135 0 667542 0 19397 0 2008569 0 0 0 FRANCISCO ARABIA PHYS EXEC ADV HEART PROGRAM 1109798 0 379600 0 27051 0 102832 0 24975 0 1644256 0 0 0 Rogerio Lilenbaum SENIOR PHYS EXEC ONC & BMDACC 602510 0 129125 0 240605 0 0 0 19619 0 991859 0 0 0 ERIC REIMAN CEO/CSO - BANNER RESEARCH 584019 0 343800 0 80944 0 62804 0 7297 0 1078864 0 55870 0 DANIEL POST CEO - LARGE FACILITY 439673 0 100005 0 182970 0 96794 0 22218 0 841660 0 0 0 Deanna Wise SENIOR VP & CIO 570199 0 406145 0 1449 0 299905 0 25399 0 1303097 0 65885 0 Charles Lehn FORMER OFFICER 0 492146 0 633007 0 73052 0 236396 0 26946 0 1461547 0 238726 SCHEDULE J, PART I, LINE 1A FIRST CLASS TRAVEL THE BH TRAVEL POLICY ALLOWS FOR FIRST-CLASS AIR TRAVEL ON ANY FLIGHT WITHIN THE US AND THE LESSER FARE OF 1ST OR BUSINESS CLASS ON INTERNATIONAL TRAVEL FOR THE PRESIDENT/CEO. SCHEDULE J, PART I, LINE 4B 1. SERP II - COVERED 1 EXECUTIVE (FINE). THIS NONQUALIFIED PLAN IS HELD IN A RABBI TRUST AT NORTHERN TRUST COMPANY. PAYMENTS ARE PURSUANT TO THE 2017 PLAN WHICH WAS REVIEWED BY AN INDEPENDENT COMPENSATION COMMITTEE TO DETERMINE REASONABLENESS AND IS PAYABLE AFTER THE EXECUTIVE VESTS ON THE FIFTH ANNIVERSARY OF THE EFFECTIVE DATE OF THIS PLAN (FEBRUARY 28, 2022). THE ONLY CONTRIBUTIONS ALLOWED ARE EMPLOYER CONTRIBUTIONS AND ARE CALCULATED BASED ON ACTUARILY DETERMINED FACTORS. TAXATION OCCURS UPON DISTRIBUTION. EMPLOYER CONTRIBUTIONS TO SERP II (INCLUDED IN COLUMN C) AS DEFERRED COMPENSATION: PETER S. FINE $315,000 2. EXEC 457(B) - COVERED APPROXIMATELY 243 FORMER AND CURRENT EXECUTIVES. THIS NONQUALIFIED PLAN IS HELD AT FIDELITY INVESTMENTS AND IS 100% VESTED. TAXATION OCCURS UPON DISTRIBUTION. THE ONLY CONTRIBUTIONS ALLOWED ARE EMPLOYER CONTRIBUTIONS. CONTRIBUTIONS ARE CALCULATED BASED ON ACTUARIALLY DETERMINED FACTORS. EMPLOYER CONTRIBUTIONS TO EXEC 457(B) ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III). 3. EXEC 457(F) - COVERED APPROXIMATELY 109 FORMER AND CURRENT EXECUTIVES. THIS NONQUALIFIED PLAN IS HELD AT FIDELITY INVESTMENTS. VESTING OCCURS UPON MEETING VESTING REQUIREMENTS (SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE) -EARLIER OF AGE 62, 5 YEARS FROM DATE OF DEPOSIT, OR RULE OF 80. TAXATION OCCURS UPON DISTRIBUTION (IF VESTED). THE ONLY CONTRIBUTIONS ALLOWED ARE EMPLOYER CONTRIBUTIONS. PAYOUT AMOUNTS ARE TAXABLE AND INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III). DEPOSIT AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C). NAME 457(F) PAYOUT EMPLOYER 457(F)DEPOSIT PETER S. FINE $ 318,551 $ 0 REBECCA KUHN $ 121,255 $ 0 DENNIS LARAWAY $ 0 $ 115,025 MAJORIE BESSELL $ 63,190 $ 68,025 NAOMI CRAMER $ 23,626 $ 49,169 ALEXANDRA MOREHOUSE MCREYNOLDS $ 43,005 $ 38,510 BRENDA SCHAEFER $ 14,697 $ 11,804 MARGO KARSTEN $ 0 $ 47,715 TODD WERNER $ 55,320 $ 78,720 ERIC REIMAN $ 55,870 $ 51,404 CHARLES LEHN $ 51,230 $ 0 SCOTT NORDLUND $ 0 $ 69,381 FRANCISCO ARABIA $ 0 $ 92,670 DAVID BIXBY $ 12,709 $ 0 DEANNA WISE $ 0 $ 63,440 SCHEDULE J, PART I, LINE 7 1. THE INDIVIDUALS IDENTIFIED BELOW PARTICIPATE IN A LONG-TERM INCENTIVE PLAN (LTIP) COVERING THREE-YEAR CYCLES FROM 2017-2019, 2018-2020, 2019-2021, AND 2020-2022. 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: BANNER HEALTH NETWORK COST PER CASE, COVERED LIVES (POPULATION HEALTH MANAGEMENT) AND STRENGTHENING BRAND LOYALTY (NET PROMOTER SCORE). 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 AVERAGE THREE-YEAR BASE SALARY. 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 2017-2019 CYCLE ARE REPORTED IN SCHEDULE J, PART II, COLUMN (B) AS BONUS & INCENTIVE COMPENSATION. AMOUNTS ACCRUED FOR 2020 FOR THE 2018-2020, 2019-2021 AND 2020-2022 CYCLES (TO BE PAID OUT IN 2021, 2022 AND 2023 RESPECTIVELY) ARE REPORTED IN SCHEDULE J, PART II, COLUMN (C) AS DEFERRED COMPENSATION. NAME LTIP ACCRUAL LTIP PAYOUT PETER S. FINE $ 4,056,413 $ 3,187,500 REBECCA KUHN $ 1,256,600 $ 995,667 DAVID BIXBY $ 643,768 $ 479,782 DENNIS LARAWAY $ 952,744 $ 557,813 MAJORIE BESSEL $ 630,725 $ 355,085 NAOMI CRAMER $ 544,887 $ 381,042 ALEXANDRA MOREHOUSE MCREYNOLDS $ 424,200 $ 327,778 SCOTT NORDLUND $ 586,761 $ 0 BRENDA SCHAEFER $ 100,839 $ 80,000 TODD S. WERNER $ 345,984 $ 257,813 MARGO KARSTEN $ 222,705 $ 163,333 KATHY BOLLINGER $ 13,647 $ 115,999 JOHN HENSING, MD $ 6,758 $ 181,014 CHARLES LEHN $ 224,996 $ 187,496 DANIEL POST $ 96,794 $ 0 DEANNA WISE $ 227,722 $ 65,885 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 2020, THERE WERE 1,563 MIP PARTICIPANTS. THE MIP WAS ACCRUED IN 2020 FOR THE 2020 MIP, AND PAYOUTS ON THE 2020 MIP WERE PAID IN 2020. MIP COMPENSATION IS INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(II). SCHEDULE J, PART II SIGN ON BONUS THE FOLLOWING INDIVIDUALs RECEIVED A ONE-TIME SIGN ON BONUS IN 2020 (INCLUDED IN COLUMN (B)(II)): DANIEL POST $100,000 ROGERIO LILENBAUM $125,000 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 000040507 2014-10-22 211563492 SERIES 2014A - SEE PART VI false false false C ARIZONA HEALTH FACILITIES AUTHORITY 860453292 040507QM0 2015-11-05 109938631 SERIES 2015A - SEE PART VI false false false D ARIZONA HEALTH FACILITIES AUTHORITY 860453292 040507QA6 2015-11-05 301550000 SERIES 2015B-D - SEE PART VI false false false A 87365000 103555000 654681003 0 0 0 3221064 0 0 651459939 0 0 2009 false false true true B 0 0 211565255 0 0 0 2208915 0 0 209356340 0 0 2016 false false true true C 21620000 0 109938631 0 0 108580702 899345 0 0 0 458584 0 2015 false true true true D 100290000 0 301550000 0 0 0 1550000 0 0 11580626 288419374 0 2015 false false true true A false true true true true true 0 false false false true B false false true true true true 0.00000 0.00000 0.00000 false false false true C false true true true false 0.00000 0.00000 0.00000 false false false true D false true true true false 0 false false false true A false false false true true true MORGAN STANLEY 29.67 true false true MORGAN STANLEY 3. true false true B false false false true false false 0 false 0 false true C false true false false false false 0 false 0 false true D false false true false true false 0 false 0 false true A true B true C true D true . SCHEDULE K, PART IV, LINE 2C 2007A-B - MAY 25, 2017 2014A - OCTOBER 22, 2016 2015A - NOVEMBER 5, 2020 SCHEDULE K, PART VI 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. 2014A: THE PROCEEDS OF THE BONDS ARE BEING USED: (1) TO FINANCE AND REFINANCE THE COSTS OF THE ACQUISITION AND THE COST OF CAPITAL IMPROVEMENTS OF BANNER CASA GRANDE, AN ACUTE CARE COMMUNITY HOSPITAL, (2) TO FINANCE THE CONSTRUCTION, IMPROVEMENT, RENOVATION AND EQUIPPING OF THE NEW BANNER FORT COLLINS MEDICAL CENTER, AND (3) TO FINANCE THE CONSTRUCTION, IMPROVEMENT, RENOVATION AND EQUIPPING OF THE BANNER M.D. ANDERSON CANCER CENTER. 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-D: 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 A 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. 2020ABCD: THE PROCEEDS OF THE SERIES 2020ABCD 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. 2020EF: THE PROCEEDS OF THE SERIES 2020ABCD 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. A THE INDUSTRIAL DEVEL AUTHORITY OF MARICOPA 860445263 56682HCH0 2016-11-17 931052179 SERIES 2016A - SEE PART VI false false false B THE INDUSTRIAL DEVEL AUTHORITY OF MARICOPA 860445263 56682HCK3 2017-10-18 403357634 Series 2017ABC - See Part VI false false false C THE INDUSTRIAL DEVEL AUTHORITY OF MARICOPA 860445263 56682HCP2 2017-10-18 100000000 Series 2017D - See Part VI false false false D THE INDUSTRIAL DEVEL AUTHORITY OF MARICOPA 860445263 56682HCU1 2019-06-20 365299009 SERIES 2019ABCD - SEE PART VI false false false A 21035000 0 931052179 0 0 0 5747005 0 0 0 925305174 0 2017 false true true true B 0 0 403544851 0 0 0 2878298 0 0 400666553 0 0 2018 false false true true C 0 0 100000000 0 0 0 479336 0 0 99520664 0 0 2018 false false true true D 0 0 365599530 0 0 0 2241525 0 0 92761966 261240000 9356039 true false false true A false true true true true true 0.00050 0.00000 0.00050 false false false true B false false false false 0 false false false true C false false false false 0 false false false true D false false false false 0 false false false true A false true false false false false 0 false 0 false true B false true false false true false 0 false 0 false true C false false true false true false 0 false 0 false true D false true false false true false 0 false 0 false true A true B true C true D true A THE INDUSTRIAL DEVEL AUTHORITY OF MARICOPA 860445263 56682HCV9 2019-06-20 200000000 SERIES 2019EF - SEE PART VI false false false A 0 0 200000000 0 0 0 817409 0 0 199182591 0 0 2019 false false true true A false false false false 0 false false false true A false true false false true false 0 false 0 false true A true NATALIE RHODES DAUGHTER OF FMR OFFICER 33194 EMPLOYED BY BANNER HEALTH false ALYSSA BIXBY DAUGHTER OF FMR OFFICER 65392 EMPLOYED BY BANNER HEALTH false Stephanie Davidson DAUGHTER OF OFFICER 32296 EMPLOYED BY BANNER HEALTH false LAZARUS SILVYN AND BANGS LAW FIRM OF BOARD MEMBER 109585 LEGAL SERVICES false FORM 990, PART I, LINE 6 AT BANNER HEALTH ('BANNER'BH'), OUR VOLUNTEERS ARE AN IMPORTANT pART OF OUR TEAM, AND EACH YEAR THOUSANDS OF PEOPLE SERVE BANNER AND, IN TURN, SERVE LOCAL COMMUNITY NEEDS. PEOPLE OF ALL AGES, FROM ALL WALKS OF LIFE, AND WITH DIVERSE BACKGROUNDS AND SKILLS CHOOSE TO GIVE THEIR TIME TO BANNER. OUR VOLUNTEERS RANGE FROM TEENS AND ADULTS TO SEASONAL VISITORS AND RETIREES. THE ONLY CONSISTENCY IS THAT THEY ALL HAVE A DESIRE TO HELP AND SERVE OTHERS. THESE COMPASSIONATE AND CARING INDIVIDUALS MAKE A POSITIVE DIFFERENCE IN THE LIVES OF PATIENTS, STAFF AND GUESTS BY PROVIDING A PERSONAL AND COMPASSIONATE APPROACH TO PATIENT AND GUEST SERVICE. VOLUNTEERS WITHIN BH WORK DIRECTLY WITH PEOPLE AND PROVIDE BEHIND-THE-SCENES SUPPORT TO ENHANCE THE PATIENTS' EXPERIENCE AND COMFORT. WITHIN THE VARIOUS PATIENT CARE AND PUBLIC AREAS, VOLUNTEERS GREET GUESTS, PROVIDE INFORMATION AND DIRECTIONS, ESCORT PATIENTS AND FAMILIES TO THEIR DESTINATIONS, AND TRANSPORT AND LINK VISITORS TO STAFF AND OTHER RESOURCES. VOLUNTEERS ALSO PROVIDE COMFORT THROUGH THERAPY DOG VISITS, PERSONAL VISITS, AND By PROVIDING COMFORT ITEMS SUCH AS PILLOWS, PHONE CARDS, AND CATERING. FINALLY, OTHER VOLUNTEERS SUPPORT STAFF THROUGH ADMINISTRATIVE PROJECTS AND ASSISTANCE - ALLOWING THEM MORE TIME TO DEVOTE TO PATIENT CARE. BH HONORS THE MANY VOLUNTEERS WHO DONATE NUMEROUS HOURS AND COUNTLESS TALENTS TO OUR ORGANIZATION IN FURTHERANCE OF OUR EXEMPT PURPOSE. THEY EXEMPLIFY OUR MISSION IN THAT EVERY DAY THEY MAKE A DIFFERENCE IN THE LIVES OF OUR PATIENTS AND COMMUNITY. FORM 990, PART III, LINE 4 Headquartered in Phoenix, Arizona, Banner Health (Banner) is a nonprofit health care system that owns, leases, and operates 31 hospitals including three academic medical centers, nursing homes, physician clinics, home health agencies, urgent care centers, and ambulatory facilities in six western states. Banner is one of the nation's largest nonprofit, secular health care systems and the leading nonprofit provider of hospital services in every community served and, in some cases, the only inpatient facility available. Banner is deeply committed to our mission: "making health care easier, so life can be better", a mission which serves as the cornerstone of operations at our 31 hospitals and care facilities located in small and large, rural and urban communities. Regarded and recognized as a top health system in the country for consistent clinical quality, nonprofit Banner has evolved from a health system of hospitals to a fully integrated system. The comprehensive, integrated services provided by Banner include acute care, ambulatory care, long-term care, home health care, urgent care, medical imaging, rehabilitation, telemedicine, and hospice and palliative care. In addition to providing major, accredited medical education programs that train qualified physicians, Banner participates in national and international research efforts. Banner has not only demonstrated the ability to effectively manage the health and wellness of those in our service areas but has expanded convenient access to quality care throughout the communities we serve. Banner is dedicated to strengthening patient care by 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 need. At all stages in life, Banner meets the health and medical needs of its patients through compassionate professionals and outstanding service. Banner's reach provides patients with access to these services be it from a hospital bed, on a mobile web site, virtually in a telehealth space, or physically present in a Banner clinic or physician's office. Banner meets the patient where they are and at their desired locale. Banner Health's mission is making health care easier, so life can be better. As a nonprofit organization, we exist to support our charitable mission of providing excellent health care services to the communities we serve, rather than generating income for investors or stockholders. Every dollar we earn is reinvested into new equipment, new or expanding patient care services, new physician services, new technologies, maintaining existing equipment and facilities, and employees' salaries in addition to subsidizing the medical education costs for hundreds of physicians in training. To fulfill our mission and serve our incredibly diverse patient population, Banner operates a system of rural and urban facilities that preserve the dignity of everyone regardless of race, creed, sex, sexual orientation, gender identity, age, social status, or ability to pay for services rendered. Banner facilities are operated in a cost-effective and financially responsible manner to ensure that all who turn to Banner receive the excellent patient care they deserve. We leverage our size to reduce supply and equipment costs and to operate more efficiently and aggressively pursue best practices both inside and outside of Banner for opportunities to reduce waste and inefficiency. With over 52,000 employees, Banner is a leading nonprofit employer in most communities served. Banner Health is the largest private employer in Arizona and third largest employer in the Northern Colorado front range area. As a Banner team dedicated to our community and people, in 2020 Banner recognitions included: . Health Equality Index's Top Performer . Diversity Impact Awards' Top 10 Enterprise-Wide Employee Resource Group . AZ Business Most Admired Companies . AZ Business Magazines' Social Corporate Responsibility Spotlight Fulfillment of the Banner mission and exempt purpose is accomplished in part by providing patients financial assistance and charity care, as well as community benefit programs and services (See Schedule H). Banner is noted for its community service programs and Banner employees work tirelessly and devote significant hours, a large portion of which are on Banner work time as volunteers at clinics for the working poor, providing general health and behavioral health screenings, and conducting seminars, presentations and educational events. In addition, Banner employees routinely serve on local community boards and actively participate in various public service opportunities. Services and programs conducted by Banner facilities include but are not limited to: . Community health education programs . Support groups . Self-help programs . Community blood drives and health screenings . Community wellness clinics and programs . Community health fairs . Mobile screenings and clinics . Subsidized clinics and services . Live and web-based and electronic consumer health education and assistance . Primary and clinical research with an emphasis on Alzheimer's disease and other age-related diseases . School-based clinics, education and physical examinations . Donated conference room and related space to community-based organizations . Donated medical supplies . Partnerships with educational institutions to promote healthcare careers . Facility and staff involvement in community-based organizations . Community leadership training and coalition building Banner is committed to the health and well-being of the communities it serves and several new or on-going community benefit activities were noted in 2020. These activities include: COMMUNITY HEALTH IMPROVEMENT and SUPPORT SERVICES . Grace Middlebrook Patient and Family Learning Center, Wellness Library and Kruger Wellspring Library Accessible information is important when making medical decisions and many Banner hospitals have libraries with staff who can assist. Banner University Medical Center - Phoenix, Banner University Medical Center- Tucson, North Colorado Medical Center and McKee Medical Center offered community members access to books, tapes, videos, journal articles, etc. 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. . Banner Internet - Web-Based Consumer Education At Banner Health, keeping or community healthy is our priority and Banner strives to be the leading health care provider in every community it serves. Banner recognizes the importance of providing health care information, and support and the latest health news, wellness tips and trends, infographics and more are available at Bannerhealth.com. In 2020, BH website and blog content were viewed over 7.2 million times. Dedicated staff created content and maintained the website for the community and included in the website content were extensive adult and children's health resources, wellness information and "Ask the Expert" which provides access to hundreds of written and video formats and a diverse offering of online and engaging blog content and interactive health assessment tools. This health and wellness information is available on Facebook, Instagram, Twitter, and YouTube and the virtual health library provides information about wellness, disease conditions, procedures and medications and whether the goal is fitness or disease management, the on-line library provides easily accessible and valuable information. At Banner Health, we work with more than 27,000 health care professionals who are experts in their field, addressing questions on a variety of health care topics including: . Allergy and Immunology . Alzheimer's Disease and Dementia . Behavioral Health . Burns . Cancer . Child Safety . Concussions . COVID-19 . Dermatology . Diabetes . Emergency Care . Endocrinology . Endoscopy . Eye Care . Farm Safety . Fitness and Nutrition . Gastroenterology . Geriatrics . Healthy and Mental Wellness . Heart and Cardiac Care . Infectious Diseases . Injury Prevention . Maternity . Neurology . Nutrition . Orthopedics . Pediatrics . Poison and Drug Information . Pulmonology and Asthma . Sleep Medicine . Urology . Wellness . Weight Loss and Bariatrics . Women's Health . Mission of Mercy Mobile Medical Van Since 1997, Mission of Mercy, a mobile medical clinic has served more than 225,000 and dispensed more than 350,000 prescriptions. To the working poor and uninsured in Phoenix and the surrounding cities that make up Maricopa County. With the mission to restore dignity, "Healing through Love" by providing free healthcare. the rolling clinic on wheels is supported entirely by volunteer labor and donated supplies. A dedicated community partner, Banner's collaborative relationship enables patients to receive additional no-cost medical care, including lab tests and X-rays, mammography, and more. The committed support - time, resources, energy and effort ensures everyone in our community has access to quality, compassionate healthcare. . Children's Injury Prevention Banner Children's Injury Prevention program is a free health and safety program that provides information on preventable injuries and deaths for children. Our program sends safety advocates out to visit schools, church and community groups, as well as health fairs and safety fairs to give the East Valley community easy-to-follow advice about being safe. Our Injury Prevention program provides education for children of all ages and their parents. Programs targeted to children include: . Bicycle/helmet safety . Bullying . Fire safety . Fireworks safety . Gun safety . Hand washing/germs . Pedestrian safety . Poison prevention . Safe babysitting . Stranger danger . Car seat safety and facts (Including car seats, boosters and seatbelts) . Water safety and Drowning Prevention . Holiday Safety Tips Programs targeted to adults include: . Child safety seats . General Safety . Infant CPR/First Aid . Injury Prevention Tips for Parents . Banner Health Call Center and Crisis Helplines In 2020, Banner handled phone calls for physician referral, health-information provided by registered nurses, crisis counseling, behavioral health help and information on Banner programs and services. The Tucson, Arizona Crisis Response Center provides 24/7 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 $500,000 thousand, most of the calls to the Banner call centers and crisis helplines were from low-income persons needing health advice and crisis services. . Banner Health Research Institute Banner Health Research Institute (BHRI) serves the community through lectures and events and is dedicated to the education and training of the next generation of researchers. BHRI offers community outreach with the latest news and treatment information on diseases, as well as receive support from our experts through Banner Research's community outreach. The many resources to help with the diseases impacting the community include: . Health assessments . Screenings . Education classes and lectures . Support groups . Community resource and referral . Volunteer service opportunities . Speakers' bureau . Online education . Tours . All of Us - Health Disparities and Social Determinants of Health As an organization dedicated to providing the best care to our patients, Banner is dedicated more than ever to our communities. Banner took the American Hospital Association's #123forEquity pledge to act on specific areas to promote and improve diversity and health equity with the public. In addition to this pledge, Banner has focused on establishing strategic partnerships to increase access to care and advocate for cultural competency. All of Us is a national effort that aims to build the largest most diverse database of health information of its kind that researchers can use to study health and illness. Banner has partnered with the University of Arizona Health Sciences as National Institute of Health (NIH) grant recipients to participate in the program which aims to enroll 1 million or more U.S. participants to improve prevention and treatment of disease based on individual differences in lifestyle, environment, and genetics. The mission of All of Us is simple - speed up health research. All of Us Research Program, is a participant-engaged, data-driven enterprise supporting research at the intersection of lifestyle, environment, and genetics to produce new knowledge with the goal of developing more effective ways to prolong health and treat disease. To reflect the diversity of the U.S. population, the program enrolls participants from diverse social, racial/ethnic, ancestral, geographic, and economic backgrounds, from all age groups and health statuses. Information from the program will be a broad, powerful resource for researchers working on a variety of important health questions. Importantly, the program will focus not just on disease, but also on ways to increase an individual's chances of remaining healthy throughout life - tenants at the core of and fully supported by Banner Health. . Caring Connections Caring Connections is a unique program offered by Banner Hospice that provides support and assistant for patients and families who face the challenges of chronic or life limiting illness. Through Caring Connections, patients and their families have access to community resources, crisis intervention, telephone support and education valued at approximately $255,000, 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 is committed to providing education in all the communities it serves and doing its part to keep Banner communities strong and healthy. Across the system, area residents and community members were provided numerous in-person and online educational opportunities valued in excess of $796,000 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. . 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 in order to be able to respond to a public health crisis. The arrival of the COVID-19 pandemic to the U.S. in early 2020 put those plans into immediate action and since then, Banner Health has cared for more than half of Arizona's hospitalized patients battling COVID-19. In response to demand, Banner accepted the charge for drive-through COVID-19 specimen collection sites. On one of the busiest days more than 3,000 Maricopa county residents were tested. A main site found it's home at the Maricopa County Fairgrounds and after successful distribution of flu vaccinations was commissioned to distribute COVID-19 vaccinations. Systemwide this effort was enormous and at larger sites over 500 vaccinations administered daily. Early on, a global shortage of Personal Protective Equipment (PPE), medical supplies and face masks brought unprecedented challenges as we worked to keep our 52,000 team members and patients safe. Banner Health worked tirelessly to put best practices in place to ensure the safety of patients and health care workers across its six-state service area; continually reviewing and enhancing measures. The importance of health care worker and patient safety was always paramount and steps to curb or mitigate transmission continually implemented and communicated. Some facilities utilized thermal cameras at designated entrances to detect fevers in staff, patients and others, patients were outfitted with electronics/tablets to allow safe no-contact communication with family and staff were reminded to mask, social distance and sanitize. The message - Banner is A SAFEPLACE FOR CARE. Later, while a nationwide shortage of appropriately credentialed health care professionals to care for the surging number of patients across the country created exhaustion, fatigue and stress for our clinical teams and put an unprecedented strain on resources Banner continued to serve despite the disruptions. In addition to several operational and clinical opportunities, the COVID-19 pandemic presented several communication opportunities. Quickly activated to address the severely unique pandemic, the Emergency Operations Center (EOC) and the EOC's Public Information Officer were responsible for all COVID messaging on behalf of the organization, a task that depended greatly on Banner's existing brand strategy and research. Immediate actions aligned messaging and education with consumer needs and expectations during the pandemic. An English/Spanish COVID webpage on bannerhealth.com was the single source of truth. This approach enabled Banner to focus on content and community at one end point - and broadcast that information through channels that are fed by that data (e.g., social media, email, Google My Business, Banner app, etc.). Banner was committed to accurate, scientifically sound, timely communication. As the pandemic progressed and Banner gained more insight into what information was most sought after by its customers, tactics evolved to include: a safety seal, English/Spanish advertising campaigns in eight separate messaging waves, PSAs in partnership with other health system Chief Medical Officers and public health officials, and professional sports teams, virtual press conferences, op-eds, news media, social media (Facebook/ Facebook - Spanish/Twitter/Instagram), social television, blog and email. Banner was a consistent, reliable source of information throughout the pandemic. In 2020: . Banner secured 25,000 national and local media stories, which garnered 1.5 billion news media impressions. . Bannerhealth.com was the No. 10 most visited health care website in the country . Banner's "Relentlessly Keeping You Safe" social television series garnered more than 3 million views. . Regular COVID emails were distributed to Banner's 1M+ subscribers. . Banner's top clinical leaders were recognized among others by the American College of Surgeons, Modern Healthcare, Phoenix Business Journal Healthcare Heroes Client Testimonials. . Banner regularly held virtual press conferences with question-and-answer periods for local media and posted videos and written transcripts of the briefings. Topics addressed included situational awareness, capacity, staffing, current treatments available, vaccine distribution and mitigation efforts. . Banner facilitated weekly one-on-one sessions with Banner Health's chief clinical officer providing a bigger-picture perspective and a routine source of breaking news stories. . Banner participated along with five Arizona hospital systems to address COVID-19 topics during a joint virtual press conference. Topics included: high infection rates and how hospitals in Arizona are responding to the patient surges, vaccine distribution, capacity, staffing, and mitigation efforts. From the earliest days of the pandemic, our community stepped up to support Banner Health hospitals and teams. From local companies donating face masks, medical supplies and PPE as their own operations were shuttered, to individuals donating cash for our COVID-19 Response Fund and Supporting Our Staff (SOS) Fund, bringing meals for the frontlines, sending messages of gratitude, and drawing chalk art on the sidewalks outside our hospitals, the term "Banner Strong" took on new meaning. Banner has served the community and the community responded in kind. Nonclinical, support staff also supported patients and front line staff by volunteering for shift redeployment and mass producing masks. Inside our hospitals, teams felt the love and appreciation of their communities and co-workers outside our hospitals, healthcare workers were continually heralded as heroes. In conjunction with the Banner Health Foundation: . 1,475,277 items of PPE and medical supplies were deployed at an estimated value of $540,790 . 267,993 cloth face masks were supplied to employees and patients . $413,300 was contributed to the COVID-19 Response Fund . $280,999 in skin care and comfort products, snacks, and beverages donated to support our hospital workers . $150,950 Donated to create Respite Rooms for staff at each Arizona hospital to safely remove PPE and rest and recharge . 45,237 meals were donated for Banner Health team members across 18 care sites .Safety Education At Banner Health, we want to help keep you and your family safe. Safety is the foremost priority at our facilities. We also want to help keep you in safe in your home and during some of your favorite activities. As part of our efforts, we offer safety education related to safety around and, away from home including handwashing safety, farm safety, recreation safety, lake safety, holiday safety and summer safety. Banner offers a variety of community health activities and support services to the community. In an effort to maintain the health and safety of patients and employees during the COVID-19 outbreak many events were postponed or pivoted to a virtual setting. The following community health activities and support services reflect activities carried out in 2020: . 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 cutting-edge research across several campuses. Through the Banner Alzheimer's Institute community presentations, caregiver support services and screenings were provided to individuals and families. . Auto, Car Seat and Seat Belt Safety - Parents, youth and family members provided with car seat and seat belt safety instructions and certification opportunities valued at $4,100. . Babyscripts - 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. 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. . Dottie Kissinger Bereavement Camp - Following the death of a loved one, it's natural to feel grief. To help children and their families cope with a loss and make progress toward healing, Banner Hospice offers the Dottie Kissinger Bereavement Camp. Through understanding, support and expression, our camp helps families learn healthy coping skills, enhance self-esteem and connect with others facing similar circumstances. Helping a child through loss is a delicate and difficult challenge for parents and caregivers, especially when they are grieving as well. If ignored, grief can cause children to feel isolated and alone and puts them at higher risk for depression, suicide, poverty and substance abuse. The Dottie Kissinger Bereavement Camp is a free community program that helps grieving families work toward healing. The camp is unique as it offers entire families - not just children - an opportunity to learn how to cope with the loss of a loved one. For more than 20 years, families who have experienced loss have come to the camp to learn how to ease feelings of guilt, anger and sadness. Led by Banner Health hospice volunteers, the camp combines traditional, fun camp activities with grief education and emotional support. Families with children ages 6 and up are invited to attend the free camp Each family stays together in a cabin for this weekend experience and children and parents participate in activities that inform, educate, and provide opportunities to talk about very difficult aspects of loss. The camp is offered three times a year just outside of Payson, Arizona and is open to the entire community. To ensure safety in 2020, Dottie Kissinger pivoted to a virtual - "Camp in a Backpack" model. . 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 and anxiety valued at $29,350. In-person and online classes are offered free of charge. . Bike and Helmet Safety - $2,000 was expended to provide bike and helmet safety lessons and/or supplies. . Blood Drives and Screenings - Across the enterprise, low-cost or no-cost blood screenings and immunizations valued at $14,800 were offered to community members. Draws, education and health profile screening benefits were provided to area residents in communities served by Banner. . Cancer Education, Screenings and Support - Approximately 4,700 community members and their families were provided with education and activities in support of cancer care and healing. These services were valued in excess of $62,700 and include events such as "Pink Night Out", Tai Chi, and Yoga for Health and survivor's activities. . Cardiac Care, Healthy Heart, Chronic Obstructive Pulmonary Disease, and Stroke Education and Awareness - Services valued at $5,400 provided to 142 residents. . Children and Youth - Child development, early education and safety awareness valued more than $9,228 provided to area youth. Banner Children's Injury Prevention program is a free health and safety program that provides information on preventable injuries and deaths for children. Our program sends safety advocates out to visit schools, church and community groups, as well as health fairs and safety fairs to give the East Valley community easy-to-follow advice about being safe. Our Injury Prevention program provides education for children of all ages and their parents. . Children's Safety Fair - This annual award-winning community program covers everything from fire, home and bicycle safety to stranger danger and Internet predators. . Community Clinics- Valued at $328,000 Banner provided residents access to A1C, Sickle Cell and Heart Health clinics valued at $328,000. . Community Newsletters - Quarterly health information provided to thousands of residents. . COVID-19 - Understanding the severity and level of concern when it comes to COVID-19 Banner led efforts to educate and direct the community on COVID-19 resources, testing and education including vaccine access, symptoms, prevention, and testing. . CPR and First Aid -Residents trained on CPR, first aid and emergency response protocol valued at $3,700. . Diabetes Screening and Support- Lectures, screenings and community expos aimed at educating the community on diabetes. Participants received free screenings and education valued in excess of $4,368. . 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 can't 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 don't 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 various opportunities provided to area residents valued at $500 to learn about healthy food choices, nutrition, and healthy cooking. . Germs and Germ Safety - Valued at $10,500 children and adults were educated on germ prevention and the importance of hand washing and sanitation. . Gun Safety - Area youth were educated on gun safety valued in excess of $200. . Grief - Individuals were supported by services and activities to assist with grief. Programs follows a step-by-step approach as a way of healing from loss and address death and divorce as well as other significant emotional losses. . Health Care Support Services - Public AHCCCS/Medicaid program enrollment assistance and care coordination valued at $8.3 million provided to individuals in need. . Health Fairs - These events provided to residents and held at community events, county fairs, local businesses, malls, senior centers, schools and Banner facilities address critical community needs were valued in excess of $42,100. 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 .Injury Prevention - As part of the Banner--University Medical Center Phoenix trauma prevention program, an injury prevention coordinator works to keep the community accident-free by participating in health fairs, seat belt education programs and health education for high school and elementary-school kid and presenting at other safety workshops. . Hospice and Palliative Care - Educational opportunities are available to local residents to assist with grief, end of life care and caregiving concerns. . NCMC Hospitality House - The Hospitality House at North Colorado Medical Center offers affordable overnight accommodations for families visiting their hospitalized loved ones. In 2020, 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. . Keeping Kids Safe - Community Hospital, the cornerstone of health care in southeast Wyoming, is a major sponsor of the town of Torrington's Safe Kids Day. . Lunch & Learn- Opportunities for area residents to learn about pertinent health issues during lunch-hour presentations valued in excess of $7,800. . Men and Boys - Just for Dads activities provided to residents related to men's health and wellness education valued at $1,000. . Lodging and Transportation - Individuals provided lodging and transportation assistance in excess of $167,455. . New Mom Education - Education for moms, families and siblings provided in excess of $61,600. . Ogallala Community Hospital Health & Safety Fair - This annual health fair draws more than 200 people who travel as much as 50 miles to get better information about their health. The fair gives people an excellent overall snapshot of their health by providing blood draws, PSA checks, blood-pressure checks, osteoporosis exams, vision screening and more. . Orthopedics - Residents received education on healthy bones, orthopedic pain control, arthritis, joint pain and knee replacement valued at $19,985. . 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 2020 community education and wellness activities were valued at $229,000. . Pediatric Diabetes - Education and support received by families with juvenile diabetes. . Peripheral Artery Disease (PAD) and Blood Pressure Screenings - Residents were provided with PAD screening and wellness services. . Poison Safety and Prevention - School based poison safety education provide to educators, parents, students and community members valued at $17,000. . Washakie Health Screenings - Washakie Medical Center helps the community with free health screenings. Helping people keep their diabetes in line or evaluate peripheral artery disease, screened participants can talk with a dietitian or other specialist. These free screenings are invaluable to people with little or no health insurance that need help monitoring glucose levels to prevent complications from diabetes and other concerns. The screenings are put on in conjunction with the local Eagles Lodge members. . Screenings - Everyone benefits from a healthy community. Banner Health's Community wellness screenings provide education and encouragement to lead a healthier life. Banner Health offers classes and screenings around the community. Many of our services are offered at the local hospital or at sites in the community with the goal to help prevent common health conditions, help people understand their health better or return an individual to health Some of the screenings and education include blood pressure checks, memory screenings, and diabetes. . Seniors - Senior services and health fairs as well as education on pertinent issues such as diet and nutrition, graceful aging, dementia and memory, healthy aging, finances and fall prevention are provided to area seniors valued at $3,150. . Sitter Safety - Classes valued in excess of $4,000 provided to area youth to train and enhance babysitting skills and safety. . Spirit of Women - Banner Health is proud to be part of Spirit of Women, a coalition of American hospitals committed to inspiring and motivating women to make positive changes in their health, and the health of their families in mind, body, and spirit. Education provided in a non-traditional format combines important information with fun, interactive events that improve the health of women and the communities they serve. This Colorado program, promotes total well-being and as a Spirit of Woman partner, provides opportunities for women and their families to learn more about their health get regular updates and to be part of a community focused on the well-being of women. . Sport Screenings - $17,500 towards physicals, education and support for local student athletes. . Stranger Danger - Area children provided education on safety and strangers. . Support Groups -Throughout Banner thousands of patients and families were aided in coping with Alzheimer's, brain injuries, cancer, bariatric concerns, diabetes, heart disease, pulmonary disease, behavioral health, grief and recovery, infectious disease, injury prevention, transplant services, behavioral and mental health, nutrition, Parkinson's, obstetric and gynecological concerns, men's issues, dementia, stroke, care giving and death. These services are valued in excess of $13,300. . Teens and Youth -Teens and youth received training on issues such as teen pregnancy, youth sport injuries, responsible versus risky behaviors, drunk driving teen drinking abstinence etc. valued at $3,600. . Telephone Reassurance - Volunteers help keep hundreds of people safe at home by contacting participants who haven't checked in by a certain hour, if there is no answer, other attempts are made to ensure the person is safe. . Vaccinations and Inoculations - Immunization clinics and mobile flu shot opportunities and medication vouchers valued at $1,000 provided to area residents . Water/Pool Safety - Services educated over 2,280 individuals and family members in water safety and protection valued at $3,000. . Wellness Wednesdays - Program designed to offer low cost blood screenings at regular intervals to area residents. the local community take charge of their health," said program . Women's Health Programs - Along with Spirit of Women's activities, opportunities valued in excess of $1,300 provided to area women related to women's health and wellness education. HEALTH PROFESSION EDUCATION and TRAINING PROGRAMS AND ACADEMIC MEDICINE Banner Health offers some of the most sought-after Graduate Medical Education programs in the United States and is committed to the training of medical residents, nursing students, other health-care service providers, and community members. We are a leading provider of well-trained and highly skilled physicians through medical education programs at Banner - University Medical Center Phoenix and Banner - University Medical Center Tucson in Arizona and North Colorado Medical Center in Greeley, Colorado. Since 1965, Banner has offered Graduate Medical Education at Banner University Medical Center - Phoenix (formerly Banner Good Samaritan Medical Center) and hundreds of physicians who have graduated from this program serve our communities. The Banner - University Medical Center Phoenix Graduate Medical Education Programs, now University of Arizona College of Medicine - Phoenix and Tucson Programs offer a vast array of residency programs and fellowships across its campuses. The variety of residency programs in Arizona and Colorado, sub-specialty fellowship programs in Arizona and affiliated residencies and training opportunities in the six states we serve include: . Emergency Medicine . Family Medicine . Internal Medicine . Med-Peds . Neurology . OB/GYN . Oral Maxillofacial Surgery . Orthopedic Surgery . Pharmacy . Psychiatry . Surgery . Radiation Physics . Podiatric Medicine and Surgical . Family Medicine - Geriatrics . Cardiology . Interventional Cardiology . Endocrinology . Gastroenterology . Geriatric Medicine . Hand, Upper Extremity and Microsurgery . Medical Toxicology . Hospice and Palliative Medicine . Pulmonary/Critical Care Medicine . Primary Care Sports Medicine Banner has been instrumental in educating the Colorado physician community as well with the family practice residency at North Colorado Medical Center (NCMC). The NCMC family practice residency program provides family practice residents with advanced skills to enable them to provide a wide variety of physician services in underserved rural areas. Providing quality patient care in a supportive, collaborative environment that celebrates education as a lifelong process this program provides excellent training for physicians planning to practice full-spectrum family medicine in any setting. Banner also performs life-changing research, providing Graduate Medical Education to those who go on to touch lives across Arizona, the nation, and the world and the Banner Academic Medical Centers are a vital part of Banner's mission to making health care easier, so life can be better. All our residency and fellowship training programs are fully accredited and lead to eligibility for certification by the respective specialty boards. As part of community service, Banner provided approximately $71.0 million for the training of future doctors, nurses and therapists, and the continuing education of current health care professionals. Banner's nonprofit mission demonstrates that we recognize the importance of spiritual healing. In today's world of high-tech medicine, we know that including the spiritual holistic 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. At Banner Health we offer several learning options for professional and non-professional religious and spiritual leaders to take CPE. In holistic care, both body, mind, and spirit are taken care of. Chaplains help address the emotional and spiritual suffering. They offer a listening ear, a spiritual presence. In respect of the great variety 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 in the course of a hospitalization. Simply put, CPE helps form and equip competent spiritual healers, and Banner supports a growing ACPE program because it knows that healing involves more than medical cures, and that emotional and spiritual well-being facilitates the healing process. Banner provided approximately $401,000 for the training of future spiritual care leaders. The Banner Simulation System is one of the country's largest simulation education programs to train physicians, nurses, allied health providers and emergency responders. At the heart of our simulation education program is the 55-bed, 55,000-square-foot Banner Simulation Medical Center in Mesa, Arizona, the nation's largest virtual hospital and one of the biggest centers of its kind in the world. It is complemented by other Banner Simulation sites in Arizona and Colorado, as well as a mobile training program that serves hospitals throughout the Western Region. The downtown Mesa facility contains everything from neonatal intensive care and adult acute care units to an operating room with virtual-operation capabilities. One of the largest centers of its kind in the world, this priceless resource elevates Banner's educational efforts in Arizona to exceptional heights. We use mannequins, simulators and virtual-reality programs to offer the next generation of learning collaborating with area colleges and emergency response departments to provide simulation exercises. With a hospital full of virtual-reality "patients,'' Banner employees, medical students and other health professionals can learn and perfect their medical techniques before they care for real patients in our facilities. Banner Simulation Education's vision is to "transform health care delivery through simulation, learning and research'we are fulfilling that vision with our extensive, rapidly expanding program. We offer one of the country's largest Simulation Education Programs and through its existing simulation-education programs, Banner Health has trained thousands of health care professionals using a wide array of equipment to provide the most realistic hands-on education possible. Banner Health's Simulation Education program has been accredited by the American College of Surgeons - becoming the first program that it has accredited across an entire health care system. There are 62 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 accredited by The Society for Simulation in Healthcare (SSH). It is one of only three organizations worldwide to be accredited in five all areas: core, assessment, research, teaching and system integration and has as extensive medical research program leading the field of simulation learning into the future. In 2020, Banner supported health profession education with the following programs: . Student Nursing Education - Collaboration with local universities to enhance and provide education and practical training. Banner Health invests in our nurses by training them to confidently and safely deliver excellent patient care. The New Graduate RN Residency Program at Banner Health is recognized by the ANCC Practice Transition Accreditation Program (PTAP) as an Industry Recognized Apprenticeship Program (IRAP). Banner Health's New Nurse Experience (NNE) provides a collaborative learning environment in which the individual can refine their nursing skills, enhance their knowledge, and transition from a new graduate to a fully competent, professional nurse. . Pharmacy Education - As part of community service, Banner provided approximately $3.7 million for the training of future pharmacists. . Nursing Professional Education - Nursing education provided on a variety of relevant topics and skill sets including advance trauma support and midwifery. . Nursing Development Fund - Recognizing the significance of innovation, research and continuing education, in conjunction with the Banner Foundation, Banner has established a nursing development fund, fueled through Better Together donations to support nursing research and nursing evidence-based practice (EBP) projects. In addition to applying for scholarships, nurses throughout Banner can submit applications for grants to carry out EBP and research projects that seek to improve patient care and nurse outcomes. . EMS/Paramedics - Services provided to local emergency medical personnel and agencies. . Job Shadowing and Career Day Presentations- These programs and services encourage healthcare careers through education and observation of daily activities to area youth and others interested in health care careers. . ACLS, BLS and PALS - Training and certification provided on basic and advanced techniques. . Other Health Provider Education - Other health care providers and students were trained on a variety of topics valued in excess of $18,000. . Banner Center for Health Education - The Banner Center for Health Careers (BCHC) was established in 2003 to positively address Banner Health's current and projected needs for clinical positions through both innovative academic and community partnerships. Today BCHC partners with educators and other organizations within the communities we serve to provide a variety of education assistance programs for individuals pursuing health care degrees. We also manage career and incentive programs for employees and coordinate all onsite student experiences. The goal is to contribute to the ongoing development and placement of individuals who exemplify the mission of Banner Health: "Making health care easier, so life can be better.". . Scholarships - Banner partners with numerous organizations to identify and assist individuals interested in pursuing medical careers. SUBSIDIZED HEALTH SERVICES Banner provides important, free and reduced or sliding fee-based services like the Banner Poison and Drug Information Center Hotline, health information provided by registered nurses through our Banner Health Call Center, and school-based health centers for kids in economically challenged areas. Banner also provides numerous clinical services to meet the needs of Banner communities and the uninsured or under-insured. Included in the subsidized services provided in 2020 are: .Funded Discharge Program Approximately $1 million provided to needy community residents for post discharge care. . The Banner University Medical Center - Phoenix Poison and Drug Information Center The nationally recognized Banner Poison and Drug Information Center (BPDIC) is one of fifty-five accredited by the American Association of Poison Control Centers (AAPCC) and is designated by the state of Arizona to provide free 24-hour emergency management of poisonings to residents and health care professionals in Maricopa County. Established in 1979, the Banner Poison and Drug Information Center has continuously served the citizens of Maricopa County and surrounding counties for over 40 years. Services are available in more than 150 languages. 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 2020, over 100,000 calls from the public and healthcare providers were answered by Registered Nurses and Pharmacists who are Specialists in Poison Information, along with Poison Information Providers. Medical Direction and on-call physician support for the poison center is provided by physician toxicologists from the Department of Medical Toxicology at the Banner-University Medical Center Phoenix. The most common exposures include bites/stings, drug overdoses, accidental pediatric exposures, adults with therapeutic errors taking medications, and questions about COVID-19 (illness, treatments, vaccines, etc.). 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. In addition, the center provides extensive community education on the prevention of poisonings. Public education focuses on current, high risk poisonings and poison center utilization through participation in community health fairs, professional organizations, and CME presentations. In response to the COVID-19 Pandemic, BPDIC has worked closely with the Arizona Department of Health Services and the County Health Departments of Maricopa, Yuma, and Pinal. BPDIC was poised, prepared, and eager to assist in Arizona's COVID-19 Response. A countywide helpline was created on January 26, 2020 with a statewide toll-free number created on March 11, 2020. The BPDIC was also at the forefront of public health alerts in 2020, including warnings of chloroquine/hydroxychloroquine, methanol containing hand sanitizers, and additional non-FDA approved COVID-19 treatments. In 2020, the operating expenditures of the Poison Control Center were approximately $2.675 million. BPDIC received funding from the Arizona Department of Health Services, HRSA, Banner Foundation funds, along with local health department contracts and projects, to total approximately $975,000. Banner University Medical Center - Phoenix contributed approximately $1.7 million to fund this much needed program. . 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 in order to deliver a healthy baby, no matter their income or insurance situation. Realizing every baby needs a fighting chance; classes are available in breastfeeding, stress management, and basic infant care. There is a monthly "Mom's Group,even the opportunity for expectant fathers to meet with a male social worker. Established in 1991, this program serves many local families a year, assists thousands of families with prenatal care, delivery services, education, support and referral services, improved the first trimester prenatal care among low-income women, consistently decreased the incidence of low birth weight babies among low-income women, and connected families with other community resources and agencies for a continuation of care throughout their lives. . Banner Children's Community Clinics Keeping kids healthy can be quite a task, especially if your child is not covered by insurance. That's why Banner Children's is here to help. We offer free health services to uninsured children in the Phoenix Metropolitan area through our Community Clinics and the Banner Children's Healthmobile, a 38-foot RV is specially outfitted with an upbeat waiting room and two exam rooms and operates just like a mobile doctor's office. For more than 20 years Banner has partnered intentionally with local school districts to bring much needed services to their uninsured population right inside the school's walls. Staffed by pediatric or family nurse practitioners, Banner Children's Community Clinics - formerly known as Banner Children's School-based Health Centers - provide patients with well visits, and treat minor illnesses or, even, major and chronic health problems. In conjunction with the Banner Foundation, The Banner Health 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 significant portion of children are without health insurance. The program's goal is to keep uninsured children healthy, in school, and out of the emergency room. This invaluable program also works directly with local labs and imaging departments for supplementary assessment and diagnosis, when needed. Importantly, too, the Clinics partner with our very own Banner Children's Specialists who generously offer patients specialty consultations for only $5 per visit. This service is efficient, cost effective, and easily accessible through the school nurse and includes health assessments and histories, health promotions, diagnosis and treatment of episodic illness and sports and camp physicals and students do not need to attend these schools in order 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. . Banner Children's Healthmobile At Banner Children's, we are driven to help others! Each week, our Banner Children's Healthmobile hits the road to provide children ages newborn through high school age with the healthcare they need. This 38-foot RV is specially outfitted with an upbeat waiting room and two exam rooms and operates just like a mobile doctor's office. The "Banner Children's Healthmobile" is a licensed outpatient treatment center offering children up to 21 years of age treatment for health problems, physicals and routine annual check-ups. The mobile clinic complements Banner Health's School-Based Health Centers, which have treated thousands of patients for free at Valley campuses. A necessity for uninsured and underinsured children in the Phoenix Metropolitan area, over 1,000 young people were provided exceptional medical treatment in 2020. The Banner Children's Healthmobile further supports our local communities and hospitals by providing more convenience for families who previously had to travel long distances for treatment. Our Healthmobile team, including a nurse practitioner and a bilingual medical assistant, provide caring, compassionate and free healthcare services to children around the Valley. . Banner Children's Hospital School and Banner Academy A stay in the hospital can be an overwhelming experience for children and their families, and Banner Children's tries to provide sick kids with as much normalcy as possible. One big consideration, especially for longer stays, is that a kid's need for learning and creativity does not stop while they're in the hospital. The Banner Children's Hospital School program helps by bringing the classroom to the hospital itself. We have our very own staff of experienced teachers who offer on-site classroom or bedside teaching to help kids keep up with their studies while they are in the hospital. The goal of the hospital school program is to provide children with individualized educational support to prevent them from falling behind academically. We assist with a seamless re-entry to their school when they are medically ready to return. Children can face a variety of challenges if their education is interrupted including being held back a grade, losing scholarship opportunities and even being asked to leave a school. The Banner Children's Hospital School program helps to avoid these pitfalls while allowing kids to focus on what is important - getting better. Banner Academy is a nationally accredited private school in Tempe, Arizona, with a long history of providing education to children with Autism Spectrum Disorder (ASD), as well as emotional and learning disabilities. The school is open to students in grades 4th through 12th. Families and school districts in the Metropolitan Phoenix area place students with special needs in our school because of our success with increasing academic and social skills, as well as reintegrating students into their home schools. We offer small classes, certified teachers and an individualized curriculum to help students reach their full academic potential. The Banner Academy has been accredited by the North Central Association Commission on Accreditation and School Improvement, a division of Cognia since 1986, the first special needs school accredited in Arizona. Our school also meets the criteria set forth by the Arizona Department of Education as an approved Private Day School for students with special needs. . Season's Club, Olive Branch Senior Center and Stepping Stones Season's Club, Olive Branch Senior Center, Adult Residential Care, Stepping Stones and Memories in the Making enhance the quality of life for mature Arizona and Colorado adults through health promotion, education and recreation. In 2020 approximately $200,000 was invested in the Loveland and Northwest Phoenix communities to enhance the lives of area seniors. The Seasons Club is a free program that helps people age 50 and older get the most out of life through health promotion, education, and recreation. Stepping Stones Adult Day Program offers affordable quality care for adults who are no longer safe to be at home alone. Participants are given the opportunity to socialize, build friendships and enjoy stimulating activities in a safe, caring environment. The Stepping Stones Adult Day Program opened its doors in the Loveland community in 1995 and is a place where dignity, confidence, security and independence are assured, giving participants new levels of freedom and enhancing their quality of life. Since 1988, Banner Olive Branch Senior Center has been providing services to our community to help participants remain healthy, active and independent. The Center's humble beginnings started with a food program in a local church, paying $1 annually in rent, with one loaned vehicle to deliver food. Today, Banner Olive Branch Senior Center has a fleet of 13 vehicles including 2 buses and offers over 25 programs and services. The Banner Olive Branch Senior Center offers a variety of social and educational activities as well as delicious and nutritious meals cooked in our kitchen. 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 2020, Banner Olive Branch Senior Center, in partnership with the National Council on Aging, 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, more than 9.8 million 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. Individuals and their spouses, ages 60 and older and handicapped persons of all ages are offered health screenings, blood pressure checks, trip and entertainment, legal assistance, counseling and classes including exercise and nutrition. The Lifeline Assistance Fund provides installation and monthly service fees to underinsured or uninsured, low-income seniors who require Lifeline support to maintain their independence and continue to live at home. Lifeline, manufactured by Phillips, is an easy-to-use medical alert service designed to reduce the risks associated with living alone. . Palliative Care Multidisciplinary teams in Arizona and Colorado strive to assist patients, families and caregivers with end-of-life issues, an uncomfortable subject to many. Banner's approach encourages open communication and helps identify and carry out individualized goals for end-of-life care. Specialized symptom management along with consultation addresses the medical, emotional, psychological, and spiritual issues that occur with regard to the management of advanced chronic and life-limiting illness. In 2020, over $9.1 million was devoted to these efforts. At Banner Health, our palliative care program provides compassionate, comprehensive and interdisciplinary care that reduces suffering and optimizes quality of life by addressing physical, emotional and spiritual needs for patients and families experiencing serious illness. Our palliative care team of doctors, nurses and other specialists are specially trained in symptom management and provide treatment by Assessing the patient and/or family in a holistic manner Including the patient and family as an integral part of the treatment team Controlling pain and other symptoms as well as relieving suffering Restoring the highest possible functional capacity for each individual and family member as well as providing psychosocial support with a focus on dignity, support services for patient and family and a sensitivity to the cultural and religious values of the patient and family . 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 don't reach a designated trauma center within the first hour or "Golden Hour" after their injury. Receiving treatment in this first hour may be critical to their survival. The Trauma department at Banner University Medical Center - Phoenix recognizes the life-saving importance of partnering with rural communities in Arizona to improve trauma care. has partnered with rural health care facilities to provide training critical to treat patients during this time while they are awaiting transport to Level I Trauma Centers. The team has also been honored for their commitment to providing this kind of training to Arizona rural emergency personnel. Until 2020, Banner - University Medical Center Tucson had the distinction of being Southern Arizona's only Level I Trauma Center, caring for the most critically injured patients. As the only one of two Level 1 Trauma Center in Southern Arizona, Banner and University Medical Center Tucson play a leading role in issues related to trauma and critical care. Trauma outreach programs include information for community groups interested in learning more about how to prevent trauma and how the trauma system works, outreach to government officials to help them develop public policy to improve trauma care systems and outreach to lawmakers so they can create better laws concerning the trauma care system and injury prevention. .Memory Disorders Clinic Banner Alzheimer's Institute 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. Setting a new national standard of care the Banner Alzheimer's Institute has introduced a new standard of care that provides ongoing hope and help for people with Alzheimer's/dementia and their families. The Banner Alzheimer's Institute standard of care combines 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. Directed by internationally recognized leaders in the care and study of people with Alzheimer's disease, Banner Alzheimer's Institute 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 very 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 2020, these services valued at approximately $3.2 million include 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, webinar/teleconference 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 $1.3 million. . Ambulance and Evacuation Services Ambulance and emergency evacuation services are provided to Arizona and Western Region communities. Without this subsidy and service, localities would be responsible for these services valued at $6.4 million. . Banner MD Anderson Patient Assistance Fund The Patient Assistance Fund provides support to Banner MD Anderson Cancer Center patients with financial needs for diagnostic imaging, radiation treatment and wig assistance. In conjunction with the Banner Foundation, relief is provided during a difficult journey. . Benefits CheckUp Banner Health partners with a nonprofit organization called Benefits CheckUp, which helps thousands of people find programs for those age 55 and older. These benefits may pay for some costs of prescription drug, health care, utilities, and other essential items or services. . Behavioral Health Mental and emotional wellbeing is just as important as your physical health and Banner Behavioral Health provides a nationally recognized, behavioral health care program for children, teens and adults faced with psychiatric, behavioral health, or chemical dependency challenges. In 2020, $1.0 million was devoted to the mental health needs of the communities Banner serves and Banner is dedicated to providing safe, confidential and compassionate treatment with customized treatment plans to meet each patient's needs - in the least restrictive therapeutic environment. We also can help patients with co-existing psychiatric and substance abuse problems. . Western States Burn Center Located in Greeley, Colorado, the Western States Burn Center at North Colorado Medical Center provides the most sophisticated treatment and technology currently available for the treatment of burn injuries. Opened in 2009, the center focuses on the care of adult burn patients and has an expanded unit with 10 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 are dedicated to providing burn outreach education to our service area. This includes Continuing Medical Education presentations, Advanced Burn Life Support (ABLS) classes through the American Burn Association, and presentations to chemical, electrical, oil/gas and other industrial companies. Without Banner's $1.2 million support, multiple western states would be without this comprehensive coverage. . Laura Dreier Breast Center The Laura Dreier Breast Health Center at Banner - University Medical Center Phoenix provides a full spectrum of exceptional breast care services, ranging from breast cancer prevention and screening, to detection, diagnosis and the most advanced treatment options. The highly trained staff is committed to alleviating the stress and anxiety that often comes with mammography and other breast health services by delivering superior, patient-focused care in a state-of-the-art, peaceful and spa-like environment. Each year, thousands of women rely on the Laura Dreier Breast Center at Banner University Medical Center - Phoenix for their annual screening mammograms and bone density studies. 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. The Reaching Out Laura Dreier Breast Health Program educates women about the latest breast disease prevention, early detection and treatment information. Through donations to the Banner Health Foundation and partnership with the Komen Foundation, the Reaching Out program has provided mammograms and treatment to hundreds of uninsured and underinsured women. This program is often the only lifeline of support for women facing a breast cancer diagnosis. . Women's Center At Banner Health's hospitals, Banner Health Clinics and Banner Health Centers, we offer comprehensive, compassionate women's health services - routine and specialized care, education and support - for all stages of a woman's life. Banner is committed to women's health with specialized services provided at the Banner Heart Clinic, McKee's Center for Women's Health and Banner University Medical Center - Phoenix valued in excess of $1.5 million. The Women's Center at Banner University Medical Center - Phoenix takes a unique approach to women's health by combining academic training for obstetrics and gynecology residents with experienced board-certified faculty physicians. In 2020 Banner University Medical Center - Phoenix provided over $1.2 million in advanced care for complicated women's health issues as well as routine exams. The Women's Center is a key resource in central Phoenix and is the primary referral site for high-risk and complicated women's medical services. Patients travel from all over Arizona to receive inpatient, outpatient and in-office care. BANNER RESEARCH Banner Research conducts high-quality clinical trials and other medical research. Our dedication is to our patients to turn discoveries into new diagnoses, treatments and prevention methods for diseases such as Alzheimer's, Parkinson's, cardiovascular disease, fibromyalgia, arthritis and cancer. Banner Health is a national leader in the diagnosis and treatment of Alzheimer's disease and other dementias as well as in cutting-edge research across several campuses. Researchers at Banner are committed to conduct high-quality clinical trials and other research projects that are medically and scientifically important and have a strong potential to benefit patients. We conduct our ground-breaking studies through our Banner Research division and our Banner - University Medicine academic medicine division. The studies and programs encompassed within Banner Research include: . All clinical trials and other research in Banner medical facilities . Banner Alzheimer's Institute (BAI) . Banner Sun Health Research Institute (BSHRI) . Banner MD Anderson Banner Cancer Center research . All grants, including non-research grants, in Banner medical facilities BAI embraces a three-part mission to: 1) end Alzheimer's without losing another generation, 2) set a new national standard of patient and family care and 3) forge new models of collaboration in biomedical research. This is done through setting a new national standard of patient and family care, conducting revolutionary studies in the detection and treatment of Alzheimer's, and forging scientific collaborations that bring together institutions and disciplines internationally. Banner Alzheimer's Institute has introduced a new standard of care that provides ongoing hope and help for people with Alzheimer's/dementia and their families. The BAI standard of care combines 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 needs . Comprehensive information and resources . Access to promising investigational treatments Banner researchers conduct revolutionary studies in the detection and treatment of Alzheimer's, envisioning, directing and analyzing studies that scientists throughout the world regard as pivotal. Our team's drive to end Alzheimer's means we may pursue more than two dozen clinical trials at any given time. Our scientists are involved in: . Searching for and then tracking the neurological changes associated with the development of Alzheimer's . Assessing the value, safety and tolerability of medications targeting Alzheimer's physical and behavioral symptoms . Evaluating potential therapies that would prevent the onset of Alzheimer's symptoms Forging scientific collaborations that bring together institutions and disciplines internationally, Banner Alzheimer's Institute is proud to partner with scientific, medical, academic and industry partners to end Alzheimer's disease. Our collaborations include: . Arizona Alzheimer's Consortium - BAI launched and now leads the Arizona Alzheimer's Consortium, the nation's foremost model of statewide collaboration in Alzheimer's disease research. We are a leading partner in this consortium, which is nationally recognized as a model of statewide collaboration in Alzheimer's research . Alzheimer's Prevention Initiative - BAI championed and now oversees the Alzheimer's Prevention Initiative (API), an international collaborative. Its goal is to launch a new era of Alzheimer's prevention research by evaluating the most promising prevention treatments and to do so as quickly as possible. API includes scientists and physicians as well as industry and regulatory agency representatives from throughout the world. Championed and led by Banner Alzheimer's Institute, API is an international collaborative formed to launch a new era of Alzheimer's prevention research by evaluating the most promising therapies in cognitively normal people who - based on age and genetic background - are at highest risk of developing Alzheimer's disease symptoms as quickly as possible. The goal of API is to identify pre-symptomatic treatments or interventions that will postpone, slow or prevent the disease's progression. . Arizona State University-Banner Neurodegenerative Research Collaborative - Arizona State University (ASU) and Banner Health have formed a new 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 Arizona State University-Banner Neurodegenerative Disease Research Center on ASU's Tempe campus. . The work by scientists and physicians at BSHRI has had a significant impact on generating groundbreaking research, developing effective treatments and devising strategies for prevention of many diseases. . 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. We are 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. BSHRI conducts research, clinical care, prevention and education in memory disorders such as Alzheimer's and movement disorders, such as Parkinson's disease and basic science research in cardiovascular disease. At BSHRI, we host the unique Brain and Body Donation program, which provides tissue samples to scientists nationwide. Banner Research also provides support for the community through our lectures and support groups and provides groundbreaking care through our Cleo Roberts Memory and Movement Disorders Center in addition to helping train the next generation of researchers through our summer and school-year internships. In 2020, Banner Research provided the clinical environment with research compliance infrastructure, central IRB, and patient population mix for collaboration with pharmaceutical and biotech companies, academic and research institutions, in the identification of disease stage biomarkers, development of diagnostic tools, and pertinent prevention and treatment modalities valued at approximately $16.8 million. The partnership between Banner Health and the University of Arizona brings clinical care delivery, education and research to the forefront of the patient experience. In coordination with Banner's University Medicine the University of Arizona also conducts a variety of research studies and clinical trials to support a commitment to improving patient care. FINANCIAL CONTRIBUTIONS and IN-KIND DONATIONS Banner is committed to assisting financially and through in-kind contributions to individuals and/or the community at large. In 2020 Banner Health provided the following contributions or in-kind donations to support charity care, health professions education and other community benefit activities: . Loveland Community Health Center (LCHC) McKee Medical Center and North Colorado Medical Center partners with Sunrise Healthcare to meet the needs of the uninsured and underinsured in Loveland. LCHC is committed to providing high quality, comprehensive, affordable family health care services to the community. The Loveland Community Health Center opened its doors in 1997 after a community-wide campaign to establish a clinic to provide medical care to at-risk and underserved populations in Loveland. The Center has had over 219,000 total visits and annually serves over 6,000 individuals. The clinic provides primary and preventative health care in Greeley and northern Colorado McKee Medical Center provides the physical facility and expansion, while the Sunrise Group of Greeley provides staffing for the medical clinic. Banner Health provides LCHC with a 13,902 square foot facility free of charge. The annual rental value of this gift is estimated to be in excess of $365,000. . Project Cure For many years Banner has worked 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 that can no longer be used at Banner facilities, but which can still be used in third world countries. Each facility within Banner sets aside supplies every month which are then secured by PC and inventoried at a local PC site. Once inventoried, these supplies are requested by individuals and missions though out the world and an incredible need is met. Banner is proud to support this outreach mission that helps millions. In 2020, Banner donated $1.9 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 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 difficult time in their lives and relieving stress by being with other families facing similar challenges. The facility features 16 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 18 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, Casa Grande Community Hospital 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 many 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. Many in-person events and activities were suspended in 2020 in light of the COVID-19 pandemic. Ever committed to the community, the following organizations are representative of those receiving financial, in-kind or volunteer donations from Banner in 2020: . American Cancer Society . American Lung Association . Arizona Alzheimer's Research Center . Arizona Perinatal Trust . Bald Beauties Project . Benevilla . Boys & Girls Club of the Valley . Boys & Girls Clubs of Southern Arizona . Brighter Healthier Future for Colorado Kids . BSC Chandler LLC . Clinica Armistad . Community Hospital Auxiliary . Coyote Task Force . Eastern Wyoming College . Goshen County School District No. 1 . Goshen Healthcare Foundation . Greater Tucson Fire Foundation . Integrative Touch for Kids . Living Streets Alliance . Make A Wish Foundation of Arizona . March of Dimes . NAMI Southern Arizona . Northside Early Learning Center . Ronald McDonald House Charities of Central and Northern Arizona . Ronald McDonald House Charities of Southern Arizona . School Choice Arizona . Steven M Gooter Foundation . Sun Health Foundation . United Way of Larimer County; Horizon Laboratory LLC . Wee Pals Preschool . Western Nevada College COMMUNITY BUILDING As a good corporate citizen and partner, Banner is involved in a number of activities designed to promote community health and address community needs including community health improvement advocacy, housing, economic development, coalition building, community health advocacy, leadership development, workforce development and enhancement, and disaster preparedness. Banner employees are encouraged to and recognized for service and participation on community boards and task forces and Banner frequently provides facility usage to community non-profits. These activities are not included elsewhere on Schedule H. The following are but a few ways in which Banner promotes, protects or improves community health and safety: . Economic and Leadership Development Banner Health leaders embrace stewardship as a guiding philosophy of their respective management roles Banner equips its leaders to serve and support the communities it serves and supports the development of these same communities. In an effort to provide leadership, analyze community needs and support business expansion Banner has historically been a member and/or event sponsor for numerous organizations including: . 100 Club of Arizona . Academic Management Council . ACHE Board of Governors . AHA Center for Healthcare Innovation Board . AHA Region 8 Policy Board . Arizona Association of Home Care . Arizona Chamber of Commerce and Industry . Arizona Self-Insured Association . AzHAM President . Banner Federal Credit Union . Brush Rotary . Brush Stakeholders Group . Chandler Chamber of Commerce . City of Apache Junction Chamber of Commerce . Cloud Peak Counseling, Worland WY . Colorado Hospital Association Legislative Council . CPLC IHH Board . East Valley Partnership . Gilbert Chamber of Commerce . Goshen County Economic Development . Hispanic Chamber of Commerce . Kiwanis . Logan County Economic Development Corporation . Maricopa County Chamber of Commerce . Maricopa Economic Development Alliance . Maricopa Economic Development Association . Neighborhood Physician Alliance LLC . Phoenix Community Alliance . Phoenix Women's Commission Board . Platte County Chamber of Commerce . Scottsdale Area Chamber of Commerce . Society for Human Resources Management of Greater Phoenix . Southwest Alliance for Excellence . Sun Health Foundation . The Plaza Del Rio Owners Association, Inc. . Town of Queen Creek Chamber of Commerce . United Way of Tucson and Southern Arizona Leadership Counsel . WellsForce, Inc . Westmarc . Wyoming Hospital Association . Community Support and Coalition Building Banner supports and partners with numerous community agencies in support of community initiatives. Banner is also represented at various events and coalitions designed to enhance community health. Banner supported teen health education and safety through donations to club and team events, expanded appreciation of the arts and increased cultural and environmental awareness for local residents by support to various community organizations. Examples of these partnerships include: . American Legion . BLMC High School . BLMC Summer Lunch Program . Brush 4th of July Parade . Christmas Toy Drive . Churchill Arts Council . Churchill Community Coalition Color Run . Churchill County High School Basketball Program . Civil Air Patrol Magazine . Coat Drive . Community Food Drives . Fallon Community Theater . Fallon Food Hub . Fallon Greenwave Quarterback Club . Fallon High Desert Grange Fundraiser . Fallon Swing Dance Boosters . Fallon Youth Baseball Program . Fallon Youth Club Fundraiser . Football 101 . FTC - Peach Festival . Gilbert Fire and Rescue . Goshen County Fair Association . Goshen County Jr. Livestock . Greenwave Homecoming Football . Holiday Meal Drive . Homeless Shelter . Lassen County Fair . Lassen High School . Lassen Junior Livestock . Lassen Safe Halloween . Martin Luther King Parade - Mesa . McKee - LHPAC - Sculpture in the Park . Morgan County Fair . NCCA Tourney . Nevada State 4H . NV State 4H Camp . Oasis Academy . Oktoberfest . PCMH Town of Guernsey Youth . Pink Night . Platte County 4H . Platte County Fair Board . Platte County School District . Stillwater Firearms Association . Torrington Elks Lodge . Torrington Little League . Torrington Tigers . Wheatland High School Drama Club . Health Improvement Advocacy Banner believes that a corporate steward must advocate on behalf of its constituents and in 2020, Banner contributed $22,000 these efforts. . Physical and Housing Improvements Realizing the importance of the environment on healing, Banner supports efforts to better the living conditions of those in the communities it serves. In 2020, Banner contributed $1,000 these efforts. . Work Enhancement Banner actively recruited physicians to serve in Federal medically underserved areas. In 2020, approximately $165,000 was invested to enhance community workforce. . Disaster Preparedness In 2020, Banner provided disaster training and education opportunities to community residents and first responders valued at $55,000. 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. . Holiday Helper Working as teams, Banner departments pooled resources to provide food, clothing and gifts for needy local families and children during the holiday season. . Clothing and Food Drives Employees around the system unite to assist those in the community less fortunate than themselves. Of particular note are the annual coat drive held at Banner Lassen Medical Center and the various food drives held to support the local communities. In addition, appeals are made to assist that population of patients who live under challenging circumstances, and often when they arrive to our facilities, their clothing may be lost or destroyed in the process of their care, or simply may need a refresh. . United Blood Services Banner partnered with UBS to provide community blood drives to support local blood shortages. Employees coordinated the drives and managed donation sites during work hours. In 2020, numerous hours were donated to this endeavor. . Space Usage Banner facilities provided meeting room, electronic teleconference technology, and other space for various community groups. Without these generous in-kind donations, these organizations would be required to expend funds, funds needed in support of their missions for space rental. . Toy Closets Toys have an amazing way of making kids smile, distracting them during unpleasant times and helping them look past their pain. That's why Banner created toy closets at Banner hospitals stocked with new, unused toys for pediatric patients of all ages. Made possible by monetary and toy donations from individuals, school and youth organizations, businesses and corporations, these toy-filled havens enable our young patients to find fun and joy during their hospital experience. Patients visit the closets following treatments and procedures to choose a toy as a reward for their bravery. From dolls and stuffed animals, to coloring books, video games, craft kits and more, the donated items make a difference for our young patients. FORM 990, PART VI, LINE 2 QUENTIN SMITH AND CHRIS VOLK HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, LINE 11b BANNER HEALTH'S (BH) VICE PRESIDENT OF FINANCE & CHIEF FINANCIAL OFFICER ARE RESPONSIBLE FOR OVERSEEING THE PROCESSES FOR PREPARING THE FORM 990. THE BANNER HEALTH FINANCE DEPARTMENT TAKES THE LEAD ROLE IN THE PROCESS AND IS CHARGED WITH THE DUTY TO COLLECT THE FINANCIAL AND OTHER INFORMATION NEEDED TO COMPLETE THE FORM 990. THIS INCLUDES COORDINATING WITH OTHER BH DEPARTMENTS, SUCH AS THE LEGAL, PAYROLL, GOVERNMENT RELATIONS, LICENSING, COMMUNITY BENEFIT, COMPENSATION AND BENEFITS, ACCOUNTS PAYABLE, RISK MANAGEMENT, CERTIFICATION, CREDENTIALING, FINANCIAL SERVICES AND TREASURY DEPARTMENTS IN ORDER TO ENSURE THAT THE EXPERTISE OF EACH DEPARTMENT IS UTILIZED IN THE INFORMATION-GATHERING PROCESS. ONCE THE INFORMATION IS GATHERED, IT IS ORGANIZED AND ASSEMBLED INTO AN ORGANIZER THAT WILL BE USED BY AN OUTSIDE ACCOUNTING FIRM TO PREPARE THE FORM 990. BH HAS AUDITED FINANCIAL STATEMENTS PREPARED ANNUALLY BY AN INDEPENDENT CERTIFIED PUBLIC ACCOUNTING FIRM AND USES THIS SAME FIRM TO PREPARE ITS FORM 990 BECAUSE OF ITS EXPERTISE IN NON-PROFIT HOSPITAL SYSTEMS AND ITS SPECIFIC KNOWLEDGE OF BH'S OPERATIONS AND RETURN COMPLEXITY. THE BH FINANCE DEPARTMENT ALSO EMPLOYS AN INTERNAL STAFF OF TAX SPECIALISTS. THESE TAX SPECIALISTS ACT AS LIAISONS BETWEEN THE ACCOUNTING FIRM AND BH'S SENIOR MANAGEMENT DURING THIS STAGE OF THE PROCESS. DURING THIS STAGE, THE TAX PREPARER REVIEWS THE INFORMATION AND WORKS WITH BH'S INTERNAL TAX STAFF TO ANSWER QUESTIONS, GATHER ADDITIONAL INFORMATION AND ADDRESS ISSUES THAT MAY ARISE. ONCE THE INFORMATION GATHERING PROCESS IS COMPLETE, A FIRST DRAFT OF THE FORM 990 IS PREPARED AND READIED FOR REVIEW. THE REVIEW PROCESS BEGINS WITH AN INITIAL REVIEW DONE BY A COMMITTEE CONSISTING OF BANNER HEALTH'S CHIEF FINANCIAL OFFICER, GENERAL COUNSEL, AND OTHER MANAGEMENT MEMBERS FROM THE FINANCE AND FINANCIAL SERVICES DEPARTMENTS AND REPRESENTATIVES FROM THE OUTSIDE TAX PREPARER'S FIRM. A LINE-BY-LINE REVIEW OF THE FORM 990 IS DONE BY THIS COMMITTEE. 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 THE COMMITTEE IS DONE. AGAIN, IF APPLICABLE, A LIST OF QUESTIONS, ISSUES AND ADDITIONAL TASKS IS COMPILED. THIS LIST IS THEN DISSEMINATED TO THE APPROPRIATE BH DEPARTMENTS FOR FURTHER ACTION. ONCE THIS SECOND REVIEW PROCESS IS COMPLETED, A FINAL DRAFT OF THE FORM 990 IS PRESENTED TO THE CHIEF LEGAL OFFICER & GENERAL COUNSEL AND CHIEF FINANCIAL OFFICER FOR REVIEW AND APPROVAL. CHANGES TO THE FORM 990 ARE MADE IF NECESSARY AND APPROVAL IS GRANTED TO SEND THE FORM 990 TO THE BOARD MEMBERS. EACH MEMBER OF THE BOARD IS THEN SENT THE DRAFT FORM 990 ALONG WITH AN EXECUTIVE SUMMARY OF KEY ITEMS REPORTED IN THE FORM 990. ANY ISSUES ARE ADDRESSED AND RESOLVED AND THE FINAL VERSION OF THE FORM 990 IS SIGNED BY THE CFO OR ANOTHER OFFICER IF REQUIRED TO MEET TIMELY FILING REQUIREMENTS. THE AUDIT COMMITTEE DISCUSSES THE 990 PROCESS AT VARIOUS TIMES DURING THE YEAR TO DETERMINE THAT THE PROCESS IS APPROPRIATE. FORM 990, PART VI, LINE 12C PURSUANT TO BANNER HEALTH'S (BH) CONFLICT OF INTEREST POLICY, ALL BOARD MEMBERS, OFFICERS AND THE DIRECTOR OF AUDIT SERVICES MUST DISCLOSE THE EXISTENCE OF ANY FINANCIAL INTEREST THAT MAY GIVE RISE TO A CONFLICT OF INTEREST PROMPTLY TO THE BOARD AUDIT COMMITTEE. THE COMMITTEE MUST THEN CONSIDER THE DISCLOSED INTEREST AND EITHER AUTHORIZE THE CONTINUATION OF THE POTENTIAL FINANCIAL INTEREST AND ANY RELATED TRANSACTION WITH APPROPRIATE PROTECTIONS, OR DISAPPROVE OF IT. OTHER BH EMPLOYEES MUST GO THROUGH A SIMILAR PROCESS OF DISCLOSURE TO THEIR RESPECTIVE SUPERVISOR AND TO THE DIRECTOR OF AUDIT SERVICES, WHO MAINTAINS ALL OF THE DISCLOSED FINANCIAL INTERESTS/CONFLICTS. IN ADDITION, ALL BOARD MEMBERS, OFFICERS, VICE PRESIDENTS, AND OTHER SELECTED MEMBERS OF MANAGEMENT, KEY EMPLOYEES AND EMPLOYED PHYSICIANS MUST COMPLETE AN ANNUAL SURVEY THAT IS DISTRIBUTED ELECTRONICALLY UNDER THE SUPERVISION OF THE DIRECTOR OF AUDIT SERVICES. THE SURVEY INCLUDES A QUESTIONNAIRE THAT IS DESIGNED TO IDENTIFY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST, AS WELL AS OTHER TRANSACTIONS AND RELATIONSHIPS REQUIRED TO BE DISCLOSED IN THE FORM 990 AND SCHEDULE L. MEMBERS OF EXECUTIVE MANAGEMENT ARE ALSO REQUIRED TO COMPLETE A QUARTERLY QUESTIONNAIRE MANAGED UNDER THE SUPERVISION OF THE DIRECTOR OF AUDIT SERVICES. THIS QUESTIONNAIRE IS PRIMARILY DESIGNED TO IDENTIFY WEAKNESSES IN INTERNAL CONTROLS OR ACCOUNTING, BUT ALSO REQUIRES DISCLOSURE OF ANY KNOWLEDGE BY THE RESPONDING MANAGER OF ANY VIOLATIONS OF BH'S CONFLICT OF INTEREST POLICY. THE DIRECTOR OF AUDIT SERVICES COMPILES A SUMMARY OF THE CONFLICT OF INTEREST DISCLOSURES OBTAINED THROUGH THE ANNUAL SURVEY PROCESS INVOLVING BOARD MEMBERS OR OFFICERS. THIS SUMMARY IS REVIEWED WITH BH'S GENERAL COUNSEL TO DETERMINE THE APPROPRIATE ACTION TO BE TAKEN UNDER CONFLICT OF INTEREST POLICY. IN ADDITION, THE DIRECTOR REVIEWS THE SUMMARY ANNUALLY WITH THE BOARD AUDIT COMMITTEE IN ORDER TO ENSURE THAT ALL DISCLOSED ACTUAL OR POTENTIAL CONFLICTS HAVE BEEN REVIEWED AND PROCESSED APPROPRIATELY UNDER THE CONFLICT OF INTEREST POLICY. FORM 990, PART VI, LINE 15 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 PRESIDENT AND 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 PRESIDENT AND CEO - EXERCISES OVERSIGHT OVER ALL ASPECTS OF COMPENSATION FOR THE PRESIDENT AND 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 PRESIDENT AND 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 PRESIDENT AND 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 THE PRESIDENT AND 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. AS STATED, THE COMPENSATION COMMITTEE RETAINS AN EXTERNAL INDEPENDENT COMPENSATION CONSULTING FIRM TO ASSIST THE COMMITTEE. IN 2011, THE COMMITTEE ENGAGED 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 PRESIDENT AND CEO, SENIOR EXECUTIVE MANAGEMENT, AND OTHER EXECUTIVE MANAGEMENT IDENTIFIED BY THE COMMITTEE AS POTENTIAL DISQUALIFIED PERSONS. THE COMMITTEE PERIODICALLY 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 PRESIDENT AND 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 PRESIDENT AND 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 PRESIDENT AND CEO ESTABLISHES THE BASE SALARY OF THE EXECUTIVES WHO DIRECTLY REPORT TO HIM, AND THOSE EXECUTIVES IN TURN ESTABLISH THE BASE SALARY OF THOSE INDIVIDUALS WHO REPORT TO THEM. ALL BASE SALARIES ARE, HOWEVER, BASED UPON POSITION-SPECIFIC MARKET DATA PROVIDED BY THE BANNER COMPENSATION AND BENEFITS DEPARTMENT. THESE RANGES ARE ESTABLISHED IN ACCORDANCE WITH AN EXECUTIVE COMPENSATION PHILOSOPHY THAT IS ESTABLISHED, AND PERIODICALLY REVIEWED, BY THE COMPENSATION COMMITTEE. ANNUAL EQUITY ADJUSTMENTS MAY BE MADE UPON APPROVAL OF THE PRESIDENT AND 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 PRESIDENT AND 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 PRESIDENT AND CEO AND REVIEWING AND MONITORING THE COMPENSATION FOR ALL OTHER SENIOR EXECUTIVES AND TOP MANAGEMENT. THE COMPENSATION REVIEW PROCESS WAS LAST COMPLETED IN 2020. FORM 990, PART VI, LINE 19 THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, AND TAX RETURNS ARE AVAILABLE UPON REQUEST. COPIES ARE MAINTAINED AT EACH ADMINISTRATIVE OFFICE AND IN THE LEGAL AND TAX DEPARTMENTS. THE ORGANIZATION'S GOVERNING DOCUMENTS ARE NOT REQUIRED TO BE MADE AVAILABLE TO THE PUBLIC AND THEREFORE THEY ARE NOT MADE PUBLIC. FORM 990, PART XI, LINE 9 INTERCOMPANY TRANSFERS $(675,507,716) RESTRICTED CONTRIBUTIONS $ 55,047,492 GP DISTRIBUTIONS $ 25,870,000 EQUITY TRANSFERS $ 741,880 --------------- TOTAL $(593,848,344) Banner Ambulatory Provider Group CO 1801 16th Street Greeley CO 80631 901184300 Medical Svcs CO 0 0 BANNER HLTH Banner Ambulatory Provider Group LLC 2901 N Central Ave Ste 160 Phoenix AZ 85012 901186214 Medical Svcs AZ 0 0 BANNER HLTH Banner Employer Services LLC 2901 N Central Ave Ste 160 Phoenix AZ 85012 832695440 MEDICAL SVCS AZ 0 0 BANNER HLTH Banner Estrella Surgery Center LLC 2901 N Central Ave Ste 160 Phoenix AZ 85012 901183954 OP Surg Ctr AZ 4027921 2860299 BANNER SURG Banner Imaging Services LLC 2901 N Central Ave Ste 160 Phoenix AZ 85012 901249771 Medical Svcs AZ 83664144 43083051 Banner Hlth Banner Mesa Surgery Center LLC 2901 N Central Ave Ste 160 Phoenix AZ 85012 901182682 OP Surg Ctr AZ 15033914 12264964 BANNER SURG Banner Network Colorado LLC 7251 W 4th Street Greeley CO 80634 901119093 Health Svcs CO 1285603 7769271 Banner Hlth Banner Northern Colorado Imaging LLC 1801 16th Street Greeley CO 80631 901119704 Inactive CO 0 0 Banner Hlth Banner Occupational Health-Onsite LLC 2901 N Central Ave Ste 160 Phoenix AZ 85012 611700965 Medical Svcs AZ 0 0 Banner Hlth Banner Pharmacy Services LLC 2901 N Central Ave Ste 160 Phoenix AZ 85012 901025110 Medical Svcs AZ 250049541 83880838 Banner Hlth Banner Phoenix Surgery Center LLC 2901 N Central Ave Ste 160 Phoenix AZ 85012 901182683 Op Surg Ctr AZ 8071960 1682382 BANNER SURG Banner Quick Care Colorado LLC 1801 16th Street Greeley CO 80631 901184992 Inactive CO 0 0 BPAG CO Banner Quick Care LLC 2901 N Central Ave Ste 160 Phoenix AZ 85012 901166793 Medical Svcs AZ 0 0 BAPG Banner Sun City West Surgery Center LLC 2901 N Central Ave Ste 160 Phoenix AZ 85012 901182684 OP Surg Ctr AZ 1610393 99735 BANNER SURG Banner Surgery Centers LLC 525 W Brown Road Mesa AZ 85201 860788300 Surgery Ctr AZ 235 42908 Banner Hlth Banner Urgent Care - 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