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        <Identifier>SCHEDULE J, PART I, LINE 1</Identifier>
        <Explanation>HOUSING ALLOWANCE - THE HOUSING ALLOWANCE IS A TEMPORARY ALLOWANCE WHICH IS TAXABLE AND PAID THROUGH PAYROLL ON THE FIRST PAYCHECK OF EACH MONTH DURING THE PERIOD OF THE TEMPORARY HOUSING. THIS IS PART OF THE RELOCATION PACKAGE FOR MANAGERS AND ABOVE AS WELL AS PHYSICIANS. THE AMOUNT PAID PER MONTH AND THE LENGTH IS DETERMINED BY THE LEVEL OF THE POSITION. TAX GROSS-UP PAYMENTS - THESE ARE PAYMENTS FOR: 1.) EMPLOYEES RECEIVING A TAXABLE AWARD, GIFT, OR GIFT CERTIFICATE; 2.) PAYMENTS MADE ON BEHALF OF STAFF TO VENDORS DUE TO A CRISIS; 3.) GROUP TERM LIFE EXCESS BENEFIT OF $50,000. IT IS AVAILABLE TO ANY RANK OF EMPLOYEE; OR 4.) A DOMESTIC PARTNER. IT IS AVAILABLE AT OPEN ENROLLMENT FOR INDIVIDUALS WHO WANT TO COVER THEIR NON-MARRIED PARTNER WITH MEDICAL AND/OR DENTAL COVERAGE.</Explanation>
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        <Identifier>SCHEDULE J, PART I, LINE 4A</Identifier>
        <Explanation>THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS: JEAN KNOEDLER $126,862.</Explanation>
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      <Form990ScheduleJPartIII>
        <Identifier>SCHEDULE J, PART I, LINE 4B</Identifier>
        <Explanation>SCOTTSDALE HEALTHCARE OFFERS CERTAIN EXECUTIVES A NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). IT IS INTENDED THAT THIS PLAN BE AN INELIGIBLE DEFERRED COMPENSATION PLAN UNDER THE PROVISIONS OF CODE SECTION 457(F) AND BE OPERATED IN COMPLIANCE WITH CODE SECTION 409A. THE DESIGN OF THE SERP IS SUCH THAT IT PROVIDES A MECHANISM FOR RESTORATION OF DEFERRED RETIREMENT THAT OTHERWISE WOULD BE LOST TO THE EXECUTIVES DUE TO MANDATORY CAP ON DEFERRALS WITHIN THE QUALIFIED RETIREMENT PLAN OFFERED TO OTHER EMPLOYEES OF SCOTTSDALE HEALTHCARE. THE SERP IS ALSO DESIGNED TO DISCOURAGE EXECUTIVE TURNOVER, WHICH COULD HAMPER ORGANIZATIONAL STABILITY AND SUSTAINABILITY, THROUGH THE AGE AND SERVICE REQUIREMENTS THAT AN EXECUTIVE MUST MEET IN ORDER TO RECEIVE BENEFITS FROM THIS PLAN. THE ANNUAL VALUE OF EACH EXECUTIVE'S PARTICIPATION IN THE PLAN IS TAKEN INTO CONSIDERATION AS PART OF THE CALCULATION OF TOTAL COMPENSATION WHEN TESTED AGAINST THE MARKET FOR REASONABLENESS. DEFERRED COMPENSATION INCLUDES THE INCREASE IN THE SERP ACCOUNT BALANCE FOR THE FOLLOWING INDIVIDUALS WHO PARTICIPATE IN THE SERP PROGRAM: GARY E BAKER - $116,128 DAVID A BARBER - $59,085 JAMES F BURKE - $178,955 JAMES R CRAMER - $113,882 MICHAEL R FOLEY - $96,137 ALAN B KELLY - $85,526 JEAN KNOEDLER - $4,872 TODD A LAPORTE - $144,719 WENDY H LYONS - $129,703 CAROL H MCCUNE - $100,602 VIKKI L NOYES - $52,492 KIMBERLY A POST - $77,729 PEGGY J REILEY - $33,765 THOMAS J SADVARY - $248,170 MARK A SLATER - $63,341 BRIAN D STEINES - $44,310 DEAN C THOMAS - $62,651 IN ADDITION, THE FOLLOWING INDIVIDUALS EXPERIENCED A TAXABLE VESTING EVENT DURING THE YEAR AS FOLLOWS. THESE AMOUNTS WERE INCLUDED IN COLUMN (B)(III) AS TAXABLE WAGES AND COLUMN (F) AS AMOUNTS PREVIOUSLY REPORTED ON THE 990 AS DEFERRED. NOTE THAT THESE AMOUNTS WERE ACCUMULATED OVER MANY YEARS OF SERVICE TO THE ORGANIZATION. THOMAS J SADVARY - $4,847,418 ALAN B KELLY - $575,199 WENDY H LYONS - $1,714,106 CAROL H MCCUNE - $1,970,831 PEGGY J REILEY - $420,315 JEAN KNOEDLER - $268,642</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>SUPPLEMENTAL COMPENSATION INFORMATION</Identifier>
        <ReturnReference>EXECUTIVE INCENTIVE AND BONUS PLAN</ReturnReference>
        <Explanation>THE INCENTIVE PLAN INCLUDED SEVERAL MEASUREMENTS. THE 4 MEASUREMENTS ARE AS FOLLOWS: 1.) PATIENT SATISFACTION - PRESS GAINEY AND HCAHPS SCORES; 2.) OPERATING MARGIN - TRIGGER; 3.) PATIENT SAFETY - % OF CMS MEASURES IN TOP DECILE PERFORMANCE AND FALL RATE; 4.) EMPLOYEE SURVEY RESULTS. OPERATING MARGIN IS THE PROGRAM TRIGGER (THRESHOLD MUST BE MET TO TRIGGER ANY PAYOUT). EACH MEASUREMENT HAD A THRESHOLD; TARGET AND OPTIMUM PERFORMANCE LEVEL. EACH PERFORMANCE LEVEL EQUALED A PREDETERMINED NUMBER OF POINTS. THE TOTAL POINTS EARNED EQUATE TO A BONUS % OF SALARY.</Explanation>
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          <BusinessNameLine1>THE IDA OF THE CITY OF SCOTTSDALE AZ</BusinessNameLine1>
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        <IssuerEIN>860494636</IssuerEIN>
        <CUSIPNumber>810472GBO</CUSIPNumber>
        <DateIssued>2010-08-26</DateIssued>
        <IssuePrice>109852372</IssuePrice>
        <DescriptionOfPurpose>SEE PART VI</DescriptionOfPurpose>
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        <OnBehalfOfIssuer>true</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
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        <DateIssued>2006-05-25</DateIssued>
        <IssuePrice>175800000</IssuePrice>
        <DescriptionOfPurpose>SEE PART VI</DescriptionOfPurpose>
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        <PoolFinancing>false</PoolFinancing>
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        <CUSIPNumber>810472FW5</CUSIPNumber>
        <DateIssued>2008-06-04</DateIssued>
        <IssuePrice>151350684</IssuePrice>
        <DescriptionOfPurpose>REFUND OF 5/25/06 &amp; 8/1/07 BONDS</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>true</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>THE IDA OF THE CITY OF SCOTTSDALE AZ</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>860494636</IssuerEIN>
        <CUSIPNumber>810472GBO</CUSIPNumber>
        <DateIssued>2010-09-30</DateIssued>
        <IssuePrice>34310000</IssuePrice>
        <DescriptionOfPurpose>REFUND OF 6/9/06 BONDS</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>true</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
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        <TotalProceeds>109852372</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>0</RefundingEscrow>
        <IssuanceCostsFromProceeds>0</IssuanceCostsFromProceeds>
        <CreditEnhancement>0</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>0</CapitalExpenditures>
        <OtherSpentProceeds>0</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>false</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <AmountRetired>0</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>81070281</TotalProceeds>
        <AmountInReserveFund>11777422</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>0</RefundingEscrow>
        <IssuanceCostsFromProceeds>1365670</IssuanceCostsFromProceeds>
        <CreditEnhancement>12683620</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>78497454</CapitalExpenditures>
        <OtherSpentProceeds>0</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <YearOfSubstCompletion>2010</YearOfSubstCompletion>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
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        <TotalProceeds>151350684</TotalProceeds>
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        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
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      <Form990ScheduleKPartII>
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        <CapitalizedInterest>0</CapitalizedInterest>
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        <IssuanceCostsFromProceeds>210000</IssuanceCostsFromProceeds>
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        <CapitalExpenditures>0</CapitalExpenditures>
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        <AmountUnspent>0</AmountUnspent>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
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        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
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        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfHedgeProvider>
        <GrossProceedsInvestedInGIC>true</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>MRGN STNLYCITIMBIA</BusinessNameLine1>
        </NameOfGICProvider>
        <TermOfGIC>8.</TermOfGIC>
        <RegulatorySafeHarborSatisfied>true</RegulatorySafeHarborSatisfied>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>true</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfHedgeProvider>
        <GrossProceedsInvestedInGIC>true</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>MRGN STNLYCITIMBIA</BusinessNameLine1>
        </NameOfGICProvider>
        <TermOfGIC>8.</TermOfGIC>
        <RegulatorySafeHarborSatisfied>true</RegulatorySafeHarborSatisfied>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfHedgeProvider>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfGICProvider>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>true</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfHedgeProvider>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfGICProvider>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartVI>
        <Identifier>PART I, COL F</Identifier>
        <ReturnReference>0</ReturnReference>
      </Form990ScheduleKPartVI>
      <Form990ScheduleKPartVI>
        <Identifier>LINE A- CONVERSION OF SERIES 2006C-E THROUGH CURRENT REFUNDING OF 5/25/06</Identifier>
        <ReturnReference>0</ReturnReference>
      </Form990ScheduleKPartVI>
      <Form990ScheduleKPartVI>
        <Identifier>BONDS. LINE B-FINANCE NEW MONEY PROJECTS AND REFUND 7/8/93, 6/11/03 AND</Identifier>
        <ReturnReference>0</ReturnReference>
      </Form990ScheduleKPartVI>
      <Form990ScheduleKPartVI>
        <Identifier>6/25/03 BONDS.</Identifier>
        <ReturnReference>0</ReturnReference>
      </Form990ScheduleKPartVI>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>FORM 990, PART I, LINE 1 AND PART III, LINE 1</Identifier>
        <ReturnReference>DESCRIPTION OF THE ORGANIZATION'S MISSION</ReturnReference>
        <Explanation>THE MISSION OF SCOTTSDALE HEALTHCARE IS TO IDENTIFY AND MEET THE HEALTHCARE NEEDS OF ALL PEOPLE WHO LIVE AND WORK IN THE GREATER SCOTTSDALE AREA THROUGH CREATIVE AND EFFECTIVE COLLABORATION WITH HEALTHCARE PROFESSIONALS AND ORGANIZATIONS. CRITICAL GOALS AND HOW WE ATTAIN OUR VISION: -COMMIT ABSOLUTELY TO QUALITY, CLINICAL CARE AND SERVICE. -ACHIEVE FINANCIAL HEALTH TO FULFILL OUR MISSION AND INVEST IN THE FUTURE. -ASSURE EXCELLENT BOARD, PHYSICIAN, VOLUNTEER, STAFF AND ADMINISTRATION RELATIONSHIPS TO FOSTER COLLABORATIVE PARTNERSHIPS. -DEVELOP, RETAIN, AND RECRUIT THE BEST TALENT TO BECOME THE VALLEY'S HEALTHCARE EMPLOYER OF CHOICE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, LINE 11</Identifier>
        <ReturnReference>PROCESS USED BY MANAGEMENT AND/OR GOVERNING BODY TO REVIEW FORM 990</ReturnReference>
        <Explanation>THE TAX RETURN INFORMATION IS GATHERED BY THE FINANCE TEAM FROM VARIOUS SOURCES WITHIN THE ORGANIZATION INCLUDING HUMAN RESOURCES, PAYROLL, DEVELOPMENT AND THE LEGAL DEPARTMENT. THE INFORMATION IS REVIEWED BY THE CONTROLLER AND PROVIDED TO AN ACCOUNTING FIRM THAT PREPARES THE TAX RETURNS. AN INITIAL DRAFT OF THE FORM 990 IS SUBMITTED TO THE CONTROLLER, CHIEF FINANCIAL OFFICER, AND LEGAL COUNSEL FOR REVIEW. COMMENTS FROM THOSE INDIVIDUALS ARE CONSIDERED AND INCORPORATED INTO A REVISED DRAFT THAT IS PRESENTED TO THE BOARD OF DIRECTORS PRIOR TO FILING. THE BOARD OF DIRECTORS REVIEWS THE REVISED DRAFT AND SUBMITS COMMENTS TO THE CONTROLLER. COMMENTS FROM THOSE INDIVIDUALS ARE CONSIDERED AND INCORPORATED INTO A FINAL DRAFT PREPARED FOR FILING. THE FINAL DRAFT IS THEN MADE AVAILABLE FOR BOARD MEMBERS PRIOR TO FILING WITH THE IRS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, LINE 12C</Identifier>
        <ReturnReference>PROCESS USED TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST</ReturnReference>
        <Explanation>EACH BOARD MEMBER, OFFICER OF THE CORPORATION AND BOARD COMMITTEE MEMBER COMPLETES A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY. THE COMPLIANCE OFFICE, ALONG WITH GENERAL COUNSEL, EXAMINES EACH DISCLOSURE STATEMENT WHERE POTENTIAL CONFLICTS HAVE BEEN DISCLOSED. RECOMMENDATIONS ARE MADE TO THE CHAIR OF THE BOARD ON HOW TO APPROPRIATELY REMEDIATE, MONITOR, OR ELIMINATE ANY CONFLICTS. THE COMPLIANCE OFFICE/GENERAL COUNSEL THEN PROVIDES TO THE INTERESTED PERSON, WITH COPIES TO THE CHAIR OF THE BOARD, THE CEO, AND, IF NEEDED, THE APPROPRIATE COMMITTEE CHAIR, A CORRESPONDENCE THAT SPECIFIES WHAT ACTIONS, CONDITION, OR MONITORING OF THE CONFLICT ARE REQUIRED AND WHETHER THE INTERESTED PERSON IS PERMITTED TO GIVE A PRESENTATION TO THE BOARD OR APPROPRIATE COMMITTEE AFTER FULL DISCLOSURE OF THE CONFLICT. IN SUCH AN EVENT, THE INTERESTED PERSON LEAVES THE MEETING WHILE THE PROPOSED TRANSACTION IS DISCUSSED. THE INTERESTED PERSON IS REQUIRED TO CO-SIGN CORRESPONDENCE SENT BY THE GENERAL COUNSEL AND ADHERE TO IT THROUGHOUT THE YEAR. IF A CONFLICT OR FINANCIAL INTEREST ARISES AFTER THE ANNUAL DISCLOSURE PROCESS THE INTERESTED PERSON WILL CONSULT WITH THE COMPLIANCE OFFICE OR GENERAL COUNSEL AND UPDATE THE DISCLOSURE STATEMENT CONSISTENT WITH THE ADVICE OF THE GENERAL COUNSEL. A RECORD OF THE BOARD OR COMMITTEE MEETING WHERE PROPOSED TRANSACTIONS OR ARRANGEMENTS THAT ARE AFFECTED BY CONFLICT OF INTEREST AND THE MANAGEMENT OF SUCH ARE CONTAINED IN THE BOARD/COMMITTEE MINUTES. IF VIOLATIONS OF THE CONFLICT OF INTEREST POLICY/MANAGEMENT ARE REPORTED, THE GENERAL COUNSEL WILL LOOK INTO THE MATTER. CONFIRMED VIOLATIONS MAY INCLUDE REMOVAL FROM THE BOARD OR COMMITTEE OR OFFICER POSITION PURSUANT TO THE REMOVAL PROCEDURES STATED IN THE BYLAWS. BYLAWS INCLUDE THE PROVISIONS THAT INTERESTED PERSONS WHO RECEIVE COMPENSATION DIRECTLY OR INDIRECTLY FROM THE HOSPITAL SYSTEM MAY NOT VOTE IN SUCH MATTERS. A VOTING MEMBER OF ANY COMMITTEE WHOSE JURISDICTION INCLUDES MAKING CHOICES ON GOODS OR SERVICES FOR THE HOSPITAL SYSTEM OR WHAT AMOUNTS SHOULD BE PAID FOR GOODS OR SERVICES SHALL BE PROHIBITED FROM VOTING ON ANY SUCH MATTER AND MAY BE PROHIBITED FROM DISCUSSING THE MATTER. PERIODIC REVIEWS OF THE PROCESS ARE CONDUCTED. OUTSIDE EXPERTS MAY, BUT NEED NOT BE, USED TO EVALUATE POLICIES AND PROCESSES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, LINE 15A &amp; 15B</Identifier>
        <ReturnReference>PROCESS USED TO DETERMINE COMPENSATION</ReturnReference>
        <Explanation>AN EXECUTIVE COMPENSATION CONSULTANT CONDUCTS DETAILED MARKET ANALYSIS FOR EXECUTIVE CASH COMPENSATION. THEY UTILIZE AVAILABLE PUBLISHED HEALTHCARE SURVEY SOURCES. EXECUTIVE POSITIONS ARE MATCHED TO APPROPRIATE SURVEY POSITIONS BASED ON JOB CONTENT, DUTIES AND SCOPE OF RESPONSIBILITY. SURVEY DATA IS MATCHED FROM ORGANIZATIONS OF SIMILAR SIZE AND SCOPE. RESULTS OF THE STUDY ARE SHARED WITH THE BOARD FOR APPROVAL. THE STUDY WAS LAST COMPLETED IN OCTOBER 2012.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, LINE 19</Identifier>
        <ReturnReference>AVAILABILITY OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND</ReturnReference>
        <Explanation>FINANCIAL STATEMENTS TO THE GENERAL PUBLIC DOCUMENTS ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST TO THE CORPORATE CONTROLLER AT: 8125 N. HAYDEN ROAD, SCOTTSDALE, AZ 85258</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VII</Identifier>
        <ReturnReference>HOURS DEVOTED TO RELATED ORGANIZATIONS</ReturnReference>
        <Explanation>IN ADDITION TO THE HOURS DEVOTED TO SCOTTSDALE HEALTHCARE CORPORATION AS REPORTED IN PART VII, THE FOLLOWING OFFICERS DEVOTED HOURS TO RELATED ORGANIZATIONS SCOTTSDALE HEALTHCARE HOSPITAL (SHH), SCOTTSDALE HEALTHCARE REALTY CORPORATION (SHRC), SCOTTSDALE HEALTHCARE FOUNDATION (SHF) AND SCOTTSDALE CAPTIVE INSURANCE COMPANY (SCIC). THE BOARD MEMBERS EACH SERVE ON THE BOARDS OF AND DEVOTE TIME TO THESE ENTITIES. GARY E. BAKER DEVOTED 24 HOURS PER WEEK TO SHH, 2 HOURS PER WEEK TO SHRC AND 1 HOUR PER WEEK TO SCIC. JAMES F. BURKE DEVOTED 1 HOUR PER WEEK TO SCIC. ALAN B. KELLY DEVOTED 5 HOURS PER WEEK TO SCIC. JEAN KNOEDLER DEVOTED 24 HOURS PER WEEK TO SHH. TODD A. LAPORTE DEVOTED 5 HOURS PER WEEK TO SCIC. CAROL HENDERSON MCCUNE DEVOTED 1 HOUR PER WEEK TO SCIC. VIKKI L. NOYES DEVOTED 32 HOURS PER WEEK TO SHH. KIMBERLY A. POST DEVOTED 32 HOURS PER WEEK TO SHH AND 1 HOUR PER WEEK TO SCIC. PEGGY J. REILEY DEVOTED 24 HOURS PER WEEK TO SHH AND 1 HOUR PER WEEK TO SCIC. THOMAS J. SADVARY DEVOTED 1 HOUR PER WEEK TO SHF. MARK A. SLATER DEVOTED 40 HOURS PER WEEK TO SHH. DEAN C. THOMAS DEVOTED 40 HOURS PER WEEK TO SHH. KATHI L. ZARUBI DEVOTED 40 HOURS PER WEEK TO SHH. RICHARD C. SILVER DEVOTED 20 HOURS PER WEEK TO SHH. LOIS E. UNIAT DEVOTED DEVOTED 20 HOURS PER WEEK TO SHH.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART X, LINE 7</Identifier>
        <ReturnReference>NOTES AND LOANS RECEIVABLE</ReturnReference>
        <Explanation>ALL OF THE NOTES AND LOANS RECEIVABLE REPORTED ON LINE 7 REPRESENT PHYSICIAN GUARANTEE AGREEMENTS THAT MUST BE PAID BACK IF THE PHYSICIANS DO NOT FULFILL THEIR CONTRACTS. PHYSICIANS ARE SENT A 1099 FOR THE FULL AMOUNT WHEN THEY ARE PAID.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART XI, LINE 5</Identifier>
        <ReturnReference>EXPLANATION OF OTHER CHANGES IN NET ASSETS</ReturnReference>
        <Explanation>UNREALIZED INVESTMENT GAINS $29,292,193 EFFECT OF FAS 158 (11,116,224) CHANGE IN VALUE HEDGE RATE SWAP (4,406,892) BOOK/TAX DIFFERENCES (3,334,215) PRIOR PERIOD ADJUSTMENT 16,599,535 ------------ OTHER CHANGES IN NET ASSETS $27,034,397</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SCOTTSDALE HEALTHCARE HOSPITALS</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>7400 E OSBORN RD</AddressLine1>
          <City>SCOTTSDALE</City>
          <State>AZ</State>
          <ZIPCode>85251</ZIPCode>
        </AddressUS>
        <EIN>860181654</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>AZ</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SHC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SCOTTSDALE HEALTHCARE REALTY CORPORATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>7400 E OSBORN RD</AddressLine1>
          <City>SCOTTSDALE</City>
          <State>AZ</State>
          <ZIPCode>85251</ZIPCode>
        </AddressUS>
        <EIN>942735851</EIN>
        <PrimaryActivities>RENTAL</PrimaryActivities>
        <LegalDomicileState>AZ</LegalDomicileState>
        <ExemptCodeSection>501(C)(2)</ExemptCodeSection>
        <PublicCharityStatus>N/A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SHC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SCOTTSDALE HEALTHCARE FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>7400 E OSBORN RD</AddressLine1>
          <City>SCOTTSDALE</City>
          <State>AZ</State>
          <ZIPCode>85251</ZIPCode>
        </AddressUS>
        <EIN>742355411</EIN>
        <PrimaryActivities>FOUNDATION</PrimaryActivities>
        <LegalDomicileState>AZ</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SHC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SCOTTSDALE MEMORIAL HEALTH SERVICES CO</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>7400 E OSBORN RD</AddressLine1>
          <City>SCOTTSDALE</City>
          <State>AZ</State>
          <ZIPCode>85251</ZIPCode>
        </AddressUS>
        <EIN>942735859</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>AZ</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SHC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SCOTTSDALE CAPTIVE INSURANCE COMPANY</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>7400 E OSBORN RD</AddressLine1>
          <City>SCOTTSDALE</City>
          <State>AZ</State>
          <ZIPCode>85251</ZIPCode>
        </AddressUS>
        <EIN>203455823</EIN>
        <PrimaryActivities>CAPTIVE INS</PrimaryActivities>
        <LegalDomicileState>AZ</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 TYPE 1</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SHC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SCOTTSDALE HEALTHCARE AUXILIARY</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>7400 E OSBORN RD 200</AddressLine1>
          <City>SCOTTSDALE</City>
          <State>AZ</State>
          <ZIPCode>85251</ZIPCode>
        </AddressUS>
        <EIN>237264497</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>AZ</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SHC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SCOTTSDALE HEALTHCARE ASC LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <EIN>271450828</EIN>
        <PrimaryActivity>HEALTHCARE</PrimaryActivity>
        <LegalDomicileState>DE</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SHC</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>172992</ShareOfTotalIncome>
        <ShareOfEOYAssets>7674239</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.90000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SCOTTSDALE SURG PARTNERS LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <EIN>201808351</EIN>
        <PrimaryActivity>HEALTHCARE</PrimaryActivity>
        <LegalDomicileState>DE</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SHC ASC LLC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>BILTMORE SURGICAL PARTNERS LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <PrimaryActivity>HEALTHCARE</PrimaryActivity>
        <LegalDomicileState>DE</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SHC ASC LLC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MESA SURGICAL CENTER LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <PrimaryActivity>HEALTHCARE</PrimaryActivity>
        <LegalDomicileState>DE</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SHC ASC LLC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>GLOBALREHAB-SCOTTSDALE LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <PrimaryActivity>HEALTHCARE</PrimaryActivity>
        <LegalDomicileState>AZ</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SHH</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SCOTTSDALE HEALTH PARTNERS LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <PrimaryActivity>HEALTHCARE</PrimaryActivity>
        <LegalDomicileState>AZ</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SHH</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SCOTTSDALE MSO INC (FKA SCOTTCARE INC)</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>7400 E OSBORN RD</AddressLine1>
          <City>SCOTTSDALE</City>
          <State>AZ</State>
          <ZIPCode>85251</ZIPCode>
        </AddressUS>
        <EIN>860512895</EIN>
        <PrimaryActivity>MSO, GROUP PURCH.</PrimaryActivity>
        <LegalDomicileState>AZ</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SHC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C-CORP</TypeOfEntity>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>true</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>true</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>true</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>true</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SCOTTSDALE HEALTHCARE REALTY COMPANY</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>J</TransactionType>
        <AmountInvolved>764480</AmountInvolved>
        <MethodOfAmtDetermination>COST</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SCOTTSDALE HEALTHCARE REALTY COMPANY</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>1202628</AmountInvolved>
        <MethodOfAmtDetermination>COST</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SCOTTSDALE HEALTHCARE FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>2010600</AmountInvolved>
        <MethodOfAmtDetermination>COST</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SCOTTSDALE HEALTHCARE HOSPITALS</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>331584299</AmountInvolved>
        <MethodOfAmtDetermination>COST</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SCOTTSDALE HEALTHCARE REALTY COMPANY</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>216299</AmountInvolved>
        <MethodOfAmtDetermination>COST</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SCOTTSDALE HEALTHCARE REALTY COMPANY</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>J</TransactionType>
        <AmountInvolved>5291841</AmountInvolved>
        <MethodOfAmtDetermination>COST</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SCOTTSDALE CAPTIVE INSURANCE COMPANY</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>12468410</AmountInvolved>
        <MethodOfAmtDetermination>COST</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SCOTTSDALE CAPTIVE INSURANCE COMPANY</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>7597058</AmountInvolved>
        <MethodOfAmtDetermination>COST</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SCOTTSDALE HEALTHCARE FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>487094</AmountInvolved>
        <MethodOfAmtDetermination>COST</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <Form990ScheduleRPartVII>
        <Identifier>NAME, ADDRESS, AND EIN OF RELATED ORGANIZATIONS</Identifier>
        <ReturnReference>SCHEDULE R, PART III, COLUMN A</ReturnReference>
        <Explanation>SCOTTSDALE HEALTHCARE ASC, LLC EIN: 86-0181654 ADDRESS: 7400 E OSBORN RD SCOTTSDALE, AZ 85251 SCOTTSDALE SURGICAL PARTNERS LLC EIN: 20-1808351 ADDRESS: 4250 N DRINKWATER BLVD 4TH FLR SCOTTSDALE, AZ 85251 BILTMORE SURGICAL PARTNERS LLC ADDRESS: 2222 E HIGHLAND AVE SCOTTSDALE, AZ 85016 MESA SURGICAL CENTER, LLC ADDRESS: 1114 S HIGLEY RD MESA, AZ 85206 GLOBALREHAB-SCOTTSDALE, LLC ADDRESS: 7400 E OSBORN RD SCOTTSDALE, AZ 85251 SCOTTSDALE HEALTH PARTNERS, LLC EIN: 45-5616077 ADDRESS: 3634 N DRINKWATER BLVD SCOTTSDALE, AZ 85251</Explanation>
      </Form990ScheduleRPartVII>
    </IRS990ScheduleR>
  </ReturnData>
</Return>