Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2010
Open to Public Inspection
A For the calendar year, or tax year beginning 01-01-2010 and ending 12-31-2010
BCheck if applicable:
CName of organization
BANNER HEALTH
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
1441 NORTH 12TH STREET
 
Room/suite
City or town, state or country, and ZIP + 4
PHOENIX, AZ85006
D Employer identification number

45-0233470
E Telephone number

G Gross receipts $ 19,502,607,304
F Name and address of principal officer:
PETER FINE
1441 NORTH 12TH STREET
PHOENIX,AZ85006
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.BANNERHEALTH.COM
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet3017
K Form of organization:
 
L Year of formation: 1938
M State of legal domicile: AZ
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: BANNER HEALTH'S NONPROFIT MISSION IS TO MAKE A DIFFERENCE IN PEOPLE'S LIVES THROUGH EXCELLENT PATIENT CARE.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) .... 3 15
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 9
5 Total number of individuals employed in calendar year 2010 (Part V, line 2a) ... 5 41,015
6 Total number of volunteers (estimate if necessary) .... 6 7,585
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 29,017,194
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b 15,232,081
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 18,390,395 18,923,482
9 Program service revenue (Part VIII, line 2g) ......... 4,114,809,468 4,276,357,854
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 44,121,363 85,366,816
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 3,228,387 3,842,145
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 4,180,549,613 4,384,490,297
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 1,099,936 3,267,795
14 Benefits paid to or for members (Part IX, column (A), line 4) .... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 2,091,227,982 2,126,299,494
16a Professional fundraising fees (Part IX, column (A), line 11e).... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 1,738,693,103 1,890,377,718
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 3,831,021,021 4,019,945,007
19 Revenue less expenses. Subtract line 18 from line 12...... 349,528,592 364,545,290
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............ 5,738,087,622 6,096,990,963
21 Total liabilities (Part X, line 26)............ 3,239,470,202 3,238,128,337
22 Net assets or fund balances. Subtract line 21 from line 20 ..... 2,498,617,420 2,858,862,626
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid Preparer's Use Only Preparer's
signatureBig Right Arrow 		Date
right pointing bullet image Preparer’s taxpayer identification number
(see instructions)
Firm’s name (or yours
if self-employed),
address, and ZIP + 4Big Right Arrow




 		EIN right pointing bullet image
Phone no. right pointing bullet image
May the IRS discuss this return with the preparer shown above? (see instructions) .........
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2010)
Form 990 (2010)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III . . . . . . . . . .
1
Briefly describe the organization’s mission: BANNER HEALTH'S NONPROFIT MISSION IS TO MAKE A DIFFERENCE IN PEOPLE'S LIVES THROUGH EXCELLENT PATIENT CARE.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the exempt purpose achievements for each of the organization’s three largest program services by expenses.
Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 3,762,751,800 including grants of $ 3,267,795 ) (Revenue $ 4,247,340,660 )
SEE SCHEDULE O
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services. (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet$ 3,762,751,800
Form 990 (2010)
Form 990 (2010)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? Click to see attachment........
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part IIClick to see attachment.........................
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part IIIClick to see attachment........................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete
Schedule D, Part IClick to see attachment.......................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IVClick to see attachment...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in term, permanent,or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
 
No
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.Click to see attachment
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.Click to see attachment
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.Click to see attachment
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States? If “Yes,” complete Schedule F, Part I......... Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II.. Click to see attachment
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III.. Click to see attachment
16
 
No
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II..........
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
Form 990 (2010)
Form 990 (2010)
Page 4
Part IV
Checklist of Required Schedules (continued)
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H..... Click to see attachment
20a
Yes
 
b
Did the organization attach its audited financial statement to this return? Note: All Form 990 filers that operate one or more hospitals must attach audited financial statements. ..... Click to see attachment
20b
 
No
21
Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.. Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III..... Click to see attachment
22
Yes
 
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................ Click to see attachment
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
No
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I...... Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................ Click to see attachment
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II........................... Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? If “Yes,” complete Schedule L, Part III............... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV ......................... Click to see attachment
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV................... Click to see attachment
28b
Yes
 
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV.. Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment
34
Yes
 
35
Is any related organization a controlled entity within the meaning of section 512(b)(13)? .....
35
Yes
 
a
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2........... Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2010)
Form 990 (2010)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V . . . . . . . . . .
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
8,828
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
41,015
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................
4a
Yes
 
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
 
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2010)
Form 990 (2010)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI . . . . . . . . . .
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year ..............
1a
15
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
9
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? ..
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
Yes
 
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Does the organization have members or stockholders? ................
6
 
No
7a
Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? .........................
7a
 
No
b
Are any decisions of the governing body subject to approval by members, stockholders, or other persons? ..
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Does the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” does the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organization? ....
10b
 
 
11a
Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Does the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ...........................
12b
Yes
 
c
Does the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this is done ....................
12c
Yes
 
13
Does the organization have a written whistleblower policy? ...............
13
Yes
 
14
Does the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line a or b, describe the process in Schedule O. (See instructions.)
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If “Yes,” has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
No
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
AZ , CA , CO
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial statements available to the public.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
DAVID BIXBY
1441 N 12TH ST
PHOENIX,AZ85006
(602) 747-4000
Form 990 (2010)
Form 990 (2010)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) MARK N SKLAR
DIRECTOR
 4.0 X           36,000 0 0
(2) QUENTIN P SMITH JR
VICE-CHAIRMAN AND DIRECTOR
 6.0 X   X       36,000 0 0
(3) LAREN BATES
DIRECTOR
 4.0 X           36,000 0 0
(4) WILFORD A CARDON
DIRECTOR
 4.0 X           36,000 0 0
(5) RONALD J CREASMAN MD
DIRECTOR
 4.0 X           36,000 0 0
(6) GILBERT DAVILA
DIRECTOR
 4.0 X           27,000 0 0
(7) WILLIAM M DWYER
DIRECTOR
 4.0 X           36,000 0 0
(8) BARRY A HENDIN MD
CHAIRMAN AND DIRECTOR
 6.0 X   X       45,000 0 0
(9) MICHAEL J FRICK
DIRECTOR
 4.0 X           36,000 0 0
(10) SUSAN BARTLETT FOOTE
DIRECTOR
 4.0 X           36,000 0 0
(11) LARRY S LAZARUS
DIRECTOR
 4.0 X           36,000 0 0
(12) MARTIN L SCHULTZ
DIRECTOR
 4.0 X           36,000 0 0
(13) CHERYL WENZINGER
DIRECTOR
 4.0 X           36,000 0 0
(14) CHRISTOPHER VOLK
DIRECTOR
 4.0 X           45,000 0 0
(15) PETER S FINE
PRESIDENT & CEO / DIRECTOR
 40.0 X   X       2,826,111 0 1,314,914
(16) RONALD BUNNELL
EXECUTIVE VP & CAO
 40.0     X       1,936,874 0 742,363
(17) JOHN HENSING
SENIOR VP MEDICAL AFFAIRS
 40.0     X       1,053,580 0 106,709
Form 990 (2010)
Form 990 (2010)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) JAMES FERNANDO
PRESIDENT - WESTERN REGION
 40.0     X       865,037 0 94,913
(19) DENNIS DAHLEN
SENIOR VICE-PRESIDENT & CFO
 40.0     X       830,887 0 94,739
(20) KATHY BOLLINGER
PRESIDENT - AZ WEST REGION
 40.0     X       799,228 0 96,023
(21) MICHAEL WARDEN
SENIOR VP, CHIEF INFO OFFICER
 40.0     X       788,512 0 88,089
(22) DAVID BIXBY
SENIOR VP & GENERAL COUNSEL
 40.0     X       780,547 0 343,647
(23) REBECCA KUHN
PRESIDENT - AZ EAST REGION
 40.0     X       691,658 0 153,766
(24) EDWARD OXFORD JR
SENIOR VP, CHIEF TALENT OFC
 40.0     X       675,825 0 73,688
(25) PATRICIA BLOCK
VP, TREASURY & TREASURER
 40.0     X       293,233 0 17,350
(26) ELIZABETH AVANT
ASSISTANT SECRETARY
 40.0     X       79,218 0 21,392
(27) LARRY VOLKMAR
CEO - BANNER GOOD SAM MED CTR
 40.0       X     693,082 0 29,537
(28) THOMAS DICKSON
CEO - BANNER THUNDERBIRD MED
 40.0       X     598,589 0 40,337
(29) DON EVANS
CEO - BANNER BAYWOOD MED CTR
 40.0       X     578,070 0 29,710
(30) RICHARD SUTTON
CEO - NORTH COLORADO MED CTR
 40.0       X     567,875 0 76,038
(31) JOHN HARRINGTON
CEO - BANNER DEL E. WEBB MED
 40.0       X     565,184 0 14,922
(32) TODD WERNER
CEO - BANNER DESERT MED CTR
 40.0       X     556,294 0 77,689
(33) JAMES BRANNON
CEO - BANNER MEDICAL GROUP
 40.0       X     544,754 0 39,108
(34) MICHAEL POWERS
CEO - FAIRBANKS MEMORIAL
 40.0       X     504,444 0 20,970
(35) RHONDA ANDERSON
CEO - CARDON CHILDREN'S HOSP
 40.0       X     492,111 0 19,811
(36) DAVID CHENEY
CEO - BANNER BOSWELL MED CTR
 40.0       X     490,309 0 28,479
(37) DAN WEINMAN
VP - STRATEGY AND PLANNING
 40.0       X     474,569 0 46,533
(38) KIP EDWARDS
VP - DEVELOPMENT/CONSTRUCTION
 40.0       X     452,841 0 31,792
(39) DALE SCHULTZ
VP - BUSINESS HEALTH
 40.0       X     452,739 0 30,559
(40) PAMELA NENABER
CEO - BANNER GATEWAY MED CTR
 40.0       X     429,685 0 24,592
(41) BETSY SULLIVAN
VP REVENUE CYCLE
 40.0       X     421,542 0 31,272
(42) THOMAS BOUDREAU
VP - FINANCE - WESTERN REGION
 40.0       X     384,452 0 26,678
(43) CHARLES BOWEN
VP - SUPPLY CHAIN MANAGEMENT
 40.0       X     384,451 0 31,879
(44) CHARLES LEHN
VP - MANAGED CARE AND BENEFITS
 40.0       X     375,974 0 30,383
(45) DAVID KAUBISCH
VP FINANCE
 40.0       X     369,272 0 32,629
(46) ROBERT GOULD
CEO - BANNER ESTRELLA MED CTR
 40.0       X     366,164 0 46,685
(47) RICKY LATHAM
PHYSICIAN
 40.0         X   1,061,831 0 58,196
(48) RON SHINAR
RADIOLOGIST
 40.0         X   1,031,041 0 34,644
(49) PHILLIP GLEASON
PHYSICIAN
 40.0         X   1,011,128 0 33,796
(50) CARSON WEBB
PHYSICIAN
 40.0         X   976,161 0 33,776
(51) YAZAN A ABU-QUADER
PHYSICIAN
 40.0         X   864,910 0 47,641
(52) PAULETTE FRIDAY
VP - TOTAL COMPENSATION
 0.0           X 214,375 0 8,083
(53) KATHY SCOTT
VP - CLINICAL DELIVERY
 0.0           X 280,362 0 11,315
(54) SUSAN EDWARDS
PRESIDENT - ARIZONA REGION
 0.0           X 143,636 0 4,623
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 27,419,555 0 4,089,270
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organizationMediumBullet1,811
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
MCCARTHY BUILDING COS INC
80 RIO SALADO PARKWAY SUITE 310
TEMPE,AZ85281 		GENERAL CONTRACTOR 41,313,205
DPR CONSTRUCTION INC
3020 E CAMELBACK RD STE 100
PHOENIX,AZ85016 		GENERAL CONTRACTOR 37,679,017
KITCHELL CONTRACTORS INC
1707 E HIGHLAND SUITE 200
PHOENIX,AZ85016 		GENERAL CONTRACTOR 32,717,365
CERNER CORPORATION
2800 ROCKCREEK PARKWAY
KANSAS CITY,MO64117 		INFORMATION SYSTEMS 17,570,983
ARAMARK SERVICES INC
PO BOX 651009
CHARLOTTE,NC28265 		FOOD SERVICES 12,407,210
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization MediumBullet1,268
Form 990 (2010)
Form 990 (2010)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, gifts, grants and other similar amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d 14,856,870
e Government grants (contributions)1e 3,423,952
f All other contributions, gifts, grants, and
similar amounts not included above1f 		642,660
g Noncash contributions included in lines 1a-1f:$ 8,956
h Total. Add lines 1a-1f.......MediumBullet 18,923,482
Program Service Revenue Business Code
2a HEALTHCARE SERVICE 900,099 4,232,562,363 4,232,562,363    
b PARTNERSHIP INCOME 621,500 32,628,420 14,778,297 17,850,123  
c PHARMACY 446,110 4,572,425   4,572,425  
d LABORATORY 621,500 4,163,785   4,163,785  
e MANAGEMENT SERVICES 541,610 2,430,861   2,430,861  
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 4,276,357,854
Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 39,934,453     39,934,453
4 Income from investment of tax-exempt bond proceeds..MediumBullet 552,701     552,701
5 Royalties............MediumBullet 0      
(i) Real (ii) Personal
6a Gross Rents 13,732,084  
b Less: rental expenses 9,889,939  
c Rental income or (loss) 3,842,145  
d Net rental income or (loss).......MediumBullet 3,842,145     3,842,145
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 15,152,945,447 161,283
b Less: cost or other basis and sales expenses 15,088,400,343 19,826,725
c Gain or (loss) 64,545,104 -19,665,442
d Net gain or (loss)..........MediumBullet 44,879,662     44,879,662
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet 0    
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet 0      
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet 0      
Miscellaneous Revenue Business Code
11a            
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ......MediumBullet 0
12 Total revenue. See Instructions....MediumBullet 4,384,490,297 4,247,340,660 29,017,194 89,208,961
Form 990 (2010)
Form 990 (2010)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21 2,802,577 2,802,577
2 Grants and other assistance to individuals in the U.S. See Part IV, line 22 465,218 465,218
3 Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16 0  
4 Benefits paid to or for members 0  
5 Compensation of current officers, directors, trustees, and key employees .... 25,693,307 0 25,693,307 0
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 0      
7 Other salaries and wages 1,779,512,300 1,688,628,191 90,884,109 0
8 Pension plan contributions (include section 401(k) and section 403(b) employer contributions) .... 41,593,861 38,741,172 2,852,689 0
9 Other employee benefits ....... 153,232,256 134,628,244 18,604,012 0
10 Payroll taxes ........... 126,267,770 118,906,311 7,361,459 0
11 Fees for services (non-employees):        
a Management ...... 4,317,016 3,794,259 522,757 0
b Legal ......... 2,284,872 101,164 2,183,708 0
c Accounting ........... 1,162,103 154,280 1,007,823 0
d Lobbying ........... 332,991 332,991 0 0
e Professional fundraising. See Part IV, line 17.. 0 0
f Investment management fees ...... 12,761,389 0 12,761,389 0
g Other .......... 191,215,243 174,751,419 16,463,824 0
12 Advertising and promotion .... 10,836,517 3,758,536 7,077,981 0
13 Office expenses ....... 785,365,862 780,025,182 5,340,680 0
14 Information technology ...... 42,976,508 41,733,601 1,242,907 0
15 Royalties .. 0 0 0 0
16 Occupancy ........... 151,810,756 145,727,765 6,082,991 0
17 Travel ............ 4,094,922 2,914,270 1,180,652 0
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0 0 0 0
19 Conferences, conventions, and meetings .... 197,804 134,444 63,360 0
20 Interest ........... 105,710,038 66,349,068 39,360,970 0
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization ..... 225,735,202 212,322,586 13,412,616 0
23 Insurance .............. 25,426,396 24,355,878 1,070,518 0
24 Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a BAD DEBT 228,340,457 228,482,001 -141,544 0
b RECRUITMENT EXPENSE 11,703,901 7,614,421 4,089,480 0
c INCOME TAX 7,057,796 0 7,057,796 0
d DUES & SUBSCRIPTIONS 5,636,458 4,564,764 1,071,694 0
e STAFF DEVELOPMENT 4,006,686 2,480,836 1,525,850 0
f All other expenses 69,404,801 78,982,622 -9,577,821 0
25 Total functional expenses. Add lines 1 through 24f 4,019,945,007 3,762,751,800 257,193,207 0
26 Joint costs. Check here MediumBullet if following
SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation 		       
Form 990 (2010)
Form 990 (2010)
Page 11
Part X Balance Sheet
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing .......... 370,892,595 1 157,177,807
2 Savings and temporary cash investments ....... 223,238,361 2 220,582,832
3 Pledges and grants receivable, net .........   3  
4 Accounts receivable, net ......... 517,786,534 4 523,360,342
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..........   5  
6 Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
Schedule L ..........   6  
7 Notes and loans receivable, net ............. 40,937,286 7 38,493,095
8 Inventories for sale or use .............. 95,433,864 8 98,506,738
9 Prepaid expenses and deferred charges ............ 36,438,154 9 36,706,254
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 4,133,141,808
b Less: accumulated depreciation. ..... 10b 1,813,602,840 2,212,107,896 10c 2,319,538,968
11 Investments—publicly traded securities .......... 1,613,208,437 11 2,140,396,379
12 Investments—other securities. See Part IV, line 11 ...... 131,931,369 12 199,240,262
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets ......... 61,131,771 14 40,422,223
15 Other assets. See Part IV, line 11 ........... 434,981,355 15 322,566,063
16 Total assets. Add lines 1 through 15 (must equal line 34)... 5,738,087,622 16 6,096,990,963
Liabilities 17 Accounts payable and accrued expenses . 680,879,793 17 555,886,058
18 Grants payable ..........   18  
19 Deferred revenue .......... 10,898,897 19 9,224,019
20 Tax-exempt bond liabilities .......... 2,333,157,121 20 2,294,225,512
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Payables to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties .. -1,703,879 23 2,752,280
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities. Complete Part X of Schedule D..... 216,238,270 25 376,040,468
26 Total liabilities. Add lines 17 through 25..... 3,239,470,202 26 3,238,128,337
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... 2,428,095,174 27 2,792,263,040
28 Temporarily restricted net assets ..... 70,522,246 28 66,599,586
29 Permanently restricted net assets .....   29  
Organizations that do not follow SFAS 117, check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ..... 2,498,617,420 33 2,858,862,626
34 Total liabilities and net assets/fund balances ..... 5,738,087,622 34 6,096,990,963
Form 990 (2010)
Form 990 (2010)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI . . . . . . . . . .
1
Total revenue (must equal Part VIII, column (A), line 12) . . .
1
4,384,490,297
2
Total expenses (must equal Part IX, column (A), line 25) . . . . .
2
4,019,945,007
3
Revenue less expenses. Subtract line 2 from line 1 . . . .
3
364,545,290
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .
4
2,498,617,420
5
Other changes in net assets or fund balances (explain in Schedule O) . . . .
5
-4,300,084
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) . . . . . .
6
2,858,862,626
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII . . . . . . . . . .
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?..
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O............................
2c
Yes
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................
3a
Yes
 
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..
3b
Yes
 
Form 990 (2010)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
BANNER HEALTH
 
Employer identification number

45-0233470
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization? ................
11g(i)
 
 
(ii) a family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
(i)
Name of supported organization 		(ii)
EIN 		(iii)
Type of organization (described on lines 1- 9 above or IRC section (see instructions)) 		(iv)
Is the organization in col. (i) listed in your governing document? 		(v)
Did you notify the organization in col. (i) of your support? 		(vi)
Is the organization in col. (i) organized in the U.S.? 		(vii)
Amount of support?
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3..            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public Support. Subtract line 5 from line 4.            
Section B. Total Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public Support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)            
13 Total support (Add lines 9, 10c, 11 and 12.).            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2010
Name of organization
BANNER HEALTH
 
Employer identification number

45-0233470
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule—
Special Rules
......................... Arrow Bullet   $    
Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part I
Name of organization
BANNER HEALTH
  		Employer identification number

45-0233470
Part I
Contributors (see Instructions)
     
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part II
Name of organization
BANNER HEALTH
  		Employer identification number

45-0233470
Part II
Noncash Property (see Instructions)
     
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part III
Name of organization
BANNER HEALTH
  		Employer identification number

45-0233470
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.
SchCMd Bullet Attach to Form 990 or Form 990-EZ. SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
BANNER HEALTH
 
Employer identification number

45-0233470
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c) except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities ....................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2010

Schedule C (Form 990 or 990-EZ) 2010
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check
B Check
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
Organization's
Totals 		(b) Affiliated Group
Totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in) 		(a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) Total
             
2a Lobbying non-taxable amount          
             
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		         
             
c Total lobbying expenditures          
             
d Grassroots non-taxable amount          
             
e Grassroots ceiling amount
(150% of line 2d, column (e))		          
             
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2010


Schedule C (Form 990 or 990-EZ) 2010
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
(a)
Yes
No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
Yes
 
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
 
No
 
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
Yes
 
98,000
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? If "Yes," describe in Part IV ..........................
Yes
 
234,991
j
Total. lines 1c through 1i ...................................
332,991
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ...........................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.
Identifier Return Reference Explanation
OTHER LOBBYING ACTIVITIES SCHEDULE C, PART II-B, LINE 1I BANNER HEALTH MAINTAINS A GOVERNMENT RELATIONS DEPARTMENT. $53,078 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. $181,913 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.
Schedule C (Form 990 or 990EZ) 2010

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
BANNER HEALTH
 
Employer identification number

45-0233470
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .......    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) ...    
4 Aggregate value at end of year .......    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06 ........ 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................
9
In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 52283D
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIV.
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current Year (b)Prior Year (c)Two Years Back (d)Three Years Back (e)Four Years Back
1a Beginning of year balance ....      
b Contributions ........      
c Investment earnings or losses ...      
d Grants or scholarships .....      
e Other expenditures for facilities
and programs ........ 		     
f Administrative expenses ....      
g End of year balance ......      
2
Provide the estimated percentage of the year end balance held as:
a
Board designated or quasi-endowment: SchDMd Bullet  
b
Permanent endowment: SchDMd Bullet  
c
Term endowment: SchDMd Bullet  
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
 
(ii) related organizations ........................
3a(ii)
 
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Investments—Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of investment (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   120,853,688 120,853,688
b Buildings ................   977,695,384 308,273,301 669,422,083
c Leasehold improvements ............   13,699,602 7,795,966 5,903,636
d Equipment ................   2,820,382,249 1,464,483,250 1,355,898,999
e Other .................   200,510,885 33,050,323 167,460,562
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........SchDMdBullet 2,319,538,968
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) ACCRUED REVENUE 4,614,159
(2) ASSETS HELD FOR SALE 3,164,393
(3) DEFERRED EXPENSES 940,388
(4) DUE TO/FROM AFFILIATES 113,231,140
(5) INDENTURED AGREEMENTS 106,491,758
(6) LONG-TERM DISABILITY FUND 355,745
(7) OTHER ASSETS 69,284
(8) RAFFLE FUND 1,057,196
(9) RESTRICTED ASSETS 5,612,416
(10) SELF-INSURANCE FUNDING 10,313,348
(11) BOND FUND 76,716,236
Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 322,566,063
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Amount
Federal Income Taxes 0
ASSET RETIREMENT OBLIGATION 13,745,644
ESCHEAT 2,339,283
MINORITY INTEREST - EQUITY OF CONS SUBSIDIARY -339,013
SELF-INSURANCE LIABILITIES -4,591,705
CAP LEASE PAYABLE 4,129,624
THIRD PARTY PAYOR SETTLEMENTS 42,309,754
OTHER NON-CURRENT LIABILITIES 30,585,169
PENSION PAYABLE 63,739,720
SERP LIABILITY 33,634,556
LONG-TERM SWAPS 186,997,962
457(B) LIABILITY 3,489,474
Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)Small Bullet 376,040,468
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 4
Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1 Total revenue (Form 990, Part VIII, column (A), line 12) .................... 1  
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2  
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3  
4 Net unrealized gains (losses) on investments .......................... 4  
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7  
8 Other (Describe in Part XIV) ................................. 8  
9 Total adjustments (net). Add lines 4 - 8 ............................. 9  
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10  
Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIV): ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ...... 5  
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIV): ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ...... 5  
Part XIV
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
Schedule D (Form 990) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE F
(Form 990)

Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990,
Part IV, line 14b, 15, or 16.
Right pointing arrow large image Attach to Form 990. Right pointing arrow large image See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
BANNER HEALTH
 
Employer identification number

45-0233470
Part I
General Information on Activities Outside the United States. Complete if the organization answered
“Yes” to Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of the grants or
assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award
the grants or assistance? ...................................
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of grant funds outside the
United States.
3
Activites per Region. (Use Part V if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees or agents in region or independent contractors (d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in region		 (f) Total
expenditures for region/investments
in region
Central America and the Caribbean 0 0 Investments   582,646,676
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total ..... 0 0 582,646,676
b Total from continuation sheets to Part I ...      
c Totals (add lines 3a and 3b) 0 0 582,646,676
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990,
Part IV, line 15, for any recipient who received more than $5,000. Check this box if no one recipient received more than $5,000 ........ MediumBullet
Use Part V if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)		 (c) Region (d) Purpose of
grant 		(e) Amount of
cash grant 		(f) Manner of
cash
disbursement 		(g) Amount of
of non-cash
assistance 		(h) Description
of non-cash
assistance 		(i) Method of
valuation
(book, FMV,
appraisal, other)
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2
Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .....MediumBullet
 
3
Enter total number of other organizations or entities ........................MediumBullet
 
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.
Use Part V if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant 		(e) Manner of cash
disbursement 		(f) Amount of
non-cash
assistance 		(g) Description
of non-cash
assistance 		(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926 (see instructions for Form 926).................
2 Did the organization have an interest in a foreign trust during the tax year? If " Yes," the organization may be required to file Form 3520 and/or Form 3520-A. (see instructions for Forms 3520 and 3520-A)..........
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with respect to Certain Foreign Corporations. (see instructions for Form 5471)..............................
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If "Yes," the organization may be required to file Form 8621, Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see instructions for Form 8621)
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with respect to Certain Foreign Partnerships. (see instructions for Form 8865)....................................
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see instructions for Form 5713)................................................
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 5
Part V
Supplemental Information
Complete this part to provide the information (see instructions) required in Part I, line 2, and any additional information.
Identifier ReturnReference Explanation
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
Schedule F (Form 990) 2010
Additional Data


Software ID:  
Software Version:  



SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
BANNER HEALTH
 
Employer identification number

45-0233470
Part I
Charity Care and Certain Other Community Benefits at Cost
Yes
No
1a
Does the organization have a charity care policy? If "No," skip to question 6a...........
1a
Yes
 
b
If "Yes," is it a written policy? .......................
1b
Yes
 
2
If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.
3
Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.
a
Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low
income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If
"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....
3b
Yes
 
c
If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.
4
Does the organization's policy provide free or discounted care to the "medically indigent"? ......
4
 
No
5a
Does the organization budget amounts for free or discounted care provided under its charity care policy? ...
5a
Yes
 
b
If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........
5b
 
No
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............
5c
 
 
6a
Does the organization prepare an annual community benefit report?.............
6a
Yes
 
6b
If "Yes," does the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Charity Care and Certain Other Community Benefits at Cost
Charity Care and
Means-Tested Government Programs		 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Charity care at cost (from
Worksheets 1 and 2) .. 		    86,499,644   86,499,644 2.300 %
b Unreimbursed Medicaid (from
Worksheet 3, column a) . 		    718,161,188 574,731,834 143,429,354 3.800 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....            
dTotal Charity Care and
Means-Tested Government Programs ..... 		    804,660,832 574,731,834 229,928,998 6.100 %
Other Benefits
e Community health improvement
services and community
benefit operations (from
(Worksheet 4) .... 		    10,053,007 293,154 9,759,853 0.300 %
f Health professions education
(from Worksheet 5) .. 		    30,499,269 6,956,874 23,542,395 0.600 %
g Subsidized health services
(from Worksheet 6) .. 		    6,120,012 117,505 6,002,507 0.200 %
h Research (from Worksheet 7)     28,237,000 20,236,000 8,001,000 0.200 %
i Cash and in-kind contributions
to community groups
(from Worksheet 8) .. 		    2,198,203 65,544 2,132,659 0.100 %
jTotal Other Benefits ...     77,107,491 27,669,077 49,438,414 1.400 %
kTotal. Add lines 7d and 7j. ..     881,768,323 602,400,911 279,367,412 7.500 %
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 2
Part II
Community Building Activities Complete this table if the organization conducted any community building activities.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing     6,890   6,890  
2 Economic development     112,614   112,614  
3 Community support     58,895   58,895  
4 Environmental improvements     18,750   18,750  
5 Leadership development and training for community members     109,687   109,687  
6 Coalition building     335,523   335,523 0.010 %
7 Community health improvement advocacy     95,770   95,770  
8 Workforce development     5,511,915   5,511,915 0.150 %
9 Other            
10 Total     6,250,044   6,250,044 0.160 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
 
No
2
Enter the amount of the organization's bad debt expense (at cost).....
2
65,551,755
3
Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..
3
42,958,641
4
Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
854,785,703
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
858,487,126
7
Subtract line 6 from line 5. This is the surplus or (shortfall)........
7
-3,701,423
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:
Section C. Collection Practices
9a
Does the organization have a written debt collection policy? ...............
9a
Yes
 
b
If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......
9b
Yes
 
Part IV
Management Companies and Joint Ventures
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership% 		(e) Physicians'
profit % or stock
ownership %
1NEW RIVER SUR ARTS
  		AMBULATORY SURGERY CENTER 63.000 % 0 % 37.000 %
2N COL SURG CTR
  		AMBULATORY SURGERY CENTER 60.000 % 0 % 40.000 %
3MTN VISTA ORTH SRG
  		AMBULATORY SURGERY CENTER 59.000 % 0 % 40.000 %
4LOVELAND ENDOSCOPY
  		ENDOSCOPY CENTER 25.000 % 0 % 75.000 %
5LOVELAND MED ENTPR
  		MEDICAL OFFICE COMPLEX 70.000 % 0 % 30.000 %
6LOVELAND SURG ENTPR
  		AMBULATORY SURGERY CENTER 61.000 % 0 % 39.000 %
7BANNER BAYWOOD SURG
  		AMBULATORY SURGERY CENTER 51.000 % 0 % 49.000 %
8BANNER CYN SPR SURG
  		AMBULATORY SURGERY CENTER 69.200 % 0 % 30.800 %
9BANNER DESERT SURG
  		AMBULATORY SURGERY CENTER 61.400 % 0 % 38.600 %
10OSBORN AMB SURG CTR
  		AMBULATORY SURGERY CENTER 73.600 % 0 % 26.400 %
11SURGICENTER OF AMER
  		AMBULATORY SURGERY CENTER 80.700 % 0 % 19.300 %
12UNION HILLS SURG CTR
  		AMBULATORY SURGERY CENTER 87.000 % 0 % 13.000 %
13
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 3
Part VFacility Information
Section A. Hospital Facilities
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many hospital facilities did the organization operate during the tax year?23
Name and address 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe)
1 BANNER GOOD SAMARITAN MEDICAL CENTER
1111 E MCDOWELL RD
PHOENIX,AZ85006 		X X   X     X    
2 BANNER DESERT MEDICAL CENTER
1400 S DOBSON ROAD
MESA,AZ85202 		X X X       X    
3 BANNER BOSWELL MEDICAL CENTER
10401 W THUNDERBIRD ROAD
SUN CITY,AZ85351 		X X         X    
4 BANNER THUNDERBIRD MEDICAL CENTER
5555 W THUNDERBIRD ST
GLENDALE,AZ85304 		X X         X    
5 BANNER DEL E WEBB MEDICAL CENTER
14502 WEST MEEKER BLVD
SUN CITY WEST,AZ85375 		X X         X    
6 BANNER BAYWOOD MEDICAL CENTER
6644 E BAYWOOD AVE
MESA,AZ85206 		X X         X    
7 BANNER ESTRELLA MEDICAL CENTER
9201 W THOMAS ROAD
PHOENIX,AZ85037 		X X         X    
8 NORTH COLORADO MEDICAL CENTER
1801 16TH STREET
GREELEY,CO80631 		X X   X     X    
9 BANNER GATEWAY MEDICAL CENTER
1900 S HIGLEY ROAD
GILBERT,AZ85234 		X X         X    
10 BANNER HEART HOSPITAL
6750 E BAYWOOD AVE
MESA,AZ85206 		X X              
11 FAIRBANKS MEMORIAL HOSPITAL
1650 COWLES STREET
FAIRBANKS,AK99701 		X X         X    
12 MCKEE MEDICAL CENTER
2000 BOISE AVE
LOVELAND,CO80538 		X X         X    
13 BANNER CHURCHILL COMMUNITY HOSPITAL
801 E WILLIAMS AVE
FALLON,NV89406 		X X         X    
14 STERLING REGIONAL MEDICAL CENTER
615 FAIRHURST STREET
STERLING,CO80751 		X X         X    
15 BANNER LASSEN MED CTR - CRITICAL ACCESS
1800 SPRING RIDGE DRIVE
SUSANVILLE,CA96130 		X X     X   X    
16 BANNER BEHAVIORAL HEALTH HOSPITAL
7575 E EARLL DRIVE
SCOTTSDALE,AZ85251 		X                
17 EAST MORGAN COUNTY HOSP- CRITICAL ACCESS
2400 W EDISON ST
BRUSH,CO80723 		X X     X   X    
18 PAGE HOSPITAL - CRITICAL ACCESS
501 N NAVAJO
PAGE,AZ86406 		X X     X   X    
19 COMMUNITY HOSP - TORRINGTON-CRIT ACCESS
2000 CAMPBELL DRIVE
TORRINGTON,WY82240 		X X     X   X    
20 OGALLALA COMMUNITY HOSP-CRITICAL ACCESS
2601 N SPRUCE STREET
OGALLALA,NE69153 		X X     X   X    
21 WASHAKIE MEDICAL CENTER-CRITICAL ACCESS
400 S 15TH STREET
WORLAND,WY82401 		X X     X   X    
22 PLATTE COUNTY MEM HOSP- CRITICAL ACCESS
201 14TH STREET
WHEATLAND,WY82201 		X X     X   X    
23 BANNER IRONWOOD MEDICAL CENTER
37000 N GANTZEL ROAD
SAN TAN VALLEY,AZ85142 		X X         X    
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:BANNER GOOD SAMARITAN MEDICAL CENTER
Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:BANNER DESERT MEDICAL CENTER
Line Number of Hospital Facility (from Schedule H, Part V, Section A):2

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:BANNER BOSWELL MEDICAL CENTER
Line Number of Hospital Facility (from Schedule H, Part V, Section A):3

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:BANNER THUNDERBIRD MEDICAL CENTER
Line Number of Hospital Facility (from Schedule H, Part V, Section A):4

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:BANNER DEL E WEBB MEDICAL CENTER
Line Number of Hospital Facility (from Schedule H, Part V, Section A):5

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:BANNER BAYWOOD MEDICAL CENTER
Line Number of Hospital Facility (from Schedule H, Part V, Section A):6

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:BANNER ESTRELLA MEDICAL CENTER
Line Number of Hospital Facility (from Schedule H, Part V, Section A):7

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:NORTH COLORADO MEDICAL CENTER
Line Number of Hospital Facility (from Schedule H, Part V, Section A):8

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:BANNER GATEWAY MEDICAL CENTER
Line Number of Hospital Facility (from Schedule H, Part V, Section A):9

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:BANNER HEART HOSPITAL
Line Number of Hospital Facility (from Schedule H, Part V, Section A):10

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:FAIRBANKS MEMORIAL HOSPITAL
Line Number of Hospital Facility (from Schedule H, Part V, Section A):11

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:MCKEE MEDICAL CENTER
Line Number of Hospital Facility (from Schedule H, Part V, Section A):12

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:BANNER CHURCHILL COMMUNITY HOSPITAL
Line Number of Hospital Facility (from Schedule H, Part V, Section A):13

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:STERLING REGIONAL MEDICAL CENTER
Line Number of Hospital Facility (from Schedule H, Part V, Section A):14

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:BANNER LASSEN MED CTR - CRITICAL ACCESS
Line Number of Hospital Facility (from Schedule H, Part V, Section A):15

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:BANNER BEHAVIORAL HEALTH HOSPITAL
Line Number of Hospital Facility (from Schedule H, Part V, Section A):16

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:EAST MORGAN COUNTY HOSP- CRITICAL ACCESS
Line Number of Hospital Facility (from Schedule H, Part V, Section A):17

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:PAGE HOSPITAL - CRITICAL ACCESS
Line Number of Hospital Facility (from Schedule H, Part V, Section A):18

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:COMMUNITY HOSP - TORRINGTON-CRIT ACCESS
Line Number of Hospital Facility (from Schedule H, Part V, Section A):19

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:OGALLALA COMMUNITY HOSP-CRITICAL ACCESS
Line Number of Hospital Facility (from Schedule H, Part V, Section A):20

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:WASHAKIE MEDICAL CENTER-CRITICAL ACCESS
Line Number of Hospital Facility (from Schedule H, Part V, Section A):21

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:PLATTE COUNTY MEM HOSP- CRITICAL ACCESS
Line Number of Hospital Facility (from Schedule H, Part V, Section A):22

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:BANNER IRONWOOD MEDICAL CENTER
Line Number of Hospital Facility (from Schedule H, Part V, Section A):23

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 7
Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many non-hospital facilities did the organization operate during the tax year?201
Name and address Type of Facility (Describe)
1 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
2 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
3 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
4 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
5 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
6 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
7 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
8 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
9 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
10 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
11 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
12 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
13 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
14 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
15 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
16 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
17 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
18 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
19 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
20 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
21 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
22 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
23 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
24 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
25 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
26 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
27 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
28 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
29 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
30 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
31 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
32 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
33 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
34 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
35 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
36 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
37 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
38 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
39 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
40 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
41 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
42 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
43 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
44 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
45 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
46 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
47 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
48 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
49 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
50 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
51 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
52 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
53 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
54 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
55 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
56 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
57 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
58 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
59 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
60 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
61 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
62 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
63 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
64 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
65 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
66 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
67 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
68 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
69 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
70 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
71 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
72 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
73 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
74 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
75 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
76 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
77 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
78 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
79 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
80 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
81 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
82 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
83 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
84 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
85 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
86 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
87 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
88 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
89 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
90 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
91 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
92 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
93 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
94 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
95 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
96 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
97 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
98 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
99 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
100 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
101 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
102 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
103 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
104 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
105 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
106 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
107 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
108 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
109 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
110 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
111 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
112 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
113 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
114 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
115 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
116 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
117 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
118 ARIZONA SPECIALTY PHYSICIANS
1300 N 12TH ST STE 312
PHOENIX,AZ85006 		OUTPATIENT TREATMENT CENTERS/CLINICS
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Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 8
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2 Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Identifier ReturnReference Explanation
PART I, LINE 3A/3B   BANNER HEALTH (BANNER/BH) USES FPG. DEDICATED TO PROVIDING QUALITY HEALTHCARE TO ALL PATIENTS REGARDLESS OF AGE, SEX, RACE, RELIGION, DISABILITY, VETERAN STATUS, NATIONAL ORIGIN AND/OR ABILITY TO PAY DETERMINATIONS ARE MADE BASED UPON BANNER'S FINANCIAL ASSISTANCE POLICY. BH'S FINANCIAL ASSISTANCE PROGRAM IS INTENDED TO ADDRESS THE DUAL INTERESTS OF PROVIDING ACCESS TO CARE TO THOSE WITHOUT THE ABILITY TO PAY (ECONOMIC INDIGENCE) AND TO OFFER A DISCOUNT FROM BILLED CHARGES FOR THOSE WHO ARE ABLE TO PAY A PORTION OF THE COSTS OF THEIR CARE (MEDICAL INDIGENCE). THIS POLICY ESTABLISHES TWO FINANCIAL ASSISTANCE PROGRAMS, THE BASIC FINANCIAL ASSISTANCE PROGRAM AND THE ENHANCED ASSISTANCE PROGRAM. UNDER THE BASIC FINANCIAL ASSISTANCE PROGRAM, UNINSURED PERSONS HAVING ANNUAL HOUSEHOLD INCOMES OF $125,000 OR LESS WILL QUALIFY FOR FINANCIAL ASSISTANCE IN THE FORM OF DISCOUNTED PRICING COMPARABLE TO THAT AVAILABLE TO COMMERCIAL INSURANCE PAYORS WITHOUT HAVING TO APPLY FOR MEDICAID ASSISTANCE. UNDER THE ENHANCED FINANCIAL ASSISTANCE PROGRAM, UNINSURED PERSONS HAVING HOUSEHOLD INCOMES AT OR BELOW 500% OF THE FEDERAL POVERTY LINE WILL QUALIFY FOR FINANCIAL ASSISTANCE IN THE FORM OF SUBSTANTIAL DISCOUNTS OR FREE CARE, SUBJECT TO APPLICATION FOR MEDICAID ASSISTANCE. BH RESERVES THE RIGHT, IN ALL SITUATIONS, TO EXCLUDE PERSONS WHO HAVE SUFFICIENT NET ASSETS TO PAY THEIR OBLIGATIONS FROM RECEIVING EITHER BASIC OR ENHANCED FINANCIAL ASSISTANCE. BH MAKES EVERY EFFORT TO COMPLETE A FINANCIAL EVALUATION AT THE EARLIEST POSSIBLE POINT IN THE REGISTRATION/COLLECTION PROCESS FOR ALL PATIENTS INDICATING AN INABILITY TO MEET THEIR FINANCIAL OBLIGATIONS. BANNER WILL PROVIDE A FINANCIAL ASSISTANCE PROGRAM APPLICATION AFTER ALL OTHER OPTIONS FOR REIMBURSEMENT HAVE BEEN EXHAUSTED. SEE PART VI, LINE 6 FOR INFORMATION ON HOW PATIENTS ARE MADE AWARE OF BH' FINANCIAL ASSISTANCE PROGRAM.
PART I, LINE 5 DESCRIBE METHOD USED FOR REPORTING CHARITY ETC. NON-ELECTIVE, MEDICALLY NECESSARY CARE PROVIDED BY BANNER IS RENDERED REGARDLESS OF THE PATIENT'S ABILITY TO PAY AND BH'S FINANCIAL ASSISTANCE POLICY OFFERS VARIOUS DISCOUNTS FROM BILLED CHARGES BASED ON THE PATIENT'S OR FAMILY'S INCOME. BECAUSE BANNER DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS FINANCIAL ASSISTANCE, THEY ARE NOT REPORTED AS REVENUES. FINANCIAL ASSISTANCE IS RECORDED BASED ON FOR THE COST OF SERVICES PROVIDED FOR WHICH CHARGES ARE WRITTEN OFF IN ACCORDANCE WITH THE FINANCIAL ASSISTANCE POLICY. FINANCIAL ASSISTANCE DOES NOT INCLUDE THE AMOUNT, IF ANY, FOR WHICH THE PATIENT REMAINS RESPONSIBLE. AMOUNT, IF ANY, FOR WHICH THE PATIENT REMAINS RESPONSIBLE. PART I, LINE 5B THE AMOUNT OF FREE OR DISCOUNTED CARE PROVIDED TO PATIENTS DURING THE TAX YEAR DID NOT EXCEED THE ANNUAL BUDGETED AMOUNT. THE ANNUAL BUDGETED AMOUNT IS AS ESTIMATE USED FOR FINANCIAL BUDGETING PURPOSES ONLY AND HAS NO IMPLICATION ON THE MAXIMUM OR MINIMUM AMOUNT OF FREE OR DISCOUNTED CARE THE ORGANIZATION PROVIDES TO QUALIFYING PATIENTS ANNUALLY.
PART I, LINE 6A FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS AT COST YES. BANNER HEALTH PREPARES AN ANNUAL REPORT FOR THE HEALTH SYSTEM AS A WHOLE. THE 2009 REPORT IS AVAILABLE ON SITE OR AT THE ORGANIZATION'S WEB SITE. TO ACCESS THE REPORT CLICK HTTP://WWW.BANNERHEALTH.COM/ABOUT+US/COMMUNITY+UPDATE/_COMMUNITY+UPDATE+HO ME.HTM
PART I, LINE 7 COLUMN (F)   PERCENT OF TOTAL EXPENSE - THE TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN (A) WAS $3,830,294,183. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT WAS $237,942,528. THE RESULTING TOTAL EXPENSE OF $3,592,351,655 WAS USED FOR PURPOSES OF CALCULATING LINE 7, COLUMN (F). PART I LINE 7G SUBSIDIZED HEALTH SERVICES REPORTED IN SECTION 7G INCLUDES AMONG OTHERS ALZHEIMER'S MEMORY DISORDER AND RESIDENTIAL TREATMENT PROGRAMS, PALLIATIVE CARE CLINICS, PRESCRIPTION ASSISTANCE, SENIOR ADULT DAY CARE, COMMUNITY-BASED PRENATAL PROGRAM FOR UNDER/UNINSURED MOTHERS, SCHOOL BASED CLINIC ACTIVITIES AND PROGRAMS FOR THE CHRONIC INEBRIATE POPULATION. OPERATED AT A LOSS, RESPECTIVE BH COMMUNITIES WOULD BE DEPRIVED OF THESE SERVICES IF NOT FOR THE ORGANIZATION'S INVOLVEMENT.
PART III, LINE 1   NO. BH - WRITES OFF BAD DEBT AS AN OPERATING EXPENSE (AS OPPOSED TO A REDUCTION IN ALLOWANCE) AND BAD DEBT RESERVES ARE EVALUATED MONTHLY. THIS METHODOLOGY ALLOWS THE ORGANIZATION TO ARRIVE AT THE SAME POSITION AS STATEMENT 15 DESCRIBES. WE DO NOT HOWEVER WRITE DOWN SELF PAY ACCOUNTS USING A CONTRA REVENUE ACCOUNT UNLESS WE HAVE DEEMED IT FINANCIAL ASSISTANCE WHICH IS A VARIANCE FROM THE STATEMENT (WHICH REQUIRES A WRITE DOWN OF THE RECEIVABLE TO THE COLLECTIBLE AMOUNT USING A CONTRA REVENUE ACCOUNT).
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.
PART III, LINE 3   IN 2006 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 THE 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 ENHANCED ITS 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.
PART III, LINE 4   1. FOOTNOTE PER AUDITED FINANCIAL STATEMENTS: 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. THESE ESTIMATED AMOUNTS ARE SUBJECT TO FURTHER ADJUSTMENTS UPON REVIEW BY THIRD-PARTY PAYORS. MANAGEMENT ESTIMATES BAD DEBT EXPENSE AND THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON THE HISTORICAL COLLECTION EXPERIENCE OF EACH OPERATING ENTITY. 2. COSTING METHODOLOGY - THE RATIO OF PATIENT CARE COST TO CHARGES IS APPLIED TO THE BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS TO CALCULATE THE ESTIMATED COST OF BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS THAT IS REPORTED ON LINE 2. DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE RECORDED AS AN ADJUSTMENT TO REVENUE NOT BAD DEBT EXPENSE.
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 RESULT IS A MEDICARE SHORTFALL OF $50.7M. THEREFORE THE AMOUNTS REFLECTED ON THE COST REPORT DID NOT TAKE INTO ACCOUNT ALL COSTS INCURRED BY THE ORGANIZATION AND DIFFER FROM THE COST REFLECTED ON THE FINANCIAL STATEMENTS. THIS MEDICARE SHORTFALL 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.
PART III LINE 9A/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. BH'S BILLING AND COLLECTIONS POLICY FOR SELF-PAY ACCOUNTS SETS FORTH THE POLICIES AND PROCEDURES TO BE FOLLOWED 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 THOSE PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE. THE SELF-PAY ACCOUNT COLLECTION PROCESS IS AS FOLLOWS: 1) THE PATIENT (OR GUARANTOR) WILL RECEIVE AT LEAST FOUR MAILED STATEMENTS OVER A PERIOD OF 90 DAYS BEFORE THE ACCOUNT IS REFERRED TO A COLLECTION AGENCY OR ANY ACTIVE COLLECTION MEASURES ARE UNDERTAKEN. FOR SELF-PAY ACCOUNTS OVER A CERTAIN AMOUNT, A BH REPRESENTATIVE ATTEMPTS TO CONTACT THE RESPONSIBLE PERSON BY TELEPHONE AT THE LAST KNOWN TELEPHONE NUMBER AT LEAST ONCE DURING THE SERIES OF MAILED STATEMENTS. 2) AT LEAST ONE OF THE MAILED STATEMENTS FOR PATIENTS WITHOUT INSURANCE WILL INCLUDE INFORMATION ADVISING AS TO THE EXISTENCE OF BH'S FINANCIAL ASSISTANCE PROGRAMS, INCLUDING A TOLL-FREE NUMBER FOR ADDITIONAL INFORMATION. IN ADDITION, THE LETTER SENT PRIOR TO ANY TRANSFER OF A SELF-PAY ACCOUNT TO A COLLECTION AGENCY WILL ADVISE THE RESPONSIBLE PERSON OF THE EXISTENCE OF BH'S FINANCIAL ASSISTANCE PROGRAM. 3) ANY RESPONSIBLE PERSON WHO CONTACTS BH INDICATING THAT THEY CANNOT AFFORD THE SELF-PAY ACCOUNT IS PROVIDED WITH INFORMATION REGARDING BH'S FINANCIAL ASSISTANCE PROGRAMS. BH REPRESENTATIVES WHO HAVE COMMUNICATION WITH A RESPONSIBLE PERSON WHO INDICATES THAT HE/SHE IS UNINSURED MUST FOLLOW A SPECIFIC SCRIPT THAT PROVIDES INFORMATION ON BOTH THE BASIC AND ENHANCED FINANCIAL ASSISTANCE PROGRAMS. 4) FOLLOWING THE FOUR MAILED STATEMENTS AND COMPLETION (OR ATTEMPTED COMPLETION) OF TELEPHONE CONTACT, ANY UNPAID SELF-PAY ACCOUNT IS REFERRED TO AN EXTERNAL COLLECTION AGENCY FOR COLLECTION. COLLECTION AGENCIES ARE AUTHORIZED TO REPORT UNPAID ACCOUNTS TO CREDIT AGENCIES AND TO FILE LITIGATION, OBTAIN JUDGMENT LIENS AND EXECUTE UPON JUDGMENT LIENS USING LAWFUL MEANS OF COLLECTION. COLLECTION AGENCIES MUST OBTAIN SPECIAL PERMISSION FROM BH TO FILE LITIGATION IN ARIZONA AND MUST HAVE SPECIFIC APPROVAL FROM BH BEFORE UNDERTAKING ANY MEANS OF COLLECTION THAT INVOLVES PHYSICAL DETENTION OF ANY RESPONSIBLE PERSON.
SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT BH UTILIZES ITS PLANNING DEPARTMENT TO CONTINUALLY IDENTIFY AREAS IN THE COMMUNITIES BH SERVES WHERE INSTITUTIONAL CLINICAL NEEDS ARE NOT BEING SATISFIED. THIS DETERMINATION IS MADE THROUGH A COMBINATION OF ANALYSIS OF POPULATION GROWTH AND CHANGING DEMOGRAPHICS, HEALTHCARE SERVICES AVAILABLE THROUGH OTHER HOSPITAL PROVIDERS, PHYSICIAN SUPPLY IN THE BH SERVICE AREAS, NEW AND MORE EFFECTIVE HEALTHCARE SERVICES THAT ARE BECOMING AVAILABLE THAT WOULD ELEVATE THE QUALITY OF HEALTHCARE SERVICES PROVIDED TO BH COMMUNITIES, AND DEMAND PRESSURES EXPERIENCED BY EXISTING BH FACILITIES AND PHYSICIANS. ON A LOCAL BASIS, HOSPITAL MANAGEMENT TEAMS REGULARLY CONSULT WITH COMMUNITY LEADERS AND PARTNERS, LOCAL COMMUNITY-BASED ADVISORY BOARDS, OTHER SERVICE PROVIDERS (INCLUDING FEDERALLY QUALIFIED HEALTH CLINICS) AND BUSINESSES TO IDENTIFY UNMET PHYSICIAN AND HOSPITAL NEEDS. THESE FINDINGS ARE THEN PRIORITIZED BASED ON SYSTEM CAPITAL AND OPERATING RESOURCE AVAILABILITY, FEASIBILITY, AVAILABILITY OF PHYSICIANS TO BE RECRUITED TO THE SERVICE AREA, AND SUSTAINABILITY. BASED UPON THIS PRIORITIZATION, CAPITAL AND OPERATING RESOURCES ARE THEN INTEGRATED INTO THE FACILITY AND SYSTEM BUDGETS AND PLANS.
SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE POLICIES AND PROCEDURES EXIST TO EDUCATE OUR PATIENTS ON FINANCIAL ASSISTANCE ELIGIBILITY AND THEY ARE PROVIDED NUMEROUS OPPORTUNITIES FOR EDUCATION ON BANNER HEALTH FINANCIAL ASSISTANCE POLICIES. THE FOLLOWING ARE EXAMPLES OF COMMUNICATION/EDUCATION AVAILABLE TO BH PATIENTS: A) SIGNAGE AND COLLATERAL 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 THE FIRST BILLING STATEMENT TO PATIENTS. THE INSERT AGAIN INFORMS PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE AND PROVIDES TOLL-FREE ACCESS. E) DEPARTMENT REPRESENTATIVES AGAIN INFORM PATIENTS OF THE FINANCIAL ASSISTANCE POLICIES DURING THE SELF-PAY COLLECTION PROCESS.
SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION BH HAD 23 HOSPITALS (AS OF DECEMBER 31, 2010), AND OPERATES OR LEASES NURSING HOMES, PHYSICIAN CLINICS, HOME HEALTH AGENCIES, AMBULATORY FACILITIES, AND DURABLE MEDICAL EQUIPMENT SERVICES IN SEVEN WESTERN STATES. THESE RANGE FROM THE PHOENIX METROPOLITAN AREA (MOST OF WHICH IS LOCATED IN MARICOPA COUNTY), TO REMOTE RURAL AREAS. THE FOLLOWING SETS FORTH PERTINENT DEMOGRAPHIC INFORMATION WITH RESPECT TO THE COMMUNITIES AND AREAS SERVED BY BH FACILITIES: A. ALASKA 1) STATE i) POPULATION: 698,473 ii) MEDIAN STATE INCOME: $66,953 iii) POPULATION BELOW POVERTY LEVEL: 17.5% iv) POPULATION UNINSURED AT/BELOW 200% FPG: 34.20% v) POPULATION OF ALL UNINSURED: 19.40% 2) FAIRBANKS NORTHSTAR BOROUGH COUNTY i) POPULATION: 95,890 ii) AVERAGE HOUSEHOLD INCOME: $82,241 iii) POPULATION BELOW POVERTY LEVEL: 7.50% iv) POPULATION UNINSURED AT/BELOW 200% FPG: 41.20% v) POPULATION OF ALL UNINSURED: 18.90% B. ARIZONA 1) STATE i) POPULATION: 6,595,778 ii) MEDIAN STATE INCOME: $48,745 iii) POPULATION BELOW POVERTY LEVEL: 16.50% iv) POPULATION UNINSURED AT/BELOW 200% FPG: 35.00% v) POPULATION OF ALL UNINSURED: 21.10% 2) MARICOPA COUNTY i) POPULATION: 4,103,233 ii) AVERAGE HOUSEHOLD INCOME: $75,534 iii) POPULATION BELOW POVERTY LEVEL: 13.40% iv) POPULATION UNINSURED AT/BELOW 200% FPG: 39.60% v) POPULATION OF ALL UNINSURED: 21.50% 3) COCONINO COUNTY: i) POPULATION: 128,457 ii) AVERAGE HOUSEHOLD INCOME: $64,007 iii) POPULATION BELOW POVERTY LEVEL: 16.00% iv) POPULATION UNINSURED AT/BELOW 200% FPG: 28.30% v) POPULATION OF ALL UNINSURED: 22.10% C. CALIFORNIA 1) STATE i) POPULATION: 36,961,664 ii) MEDIAN STATE INCOME: $58,931 iii) POPULATION BELOW POVERTY LEVEL: 14.20% iv) POPULATION UNINSURED AT/BELOW 200% FPG: 34.20% v) POPULATION OF ALL UNINSURED: 20.20% 2) LASSEN COUNTY i) POPULATION: 36,190 ii) AVERAGE HOUSEHOLD INCOME: $61,063 iii) POPULATION BELOW POVERTY LEVEL: 20.70% iv) POPULATION UNINSURED AT/BELOW 200% FPG: 19.00% v) POPULATION OF ALL UNINSURED: 14.80% D. COLORADO 1) STATE i) POPULATION: 5,024,748 ii) MEDIAN STATE INCOME: $55,430 iii) POPULATION BELOW POVERTY LEVEL: 12.90% iv) POPULATION UNINSURED AT/BELOW 200% FPG: 38.10% v) POPULATION OF ALL UNINSURED: 18.00% 2) LARIMER COUNTY: i) POPULATION: 298,046 ii) AVERAGE HOUSEHOLD INCOME: $71,587 iii) POPULATION BELOW POVERTY LEVEL: 11.60% iv) POPULATION UNINSURED AT/BELOW 200% FPG: 33.00% v) POPULATION OF ALL UNINSURED: 18.00% 3) LOGAN COUNTY i) POPULATION: 21,533 ii) AVERAGE HOUSEHOLD INCOME: $51,040 iii) POPULATION BELOW POVERTY LEVEL: 13.40% iv) POPULATION UNINSURED AT/BELOW 200% FPG: 41.80% v) POPULATION OF ALL UNINSURED: 20.30% 4) MORGAN COUNTY i) POPULATION: 28,802 ii) AVERAGE HOUSEHOLD INCOME: $53,443 iii) POPULATION BELOW POVERTY LEVEL: 12.70% iv) POPULATION UNINSURED AT/BELOW 200% FPG: 40.70% v) POPULATION OF ALL UNINSURED: 23.70% 5) WELD COUNTY: i) POPULATION: 261,558 ii) AVERAGE HOUSEHOLD INCOME: $70,007 iii) POPULATION BELOW POVERTY LEVEL: 12.00% iv) POPULATION UNINSURED AT/BELOW 200% FPG: 43.20% v) POPULATION OF ALL UNINSURED: 19.70% E. NEBRASKA 1) STATE i) POPULATION: 1,796,619 ii) MEDIAN STATE INCOME: $47,357 iii) POPULATION BELOW POVERTY LEVEL: 12.30% iv) POPULATION UNINSURED AT/BELOW 200% FPG: 28.50% v) POPULATION OF ALL UNINSURED: 13.70% 2) KEITH COUNTY i) POPULATION: 7,391 ii) AVERAGE HOUSEHOLD INCOME: $50,674 iii) POPULATION BELOW POVERTY LEVEL: 11.50% iv) POPULATION OF ALL UNINSURED: 14.70% F. NEVADA 1) STATE i) POPULATION: 2,643,085 ii) MEDIAN STATE INCOME: $53,341 iii) POPULATION BELOW POVERTY LEVEL: 12.40% iv) POPULATION UNINSURED AT/BELOW 200% FPG: 38.40% v) POPULATION OF ALL UNINSURED: 20.70% 2) CHURCHILL COUNTY i) POPULATION: 25,358 ii) AVERAGE HOUSEHOLD INCOME: $66,709 iii) POPULATION BELOW POVERTY LEVEL: 10.60% iv) POPULATION UNINSURED AT/BELOW 200% FPG: 31.80% v) POPULATION OF ALL UNINSURED: 20.90% G. WYOMING 1) STATE i) POPULATION: 544,270 ii) MEDIAN STATE INCOME: $52,664 iii) POPULATION BELOW POVERTY LEVEL: 9.80% iv) POPULATION UNINSURED AT/BELOW 200% FPG: 28.20% v) POPULATION OF ALL UNINSURED: 15.70% 2) GOSHEN COUNTY i) POPULATION: 12,079 ii) AVERAGE HOUSEHOLD INCOME: $51,361 iii) POPULATION BELOW POVERTY LEVEL: 15.60% iv) POPULATION UNINSURED AT/BELOW 200% FPG: 19.00% v) POPULATION OF ALL UNINSURED: 14.40% 3) PLATTE COUNTY i) POPULATION: 8,212 ii) AVERAGE HOUSEHOLD INCOME: $59,160 iii) POPULATION BELOW POVERTY LEVEL: 10.70% iv) POPULATION UNINSURED AT/BELOW 200% FPG: 24.60% v) POPULATION OF ALL UNINSURED: 16.70% 4) WASHAKIE COUNTY i) POPULATION: 7,860 ii) AVERAGE HOUSEHOLD INCOME: $63,951 iii) POPULATION BELOW POVERTY LEVEL: 10.80% iv) POPULATION UNINSURED AT/BELOW 200% FPG: 28.20% v) POPULATION OF ALL UNINSURED: 16.20% SOURCE: U.S. CENSUS BUREAU
SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH IN FURTHERANCE OF ITS EXEMPT MISSION, BH PROVIDES A BROAD RANGE OF BENEFITS TO THE COMMUNITIES IT SERVES. THESE ACTIVITIES PROMOTED THE HEALTH AND SAFETY 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: * PROVIDING VOLUNTEER LEADERSHIP TO LOCAL BOARDS AND TASK FORCES THEREBY ALLOWING THE ENTITY TO CHANNEL RESOURCES TO THE COMMUNITY NEED INSTEAD OF SALARIES. * INCREASING COMMUNITY TEEN DRINKING/DRINKING AWARENESS AND SAFETY. * PROVIDING FEDERAL MEDICALLY UNDERSERVED AREAS WITH PHYSICIANS. * PROVIDING DISASTER TRAINING AND EDUCATION TO IMPROVE SAFETY 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.
OTHER INFORMATION:   BH IS GOVERNED BY A COMMUNITY BOARD, DRAWN PRIMARILY FROM THE COMMUNITIES SERVED BY BH. THIS BOARD ESTABLISHES BH'S PRIORITIES, AND ENSURES THAT IT OPERATES IN A MANNER THAT WILL FURTHER ITS CHARITABLE, NONPROFIT PURPOSE TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES. AS A NONPROFIT ENTITY, BH EXISTS TO PROVIDE HEALTH CARE SERVICES TO THE COMMUNITIES WE SERVE, NOT TO GENERATE PROFITS. TO THAT END, EVERY DOLLAR EARNED IS REINVESTED IN NEW EQUIPMENT, NEW OR EXPANDED PATIENT CARE SERVICES, NEW TECHNOLOGIES, MAINTAINING EXISTING EQUIPMENT AND FACILITIES AND NEW FACILITIES TO MEET MARKET NEEDS OR TO ENSURE THE LONG TERM SUCCESS OF THE ORGANIZATION. FOR EVERY $1 RECEIVED IN PAYMENT FOR PROVIDING CARE TO PATIENTS, WE SPEND, ON AVERAGE $.95 TO PAY OUR EXPENSES. THESE EXPENSES ARE ALLOCATED AS FOLLOWS: * SALARIES AND BENEFITS (.49) * OPERATING EXPENSES SUCH AS UTILITIES, MAINTENANCE, REPAIRS AND INSURANCE (.16) * SUPPLIES (.16) * DEPRECIATION ON CAPITAL INVESTMENTS LIKE EQUIPMENT AND CONSTRUCTION (.05) * INTEREST AND LEASE EXPENSE (.04) * BAD DEBT EXPENSE FOR PATIENTS THAT CAN'T OR WON'T PAY FOR THEIR CARE (.05). 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. STATES WITH COMMUNITY BENEFIT REPORTED: AS REQUIRED BY LAW, BANNER FILES A COMMUNITY BENEFIT REPORT IN CALIFORNIA. BANNER ALSO REPORTS IN THOSE STATES WITH VOLUNTARY HOSPITAL ASSOCIATION REPORTING REQUIREMENTS (ALASKA, COLORADO AND NEBRASKA).
STATE FILING OF COMMUNITY BENEFIT REPORT 990 SCHEDULE H, PART VI AK,CA,CO, NE,
Schedule H (Form 990) 2010
Additional Data


Software ID:  
Software Version:  
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
BANNER HEALTH
 
Employer identification number
45-0233470
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet
(a) Name and address of organization
or government		 (b) EIN (c) IRC Code section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) AMERICAN CANCER SOCIETY2929 E THOMAS ROAD
PHOENIX,AZ85016 		84-1316555 501(C)(3) 165,000       GENERAL DONATION
(2) UNIVERSITY OF ALASKAPO BOX 92330
ANCHORAGE,AK995092330 		92-6000147 GOVT 199,996       GENERAL DONATION
(3) BANNER HEALTH FOUNDATION1441 N 12TH STREET
PHOENIX,AZ850062837 		94-2545356 501(C)(3) 14,000       GENERAL DONATION
(4) THE MARCH OF DIMES1616 E INDIAN SCHOOL ROAD
SUITE 200
PHOENIX,AZ85016 		13-1846366 501(C)(3) 10,500       GENERAL DONATION
(5) AMERICAN LIVER FOUNDATION4545 E SHEA BLVD
SUITE 164
PHOENIX,AZ85028 		36-2883000 501(C)(3) 12,600       GENERAL DONATION
(6) ALZHEIMER'S ASSOCIATION1028 E MCDOWELL ROAD
PHOENIX,AZ85006 		13-3039601 501(C)(3) 9,000       GENERAL DONATION
(7) NATIONAL WHEELCHAIR BASKETBALL ASSOCIATION1130 ELKTON STREET
SUITE C
COLORADO SPRINGS,CO80907 		36-2884730 501(C)(3) 12,500       GENERAL DONATION
(8) AMERICAN HEART ASSOCIATION2929 S 48TH STREET
TEMPE,AZ85282 		13-5613797 501(C)(3) 13,000       GENERAL DONATION
(9) UNIVERSITY OF NORTHERN COLORADO FOUNDATIONCAMPUS BOX 20
GREELEY,CO80639 		84-6044833 501(C)(3) 170,856       GENERAL DONATION
(10) EAST MORGAN COUNTY HOSPITAL FOUNDATION242 CAMBRIDGE
BRUSH,CO80723 		84-1169288 501(C)(3) 300,000       GENERAL DONATION
(11) LOVELAND CHAMBER OF COMMERCE INC5400 STONE CREEK CIRCLE 200
LOVELAND,CO80538 		84-0254565 501(C)(6) 28,875       GENERAL DONATION
(12) THE MCKEE MEDICAL CENTER FOUNDATION1805 E 18TH STREET
LOVELAND,CO80539 		74-2182919 501(C)(3) 13,313       GENERAL DONATION
(13) AIMS COMMUNITY COLLEGE FOUNDATION5401 W 20TH ST
GREELEY,CO80632 		84-0802870 501(C)(3) 50,000       GENERAL DONATION
(14) NORTHERN COLORADO ECONOMIC DEVELOPMENT CORPORATION3553 CLYDESDALE PARKWAY
SUITE 230
LOVELAND,CO80538 		84-1012341 501(C)(3) 10,000       GENERAL DONATION
(15) NORTH COLORADO MEDICAL CENTER FOUNDATION1801 16TH STREET
GREELEY,CO80631 		84-0718355 501(C)(3) 62,120       GENERAL DONATION
(16) SCIENCE FOUNDATION OF ARIZONA400 E VAN BUREN ST
SUITE 825
PHOENIX,AZ850042268 		20-4365711 501(C)(3) 20,000       GENERAL DONATION
(17) LEGACY CONNECTION2999 N 44TH STREET
SUITE 530
PHOENIX,AZ850187294 		90-0036015 501(C)(3) 10,200       GENERAL DONATION
(18) SERTOMA INTERNATIONAL200 E 7TH STREET
SUITE 120
LOVELAND,CO80537 		23-7286888 501(C)(3) 22,000       GENERAL DONATION
(19) THE GREATER FAIRBANKS COMMUNITY HOSP FNDNPO BOX 71396
FAIRBANKS,AK99707 		92-0035784 501(C)(3) 50,000       GENERAL DONATION
(20) SUNRISE COMMUNITY HEALTH2930 11TH AVENUE
EVANS,CO80620 		84-0613289 501(C)(3) 1,500,000       GENERAL DONATION
2
Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image
19
3
Enter total number of other organizations ................................ . Bullet Image
1
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2010

Schedule I (Form 990) 2010
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance
(1) SCHOLARSHIPS 82 465,218      













Part IV
Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.
Identifier Return Reference Explanation
FORM 990, SCHEDULE I DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS: THE OFFICE OF GRANT STRATEGY DEVELOPMENT AND ADMINISTRATION MANAGES ALL RESEARCH AND FEDERALLY FUNDED GRANTS FOR BANNER HEALTH. ALL AWARDS ARE MANAGED IN ACCORDANCE WITH THE FEDERAL OMB A-133 COMPLIANCE SUPPLEMENT. BANNER HEALTH ALSO MAINTAINS RECORDS AND SCHEDULES OF ALL FEDERAL AND NON-FEDERAL AWARDS AND THEIR EXPENDITURES, AND WE DO MONITOR OUR SUB RECIPIENTS FOR THEIR COMPLIANCE AS WELL. BANNER HEALTH'S GUIDELINES REGARDING CHARITABLE CONTRIBUTIONS TO OUTSIDE ORGANIZATIONS DIRECTS US TO MAKE CONTRIBUTIONS TO OTHER ORGANIZATIONS WHOSE CHARITABLE MISSIONS ALIGN WITH BANNER HEALTH'S MISSION "TO MAKE A DIFFERENCE IN PEOPLE'S LIVES THROUGH EXCELLENT PATIENT CARE". IN SELECTED CIRCUMSTANCES WHEN A CONTRIBUTION IS NOT DIRECTLY LINKED TO PATIENT CARE, IT SERVES TO BETTER SUPPORT OUR COMMUNITY'S NEEDS.
Schedule I (Form 990) 2010


Additional Data


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Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
BANNER HEALTH
 
Employer identification number

45-0233470
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....
2
 
 
3
Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ...............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.
(A) Name (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported in prior
Form 990 or
Form 990-EZ
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) PETER S FINE (i)
(ii)		 1,061,013
0 		1,721,696
0 		43,402
0 		1,281,747
0 		33,167
0 		4,141,025
0 		809,886
0
(2) RONALD BUNNELL (i)
(ii)		 656,383
0 		972,170
0 		308,321
0 		715,275
0 		27,088
0 		2,679,237
0 		498,734
0
(3) JOHN HENSING (i)
(ii)		 477,090
0 		478,522
0 		97,968
0 		80,341
0 		26,368
0 		1,160,289
0 		155,614
0
(4) JAMES FERNANDO (i)
(ii)		 381,041
0 		393,628
0 		90,368
0 		68,279
0 		26,634
0 		959,950
0 		142,851
0
(5) DENNIS DAHLEN (i)
(ii)		 379,491
0 		374,423
0 		76,973
0 		68,304
0 		26,435
0 		925,626
0 		130,306
0
(6) KATHY BOLLINGER (i)
(ii)		 416,127
0 		239,042
0 		144,059
0 		70,842
0 		25,181
0 		895,251
0 		0
0
(7) MICHAEL WARDEN (i)
(ii)		 339,811
0 		371,369
0 		77,332
0 		62,558
0 		25,531
0 		876,601
0 		139,914
0
(8) DAVID BIXBY (i)
(ii)		 371,749
0 		385,173
0 		23,625
0 		323,157
0 		20,490
0 		1,124,194
0 		0
0
(9) REBECCA KUHN (i)
(ii)		 414,457
0 		238,504
0 		38,697
0 		131,398
0 		22,368
0 		845,424
0 		0
0
(10) EDWARD OXFORD JR (i)
(ii)		 312,987
0 		289,379
0 		73,459
0 		50,350
0 		23,338
0 		749,513
0 		83,882
0
(11) PATRICIA BLOCK (i)
(ii)		 168,196
0 		87,239
0 		37,798
0 		7,216
0 		10,134
0 		310,583
0 		0
0
(12) LARRY VOLKMAR (i)
(ii)		 372,273
0 		221,203
0 		99,606
0 		9,800
0 		19,737
0 		722,619
0 		0
0
(13) THOMAS DICKSON (i)
(ii)		 325,165
0 		194,806
0 		78,618
0 		9,800
0 		30,537
0 		638,926
0 		0
0
(14) DON EVANS (i)
(ii)		 325,339
0 		187,379
0 		65,352
0 		9,800
0 		19,910
0 		607,780
0 		0
0
(15) RICHARD SUTTON (i)
(ii)		 335,942
0 		198,933
0 		33,000
0 		43,655
0 		32,383
0 		643,913
0 		0
0
(16) JOHN HARRINGTON (i)
(ii)		 298,945
0 		177,247
0 		88,992
0 		9,799
0 		5,123
0 		580,106
0 		0
0
(17) TODD WERNER (i)
(ii)		 329,250
0 		193,955
0 		33,089
0 		51,529
0 		26,160
0 		633,983
0 		0
0
(18) JAMES BRANNON (i)
(ii)		 350,857
0 		105,104
0 		88,793
0 		10,123
0 		28,985
0 		583,862
0 		0
0
(19) MICHAEL POWERS (i)
(ii)		 289,939
0 		163,710
0 		50,795
0 		7,317
0 		13,653
0 		525,414
0 		0
0
(20) RHONDA ANDERSON (i)
(ii)		 225,056
0 		56,055
0 		211,000
0 		8,226
0 		11,585
0 		511,922
0 		0
0
(21) DAVID CHENEY (i)
(ii)		 265,633
0 		160,096
0 		64,580
0 		12,017
0 		16,462
0 		518,788
0 		0
0
(22) DAN WEINMAN (i)
(ii)		 280,173
0 		155,142
0 		39,254
0 		24,179
0 		22,354
0 		521,102
0 		0
0
(23) KIP EDWARDS (i)
(ii)		 260,520
0 		142,687
0 		49,634
0 		9,800
0 		21,992
0 		484,633
0 		0
0
(24) DALE SCHULTZ (i)
(ii)		 261,588
0 		145,001
0 		46,150
0 		9,800
0 		20,759
0 		483,298
0 		0
0
(25) PAMELA NENABER (i)
(ii)		 236,388
0 		137,220
0 		56,077
0 		9,800
0 		14,792
0 		454,277
0 		0
0
(26) BETSY SULLIVAN (i)
(ii)		 208,866
0 		118,249
0 		94,427
0 		9,380
0 		21,892
0 		452,814
0 		0
0
(27) THOMAS BOUDREAU (i)
(ii)		 222,924
0 		121,291
0 		40,237
0 		8,105
0 		18,573
0 		411,130
0 		0
0
(28) CHARLES BOWEN (i)
(ii)		 231,942
0 		125,768
0 		26,741
0 		9,800
0 		22,079
0 		416,330
0 		0
0
(29) CHARLES LEHN (i)
(ii)		 234,086
0 		115,022
0 		26,866
0 		9,800
0 		20,583
0 		406,357
0 		0
0
(30) DAVID KAUBISCH (i)
(ii)		 217,231
0 		119,041
0 		33,000
0 		16,158
0 		16,471
0 		401,901
0 		0
0
(31) ROBERT GOULD (i)
(ii)		 242,346
0 		92,373
0 		31,445
0 		19,065
0 		27,620
0 		412,849
0 		0
0
(32) RICKY LATHAM (i)
(ii)		 615,816
0 		420,104
0 		25,911
0 		9,800
0 		48,396
0 		1,120,027
0 		0
0
(33) RON SHINAR (i)
(ii)		 1,013,403
0 		700
0 		16,938
0 		9,800
0 		24,844
0 		1,065,685
0 		0
0
(34) PHILLIP GLEASON (i)
(ii)		 982,898
0 		800
0 		27,430
0 		9,800
0 		23,996
0 		1,044,924
0 		0
0
(35) CARSON WEBB (i)
(ii)		 538,103
0 		405,156
0 		32,902
0 		9,800
0 		23,976
0 		1,009,937
0 		0
0
(36) YAZAN A ABU-QUADER (i)
(ii)		 630,106
0 		105,280
0 		129,524
0 		7,350
0 		40,291
0 		912,551
0 		0
0
(37) PAULETTE FRIDAY (i)
(ii)		 41,075
0 		121,984
0 		51,316
0 		2,567
0 		5,516
0 		222,458
0 		0
0
(38) KATHY SCOTT (i)
(ii)		 0
0 		94,379
0 		185,983
0 		0
0 		11,315
0 		291,677
0 		0
0
(39) SUSAN EDWARDS (i)
(ii)		 0
0 		0
0 		143,636
0 		684
0 		3,939
0 		148,259
0 		0
0
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.
Identifier Return Reference Explanation
SUPPLEMENTAL COMPENSATION INFORMATION SCHEDULE J, PART I, LINE 4A - SEVERANCE PAYMENTS: SUSAN EDWARDS - $128,222 KATHY SCOTT - $187,306 SCHEDULE J, PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS 1. SERP I - COVERED FORMER EXECUTIVES JAMES CREWS. THIS SERP IS HELD IN A RABBI TRUST AT NORTHERN TRUST COMPANY AND IS 100% VESTED AND BEING PAID OUT IN INSTALLMENTS. 2. SERP II - COVERED 3 EXECUTIVES (FINE, BUNNELL, BIXBY). THIS SERP IS HELD IN A RABBI TRUST AT NORTHERN TRUST COMPANY. EXEC 457(B) - COVERED APPROXIMATELY 180 FORMER AND CURRENT EXECUTIVES. THIS NONQUALIFIED PLAN IS HELD AT FIDELITY INVESTMENTS AND IS 100% VESTED. TAXATION OCCURS AT TERMINATION OF EMPLOYMENT OR UPON DISTRIBUTION. THE ONLY CONTRIBUTIONS ALLOWED ARE EMPLOYER CONTRIBUTIONS. 4. EXEC 457(F) - COVERED APPROXIMATELY 50 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 AT TERMINATION OF EMPLOYMENT (IF VESTED). THE ONLY CONTRIBUTIONS ALLOWED ARE EMPLOYER CONTRIBUTIONS. PAYOUTS FROM SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN: JAMES CREWS - $122,230 CONTRIBUTIONS TO SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN: PETER FINE - $954,410 RONALD BUNNELL - $508,825 DAVID BIXBY - $256,121 SCHEDULE J, PART I, LINE 7 - INCENTIVE COMPENSATION PLANS: 1. PETER FINE, RONALD BUNNELL, JAMES FERNANDO, DAVID BIXBY, JOHN HENSING, EDWARD OXFORD, DENNIS DAHLEN AND MICHAEL WARDEN PARTICIPATE IN A LONG-TERM INCENTIVE PLAN (LTIP) COVERING A THREE-YEAR CYCLE FROM 2007-2009. THE LTIP WAS DESIGNED AT THE INITIATIVE OF THE BANNER BOARD WITH THE ASSISTANCE OF TOWERS PERRIN, AND ALL COMPONENTS WERE APPROVED BY THE BOARD. THE PLAN HAS THREE LEVELS OF TARGETS IN THREE AREAS: OPERATING MARGINS, COMPLETION AND PHYSICIAN UTILIZATION OF COMPUTERIZED PHYSICIAN ORDER ENTRY INSTALLATIONS AND REVENUE GROWTH. AWARDS ARE CALCULATED AS A PERCENTAGEOF AVERAGE BASE SALARY DURING THE THREE-YEAR CYCLE, AND OPPROTUNITY VARIES BY POISITON 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 PAYOUT OPPORTUNITY RANGES FROM 90% TO 45% OF 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. IN 2010, $2,382,613 OF THE INCENTIVE AND BONUS COMPENSATION SHOWN IN SCHEDULE J-1 COL. B (II) CONSISTS OF LTIP COMPENSATION PAYMENTS. 2. BANNER HEALTH HAS A MANAGEMENT INCENTIVE PLAN (MIP) WHICH IS BASED ON COMPANY ACHIEVEMENT OF BASE AND STRETCH TARGETS FOR 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 24% TO 80% OF BASE SALARY. IN 2010, THERE WERE APPROXIMATELY 726 MIP PARTICIPANTS. THE MIP WAS ACCRUED IN 2009 FOR THE 2010 MIP, AND PAYOUTS ON THE 2009 MIP WERE PAID IN 2010. $6,429,576 OF THE INCENTIVE AND BONUS COMPENSATION SHOWN IN SCHEDULE J-1 COL. B (II) CONSISTS OF MIP COMPENSATION. CLINICAL PHYSICIANS EMPLOYED BY BANNER ARE TYPICALLY PAID ON THE BASIS OF A COMPENSATION SYSTEM THAT INCORPORATES A BASE SALARY AND A NON-FIXED PRODUCTIVITY COMPONENT THAT IS BASED UPON THE PHYSICIAN'S PRODUCTIVITY. TWO OF THE INDIVIDUALS LISTED IN FORM 990, PART VII, SECTION A, LINE 1a, RICKY LATHAM, M.D., AND CARSON WEBB, M.D., ARE PRACTICING INTERVENTIONAL CARDIOLOGISTS AT FAIRBANKS MEMORIAL HOSPITAL, FAIRBANKS, ALASKA, AND HAVE A COMPONENT OF COMPENSATION THAT IS NON-FIXED EQUAL TO THE NET REVENUES GENERATED BY THE PHYSICIAN FOR PROFESSIONAL SERVICES PERSONALLY PERFORMED BY THE PHYSICIAN THAT ARE IN EXCESS OF THE PRACTICE EXPENSES FAIRLY ALLOCATED TO THE PHYSICIAN, INCLUDING THE PHYSICIAN'S BASE SALARY, PRODUCTIVITY AND ALL OTHER COMPENSATION, SUBJECT TO A MAXIMUM LIMIT EQUAL TO 130% OF THE 90TH PERCENTILE OF THE COMPENSATION FOR INTERVENTIONAL CARDILIOGISTS, BASED UPON NATIONAL COMPENSATION SURVEYS. THE NON-FIXED COMPONENT OF COMPENSATION FOR DR. LATHAM WAS $401,304, AND $400,356 FOR DR. WEBB.
Schedule J (Form 990) 2010

Additional Data


Software ID:  
Software Version:  
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Schedule O (Form 990).
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
BANNER HEALTH
 
Employer identification number
45-0233470
Part I
Bond Issues
(a) Issuer Name (b) Issuer EIN (c) CUSIP # (d) Date Issued (e) Issue Price (f) Description of Purpose (g) Defeased (h) On
Behalf of
Issuer 		(i) Pool
financing
Yes No Yes No Yes No
A ARIZONA HEALTH FACILITIES AUTHORITY
  		86-0453292 040507HMO 05-10-2007 600,002,793 SERIES 2007A-B - SEE SCHEDULE O   X   X   X
B ARIZONA HEALTH FACILITIES AUTHORITY
  		86-0453292 040507HN8 04-30-2008 226,464,588 SERIES 2008A - SEE SCHEDULE O   X   X   X
C ARIZONA HEALTH FACILITIES AUTHORTIY
  		86-0453292 040507JY2 06-19-2008 197,500,000 SERIES 2008B-C - SEE SCHEDULE O   X   X   X
D ARIZONA HEALTH FACILITIES AUTHORITY
  		86-0453292 040507KYO 08-28-2008 915,742,826 SERIES 2008D - SEE SCHEDULE O   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired. . . . . 0 0 0 0
2 Amount of bonds defeased . . . . 0 0 0 0
3 Total proceeds of issue . . . . 653,984,602 227,160,000 197,500,000 921,940,936
4 Gross proceeds in reserve funds . . 0 0 0 0
5 Capitalized interest from proceeds. 0 0 0 0
6 Proceeds in refunding escrow. . . . . 0 224,627,858 194,910,000 343,425,000
7 Issuance costs from proceeds . . . 3,221,064 1,836,731 2,489,789 5,438,540
8 Credit enhancement from proceeds. 0 0 100,211 0
9 Working capital expenditures from proceeds . . 0 0 0 0
10 Capital expenditures from proceeds . . 591,118,728 0 0 524,838,300
11 Other spent proceeds . . 0 0 0 0
12 Other unspent proceeds. . . 60,339,438 0 0 46,152,320
13 Year of substantial completion . . . 2009 2009 2009 2011
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue?   X X     X    
15 Were the bonds issued as part of an advance refunding issue?   X   X   X   X
16 Has the final allocation of proceeds been made? . .   X   X   X   X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . X   X   X   X  
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2010
Schedule K (Form 990) 2010
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use? X   X   X   X  
b Are there any research agreements that may result in private business use of bond-financed property? . . X   X   X   X  
c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? .   X   X   X   X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . . . . . . . . . . . . SchKMediumBullet 0 % 0.230 % 0 % 0.550 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . SchKMediumBullet 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 . . .. . . . . . 0 % 0.230 % 0 % 0.550 %
7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities? X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .   X   X   X   X
2 Is the bond issue a variable rate issue? X     X X     X
3a Has the organization or the governmental issuer entered into a hedge with respect to the bond issue? X     X X     X
b Name of provider . MORGAN STANLEY
  		 
  		MORGAN STANLEY
  		 
 
c Term of hedge . . 29.67   26.55  
d Was the hedge superintegrated? . X     X   X    
e Was a hedge terminated? .   X   X   X    
4a Were gross proceeds invested in a GIC? . X     X   X   X
b Name of provider . MORGAN STANLEY
  		 
  		 
  		 
 
c Term of GIC . . 3.      
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . X              
5 Were any gross proceeds invested beyond an available temporary period? .   X   X   X   X
6 Did the bond issue qualify for an exception to rebate? . . . X     X   X   X
Schedule K (Form 990) 2010

Schedule K (Form 990) 2010
Page 3
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
TAX EXEMPT BONDS DESCRIPTION OF PURPOSE SCHEDULE K, PART I, LINE A-D SEE SCHEDULE O FOR MORE DETAILS.
Schedule K (Form 990) 2010

Additional Data


Software ID:  
Software Version:  

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBulletSee separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
BANNER HEALTH
 
Employer identification number

45-0233470
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Description of transaction (c) Corrected?
Yes No





2
Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.
(a) Name of interested person and purpose (b) Loan to or from the organization? (c)Original principal amount (d)Balance due (e) In default? (f) Approved by board or committee? (g)Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b)Relationship between interested person and the organization (c)Amount of grant or type of assistance
For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2010
Schedule L (Form 990 or 990-EZ) 2010
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) PHILLIP CARDON SON OF BOARD MEMBER 43,868 EMPLOYED BY BANNER HEALTH   No
(2) HOLLY HENDIN DAUGHTER OF BOARD MEMBER 51,677 EMPLOYED BY BANNER HEALTH   No
(3) ARIZONA PUBLIC SERVICE SHULTZ, DIRECTOR OF APS 12,520,616 PAYMENTS FOR UTILITIES   No
(4) PHOENIX NEUROLOGICAL ASSOCIATES HENDIN, 20% OWNER OF PNA 540,850 PAYMENT FOR MEDICAL SERVICES   No
(5) NATALIE RHODES DAUGHTER OF OFFICER 51,291 EMPLOYED BY BANNER HEALTH   No
(6) DAVID GLASSMAN SON-IN-LAW OF BD MEMBER 28,928 PAID BY BANNER HEALTH   No
(7) NATALIE THORNE DAUGHTER OF BOARD MEMBER 28,531 EMPLOYED BY BANNER HEALTH   No
(8) HAEMONETICS FOOTE, BOARD MEMBER 185,029 BLOOD MANAGEMENT SERVICES   No
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).
Identifier Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
BANNER HEALTH
 
Employer identification number

45-0233470
Identifier Return Reference Explanation
VOLUNTEERS FORM 990, PART I, LINE 6 AT BANNER HEALTH, 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 BANNER WORK DIRECTLY WITH PEOPLE AND PROVIDE BEHIND-THE-SCENES SUPPORT TO ENHANCE THE PATIENT'S 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, TRANSPORT AND LINK VISITORS TO STAFF AND OTHER RESOURCES. VOLUNTEERS ALSO PROVIDE COMFORT THROUGH THERAPY DOG VISITS, PERSONAL VISITS AND BY PROVIDING COMFORT ITEMS SUCH AS PILLOWS, PHONE CARDS, AND CATERING. FINALLY, OTHER VOLUNTEERS SUPPORT STAFF THROUGH ADMINISTRATIVE PROJECTS AND ASSISTANCE - ALLOWING THEM MORE TIME TO DEVOTE TO PATIENT CARE. BANNER HEALTH HONORS THE MANY VOLUNTEERS WHO DONATE NUMEROUS HOURS AND COUNTLESS TALENTS TO OUR ORGANIZATION IN FURTHERANCE OF OUR EXEMPT PURPOSE. THEY EXEMPLIFY OUR MISSION IN THAT EVERY DAY, THEY MAKE A DIFFERENCE IN THE LIVES OF OUR PATIENTS AND COMMUNITY.
PROGRAM SERVICE ACCOMPLISHMENTS FORM 990, PART III, LINE 4 BANNER HEALTH (BH) IS A NON-PROFIT ENTITY THAT OWNS, LEASES, AND OPERATES HOSPITALS, NURSING HOMES, PHYSICIAN CLINICS, HOME HEALTH AGENCIES AND AMBULATORY FACILITIES IN SEVEN WESTERN STATES. BASED IN PHOENIX, ARIZONA, SERVICES PROVIDED BY BH INCLUDE ACUTE CARE, AMBULATORY CARE, LONG-TERM CARE, HOME HEALTH CARE AND DURABLE MEDICAL EQUIPMENT. BH ALSO PROVIDES MAJOR, ACCREDITED MEDICAL EDUCATION PROGRAMS THAT TRAIN QUALIFIED DOCTORS. THE NON-PROFIT MISSION OF BH IS TO MAKE A DIFFERENCE IN PEOPLE'S LIVES THROUGH EXCELLENT PATIENT CARE. TO FULFILL THIS MISSION, BH OPERATES A SYSTEM OF RURAL AND URBAN FACILITIES THAT PRESERVE THE DIGNITY OF EACH INDIVIDUAL REGARDLESS OF RACE, CREED, SEX, AGE, SOCIAL STATUS OR ABILITY TO PAY FOR SERVICES RENDERED. BH FACILITIES ARE OPERATED IN A COST-EFFECTIVE AND FINANCIALLY RESPONSIBLE MANNER TO INSURE THAT ALL WHO TURN TO BH RECEIVE THE EXCELLENT PATIENT CARE THEY DESERVE. FULFILLMENT OF THE BH MISSION AND EXEMPT PURPOSE IS ACCOMPLISHED IN PART BY PROVIDING PATIENTS FINANCIAL ASSISTANCE AND CHARITY CARE, AS WELL AS COMMUNITY BENEFITS PROGRAMS AND SERVICES. SEE SCHEDULE H. BH IS NOTED FOR ITS COMMUNITY SERVICE PROGRAMS AND BH EMPLOYEES DEVOTE SIGNIFICANT HOURS (THE MAJORITY OF WHICH ARE ON BH 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, BH EMPLOYEES ROUTINELY SERVE ON LOCAL COMMUNITY BOARDS AND ACTIVELY PARTICIPATE IN VARIOUS PUBLIC SERVICE OPPORTUNITIES. SERVICES AND PROGRAMS CONDUCTED BY BANNER HEALTH 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 SPACE AND CONFERENCE ROOMS 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 SEVERAL NEW OR ON-GOING COMMUNITY BENEFIT ACTIVITIES WERE NOTED IN 2009. THESE ACTIVITIES INCLUDE: COMMUNITY HEALTH IMPROVEMENT AND SUPPORT SERVICES * GRACE MIDDLEBROOK MEMORIAL FAMILY LIBRARY, WELLNESS LIBRARY AND MCKEE WELLSPRING LIBRARY BANNER GOOD SAMARITAN MEDICAL CENTER, NORTH COLORADO MEDICAL CENTER AND MCKEE MEDICAL CENTER OFFERED COMMUNITY MEMBERS ACCESS TO BOOKS, TAPES, VIDEOS, JOURNAL ARTICLES, ETC. ON HEALTH-RELATED TOPICS. THESE SERVICES ARE VALUED IN EXCESS OF $97,000 AND SERVE IN EXCESS OF 16,000 PER YEAR. * BH INTERNET - WEB-BASED CONSUMER EDUCATION IN 2010, BH ELECTRONIC CONSUMER HEALTH INFORMATION PAGES WERE VIEWED 940,000 TIMES. DEDICATED STAFF CREATED CONTENT, MAINTAINED THE SITE AND PREPARED ON-LINE PUBLICATIONS FOR THE COMMUNITY VALUED AT APPROXIMATELY $177,000. INCLUDED IN THE CONTENT WAS AN ONLINE/INTERACTIVE HEALTH INFORMATION PORTAL FOR KIDS HEALTH, "ASK THE EXPERT", HEALTH CALCULATORS AND POISON CENTER. *THE BANNER GOOD SAMARITAN POISON AND DRUG INFORMATION CENTER THE BANNER GOOD SAMARITAN POISON AND DRUG INFORMATION CENTER IS 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. NURSES WHO ARE SPECIALISTS IN POISON INFORMATION ALONG WITH POISON INFORMATION PROVIDERS RECEIVED MORE THAN 109,000 CALLS IN 2010 FOR HELP WITH MANAGING POISONINGS SOME OF WHICH INCLUDED BITES AND STINGS, DRUG OVERDOSES, CHILDREN GETTING INTO POISONS AS WELL AS PROVIDING POISON AND DRUG INFORMATION. APPROXIMATELY 74% OF POISON EMERGENCIES WERE MANAGED SAFELY AT HOME BY PHONE ELIMINATING THE NEED FOR A VISIT TO A PHYSICIAN OR THE LOCAL EMERGENCY ROOM. 90% OF CALLS ABOUT CHILDREN WERE SAFELY MANAGED AT HOME. IN ADDITION, THE CENTER PROVIDES EXTENSIVE COMMUNITY EDUCATION ON THE PREVENTION OF POISONINGS. IN 2010 THE OPERATING EXPENDITURES OF THE POISON CONTROL CENTER WERE APPROXIMATELY $2,000,000. BANNER GOOD SAMARITAN POISON AND DRUG INFORMATION CENTER RECEIVED CONTRIBUTIONS FROM UNITED WAY, ARIZONA DEPARTMENT OF HEALTH SERVICES, AND HRSA ALONG WITH HEALTH DEPARTMENT CONTRACTS AND PROJECTS TO TOTAL APPROXIMATELY $750,000. BANNER GOOD SAMARITAN CONTRIBUTED THE REMAINING MONIES IN EXCESS OF $1,200,000 TO FUND THIS MUCH NEEDED PROGRAM. ONE OF ONLY TWO CENTERS IN THE STATE, THE BANNER POISON CONTROL CENTER RECEIVES OVER 60% OF THE STATE'S CALL VOLUME AND WITH BANNER GOOD SAMARITAN'S DEPARTMENT OF MEDICAL TOXICOLOGY HAS A GRADUATE TRAINING PROGRAM FOR PHYSICIANS IN TOXICOLOGY CURRENTLY TRAINING FELLOWS IN ARIZONA. * MISSION OF MERCY MOBILE MEDICAL VAN: MISSION OF MERCY IS A MOBILE MEDICAL CLINIC LAUNCHED IN 1997 THAT SERVES THE MORE THAN 200,000 UNINSURED WORKING POOR IN PHOENIX AND THE SURROUNDING CITIES THAT MAKE UP MARICOPA COUNTY. THE ROLLING CLINIC IS SUPPORTED ENTIRELY BY VOLUNTEER LABOR AND DONATED SUPPLIES. * BANNER HEALTH CALL CENTER/CRISIS HELP LINES: IN 2010, BH HANDLED PHONE CALLS FOR PHYSICIAN REFERRAL, HEALTH-INFORMATION PROVIDED BY REGISTERED NURSES, CRISIS COUNSELING, BEHAVIORAL HEALTH HELP AND INFORMATION ON BH PROGRAMS AND SERVICES. VALUED OVER $1,800,000, MOST OF THESE CALLS WERE FROM LOW-INCOME PERSONS NEEDING HEALTH ADVICE AND SERVICES. * 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. IN 2010 OVER $87,500 WAS PROVIDED FOR THIS NO CHARGE SERVICE. * COMMUNITY EDUCATION: BANNER HEALTH IS COMMITTED TO PROVIDING EDUCATION IN ALL THE COMMUNITIES IT SERVES. ACROSS THE SYSTEM, AREA RESIDENTS AND COMMUNITY MEMBERS WERE PROVIDED NUMEROUS EDUCATIONAL OPPORTUNITIES INCLUDING CLASSES, PRESENTATIONS AND FORUMS AIMED AT COMMUNITY HEALTH AWARENESS. TOPICS RANGED FROM DISCUSSIONS SPECIFIC TO VARIOUS DISEASES AND DISEASE PREVENTION TECHNIQUES TO SAFETY. ALSO AVAILABLE WERE SPEAKER BUREAUS DEDICATED TO MEETING THE PARTICULAR HEALTH-RELATED COMMUNITY REQUEST OR NEED.
EXTENDING BEYOND PATIENT CARE, THE FOLLOWING COMMUNITY HEALTH ACTIVITIES   AND SUPPORT SERVICES WERE ALSO CARRIED OUT IN 2010: * ALZHEIMER'S EDUCATION, SCREENING AND SUPPORT SERVICES - THROUGH THE BANNER ALZHEIMER'S INSTITUTE, COMMUNITY PRESENTATIONS, CAREGIVER SUPPORT SERVICES AND SCREENINGS PROVIDED TO 238 INDIVIDUALS AND FAMILIES. * AUTO, CAR SEAT AND SEAT BELT SAFETY (FAIRBANKS, CARDON CHILDREN'S HOSPITAL, BANNER DESERT MEDICAL CENTER, BANNER GOOD SAMARITAN MEDICAL CENTER, WASHAKIE) - 2118 PARENTS, YOUTH AND FAMILY MEMBERS PROVIDED WITH CAR SEAT AND SEAT BELT SAFETY INSTRUCTIONS AND CERTIFICATION OPPORTUNITIES. * BANNER HOSPICE CHILDREN'S BEREAVEMENT CAMP (CARDON CHILDREN'S HOSPITAL, BANNER DESERT MEDICAL CENTER) - PROVIDED SUPPORT FOR A FREE BEREAVEMENT CAMP NEAR SAGUARO LAKE FOR CHILDREN WHO HAVE LOST A PARENT OR LOVED ONE. * BARIATRICS - BARIATRIC EDUCATION AND SUPPORT SERVICES PROVIDED TO XXXXX PERSONS. * BIKE AND HELMET SAFETY (CARDON CHILDREN'S HOSPITAL, BANNER DESERT MEDICAL CENTER BANNER CHURCHILL, MCKEE MEDICAL CENTER) - 2,665 PERSONS PROVIDED WITH BIKE AND HELMET SAFETY LESSONS AND/OR SUPPLIES. * CANCER EDUCATION, SCREENINGS AND SUPPORT (BANNER DESERT MEDICAL CENTER, CARDON CHILDREN'S HOSPITAL, NCMC, BANNER ESTRELLA, MCKEE MEDICAL CENTER, BANNER THUNDERBIRD, BANNER GATEWAY, STERLING REGIONAL MEDICAL CENTER, FAIRBANKS MEMORIAL HOSPITAL, COMMUNITY HOSPITAL TORRINGTON, MCKEE MEDICAL CENTER, BANNER CHURCHILL, WASHAKIE) - OVER 2,750 PERSONS WERE PROVIDED WITH EDUCATION AND ACTIVITIES IN SUPPORT OF CANCER CARE AND HEALING. THESE SERVICES WERE VALUED IN EXCESS OF $27,326. * CARDIAC CARE, HEALTHY HEART, PAD AND STROKE EDUCATION AND AWARENESS (FAIRBANKS MEMORIAL HOSPITAL, BANNER BAYWOOD MEDICAL CENTER, MCKEE MEDICAL CENTER, BANNER ESTRELLA MEDICAL CENTER, BANNER THUNDERBIRD MEDICAL CENTER, NORTH COLORADO MEDICAL CENTER, BANNER BAYWOOD HEART HOSPITAL, BANNER LASSEN MEDICAL CENTER, BANNER DEL E. WEBB MEDICAL CENTER) - SERVICES VALUED AT $49,328 PROVIDED TO LOCAL RESIDENTS. * CHILDREN -(FAIRBANKS MEMORIAL HOSPITAL, BANNER DESERT MEDICAL CENTER, CARDON CHILDREN'S HOSPITAL, BANNER GOOD SAMARITAN MEDICAL CENTER, BANNER BEHAVIORAL HEALTH , STERLING REGIONAL MEDICAL CENTER, BANNER ESTRELLA MEDICAL CENTER STERLING REGIONAL MEDICAL CENTER, COMMUNITY HOSPITAL TORRINGTON, PAGE HOSPITAL) - CHILD DEVELOPMENT, EARLY EDUCATION AND SAFETY AWARENESS VALUED AT $25,000 PROVIDED TO 9,409 CHILDREN AND YOUTH. * COMMUNITY BLOOD SCREENINGS AND DRAWS (STERLING REGIONAL MEDICAL CENTER, EAST MORGAN COUNTY HOSPITAL, WASHAKIE MEDICAL CENTER, COMMUNITY HOSPITAL TORRINGTON, PAGE HOSPITAL, BANNER CHURCHILL COMMUNITY HOSPITAL, BANNER BAYWOOD) - DRAWS, EDUCATION AND HEALTH PROFILE SCREENING BENEFITS VALUED AT OVER $7,800 WERE PROVIDED TO 900 RESIDENTS OF COMMUNITIES SERVED BY BANNER. * COMMUNITY HEALTH FAIRS - HEALTH FAIRS VALUED IN EXCESS OF $287,097 WERE PROVIDED TO 16,100 PERSONS. THESE EVENTS WERE HELD AT COMMUNITY EVENTS, COUNTY FAIRS, LOCAL BUSINESSES, MALLS, SENIOR CENTERS, SCHOOLS AND BH FACILITIES. * COMMUNITY NEWSLETTERS-(NORTH COLORADO MEDICAL CENTER) - HEALTH INFORMATION PROVIDED TO OVER 112,000 RESIDENTS ON A QUARTERLY BASIS. * CPR (COMMUNITY HOSPITAL TORRINGTON) - RESIDENTS TRAINED ON CPR AND FIRST AID PROTOCOL. * EAST VALLEY WELLNESS PROGRAM (ARIZONA EAST) - IMPROVE THE LIVES OF COMMUNITY RESIDENTS THROUGH FREE WELLNESS SCREENINGS AND HEALTH EDUCATION. * FIRE SAFETY (BANNER DESERT MEDICAL CENTER, PAGE HOSPITAL) - FIRE SAFETY TRAINING PROVIDED TO XXXX PERSONS. * FITNESS AND EXERCISE (FAIRBANKS MEMORIAL HOSPITAL, STERLING REGIONAL MEDICAL CENTER, NCMC, BANNER BOSWELL, BANNER DESERT MEDICAL CENTER, WASHAKIE MEDICAL CENTER) - OPPORTUNITY FOR PUBLIC MEMBERS TO IMPROVE HEALTH VIA PILATES, FITNESS CHALLENGES, WORKSITE WELLNESS OPPORTUNITIES AND BODY MECHANICS TRAINING. * HEALTH EATING AND NUTRITION (FAIRBANKS MEMORIAL HOSPITAL, NCMC, COMMUNITY HOSPITAL, PAGE, BANNER BAYWOOD MEDICAL CENTER, BANNER DEL E. WEBB MEDICAL CENTER, BANNER DESERT MEDICAL CENTER, BANNER GOOD SAMARITAN MEDICAL CENTER, STERLING REGIONAL MEDICAL CENTER) - COMMUNITY EDUCATION ON HEALTHY EATING AND NUTRITION. * GERMS AND GERM SAFETY (CARDON CHILDREN'S HOSPITAL, BANNER CHURCHILL, STERLING REGIONAL MEDICAL CENTER) - CHILDREN AND ADULTS WERE EDUCATED ON GERM PREVENTION AND THE IMPORTANCE OF HAND WASHING. * GRIEF (COMMUNITY HOSPITAL TORRINGTON) - 718 INDIVIDUALS WERE SUPPORTED BY SERVICES AND ACTIVITIES TO ASSIST WITH GRIEF. * GUN & FIREARM SAFETY (BANNER DESERT MEDICAL CENTER) - ADULTS AND CHILDREN WERE EDUCATED ON FIREARM INJURY PREVENTION AND GUN SAFETY. * HEALTH CARE SUPPORT SERVICES (ARIZONA REGION, WESTERN REGION) - PUBLIC AHCCCS/EDICAID PROGRAM ENROLLMENT ASSISTANCE AND CARE COORDINATION PROVIDED TO INDIVIDUALS IN NEED. * LUNCH & LEARN (STERLING REGIONAL MEDICAL CENTER) - OPPORTUNITIES FOR AREA RESIDENTS TO LEARN ABOUT PERTINENT HEALTH ISSUES DURING LUNCH-HOUR PRESENTATIONS. * NEW MOM EDUCATION - EDUCATION FOR MOMS, FAMILIES AND SIBLINGSPROVIDED IN EXCESS OF $380,000. * ORTHOPEDICS (BANNER DEL E. WEBB MEDICAL CENTER, BANNER BOSWELL MEDICAL CENTER, BANNER BAYWOOD MEDICAL CENTER, BANNER ESTRELLA, BANNER THUNDERBIRD MEDICAL CENTER) - RESIDENTS RECEIVED EDUCATION ON JOINT PAIN AND KNEE REPLACEMENT. * PERIPHERAL ARTERY DISEASE (PAD) AND BLOOD PRESSURE SCREENINGS (FAIRBANKS MEMORIAL HOSPITAL, BANNER GOOD SAMARITAN MEDICAL CENTER, BANNER DESERT MEDICAL CENTER, STERLING REGIONAL MEDICAL CENTER, PAGE HOSPITAL) - RESIDENTS WERE PROVIDED WITH PAD SCREENING AND WELLNESS SERVICES. * POISON PREVENTION (BANNER GOOD SAMARITAN MEDICAL CENTER) - ELEMENTARY AGED STUDENTS EDUCATED ON POISON SAFETY. * SENIORS (BANNER BAYWOOD MEDICAL CENTER, BANNER DEL E. WEBB MEDICAL CENTER, BANNER GOOD SAMARITAN MEDICAL CENTER, FAIRBANKS MEMORIAL HOSPITAL, EAST MORGAN COUNTY HOSPITAL, BANNER THUNDERBIRD MEDICAL CENTER, BANNER HEART HOSPITAL) - SENIORS EDUCATED ON PERITNENT ISSUES SUCH AS HEALTHY AGING AND FALL PREVENTION. * SITTER SAFETY (EAST MORGAN COMMUNITY HOSPITAL, COMMUNITY HOSPITAL TORRINGTON) - CLASSES FOR AREA TEENS TO TRAIN AND ENHANCE BABYSITTING SKILLS AND SAFETY. * SPORT SCREENINGS (EAST MORGAN COMMUNITY HOSPITAL) - PHYSICALS, EDUCATION AND SUPPORT FOR LOCAL STUDENT ATHLETES. * STRANGER DANGER (BANNER DESERT MEDICAL CENTER) - AREA CHILDREN PROVIDED EDUCATION ON SAFETY AND STRANGERS. * SUPPORT GROUPS - THROUGHOUT BH THOUSANDS OF PATIENTS AND FAMILIES WERE AIDED IN COPING WITH BRAIN INJURIES, CANCER, ARTHRITIS, DIABETES, HEART DISEASE, PULMONARY DISEASE, BEHAVIORAL DISORDERS, NUTRITION, OBSTETRIC AND GYNECOLOGICAL CONCERNS, CARE GIVING AND DEATH. * SYNAGIS CLINIC (FAIRBANKS MEMORIAL HOSPITAL) - COMMUNITY WIDE CLINIC PROVIDED DURING RSV SEASON. * TEENS AND YOUTH (FAIRBANKS MEMORIAL HOSPITAL, BANNER BEHAVIORAL HEALTH, MCKEE MEDICAL CENTER, WASHAKIE MEDICAL CENTER, EAST MORGAN, BANNER CHURCHILL) - TEENS AND YOUTH RECEIVED TRAINING ON ISSUES SUCH AS TEEN DEPRESSION, TEEN DOMESTIC VIOLENCE AND DATING. * TRANSPORTATION, LODGING AND SUPPORT SERVICES (FAIRBANKS MEMORIAL HOSPITAL, COMMUNITY HOSPITAL TORRINGTON, BANNER LASSEN MEDICAL CENTER) - TAXI SERVICES, MOTEL VOUCHERS AND MEALS PROVIDED TO HOMEBOUND PATIENTS AT A VALUE OF $8,000. * VACCINATIONS AND INOCULATIONS (MCKEE MEDICAL CENTER, FAIRBANKS MEMORIAL HOSPITAL, BANNER LASSEN MEDICAL CENTER) - 1,200 RESIDENTS SERVICED BY IMMUNIZATION CLINICS. * WATER/POOL SAFETY (BANNER DESERT MEDICAL CENTER, PAGE HOSPITAL) - FAMILIES EDUCATED ON WATER SAFETY. * WOMEN'S HEALTH AND PROGRAMS (BANNER GOOD SAMARITAN MEDICAL CENTER NORTH COLORADO MEDICAL CENTER, BANNER DESERT MEDICAL CENTER, WASHAKIE MEDICAL CENTER) - OPPORTUNITIES VALUED IN EXCESS OF $320,000 PROVIDED FOR AREA WOMEN RELATED TO WOMEN'S HEALTH AND WELLNESS EDUCATION.
HEALTH PROFESSION EDUCATION AND TRAINING PROGRAMS   BANNER HEALTH IS COMMITTED TO THE TRAINING OF MEDICAL RESIDENTS, NURSING STUDENTS, OTHER STUDENTS AND COMMUNITY MEMBERS. IN 2010, BH SUPPORTED HEALTH PROFESSION EDUCATION WITH THE FOLLOWING PROGRAMS: * MEDICAL EDUCATION (BANNER GOOD SAMARITAN MEDICAL CENTER, NORTH COLORADO MEDICAL CENTER) - SINCE 1965, BH HAS OFFERED GRADUATE MEDICAL EDUCATION AT BANNER GOOD SAMARITAN MEDICAL CENTER AND HUNDREDS OF PHYSICIANS WHO HAVE GRADUATED FROM THIS PROGRAM SERVE OUR COMMUNITIES. BH HAS ALSO BEEN INSTRUMENTAL IN EDUCATING THE COLORADO PHYSICIAN COMMUNITY. AS PART OF COMMUNITY SERVICE, BH PROVIDED APPROXIMATELY $22.4 MILLION FOR THE TRAINING OF FUTURE DOCTORS, NURSES AND THERAPISTS, AND THE CONTINUING EDUCATION OF CURRENT HEALTH CARE PROFESSIONALS. THE FAMILY PRACTICE RESIDENCY AT NORTH COLORADO MEDICAL CENTER PROVIDES FAMILY PRACTICE RESIDENTS WITH ADVANCED SKILLS TO ENABLE THEM TO PROVIDE A WIDE VARIETY OF PHYSICIAN SERVICES IN UNDERSERVED RURAL AREAS. * STUDENT NURSING EDUCATION (FAIRBANKS MEMORIAL HOSPITAL, NORTH COLORADO MEDICAL CENTER) - COLLABORATION WITH LOCAL UNIVERSITIES TO ENHANCE AND PROVIDE EDUCATION AND PRACTICAL TRAINING VALUED IN EXCESS OF $595,000. * NURSING PROFESSIONAL EDUCATION (FAIRBANKS MEMORIAL HOSPITAL, STERLING REGIONAL MEDICAL CENTER, BANNER LASSEN MEDICAL CENTER, PAGE HOSPITAL) - SERVICES VALUED IN EXCESS OF $13,400 TO TRAIN ON A VARIETY OF TOPICS AND SKILL SETS INCLUDING FORENSIC NURSING, PERIOP SERVICES, MED/SURGE AND ICU. * EMS/PARAMEDICS (FAIRBANKS MEMORIAL HOSPITAL, BANNER GOOD SAMARITAN MEDICAL CENTER, BANNER GATEWAY MEDICAL CENTER, BANNER ESTRELLA MEDICAL CENTER, BANNER THUNDERBIRD MEDICAL CENTER, BANNER DESERT MEDICAL CENTER) - SERVICES PROVIDED TO LOCAL EMERGENCY MEDICAL PERSONNEL. * SIMULATION TRAINING (ARIZONA REGION) - COLLABORATION WITH AREA COLLEGES AND EMERGENCY RESPONSE DEPARTMENTS TO PROVIDE SIMULATION EXERCISES IN TECHNOLOGICALLY ADVANCED SIMULATION CENTER. * JOB SHADOWING AND CAREER DAY PRESENTATIONS (FAIRBANKS MEMORIAL HOSPITAL, PAGE HOSPITAL, PAGE, BANNER ESTRELLA MEDICAL CENTER, BANNER LASSEN MEDICAL CENTER) - THESE PROGRAMS ENCOURAGED HEALTHCARE CAREERS THROUGH EDUCATION AND OBSERVATION OF DAILY ACTIVITIES TO AREA YOUTH AND OTHERS INTERESTED IN HEALTH CARE CAREERS. 133,689. * PALS & ACLS (PAGE HOSPITAL, FAIRBANKS MEMORIAL HOSPITAL) -TRAINING AND CERTIFICATION PROVIDED ON BASIC AND ADVANCED TECHNIQUES. * SCHOLARSHIPS (ARIZONA REGION) - $17,500 IN SCHOLARSHIPS PROVIDED TO FACILITATE NURSING EDUCATION. * OTHER HEALTH PROVIDER EDUCATION - OVER 6,500 HEALTH CARE PROVIDERS AND STUDENTS WERE TRAINED ON A VARIETY OF TOPICS INCLUDING ALZHEIMER'S, BREAST HEALTH, TRAUMA, NUTRITION AND RESPIRATORY ISSUES VALUED IN EXCESS OF $328,000. * BANNER CENTER FOR HEALTH EDUCATION (ARIZONA REGION) - COLLABORATED WITH MARICOPA COMMUNITY COLLEGE ON VARIOUS HEALTH CAREERS AND WAYS TO INCREASE AREA HEALTH PROFESSIONAL AND NURSING SHORTAGES. SUBSIDIZED HEALTH SERVICES BANNER PROVIDES NUMEROUS CLINICAL SERVICES TO MEET THE NEEDS OF BH COMMUNITIES. INCLUDED IN THE SERVICES PROVIDED IN 2010 ARE: * HEALTHY BEGINNINGS PRENATAL PROGRAM HEALTHY BEGINNINGS IS A LOVELAND, COLORADO COMMUNITY-BASED PRENATAL PROGRAM THAT ASSISTS EXPECTANT MOTHERS WHO HAVE LITTLE OR NO INSURANCE COVERAGE. THE PROGRAM HELPS WOMEN ACCESS QUALITY PRENATAL CARE AND EDUCATION. IN 2010, BANNER HEALTH CONTRIBUTED $193,000 TO OPERATE THIS PROGRAM WHICH SERVED 316 PERSONS. * SCHOOL-BASED HEALTH CLINICS THE BANNER HEALTH SCHOOL-BASED HEALTH CLINIC PROGRAM PROVIDES PRIMARY CARE SERVICES TO UNINSURED CHILDREN ENROLLED IN SCHOOLS THROUGHOUT CHANDLER, GLENDALE, MESA, PHOENIX AND TEMPE. 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. * SEASON'S CLUB, OLIVE BRANCH SENIOR CENTER AND STEPPING STONES SEASON'S CLUB, OLIVE BRANCH SENIOR CENTER, ADULT RESIDENTIAL CARE AND STEPPING STONES ENHANCE THE QUALITY OF LIFE FOR MATURE ADULTS THROUGH HEALTH PROMOTION, EDUCATION AND RECREATION. IN 2010 OVER $571,000 WAS INVESTED IN THE LOVELAND AND NORTHWEST PHOENIX COMMUNITIES TO ENHANCE THE LIVES OF AREA SENIORS. * THE GOLDEN HEART PROJECT THE GOLDEN HEART "OFF THE STREET AND INTO TREATMENT" PROJECT IS BY FAIRBANKS MEMORIAL HOSPITAL AND IS MADE UP OF COMMUNITY LEADERS IN BUSINESS, NATIVE ORGANIZATIONS, THE UNIVERSITY OF ALASKA, GOVERNMENT, HEALTHCARE, JUSTICE AND CORRECTIONS, TREATMENT SERVICES, AND THE MEDIA. THE PROJECT PRODUCES LOCAL SYSTEM CHANGES TO IMPROVE PREVENTION, INTERVENTION, AND TREATMENT SERVICES WITH REGARD TO THE NEEDS OF THE CHRONIC INEBRIATE POPULATION. THIS COMMUNITY GROUP TAKES RESPONSIBILITY FOR IMPROVING ACCESS TO APPROPRIATE TREATMENT SERVICES AND FOR CHANGING PESSIMISTIC ATTITUDES ABOUT THE VALUE OF SUPPORT BEHAVIORAL TREATMENT SERVICES. * 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 2010, OVER $115,000 WAS DEVOTED TO THESE EFFORTS. * TRAUMA THE TRAUMA DEPARTMENT AT BANNER GOOD SAMARITAN MEDICAL CENTER RECOGNIZES THE LIFE-SAVING IMPORTANCE OF PARTNERING WITH RURAL COMMUNITIES IN ARIZONA TO IMPROVE TRAUMA CARE. 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. RECOGNIZING THIS, BANNER GOOD SAMARITAN 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. * MEMORY DISORDERS CLINIC 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. THESE SERVICES VALUED IN EXCESS OF $1,000,000 INCLUDE MEMORY ASSISTANCE AND MEDICAL, LEGAL AND FINANCIAL PLANNING SERVICES, CONNECTION TO COMMUNITY SERVICES AND RESOURCES, AND COUNSELING AND SUPPORT DURING TRYING TIMES. * HOSPITAL PARAMEDIC PROGRAMS BANNER GOOD SAMARITAN MEDICAL CENTER, BANNER GATEWAY MEDICAL CENTER, BANNER ESTRELLA MEDICAL CENTER, BANNER THUNDERBIRD MEDICAL CENTER AND BANNER DESERT MEDICAL CENTER PROVIDE EMS BASE SERVICE TO ARIZONA EMERGENCY RESPONDERS. WITHOUT THIS SERVICE LOCALITIES WOULD BE RESPONSIBLE FOR THIS $592,000 SERVICE. * PRESCRIPTION ASSISTANCE IN 2010, PRESCRIPTION ASSISTANCE, COMMUNITY RESOURCE INFORMATION AND REFERRALS WERE PROVIDED TO 1,500 LOVELAND AREA RESIDENTS WITH CHRONIC AND ACUTE MEDICATION NEEDS. * NCMC BURN CLINIC THE NCMC BURN CLINIC HOUSES THE WESTERN STATES BURN CENTER PHYSICIANS AND OUTPATIENT BURN CENTER. WITHOUT THIS SUPPORT MULTIPLE WESTERN STATES WOULD BE WITHOUT THIS COVERAGE. * WOMEN'S CENTER THE WOMEN'S CENTER AT BANNER GOOD SAMARITAN MEDICAL CENTER TAKES A UNIQUE APPROACH TO WOMEN'S HEALTH BY COMBINING ACADEMIC TRAINING FOR OBSTETRICS AND GYNECOLOGY RESIDENTS WITH EXPERIENCED BOARD-CERTIFIED FACULTY PHYSICIANS. IN 2010 BANNER GOOD SAMARITAN PROVIDED $201,000 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.
RESEARCH ACTIVITIES   THE MISSION OF BANNER HEALTH'S RESEARCH ADMINISTRATION IS TO ENSURE THAT RESEARCH IS CONDUCTED ETHICALLY, SAFELY, AND EFFICIENTLY. SUCH RESEARCH REVEALS NEW CANCER TREATMENTS THAT ARE MORE EFFECTIVE AND LESS DEBILITATING THAN CURRENT THERAPIES, VACCINES THAT PROTECT OUR CHILDREN AND COMMUNITIES FROM ILLNESSES, "MINIMALLY INVASIVE" SURGERIES THAT REQUIRE LESS RECOVERY TIME AND NON-INVASIVE PROCEDURES THAT ALLOW PEOPLE TO AVOID SURGERY ALL TOGETHER. BANNER SUPPORTS THE PHYSICIANS AND OTHER SCIENTISTS WHOSE EFFORTS BRING REAL SOLUTIONS TO SOCIETY'S MEDICAL PROBLEMS AND PROMOTE COMMUNITY HEALTH. IN 2010, RESEARCH ADMINISTRATION 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 $8.0 MILLION. BANNER IS INVOLVED IN CUTTING-EDGE RESEARCH AIMED AT HELPING PATIENTS SUFFERING FROM SOME OF THE MOST SERIOUS DISEASES AND CONDITIONS, INCLUDING SPINAL CORD INJURIES, ALZHEIMER'S DISEASE, CANCER, CARDIOVASCULAR AND DIABETES/OBESITY, IN COLLABORATION WITH ARIZONA'S STATE UNIVERSITIES, RESEARCH INSTITUTIONS AND INDUSTRY. INPATIENT AND OUTPATIENT RESEARCH STUDIES WERE CONDUCTED IN CARDIOLOGY, NEUROBIOLOGY/BIOENGINEERING, NEUROLOGY, OB/GYN, ONCOLOGY, PEDIATRICS, PRIMARY CARE, PSYCHIATRY, PULMONARY, SURGERY, TOXICOLOGY, AND ALZHEIMER'S DISEASE AT VARIOUS BANNER FACILITIES. 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 2010 BANNER HEALTH PROVIDED THE FOLLOWING CONTRIBUTIONS OR IN-KIND DONATIONS TO SUPPORT CHARITY CARE, HEALTH PROFESSIONS EDUCATION AND OTHER COMMUNITY BENEFIT ACTIVITIES: * SUSAN G. KOMEN FOR THE CURE/KOMEN PHOENIX RACE FOR THE CURE - WITH SIGNIFICANT SUPPORT FROM BH, THE KOMEN PHOENIX RACE FOR THE CURE IS HELD ANNUALLY IN OCTOBER. IN 2010, NEARLY $2 MILLION WAS RAISED TO ERADICATE BREAST CANCER AS A LIFE-THREATENING DISEASE BY ADVANCING RESEARCH, EDUCATION, SCREENING AND TREATMENT. MORE THAN 1,300 BANNER HEALTH EMPLOYEES, FAMILY MEMBERS AND FRIENDS RAISED MORE THAN $51K BY PARTICIPATING IN THE 18TH ANNUAL KOMEN PHOENIX RACE FOR THE CURE. THIS EFFORT WAS LED BY 141 FACILITY LEADERS AND TEAM CAPTAINS WHO HELPED PLAN AND PROMOTE BANNER'S PARTICIPATION IN THE RACE FOR THE CURE. THE BANNER HEALTH RACE FOR THE CURE TEAM WAS NAMED THE LARGEST MULTI-FACILITY HEALTH CARE TEAM. FUNDS RAISED THROUGH THE RACE DIRECTLY BENEFIT BREAST CARE/CANCER SERVICES FOR UNDERSERVED WOMEN AT THE LAURA DREIER BREAST CENTER AT BANNER GOOD SAMARITAN MEDICAL CENTER AND THE BREAST CANCER TREATMENT PROGRAM AT BANNER DESERT MEDICAL CENTER. EACH YEAR, THE PHOENIX AFFILIATE OF SUSAN G. KOMEN RACE FOR THE CURE AWARDS GRANTS TO BANNER HEALTH FOUNDATION IN SUPPORT OF BREAST HEALTH PROGRAMS AND SERVICES. THESE GRANTS PROVIDE INNOVATIVE, NON-DUPLICATIVE BREAST HEALTH AND BREAST-CANCER SERVICES DIRECTLY TO INDIVIDUALS WHO ARE MEDICALLY UNDERSERVED, UNINSURED OR UNDERINSURED. * LOVELAND COMMUNITY HEALTH CENTER - MCKEE MEDICAL CENTER PARTNERS WITH SUNRISE HEALTHCARE TO MEET THE NEEDS OF THE UNINSURED AND UNDERINSURED IN LOVELAND. LCHC PROVIDES QUALITY, COMPREHENSIVE HEALTH CARE FOR UNINSURED AND UNDERINSURED COMMUNITY MEMBERS. 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 ESTIMATED ANNUAL RENTAL VALUE OF THIS GIFT IS ESTIMATED TO BE $236,307. IN 2010, OVER 6,600 PERSONS WERE PROVIDED MEDICAL SERVICES BY LCHC. * BANNER WHEELCHAIR SUNS - BANNER GOOD SAMARITAN MEDICAL CENTER, IN PARTNERSHIP WITH THE PHOENIX SUNS AND US AIRWAYS, SPONSORS THE BANNER WHEELCHAIR SUNS TO RAISE AWARENESS OF THE CAPABILITIES OF DISABLED PERSONS. * PROJECT CURE - FOR MANY YEARS BANNER HEALTH HAS WORKED CLOSELY WITH PROJECT CURE (PC) 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 2010, BH DONATED $834,000 IN SUPPLIES TO PROJECT CURE. THE FOLLOWING ORGANIZATIONS ARE ALSO AMONG THOSE RECEIVING FINANCIAL, IN-KIND OR VOLUNTEER SUPPORT FROM BH FACILITIES IN 2010: * AA GRATITUDE GROUP * ALASKA DOG MUSHERS ASSOCIATION * ALZHEIMER'S ART ASSOCIATION * ALZHEIMER'S ASSOCIATION * ALZHEIMER'S CAREGIVERS SUPPORT * ALZHEIMER'S MEMORY WALK * AMERICAN CANCER SOCIETY * AMERICAN CANCER SOCIETY RELAY FOR LIFE * AMERICAN DIABETES ASSOCIATION TOUR DE CURE * AMERICAN HEART ASSOCIATION GO RED FOR WOMEN * AMERICAN HEART ASSOCIATION HEART WALK * AMERICAN RED CROSS * AMERICORPS * APHASIA SUPPORT GROUP * ARIZONA WOMEN'S EDUCATION AND EMPLOYMENT * ARTHRITIS FOUNDATION * BABY FOUNDATION * BABY YOUR BABY PROGRAM * BANNER WHEELCHAIR SUNS * BARIATRIC SURGERY EDUCATION * BCCH AUXILIARY * BONE MARROW DRIVE * BOY SCOUTS OF AMERICA * BOYS & GIRLS CLUB * BOY SCOUTS MIDNIGHT SUN COUNCIL * BREAST CANCER DETECTION CENTER * BREAST CANCER SURVIVORS * CAHAV * CALM WATERS SUPPORT GROUP * CAMP TALKABOUT INC. * CAMPION ACADEMY * CANCER SUPPORT GROUP * CARDIAC REHAB SURVIVORS * CARE NET * CENTENNIAL AHEC * CHILDREN FIRST ACADEMY * CLOUD PEAK MARATHON * COMMUNITY ALLIANCE * COMMUNITY THANKSGIVING DINNER * CPHP * CRANIOFACIAL FOUNDATION * D.A.R.E. * DESERT MASHIE FOUNDATION * DRUG AND ALCOHOL AWARENESS * EARLY CHILDHOOD DEVELOPMENT COMMISSION * EMCH AUXILIARY * EPILEPSY RESEARCH * EPILEPSY WALK * ESTES PARK RELAY FOR LIFE * FACT HEALTH AND HUMAN SERVICES * FAIRBANKS CHAPLAINCY ADVISORY BOARD * FAIRBANKS COUNSELING & ADOPTION * FAIRBANKS NORTH STAR BOROUGH * FALLON SOROPTOMIST * FARTHEST NORTH GIRL SCOUT WOMEN OF DISTINCTION
* GAMBLER'S ANON   * GLENDALE COMMUNITY COLLEGE * GOSHEN COUNTY 8TH GRADERS DC AUCTION * GREELEY STAMPEDE TOUGH ENOUGH TO WEAR PINK * HEALTHCARE COMPUTER CORP OF AMERICA * HEARTS & HORSES * HELP INTERNATIONAL * HISPANIC NURSES ASSOCIATION * HONOR FLIGHT NORTHERN COLORADO * HOPE LIVES * HOSPICE OF THE TANANA VALLEY * INTERIOR CENTER FOR NON VIOLENT LIVING * JDRF * JUNIOR ACHIEVEMENT * JUVENILE DIABETICS RESEARCH FOUNDATION * KEITH COUNTY AREA LEADERSHIP DEVELOPMENT * KUAC * LARYNGECTOMY SUPPORT * LOGAN COUNTY RELAY FOR LIFE * LOVELAND SERTOMA CLUB * LOVELAND SPIRIT * LUTHERAN FAMILY SERVICES * MARCH OF DIMES * MCKEE MEDICAL CENTER FOUNDATION * MFBC: WALK TO REMEMBER * MIDNIGHT SUN COUNCIL BOY SCOUTS * MIDNIGHT SUN INTERTRIBAL POWWOW * MORGAN COMMUNITY COLLEGE * MORGAN COUNTY HEALTHCARE HORIZON COUNCIL * MULTIPLE SCLEROSIS SOCIETY * MULTIPLE SCLEROSIS WALK * NCMC FOUNDATION BREAST CENTER * NCMC HOSPITALITY HOUSE * NCMC SUNRISE COMMUNITY HEALTH CENTER * NERLAND AGENCY * NJC * NORTHEAST COLORADO DIABETES HEALTH FAIR * OGALLALA SCHOOL AND COMMUNITY COMMITTEE * OLDER ADULT RESOURCE COUNCIL * OLDER ADULT RESOURCE FAIR * OPERA FAIRBANKS * OSTOMY SUPPORT * PARKINSON'S AND PARTNERS SUPPORT * PATHWAYS HOSPICE * PHOENIX HEART WALK * PHOENIX RACE FOR THE CURE * PINK OUT VOLLEYBALL AGAINST BREAST CANCER * PINK RIBBON WALK * POWER OVER PARKINSON'S * PROJECT KEITH COUNTY * RELAY FOR LIFE * RESPIRATORY SUPPORT * RESPITE CARE * RIVERVIEW * RONALD MCDONALD HOUSE OF PHOENIX * SAINT * SALVATION ARMY CHRISTMAS * SAMARITAN COUNSELING * SANDHILLS CRISIS INTERVENTION PROGRAM * SCIENCE FOUNDATION ARIZONA * SILVER STATE INTERNATIONAL HIGH SCHOOL * SPECIAL OLYMPICS * STROKE SUPPORT * SUN HEALTH FOUNDATION * SUNSHINE ACRES * TANANA VALLEY AMERICAN RED CROSS OF ALASKA * THOMPSON VALLEY EMERGENCY MEDICINE SERVICES * TORRINGTON SHRINE CLUB * TRAVIS FORD MEMORIAL SCHOLARSHIP FUND * TURKEY TROT CARDIOVASCULAR INSTITUTE * UNC PERFORMING ARTS * VM FOUNDATION * WESTERN TRAILS RELAY FOR LIFE * WNC FOUNDATION * WOMAN'S AFFAIR * WOMEN OF WELD COUNTY * WOMEN'S RESOURCE CENTER * YUKON QUEST COMMUNITY BUILDING AND LEADERSHIP ACTIVITIES 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 HOUSING, ECONOMIC DEVELOPMENT, COALITION BUILDING, COMMUNITY HEALTH ADVOCACY, WORKFORCE DEVELOPMENT AND ENHANCEMENT, AND DISASTER PREPAREDNESS. BH 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: * PHYSICAL IMPROVEMENTS SUPPORT TO HABITAT FOR HUMANITY ALLOWED LOCAL RESIDENTS TO ACCESS AFFORDABLE AND SAFE HOUSING. * ECONOMIC AND LEADERSHIP DEVELOPMENT BANNER EQUIPS ITS LEADERS TO SERVE AND SUPPORT THE COMMUNITIES IT SERVES. IN AN EFFORT TO PROVIDE LEADERSHIP, ANALYZE COMMUNITY NEEDS AND SUPPORT BUSINESS EXPANSION BH IS A MEMBER AND/OR EVENT SPONSOR FOR: * ALASKA SOCIETY OF RADIOLOGIC TECHNOLOGISTS * ALASKA STATE HOSPITAL & NURSING HOME ASSOCIATION * ALASKA STATEWIDE SCHOOL OF NURSING ADVISORY * ALL ALASKA PEDIATRIC PARTNERSHIP * ANA PROFESSIONAL ISSUES COMMITTEE * AVONDALE SOCIAL SERVICE BOARD * BANNER FEDERAL CREDIT UNION * BIG BROTHERS BIG SISTERS * BOARD MEMBER FOR VICTIMS COMPENSATION * BRUSH CHAMBER OF COMMERCE * CITY OF SURPRISE PLANNING COMMISSION * FAIRBANKS CONCERT ASSOCIATION EXEC BOARD * FAIRBANKS ECONOMIC DEVELOPMENT CORPORATION * FAIRBANKS RESOURCE AGENCY BOARD OF DIRECTORS * GILBERT CHAMBER OF COMMERCE * GILBERT LEADERSHIP * GREATER FAIRBANKS CHAMBER OF COMMERCE * GREATER PHOENIX ECONOMIC COUNCIL * GREATER PHOENIX LEADERSHIP * GOSHEN CHAMBER OF COMMERCE * HYANNIS LIONS CLUB * HFMA ALASKA CONFERENCE CEO LEADERSHIP * KEITH COUNTY AREA LEADERSHIP DEVELOPMENT * KEITH COUNTY CHAMBER OF COMMERCE * KIWANIS * KUAC LEADERSHIP * LEADERSHIP 2010 * LIFE ALASKA BOARD MEMBER * LIONS EYE BANK * LOGAN COUNTY CHAMBER OF COMMERCE * MARYVALE VILLAGE PLANNING COMMITTEE * MORGAN COUNTY ECONOMIC DEVELOPMENT CORPORATION * NORTH POLE ECONOMIC DEVELOPMENT CORP * OGALLALA VOLUNTEER FIRE DEPARTMENT * PHOENIX SOROPTOMIST * PRESIDENT'S ADVISORY COUNCIL * PROFESSIONAL DEVELOPMENT AT FAIRBANKS * PROJECT KEITH COUNTY * RELAY FOR LIFE * ROTARY * SOUTH WEST VALLEY CHAMBER * TANANA VALLEY CAMPUS ADVISORY COUNCIL * UAA FOUNDATION BOARD * UAA SCHOOL OF MANAGEMENT * UAF BOARD OF VISITORS * WASHAKIE LEADERSHIP INSTITUTE COMMITTEE * WESTMARC ECONOMIC DEVELOPMENT
COMMUNITY SUPPORT   BANNER'S SUPPORTS AND PARTNERS WITH NUMEROUS COMMUNITY AGENCIES IN SUPPORT OF COMMUNITY INITIATIVES. IN ADDITION TO PROVIDING LOCAL TEEN DRINKING INITIATIVES THROUGH DONATIONS TO DARE AND "SOBER GRADUATION" ACTIVITIES (WHICH INCREASED TEEN AND PARENT AWARENESS AND SAFETY IN THE LASSEN AND TORRINGTON COMMUNITIES), 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: * INTERNATIONAL MUSIC FESTIVAL * ALASKA DEPT FISH & GAME * ALASKA GOLDPANNERS * ALASKA ICEBREAKERS GIRLS HOCKEY CLUB * ALASKA NANOOKS WOMEN'S HOCKEY * ANGEL TREE PROGRAM * ARCTIC LIONS HOCKEY * ARMED SERVICES OF YMCA OF ALASKA * BHS AFTER PROM * BIG BROTHERS BIG SISTERS BOWL FOR KIDS * BOY SCOUTS OF AMERICA * CHENA RIVER RUN * CINCO DE MAYO * CITY OF FAIRBANKS, VOLLEYBALL LEAGUE * COLORADO GOVERNORS ART SHOW * COMMUNITY ALCOHOL AND DRUG TASK FORCE * COMMUNITY COAT DRIVE * EASTERN WYOMING FINE ARTS COUNCIL TI * EQUINOX MARATHON * FAIRBANKS ARTS ASSOCIATION * FAIRBANKS COMMUNITY FOOD BANK * FAIRBANKS CURLING CLUB * FAIRBANKS DAILY NEWS-MINER * FAIRBANKS FIGURE SKATING * FAIRBANKS GRIZZLIES BASKETBALL * FAIRBANKS MEN'S BASKETBALL ASSOCIATION * FAIRBANKS PIONEER CONVENTION * FAIRBANKS SUMMER ARTS FESTIVAL * FAIRBANKS WOMEN'S BASKETBALL * FARTHEST NORTH GIRL SCOUTS * FESTIVAL FAIRBANKS * FIRE EXPLORERS * FMHS AFTER PROM * GOLDEN HEART GYMNASTICS * GOLDEN HEART SOFTBALL ASSOCIATION * GOSHEN COUNTY FAIRGROUNDS WAGON WHEEL CLUB * GOSHEN COUNTY TASK FORCE ON FAMILY VIOLENCE * GOVERNOR'S BALL * GREELEY CHILDREN'S CHORALE * GREELEY CHORALE * GREELEY PHILHARMONIC ORCHESTRA CONCERT * HIGH PLAINS TURKEY TROT * HOLIDAY SINGING SURVIVORS * HUTCHISON HS * INTERIOR YOUTH BASKETBALL * LASSEN FOOTBALL BOOSTERS * LASSEN LAND AND TRAILS TRUST WALK AND RUN * LATHROP HIGH SCHOOL SOCCER BOOSTER * LATHROP HS BALLROOM DANCE TEAM * LATHROP HS BOYS BASKETBALL BOOSTER * LATHROP HS FOOTBALL * LATHROP HS GRADUATION BOOSTER * LATHROP HS SPORTS BOOSTER CLUB * LOGAN COUNTY FAIR AND RODEO * LOGAN COUNTY FAIR LIVESTOCK SALE * LONGS PEAK COUNCIL BOY SCOUTS * MAGICAL COUNTRY CHRISTMAS PARADE * MIDNIGHT SUN RUN * MISS LASSEN COUNTY PAGEANT AND FAIR * MMC CELEBRATE LOVELAND EVENT * MONROE FOUNDATION * MONROE HS ATHLETIC DEPT * MONROE HS YEARBOOK * NCMC FOUNDATION * NCMC HOSPITALITY HOUSE * NJC ATHLETICS BANNER SPONSOR * NORTH POLE HS * OGALLALA INDIAN SUMMER RENDEZVOUS * OGALLALA REGIONAL ARTS COUNCIL * SCIENCE FOUNDATION OF ARIZONA * SOBER GRADUATION * SPECIAL OLYMPICS * STINGRAY SWIM TEAM * SUSANVILLE SYMPHONY SOCIETY * UAF ATHLETICS * WEST VALLEY HS BOYS SOCCER * WEST VALLEY HS FOOTBALL * WEST VALLEY HS GIRLS SOCCER * WEST VALLEY HS GIRLS SOFTBALL * WEST VALLEY HS GRADUATION BOOSTER * WEST VALLEY HS WRESTLING BOOSTER * WOMEN'S CITY VOLLEYBALL LEAGUE * WORLD ESKIMO INDIAN OLYMPICS * WORLD ESKIMO OLYMPICS * YUKON QUEST INTERNATIONAL * COALITION BUILDING BANNER HEALTH IS REPRESENTED AT VARIOUS EVENTS AND COALITIONS DESIGNED TO ENHANCE COMMUNITY HEALTH. EXAMPLES OF THESE PARTNERSHIPS INCLUDE: * ALASKA SAFETY ADVISORY COUNCIL * ALASKA SCOTTISH RITE CARE FOUNDATION * ASIAN PACIFIC COMMUNITY IN ACTION * CHILDREN'S ACTION ALLIANCE * COCONINO COUNTY FOCUS GROUP * GOVERNOR'S BOARD * TANANA CHIEFS CONFERENCE * UNITED WAY * COMMUNITY BUILDING HEALTH IMPROVEMENT BANNER BELIEVES THAT A CORPORATE STEWARD MUST ADVOCATE ON BEHALF OF ITS CONSTITUENTS AND IN 2009, BANNER HEALTH COMMITTED $25,000 TO THIS END. THESE FUNDS ALLOWED FOR SUPPORT OF CHILD ADVOCACY EFFORTS, AN ALL STATE PEDIATRIC CONSORTIUM IN ALASKA, TRANSPORTATION NEEDS IN RURAL ARIZONA AND AGING ISSUES IN LARIMER COUNTY COLORADO. * WORK ENHANCEMENT BH ACTIVELY RECRUITED PHYSICIANS TO SERVE IN FEDERAL MEDICALLY UNDERSERVED AREAS. IN 2009, APPROXIMATELY $5,990,000 WAS INVESTED TO ENHANCE COMMUNITY WORKFORCE. * DISASTER PREPAREDNESS BH PROVIDED DISASTER TRAINING AND EDUCATION VALUED AT APPROXIMATELY $22,312 TO 5,730 COMMUNITY PARTICIPANTS. THESE ACTIVITIES INCLUDED DECONTAMINATION TEAMS, COMMUNITY-WIDE PLANNING ACTIVITIES, MEDICATION DISTRIBUTION AND TABLETOP DRILLS - ALL AIMED AT IMPROVING SAFETY AWARENESS FOR RESIDENTS. * PAUL L. SINGER AWARDS THESE AWARDS RECOGNIZE BH ARIZONA EMPLOYEES FOR COMMUNITY SERVICE. FULL TIME EMPLOYEES MUST HAVE MADE A SIGNIFICANT CONTRIBUTION TO THE CAUSES OR ORGANIZATIONS THEY SUPPORT; BE INVOLVED IN UNPAID COMMUNITY SERVICE THAT IS NOT A JOB REQUIREMENT AND BE ENGAGED IN THE COMMUNITY SERVICE ACTIVITY FOR AT LEAST ONE YEAR. IN 2009, 89 EMPLOYEES WERE HONORED WITH FOUR PERSONS SELECTED AS PAUL SINGER AWARD RECIPIENTS. DONATIONS ON BEHALF OF THE SINGER AWARD RECIPIENTS ARE GIVEN TO LOCAL CHARITIES. * HOLIDAY HELPER WORKING AS TEAMS, BH DEPARTMENTS POOLED RESOURCES TO PROVIDE FOOD, CLOTHING AND GIFTS FOR MORE THAN 30 NEEDY FAMILIES WITH A TOTAL OF 120 CHILDREN DURING THE HOLIDAY SEASON. * UNITED BLOOD SERVICES BH 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 2009, OVER 1,480 HOURS WERE DONATED TO THIS ENDEAVOR. * SPACE USAGE BH 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. FUNDS NEEDED IN SUPPORT OF THEIR MISSIONS FOR SPACE RENTAL.
DESCRIPTION OF RELATIONSHIPS FORM 990, PART VI, LINE 2 LARRY LAZARUS AND QUENTIN SMITH HAVE A BUSINESS RELATIONSHIP. DESCRIPTION OF SIGNIFICANT CHANGES TO ORGANIZING OR ENABLING DOCUMENT FORM 990, PART VI, LINE 4 EIGHTEENTH AMENDED AND RESTATED CORPORATE BYLAWS ADOPTED 9/25/2010. THE 18TH BYLAWS CREATED A NOMINATING COMMITTEE TO IDENTIFY CANDIDATES FOR VACANCIES ON THE BOARD. THE CHAIRMAN AND VICE CHAIRMAN WERE DESIGNATED AS EX OFFICIO MEMBERS OF THIS COMMITTEE, WHOSE FUNCTIONS HAD PREVIOUSLY BEEN PERFORMED BY THE EXECUTIVE COMMITTEE.
DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 FORM 990, PART VI, LINE 11A BANNER HEALTH'S SENIOR VICE PRESIDENT & CHIEF FINANCIAL OFFICER IS 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 BANNER HEALTH DEPARTMENTS, SUCH AS THE LEGAL, PAYROLL, GOVERNMENT RELATIONS, LICENSING, COMMUNITY BENEFIT, COMPENSATION AND BENEFITS, ACCOUNTS PAYABLE, RISK MANAGEMENT, CERTIFICATION, CREDENTIALING, FINANCIAL SERVICES AND TREASURY DEPARTMENTS IN ORDER TO ENSURE THAT THE EXPERTISE OF EACH DEPARTMENT IS UTILIZED IN THE INFORMATION-GATHERING PROCESS. ONCE THE INFORMATION IS GATHERED, IT IS ORGANIZED AND ASSEMBLED INTO AN ORGANIZER THAT WILL BE USED BY AN OUTSIDE ACCOUNTING FIRM TO PREPARE THE FORM 990. BANNER HEALTH 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 BANNER HEALTH'S OPERATIONS AND RETURN COMPLEXITY. THE BANNER HEALTH FINANCE DEPARTMENT ALSO EMPLOYS AN INTERNAL STAFF OF TAX SPECIALISTS. THESE TAX SPECIALISTS ACT AS LIAISONS BETWEEN THE ACCOUNTING FIRM AND BANNER HEALTH'S SENIOR MANAGEMENT DURING THIS STAGE OF THE PROCESS. DURING THIS STAGE, THE TAX PREPARER REVIEWS THE INFORMATION AND WORKS WITH BANNER HEALTH'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 BANNER HEALTH 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 BANNER HEALTH DEPARTMENTS FOR FURTHER ACTION. ONCE THIS SECOND REVIEW PROCESS IS COMPLETED, A FINAL DRAFT OF THE FORM 990 IS PRESENTED TO THE SENIOR VICE PRESIDENT & GENERAL COUNSEL AND SENIOR VICE PRESIDENT & CFO FOR REVIEW AND APPROVAL PRIOR TO SENDING THE FORM 990 TO THE BOARD MEMBERS. 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 SVP FINANCE/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.
DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST FORM 990, PART VI, LINE 12C PURSUANT TO BANNER'S 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 BANNER EMPLOYEES MUST GO THROUGH A SIMILAR PROCESS OF DISCLOSURE TO THEIR RESPECTIVE SUPERVISOR AND TO THE DIRECTOR OF AUDIT SERVICES, WHO MAINTAINS OF ALL 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 BANNER'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 BANNER'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.
PROCESS FOR DETERMINING COMPENSATION OF CEO AND EXECUTIVES FORM 990, PART VI, LINES 15A AND 15B 1. CEO, EXECUTIVE DIRECTOR, TOP MANAGEMENT OFFICIAL 2. OTHER OFFICERS OR KEY EMPLOYEES. BANNER HEALTH UTILIZES A COMPENSATION COMMITTEE COMPRISED OF INDEPENDENT DIRECTORS THAT EXERCISES OVERSIGHT OVER ALL ASPECTS OF THE COMPENSATION PAID TO OR FOR THE BENEFIT OF THE CEO AND ALL OTHER SENIOR EXECUTIVES OF BANNER HEALTH AND ANY OF ITS AFFILIATES AND ALL OTHER PERSONS WHO MAY CONSTITUTE "DISQUALIFIED PERSONS" WITH RESPECT TO BANNER HEALTH UNDER CODE SECTION 4958. THE COMMITTEE: - ASSESSES ANNUALLY THE PERFORMANCE OF THE CEO - RECOMMENDS TO THE BOARD APPROPRIATE COMPENSATION FOR THE CEO - REVIEWS AND DETERMINES THE EXECUTIVE TOTAL COMPENSATION PHILOSOPHY OF BANNER HEALTH - ESTABLISHES THE PERMISSIBLE RANGES OF COMPENSATION FOR SENIOR EXECUTIVES AND DISQUALIFIED PERSONS - REVIEWS AND APPROVES THE DESIGN OF THE COMPONENTS OF COMPENSATION FOR SENIOR EXECUTIVES AND ANY OTHER DISQUALIFIED PERSONS AND MONITORS COMPLIANCE OF BANNER HEALTH WITH THE PHILOSOPHY AND DESIGN COMPONENTS OF EXECUTIVE COMPENSATION - RECEIVES THE CEO'S REPORT CONCERNING THE OVERALL PERFORMANCE AND DEVELOPMENT ASSESSMENT OF THE SENIOR EXECUTIVES - ACTS FOR THE BOARD IN THE ENGAGEMENT AND DIRECT OVERSIGHT OF EXTERNAL INDEPENDENT COMPENSATION CONSULTANTS ENGAGED TO PROVIDE ADVICE AND INFORMATION WITH RESPECT TO THE REASONABLENESS AND COMPETITIVENESS OF THE COMPENSATION PAID TO THE CEO, SENIOR EXECUTIVES AND ANY OTHER DISQUALIFIED PERSONS, WHICH CONSULTANT REPORTS DIRECTLY TO THE COMMITTEE. IN ADDITION, THE COMMITTEE HAS ADOPTED THE FOLLOWING BEST PRACTICES WITH RESPECT TO ITS EXECUTIVE COMPENSATION OVERSIGHT FUNCTION: - REVIEWS ALL INCENTIVE PLANS, BENEFIT PLANS AND PROGRAMS THAT APPLY TO EMPLOYEES AND PHYSICIANS - APPROVES THE 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 2010, 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/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/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/CEO BECOMING UNREASONABLE. THE RECOMMENDATION IS THEN PRESENTED TO THE FULL BOARD OF DIRECTORS, WHICH THEN VOTES UPON THE RECOMMENDATION (WITH THE PRESIDENT/CEO ABSENT FROM THIS PORTION OF THE MEETING). 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/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 RANGES FOR THE POSITIONS ESTABLISHED 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. IN ADDITION, EXECUTIVES AND THOSE WHO REPORT TO THEM MAY NOT RECEIVE ANNUAL INCREASES GREATER THAN THOSE ESTABLISHED THROUGH THE PERFORMANCE MANAGEMENT SYSTEM AND WITHIN OVERALL BUDGET TARGETS, WHICH ARE APPLICABLE TO ALL EXEMPT EMPLOYEES THROUGHOUT BANNER. PERIODIC EQUITY ADJUSTMENTS MAY BE MADE UPON APPROVAL OF THE COMPENSATION AND BENEFITS DEPARTMENT 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/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 THE PRESIDENT/CEO AND REVIEWING AND MONITORING THE COMPENSATION FOR ALL OTHER SENIOR EXECUTIVES AND TOP MANAGEMENT.
AVAILABILITY OF CERTAIN DOCUMENTS TO THE GENERAL PUBLIC FORM 990, PART VI, LINE 19 THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS 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 AND CONFLICT OF INTEREST POLICY ARE NOT REQUIRED TO BE MADE AVAILABLE TO THE PUBLIC AND THEREFORE THEY ARE NOT MADE PUBLIC.
OTHER CHANGES IN FUND BALANCE FORM 990, PART XI, LINE 5 $(44,370,150) INTERCOMPANY TRANSFERS (2,113,394) UNREALIZED GAINS/LOSSES 25,843,540 RESTRICTED CONTRIBUTIONS 2,434,253 DISTRIBUTIONS TO MINORITY EQUITY 13,905,666 MISCELLANEOUS ------------- $ (4,300,084) OTHER CHANGES IN FUND BALANCE =============
TAX-EXEMPT BONDS DESCRIPTION OF PURPOSE FORM 990, SCHEDULE K, PART I, COLUMN F 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 THE BANNER HEALTH; (2) REFUND AND REDEEM ON A CURRENT BASIS A PORTION OF THE 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. 2008A: THE BONDS WERE ISSUED TO: (1) REFINANCE PRIOR BONDS ISSUED ON MAY 12, 2005, INCLUDING INTEREST ACCRUED THEREON; AND (2) PAY CERTAIN LEGAL, ACCOUNTING AND FINANCING COSTS, INCLUDING UNDERWRITERS' DISCOUNT, INCURRED IN CONNECTION WITH THE ISSUANCE OF THE BONDS. 2008B-C: THE BONDS WERE ISSUED TO: (1) REFINANCE PRIOR BONDS ISSUED ON MAY 12, 2005; (2) PAY CERTAIN LEGAL, ACCOUNTING AND FINANCING COSTS, INCLUDING UNDERWRITERS' DISCOUNT, INCURRED IN CONNECTION WITH THE ISSUANCE OF THE BONDS; AND (3) PAY FEES AND EXPENSES WITH RESPECT TO THE LETTER OF CREDIT. 2008D: THE BONDS WERE ISSUED, TOGETHER WITH OTHER AVAILABLE MONEYS OF THE BANNER HEALTH, TO: (1) FINANCE A PORTION OF THE COSTS OF ACQUISITION, CONSTRUCTION, RENOVATION, INSTALLATION AND EQUIPPING OF PROJECTS, INCLUDING REIMBURSEMENT OF CERTAIN PRIOR CAPITAL EXPENDITURES PAID BY BANNER HEALTH; (2) FINANCE THE COSTS OF THE SUN HEALTH ACQUISITION; (3) CURRENTLY REFUND $50,700,000 OUTSTANDING PRINCIPAL AMOUNT OF THE INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF MESA, ARIZONA, VARIABLE RATE REVENUE BONDS (DISCOVERY HEALTH SYSTEM), SERIES 1999B; (4) CURRENTLY REFUND $73,225,000 OUTSTANDING PRINCIPAL AMOUNT OF THE AUTHORITY'S REVENUE BONDS (BANNER HEALTH SYSTEM), SERIES 2002A; (5) CURRENTLY REFUND $73,175,000 OUTSTANDING PRINCIPAL AMOUNT OF THE AUTHORITY'S REVENUE BONDS (BANNER HEALTH SYSTEM), SERIES 2002B; (6) CURRENTLY REFUND $146,325,000 OUTSTANDING PRINCIPAL AMOUNT OF THE AUTHORITY'S REVENUE BONDS (BANNER HEALTH SYSTEM), SERIES 2002C; AND (7) PAY CERTAIN LEGAL, ACCOUNTING AND FINANCING COSTS, INCLUDING UNDERWRITER'S DISCOUNT, INCURRED IN CONNECTION WITH THE ISSUANCE OF THE BONDS. 2008E-H: THE BONDS WERE ISSUED TO: (1) REFINANCE THE OUTSTANDING PRINCIPAL AMOUNT OF THE AUTHORITY'S $396,995,000 REVENUE BONDS (BANNER HEALTH) SERIES 2005A; (2) PAY CERTAIN LEGAL, ACCOUNTING AND FINANCING COSTS, INCLUDING UNDERWRITERS' DISCOUNT, INCURRED IN CONNECTION WITH THE ISSUANCE OF THE BONDS; AND (II) PAY FEES AND EXPENSES WITH RESPECT TO THE LETTER OF CREDIT.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
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SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
BANNER HEALTH
 
Employer identification number

45-0233470
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)
(a)
Name, address, and EIN of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income
(e)
End-of-year assets


 		(f)
Direct controlling
entity







(1) MCKEE MEDICAL HOLDINGS LLC
1801 16TH STREET
GREELEY,AZ80631
90-0078450 		HOLDING CO AZ 212,027 -100,594 NA
 
(2) ARIZONA MEDICAL PARTNERS LLC
1441 N 12TH STREET
PHOENIX,AZ85006
45-0233470 		INACTIVE AZ 0 0 NA
 
(3) BANNER PEDIATRIC SPECIALISTS LLC
1400 SOUTH DOBSON ROAD
MESA,AZ85202
90-0412847 		MEDICAL SVCS AZ 28,750,036 -18,180,803 NA
 
(4) BANNER DMC CATH LAB LLC
1441 NORTH 12TH STREET
PHOENIX,CO85006
45-0233470 		LABORATORY CO 0 0 NA
 
(5) BANNER HOLDING COMPANY LLC
1441 NORTH 12TH STREET
PHOENIX,AZ85006
45-0233470 		HOLDING CO AZ 0 0 NA
 
(6) BANNER IMAGING ASSOCIATES PLC
1441 NORTH 12TH STREET
PHOENIX,AZ85006
20-4392289 		MEDICAL SVCS AZ 12,244,816 -13,525,507 NA
 
(7) BANNER MEDICAL GROUP - GREELEY LLC
222 JOHNSTOWN CENTER DRIVE
JOHNSTOWN,CO80534
90-0356235 		MEDICAL SVCS CO 6,640,141 -3,333,196 NA
 
(8) BANNER SURGERY CENTERS LLC
2800 N 44TH STREET STE 700
PHOENIX,CO85008
86-0788300 		SURGERY CTR CO 2,455 -24,716,450 NA
 
(9) LABORATORY SCIENCES OF ARIZONA LLC
1441 NORTH 12TH STREET
PHOENIX,AZ85006
86-0833952 		LABORATORY AZ 71,775,122 -40,136,573 NA
 
(10) HORIZON LABORATORY LLC
2555 E 13TH STREET
GREELEY,CO80538
90-0471017 		LABORATORY CO 5,431,421 193,533 NA
 
Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled organization
Yes No
(1) BANNER ALZHEIMER'S FOUNDATION

1441 N 12TH STREET

PHOENIX,AZ85006
20-4862361 		SUPPORT AZ 501(C)(3) 7 NA
 
 
 
(2) BANNER HEALTH FOUNDATION

1441 N 12TH STREET

PHOENIX,AZ85006
94-2545356 		SUPPORT AZ 501(C)(3) 7 NA
 
 
 
(3) GOOD SAMARITAN COMMUNITY FOUNDATION

1441 N 12TH STREET

PHOENIX,AZ85006
86-6306490 		SUPPORT AZ 501(C)(3) 509(a)(3)I BHF
 
 
 
(4) BANNER RESEARCH INSTITUTE

13950 W MEEKER BLVD

SUN CITY WEST,AZ85375
86-0768795 		MEDICAL RES. AZ 501(C)(3) 4 NA
 
 
 
(5) BANNER MEDICAL GROUP ARIZONA

1441 N 12TH STREET

PHOENIX,AZ85006
90-0532830 		INACTIVE AZ APPLIED FOR APPLIED FOR NA
 
 
 
(6) BANNER MEDICAL GROUP COLORADO

1441 N 12TH STREET

PHOENIX,AZ85006
90-0532831 		INACTIVE WY APPLIED FOR APPLIED FOR NA
 
 
 


For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) BANNER THUNDERBIRD SURGICENTER LP

5555 W THUNDERBIRD RD
GLENDALE,AZ85306
20-1305876 		OP SURGERY CTR DE BANNER SURGERY
  		RELATED 308,163 1,619,175   No 0 Yes   95.800 %
(2) LOVELAND SURGICAL ENTERPRISES LLC

2555 EAST 13TH STREET
LOVELAND,CO80537
14-1885420 		MED OFFICE BLDG CO MED OFFICE BLDG
  		RELATED 450,126 1,977,901   No 0 Yes   60.992 %
(3) BANNER BAYWOOD SURGERY CENTER LP

6424 EAST BROADWAY ROAD SUITE 102
MESA,AZ85206
90-0340007 		OP SURGERY CTR DE BANNER SURGERY
  		RELATED 166,187 285,663   No 0 Yes   51.000 %
(4) SONORA QUEST LABORATORIES LLC

1255 WEST WASHINGTON
TEMPE,AZ85281
86-0872873 		LABORATORY AZ LAB SCI OF AZ
  		RELATED 22,366,991 28,129,814   No 0 Yes   51.000 %
(5) MOUNTAIN VISTA ORTHOPEDIC SURGERY CTR

5890 W 13TH STREET SUITE 102
GREELY,AZ80634
71-0936920 		OP SURGERY CTR AZ na
  		RELATED -243,347 1,106,530   No 0   No 59.000 %
(6) BANNER ESTRELLA SURGERY CENTER LP

9301 WEST THOMAS ROAD
PHOENIX,AZ85037
20-0226688 		OP SURGERY CTR DE BANNER SURGERY
  		RELATED -226,910 3,364,767   No 0 Yes   93.745 %
(7) BANNER DESERT SURGERY CENTER LP

1500 SOUTH DOBSON ROAD SUITE 101
MESA,AZ85202
72-1561346 		OP SURGERY CTR DE BANNER SURGERY
  		RELATED 649,180 2,321,166   No 0 Yes   62.500 %
(8) UNION HILLS SURGERY CENTER LP

18301 N 79TH AVE STE E150
GLENDALE,AZ853086045
75-2904504 		OP SURGERY CTR DE BANNER SURGERY
  		RELATED -181,180 2,615,734   No 0 Yes   87.000 %
(9) SURGICENTER OF AMERICA LP

1040 NORTH E MCDOWELL ROAD
PHOENIX,AZ85006
75-2528938 		OP SURGERY CTR AZ BANNER SURGERY
  		RELATED 426,429 1,816,141   No 0 Yes   70.351 %
(10) LOVELAND MEDICAL ENTERPRISES LLC

2000 N BOISE AVENUE
LOVELAND,CO80538
47-0909771 		MED OFFICE BLDG CO MCKEE MED HLDG
  		RELATED 382,824 11,883,081   No 0 Yes   70.000 %
(11) BANNER CANYON SPRINGS SURGERY CENTER LP

2940 E GATEWAY DRIVE SUITE 100
GILBERT,AZ85234
90-0293485 		OP SURGERY CTR DE BANNER SURGERY
  		RELATED -224,422 2,559,131   No 0 Yes   69.200 %
(12) NEW RIVER SURGICAL ARTS LLC

260 SOUTH CARSON STREET
FALLON,NV89406
90-0317766 		OP SURGERY CTR NV na
  		RELATED -103,741 3,201,719   No 0 Yes   61.818 %
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of related organization



 		(b)
Primary activity



 		(c)
Legal domicile
(state or
foreign
country)
 		(d)
Direct controlling
entity


 		(e)
Type of entity
(C corp, S corp,
or trust)

 		(f)
Share of total income



 		(g)
Share of
end-of-year
assets

 		(h)
Percentage
ownership
(1) BANNER ARIZONA MEDICAL CLINIC LTD
13760 N 93RD AVENUE
PEORIA,AZ85381
86-0277198 		MEDICAL SERVICES AZ NA
  		C-CORP 97,840,267 19,600,555 100.000 %
(2) BANNER PLAN ADMINISTRATION INC
445 W 5TH PLACE SUITE 101
MESA,AZ85201
86-0800246 		3RD PARTY ADM AZ NA
  		C-CORP -221 53,892 100.000 %
(3) BIG THOMPSON MEDICAL GROUP INC
1627 E 18TH ST
LOVELAND,CO80538
84-1287602 		MEDICAL SERVICES CO NA
  		C-CORP 22,929,421 5,607,900 100.000 %
(4) BANNER MEDISUN INC
13632 N 99TH AVE STE B
SUN CITY,AZ85351
86-0522728 		PSO-INSURANCE AZ NA
  		C-CORP 205,058,484 22,417,580 100.000 %
(5) BANNER HEALTH TANANA VALLEY MEDICAL-SUR
1001 NOBLE STREET
FAIRBANKS,AK99701
92-0049930 		MEDICAL SERVICES AK NA
  		C-CORP 21,204,124 2,921,007 100.000 %
(6) SAMARITAN INSURANCE FUNDING LTD
PO BOX 1051
GRAND CAYMAN BWI    
CJ
45-0233470 		INVESTMENTS CJ NA
  		FOREIGN CORP. 53,392 208,037,846 100.000 %


Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III or IV.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
Yes
 
b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
Yes
 
e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
 
No
r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization 		(b)
Transaction
type(a-r) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) BANNER THUNDERBIRD SURGICENTER LP

 A 627,120  
(2) BIG THOMPSON MEDICAL GROUP INC

 A 622,434  
(3) SONORA QUEST LABORATORIES LLC

 A 15,645  
(4) BANNER ALZHEIMER'S FOUNDATION

 C 1,420,524  
(5) BANNER HEALTH FOUNDATION

 C 13,436,346  
(6) BANNER DESERT SURGERY CENTER LP

 D 1,530,769  
(7) LOVELAND SURGICAL ENTERPRISES LLC

 D 381,479  
(8) UNION HILLS SURGERY CENTER LP

 D 119,230  
(9) BANNER ESTRELLA SURGERY CENTER LP

 O 67,123  
(10) BANNER MEDISUN INC

 O 3,270,092  
(11) SONORA QUEST LABORATORIES LLC

 O 1,514,456  
(12) BANNER ALZHEIMER'S FOUNDATION

 P 507,996  
(13) BANNER ARIZONA MEDICAL CLINIC LTD

 P 6,872,011  
(14) BANNER BAYWOOD PAIN CENTER LP

 P 263,439  
(15) BANNER CANYON SPRINGS SURGERY CENTER LP

 P 92,772  
(16) BANNER HEALTH FOUNDATION

 P 1,500,783  
(17) BANNER RESEARCH INSTITUTE

 P 8,697,592  
(18) BANNER THUNDERBIRD SURGICENTER LP

 P 209,794  
(19) BIG THOMPSON MEDICAL GROUP INC

 P 4,335,266  
(20) LOVELAND MEDICAL ENTERPRISES LLC

 P 157,595  
(21) LOVELAND SURGICAL ENTERPRISES LLC

 P 323,191  
(22) MOUNTAIN VISTA ORTHOPAEDIC SURGERY CENTER LP

 P 395,467  
(23) NEW RIVER SURGICAL ARTS LLC

 P 239,768  
(24) SURGICENTERS OF AMERICA LP

 P 247,960  
(25) TANANA VALLEY MEDICAL-SURGICAL GROUP INC

 P 3,769,956  
(26) UNION HILLS SURGERY CENTER LP

 P 178,832  
(27) BANNER BAYWOOD PAIN CENTER LP

 R 334,050  
(28) BANNER DESERT SURGERY CENTER LP

 R 733,160  
(29) BANNER ESTRELLA SURGERY CENTER LP

 R 140,317  
(30) BANNER THUNDERBIRD SURGERY CENTER LP

 R 684,970  
(31) SONORA QUEST LABORATORIES LLC

 R 26,520,000  
(32) SURGICENTER OF AMERICA LP

 R 650,745  
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Are all
partners
section
501(c)(3)
organizations? 		(e)
Share of
end-of-year
assets 		(f)
Disproprtionate allocations? 		(g)
Code V—UBI
amount in box
20 of Schedule K-1
(Form 1065) 		(h)
General or
managing
partner?
Yes No Yes No Yes No






























Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
Additional Data


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