Assessment - Amount Paid SFY 2020 (July 2019- June 2020)

Hospital Name Provider Type Hospital System SFY 2020 Paid Assessment Amount

ABRAZO ARROWHEAD CAMPUS Urban Acute Abrazo $ 8,277,304 Urban Acute Hospitals Abrazo Health Care$ 5,988,200 Urban Acute Hospitals Abrazo Health Care$ 3,705,416 Urban Acute Hospitals Abrazo Health Care$ 6,919,768 GENERAL HOSPITAL Urban Acute Hospitals Dignity$ 233,840 AURORA BEHAVIORAL HEALTH Large Psychiatric Hospitals Aurora Behavioral Health System$ 648,432 AURORA BEHAVIORAL HEALTH - TEMPE Large Psychiatric Hospitals Aurora Behavioral Health System$ 472,420 BANNER - UNIVERSITY MEDICAL CENTER PHOENIX Urban Acute Hospitals $ 15,279,028 BANNER - UNIVERSITY MEDICAL CENTER SOUTH Urban Acute Hospitals Banner Health$ 4,454,810 BANNER - UNIVERSITY MEDICAL CENTER TUCSON Pediatric-Intensive General Acute Hospitals Banner Health$ 11,791,293 BANNER BAYWOOD MEDICAL CENTER Urban Acute Hospitals Banner Health$ 10,143,600 BANNER BEHAVORIAL HEALTH MEDICAL CENTER Large Psychiatric Hospitals Banner Health$ 472,736 BANNER BOSWELL MEDICAL CENTER Urban Acute Hospitals Banner Health$ 8,121,200 BANNER CASA GRANDE MEDICAL CENTER Non-CAH Rural Acute Hospitals Banner Health$ 3,354,024 BANNER DEL E WEBB MEDICAL CENTER Urban Acute Hospitals Banner Health$ 9,183,908 BANNER DESERT MEDICAL CENTER Pediatric-Intensive General Acute Hospitals Banner Health$ 12,579,857 BANNER ESTRELLA MEDICAL CENTER Urban Acute Hospitals Banner Health$ 10,003,928 BANNER GATEWAY MEDICAL CENTER Urban Acute Hospitals Banner Health$ 7,458,232 BANNER GOLDFIELD MEDICAL CENTER Non-CAH Rural Acute Hospitals Banner Health$ 420,912 BANNER IRONWOOD MEDICAL CENTER Urban Acute Hospitals Banner Health$ 1,602,120 BANNER PAYSON MEDICAL CENTER CAH Banner Health$ 966,960 BANNER THUNDERBIRD MEDICAL CENTER Medium Pediatric Intensive General Acute Hospitals Banner Health$ 14,002,815 BENSON HOSPITAL CAH Benson Hospital$ 249,640 CANYON VISTA MEDICAL CENTER Non-CAH Rural Acute Hospitals LifePoint Health$ 3,125,240 CHANDLER REGIONAL MEDICAL CENTER Urban Acute Hospitals Dignity$ 14,853,189 COBRE VALLEY REGIONAL MEDICAL CENTER CAH Cobre Valley Regional Medical Center$ 932,832 COPPER QUEEN HOSPITAL CAH Copper Queen Community Hospital$ 169,376 COPPER SPRINGS HOSPITAL Large Psychiatric Hospitals Copper Springs Hospital$ 412,538 CORNERSTONE SPECIALTY HOSPITAL TUCSON LTAC Hospitals Cornerstone Healthcare Group$ 50,718 CURAHEALTH - NORTHWEST PHOENIX LTAC Hospitals Curahealth$ 61,778 CURAHEALTH - TUCSON LTAC Hospitals Curahealth$ 68,256 DIGNITY HEALTH ARIZONA GENERAL HOSPTIAL Urban Acute Hospitals Dignity$ 417,120 Non-CAH Rural Acute Hospitals N. AZ$ 8,036,670 HAVASU REGIONAL MEDICAL CENTER Non-CAH Rural Acute Hospitals LifePoint Health$ 4,184,472 HOLY CROSS HOSPITAL CAH Abrazo Health Care$ 676,726 HONORHEALTH DEER VALLEY MEDICAL CENTER Urban Acute Hospitals HonorHealth$ 7,336,888 HONORHEALTH JOHN C. LINCOLN MEDICAL CENTER Urban Acute Hospitals HonorHealth$ 7,874,088 HONORHEALTH SCOTTSDALE OSBORN MEDICAL CENTER Urban Acute Hospitals HonorHealth$ 8,249,496 HONORHEALTH SCOTTSDALE SHEA MEDICAL CENTER Medium Pediatric Intensive General Acute Hospitals HonorHealth$ 11,052,519 HONORHEALTH SCOTTSDALE THOMPSON PEAK MEDICAL CENTER Urban Acute Hospitals HonorHealth$ 3,932,304

Page 1 Hospital Name Provider Type Hospital System SFY 2020 Paid Assessment Amount

KINGMAN REGIONAL MEDICAL CENTER Non-CAH Rural Acute Hospitals Kingman Regional Medical Center$ 5,273,408 KPC PROMISE HOSPITAL OF PHOENIX LTAC Provider Promise Healthcare $ 90,218 LA PAZ REGIONAL HOSPITAL CAH La Paz Regional Hospital$ 491,064 LITTLE MEDICAL CENTER CAH N. AZ$ 851,936 MERCY GILBERT MEDICAL CENTER Urban Acute Hospitals Dignity$ 9,613,352 MOUNTAIN VISTA MEDICAL CENTER Urban Acute Hospitals Steward Health Care$ 4,751,850 MT. GRAHAM REGIONAL MEDICAL CENTER Non-CAH Rural Acute Hospitals Mt. Graham Regional Medical Center$ 1,236,192 NORTHERN COCHISE COMMUNITY HOSPITAL CAH Northern Cochise Community Hospital$ 249,640 NORTHWEST MEDICAL CENTER Urban Acute Hospitals CHS$ 10,117,688 ORO VALLEY HOSPITAL Urban Acute Hospitals CHS$ 3,400,634 PAGE HOSPITAL CAH Banner Health$ 269,232 QUAIL RUN BEHAVIORAL HEALTH Large Psychiatric Hospitals Quail Run Behavioral Health$ 430,076 SELECT SPECIALTY HOSPITAL-PHOENIX LTAC Hospitals Select Specialty Hospital, Arizona, Inc.$ 80,896 SELECT SPECIALTY HOSPITAL-PHOENIX DOWNTOWN LTAC Hospitals Select Specialty Hospital, Arizona, Inc.$ 44,872 SONORA BEHAVIORAL HEALTH HOSPITAL Large Psychiatric Hospitals Sonora Behavioral Health$ 453,934 ST. JOSEPH'S HOSPITAL-PHOENIX Urban Acute Hospitals Dignity$ 15,208,843 ST. JOSEPH'S HOSPITAL-TUCSON Urban Acute Hospitals Abrazo Health Care$ 9,300,026 ST. LUKE'S BEHAVORIAL HOSPITAL Large Psychiatric Hospitals Steward Health Care$ 715,740 ST. LUKE'S HOSPITAL-TEMPE Urban Acute Hospitals Steward Health Care$ 3,758,715 ST. MARY'S HOPSITAL Urban Acute Hospitals Abrazo Health Care$ 6,589,329 SUMMIT HEALTHCARE REGIONAL MEDICAL CENTER Non-CAH Rural Acute Hospitals Summit Healthcare$ 2,811,136 TUCSON MEDICAL CENTER Medium Pediatric Intensive General Acute Hospitals TMC Healthcare$ 13,821,075 VALLEY HOSPITAL Large Psychiatric Hospitals Valley Hospital$ 560,268 VALLEY VIEW MEDICAL CENTER Non-CAH Rural Acute Hospitals LifePoint Health$ 1,301,288 VALLEYWISE HEALTH MEDICAL CENTER (MARICOPA MEDICAL CENTER) Medium Pediatric Intensive General Acute Hospitals MIHS$ 7,824,401 VERDE VALLEY MEDICAL CENTER Non-CAH Rural Acute Hospitals N. AZ$ 2,518,520 WESTERN ARIZONA REGIONAL MEDICAL CENTER Non-CAH Rural Acute Hospitals CHS$ 3,268,072 WHITE MNTN REG MEDICAL CENTER CAH White Mountain Regional Medical Center$ 156,104 WICKENBURG COMMUNITY HOSPITAL CAH Wickenburg Community Hospital$ 290,720 YAVAPAI REGIONAL MEDICAL CENTER Non-CAH Rural Acute Hospitals Yavapai Regional Medical Center Campus$ 7,400,720 YUMA REGIONAL MEDICAL CENTER Medium Pediatric Intensive General Acute Hospitals Yuma Regional Medical Center$ 8,681,400 TOTAL$ 329,326,003

In June 2019, PROMISE HOSPITAL OF PHX was acquired by KPC Healthcare and became KPC Promise Hospital of Phoenix.

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