Arizona Health Care Cost Containment System Value-Based Purchasing Qualifying Providers: Hospital Effective 10/01/2017

Provider ID Provider Name VBP 531253 ABRAZO ARROWHEAD CAMPUS Y 569582 ABRAZO AZ HEART HOSPITAL Y 532417 ABRAZO CENTRAL CAMPUS Y 434697 ABRAZO MARYVALE CAMPUS Y 643602 ABRAZO SCOTTSDALE CAMPUS Y 806416 ABRAZO WEST CAMPUS Y 005217 ARIZONA GENERAL HOSPITAL Y 021618 BANNER BAYWOOD MEDICAL CN Y 369138 BANNER BOSWELL MED CTR Y 916171 BANNER CASA GRANDE Y 369011 BANNER DEL E WEBB MED CTR Y 530099 BANNER DESERT MEDICAL CEN Y 920620 BANNER ESTRELLA MEDICAL Y 262489 BANNER GATEWAY MEDICAL CT Y 823143 BANNER GOLDFIELD MED CNTR Y 645400 BANNER HEART HOSPITAL Y 568411 BANNER IRONWOOD MEDICAL Y 031348 BANNER PAYSON MEDICAL CNT Y 529943 BANNER THUNDERBIRD MEDICA Y 988451 BANNER UNIVERSITY SOUTH Y 529985 BANNER-UMC PHOENIX CAMPUS Y 020066 BENSON HOSPITAL Y 500498 CHANDLER REGIONAL MED.CTR Y 020032 COPPER QUEEN HOSPITAL Y 022214 DEER VALLEY MEDICAL CTR. Y 020123 FLAGSTAFF MEDICAL CENTER Y 135321 HOLY CROSS HOSPITAL Y 022241 JOHN C LINCOLN MEDICAL CT Y 020256 KINGMAN REGIONAL MED CTR Y 020107 MARICOPA MEDICAL CENTER Y 117030 MERCY GILBERT MED CENTER Y 241961 MOUNTAIN VISTA MED CTR Y 020082 MT. GRAHAM REG. MED. CTR. Y 529919 PAGE HOSPITAL Y

Version 09/18/2017 Arizona Health Care Cost Containment System Value-Based Purchasing Qualifying Providers: Hospital Effective 10/01/2017

Provider ID Provider Name VBP 706707 PHOENIX CHILDREN'S HOSP Y 020652 SCOTTSDALE HLTHCARE-OSBN Y 021501 SCOTTSDALE HLTHCARE-SHEA Y 284386 SCOTTSDALE HLTHCARE-THOMP Y 134003 ST JOSEPH'S HOSPITAL Y 691974 ST JOSEPH'S HOSPITAL-PHX Y 951864 ST JOSEPH'S WESTGATE MED Y 495904 ST LUKE'S MEDICAL CENTER Y 134169 ST MARY'S HOSPITAL Y 020016 SUMMIT HEALTHCARE REG.MED Y 494930 TEMPE ST. LUKE'S HOSPITAL Y 020462 TUCSON MEDICAL CENTER Y 020438 VERDE VALLEY MEDICAL CTR. Y 649577 WICKENBURG COMMUNITY HOSP Y 020420 YAVAPAI REG MED CENTER Y 118951 YRMC EAST Y 020264 YUMA REGIONAL MED CENTER Y

Version 09/18/2017