BANNER HEALTH 2023 - BOS RESOLUTION.PDF

Maricopa County — Formal (2023-04-26)

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3771818.1  045418  RSIND 
A RESOLUTION OF THE MARICOPA COUNTY BOARD OF 
SUPERVISORS APPROVING THE ISSUANCE BY THE INDUSTRIAL 
DEVELOPMENT AUTHORITY OF THE COUNTY OF MARICOPA OF 
ITS REVENUE BONDS (BANNER HEALTH), SERIES 2023, IN ONE OR 
MORE SERIES, IN AN AGGREGATE PRINCIPAL AMOUNT NOT TO 
EXCEED $450,000,000 AND APPROVING SUCH OTHER MATTERS AS 
SET FORTH HEREIN 
WHEREAS, The Industrial Development Authority of the County of Maricopa (the 
“Authority”) is a nonprofit corporation designated a political subdivision of the State of Arizona 
incorporated with the approval of the County of Maricopa, empowered under the Industrial 
Development Financing Act, A.R.S. § 35-701 et seq. (the “Act”), to issue revenue bonds for the 
purposes set forth in the Act, including the making of secured or unsecured loans for the purpose 
of financing or refinancing the acquisition, construction, improvement or equipping of a 
“project” (as defined in the Act). 
WHEREAS, the Authority proposes to issue its Revenue Bonds (Banner Health), Series 
2023 (the “Series 2023 Bonds”), in one or more series or subseries, from time to time, in an 
aggregate principal amount not to exceed $450,000,000, for the benefit of Banner Health (the 
“Corporation”), an Arizona nonprofit corporation and an exempt organization described in 
Section 501(c)(3) of the Internal Revenue Code of 1986, as amended (the “Code”). 
WHEREAS, on April 11, 2023, the Authority resolved (the “Authority’s Resolution”) to 
issue the Series 2023 Bonds in one or more series or subseries from time to time to provide for a 
plan of financing, refinancing and reimbursement for the Corporation, in an aggregate principal 
amount not to exceed $450,000,000, to be applied as follows: (1) to finance and/or reimburse the 
Corporation for the costs of construction, renovations, equipment acquisitions and improvements 
to the Corporation’s health care facilities located at Banner Gateway Medical Center in Gilbert, 
Arizona, including, but not limited to, construction furnishing and equipping of a new 5-story 
patient tower to include additional inpatient beds and facilities, women’s health facilities, 
expansion of the labor and delivery facilities, postpartum facilities, neonatal intensive care 
facilities, and expansion of the diagnostic and treatment building to include an expansion of the 
emergency department, additional operating rooms and post-operative care facilities and 
additional imaging and diagnostic treatment facilities; (2) to finance and/or reimburse the 
Corporation for the costs of construction, renovations, equipment acquisitions and improvements 
to the Corporation’s health care facilities located at Banner Desert Medical Center in Mesa, 
Arizona, including, but not limited to, construction, furnishing and equipping of a new 5-story 
addition to an existing patient tower to include additional inpatient beds and facilities, women’s 
health facilities, a new women and children’s lobby area, expansion of the labor and delivery 
facilities, renovations of existing patient care facilities, expansion of surface parking lot facilities 
and construction of pediatric play spaces; (3) to refinance a taxable loan used by the Corporation 
to refinance and redeem the Authority’s Revenue Bonds (Banner Health), Series 2017B (the 
“Prior Bonds”); and (4) to pay costs of issuance of the Series 2023 Bonds. The proceeds of the 
Prior Bonds were used by the Corporation as follows: (1) to finance the costs of construction, 
furnishing and equipping of a new 16 story patient care and clinical tower at the Corporation’s 
health care facilities located at Banner-University Medical Center Phoenix in Phoenix, Arizona 
(“Banner UMC Phoenix”), consisting of approximately 700,000 square feet and housing patient

3771818.1  045418  RSIND 
beds, a new emergency department and trauma center, operating rooms, diagnostic and 
laboratory facilities, and related campus improvements and miscellaneous capital expenditures 
on the Banner-University Medical Center Phoenix; and (2) to finance the costs of construction, 
furnishing and equipping of a new 9-story patient care and clinical tower at the Corporation’s 
health care facilities located at Banner-University Medical Center Tucson in Tucson, Arizona, 
consisting of approximately 700,000 square feet and housing patient beds, operating rooms, 
diagnostic and laboratory facilities and related campus improvements and miscellaneous capital 
expenditures at Banner-University Medical Center Tucson (“Banner UMC Tucson”) (the 
facilities to be financed and refinanced with the proceeds of the Series 2023 Bonds are 
hereinafter collectively referred to as the “Projects”). 
WHEREAS, the Authority’s Resolution was conditioned upon, among other things, the 
granting of approval to the issuance of the Series 2023 Bonds by the Maricopa County Board of 
Supervisors. 
WHEREAS, the Authority’s Resolution has been made available to the Maricopa 
County Board of Supervisors, and the Authority’s Resolution has been duly considered by this 
Board. 
WHEREAS, the Authority’s Resolution authorizes, among other things, the issuance and 
sale of the Series 2023 Bonds, the execution and delivery of one or more Bond Indentures, Loan 
Agreements, and Bond Purchase Agreements relating to the Series 2023 Bonds (as described in 
the Authority’s Resolution), and such other documents as required for the issuance of the Series 
2023 Bonds. 
WHEREAS, the terms, maturities, provisions for redemption, security, and sources of 
payment for the Series 2023 Bonds are set forth in the Bond Indentures relating to the Series 
2023 Bonds and in the forms of the Series 2023 Bonds. 
WHEREAS, information regarding the issuance of the Series 2023 Bonds has been made 
available to the Maricopa County Board of Supervisors, together with the Authority’s 
Resolution. 
WHEREAS, the Maricopa County Board of Supervisors have been informed that the 
documents have been reviewed by competent Bond Counsel, Hawkins Delafield & Wood LLP, 
and Bond Counsel has determined that the documents adequately meet the requirements of the 
Act and the Code. 
WHEREAS, pursuant to Section 35-721.B of the Act, the proceedings of the Authority 
under which the Series 2023 Bonds are to be issued require the approval of the Maricopa County 
Board of Supervisors of the issuance of the Series 2023 Bonds. 
WHEREAS, pursuant to Section 147(f) of the Code, the Maricopa County Board of 
Supervisors must approve the issuance of the Series 2023 Bonds, and the financing and 
refinancing of any projects, improvements or facilities with the proceeds thereof, after a public 
hearing following reasonable public notice.

3771818.1  045418  RSIND 
WHEREAS, following publication of a Notice of Public Hearing on the Authority’s 
website on March 27, 2023, a public hearing with respect to the Series 2023 Bonds and the 
location and nature of the Banner Health Projects described in such Notice of Public Hearing 
was held telephonically by the Authority, pursuant to Section 147(f) of the Code, on April 5, 
2023, at 9:00 a.m., MST, via toll free dial-in number, a copy of the Notice of Public Hearing is 
attached hereto and made a part of this Resolution. 
WHEREAS, a Report of Public Hearing regarding the Public Hearing held on April 5, 
2023 has been presented to and considered by the Maricopa County Board of Supervisors. 
WHEREAS, the Notice of Public Hearing indicates that the Banner Health Projects 
described therein which are to be financed and refinanced with the proceeds of the Series 2023 
Bonds at Banner Gateway Medical Center, Banner Desert Medical Center and Banner UMC 
Phoenix are owned and operated by the Corporation, and the Banner Health Projects which are to 
be refinanced with the proceeds of the Series 2023 Bonds at Banner UMC Tucson are owned and 
operated by the Corporation through its wholly owned affiliates, Banner-University Medical 
Center Tucson Campus, LLC and Banner-University Medical Center South Campus, LLC, and 
are or will be located at the addresses set forth in the Notice of Public Hearing.   
WHEREAS, the Series 2023 Bonds are to be issued in one or more series or subseries, 
from time to time, commencing on the date of adoption and approval of this Resolution, and the 
Corporation intends to issue one or more series or subseries of the Series 2023 Bonds not later 
than one year from the date of adoption and approval of this Resolution. 
WHEREAS, it is intended that this Resolution shall constitute approval by the Maricopa 
County Board of Supervisors with respect to the issuance of the Series 2023 Bonds for the 
purposes set forth in the Resolution pursuant to Section 35-721.B of the Act.  
WHEREAS, it is further intended that this Resolution shall constitute approval by the 
Maricopa County Board of Supervisors as required by, and for the purposes of, Section 147(f) of 
the Code, as to the issuance of the Series 2023 Bonds to finance and refinance the Projects 
described in the Notice of Public Hearing. 
NOW, THEREFORE, BE IT RESOLVED BY THE MARICOPA COUNTY 
BOARD OF SUPERVISORS, as follows: 
1. 
The issuance by the Authority of the Series 2023 Bonds for the purposes of 
financing and refinancing the Projects described in the Resolution, in an aggregate principal 
amount not to exceed $450,000,000, is approved for all purposes under the Act.  
2. 
For purposes of Section 147(f) of the Code, the issuance of the Series 2023 Bonds 
to finance and refinance the Projects as described in the Notice of Public Hearing is hereby 
approved.   
2. 
The appropriate officers of the Maricopa County Board of Supervisors are hereby 
authorized and directed to do all such things to execute and deliver all such documents on behalf 
of the Maricopa County Board of Supervisors as may be necessary or desirable to effectuate the

3771818.1  045418  RSIND 
intent of this Resolution and the Authority’s Resolution in connection with the issuance of the 
Series 2023 Bonds. 
ADOPTED AND APPROVED on April 26, 2023. 
________________________________________ 
Chairman, Maricopa County Board of Supervisors 
ATTEST: 
 
 
 
_____________________________________ 
Clerk, Maricopa County Board of Supervisors

3771818.1  045418  RSIND 
ATTACHMENT:  Notice of Public Hearing  
NOTICE OF PUBLIC HEARING 
PUBLIC NOTICE IS HEREBY GIVEN that a public hearing pursuant to Section 147(f) 
of the Internal Revenue Code of 1986, as amended (the “Code”) will be held telephonically by 
an authorized representative of The Industrial Development Authority of the County of Maricopa 
(the "Authority") on April 5, 2023, commencing at 9:00 a.m., MST, via the toll free dial-in 
number of 1-833-220-6615, (enter code 970133 and press #), with respect to the proposed 
issuance by the Authority of its Revenue Bonds (Banner Health), Series 2023 (the “Bonds”) in 
one or more series from time to time, in the maximum aggregate principal amount of 
$450,000,000 to assist Banner Health (the “Corporation”), an Arizona nonprofit corporation, to 
provide for a plan of financing, refinancing and reimbursement of the costs of the projects as 
hereinafter described and to pay costs of issuance of the Bonds.  The Bonds will be issued as 
qualified 501(c)(3) bonds as defined in Section 145 of the Code for the purpose of financing and 
refinancing hospital and health care facilities and related purposes as described herein. 
Up to $250,000,000 aggregate principal amount of Bonds may be issued to finance and/ 
or reimburse the Corporation for costs of construction, renovations, equipment acquisitions and 
improvements to the Corporation’s health care facilities located on the Banner Gateway Medical 
Center campus (“Banner Gateway Medical Center”), located at 1900 North Higley Road, 
Gilbert, Arizona 85234, including, but not limited to, construction, furnishing and equipping of a 
new 5-story patient tower, including additional inpatient beds and facilities, women’s health 
facilities, expansion of the labor and delivery facilities, postpartum facilities, neonatal intensive 
care facilities, and expansion of the diagnostic and treatment building to include an expansion of 
the emergency department, additional operating rooms and post-operative care facilities, 
additional imaging and diagnostic treatment facilities and other related improvements. 
Up to $160,000,000 aggregate principal amount of Bonds may be issued to finance and/ 
or reimburse the Corporation for the costs of construction, renovations, equipment acquisitions 
and improvements to the Corporation’s health care facilities located on the Banner Desert 
Medical Center campus (“Banner Desert Medical Center”), located at 1400 South Dobson Road, 
Mesa, Arizona 85202, including, but not limited to, construction, furnishing and equipping of a 
new 5-story addition to an existing patient tower, including additional inpatient beds and 
facilities, women’s health facilities, a new women and children’s lobby area, expansion of the 
labor and delivery facilities, renovations of existing patient care facilities, expansion of surface 
parking lot facilities,  construction of pediatric play spaces and other related improvements. 
Up to $95,000,000 aggregate principal amount of Bonds may be issued to refinance a 
taxable loan used by the Corporation to refinance and redeem the Arizona Health Facilities 
Authority Revenue Bonds (Banner Health), Series 2017B (the “Prior Bonds”), a portion of the 
proceeds of which Prior Bonds were applied by the Corporation to (a) finance costs of 
construction, furnishing and equipping of a 16-story patient care and clinical tower at the 
Corporation’s health care facilities located on the Banner-University Medical Center Phoenix 
campus (“Banner UMC Phoenix”), located at 1111 East McDowell Road, Phoenix, Arizona 
85006, consisting of approximately 700,000 square feet and housing patient beds, a new 
emergency department and trauma center, operating rooms, diagnostic and laboratory facilities,

3771818.1  045418  RSIND 
and related campus improvements and miscellaneous capital expenditures at Banner UMC 
Phoenix; and (b) finance costs of constructing, furnishing and equipping of an approximately 
700,000 square-foot, 9-story, 204-bed patient and clinical care tower located on the Banner-
University Medical Center Tucson campus (“Banner UMC Tucson”), located at 1625 North 
Campbell Avenue, Tucson, Arizona 85719, and related campus improvements and miscellaneous 
capital expenditures at Banner UMC Tucson. 
The projects and facilities to be financed and refinanced with the proceeds of the Bonds 
at Banner Gateway Medical Center, Banner Desert Medical Center and Banner UMC Phoenix 
are owned and operated by the Corporation, and the projects and facilities to be refinanced with 
the proceeds of the Bonds at Banner UMC Tucson are owned and operated by the Corporation 
through its wholly owned affiliates, Banner-University Medical Center Tucson Campus, LLC 
and Banner-University Medical Center South Campus, LLC.   
The projects to be financed and refinanced with the proceeds of the Bonds are or will be 
located at the addresses set forth herein.   
The Bonds will be special limited obligations of the Authority, payable solely from 
payments to be made therefor by the Corporation, and will not constitute a general obligation or 
a pledge of the faith and credit or the taxing power of the Authority, the County of Maricopa, 
Arizona, the State of Arizona or any agency or political subdivision thereof.  The Authority has 
no taxing power. 
The Bonds are to be issued from time to time, in one or more series or sub-series, 
commencing on the date of approval of the plan of financing, refinancing and reimbursement 
described herein.  The Corporation intends to issue the Bonds not later than one year from the 
date of approval of the plan of financing, refinancing and reimbursement described herein. 
Any person may appear at such hearing and express his or her views, or may submit his 
or her views in writing, regarding the proposed Bonds and the location and nature of the projects 
described herein to be financed and refinanced with the proceeds of the Bonds.  Any written 
submissions must be sent to The Industrial Development Authority of the County of Maricopa, 
8687 E. Via de Ventura, Suite 306, Scottsdale, Arizona 85258, Attention: President and clearly 
marked “Banner Health Projects.”  Written submissions should be mailed or delivered in 
sufficient time to be received before April 5, 2023.  
THE INDUSTRIAL DEVELOPMENT AUTHORITY  
OF THE COUNTY OF MARICOPA