BANNER 2025 - SUMMARY LETTER.PDF

Maricopa County — Formal (2025-01-10)

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8687 East Via de Ventura, Suite 306 
Scottsdale, Arizona 85258 
www.mcida.com 
 
January 23, 2025 
 
 
To: 
Board of Supervisors  
 
 
Board of Directors 
 
Maricopa County, Arizona 
 
 
The Industrial Development Authority 
 
 
 
 
 
 
 
   of the County of Maricopa 
 
 
Re: 
Not to Exceed $400,000,000 The Industrial Development Authority of the County of 
Maricopa Tax-Exempt Commercial Paper Revenue Notes (Banner Health) 
Ladies and Gentlemen: 
At the meeting of the Board of Directors (the “Board”) of The Industrial Development Authority 
of the County of Maricopa (the “Authority”) on February 11, 2024, the Board will be asked to grant final 
approval and adopt a resolution authorizing the issuance and sale of the Notes described above 
(the “Notes”). This letter provides a summary of the proposed financing.   
AUTHORITY 
The Authority is an Arizona nonprofit corporation designated by law as a political subdivision 
of the State of Arizona. The Authority was formed with the permission of Maricopa County, Arizona 
(“Maricopa County”), and incorporated under and pursuant to the Arizona Industrial Development 
Financing Act, Title 35, Chapter 5, Arizona Revised Statutes, as amended (the “Act”). 
APPLICANT/BORROWER 
The Applicant/Borrower, Banner Health (the “Borrower”), is a health care institution under the 
Act, an Arizona nonprofit corporation and a nonprofit organization under Section 501(c)(3) of the 
Internal Revenue Code of 1986, as amended (the “Code”), headquartered in Phoenix, Arizona. Banner 
is the largest employer in Maricopa County, Arizona. 
PROJECT 
The Borrower will use the proceeds of the Notes to pay a portion of the costs to finance and 
refinance the acquisition, construction, improvement, equipping and/or operating of certain hospital, 
health care and related facilities that constitute “projects” (as defined in the Act).  The proceeds will fund 
the buildout of MRI suites, a Blood and Cancer Center, various labs, and expansion of operating rooms 
and emergency departments (including pediatric ED expansions), among other improvements.  
The projects to be financed and refinanced with the proceeds of the Notes are owned and operated 
by the Borrower directly or through certain wholly owned affiliates. Certain of the project facilities being 
financed or refinanced with Note proceeds are located outside of Maricopa County: Banner Ironwood-
Queen Creek, Arizona; Banner Casa Grande-Casa Grande, Arizona; Banner University Medical Center-

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Tucson, Arizona; Banner Payson-Payson, Arizona; Banner Wyoming-Casper, Wyoming; and McKee 
Medical Center-Loveland, Colorado.   
The following are the project facilities located in Maricopa County, listed by address and 
respective Supervisorial districts:  
Facility 
Address  
Board of  
Supervisors District 
Banner Boswell 
10401 W Thunderbird Blvd, Sun City 
4 
Banner UMC - Phoenix 
1111 E McDowell Rd, Phoenix  
3 
Banner Desert 
1400 S Dobson Rd, Mesa  
1 
Banner Thunderbird 
5555 W Thunderbird Rd, Glendale  
4 
Banner Estrella 
9201 W Thomas Rd, Phoenix  
5 
Banner Gateway 
1900 N Higley Rd, Gilbert  
1 
 
NOTIFICATION TO ARIZONA ATTORNEY GENERAL 
As required by the provisions of Arizona Revised Statutes, Section 35-721.F, the Authority will 
notify the Arizona Attorney General of its intention to issue the Notes.   
TAX EXEMPT FINANCING 
Pursuant to Section 147(f) of the Code, the Maricopa County Board of Supervisors must approve 
the issuance of the Notes after a public hearing following reasonable public notice. The Notice of Public 
Hearing was posted on the Authority’s website on January 23, 2025. A representative of the Authority 
will conduct a public hearing regarding the issuance of the Notes on January 30, 2025.  
On or prior to closing, the Authority will receive an opinion from Bond Counsel to the effect that 
interest on the Notes will be exempt from federal and State income taxes. 
PRINCIPAL FINANCING DOCUMENTS 
• Commercial Paper Note Indenture 
• Loan Agreement 
• Issuing & Paying Agent Agreement

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FINANCING PARTICIPANTS 
The major financing participants, in addition to the Authority, are as follows: 
Applicant/Borrower: 
 
Banner Health 
Bond Counsel: 
 
Hawkins Delafield & Wood 
Borrower’s Counsel: 
 
Womble Bond Dickinson (US) LLP 
Financial Advisor: 
 
Kaufman, Hall & Associates 
CP Dealers:  
 
Barclays / Morgan Stanley 
CP Dealers’ Counsel: 
 
Dentons US LLP 
Issuing & Paying Agent: 
 
U.S. Bank 
Trustee:  
 
The Bank of New York Mellon Trust Company 
 
PLAN OF FINANCING  
The Notes 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 paying costs of issuance 
of the initial issuance of the Notes. 
The Notes will be issued from time to time under and pursuant to the terms and provisions of the 
Commercial Paper Note Indenture in a maximum principal amount not to exceed $400,000,000 
outstanding at any time. The Authority will loan the proceeds to the Borrower pursuant to the Loan 
Agreement.   
The Notes are expected to be rated: A-1 (S&P)/ F-1+ (Fitch).  
A tax certificate and agreement will be executed by the Authority and Borrower to evidence 
various representations and agreements aimed at establishing and preserving the tax-exempt status of the 
Notes. 
FINAL APPROVAL 
At its meeting on February 11, 2025, the Authority Board will be asked to grant final approval 
and adopt a resolution authorizing the issuance and sale of the Notes and related matters.  
BOARD OF SUPERVISORS APPROVAL 
Under the provisions of A.R.S. § 35-721.B., issuance of the Notes by the Authority requires the 
approval of the Maricopa County Board of Supervisors.  The Maricopa County Board of Supervisors is 
being requested, at its meeting on February 12, 2025, to act as required by law to adopt a resolution 
approving the issuance of the Notes under the Act and with respect to Section 147(f) of the Code. 
Under the provisions of the Act, specifically A.R.S. § 35-742, Maricopa County is not in any 
event liable for the payment of principal or interest on any bonds, notes or other obligations issued 
by the Authority or for the performance of any pledge, mortgage, obligation or agreement of any 
kind undertaken by the Authority, and none of the bonds, notes or other obligations, or any of its

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obligations thereunder, shall be construed to constitute an indebtedness of Maricopa County 
within the meaning of any constitutional or statutory provision. 
TRANSACTION CLOSING 
If the required approvals from the Authority Board and the Maricopa County Board of 
Supervisors are received, it is currently anticipated that the initial issuance of the Notes will occur during 
the week of March 3rd.  
LEGAL COUNSEL RECOMMENDATION 
Prior to adoption of the approval resolution by the Authority Board, General Counsel to the 
Authority will have reviewed drafts of the principal financing documents and the principal financing 
documents will be in substantially final form, adequately meet the requirements of the Act, and will be 
in both form and substance acceptable for the Authority Board to act upon. The resolution of the 
Authority Board authorizing the issuance and sale of the Notes and related matters and the resolution of 
the Maricopa County Board of Supervisors approving the Notes to be issued and related matters, are in 
form and substance acceptable for adoption.