BANNER HEALTH 2021 - SUMMARY LETTER.PDF

Maricopa County — Formal (2021-10-06)

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A  P R O F E S S I O N A L  C O R P O R A T I O N
3200 North Central Avenue, Suite 1600 
Phoenix, Arizona 85012 
P 602.440.4800  F 602.257.9582 
 
www.rcalaw.com 
 
 
4846983.2 
09/09/21 
 
John J. Fries 
Direct Line:   602-440-4819 
E-mail:  jfries@rcalaw.com 
 
 
September 9, 2021 
 
To: 
Board of Supervisors  
 
 
Board of Directors 
 
 
Maricopa County, Arizona 
 
 
The Industrial Development Authority of 
 
 
 
 
 
 
 
The County of Maricopa 
 
Re: 
Not to Exceed $305,000,000 The Industrial Development Authority of the 
County of Maricopa Revenue Bonds (Banner Health) Series 2021 
Ladies and Gentlemen: 
At the meeting of The Industrial Development Authority of the County of 
Maricopa (the “Authority”) on September 14, 2021, the Authority Board will be asked to grant 
approval to the financing for Banner Health, an Arizona nonprofit corporation, as Obligated 
Group Representative under the Master Indenture for Banner Health; Banner-University Medical 
Center Tucson Campus, LLC, an Arizona limited liability company; Banner-University Medical 
Center South Campus, LLC, an Arizona limited liability company; and Wyoming Medical 
Center, Inc., a Wyoming nonprofit corporation (collectively, the “Obligated Group”); and adopt 
a resolution authorizing the issuance and sale of the bonds as described above (the “2021 
Bonds”).  This letter provides a summary review of the proposed transaction. 
THE AUTHORITY 
The Authority is an Arizona nonprofit corporation, formed with the permission of 
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”), and the 
Authority is designated by law to be a political subdivision of the State of Arizona. 
THE APPLICANT/BORROWER 
Banner Health is designated as a 501(c)(3) organization under the Internal 
Revenue Code of 1986, as amended (the “Code”). Banner Health, either directly or through 
affiliates, currently operates hospital, medical and healthcare facilities in Maricopa, Pima and 
Pinal Counties, Arizona, and in California, Colorado, Wyoming, Nebraska, Nevada and Alaska.  
The Authority has previously issued bonds for the benefit of Banner Health in 2016 
(approximately $800 million); in 2017 (approximately $460,000 million); and in 2019 
(approximately $540 million). Banner Health is current on all of its obligations under those 
bonds.

Board of Supervisors 
Maricopa County, Arizona 
Board of Directors  
of The Industrial Development Authority  
of the County of Maricopa 
September 9, 2021 
Page 2 
 
 
THE PROJECTS 
Banner Health is developing a plan of finance for new financing initially estimated at 
approximately $665,000,000 under various fixed and floating rate instruments and commercial 
paper, including a portion to be financed through the Authority.  Banner Health, as Obligated 
Group Representative, (“Borrower”) has requested that the Authority issue its 2021 Bonds in one 
or more series or subseries from time to time, as taxable or tax-exempt debt, or a combination of 
taxable and tax-exempt debt, in an aggregate principal amount not to exceed $305,000,000, the 
proceeds of which will be loaned to the Borrower to pay the costs of (1) financing a taxable loan 
of the Borrower, the proceeds of which were used to finance the acquisition by the Borrower of 
Banner Wyoming Medical Center located in Casper, Wyoming; and (2) refunding all or a portion 
of the Arizona Health Facilities Authority Revenue Bonds (Banner Health), Series 2015B (the 
“Prior Bonds”). The proceeds of the Prior Bonds were used by the Borrower as follows: (a) to 
acquire Banner–University Medical Center Tucson located in Tucson, Arizona; (b) to acquire 
Banner—University Medical Center North Campus located in Tucson, Arizona; (c) to acquire 
Banner Administrative Offices, located in Tucson, Arizona; (d) to acquire Banner Payson 
Medical Center located in Payson, Arizona; and (e) to construct a car parking garage at Banner-
University Medical Center Phoenix located in Phoenix, Arizona.  The facilities to be refinanced 
with the proceeds of the 2021 Bonds are collectively referred to as the “Projects”. 
The Borrower is currently reviewing whether it can effectuate a rate conversion under the 
Prior Bonds.  If the Borrower can implement the rate conversion, the amount of the 2021 Bonds 
issued will be reduced by the amount designated to refund the Prior Bonds.   
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 the Authority’s intention to issue the 2021 
Bonds.   
PUBLIC HEARING 
Bond Counsel has determined that a public hearing pursuant to Section 147(f) of 
the Internal Revenue Code of 1986, as amended (the “Code”), relating to the issuance of the 
2021 Bonds, will not be required.   
ALLOCATION FOR TAX EXEMPT FINANCING 
No allocation of the Arizona “volume cap” is required for the issuance of the 
2021 Bonds as this financing is for a nonprofit 501(c)(3) entity.

Board of Supervisors 
Maricopa County, Arizona 
Board of Directors  
of The Industrial Development Authority  
of the County of Maricopa 
September 9, 2021 
Page 3 
 
 
FINANCING PARTICIPANTS 
The major participants in the financing are as follows: 
Issuer:  
The Industrial Development Authority of the County of 
Maricopa 
Issuer Counsel: 
Ryley Carlock & Applewhite, a professional corporation 
Applicant/Borrower:  
Banner Health 
Bond Underwriters: 
Morgan Stanley, Citi, JP Morgan and Goldman Sachs 
Bond Counsel: 
Hawkins, Delafield & Wood LLP 
Bond Trustee 
The Bank of New York Mellon Trust Company 
Applicant/Borrower Counsel: 
Lewis Roca Rothgerber & Christie LLP 
Bond Underwriter Counsel: 
Dentons US LLP 
Borrower’s Financial Advisor: 
Kaufman Hall & Associates 
Master Trustee: 
U.S. Bank National Association 
PRINCIPAL FINANCING DOCUMENTS 
Document 
Parties 
Multiple Bond Indentures 
Issuer and Trustee 
Loan Agreement 
Issuer and Borrower 
Official Statements  
Borrower and Bond Underwriter 
One or more Bond Purchase Agreements 
Borrower, Issuer and Bond Underwriter 
 
PLAN OF FINANCING 
The 2021 Bonds will be issued pursuant to the Bond Indenture(s), and the 
proceeds received from the sale of the Bonds will be loaned to Banner Health as Obligated 
Group Representative pursuant to the Loan Agreement(s) and applied, together with other 
available moneys, to finance the Projects as described above.

Board of Supervisors 
Maricopa County, Arizona 
Board of Directors  
of The Industrial Development Authority  
of the County of Maricopa 
September 9, 2021 
Page 4 
 
 
The 2021 Bonds will be offered for sale by the Underwriters utilizing the Official 
Statements and the 2021 Bonds will be purchased by the Underwriters under and in accordance 
with the terms and provisions of the Bond Purchase Agreements. 
It is anticipated the 2021 Bonds will bear interest at rates dependent upon the 
scheduled maturity dates, will be subject to early redemption as provided for in the Bond 
Indentures and will have an investment grade rating issued by one or more recognized national 
rating agencies. 
BENEFIT WITHIN THE STATE 
Under A.R.S. 35-706.A.16, the Authority has the power to issue bonds for a 
project located in whole or in part outside Arizona (the “State”), provided that the Authority’s 
board of directors determines that the exercise of such powers will provide a benefit within this 
State.  The issuance of the 2021 Bonds and the making of a loan to the Borrower for the purpose 
of refinancing the Projects and refunding the Prior Bonds will provide a benefit in the State for 
the following reasons: (i) the Borrower maintains its corporate headquarters in Phoenix, Arizona; 
(ii) the Borrower owns and operates hospital, medical and health care facilities in different 
locations both in the State and in other states; (iii) the Borrower is one of the major employers in 
the State; (iv) the Borrower is one of the largest providers of hospital, medical and health care 
services in the State; and (v) the Borrower typically uses tax exempt or taxable bond financing 
on a system-wide rather than a project basis to finance and refinance capital expenditures to its 
facilities, wherever located.  The issuance of the 2021 Bonds and the making of a loan to the 
Borrower for the purpose of refinancing the Projects and refunding the Prior Bonds is in 
furtherance of the purposes of the Authority under the Act and will provide an economic benefit 
to the Borrower by enabling the Borrower to finance and refinance capital expenditures at the 
Borrower’s health care facilities within and outside the State.   
AUTHORITY APPROVAL 
At the Authority Board meeting on September 14, 2021, the Authority Board will 
be asked to grant approval to the application for financing and adopt a resolution authorizing the 
issuance and sale of the 2021 Bonds.  A copy of the resolution to be adopted by the Authority 
Board is included with this letter. 
NO LIABILITY ON THE COUNTY OF MARICOPA 
Under the provisions of A.R.S. § 35-742, the County of Maricopa shall not in 
any event be liable for the payment of the principal or interest on the 2021 Bonds of the 
Authority or for the performance by the Authority of any of its obligations with respect to 
the 2021 Bonds nor shall any agreements or obligations of the Authority constitute an

Board of Supervisors 
Maricopa County, Arizona 
Board of Directors  
of The Industrial Development Authority  
of the County of Maricopa 
September 9, 2021 
Page 5 
 
 
indebtedness of the County of Maricopa within the meaning of any constitutional or 
statutory provision whatsoever. 
BOARD OF SUPERVISORS APPROVAL 
The Maricopa County Board of Supervisors is requested, at its meeting on 
October 6, 2021, to act as required by law to adopt a resolution approving the proceedings of the 
Authority for the issuance of the 2021 Bonds. 
TRANSACTION CLOSING 
Assuming the required approvals are received, it is anticipated that the 2021 
Bonds will be issued in late October or early November, 2021.  
LEGAL COUNSEL RECOMMENDATION 
As counsel to the Authority, we have reviewed drafts of the principal financing 
documents, and have been advised that these documents are now in substantially final form.  
Based upon our review of such and our review of the proceedings of the Authority to date 
relating to the proposed issuance of the 2021 Bonds, we believe the financing documents and 
proceedings are in substantial conformance with the policies and guidelines of both the Authority 
and the Maricopa County Board of Supervisors and that the Resolution presented to the Board of 
Supervisors is in form and substance acceptable for the Maricopa County Board of Supervisors 
to adopt.