CTR076512_Pre-Contract_Documents.pdf

PRS ID

PRS-52284700

Contract Title

BWCH - CI - High Risk Perinatal Program (HRPP) Neonatal Consult & Case Management

Bureau

BWCH

Procurement Request Type

CI

Description

CONTRACT REQUEST FOR NEW 5 YEAR CI FOR NEONATAL CONSULTATION SERVICES.

REPLACES EXPIRING CTR050217.

Supplier Name

CI CTR076512 - PHOENIX CHILDREN'S MEDICAL GROUP

Requestor mitchell.goldberg@azdhs.gov

Estimated Date Needed

5/30/2025 Other Participants jessica.payne@azdhs.gov,mitchell.goldberg@azdhs.gov

Funding Available?

Y

Funding Type

State

Fund and Appropriation

Fixed Price or Cost Reibursement

Fixed Price

Funds for Sub-Recipient or Contractor

Contractor

Procurement Status

On Hold

Created Date

3/17/2025

Related Contracts 0

Add

Related Comments 43

View Add

Related Attachments 3

View cc: Agency File Page 1 of 3 SPO Form 120 - State Employee Procurement Disclosure Statement (rev 05-23-25 v3)

Dear Employee:

ARIZONA DEPARTMENT OF ADMINISTRATION

STATE PROCUREMENT OFFICE

PROCUREMENT DISCLOSURE STATEMENT

You have been selected to participate in the particular procurement activity as referenced above. Your selection was based on your technical knowledge and expertise in this area. Your regular job duties may not include procurement activities but for the purpose of this process you may play a significant procurement role in one or more of the following: participating in the development of a procurement as defined in A.R.S. § 41-2503;

participating in the development of an evaluation tool; approving a procurement as defined in A.R.S. § 41-2503 or an evaluation tool; serving as a technical advisor or an evaluator who evaluates a procurement as defined in A.R.S. § 41-2503; or recommending or selecting a vendor that will provide materials, services or construction to this state.

It is essential that the integrity of the procurement process be maintained to ensure that each Offeror is given fair and equal consideration. Your familiarity with particular brands, types of equipment, material, services, individuals or firms may tend to influence your evaluation; however, you are required in this specific instance to be particularly objective and guard against any tendency that might slant your evaluation in favor of a personal preference.

You are required to report to the Procurement Officer, or person facilitating the above referenced procurement process, any actual or potential conflict of interest as defined in A.R.S. §§ 38-503, 41-2616(C), 41-753, and 41-2517. You are also subject to the Code of Ethics set forth in Section A.A.C. R2-5A-501 of the Arizona Department of Administration, Personnel Division, Administrative Rules, and Regulations.

An additional consideration is the legal mandate to maintain strict security and confidentiality regarding the content of any proposal, as well as the proceedings of the Evaluation Committee meetings during the evaluation process.

Once the evaluation process has started, it is essential that any contact with Offerors, other than that disclosed, be through, and by, the Procurement Officer or person facilitating the above referenced procurement.

In addition, the Employee shall not have any communication related in any way to the particular procurement, except during formal Committee meetings, with any Offeror or potential subcontractor to that Offeror prior to award, nor shall that Member discuss the proposal or their evaluation with anyone other than the Procurement Officer, or person facilitating the above referenced procurement and Evaluation Committee Members. This is mandatory.

A person who holds a Significant Procurement Role as defined by A.R.S. §§ 41-741 and 41-2503 for a particular procurement shall sign a statement before starting any participation that the person has no financial interest in the procurement other than that disclosed and will have no contact with any representative of a competing Offeror related to the particular procurement during the course of evaluation of proposals, except those contacts specifically authorized per A.R.S. §§ 41-2534, 41-2537, 41-2538, and 41-2578. The person shall disclose on this statement any contact unrelated to the pending procurement that the person may need to have with a representative of a competing offeror and any contact with a representative of a competing offeror during the evaluation of proposals except those contacts specifically authorized per A.R.S. §§ 41-2534, 41-2537, 41-2538, and 41-2578. A person who has been identified as having a significant procurement role for this procurement and fails to disclose contact with a representative of a competing Offeror or who fails to provide accurate information on this statement is subject to civil penalty of at least one thousand dollars but not more than ten thousand dollars per A.R.S. § 41-2616(C).

(HRPP) Neonatal Consult & Case Management - Phoenix Children's cc: Agency File Page 2 of 3 SPO Form 120 - State Employee Procurement Disclosure Statement (rev 05-23-25 v3)

Jessica Payne

N/A

As mandated by A.R.S. § 38-503, I, , have listed on this form all ownerships, employments, public and private affiliations, and relationships held by me and/or a relative1 which may have a substantial (pecuniary2 and proprietary3) interest as defined in A.R.S. § 38-502(11) in any contract, sale, purchase or service involving the agency. I understand that as my interests or those of my relatives change, I may need to modify this statement.

The substantial interests, both pecuniary and proprietary, held by me and/or a relative which may involve the State include (attach additional sheets as necessary):

During the course of my regular business, I may have contact, unrelated to this procurement, with the Offerors or potential Offerors/Bidders listed below, who have submitted, or may submit, proposals in response to this solicitation (attach additional sheets as necessary):

1 “Relative” means my spouse, child, child’s child, parent, grandparent, brother or sister (of the whole or half-blood) and their spouses and the parent, brother, sister or child of my spouse.

2 “Pecuniary” means money or economic or other benefits that can be valued in monetary terms

3 “Proprietary” means ownership or rights by virtue of ownership, whether public or private.

Citations listed above are available on the SPO website, https://spointra.az.gov/resources/standard-forms-and-documents.

Statements

The Undersigned attests to and agrees to abide by the following statements:

I have read and understand the above and agree to be bound by the rules and principles represented. If applicable, I have also received, read and understand the Evaluation Committee Instructions for this procurement.

I know of no conflict of interest on my part nor have I committed any indiscretion or accepted any gratuities or favors that would compromise my impartiality. Further, I will not accept an offer of employment from or have employment discussions with any person or entity lobbying for or potentially responding to a solicitation during the defined time frame stated in A.R.S. § 41-753. I will maintain all deliberations of the Evaluation Committee in strict confidence during the evaluation process. My recommendations shall be based upon an objective/ subjective review of the Offeror’s response and the appropriate award criteria from the solicitation in accordance with the Arizona Procurement Code. I have read and understand A.R.S. §§ 41-753, 41-2517, and 41-2616(C) and will fully comply with the requirements.

I have not and will not communicate with any potential Offeror or vendor in preparation of specifications/scopes of work, evaluation tool or other confidential information related to the above referenced Solicitation which would provide an unfair advantage or to prepare specifications/scopes of work which favor particular vendor(s).

I have not and will not provide insight, confidential information or assistance to any potential Offeror or vendor that might give an unfair advantage or inhibit fair competition for the above referenced Solicitation. My input regarding the development of the Solicitation documents, if any, has been and will be based solely on the State’s requirements. I have not and will not communicate those requirements or confidential information to any potential Offeror or vendor.

https://spointra.az.gov/resources/standard-forms-and-documents cc: Agency File Page 3 of 3 SPO Form 120 - State Employee Procurement Disclosure Statement (rev 05-23-25 v3)

Arizona Department of Health Services

Jessica Payne jessica.payne@azdhs.gov

I know of no conflict of interest on my part nor shall I take any action (e.g., commit an indiscretion or accept any gratuities or favors) that would compromise my impartiality or my responsibilities. Should a conflict of interest become known to me relevant to my role, I shall immediately disclose such conflict of interest.

I shall not receive any direct benefit from the utilization of confidential information, specifications, plans, scopes of work, or evaluation tools I prepared or assisted in the preparation of.

I understand that if any actions by a public officer or employee of the State of Arizona has acted in a way that is inconsistent with State of Arizona procurement law, the inconsistent actions should be reported to the Compliance Unit of the State Procurement Office (SPO) via the Compliance Hotline.

I shall maintain strict security and confidentiality regarding the content of any proposal, as well as the proceedings of the Evaluation Committee meetings during the evaluation process that I may be a participant or attend as a committee member or a technical advisor.

I shall maintain strict security and confidentiality regarding the process or decisions regarding any protest or appeal that I am a participant, advisor or decision maker.

Whether recommending or selecting a vendor that will provide materials, services or construction to the State, approving a procurement or an evaluation tool or soliciting quotes greater than ten thousand dollars for the provision of materials, services or construction, I shall maintain strict security and confidentiality regarding the process and decisions to ensure fair competition.

Upon termination of my employment with the State, for any reason, these provisions and statements remain in effect until such time as the solicitation has been successfully awarded by the State, or the State provides me a written release. These provisions and statements apply if I accept employment with any entity, its affiliates, subcontractors, or business partners that may submit an offer or are included in an offer to this solicitation. I shall not accept an offer of employment from or have employment discussions with any person or entity lobbying for or potentially responding to a solicitation for one year following the delivery of purchased materials or the purchase of services or construction begins.

I understand that if I knowingly violate the terms of this Agreement, I will be subject to suspension for not less than ninety days or dismissal from State service.

The Undersigned has read and understands the above and agrees to be bound by the statements, rules, and principles represented herein and in accordance with the provisions of the State Statutes and Rules regarding personnel, conflict of interest, confidentiality, and procurement.

Please check the applicable box below:

Yes No I am an architect or an engineer registered pursuant to section A.R.S. § 32-121

Yes No I am a State employee who was employed within the past year by a person or firm responding to a solicitation, pursuant to A.R.S. § 41-2517(F)

Agency

Name Email Address

Title Telephone

High Risk Perinatal Program Manager 4803696947

Signature

10/14/25

Date mailto:jessica.payne@azdhs.gov https://spointra.az.gov/compliance/compliance-hotline cc: Agency File Page 1 of 3 SPO Form 120 - State Employee Procurement Disclosure Statement (rev 05-23-25 v3)

Dear Employee:

ARIZONA DEPARTMENT OF ADMINISTRATION

STATE PROCUREMENT OFFICE

PROCUREMENT DISCLOSURE STATEMENT

You have been selected to participate in the particular procurement activity as referenced above. Your selection was based on your technical knowledge and expertise in this area. Your regular job duties may not include procurement activities but for the purpose of this process you may play a significant procurement role in one or more of the following: participating in the development of a procurement as defined in A.R.S. § 41-2503;

participating in the development of an evaluation tool; approving a procurement as defined in A.R.S. § 41-2503 or an evaluation tool; serving as a technical advisor or an evaluator who evaluates a procurement as defined in A.R.S. § 41-2503; or recommending or selecting a vendor that will provide materials, services or construction to this state.

It is essential that the integrity of the procurement process be maintained to ensure that each Offeror is given fair and equal consideration. Your familiarity with particular brands, types of equipment, material, services, individuals or firms may tend to influence your evaluation; however, you are required in this specific instance to be particularly objective and guard against any tendency that might slant your evaluation in favor of a personal preference.

You are required to report to the Procurement Officer, or person facilitating the above referenced procurement process, any actual or potential conflict of interest as defined in A.R.S. §§ 38-503, 41-2616(C), 41-753, and 41-2517. You are also subject to the Code of Ethics set forth in Section A.A.C. R2-5A-501 of the Arizona Department of Administration, Personnel Division, Administrative Rules, and Regulations.

An additional consideration is the legal mandate to maintain strict security and confidentiality regarding the content of any proposal, as well as the proceedings of the Evaluation Committee meetings during the evaluation process.

Once the evaluation process has started, it is essential that any contact with Offerors, other than that disclosed, be through, and by, the Procurement Officer or person facilitating the above referenced procurement.

In addition, the Employee shall not have any communication related in any way to the particular procurement, except during formal Committee meetings, with any Offeror or potential subcontractor to that Offeror prior to award, nor shall that Member discuss the proposal or their evaluation with anyone other than the Procurement Officer, or person facilitating the above referenced procurement and Evaluation Committee Members. This is mandatory.

A person who holds a Significant Procurement Role as defined by A.R.S. §§ 41-741 and 41-2503 for a particular procurement shall sign a statement before starting any participation that the person has no financial interest in the procurement other than that disclosed and will have no contact with any representative of a competing Offeror related to the particular procurement during the course of evaluation of proposals, except those contacts specifically authorized per A.R.S. §§ 41-2534, 41-2537, 41-2538, and 41-2578. The person shall disclose on this statement any contact unrelated to the pending procurement that the person may need to have with a representative of a competing offeror and any contact with a representative of a competing offeror during the evaluation of proposals except those contacts specifically authorized per A.R.S. §§ 41-2534, 41-2537, 41-2538, and 41-2578. A person who has been identified as having a significant procurement role for this procurement and fails to disclose contact with a representative of a competing Offeror or who fails to provide accurate information on this statement is subject to civil penalty of at least one thousand dollars but not more than ten thousand dollars per A.R.S. § 41-2616(C).

(HRPP) Neonatal Consult & Case Management - Phoenix Children's cc: Agency File Page 2 of 3 SPO Form 120 - State Employee Procurement Disclosure Statement (rev 05-23-25 v3)

Mitchell Goldberg

As mandated by A.R.S. § 38-503, I, , have listed on this form all ownerships, employments, public and private affiliations, and relationships held by me and/or a relative1 which may have a substantial (pecuniary2 and proprietary3) interest as defined in A.R.S. § 38-502(11) in any contract, sale, purchase or service involving the agency. I understand that as my interests or those of my relatives change, I may need to modify this statement.

The substantial interests, both pecuniary and proprietary, held by me and/or a relative which may involve the State include (attach additional sheets as necessary):

During the course of my regular business, I may have contact, unrelated to this procurement, with the Offerors or potential Offerors/Bidders listed below, who have submitted, or may submit, proposals in response to this solicitation (attach additional sheets as necessary):

1 “Relative” means my spouse, child, child’s child, parent, grandparent, brother or sister (of the whole or half-blood) and their spouses and the parent, brother, sister or child of my spouse.

2 “Pecuniary” means money or economic or other benefits that can be valued in monetary terms

3 “Proprietary” means ownership or rights by virtue of ownership, whether public or private.

Citations listed above are available on the SPO website, https://spointra.az.gov/resources/standard-forms-and-documents.

Statements

The Undersigned attests to and agrees to abide by the following statements:

I have read and understand the above and agree to be bound by the rules and principles represented. If applicable, I have also received, read and understand the Evaluation Committee Instructions for this procurement.

I know of no conflict of interest on my part nor have I committed any indiscretion or accepted any gratuities or favors that would compromise my impartiality. Further, I will not accept an offer of employment from or have employment discussions with any person or entity lobbying for or potentially responding to a solicitation during the defined time frame stated in A.R.S. § 41-753. I will maintain all deliberations of the Evaluation Committee in strict confidence during the evaluation process. My recommendations shall be based upon an objective/ subjective review of the Offeror’s response and the appropriate award criteria from the solicitation in accordance with the Arizona Procurement Code. I have read and understand A.R.S. §§ 41-753, 41-2517, and 41-2616(C) and will fully comply with the requirements.

I have not and will not communicate with any potential Offeror or vendor in preparation of specifications/scopes of work, evaluation tool or other confidential information related to the above referenced Solicitation which would provide an unfair advantage or to prepare specifications/scopes of work which favor particular vendor(s).

I have not and will not provide insight, confidential information or assistance to any potential Offeror or vendor that might give an unfair advantage or inhibit fair competition for the above referenced Solicitation. My input regarding the development of the Solicitation documents, if any, has been and will be based solely on the State’s requirements. I have not and will not communicate those requirements or confidential information to any potential Offeror or vendor.

https://spointra.az.gov/resources/standard-forms-and-documents cc: Agency File Page 3 of 3 SPO Form 120 - State Employee Procurement Disclosure Statement (rev 05-23-25 v3)

Mitchell Goldberg

15:38:17 -07'00'

ADHS - BWCH

Mitchell Goldberg mitchell.goldberg@azdhs.gov

I know of no conflict of interest on my part nor shall I take any action (e.g., commit an indiscretion or accept any gratuities or favors) that would compromise my impartiality or my responsibilities. Should a conflict of interest become known to me relevant to my role, I shall immediately disclose such conflict of interest.

I shall not receive any direct benefit from the utilization of confidential information, specifications, plans, scopes of work, or evaluation tools I prepared or assisted in the preparation of.

I understand that if any actions by a public officer or employee of the State of Arizona has acted in a way that is inconsistent with State of Arizona procurement law, the inconsistent actions should be reported to the Compliance Unit of the State Procurement Office (SPO) via the Compliance Hotline.

I shall maintain strict security and confidentiality regarding the content of any proposal, as well as the proceedings of the Evaluation Committee meetings during the evaluation process that I may be a participant or attend as a committee member or a technical advisor.

I shall maintain strict security and confidentiality regarding the process or decisions regarding any protest or appeal that I am a participant, advisor or decision maker.

Whether recommending or selecting a vendor that will provide materials, services or construction to the State, approving a procurement or an evaluation tool or soliciting quotes greater than ten thousand dollars for the provision of materials, services or construction, I shall maintain strict security and confidentiality regarding the process and decisions to ensure fair competition.

Upon termination of my employment with the State, for any reason, these provisions and statements remain in effect until such time as the solicitation has been successfully awarded by the State, or the State provides me a written release. These provisions and statements apply if I accept employment with any entity, its affiliates, subcontractors, or business partners that may submit an offer or are included in an offer to this solicitation. I shall not accept an offer of employment from or have employment discussions with any person or entity lobbying for or potentially responding to a solicitation for one year following the delivery of purchased materials or the purchase of services or construction begins.

I understand that if I knowingly violate the terms of this Agreement, I will be subject to suspension for not less than ninety days or dismissal from State service.

The Undersigned has read and understands the above and agrees to be bound by the statements, rules, and principles represented herein and in accordance with the provisions of the State Statutes and Rules regarding personnel, conflict of interest, confidentiality, and procurement.

Please check the applicable box below:

Yes No I am an architect or an engineer registered pursuant to section A.R.S. § 32-121

Yes No I am a State employee who was employed within the past year by a person or firm responding to a solicitation, pursuant to A.R.S. § 41-2517(F)

Signature Date Agency

Name Email Address

Title Telephone

Operations Coordinator 480-261-2785 mailto:mitchell.goldberg@azdhs.gov https://spointra.az.gov/compliance/compliance-hotline

Arizona Dept. of Health Services (ADHS), Bureau of Women's and Children's Health (BWCH)

Lucas Terry on Behalf of BWCH lucas.terry@azdhs.gov

Procurement Specialist 480.521.2825

Provision of risk appropriate services of Level Ill, Level 11 EQ, and Level II for critically ill newborns for the Human Research Protection Program (HRPP), and Transportation suppliers certified through the Commission Accreditation of Medical Transport System (CAMTS).

Multiple - Reference attached document for contract number and supplier.

Multiple - Reference attached document for contract number, supplier and their Contract Total NTE Estimates.

- Authorization Request for a new CI

Through 6/30/2028 $5,000,000.00

- Compliance with A.R.S. §§ 41-2533, 41-2534, 41-2538, or 41-2578 is impracticable

HRPP has been previously contracted as Classification Competition Impracticable with suppliers since ADHS began receiving funding in 1972. HRPP requires that the hospitals, perinatologist, and neonatologist suppliers shall meet Level II, Level II EQs, and Level Ill.

Transportation suppliers shall be certified through the Commission Accreditation of Medical Transport Systems (CAMTS), specializing in perinatal and neonatal care in Arizona.

The HRPP requires maximum participation from each group throughout Arizona which makes these Contracts non-exclusive. This Program is inclusive of the following providers/services:

• Inpatient Physician Services Program

• Consultation and Case Management

• Hospital Program

• Transport Services

BWCH is requesting to continue these services with the current and any upcoming suppliers that meet all Level II, Level II EQs and Level Ill, and companies are certified through the Commission Accreditation of Medical Transport Systems (CAMTS), specializing in perinatal and neonatal care in Arizona, during the term of this CI.

It is in the best interest of the State to grant the continuation of this inclusive program designed to recognize and include current Physicians, Transport Providers, and Hospitals as well as recognize any new suppliers that may enter this area of service expertise to insure ADHS's ability to maintain an efficient perinatal care system that services high-risk perinatal mothers and critical ill neonates.

The Contractors are paid only after all other sources of reimbursement are exhausted; the HRPP serves as payer of last resort and sets fees based on Arizona Health Care Cost Containment System (HCCCS) fees. The physicians and hospital collect from all insurance companies or AHCCCS, and agree to honor the family liability limitations set by the HRPP. This financial liability to the families is based on income and family size. The physicians and hospitals write off outstanding debt if the Program funds are depleted. This safety net has been established to prevent financial devastation to the family. As the costs for these services are limited to established AHCCCS rates and available funding, pricing is determined to be fair and reasonable.

6/26/2023Lucas Terry Digitally signed by Lucas Terry Date: 2023.06.26 14:05:56 -07'00'

- Request Authorized Pursuant to R2-7-E303

6/30/2028

Gina Corwin Chief Procurement Officer

6/27/2023

Gina Corwin

Digitally signed by Gina Corwin Date: 2023.06.27 07:40:28 -07'00'

CONTRACTOR NAME CONTRACT

NUMBER SUPPLIER ID CURRENT NTE

AMOUNT

Abrazo Arrowhead CTR054252 IV000003754 $125,000.00 Abrazo West CTR064330 IV0000002964 $75,000.00 Dignity Health Chandler Regional CTR064306 IV0000002177 $250,000.00 Dignity Health Mercy Gilbert CTR054264 IV0000002178 $100,000.00 Flagstaff Medical Center CTR054260 IV0000001473 $125,000.00 HonorHealth Scottsdale Shea CTR054262 IV0000002909 $300,000.00 HonorHealth Sonoran Crossing CTR060787 IV0000002909 $75,000.00 Hushabye Nursery CTR054680 IV0000044527 $75,000.00 Jacob's Hope CTR061275 IV0000032480 $75,000.00 Mountain Vista Medical Center CTR041267 IV0000002964 $75,000.00 Northwest Medical Center CTR054265 IV0000003050 $75,000.00 Phoenix Children's Hospital CTR054266 IV0000002158 $200,000.00 St. Joseph's Hospital Carondelet CTR054267 IV0000010387 $120,000.00 Summit Healthcare Regional CTR054268 IV0000021535 $75,000.00 Tucson Medical Center CTR054269 IV0000002958 $175,000.00 Valleywise Health CTR054270 IV0000001582 $150,000.00 Yavapai Regional Medical Center CTR064296 IV0000000575 $75,000.00 Yuma Regional Medical Center CTR054271 IV0000002179 $125,000.00 Neonatal Specialists IV0000003857 $50,000.00 Obstetrix Medical Group of Phoenix CTR064295 IV0000003828 $225,000.00 Sheridan's Children Healthcare CTR049147 IV0000008885 $50,000.00 Banner University Medical Group CTR065913 IV0000001262 $50,000.00 Phoenix Children's Medical Group CTR076097 IV0000033486 $425,000.00 TMC Medical Network CTR069206 IV0000002958 $50,000.00 Banner University Medical Group Tucson CTR065912 IV0000001262 $5,000.00 Dignity Health Medical Group CTR065909 IV0000002178 $70,000.00 District Medical Group CTR065911 IV0000001581 $125,000.00

Banner University Medical Group Tucson CTR065914 IV0000001262 $5,000.00 Neonatal Specialists CTR065915 IV0000003857 $5,000.00 Obstetrix (PPA-N) [AzN] CTR065916 IV0000003828 $10,000.00 Sheridan Children's Health (DNA) CTR076100 IV0000008885 $10,000.00 District Medical Group CTR061324 IV0000001581 $5,000.00 Phoenix Children's Medical Group (PCMG) CTR050217 IV0000033486 $5,000.00 Developmental Consultant CTR065343 IV0000003373 Veer Consulting CTR064880 IV0000017498 American Medical Response CTR076102 IV0000011534 $50,000.00 Maricopa Ambulance CTR045895 IV0000027311 $25,000.00 Guardian Ground CTR053476 IV0000001473 $25,000.00 lucas terry Cross-Out

Professional Medical Transport CTR053478 IV000003637 $25,000.00 Rural Metro Ambulance CTR053477 IV000001094 $25,000.00 Southwest Ambulance CTR053486 IV000003345 $25,000.00 Guardian Air Coordination CTR053480 IV0000001473 $60,000.00 Air Methods/Life Net Coordination CTR053481 IV0000002430 $50,000.00 PHI Air Evac Coordination CTR053479 IV0000003108 $725,000.00 HRPP Consultation Line CTR051212 IV000003108 $90,000.00

PHOENIX CHILDREN'S MEDICAL GROUP

Unique Entity ID

LFDKSZ8A1F66

CAGE / NCAGE

4VDJ8

Purpose of Registration

All Awards

Registration Status

Active Registration

Expiration Date

Apr 24, 2026

Physical Address

1919 E Thomas RD

Phoenix, Arizona 85016-7710

United States

Mailing Address

1919 E Thomas RD

Phoenix, Arizona 85016-7710

United States

Business Information

Doing Business as

(blank)

Division Name

(blank)

Division Number

(blank)

Congressional District

Arizona 03

State / Country of Incorporation

Arizona / United States

URL

www.phoenixchildrens.com

Registration Dates

Activation Date

Apr 28, 2025

Submission Date

Apr 24, 2025

Initial Registration Date

Sep 7, 2007

Entity Dates

Entity Start Date

Sep 8, 1985

Fiscal Year End Close Date

Dec 31

Immediate Owner

CAGE

30XH5

Legal Business Name

PHOENIX CHILDREN'S HOSPITAL, INC

Highest Level Owner

CAGE

(blank)

Legal Business Name

(blank)

Executive Compensation

Registrants in the System for Award Management (SAM) respond to the Executive Compensation questions in accordance with Section 6202 of

P.L. 110-252, amending the Federal Funding Accountability and Transparency Act (P.L. 109-282). This information is not displayed in SAM. It is sent to USAspending.gov for display in association with an eligible award. Maintaining an active registration in SAM demonstrates the registrant responded to the questions.

Proceedings Questions

Registrants in the System for Award Management (SAM.gov) respond to proceedings questions in accordance with FAR 52.209-7, FAR 52.209-9, or 2. C.F.R. 200 Appendix XII. Their responses are displayed in the responsibility/qualification section of SAM.gov. Maintaining an active registration in SAM.gov demonstrates the registrant responded to the proceedings questions.

Exclusion Summary

Active Exclusions Records?

No

SAM Search Authorization

I authorize my entity's non-sensitive information to be displayed in SAM public search results:

Yes

Entity Types

Business Types

Entity Structure

Corporate Entity (Tax Exempt)

Entity Type

Business or Organization

Organization Factors

(blank)

Profit Structure

Non-Profit Organization

Last updated by Daniel Murphy on Apr 24, 2025 at 04:47 PM PHOENIX CHILDREN'S MEDICAL GROUP

Sep 11, 2025 07:55:55 PM GMT https://sam.gov/entity/LFDKSZ8A1F66/coreData?status=null Page 1 of 3

Socio-Economic Types

Check the registrant's Reps & Certs, if present, under FAR 52.212-3 or FAR 52.219-1 to determine if the entity is an SBA-certified HUBZone small business concern. Additional small business information may be found in the SBA's Dynamic Small Business Search if the entity completed the

SBA supplemental pages during registration.

Other Entity Qualifiers

Hospital

Financial Information

Accepts Credit Card Payments

Yes

Debt Subject To Offset

No

EFT Indicator

CAGE Code

4VDJ8

Points of Contact

Electronic Business

RYAN YEAGER, Vice President - Finance 1919 E Thomas RD

Phoenix, Arizona 85016

United States

DANIEL MURPHY, MR 1919 E Thomas RD

Phoenix, Arizona 85016

United States

Government Business

Daniel Murphy, SYSTEM CONTROLLER 1919 E Thomas RD

Phoenix, Arizona 85016

United States

DANIEL MURPHY, MR 1919 E Thomas RD

Phoenix, Arizona 85016

United States

Past Performance

DANIEL MURPHY, MR

1919 E Thomas RD

Phoenix, Arizona 85016

United States

RYAN YEAGER, MR 1919 E Thomas Road

Phoenix, Arizona 85016

United States

Service Classifications

NAICS Codes

Primary

Yes

NAICS Codes

622110

NAICS Title

General Medical And Surgical Hospitals

622310 Specialty (Except Psychiatric And Substance Abuse) Hospitals

Product and Service Codes

PSC PSC Name

Q501 Medical- Anesthesiology

Q503 Medical- Dentistry

Q504 Medical- Dermatology

Q505 Medical- Gastroenterology

Q509 Family & Internal Medicine Services

Q510 Medical- Neurology

Q514 Medical- Otolaryngology

Q515 Medical- Pathology

Q516 Medical- Pediatric

Q518 Medical- Physical Medicine/Rehabilitation

Last updated by Daniel Murphy on Apr 24, 2025 at 04:47 PM PHOENIX CHILDREN'S MEDICAL GROUP https://sam.gov/entity/LFDKSZ8A1F66/coreData?status=null Page 2 of 3

Q521 Medical- Pulmonary

Q522 Medical- Radiology

Q523 Medical- Surgery

Q525 Medical- Urology

Disaster Response

This entity does not appear in the disaster response registry.

Last updated by Daniel Murphy on Apr 24, 2025 at 04:47 PM PHOENIX CHILDREN'S MEDICAL GROUP https://sam.gov/entity/LFDKSZ8A1F66/coreData?status=null Page 3 of 3

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ARIZONA SECRETARY OF STATE

(https://azsos.gov)

(https://azsos.gov) Elections (https://azsos.gov/elections) Business (https://azsos.gov/business)

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File ID: 599652

Name: PHOENIX CHILDREN'S MEDICAL GROUP

Business Address:

1919 E Thomas Rd Phoenix, Arizona 85016

Mailing Address:

1919 E Thomas Rd Phoenix, Arizona 85016

Phone: 602-933-1000

Date of First Use:

September 8, 1985

Date Registered:

June 12, 2014

Expiration Date:

June 12, 2029

Applicants: PHOENIX CHILDREN'S HOSPITAL, INC. Corporation

Registration Information:

Registration Received:

February 8, Expires: June 12, https://azsos.gov/ https://azsos.gov/ https://azsos.gov/ https://azsos.gov/ https://azsos.gov/ https://azsos.gov/ https://azsos.gov/ https://azsos.gov/elections https://azsos.gov/business https://azsos.gov/services https://azsos.gov/rules https://azsos.gov/about

Registration Received:

June 10, Registration Received:

June 12, Correspondence History:

Trade Name Renewal: Filed: February 8, Trade Name Renewal: Filed: June 10, 2019

Trade Name Application:

Filed: June 12, 2014

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