The Maricopa Integrated Health System (MIHS) will ask Maricopa County voters in November to approve a property tax increase for a General Obligation bond request of $935 million ($1.6 billion with interest) over 27 years. ATRA has formally announced its opposition for a variety of reasons.

Proposition 480 seeks to rebuild most of the facilities associated with MIHS but actually reduces the number of beds at the Maricopa Medical Center (MMC) facility from 515 beds to about 250 because they currently only use about 280 with a 70% occupancy rate. They also wish to build new facilities for the regional burn center, the level one trauma facility, consolidate the behavioral health facilities, and build new or update existing outpatient clinics.

According to MIHS officials, their services represent just five percent of the market share of all medical services rendered in Maricopa County. New regional outpatient clinics will serve as the spokes in their model, which perform triage and funnel patients to their hub at MMC. Existing MIHS outpatient clinics are typically older than private and nonprofit clinics, limiting their market share. Arizona Tax Research Association’s opposition can be summarized to three major points: taxes, timing, and process.