>> TED: COMING UP NEXT ON ARIZONA ARIZONA HORIZON.

THE LATEST ON THE TRUMP ADMINISTRATION TO FIND THE U.S. SUPREME COURT FOR NOT DEPORTING AN EL SALVADOR MAN AND MAYO CLINIC ARIZONA ANNOUNCE AS MAJOR EXPANSION OF ITS PHOENIX CAMPUS.

THOSE STORIES AND MORE NEXT ON ARIZONA HORIZON.

>> GOOD EVENING, AND WELCOME TO ARIZONA HORIZON.

I'M TED SIMONS.

THE WHITE HOUSE TODAY SAID A MAN WRONGLY DEPORTED TO EL SALVADOR WILL NOT BE RETURNED TO THE U.S.

DESPITE A SUPREME COURT ORDER THAT THE U.S. MUST FACILITATE THE MAN'S RETURN.

THAT WAS THE FALLOUT OF THIS MORNING'S MEETING BETWEEN THE PRESIDENT OF EL SALVADOR THIS MORNING AND PAM BONDY REITERATED THAT THE U.S. HAS NO SAY IN THE MATTER, THAT IT'S NOW ALL UP TO EL SALVADOR.

>> ADDITIONAL PAPERWORK HAD NEEDED TO BE DONE.

THAT'S UP TO EL SALVADOR, IF THEY WANT TO RETURN HIM.

THAT'S NOT UP TO US.

THE SUPREME COURT RULED PRESIDENT THAT IF EL SALVADOR WANTS TO RETURN -- THIS IS INTERNATIONAL MATTERS.

IT'S FOREIGN AFFAIRS.

IF THEY WANTED TO RETURN HIM, WE WOULD FACILITATE IT, MEANING PROVIDE A PLANE.

>> BUT EL SALVADOR'S PRESIDENT SAID HE DOESN'T HAVE THE POWER TO RETURN SOMEONE WHO'S BEEN DEPORTED TO HIS COUNTRY.

>> HOW CAN I RETURN HIM?

[ INDISCERNIBLE ] I'M NOT GOING TO DO IT.

IT'S LIKE IT'S PREPOSTEROUS.

I DON'T HAVE THE POWER TO RETURN HIM TO THE UNITED STATES.

>> >> TELEVISION ON CAPITOL HILL ARE ASKING -- DEMOCRATS ON CAPITOL HILL ARE ASKING WHY FUNDING TO COMBAT GANGS AND DRUG TRAFFICKERS ARE BEING USED TO DEPORT MIGRANTS WITH NO CRIMINAL RECORDS.

>>> HARVARD UNIVERSITY REJECTED PRESIDENT TRUMP'S DEMANDS THAT THE UNIVERSITY CHANGE ITS POLICIES.

THEY CALLED ITS ACTIONS UNLAWFUL AND THUS BECAME THE FIRST TO NOT COMPLY WITH THE DEMANDS.

HARVARD IS RISKING BILLIONS OF DOLLARS IN FEDERAL AID, THE UNIVERSITY HAD BEEN CRITICIZED FOR APPEARING TO CAPITULATE TO PRESIDENT TRUMP'S PRESSURE.

>>> AND A NEW HEALTH TEST, THE RISK OF DEMENTIA COULD BE LOWERED.

400,000 OLDER ADULTS WERE IN A TEST THAT FOUND THAT THEY HAD LOWER RISK OF COGNITIVE IMPAIRMENT WITH EXPOSURE TO COMPLEX MENTAL ACTIVITIES.

THE STUDY'S AUTHORS SAY THAT THEIR FINDINGS ARE NOT AN ENDORSEMENT FOR MINDLESS SCROLLING.

>> AS WE MENTIONED, PRESIDENT TRUMP TODAY SAID THAT A MARYLAND MAN WRONGLY DEPORTED TO EL SALVADOR WILL NOT BE RETURNED TO THE U.S., EVEN NOTE SUPREME COURT HAS RULED THAT THE U.S. MUST FACILITATE THE MAN'S RETURN.

TO DISCUSS THIS DEVELOPING SITUATION, WE WELCOME ROY HERERRA, GOOD TO SEE PICKUP.

>> GOOD TO SEE YOU.

THANKS FOR HAVING ME.

>> FIRST OF ALL, LET'S DESCRIBE THE CASE.

WHO IS THIS GUY FROM MARYLAND?

WHAT'S HAPPENED TO HIM?

>> THIS IS AN INDIVIDUAL THAT ENTERED THE COUNTRY ILLEGALLY YEARS AGO, I THINK OVER A DECADE AGO.

AND IN 2017 HE RECEIVED AN IMMIGRATION JUDGE ORDER THAT BASICALLY PROHIBITED HIS REMOVAL FROM THE UNITED STATES, THE BASIS OF THE IMMIGRATION JUDGE'S ORDER WOULD THAT HE WOULD FACE PERSECUTION HE WENT BACK TO EL SALVADOR.

THESE KIND OF ORDERS ARE BINDING ON THE EXECUTIVE BRANCH AND IF YOU FAST-FORWARD TO THE TRUMP ADMINISTRATION RECENTLY, OF COURSE THEY'VE INCREASED INTERIOR ENFORCEMENT AND DEPORTATION ACTIONS AND HE WAS EVENTUALLY ARRESTED AND DEPORTED BACK TO EL SALVADOR AND NOW AT THIS MAXIMUM SECURITY PRISON THAT'S NOTORIOUS FOR HOUSING GANG MEMBERS AND THINGS LIKE THAT.

>> HE WAS ARRESTED AND DEPORTED FOR BEING HERE ILLEGALLY?

>> EXACTLY.

OF COURSE, THERE'S LITIGATION, HIS LAWYERS EVENTUALLY FILED A LAWSUIT TO TRY TO GET HIM BACK TO THE UNITED STATES.

AND DURING THE COURSE OF THAT LITIGATION, THE ADMINISTRATION ADMITS THAT THERE WAS AN ADMINISTRATIVE ERROR.

THEY WERE AWARE OF THIS IMMIGRATION JUDGE ORDER BUT THEY DEPORTED HIM ANYWAY AND SHOULDN'T HAVE DONE THAT.

THE COURT ORDER EXPRESSLY FORBIDS DEPORTATION.

THE FEDERAL COURT'S JUDGE DEMANDS THE MAN'S RETURN.

HE'S STILL IN EL SALVADOR.

WHAT'S GOING ON?

>> HE DID.

SO WE GET A FEDERAL DISTRICT COURT JUDGE IN THE RECENT LITIGATION, THE RECENT LAWSUIT THAT SAYS YOU HAVE TO GET HIM BACK.

YOU HAVE TO FACILITY TATE AND EFFECTUATE HIS CONCERN.

THE SUPREME COURT SAYS YOU HAVE TO FACILITATE THIS.

WE AGREE WITH THE DISTORT JUDGE.

WE DON'T KNOW QUITE WHAT EFFECTUATE MEANS BUT IT'S REHANDED BACK TO THE DISTRICT COURT JUDGE TO TRY TO MAKE THIS HAPPEN AND FACILITATE HIS RETURN.

>> SO THE SUPREME COURT SAYS WE DON'T KNOW WHAT EFFECTUATE MEANS BUT WE KNOW WHAT FACILITATE MEANS.

WHAT DOES IT MEAN?

>> WELL, YOU AND I WOULD PROBABLY TAKE THAT TO MEAN THAT NOW THE ADMINISTRATION HAS TO USE ITS OWN EFFORTS TO GET THIS PERSON BACK.

THE PROBLEM IS THAT NOTHING HAS HAPPENED SINCE THIS HAS GOTTEN BACK TO THE DISTRICT COURT JUDGE.

THE DISTRICT COURT JUDGE HAS NOW SAID GIVE ME 24 HOUR UPDATES ON THE PROGRESS OF HIS RETURN AND EVERY UPDATE SINCE THEN THERE'S BEEN NO UPDATE.

ESSENTIALLY THIS INDIVIDUAL IS STILL DOWN AT THIS PRISON, AND THEN WE SAW TODAY WITH THE PRESS CONFERENCE BETWEEN THE EL SOLVE DORIAN PRESIDENT AND PRESIDENT TRUMP WHERE TRUMP BASICALLY SAID I CAN'T DO ANYTHING ABOUT IT, AND THE ELF SALVADORIAN PRESIDENT SAID SOMETHING SIMILAR.

SO WE'RE STUCK IN A PLACE WHERE HE'S STILL OVER THERE, YET, WE HAVE A FEDERAL JUDGE'S ORDER SAYING HE HAS TO BE RETURNED.

AND THE SUPREME COURT MENTIONED A DEFERENCE OWED TO THE EXECUTIVE BRANCH IN THE CONDUCT OF FOREIGN AFFAIRS.

DOES THIS -- DOES THAT APPLY HERE?

>> SO THAT HAS SORT OF BEEN THE LEGAL BASIS THAT THE ADMINISTRATION HAS TAKEN THROUGHOUT THIS LITIGATION.

IT BASICALLY IS ARGUING, ESSENTIALLY IT'S A SEPARATION OF POWERS ARGUMENT.

SAYING THAT THE COURTS CANNOT INTERFERE ON THE FOREIGN POT OF THE UNITED STATES THAT'S EXCLUSIVELY WITH THE EXECUTIVE BRANCH, EXCLUSIVELY WITH THE PRESIDENT AND WITHIN FOREIGN POLICY IS IMMIGRATION POLICY, AND SO THEREFORE YOU CANNOT ORDER ME TO DO ANYTHING IN THAT SPACE.

NOW, THE DISTRICT COURT JUDGES REJECTED THAT ARGUMENT AND SAID, NO, ACTUALLY, I CAN.

THIS WAS AN UNLAWFUL REMOVAL AND I'M GOING TO ORDER TO YOU BRING HIM BACK, BUT AGAIN WE'RE STILL STUCK IN THIS PLACE WHERE THE ADMINISTRATION IS SAYING YOU CAN'T ORDER TO US DO THAT.

>> AND THE PRESIDENT CALLED THE SUPREME COURT DECISION VAGUE AND THE LOWER COURT SAID AT LEAST TRY TO GET HIM BACK.

>> THAT WAS PART OF THEIR ORIGINAL ORDER.

DOESN'T SOUND LIKE THEY'RE TRYING.

>> IT DOESN'T SOUND LIKE IT.

AND I HESITATE TO SAY WE'RE SORT OF ENTERING INTO CONSTITUTIONAL CRISES.

I DON'T THINK WE'RE THERE YET.

BUT THE LONG THEY ARE GOES WE MAY BE ENTERING THAT WHERE WE'RE IN THIS WORLD WHERE ESSENTIALLY WE HAVE A FEDERAL JUDGE, A JUDICIARY TELLING THE EXECUTIVE BRANCH YOU HAVE TO DO SOMETHING AND THE PRESIDENT SAYING NO I DON'T HAVE TO DO THAT, IF THIS CONTINUATION I THINK YOU'RE PROBABLY GOING TO START SEEING THE JUDGE THINKING ABOUT CONTEMPT OF COURT PROCEEDINGS, SANCTIONS, THINGS LIKE, THAT NORMALLY THAT'S WHAT HAPPENS IF YOU DEFY A COURT ORDER BUT ARE THEY GOING TO DO THAT AGAIN FOR THE ADMINISTRATION IN.

>> AND THAT JUDGE SEEMS LIKE IT'S FIGHTING BACK, SEEMS LIKE THE ADMINISTRATION IS FIRING BACK.

THEY DO SEEM LIKE LAGERHEADS HERE.

>> IT'S HARD TO SORT OF SEE WHAT THE BREAK WILL BE HERE.

THE REALITY OF COURSE IS THE WHITE HOUSE IS SAYING I DON'T HAVE THE POWER TO BRING HIM BACK BUT WE ALL KNOW THE REALITY HERE, EL SALVADOR IS A SMALL COUNTRY.

THE PRESIDENT, I THINK VERY CLEARLY COULD TELL THE PRESIDENT OF EL SALVADOR TO DO THIS, BUT HE CLEARLY HAS NOT ASK HAD HAD TAMPA DO THAT.

>> THE ADMINISTRATION BEING THIS BALLOTTIVE, THEY ADMITTED THEY MADE A -- THIS COMBATIVE.

THEY ADMITTED IT WAS AN ADMINISTRATIVE ERROR, WHATEVER YOU WANT TO CALL IT, OF COURSE, NOW THEY'RE WALKING BACK THE IDEA -- STEPHEN MILLER TODAY SAID IT WASN'T A MISTAKE, BUT AN ADMINISTRATIVE ERROR, SOMETHING ALONG THOSE LINES.

BUT WHY FIGHT SO HARD ON THIS?

>> I THINK IT HAS TO DO WITH THE OVERALL POSTURE OF THE ADMINISTRATION IN THAT THEY ARE TAKING THE VIEW KIND OF SIMILAR TO WHAT WE MENTIONED BEFORE, THAT THE COURTS SIMPLY DON'T HAVE JURISDICTION HERE.

THEY ARE NOT ALLOWED TO TELL THE EXECUTIVE BRANCH WHAT TO DO IN THIS AREA.

FOR EXAMPLE THE ADMINISTRATION IN OTHER PROCEEDINGS, THIS DOESN'T APPLY IN THIS PARTICULAR CASE, INVOKING THE ALIEN ENEMIES ACT WHICH IS ANOTHER PART OF FEDERAL LAW ESSENTIALLY ALLOWING THEM TO DEPORT EVEN MORE PEOPLE INCLUDING PEOPLE WHO ARE HERE ILLEGAL PLEA AND GOES BACK TO THE SAME IDEA THAT IN THIS PARTICULAR AREA THE ADMINISTRATION IS ESSENTIALLY SAYING NO ONE CAN QUESTION US ON THIS.

ALSO LITIGATION RELATED TO THE USE OF THE ALIEN ENEMIES ACT AND THAT'S ALSO GOING TO GO THROUGH THE COURTS BUT ULTIMATELY WHAT WE'RE HEADING TOWARDS HERE IS A U.S. SUPREME COURT DECISION I THINK ON EXACTLY WHAT THE PARAMETERS OF THAT EXECUTIVE POWER ARE, AND THEN THERE'S STILL THE QUESTION OF WHETHER HE'S GOING TO LISTEN.

>> INDEED, AND I THINK THE PRESIDENT MADE HEADLINES BY SAYING, QUOTE, I LIKE THE SUPREME COURT.

SO WHO KNOWS WHAT THAT MEANS BUT SOUNDS AS IF HE WANTS TO GET TO THE SUPREME COURT.

>> IT SOUNDS THAT WAY.

AND SOME OF THE COMMENTS ARE EVEN AN EXTREME VERSION OF THIS.

HE'S INDICATED IN SOME OF HIS COMMENTS THAT HE BELIEVES THAT THE POWER TO REMOVE PEOPLE FROM THE COUNTRY BECAUSE THEY'RE CRIMINALS, FOR EXAMPLE, MAY EVEN SEND IT TO U.S. CITIZENS.

THE FACT THAT THE THREE LIBERAL JUSTICES SHOW THAT THAT IS ESSENTIALLY WHAT WE'RE HEADED TOWARDS.

IF THAT WERE TO HAPPEN IN A MORE ELEVATED SITUATION, IT WILL BE MORE COMBATIVE.

>> IS THAT BEFORE OR AFTER DUE PROCESS.

>> THE INTERESTING THING IN THE ALIEN ENEMIES ACT CASES IS THAT THE U.S. SUPREME COURT HAS SAID THAT THERE SHOULD BE DUE PROCESS, THAT IF YOU'RE GOING TO BE REMOVED UNDER THIS ACT, YOU HAVE TO HAVE SOME FORM OF DUE PROCESS.

USUALLY THROUGH A HABEAS PROCEEDING IN THE AREA WHERE THE PERSON LIVES, YOU KNOW, WHERE THEY'RE DEPORTED FROM, AND THE COURT ALSO HAVE TO PROVIDE SOME DUE PROCESS.

AGAIN, IT'S UNCLEAR WHETHER THE ADMINISTRATION WILL LISTEN TO THIS, AND GOING BACK BACK TO THE INDIVIDUAL IN EL SALVADOR THAT WE STARTED TALKING ABOUT, HE WASN'T AFFORDED ANY DUE PROCESS, OF COURSE, HE WAS RUSHED AND THROUGH ADMINISTRATIVE ERROR HE WAS DEPORTED, WE HAVEN'T EVEN GOT TO THE SORT OF MERES OF THIS.

THE ADMINISTRATION IS CLAIMING THAT HE WAS SOMEHOW PART OF MS13.

HIM AND HIS LAWYERS ARE SAYING THAT IS ABSOLUTELY FALSE.

THE JUDGE IN THE DISTRICT COURT CASE HAS SAID I HAVE NOT SEEN THAT PRESENTED IN ANY EVIDENCE, SO IF THERE WAS DUE PROCESS YOU WOULD FUEL ASSUME THIS THAT WOULD BE WHEN THE ADMINISTRATION WOULD PRESENT THIS EVIDENCE BUT MY OPINION IS IT DOES NOT EXIST.

>> ONE OF OUR GO-TO GUYS -- IT'S LIKE A LAW CLASS EVERY DAY WITH THIS.

>> IT IS.

AND THIS IS ONE OF MANY AREAS WHERE THERE'S NEW LEGAL QUESTIONS THAT THE U.S. SUPREME COURT WILL HAVE TO DEAL WITH.

>> GOOD TO HAVE YOU HERE.

>> THANK YOU.

>> HOME BUILDING IN PHOENIX WILL LIKELY GET MORE EXPENSIVE THIS SUMMER.

THE REASON, HIGHER DEVELOPMENT FEES, TO LEARN MORE WE WELCOME OUR REAL ESTATE REPORTER FOR THE ARIZONA REPUBLIC, AZCENTRAL.COM, GOOD TO SEE YOU, CATHERINE.

>> ALWAYS GREAT TO HANG OUT WITH YOU.

>> ALL RIGHTY.

>> INFRASTRUCTURE.

WE NEED INFRASTRUCTURE.

WE HAVE SO MUCH GROWTH COMING PARTICULARLY IN THE NORTHWEST VALLEY THAT THEY NEED NEW ROADS, THIS HE NEED NEW WASTEWATER, THEY NEED NEW SEWERS, THEY NEED NEW BRIDGES AND SO THAT'S IMPACT FEES AND IT'S BEEN FIVE YEARS.

THEY'RE EVALUATED EVERY FIVE YEARS.

THE PROPOSAL CAME BACK AND THE DEVELOPERS PUSH BACK.

AND THE CITY OF PHOENIX CAME BACK AND BROUGHT THEM DOWN A LITTLE BIT, BUT THE HIGHEST ONE THAT'S NOT A SPECIAL ONE WILL BE AROUND THE AREA WHERE THOUSANDS OF HOUSES ARE PLANNED.

IT PASSED THE CITY COUNCIL, THERE WAS SOME PUSH BACK.

BUT IT DID PASS.

>> AND IT'S BECAUSE THAT'S NOT A DEVELOPED AREA.

IT NEEDS THAT INFRASTRUCTURE, CORRECT?

>> RIGHT.

>> AND OLDER AREAS LIKE SAY MARYVALE OR CENTRAL PHOENIX, THAT DOESN'T MEAN AS MUCH INFRASTRUCTURE OR, YOU KNOW, JUST NEEDS UPKEEP, BUT THIS IS ALL FOR NEW INFRASTRUCTURE, SO THOSE AREAS HAVE SMALLER IMPACT FEES.

SO SEEMS LIKE INFIELD DEVELOPMENTS MIGHT GET A BREAK HERE.

>> YEAH.

I MEAN, THEIR IMPACT FEES PRETTY MUCH WENT UP ACROSS THE BOARD BUT NOT THOSE KIND OF INCREASES.

>> DOUBLE DIGIT HIKE IN IMPACT FEES.

>> YEAH.

AND GILBERT AND PEORIA ALSO HAD DOUBLE DIGIT HIKES.

>> OKAY, AND WE'RE FOCUSING ON PHOENIX BECAUSE IT'S THE THE BIG CAHOON HERE.

HOW MUCH IS PASSED ON TO RENTER ANDS HOW MUCH IS PASSED ON TO HOMEBUYERS.

>> OTHER THINGS ARE GOING UP, HIGHER CONSTRUCTION FEES, HIGHER MATERIAL FEES, HIGHER LAND COSTS, THOSE ARE ALL THERE.

DEPENDS ON WHO YOU TALK TO, BUT MOST IN THE REAL ESTATE INDUSTRY SAY MOST OF THAT WILL BE PASSED ON TO THE HOMEBUYER OR THE RENTER.

>> AND I SAW IT COULD RAISE THE COST BY $35,000.

>> YEAH.

AND WE'RE LOOKING AT A MEDIUM PRICE RIGHT NOW OF ABOUT 490.

>> TARIFFS, IT'S GOTTA FACTOR IN, DOESN'T IT.

>> YEAH, THE NATIONAL HOME BUILDERS ASSOCIATION CAME OUT WITH THE REPORT BASED ON THE FIRST ROUND OF TARIFFS.

AND I KNOW WE ARE ON HOLD.

I TALKED TO A LOCAL HOMEBUILDER HERE, WHO AGREED AND SAID, YES, I CAN TELL YOU EXACTLY HOW.

>> SO THE IMPACT ON WHAT CAN BE A STRUGGLING MARKET.

>> IT CAN BE, AND BECAUSE WE JUST CAME OUT WITH HOME SALES NUMBERS FOR MARCH AND HOME SALES WERE UP.

>> MEET YUM PRICE IS FLAT AND PRICES FOR HOME PRICES ARE DROPPING AND WE'RE NOT SEEING THAT BECAUSE WE HAVE ALL OF THIS GROWTH COMING IN BUT THERE AREN'T ENOUGH EXISTING HOMES TO HOUSE PEOPLE AND WE DON'T WANT THEM TO HAVE TO DRIVE AN HOUR AND A HALF.

WE'VE.

>> DOES ANY OF THIS AFFECT PEOPLE LOSING THEIR HOMES AND FORECLOSURES?

>> WE'LL SEE.

WE'LL SEE WHAT IT DOES WITH COSTS AND SEE WHAT PEOPLE CAN DO AND WITH INTEREST RATES BUT MEDIUM INCOMES ARE UP HERE BECAUSE WE HAVE HIGHER PAYING JOBS AND THAT'S A GOOD THING AND SEEING THE SALES GO BECAUSE PEOPLE ARE LOOKING AROUND AND THEY'RE LIKE, IF INTEREST RATES WILL CLIMB MORE, IF HOME PRICE ALSO CLIMB MORE WITH ALL OF THIS GROWTH, LET'S GET THEM WHILE WE CAN, AND WE DON'T HAVE THE BAD LOANS OF THE CRASH, THE BOOM AND THE BUST, SO THAT'S A DIFFERENT THING.

>> ECONOMIC UNCERTAINTY.

>> I TALKED TO THE WP CAREY SCHOOL LAST FRIDAY AND LARRY SOMERS SAID IT'S CRIPPLING US.

YOU DON'T KNOW WHAT TO DO.

ARE THE TARIFFS GOING TO GO UP?

WHAT'S INFLATION GOING TO DO?

HE'S CALLING FOR MORTGAGE RATES TO GO UP TO 7 TO 8%, AND INFLATION TO STAY HIGH.

HE GAVE THE ODDS A 60% THAT WE WOULD IN A RECESSION BY THE END OF THE YEAR, BUT HE CALLED IT A RECESSION LIKE 2001, NOT LIKE THE GREAT RECESSION, AND 2001 WE DIDN'T FEEL THAT MUCH HERE IN METRO PHOENIX OR ARIZONA.

IT WAS REALLY THE DOT-COMS THAT FELT IT AND SAN FRANCISCO FELT IT.

>> AND OUR GROWTH IS KIND OF AN UMBRELLA ON A LOT OF THESE PROBLEMS ISN'T IT.

>> HE SAID, WE'RE THE HUB FOR DATA CENTERS AND IN A BETTER POSITION I WOULD SAY IN SOME AREAS.

IT'S NOT THAT WE'RE NOT GOING TO FEEL THE PAIN OR THE UNCERTAINTY, NOT THAT WE'LL HAVE MORE IMPACT FEES AND TARIFF FEES BUT HAVE TO PAY FOR THE GROWTH.

>> WHAT ARE YOU HEARING AS FAR AS FORECASTING NOW DOWN THE ROAD?

HOME PRICES, RENTAL PRICES AND PROPERTY FOR PEOPLE TO LIVE IN.

>> NOT HEARING ANY CALLS FOR BIG RENT INCREASE.

IF YOU DRIVE AROUND, YOU'LL SEE ON NEW VERY NICE COMPLEXES, ONE MONTH FREE, TWO MONTHS FREE IN CONCESSIONS, AND HOME SALES ARE REALLY DOING BETTER BECAUSE OF THE CONCESSIONS.

BUILDERS ARE GETTING BIG CONCESSIONS, AND HOMEOWNERS WHO WANT TO SELL ARE GETTING CONCESSIONS INCLUDING BUYING DOWN MORTGAGE RATES AND THAT HELPS.

>> OKAY, SO GOOD NEWS THERE.

>> YEAH.

>> LOOKING FOR GOOD NEWS.

>> WE'LL TAKE IT.

>> YES, WE WILL.

ARIZONA REPUBLIC, AZCENTRAL.COM, GOOD TO SEE YOU AGAIN.

>> GOOD TO SEE YOU, THANK YOU.

>> MAYO CLINIC ARIZONA ANNOUNCED A 1.2 MILLION SQUARE FOOT CAMPUS TO THEIR PHOENIX CAMPUS, AN INVESTMENT OF $1.9 BILLION.

JOINING US NOW IS DR. HUMPHREYS, DIRECTOR OF THE EXPANSION PROJECT.

GOOD TO HAVE YOU HERE.

>> THANKS SO MUCH FOR HAVING ME.

>> 1.9 BILLION INVESTMENT IN ARIZONA.

WHY THE DECISION TO BE EXPAND?

>> THIS IS SO IMPORTANT BECAUSE WHEN YOU THINK ABOUT HEALTHCARE IN ARIZONA, YOU THINK THAT THERE IS HEALTHCARE IN ARIZONA BUT WHAT WE RECOGNIZE IS HOW IMPORTANT IT IS FOR SERIOUS AND COMPLEX CARE.

THAT IS WHERE THIS INVESTMENT REALLY TRANSFORMS HOW WE THINK ABOUT HEALTHCARE AND HOW WE DELIVER HEALTHCARE AND.

>> AND THIS IS WHAT YOU MEAN BY INTEGRATIVE TECHNOLOGIES AND THESE SORT OF THINGS.

>> EXACTLY.

REALLY BLURRING WHAT WE THINK ABOUT IN PHYSICAL SPACES AND DIGITAL SPACES.

>> THINGS LIKE AMBIENT LISTENING WHERE THE DOCTOR IS NO LONGER LOOKING AT A COMPUTER BUT IT'S AUTOMATICALLY PULLED UP.

>> SO DIGITAL CARE IS A BIG FACTOR HERE.

>> YES.

BLURRING THE LINES BETWEEN PHYSICAL AND DIGITAL SPACE.

CHALLENGING THE CONVENTIONAL THOUGHT THAT WE'VE HAD ABOUT HEALTHCARE REALLY TRANSFORMING THE WAY WE THINK AND DELIVER HEALTHCARE.

>> BLURRING THE LINES MAYBE BETWEEN INPATIENT AND OUTPATIENT CARE?

>> EXACTLY RIGHT.

WHAT USED TO BE ONLY AN OUTPATIENT ROOM, HOW ABOUT IF THAT'S SEEN THERE AND THEN THEIR CARE ESCALATES AND INSTEAD OF THEM MOVING AROUND THAT CHASE CHANGES TO MEET THE NEEDS OF THE PATIENT.

>> OBVIOUSLY BETTER FOR PATIENTS, BETTER FOR STAFF, HOW SO.

>> PART OF THE PROJECT IS FOCUSING ON THE PATIENT.

BUT HOW DOES THE STAFF GET THERE, HOW CAN YOU FACILITATE THE JOB?

HOW DO WE CARE BETTER FOR PATIENTS TODAY?

>> HOW DO YOU KNOW THAT THIS IS WHAT WE SHOULD DO OVER HERE AND THIS IS WHAT WE SHOULD DO OVER THERE.

ARE THERE.

YOU DO YOU TAKE INPUT FROM STAFF?

HOW DOES IT WORK?

>> WE KNOW HOW MUCH WE NEED IN TERMS OF IMAGING AND O.R.

O.R.s AND SCHEDULED PROVIDER ROOMS.

WE TAKE ALL OF THAT TOGETHER AND LEAN INTO THE EXPERTISE OF OUR SCIENTISTS AND SURGEONS AND OUR STAFF AND FACILITATE ALL OF THAT TO REALLY THINK ABOUT WHAT DO THESE SPACES LOOK LIKE.

IN THE WAY THAT WE'RE THINKING ABOUT THESE SPACES AND SOMETHING CALLED A NEIGHBORHOOD CONCEPT WHERE IT IS REALLY THINKING ABOUT ACCESS, WHO NEEDS WHAT AND HOW WE DELIVER THAT CARE.

>>.

THIS IS INCREDIBLE LOOKING STUFF HERE.

THAT'S WHAT I INCREASE TO 60%, THE SIZE.

ANYONE WHO'S BEEN OUT THERE, THIS IS ALREADY A MAMMOTH ENDEAVOR.

>> RIGHT NOW IT'S A 60% INCREASE IN OUR SPACE.

>> ALMOST A 70% INCREASE IN OUR IMAGING AND CARDIOLOGY AND OTHER ASPECTS OF CARE.

>> ARE YOU BUILDING OUT OR BUILDING UP OR BOTH?

>> WE'RE BUILDING UP AND WE'RE BUILDING OUT.

WE'RE THINKING ABOUT THAT PATIENT JOURNEY.

HOW DO WE GET TO THESE PATIENTS WITHOUT A LOT OF UNINTENTIONAL EFFORT SO THEY KNOW WHERE TO GO AND HOW TO NAVIGATE THROUGH OUR SYSTEM.

>> BEDS, OPERATING ROOMS, HOW MANY MORE?

OR LOTS MORE, SIGNIFICANTLY MORE?

OR IS IT MORE TECHNICALLY BASED?

>> SIGNIFICANTLY MORE BOTH.

MORE OF OUR CLINICAL SPACE OF WHAT WE CALL OUR DEDICATED ROOMS FOR PATIENTS SCHEDULED ENCOUNTERS BUT ALSO THINKING ABOUT THE SUPPORT SERVICES THAT GO INTO THAT IMAGING, THE THE MRIs, THE CTs, THE O.R.s, THINKING ABOUT NEW CURES, NEW INNOVATIONS.

>> I WANT TO GO BACK.

YOU MENTIONED NEIGHBORHOODS.

THE IDEA OF CARE NEIGHBORHOODS.

TALK TO US MORE ABOUT THAT IDEA.

HOW IT WAS DEVELOPED AND WHERE YOU SEE IT OUT IN PHOENIX.

>> WHEN WE THINK ABOUT CARE NEIGHBORHOOD THIS IS A CONCEPT THAT COMES FROM OUR LEADERSHIP.

IT'S TAKING THAT IDEA OF WHAT IT TAKES TO DELIVER CATEGORY 1 CARE TO THAT PATIENT, NOT THINKING THROUGH A DISEASE PROCESS BUT MAYBE PUTTING RESEARCH, EDUCATION, DIFFERENT SERVICES TOGETHER SO THEY'RE TALKING AND FOCUSED ON THAT PATIENT.

IT'S A NEW MODEL OF CARE THAT WE HAVEN'T DONE BEFORE.

WE'VE BEEN TRADITIONALLY THINKING HERE'S MY DEPARTMENT, HERE'S MY LAND, HERE'S MY DEPARTMENT, HERE'S THIS LAND.

LET'S CHANGE THAT UP AND THINK ABOUT WHAT IS THE NEED OF THE PATIENT AND WHAT IS THE JOURNEY OF THE PATIENT NEED?

SAY THEY NEED LABS IN THEIR NEIGHBORHOOD THAT'S FAMILIAR TO THEM, THEY CAN GET THEIR LABS AND CARE, EVERYTHING AT ONE PLACE THAT'S ADJACENT BUT ALSO MAYBE THEY GO OUT OF THEIR NEIGHBORHOOD FOR ACCESS TO OTHER CARE TO TRANSFER THEIR EXPERIENCE TO FOCUS ON THE PATIENT.

>> PREVENTATIVE MEDICINE, HOW MUCH WILL THAT BE INCREASED WITH THIS EXPANSION?

>> WE'RE HOPING THAT IT'S PART OF THIS AND LEANING INTO THAT DIGITAL TECHNOLOGY TO HELP US TAKE CARE OF MORE PATIENTS IN MORE WAYS AND DIFFERENT WAYS.

>> HOW LONG HAS THIS EXPANSION BEEN IN THE WORKS?

>> THIS ISN'T SOMETHING THAT JUST SOMEONE CAME UP WITH, I'M SURE.

>> WE'VE BEEN WORKING ON THIS PARTICULAR PROPOSAL FOR ABOUT 18 MONTHS THAT WENT TO THE BOARD OF TRUSTEES AND WE RECENTLY GOT APPROVAL THAT WE ANNOUNCED IN MARCH.

>> AND THE TIMETABLE IS?

>> HOPE TO FINISH FIRST PATIENT SEEN IN 2031 FOR PROJECT COMPLETION.

>> THE SHOVEL STARTS RELATIVELY SOON?

>> WE'LL START WITH THE SITE LATER THIS YEAR AND WE HAVE SOME SHELL SPACE ON CAMPUS THAT WE'LL BE FINISHING ALONG WITH THAT CONCEPT.

>> 2031 SOUNDS LIKE A LONGWAYS OFF BUT IT REALLY ISN'T, RIGHT?

>> NOT AS LONG AS WE THINK.

>> IT'S CALLED, BOLD, FORWARD, AND UNBOUND.

GOOD LUCK AND CONGRATULATIONS.

>> THANK YOU SO MUCH.

>> GOOD TO HAVE YOU HERE.

>> AND THAT IS IT FOR NOW.

I'M TED SIMONS.

THANK YOU SO MUCH FOR JOINING US.

HAVE A GREAT EVENING.

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