2026-09-04T13:40:26-05:00 2025-12-31 860683059 BEACHFLEISCHMAN PLLC 1985 E RIVER ROAD SUITE 201 TUCSON AZ 85718 990 2025-01-01 866052341 ARIZONA HOSPITAL & HEALTHCARE ASSOCIATION ARIZ 6024454300 2800 N CENTRAL AVENUE 1450 PHOENIX AZ 850041051 ANN-MARIE ALAMEDDIN PRESIDENT & CEO 6024454300 2026-09-01 1 MONICA A VERA CPA P01456278 5203214600 2026-09-01 2025 ANN-MARIE ALAMEDDIN 2800 N CENTRAL AVENUE 1450 PHOENIX AZ 850041051 8974212 0 X WWW.AZHHA.ORG X 1966 AZ LEADERSHIP ON ISSUES AFFECTING DELIVERY, QUALITY, ACCESSIBILITY & COST EFFECTIVENESS OF HEALTHCARE. 16 16 28 16 19630 0 3707773 3540714 2631369 2859449 92666 118413 26100 34229 6457908 6552805 7625 175847 0 0 4005351 3995026 0 0 0 1886586 1964210 5899562 6135083 558346 417722 5267698 6167463 2582544 3064128 2685154 3103335 X BRINGING TOGETHER DIVERSE VOICES TO ADVANCE HEALTH AND HEALTHCARE IN ARIZONA. 0 0 THE ARIZONA HOSPITAL AND HEALTHCARE ASSOCIATION (AZHHA) IS A STATEWIDE TRADE ASSOCIATION REPRESENTING MORE THAN 70 HOSPITALS, HEALTHCARE SYSTEMS AND AFFILIATED HEALTH ORGANIZATIONS. AZHHA BRINGS TOGETHER DIVERSE VOICES TO ADVANCE HEALTH AND HEALTHCARE IN ARIZONA. SEE SCHEDULE O SEE SCHEDULE O 0 1 0 1 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 98 0 1 28 1 1 1 0 0 0 1 1 0 0 0 X 16 16 0 0 0 0 1 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X KARLA HARTLINE VP OF FINANCE & OPERATIONS 6024454344 2800 N CENTRAL AVENUE 1450 PHOENIX AZ 850041051 ANN-MARIE ALAMEDDIN PRESIDENT AND CEO 38.00 2.00 X 501781 26410 72062 HELENA WHITNEY SVP, POLICY & ADVOCACY 40.00 0.00 X 217745 0 20659 VICKI BUCHDA SVP, CARE IMPROVEMENT 40.00 0.00 X 195740 0 29018 KARLA HARTLINE VP, FINANCE AND OPERATIONS 40.00 0.00 X 180104 0 26397 KAREN OFAFA VP, WORKFORCE & CLINICAL EXCELLENCE 40.00 0.00 X 156550 0 49128 LAURA DICKSCHEID VP, MEMBER SERVICES 28.00 12.00 X 104571 44816 35266 AMY UPSTON DIRECTOR OF FIN. POLICY AND REIMB. 40.00 0.00 X 157069 0 24665 RHONDA ANDERSON RN BOARD DIRECTOR 1.00 0.00 X 0 0 0 WESLEY BABERS BOARD DIRECTOR 1.00 0.00 X 0 0 0 VICKI BEGAN RN MN BOARD DIRECTOR 1.00 0.00 X 0 0 0 ERICA BROWN BOARD DIRECTOR 1.00 0.00 X 0 0 0 KRYSTAL BURGE BOARD DIRECTOR 1.00 0.00 X 0 0 0 DAVE CHENEY BOARD DIRECTOR 1.00 0.00 X 0 0 0 JEFF CHRISTENSEN BOARD DIRECTOR 1.00 2.00 X 0 0 0 RICHARD GRAY MD BOARD DIRECTOR 1.00 0.00 X 0 0 0 JENNIFER NUNEZ BOARD DIRECTOR 1.00 1.00 X 0 0 0 STEVE PURVES FACHE BOARD DIRECTOR 1.00 0.00 X 0 0 0 CHRIS RUBLE BOARD DIRECTOR 1.00 0.00 X 0 0 0 DAWN TSCHABRUN BOARD DIRECTOR 1.00 0.00 X 0 0 0 NEAL JENSEN BOARD IMMEDIATE PAST CHAIR 1.00 2.00 X 0 0 0 BOB TRENSCHEL BOARD CHAIR 1.00 2.00 X X 0 0 0 MIMI COOMLER BOARD CHAIR-ELECT 1.00 2.00 X X 0 0 0 JACKIE LUNDBLAD BOARD SECRETARY/TREASURER 1.00 2.00 X X 0 0 0 1513560 71226 257195 13 0 1 0 LAYERCAKE TECHNOLOGIES PO BOX 715762 CINCINNATI OH 45271 OUTSOURCED IT SERVICES 151915 1 3537714 3000 3540714 MEMBERSHIP DUES 900099 2857449 2857449 SURVEY READINESS 900099 2000 2000 2859449 103924 103924 2435896 2421407 14489 14489 14489 MISCELLANEOUS INCOME 900099 14599 14599 BROKERED SERVICES 900099 9825 9825 INTERCOMPANY ADMIN FEES 561000 9805 9805 34229 6552805 2874048 19630 118413 X 114275 61572 772348 2508002 139936 355889 218851 27398 46200 12998 7424 1146977 97612 235399 106807 106220 30483 45446 DUES AND SUBSCRIPTIONS 93775 MISCELLANEOUS 6780 EXCISE TAXES 691 6135083 985823 1472946 28 28 0 277502 622061 671288 120920 130269 224438 144849 91985 79589 1669150 1959803 1777731 1576038 5267698 6167463 512651 484064 455244 1134679 1614649 1445385 2582544 3064128 X 2685154 3103335 2685154 3103335 5267698 6167463 X 417722 42764 -42305 X 0 1 X 1 1 1 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 1 2857449 405399 15724 421123 399186 21937 31407 11796 19611 193031 133053 59978 79589 INVESTMENT IN FOR-PROFIT SUBSIDIARY 428507 DUE TO/FROM AFFILIATES 9917 OPERATING LEASE ASSETS, NET 1137614 1576038 POST RETIREMENT EE BENEFIT PLAN 89335 DUE TO/FROM AFFILIATES 66113 OPERATING LEASE OBLIGATION 1289937 1445385 X PART X, LINE 2: ASC 740 FOOTNOTE FROM CONSOLIDATED FINANCIAL STATEMENTS: AZHHA AND AHHF HAVE BEEN DETERMINED TO BE EXEMPT FROM INCOME TAXES UNDER BOTH FEDERAL (INTERNAL REVENUE CODE SECTION 501(C)(6) AND SECTION 501(C)(3)) AND ARIZONA INCOME TAX LAWS. AHHF IS CLASSIFIED AS A PUBLIC CHARITY. FOR ALL TAX-EXEMPT ENTITIES, INCOME FROM CERTAIN ACTIVITIES NOT DIRECTLY RELATED TO THEIR TAX-EXEMPT PURPOSE, HOWEVER, MAY BE SUBJECT TO TAXATION AS UNRELATED BUSINESS TAXABLE INCOME. THE SERVICE CORPORATION AND THE SERVICE AGENCY ARE SUBJECT TO FEDERAL AND STATE INCOME TAXES. DEFERRED INCOME TAXES ARE PROVIDED FOR TEMPORARY DIFFERENCES ARISING FROM CERTAIN ACCRUED EXPENSES THAT ARE DEDUCTIBLE ONLY WHEN PAID AND FOR NET OPERATING LOSS CARRYFORWARDS AVAILABLE TO OFFSET FUTURE TAXABLE INCOME. VALUATION ALLOWANCES ARE USED TO REDUCE DEFERRED TAX ASSETS TO THEIR ESTIMATED NET REALIZABLE VALUES WHEN MANAGEMENT DETERMINES ULTIMATE RECOVERY IS NOT PROBABLE. FROM TIME TO TIME, THE ORGANIZATION MAY BE SUBJECT TO PENALTIES AND INTEREST ASSESSED BY VARIOUS TAXING AUTHORITIES, WHICH WILL BE CLASSIFIED AS MANAGEMENT AND GENERAL EXPENSES, IF THEY OCCUR. 1 LA PAZ REGIONAL HOSPITAL 1200 WEST MOHAVE ROAD PARKER AZ 85344 860260959 501(C)(3) 110125 0 STIPENDS PAID FOR COMMUNICATION DEVICES 1 SCHOLARSHIPS 19 61572 PART I, LINE 2: AZHHA MAINTAINS STRONG FISCAL OVERSIGHT OF GRANT FUNDS THROUGH BUDGET MONITORING, EXPENSE REVIEW, AND COMPLIANCE TRACKING TO ENSURE FUNDS ARE USED APPROPRIATELY AND PROGRAM GOALS ARE ACHIEVED. X X X 0 0 0 ANN-MARIE ALAMEDDIN PRESIDENT AND CEO 406781 21410 95000 5000 0 0 32692 1721 35767 1882 570240 30013 0 0 HELENA WHITNEY SVP, POLICY & ADVOCACY 213246 0 4499 0 0 0 6056 0 14603 0 238404 0 0 0 VICKI BUCHDA SVP, CARE IMPROVEMENT 191405 0 4335 0 0 0 15374 0 13644 0 224758 0 0 0 KARLA HARTLINE VP, FINANCE AND OPERATIONS 175676 0 4428 0 0 0 12949 0 13448 0 206501 0 0 0 KAREN OFAFA VP, WORKFORCE & CLINICAL EXCELLENCE 153073 0 3477 0 0 0 11075 0 38053 0 205678 0 0 0 LAURA DICKSCHEID VP, MEMBER SERVICES 101829 43641 2742 1175 0 0 7669 3287 17017 7293 129257 55396 0 0 AMY UPSTON DIRECTOR OF FIN. POLICY AND REIMB. 153079 0 3990 0 0 0 11148 0 13517 0 181734 0 0 0 FORM 990, PART III, LINE 4B: ARIZONA COALITION FOR HEALTHCARE EMERGENCY RESPONSE (AZCHER) AZCHER STRENGTHENS HEALTHCARE EMERGENCY PREPAREDNESS AND RESPONSE CAPABILITIES ACROSS ARIZONA. IN THE REPORTING YEAR THE COALITION ACHIEVED THE FOLLOWING: -TRAINED OVER 850 INDIVIDUALS IN EMERGENCY MANAGEMENT, INCIDENT COMMAND, PLAN WRITING, AND EXERCISE DESIGN. -CONDUCTED A CYBERSECURITY ASSESSMENT TO EVALUATE COALITION PREPAREDNESS FOR CYBER ATTACKS -CONDUCTED AN EXTENDED DOWNTIME ASSESSMENT TO EVALUATE COALITION READINESS FOR A DOWNTIME EVENT. -DEVELOPED AND UPDATED EMERGENCY RESPONSE PLANS, MEDICAL SURGE PLAN, READINESS ASSESSMENT AND PLAN, RECOVERY PLAN, TRAINING 7 EXERCISE PLAN AND CALENDAR, SUPPLY CHAIN INTEGRITY ASSESSMENT AND COMMUNICATIONS AND INFORMATION SHARING PLANS. -EXECUTED A LARGE-SCALE FUNCTIONAL EXERCISE: -MEDICAL RESPONSE SURGE EXERCISE WITH PARTICIPATION FROM 27 HOSPITALS AND 26 LONG TERM CARE FACILITIES. -FACILITATED A PEDIATRIC PREPAREDNESS TABLETOP EXERCISE. -COMPLETED A HAZARD VULNERABILITY ASSESSMENT AND RESOURCE GAP ASSESSMENT TO IDENTIFY AND ADDRESS SYSTEM WEAKNESSES. -HOSTED A STATEWIDE CONFERENCE ATTENDED BY 120 PARTICIPANTS, FOCUSING ON WORKPLACE VIOLENCE, FLOOD RESPONSE, REGULATORY UPDATES AND PLANNING. -PRESENTED AT 2 NATIONAL LEVEL CONFERENCES ON HEALTHCARE EVACUATIONS. FORM 990, PART III, LINE 4C: ALLIANCE FOR INNOVATION ON MATERNAL HEALTH (AIM): FOCUSED ON IMPROVING MATERNAL HEALTH OUTCOMES THROUGH EVIDENCE-BASED CARE BUNDLES. KEY ACCOMPLISHMENTS: -ENROLLED 41 OF 41 ARIZONA BIRTHING HOSPITALS. -SUPPORTED IMPLEMENTATION OF HEMORRHAGE, SUBSTANCE USE DISORDER AND PERINATAL MENTAL HEALTH CARE BUNDLES. -CONDUCTED MONTHLY COACHING CALLS (OVER 50 PARTICIPANTS) AND STEERING COMMITTEE MEETINGS. -PROVIDED QUARTERLY DATA INFOGRAPHICS FOR HOSPITAL LEADERSHIP. CDC COVID-19 HEALTH DISPARITIES GRANT HEALTH EQUITY ORGANIZATIONAL ASSESSMENT (HEOA): EXTENDED THROUGH 2025 TO PROVIDE TECHNICAL ASSISTANCE TO RURAL HEALTHCARE FACILITIES. ACHIEVEMENTS INCLUDE: -RECRUITED 12 HOSPITALS OUTSIDE MARICOPA COUNTY -PARTNERED WITH LAERDAL FOR OB SIMULATIONS MEDICARE BENEFICIARY QUALITY IMPROVEMENT PROJECT (MBQIP): WORKED WITH 17 CRITICAL ACCESS HOSPITALS TO ENHANCE QUALITY OF CARE: -DELIVERED MONTHLY ONLINE SUPPORT AND QUARTERLY GROUP CALLS. -SUPPORTED DATA ANALYSIS AND IMPROVEMENT PLANNING. -SHARED RESOURCES FOR DEVELOPING QUALITY IMPROVEMENT PLANS. ARIZONA STATEWIDE NEW GRADUATE RN TRANSITION TO PRACTICE AND NEW TO SPECIALTY PROGRAMS: LAUNCHED IN MARCH 2024 TO SUPPORT NEW NURSES ENTERING THE WORKFORCE: -RECRUITED HOSPITALS AND SECURED A NATIONAL CURRICULUM VENDOR. - ENROLLED OVER 212 NURSES TO PARTICIPATE IN THE NEW TO SPECIALTY PROGRAM. -ENROLLED 7 NEW GRADUATE NURSE COHORTS SINCE 2024 -PROVIDED ONE-YEAR SUPPORT WITH PRECEPTORS AND MENTORSHIP. -DEVELOPED A MENTOR PROGRAM TO ENHANCE RETENTION AND PROFESSIONAL GROWTH. ARIZONA CERTIFICATE OF NURSE LEADERSHIP PROGRAM: LAUNCHED IN APRIL 2025 TO SUPPORT NURSE MANAGER TRAINING: -ENROLLED 291 PARTICIPANTS SINCE APRIL 2025. -PROVIDED ONE-YEAR SUPPORT WITH PRECEPTORS AND MENTORSHIP. -DEVELOPED A MENTOR PROGRAM TO ENHANCE RETENTION AND PROFESSIONAL GROWTH. FORM 990, PART VI, SECTION A, LINE 6 ARIZONA HOSPITAL AND HEALTHCARE ASSOCIATION IS COMPRISED OF MEMBER HOSPITALS AND HEALTH SYSTEMS SERVING THE STATE'S RESIDENTS AND VISITORS ("HOSPITAL MEMBERS"), AS WELL AS ORGANIZATIONS NOT AFFILIATED WITH AN ARIZONA HOSPITAL BUT THAT PROVIDE OR ARRANGE HEALTH-RELATED SERVICES ("HEALTHCARE MEMBERS"). AZHHA IS GOVERNED BY A BOARD OF DIRECTORS, WHOSE DIRECTORS ARE ELECTED BY THE BOARD, AND WHO MUST BE REPRESENTATIVES OF THE MEMBERSHIP OR A RELATED COMMUNITY PARTNER. FORM 990, PART VI, SECTION B, LINE 11B THE INFORMATION FOR THE FORM 990 IS GATHERED BY THE FINANCE TEAM. AFTER PREPARATION BY AN OUTSIDE ACCOUNTING FIRM, THE CFO REVIEWS FOR COMPLETENESS AND ACCURACY. THE 990 IS THEN PRESENTED TO THE GOVERNING BODY FOR COMMENT BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C REPRESENTATIVES OF THE ARIZONA HOSPITAL AND HEALTHCARE ASSOCIATION ("AZHHA") DEALING WITH ANYONE WHO DOES OR SEEKS TO DO BUSINESS WITH AZHHA MUST ACT IN THE BEST INTERESTS OF AZHHA AND NOT SEEK ANY PERSONAL PREFERENCE OR ADVANTAGE. ANY REPRESENTATIVE OF AZHHA NEEDS TO MAKE PROMPT AND FULL DISCLOSURE, USING THE CONFLICT OF INTEREST FORM, OF ANY PROSPECTIVE OR ACTUAL SITUATION THAT INVOLVES, MAY INVOLVE, OR MIGHT APPEAR TO INVOLVE A POTENTIAL CONFLICT OF INTEREST. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, THE INTERESTED PERSON SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. (1) AN INTERESTED PERSON MY MAKE A PRESENTATION AT A BOARD OR COMMITTEE MEETING, BUT AFTER THE PRESENTATION, THE INTERESTED PERSON SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT INVOLVING THE POSSIBLE CONFLICT OF INTEREST. (2) THE CHAIR OF THE BOARD OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. (3) AFTER EXERCISING DUE DILIGENCE, THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER AZHHA CAN OBTAIN WITH REASONABLE EFFORTS A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. (4) IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN AZHHA'S BEST INTEREST, FOR ITS OWN BENEFIT, AND WHETHER IT IS FAIR AND REASONABLE. IN CONFORMITY WITH THE ABOVE DETERMINATION, THE BOARD OR COMMITTEE SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. IF THE BOARD OR COMMITTEE WITH POWERS DELEGATED BY THE BOARD HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT SHALL INFORM THE PERSON OF THE BASIS FOR SUCH BELIEF AND AFFORD THE PERSON AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF, AFTER HEARING THE PERSON'S RESPONSE AND AFTER MAKING FURTHER INVESTIGATION AS WARRANTED BY THE CIRCUMSTANCES, THE BOARD OF DIRECTORS OR COMMITTEE DETERMINES THE PERSON HAS FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTIONS. FORM 990, PART VI, SECTION B, LINE 15 AS A GUIDE TO ESTABLISHING EQUITABLE SALARIES AND WAGES, THE ORGANIZATION PERIODICALLY CONDUCTS COMPARABLE WAGE AND SALARY SURVEYS. SUCH STUDIES ENSURE THAT OUR RATES OF PAY COMPARE FAVORABLY WITH RATES FOR WORK OF A SIMILAR NATURE WITHIN THE ORGANIZATION AND IN SIMILAR JOB SITUATIONS IN THE AREA. THE ORGANIZATION COMPARES SALARIES FOR BENCHMARK POSITIONS ON A LOCAL BASIS AND EXTENDS THIS COMPARISON FOR CERTAIN POSITIONS TO A REGIONAL AND NATIONAL MARKET. POSITIONS ARE BENCHMARKED WITH COMPARABLE JOBS FOUND IN OTHER ORGANIZATIONS REQUIRING SIMILAR KNOWLEDGE, SKILLS, AND ABILITIES TO JOBS WITHIN THE ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC ON REQUEST. FORM 990, PART IX, LINE 11G CONTRACTED SERVICES 1,146,977. FORM 990, PART XI, LINE 9: CURRENT YEAR EQUITY EARNINGS IN SUBSIDIARY -42,305. AZ HOSPITAL AND HEALTHCARE ASSOCIATION PAC 2800 N CENTRAL AVENUE STE 1450 PHOENIX AZ 85004 204641022 POLITICAL ACTIVITIES AZ 527 ARIZONA HOSPITAL & HEALTHCARE ASSOCIATION 1 ARIZONANS FOR BETTER HEALTHCARE 2800 N CENTRAL AVENUE STE 1450 PHOENIX AZ 85004 824283622 SOCIAL OUTREACH AND EDUCATION AZ 501(C)(4) ARIZONA HOSPITAL & HEALTHCARE ASSOCIATION 1 ARIZONA HOSPITAL AND HEALTHCARE FOUNDATION 2800 N CENTRAL AVENUE STE 1450 PHOENIX AZ 85004 863255998 HEALTHCARE EDUCATION AZ 501(C)(3) LINE 7 ARIZONA HOSPITAL & HEALTHCARE ASSOCIATION 1 AZHHA SERVICE CORPORATION 2800 N CENTRAL AVENUE STE 1450 PHOENIX AZ 85004 860399975 PERSONNEL SERVICE AZ ARIZONA HOSPITAL & HEALTHCARE ASSOCIATION C -47755 430815 1.00000 1 AZHHA SERVICE AGENCY 2800 N CENTRAL AVENUE STE 1450 PHOENIX AZ 85004 860668314 INSURANCE AZ ARIZONA HOSPITAL & HEALTHCARE ASSOCIATION C 1.00000 1 0 0 0 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 AZHHA SERVICE CORPORATION E 60978 INTERNAL ACCOUNTING