Form990-EZ
Click to see attachment
Department of the Treasury
Internal Revenue Service
Short Form
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code
(except black lung benefit trust or private foundation)
bullet Sponsoring organizations of donor advised funds, organizations that operate one or more hospital facilities, and certain controlling organizations as defined in section 512(b)(13) must file Form 990 (see instructions).
All other organizations with gross receipts less than $200,000 and total assets less than $500,000 at the end of the year may use this form.
bulletThe organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-1150
2010
Open to Public
Inspection
A
For the 2010 calendar year, or tax year beginning 01-01-2010, and ending 12-31-2010
B
Check if applicable:
C Name of organization
SOUTHERN ARIZONA HEALTH
INFORMATION EXCHANGE
Number and street (or P. O. box, if mail is not delivered to street address)3480 E BRITANNIA DR
  Room/suite
City or town, state or country, and ZIP + 4 TUCSON, AZ85706
D Employer identification number

26-4749066
E Telephone number

(520) 309-2432
F Group Exemption
Number. . bullet  
G Accounting method: Other (specify) bullet   H Check bulletI Website:bulletWWW.SAHIE.NETJ Tax-Exempt status(check only one)—Click to see attachment(   ) bullet(insert no.) or
K Check bullet A Form 990-EZ or Form 990 return is not required though Form 990-N (e-postcard) may be required (see instructions). But if the organization chooses to file a return, be sure to file a complete return.
L Add lines 5b, 6c, and 7b, to line 9 to determine gross receipts; If gross receipts are $200,000 or more, or if total assets (Part II, line 25, column (B) below) are $500,000 or more, file Form 990 instead of Form 990-EZ.. . bullet $ 133,099
Part IRevenue, Expenses, and Changes in Net Assets or Fund Balances (See the instructions for Part I.) Check if the organization used Schedule O to respond to any question in this Part I . . . . . . . .
VerticalRevenue 1 Contributions, gifts, grants, and similar amounts received . . . . . . . . . 1 133,099
2 Program service revenue including government fees and contracts . . . . . . . 2  
3 Membership dues and assessments . . . . . . . . . . . . . . 3  
4 Investment income . . . . . . . . . . . . . . . . . . 4  
5a Gross amount from sale of assets other than inventory . . . . 5a  
b Less: cost or other basis and sales expenses . . 5b  
c Gain or (loss) from sale of assets other than inventory (Subtract line 5b from line 5a) . . 5c  
6 Gaming and fundraising events
a Gross income from gaming (attach Schedule G if greater than $15,000) 6a  
b Gross income from fundraising events (not including $   of contributions from fundraising events reported on line 1) (attach Schedule G if the sum of such gross income and contributions exceed $15,000) . . . . . . .
c Less: direct expenses from gaming and fundraising events . . . 6c  
d Net income or (loss) from gaming and fundraising events (Add lines 6a and 6b and subtract line 6c) 6d  
7a Gross sales of inventory, less returns and allowances . . . . 7a  
b Less: cost of goods sold . . . . . . . . . . 7b  
c Gross profit or (loss) from sales of inventory (Subtract line 7b from line 7a) . . . . . . 7c  
8 Other revenue (describe in Schedule O) . . . . . . . . . 8  
9 Total revenue. Add lines 1, 2, 3, 4, 5c, 6d, 7c, and 8 . . . . . . . . . 9 133,099
VerticalExpenses 10 Grants and similar amounts paid (list in Schedule O) . . . . . . . . 10 98,213
11 Benefits paid to or for members . . . . . . . . . . . . . . . 11  
12 Salaries, other compensation, and employee benefits . . . . . . . . . . . 12  
13 Professional fees and other payments to independent contractors . . . . . . . . 13 40,048
14 Occupancy, rent, utilities, and maintenance . . . . . . . . . . . . . 14  
15 Printing, publications, postage, and shipping . . . . . . . . . . . . 15  
16 Other expenses (describe in Schedule O) . . . . . . . . . . 16 217,011
17 Total expenses. Add lines 10 through 16 . . . . . . . . . . . . 17 355,272
VerticalNetAssets 18 Excess or (deficit) for the year (Subtract line 17 from line 9) . . . . . . . . . 18 -222,173
19 Net assets or fund balances at beginning of year (from line 27, column (A)) (must agree with
end-of-year figure reported on prior year’s return) . . . . . . . . . . . 19 227,544
20 Other changes in net assets or fund balances (explain in Schedule O) . . . . . . . 20  
21 Net assets or fund balances at end of year. Combine lines 18 through 20 . . . . . Bullet 21 5,371
Part IIBalance Sheets Check if the organization used Schedule O to respond to any question in this Part II. . . . . . . . .

(See the instructions for Part II.)(A) Beginning of year(B) End of year
22Cash, savings, and investments . . . . . . . . . .
207,704
22
5,371
23Land and buildings . . . . . . . . . . . . .
 
23
 
24Other assets (describe in Schedule O) . . . . . .
49,864
24
 
25Total assets . . . . . . . . . . . . . .
257,568
25
5,371
26
Total liabilities (describe in Schedule O) . . . . .
30,024
26
 
27Net assets or fund balances (line 27 of column (B) must agree with line 21) .
227,544
27
5,371
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 10642I Form 990-EZ (2010)
Form 990-EZ (2010)
Page 2
Part IIIStatement of Program Service Accomplishments Check if the organization used Schedule O to respond to any question in this Part III . Expenses
(Required for section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts; optional for others.)
What is the organization's primary exempt purpose? THE MISSION OF SAHIE IS TO DESIGN AND IMPLEMENT INTEGRATED HEALTH INFORMATION TECHNOLOGY AND HEALTH INFORMATION EXCHANGE SYSTEMS THAT IMPROVE THE QUALITY, SAFETY AND EFFICIENCY OF CLINICAL HEALTH SERVICES FOR PATIENTS AND HEALTHCARE CONSUMERS, INCLUDING THE INSURED AND UNINSURED, BY SUPPORTING THE INFORMATION NEEDS OF PATIENTS AND HEALTHCARE CONSUMERS, HEALTHCARE PROVIDERS, HEALTH PLANS, PUBLIC HEALTH ORGANIZATIONS AND RELATED PERSONS. THE SCOPE OF THE MISSION IS TO EXTEND THIS SERVICE TO ALL RESIDENTS IN SOUTHERN ARIZONA REGARDLESS OF INSURANCE STATUS. THE OBJECTIVE IS TO ACTIVATE THE ELECTRONIC FLOW OF CLINICAL INFORMATION ACROSS INSTITUTIONAL BOUNDARIES SO THAT CLINICAL DECISIONS CAN BE MADE WITH MORE FACTS AND LESS UNCERTAINTY, THUS INCREASING THE PROBABILITY OF SAFE, EFFECTIVE, AND APPROPRIATE CARE IN ALL CARE SETTINGS. THIS WILL BE DONE WITH THE KNOWLEDGE OF THE PATIENT, AND WITH FULL RESPECT TO THE NEED FOR PRIVACY AND SECURITY OF INFORMATION. IN SETTING UP THE CORPORATION, SAHI
Describe what was achieved in carrying out the organization's exempt purposes. In a clear and concise manner, describe the services provided, the number of persons benefited, and other relevant information for each program title.
28 THE MISSION OF SAHIE IS TO DESIGN AND IMPLEMENT INTEGRATED HEALTH INFORMATION TECHNOLOGY AND HEALTH INFORMATION EXCHANGE SYSTEMS THAT IMPROVE THE QUALITY, SAFETY AND EFFICIENCY OF CLINICAL HEALTH SERVICES FOR PATIENTS AND HEALTHCARE CONSUMERS, INCLUDING THE INSURED AND UNINSURED, BY SUPPORTING THE INFORMATION NEEDS OF PATIENTS AND HEALTHCARE CONSUMERS, HEALTHCARE PROVIDERS, HEALTH PLANS, PUBLIC HEALTH ORGANIZATIONS AND RELATED PERSONS. THE SCOPE OF THE MISSION IS TO EXTEND THIS SERVICE TO ALL RESIDENTS IN SOUTHERN ARIZONA REGARDLESS OF INSURANCE STATUS. THE OBJECTIVE IS TO ACTIVATE THE ELECTRONIC FLOW OF CLINICAL INFORMATION ACROSS INSTITUTIONAL BOUNDARIES SO THAT CLINICAL DECISIONS CAN BE MADE WITH MORE FACTS AND LESS UNCERTAINTY, THUS INCREASING THE PROBABILITY OF SAFE, EFFECTIVE, AND APPROPRIATE CARE IN ALL CARE SETTINGS. THIS WILL BE DONE WITH THE KNOWLEDGE OF THE PATIENT, AND WITH FULL RESPECT TO THE NEED FOR PRIVACY AND SECURITY OF INFORMATION. IN SETTING UP THE CORPORATION, SAHIE HAS BUILT A SOLID BASE OF SUPPORT AND TRUST AMONG THE HOSPITALS, CLINICAL PRACTICES, INSURANCE COMPANIES, CONSUMER ADVOCACY GROUPS, AND BUSINESS INTERESTS IN THE REGION. SAHIE'S BOARD COMPOSITION REFLECTS THIS BASE IN THE LOCAL HEALTH CARE COMMUNITY. A RIGOROUSLY CONSTRUCTED BUSINESS ANALYSIS HAS SUPPORTED A FULL BUSINESS PLAN AND FUNDING MODEL THAT HAS BEEN ACCEPTED BY THE COMMUNITY. IN ADDITION, SAHIE HAS IN THE FIRST HALF OF 2010 BEEN ACTIVELY INVOLVED IN SETTING UP A MERGER WITH A SIMILAR ORGANIZATION IN MARICOPA COUNTY SO THAT THE HIE SERVICE CAN BE OFFERED COMPETITIVELY THROUGHOUT THE STATE OF ARIZONA.
(Grants $ 98,213) If this amount includes foreign grants, check here ...MediumBullet		 28a 98,213
29
(Grants $   ) If this amount includes foreign grants, check here ...MediumBullet 		29a
30
(Grants $   ) If this amount includes foreign grants, check here ...MediumBullet 		30a
31 Other program services (describe in Schedule O) . . . . . . . . . . . .
(Grants $   ) If this amount includes foreign grants, check here...MediumBullet		 31a
32 Total program service expenses (add lines 28a through 31a) . . . . . . . . . bullet 32 98,213
Part IVList of Officers, Directors, Trustees, and Key Employees. List each one even if not compensated. (See the instructions for Part IV.) Check if the organization used Schedule O to respond to any question in this Part IV . . . . . . . .
(a) Name and address (b) Title and average
hours per week
devoted to position		 (c) Compensation
(If not paid,
enter -0-.) 		(d) Contributions to
employee benefit plans &
deferred compensation		 (e) Expense
account and
other allowances
KATHY BYRNEClick to see attachment
3480 E BRITANNIA DR
TUCSON,AZ85706
 PRESIDENT1.00 0    
MICHAEL DURANClick to see attachment
3480 E BRITANNIA DR
TUCSON,AZ85706
 DIRECTOR1.00 0    
TONY FONZEClick to see attachment
3480 E BRITANNIA DR
TUCSON,AZ85706
 DIRECTOR1.00 0    
DICK HANNONClick to see attachment
3480 E BRITANNIA DR
TUCSON,AZ85706
 DIRECTOR1.00 0    
DENISE HURTADOClick to see attachment
3480 E BRITANNIA DR
TUCSON,AZ85706
 SECRETARY1.00 0    
CAROLYN PACEClick to see attachment
3480 E BRITANNIA DR
TUCSON,AZ85706
 DIRECTOR1.00 0    
PAUL KAPPELMANClick to see attachment
3480 E BRITANNIA DR
TUCSON,AZ85706
 DIRECTOR1.00 0    
CAMILLE KENDRICKClick to see attachment
3480 E BRITANNIA DR
TUCSON,AZ85706
 DIRECTOR1.00 0    
CHRISTI LUNDEENClick to see attachment
3480 E BRITANNIA DR
TUCSON,AZ85706
 DIRECTOR1.00 0    
SUSAN WILLISClick to see attachment
3480 E BRITANNIA DR
TUCSON,AZ85706
 DIRECTOR1.00 0    
CLARENCE VATNEClick to see attachment
3480 E BRITANNIA DR
TUCSON,AZ85706
 DIRECTOR2.00 0    
SHIRLEY GABRIELClick to see attachment
3480 E BRITANNIA DR
TUCSON,AZ85706
 DIRECTOR1.00 0    
NORM BOTSFORDClick to see attachment
3480 E BRITANNIA DR
TUCSON,AZ85706
 VICE PRESIDE1.00 0    
MIKE CRACOVANERClick to see attachment
3480 E BRITANNIA DR
TUCSON,AZ85706
 DIRECTOR1.00 0    
STEW GRABELClick to see attachment
3480 E BRITANNIA DR
TUCSON,AZ85706
 DIRECTOR2.00 0    
STEVE NASHClick to see attachment
3480 E BRITANNIA DR
TUCSON,AZ85706
 DIRECTOR2.00 0    
RON SHOOPMANClick to see attachment
3480 E BRITANNIA DR
TUCSON,AZ85706
 DIRECTOR1.00 0    
Form 990-EZ (2010)
Form 990-EZ (2010)
Page 3
Part VOther Information(Note the statement requirements in the instructions for Part V.)YesNo Check if the organization used Schedule O to respond to any question in this Part V . . . .
33
Did the organization engage in any activity not previously reported to the IRS? If "Yes," provide a detailed description of each activity in Schedule O ..............
33
 
No
34
Were any significant changes made to the organizing or governing documents? If "Yes," attach a conformed copy of the amended documents if they reflect a change to the organization’s name. Otherwise, explain the change on Schedule O (see instructions). ...................
34
 
No
35
If the organization had income from business activities, such as those reported on lines 2, 6a, and 7a (among others), but not reported on Form 990-T, explain in Schedule O why the organization did not report the income on Form 990-T. ........................
a
Did the organization have unrelated business gross income of $1,000 or more or was it a section 501(c)(4), 501(c)(5), or 501(c)(6) organization subject to section 6033(e) notice, reporting, and proxy tax requirements?
35a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year? (see instructions) ........
35b
 
 
36
Did the organization undergo a liquidation, dissolution, termination, or significant disposition of net assets during the year? If “Yes,” complete applicable parts of Schedule N Click to see attachment.............
36
Yes
 
37a
Enter amount of political expenditures, direct or indirect, as described in the instructions. bullet
37a
 
b
Did the organization file Form 1120-POL for this year? ...............
37b
 
No
38a
Did the organization borrow from, or make any loans to, any officer, director, trustee, or key employee or were
any such loans made in a prior year and still outstanding at the end of the tax year covered by this return?
38a
 
No
b
If “Yes,” complete Schedule L, Part II and enter the total amount involved .
38b
 
39
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on line 9 ......
39a
 
b
Gross receipts, included on line 9, for public use of club facilities ....
39b
 
40a
Section 501(c)(3) organizations. Enter amount of tax imposed on the organization during the year under:
section 4911 bullet   ; section 4912 bullet   ; section 4955 bullet  
b
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in any section 4958 excess benefit transaction during the year or did it engage in an excess benefit transaction in a prior year that has not been reported on any of its prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I. ....
40b
 
No
c
Section 501(c)(3) and 501(c)(4) organizations. Enter amount of tax imposed on organization managers or disqualified persons during the year under sections 4912, 4955, and 4958 ..bullet  
d
Section 501(c)(3) and 501(c)(4) organizations. Enter amount of tax on line 40c reimbursed by the organization ...................bullet  
e
All organizations. At any time during the tax year, was the organization a party to a prohibited tax shelter transaction? If "Yes," complete Form 8886-T. .................
40e
 
No
41List the states with which a copy of this return is filed. bulletAZ
42aThe organization's books are in care of bulletTHE ORGANIZATION Telephone no. bullet (520) 309-2432
Located at bullet2501 E ELM STREET
TUCSON,AZ ZIP + 4bullet857163416
b
At any time during the calendar year, did the organization have an interest in or a signature or other authority over a financial account in a foreign country (such as a bank account, securities account, or other financial account)?
Yes
No
42b
 
No
If “Yes,” enter the name of the foreign country: bullet  
See the instructions for exceptions and filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
c
At any time during the calendar year, did the organization maintain an office outside of the U.S.?
42c
 
No
If “Yes,” enter the name of the foreign country: bullet  
43.......bullet
and enter the amount of tax-exempt interest received or accrued during the tax year . . . bullet43
 
44a
Did the organization maintain any donor advised funds? If "Yes", Form 990 must be completed instead of
Yes
No
Form 990-EZ.. . . . . . . . . . . . . . . . . . . .
44a
 
No
b
Did the organization operate one or more hospital facilities during the year? If ‘Yes,’ Form 990 must be completed instead of Form990-EZ. . . . . . . . .
44b
 
No
c
Did the organization receive any payments for indoor tanning services during the year? . . . . . . .
44c
 
No
d
If 'Yes' to line 44c, has the organization filed a Form 720 to report these payments? If ‘No,’ provide an explanation in Schedule O. . . . . . . . .
44d
 
 
45
Is any related organization a controlled entity of the organization within the meaning of section 512(b)(13)? If ‘Yes,’ Form 990 and Schedule R must be completed instead of Form990-EZ. . . . . . . . .
45
 
No
45a
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If ‘Yes,’ Form 990 and Schedule R must be completed instead of Form990-EZ. .
45a
 
No
46
Did the organization engage, directly or indirectly, in political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part I. . . . . . . . . .
46
 
No
Form 990-EZ (2010)
Form 990-EZ (2010)
Page 4
Part VI
Section 501(c)(3) organizations and section 4947(a)(1) nonexempt charitable trusts only. All section 501(c)(3) organizations and section 4947(a)(1) nonexempt charitable trusts must answer questions 47-49b and 52. Check if the organization used Schedule O to respond to any question in this Part VI . . . . . . . .
Yes
No
47
Did the organization engage in lobbying activities? If "Yes," complete Schedule C, Part II . . . .
47
 
No
48
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E . . .
48
 
No
49a
Did the organization make any transfers to an exempt non-charitable related organization? . . . .
49a
 
No
b
If "Yes," was the related organization a section 527 organization? . . . . . . . . .
49b
 
 
50
Complete this table for the organization's five highest compensated employees (other than officers, directors, trustees and key employees) who each received more than $100,000 of compensation from the organization. If there is none, enter "None."
(a) Name and address of each employee paid more than $100,000 (b) Title and average
hours per week
devoted to position		 (c) Compensation
 (d) Contributions to
employee benefit plans &
deferred compensation		 (e) Expense
account and
other allowances
NONE
50(f)
Total number of other employees paid over $100,000 . . . . . . . . . . . . . bullet  

51
Complete this table for the organization's five highest compensated independent contractors who each received more than $100,000 of compensation from the organization. If there is none, enter "None."
(a) Name and address of each independent contractor paid more than $100,000 (b) Type of service (c) Compensation
NONE
51(d)
Total number of other independent contractors each receiving over $100,000 . . . . . . . bullet  
52
Did the organization complete Schedule A? NOTE: All Section 501(c)(3) organizations and 4947(a)(1) nonexempt charitable trusts must attach a completed Schedule A ....................
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer's Use Only Preparer's
signatureBig Right Arrow 		Date
right pointing bullet image Preparer’s taxpayer identification number
(See instructions)
Firm’s name (or yours
if self-employed),
address, and ZIP + 4Big Right Arrow




 		EIN right pointing bullet image
Phone no. right pointing bullet image
May the IRS discuss this return with the preparer shown above? See instructions .........bullet
Form 990-EZ (2010)

Additional Data


Software ID:  
Software Version:  

Form 990-EZ, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
SOUTHERN ARIZONA HEALTH
INFORMATION EXCHANGE
Employer identification number

26-4749066
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization? ................
11g(i)
 
 
(ii) a family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
(i)
Name of supported organization 		(ii)
EIN 		(iii)
Type of organization (described on lines 1- 9 above or IRC section (see instructions)) 		(iv)
Is the organization in col. (i) listed in your governing document? 		(v)
Did you notify the organization in col. (i) of your support? 		(vi)
Is the organization in col. (i) organized in the U.S.? 		(vii)
Amount of support?
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3..            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public Support. Subtract line 5 from line 4.            
Section B. Total Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .       592,289 133,099 725,388
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.       592,289 133,099 725,388
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public Support (Subtract line 7c from line 6.)           725,388
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
9 Amounts from line 6...       592,289 133,099 725,388
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)            
13 Total support (Add lines 9, 10c, 11 and 12.).       592,289 133,099 725,388
14
Section C. Computation of Public Support Percentage
15
15
100.000 %
16
16
 
Section D. Computation of Investment Income Percentage
17
17
0 %
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
SCHEDULE N
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Liquidation, Termination, Dissolution or Significant Disposition of Assets
bullet Complete if the organization answered "Yes" to Form 990, Part IV, lines 31 or 32 or Form 990-EZ, line 36.
bullet Attach certified copies of any articles of dissolution, resolutions or plans.
bullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
SOUTHERN ARIZONA HEALTH
INFORMATION EXCHANGE
Employer identification number
26-4749066
Part I
Liquidation, Termination or Dissolution. Complete if the organization answered "Yes" to Form 990, Part IV, line 31, or Form 990-EZ, line
36. Use Part III if additional space is needed.
1(a)Description of asset(s)
distributed or transaction
expenses paid		 (b)Date of
distribution		 (c)Fair market value of
asset(s) distributed or
amount of transaction
expenses		 (d)Method of
determining FMV for
asset(s) distributed or
transaction expenses		 (e)EIN of recipient (f)Name and address of recipient (g)IRC section
of recipient(s) (if
tax-exempt) or type
of entity
























Yes
No
2
Did or will any officer, director, trustee, or key employee of the organization:
a
Become a director or trustee of a successor or transferee organization? . . . . . . . . . . . . . . . . . . . . .
2a
Yes
 
b
Become an employee of, or independent contractor for, a successor or transferee organization? . . . . . . . . . . . . . . . .
2b
 
No
c
Become a direct or indirect owner of a successor or transferee organization? . . . . . . . . . . . . . . . . . . . .
2c
 
No
d
Receive, or become entitled to, compensation or other similar payments as a result of the organization's liquidation, termination, or dissolution? . . . . .
2d
 
No
e
If the organization answered "Yes" to any of the questions in this line, provide the name of the person involved and explain in Part III. bullet
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990 or Form 990-EZ.
Cat. No. 50087Z
Schedule N (Form 990 or 990-EZ) 2010

Schedule N (Form 990 or 990-EZ) 2010
Page 2
Part I
Liquidation, Termination or Dissolution (continued)
Note. If the organization distributed all of its assets during the tax year, then Form 990, Part X, column (B) should equal -0-.
Yes
No
3
Did the organization distribute its assets in accordance with its governing instrument(s)? If “No,” describe in Part III . . . . . . . . . . .
3
Yes
 
4a
Is the organization required to notify the attorney general or other appropriate state official of its intent to dissolve, liquidate, or terminate? . . . . . .
4a
 
No
b
If “Yes,” did the organization provide such notice? . . . . . . . . . . . . . . . . . . . . . . . . . .
4b
 
 
5
Did the organization discharge or pay all liabilities in accordance with state laws? . . . . . . . . . . . . . . . . . . .
5
 
No
6a
Did the organization have any tax-exempt bonds outstanding during the year? . . . . . . . . . . . . . . . . . . . .
6a
 
No
b
Did the organization discharge or defease tax-exempt bond liabilities in accordance with the Internal Revenue Code and state laws? . . . . . . . .
6b
 
No
c
If “Yes,” describe in Part III how the organization defeased or otherwise settled these liabilities. If “No,” explain in Part III.

Part II
Sale, Exchange, Disposition or Other Transfer of More Than 25% of the Organization's Assets. Complete if the organization answered "Yes" to Form 990, Part IV, line 32, or Form 990-EZ, line 36. Use Part III if additional space is needed.
1(a)Description of asset(s)
distributed or transaction
expenses paid		 (b)Date of
distribution		 (c)Fair market value of
asset(s) distributed or
amount of transaction
expenses		 (d)Method of
determining FMV for
asset(s) distributed or
transaction expenses		 (e)EIN of recipient (f)Name and address of recipient (g)IRC section
of recipient(s) (if
tax-exempt) or type
of entity
CASH 10-07-2010 20,000 FMV 27-2766061 HEALTH INFORMATION NETWORK OF AZ
1501 N CAMPBELL AVE PO BOX 245079
TUCSON,AZ85724 		3
CASH 09-30-2010 78,213 FMV 86-1014012 PIMA COMMUNITY ACCESS PROGRAM
3480 E BRITANNIA DRIVE
TUCSON,AZ85706 		3
















Yes
No
2
Did or will any officer, director, trustee, or key employee of the organization:
a
Become a director or trustee of a successor or transferee organization? . . . . . . . . . . . . . . . . . . . . .
2a
Yes
 
b
Become an employee of, or independent contractor for, a successor or transferee organization? . . . . . . . . . . . . . . . .
2b
 
No
c
Become a direct or indirect owner of a successor or transferee organization? . . . . . . . . . . . . . . . . . . . . .
2c
 
No
d
Receive, or become entitled to, compensation or other similar payments as a result of the organization’s significant disposition of assets? . . . . . . .
2d
 
No
e
If the organization answered "Yes" to any of the questions in this line, provide the name of the person involved and explain in Part III.
Schedule N(Form 990 or 990-EZ) 2010

Schedule N (Form 990 or 990-EZ) 2010
Page 3
Part III
Supplemental Information. Complete to provide the information required by Parts I and II,
and any additional information.
Identifier Return Reference Explanation
DETAIL SCHEDULE N PART II PAGE 2 LINE 2E THE BOARD OF DIRECTORS FOR THIS ORGANIZATION WILL CONTINUE TO BE BOARD OF DIRECTORS FOR THE NEW ORGANIZATION
ADDITIONAL INFORMATION SCHEDULE N SOUTHERN ARIZONA HEALTH INFORMATION EXHCHANGE SAHIE AND ANOTHER HEALTH INFORMATION EXCHANGE HIE IN ARIZONA AMIE ARE JOINING RESOURCES TO CREATE A SINGLE HIE FOR THE STATE IT ALLOWED US TO HAVE A LARGER REPRESENTATION OF THE STATE THAN WE COULD AS INDIVIDUAL ORGANIZATIONS AMIE HAS BEEN DISSOLVED SAHIE IS PLANNED TO BE DISSOLVED IN 2011 AND HINAZ INCORPORATED APRIL 26 2010 SAHIE REMAINED IN OPERATION UNTIL HINAZ PROGRESSED ON ITS NONPROFIT STATUS APPLICATION THIS ALLOWED US TO BE IN POSITION TO RECEIVE GRANT MONEY IF IT WERE TO BECOME AVAILABLE
Schedule N (Form 990 or 990-EZ) 2010


Additional Data


Software ID:  
Software Version:  


SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
SOUTHERN ARIZONA HEALTH
INFORMATION EXCHANGE
Employer identification number

26-4749066
Identifier Return Reference Explanation
GRANTS AND SIMILAR AMTS PAID TO ORGANIZATIONS FORM 990-EZ, PART I, LINE 10 HEALTH INFORMATION NETWORK 20,000 0 0 PCAP 78,213 0 0
OTHER EXPENSES FORM 990-EZ, PART I, LINE 16 EXPENSES MARKETING & ADVERTISING 17,055 TRAVEL 1,997 INSURANCE 3,770 CONTRACTED SERVICES 159,625 SUPPLIES 100 UTILITIES 4,742 PRINTING AND POSTAGE 145 DUES AND FEES 1,325 BAD DEBT EXPENSE 27,682 MISCELLANEOUS 570 TOTAL 217,011
OTHER ASSETS FORM 990-EZ, PART II, LINE 24 GRANTS RECEIVABLE 49,864 0 TOTAL 49,864 0
OTHER LIABILITIES FORM 990-EZ, PART II, LINE 26 ACCOUNTS PAYABLE AND ACCRUED EXPENSES 30,024 0
PRIMARY EXEMPT PURPOSE FORM 990-EZ, PART III THE MISSION OF SAHIE IS TO DESIGN AND IMPLEMENT INTEGRATED HEALTH INFORMATION TECHNOLOGY AND HEALTH INFORMATION EXCHANGE SYSTEMS THAT IMPROVE THE QUALITY, SAFETY AND EFFICIENCY OF CLINICAL HEALTH SERVICES FOR PATIENTS AND HEALTHCARE CONSUMERS, INCLUDING THE INSURED AND UNINSURED, BY SUPPORTING THE INFORMATION NEEDS OF PATIENTS AND HEALTHCARE CONSUMERS, HEALTHCARE PROVIDERS, HEALTH PLANS, PUBLIC HEALTH ORGANIZATIONS AND RELATED PERSONS. THE SCOPE OF THE MISSION IS TO EXTEND THIS SERVICE TO ALL RESIDENTS IN SOUTHERN ARIZONA REGARDLESS OF INSURANCE STATUS. THE OBJECTIVE IS TO ACTIVATE THE ELECTRONIC FLOW OF CLINICAL INFORMATION ACROSS INSTITUTIONAL BOUNDARIES SO THAT CLINICAL DECISIONS CAN BE MADE WITH MORE FACTS AND LESS UNCERTAINTY, THUS INCREASING THE PROBABILITY OF SAFE, EFFECTIVE, AND APPROPRIATE CARE IN ALL CARE SETTINGS. THIS WILL BE DONE WITH THE KNOWLEDGE OF THE PATIENT, AND WITH FULL RESPECT TO THE NEED FOR PRIVACY AND SECURITY OF INFORMATION. IN SETTING UP THE CORPORATION, SAHIE HAS BUILT A SOLID BASE OF SUPPORT AND TRUST AMONG THE HOSPITALS, CLINICAL PRACTICES, INSURANCE COMPANIES, CONSUMER ADVOCACY GROUPS, AND BUSINESS INTERESTS IN THE REGION. SAHIE'S BOARD COMPOSITION REFLECTS THIS BASE IN THE LOCAL HEALTH CARE COMMUNITY. A RIGOROUSLY CONSTRUCTED BUSINESS ANALYSIS HAS SUPPORTED A FULL BUSINESS PLAN AND FUNDING MODEL THAT HAS BEEN ACCEPTED BY THE COMMUNITY. IN ADDITION, SAHIE HAS IN THE FIRST HALF OF 2010 BEEN ACTIVELY INVOLVED IN SETTING UP A MERGER WITH A SIMILAR ORGANIZATION IN MARICOPA COUNTY SO THAT THE HIE SERVICE CAN BE OFFERED COMPETITIVELY THROUGHOUT THE STATE OF ARIZONA.
FIRST ACHIEVEMENT FORM 990-EZ, PART III, LINE 28 THE MISSION OF SAHIE IS TO DESIGN AND IMPLEMENT INTEGRATED HEALTH INFORMATION TECHNOLOGY AND HEALTH INFORMATION EXCHANGE SYSTEMS THAT IMPROVE THE QUALITY, SAFETY AND EFFICIENCY OF CLINICAL HEALTH SERVICES FOR PATIENTS AND HEALTHCARE CONSUMERS, INCLUDING THE INSURED AND UNINSURED, BY SUPPORTING THE INFORMATION NEEDS OF PATIENTS AND HEALTHCARE CONSUMERS, HEALTHCARE PROVIDERS, HEALTH PLANS, PUBLIC HEALTH ORGANIZATIONS AND RELATED PERSONS. THE SCOPE OF THE MISSION IS TO EXTEND THIS SERVICE TO ALL RESIDENTS IN SOUTHERN ARIZONA REGARDLESS OF INSURANCE STATUS. THE OBJECTIVE IS TO ACTIVATE THE ELECTRONIC FLOW OF CLINICAL INFORMATION ACROSS INSTITUTIONAL BOUNDARIES SO THAT CLINICAL DECISIONS CAN BE MADE WITH MORE FACTS AND LESS UNCERTAINTY, THUS INCREASING THE PROBABILITY OF SAFE, EFFECTIVE, AND APPROPRIATE CARE IN ALL CARE SETTINGS. THIS WILL BE DONE WITH THE KNOWLEDGE OF THE PATIENT, AND WITH FULL RESPECT TO THE NEED FOR PRIVACY AND SECURITY OF INFORMATION. IN SETTING UP THE CORPORATION, SAHIE HAS BUILT A SOLID BASE OF SUPPORT AND TRUST AMONG THE HOSPITALS, CLINICAL PRACTICES, INSURANCE COMPANIES, CONSUMER ADVOCACY GROUPS, AND BUSINESS INTERESTS IN THE REGION. SAHIE'S BOARD COMPOSITION REFLECTS THIS BASE IN THE LOCAL HEALTH CARE COMMUNITY. A RIGOROUSLY CONSTRUCTED BUSINESS ANALYSIS HAS SUPPORTED A FULL BUSINESS PLAN AND FUNDING MODEL THAT HAS BEEN ACCEPTED BY THE COMMUNITY. IN ADDITION, SAHIE HAS IN THE FIRST HALF OF 2010 BEEN ACTIVELY INVOLVED IN SETTING UP A MERGER WITH A SIMILAR ORGANIZATION IN MARICOPA COUNTY SO THAT THE HIE SERVICE CAN BE OFFERED COMPETITIVELY THROUGHOUT THE STATE OF ARIZONA.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  

TY 2010 CompensationExplanation
Name:
SOUTHERN ARIZONA HEALTH
INFORMATION EXCHANGE
EIN: 26-4749066
Person Name Explanation
KATHY BYRNE  
MICHAEL DURAN  
TONY FONZE  
DICK HANNON  
DENISE HURTADO  
CAROLYN PACE  
PAUL KAPPELMAN  
CAMILLE KENDRICK  
CHRISTI LUNDEEN  
SUSAN WILLIS  
CLARENCE VATNE  
SHIRLEY GABRIEL  
NORM BOTSFORD  
MIKE CRACOVANER  
STEW GRABEL  
STEVE NASH  
RON SHOOPMAN