Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
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Calendar year (or fiscal year beginning in) ![]() |
(a) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 8,059,674 | 8,035,701 | 10,687,476 | 10,677,255 | 12,472,165 | 49,932,271 |
| 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 | 8,059,674 | 8,035,701 | 10,687,476 | 10,677,255 | 12,472,165 | 49,932,271 |
| 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. | 49,932,271 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 8,059,674 | 8,035,701 | 10,687,476 | 10,677,255 | 12,472,165 | 49,932,271 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 28,474 | 38,725 | 21,455 | 8,007 | 4,754 | 101,415 |
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | 40,021 | 110,000 | 150,021 | |||
| 11 | Total support. Add lines 7 through 10 | 50,183,707 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 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 | ||||||
| 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.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 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 VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by 0.035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2020 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2020 |
(iii) Distributable Amount for 2020 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2020 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2020: | ||||
| a From 2015....... | ||||
| b From 2016....... | ||||
| c From 2017....... | ||||
| d From 2018....... | ||||
| e From 2019....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2020 distributable amount | ||||
|
i
Carryover from 2015 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2020 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2020 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2020, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2020. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
7 Excess distributions carryover to 2021. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2016..... | ||||
| b Excess from 2017..... | ||||
| c Excess from 2018..... | ||||
| d Excess from 2019..... | ||||
| e Excess from 2020..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | OTHER INCOME - 2019 AMOUNT: $ 40,021. 2020 AMOUNT: $ 110,000. |
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PART III, LINE 2 | ADVANCE DIRECTIVES REGISTRY - IN 2019, S.B. 1352 WAS PASSED TO IMPROVE ACCESS TO THE STATEWIDE ADVANCE DIRECTIVES REGISTRY (ADR) BY MOVING IT FROM THE SECRETARY OF STATE OFFICE TO HEALTH CURRENT ARIZONA'S HIE. IN PARTNERSHIP WITH END-OF-LIFE INDUSTRY LEADERS FROM ACROSS THE STATE, HEALTH CURRENT IS DEVELOPING THE ARIZONA HEALTHCARE DIRECTIVES REGISTRY (AZHDR), THAT PROMISES TO BE A GAME-CHANGER IN HOW ARIZONANS CREATE AND USE ADVANCE DIRECTIVES. THE REGISTRY IS SLATED FOR LAUNCH IN LATE 2021. LEARN MORE AT HTTP://WWW.HEALTHCURRENT.ORG/AZHDR. SOCIAL DETERMINANTS OF HEALTH - IN PARTNERSHIP WITH THE ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM (AHCCCS), ARIZONA'S STATE MEDICAID AGENCY, HEALTH CURRENT IS DEVELOPING A CLOSED LOOP REFERRAL SYSTEM (CLRS) TO ADDRESS SOCIAL DETERMINANTS OF HEALTH (SDOH) NEEDS IN ARIZONA. IN CONCERT WITH AHCCCS, AND IN COLLABORATION WITH 2-1-1 ARIZONA, WHICH IS OPERATED BY SOLARI CRISIS & HUMAN SERVICES, THE TECHNOLOGY SOLUTION IS SLATED FOR LAUNCH WITH EARLY-ADOPTERS IN JUNE 2021, AND MARKS A SIGNIFICANT MILESTONE IN SUPPORTING PROVIDERS, HEALTH PLANS, COMMUNITY-BASED ORGANIZATIONS (CBOS) AND COMMUNITY STAKEHOLDERS IN MEETING THE SOCIAL SERVICE NEEDS OF ARIZONANS. LEARN MORE AT HTTP://WWW.HEALTHCURRENT.ORG/SDOH. ELECTRONIC CASE REPORTING - NORMALIZE AND DELIVER E-CASE REPORTS FROM ELECTRONIC HEALTH RECORD SYSTEMS TO ARIZONA DEPARTMENT OF HEALTH DISEASE SURVEILLANCE SYSTEM FOR PUBLIC HEALTH EMERGENCIES. STRENGTHENING THE TECHNICAL ADVANCEMENT AND READINESS OF PUBLIC HEALTH VIA HEALTH INFORMATION EXCHANGE PROGRAM (STAR HIE PROGRAM) - PROGRAM WILL STRENGTHEN AND ACCELERATE INNOVATIVE USES OF HEALTH INFORMATION VIA HEALTH INFORMATION EXCHANGES (HIES) WITHIN STATES, COMMUNITIES, AND REGIONS TO SUPPORT PUBLIC HEALTH AGENCIES' ABILITIES TO ADVANCE DATA-DRIVEN PREVENTION OF, RESPONSE TO, AND RECOVERY FROM PUBLIC HEALTH EVENTS, INCLUDING DISASTERS AND PANDEMICS SUCH AS CORONAVIRUS DISEASE |
| FORM 990, PART III, LINE 3 | THE TRANSFORMING CLINICAL PRACTICES INITIATIVE (TCPI) GRANT PROGRAM ENDED DECEMBER 2019. |
| FORM 990, PART IV, LINE 28: | AS A 501(C)(3) ORGANIZATION, HEALTH CURRENT IS COMPRISED OF A VARIETY OF STAKEHOLDERS OF THE HEALTHCARE INDUSTRY (HOSPITALS, INSURANCE FIRMS, PROVIDERS, ASSOCIATIONS). DIRECTORS ARE REQUIRED TO BE IN KEY DECISION-MAKING POSITIONS OF THEIR COMPANIES (CEO, CIO, ETC.). AS SUCH, HEALTH CURRENT IS FREQUENTLY IN THE POSITION TO PROCURE GOODS AND SERVICES FROM DIRECTORS WHOSE BUSINESSES ARE DIRECTLY RELATED TO THE PURPOSE AND MISSION OF HEALTH CURRENT. THESE TRANSACTIONS ARE CONDUCTED AT ARMS-LENGTH AND PROPERLY DOCUMENTED. |
| FORM 990, PART VI, SECTION A, LINE 1 | THE BOARD, BY RESOLUTION, SHALL APPOINT AN EXECUTIVE COMMITTEE OF UP TO SIX (6) MEMBERS WHICH SHALL HAVE FULL AUTHORITY TO ACT IN PLACE OF THE BOARD BETWEEN MEETINGS OF THE BOARD IN ALL MATTERS EXCEPT FOR THOSE SPECIFIC MATTERS RESERVED TO THE ENTIRE BOARD BY SECTION 6.2 OF THE BYLAWS. THE MEMBERS OF THE EXECUTIVE COMMITTEE ALL MUST BE DIRECTORS AND MUST BE IN GOOD STANDING. THE BOARD CHAIR SHALL SERVE AS THE CHAIR OF THE EXECUTIVE COMMITTEE, EITHER EX OFFICIO WITHOUT A VOTE UNLESS APPOINTED BY THE BOARD AS ONE OF THE COMMITTEE MEMBERS, AND THEN WITH A VOTE. THE EXECUTIVE COMMITTEE, BY A TWO-THIRDS VOTE, MAY DESIGNATE ANY ACTION AS IMMEDIATELY EFFECTIVE AND SUCH IMMEDIATELY-EFFECTIVE ACTION SHALL NOT REQUIRE OR BE SUBJECT TO BOARD RATIFICATION OR MODIFICATION, EXCEPT AS A SEPARATE SUBSEQUENT ACTION OF THE BOARD. MINUTES OF PROCEEDINGS OF THE EXECUTIVE COMMITTEE SHALL BE PREPARED AND DISTRIBUTED TO ALL DIRECTORS. DURING A LOCAL EMERGENCY, A STATE OF EMERGENCY, OR A STATE OF WAR EMERGENCY, AS DEFINED IN A.R.S. 26-301, THEN NOTWITHSTANDING SECTION 6.2 OF THESE BYLAWS, THE EXECUTIVE COMMITTEE MAY EXERCISE THE AUTHORITY OF THE BOARD REGARDING BOARD AND COMMITTEE VACANCIES AND MEMBERSHIP, ADOPTION OF EMERGENCY BYLAWS AS PROVIDED IN A.R.S. 10-3207, AND COMPENSATION IF A QUORUM OF BOARD CANNOT READILY BE ASSEMBLED. |
| FORM 990, PART VI, SECTION A, LINE 2 | BOARD OF DIRECTORS ARE ENGAGED IN BUSINESSES RELATED TO AND COMPATIBLE WITH THE HEALTHCARE INDUSTRY. AS SUCH THEY ARE FREQUENTLY IN THE POSITION TO PROCURE GOODS AND SERVICES FROM EACH OTHER IN THE DAILY OPERATION OF THEIR BUSINESSES. |
| FORM 990, PART VI, SECTION A, LINE 4 | THE BYLAWS WERE AMENDED TO ALLOW THE EXECUTIVE COMMITTEE TO ACT ON BEHALF OF THE BOARD DURING AN EMERGENCY DECLARATION. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PREPARED BY THE ORGANIZATION'S PUBLIC ACCOUNTING FIRM BASED ON INFORMATION PROVIDED BY MANAGEMENT. ONCE THE DRAFT IS AVAILABLE, IT IS REVIEWED BY MANAGEMENT AND ANY CHANGES INCORPORATED INTO THE FILING. ONCE THIS DETAILED REVIEW IS COMPLETE, THE DRAFT OF THE FORM 990 IS PRESENTED TO THE FINANCE COMMITTEE AND BOARD OF DIRECTORS FOR THEIR REVIEW AND COMMENTS PRIOR TO FILING WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | ANNUALLY EACH DIRECTOR, KEY EMPLOYEE, COUNCIL MEMBER AND WORKGROUP MEMBER FILLS OUT AND SUBMITS A NEW CONFLICT OF INTEREST DISCLOSURE FORM. THE FORM IS REVIEWED BY EXECUTIVE MANAGEMENT/LEADERSHIP TO DENOTE ANY STATED CONFLICTS AND THEN IS KEPT ON FILE FOR THE DURATION OF THE YEAR AND IF ANY CHANGES IN CIRCUMSTANCES OCCUR, AN UPDATED FORM MUST BE SUBMITTED. BOARD REVIEWS/APPROVES AS PART OF CONSENT AGENDA. THE CEO REVIEWS INFORMATION SUBMITTED QUARTERLY TO ENSURE THAT ANY POTENTIAL CONFLICTS ARE ADDRESSED AND THAT ALL PAPERWORK IS UP-TO-DATE. |
| FORM 990, PART VI, SECTION B, LINE 15 | CEO COMPENSATION IS DETERMINED BY THE EXECUTIVE COMMITTEE AND APPROVED BY THE ENTIRE BOARD. TOWERS WATSON HAS PROVIDED BENCHMARK SURVEY FOR ALL EXECUTIVE POSITIONS WHICH IS USED TO DETERMINE IF SALARIES ARE IN PROPER RANGES. THIS IS THEN DOCUMENTED IN THE CEO'S PERSONNEL FILE. THIS PROCESS WAS COMPLETED DURING 2020. NEW OR RECLASSIFIED POSITIONS ARE REVIEWED BY THE SUPERVISOR AND THE CEO TO EVALUATE THE DUTIES. THE COMPENSATION IS DETERMINED AFTER COMPARING TO SIMILAR POSITIONS USING A VARIETY OF CORPORATE, NON PROFIT AND GOVERNMENTAL INFORMATION. IN EARLY 2020, THE EMPLOYERS COUNCIL PREPARED A COMPREHENSIVE SALARY ANALYSIS OF ALL POSITIONS WITHIN THE ORGANIZATION. PAY RANGES WERE ESTABLISHED AN ADJUSTMENTS WERE MADE AS NECESSARY. THIS IS THEN DOCUMENTED IN THE EMPLOYEE'S PERSONNEL FILE. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | HEALTH SERVICES ADVISORY GROUP, INC.: PROGRAM SERVICE EXPENSES 18,893. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,893. OTHER PROFESSIONAL CONSULTANTS: PROGRAM SERVICE EXPENSES 1,022,818. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,022,818. |
| FORM 990, PAGE 12, PART XII, LINE 2C | THERE HAS BEEN NO CHANGE IN EITHER THE OVERSIGHT PROCESS OR THE SELECTION PROCESS DURING THE TAX YEAR. |
| Software ID: | |
| Software Version: |