CTR073341 A2.pdf

PDF 3 MB Posted

Attached to
AZ|CTR073341
Contract number
CTR073341
Issued by
Arizona

About this file

This is a Competition Impractical Contract Amendment issued by the Arizona Department of Health Services, Office of Procurement, for the Arizona Hospital and Healthcare Association (AzHHA) and the Arizona Coalition for Healthcare Emergency Response. The contract amendment (Amendment No. Two (2)) is associated with Contract No. CTR073341 and involves a federal award from the Hospital Preparedness Program under the Public Health Emergency Preparedness initiative.

The contract amendment covers two primary components: a fixed-price price sheet and a cost reimbursement price sheet. For AzHHA, the total annual budget is $101,630.70, with a fixed-price annual amount of $25,407.68 for the period of September 5, 2025 - September 30, 2025, covering deliverables, tasks, and activities. The cost reimbursement period runs from October 1, 2025 - June 30, 2026, with line-item totals including personnel ($32,023.22), employee related expenses ($8,465.31), and other operating expenses ($29,464.70), totaling a cost reimbursement annual amount of $76,223.02. For the Arizona Coalition for Healthcare Emergency Response, the total annual budget is $1,016,738.72, with similar pricing structures and periods. The contract allows for budget transfers up to 10% between line items with written approval.

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ARIZONA HOSPITAL AND HEALTHCARE ASSOCIATION

Unique Entity ID

UAELEZBGU2M1

CAGE / NCAGE

41JC7

Purpose of Registration

All Awards

Registration Status

Active Registration

Expiration Date

Sep 25, 2026

Physical Address

2800 N Central AVE STE 1450

Phoenix, Arizona 85004-1054

United States

Mailing Address

2800 N Central AVE STE 1450

Phoenix, Arizona 85004-1054

United States

Business Information

Doing Business as

(blank)

Division Name

(blank)

Division Number

(blank)

Congressional District

Arizona 03

State / Country of Incorporation

Arizona / United States

URL

www.azhha.org

Registration Dates

Activation Date

Sep 29, 2025

Submission Date

Sep 25, 2025

Initial Registration Date

Jun 28, 2005

Entity Dates

Entity Start Date

Aug 26, 1954

Fiscal Year End Close Date

Dec 31

Immediate Owner

CAGE

(blank)

Legal Business Name

(blank)

Highest Level Owner

CAGE

(blank)

Legal Business Name

(blank)

Executive Compensation

Registrants in the System for Award Management (SAM) respond to the Executive Compensation questions in accordance with Section 6202 of

P.L. 110-252, amending the Federal Funding Accountability and Transparency Act (P.L. 109-282). This information is not displayed in SAM. It is sent to USAspending.gov for display in association with an eligible award. Maintaining an active registration in SAM demonstrates the registrant responded to the questions.

Proceedings Questions

Registrants in the System for Award Management (SAM.gov) respond to proceedings questions in accordance with FAR 52.209-7, FAR 52.209-9, or 2. C.F.R. 200 Appendix XII. Their responses are displayed in the responsibility/qualification section of SAM.gov. Maintaining an active registration in SAM.gov demonstrates the registrant responded to the proceedings questions.

Exclusion Summary

Active Exclusions Records?

No

SAM Search Authorization

I authorize my entity's non-sensitive information to be displayed in SAM public search results:

Yes

Entity Types

Business Types

Entity Structure

Corporate Entity (Tax Exempt)

Entity Type

Business or Organization

Organization Factors

(blank)

Profit Structure

Non-Profit Organization

Last updated by Karla Hartline on Sep 25, 2025 at 09:46 PM ARIZONA HOSPITAL AND HEALTHCARE ASSOCIATION

Dec 03, 2025 11:27:42 PM GMT https://sam.gov/entity/UAELEZBGU2M1/coreData?status=null Page 1 of 2

Socio-Economic Types

Check the registrant's Reps & Certs, if present, under FAR 52.212-3 or FAR 52.219-1 to determine if the entity is an SBA-certified HUBZone small business concern. Additional small business information may be found in the SBA's Dynamic Small Business Search if the entity completed the

SBA supplemental pages during registration.

Financial Information

Accepts Credit Card Payments

No

Debt Subject To Offset

No

EFT Indicator

CAGE Code

41JC7

Points of Contact

Electronic Business

Karla Hartline, Vice President of Finance and

Operations

2800 North Central Avenue Suite 1450

Phoenix, Arizona 85004

United States

LAURA DICKSCHEID, VICE PRESIDENT,

MEMBER SERVICES

2800 N Central AVE, STE 1450

Phoenix, Arizona 85004

United States

Government Business

KARLA HARTLINE, Vice President of Finance and Operations

2800 North Central Avenue Suite 1450

Phoenix, Arizona 85004

United States

LAURA DICKSCHEID, VICE PRESIDENT,

MEMBER SERVICES

2800 N Central AVE, STE 1450

Phoenix, Arizona 85004

United States

Past Performance

LAURA DICKSCHEID, VICE PRESIDENT,

MEMBER SERVICES

2800 N Central AVE, STE 1450

Phoenix, Arizona 85004

United States

LAURA DICKSCHEID, VICE PRESIDENT,

MEMBER SERVICES

2800 N Central AVE, STE 1450

Phoenix, Arizona 85004

United States

Service Classifications

NAICS Codes

Primary

Yes

NAICS Codes

813910

NAICS Title

Business Associations

Disaster Response

Yes, this entity appears in the disaster response registry.

Bonding Levels Dollars

(blank) (blank)

States

Arizona

Counties

(blank)

Metropolitan Statistical Areas

(blank)

Last updated by Karla Hartline on Sep 25, 2025 at 09:46 PM ARIZONA HOSPITAL AND HEALTHCARE ASSOCIATION

Dec 03, 2025 11:27:42 PM GMT https://sam.gov/entity/UAELEZBGU2M1/coreData?status=null Page 2 of 2

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Exclusions Search Results: Exclusions Search Results: IndividualsIndividuals

No Results were found for

ARIZONA HOSPITALANDHEALTH

If no results are found, this individual or entity (if it is an entity search) is not currently excluded. Print this Web page for your documentation

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Search conducted 12/3/2025 6:24:41 PM EST on OIG LEIE Exclusions database.

Source data updated on 11/10/2025 9:01:00 AM EST

Return to Search

An official website of the United States government. Here's how you know > https://oig.hhs.gov/exclusions/exclusions-help.asp#generalSearch mailto:webmaster@oig.hhs.gov https://oig.hhs.gov/exclusions/exclusions-help.asp#singleSearch https://oig.hhs.gov/exclusions/exclusions-help.asp#singleSearch javascript:__doPostBack('ctl00$cpExclusions$lbGridBackToSearch','') javascript:__doPostBack('ctl00$cpExclusions$lbBackToSearch','') https://oig.hhs.gov/notices/official-site.asp

Entity Information Search Date and Time:

12/3/2025 4:23:55 PM

Entity Details

Entity Name:

ARIZONA HOSPITAL AND HEALTHCARE ASSOCIATION

Entity ID:

00455612

Entity Type:

Domestic Nonprofit Corporation

Entity Status:

Active

Formation Date:

8/26/1954

Reason for Status:

In Good Standing

Approval Date:

8/26/1954

Status Date:

10/16/2019

Original Incorporation Date:

8/26/1954

Life Period:

Perpetual

Business Type:

Other - Other - Other - HOSPITAL/HEALTH CARE

Last Annual Report Filed:

Domicile State:

Arizona

Annual Report Due Date:

10/26/2026 Privacy Policy (http://azcc.gov/privacy-policy) ǀ Contact Us (http://azcc.gov/corporations/corporation-contacts) http://azcc.gov/privacy-policy http://azcc.gov/privacy-policy http://azcc.gov/privacy-policy http://azcc.gov/privacy-policy http://azcc.gov/corporations/corporation-contacts http://azcc.gov/corporations/corporation-contacts http://azcc.gov/corporations/corporation-contacts

Title Name Attention Address Date of Taking Office

Last Updated

Director Mimi Coomler 5301 E. Grant Road, TUCSON, AZ, 85712, USA

10/1/2022 9/22/2023

Director Brian Sinotte 1980 W. Hospital Dr, TUCSON, AZ, 85704, USA

10/1/2022 9/22/2023

Director Krystal Burge 3845 Stockton Hill Road, KINGMAN, AZ, 86409, USA

10/1/2022 9/22/2023

Chairman of the Board of Directors

Robert Trenschel

2400 SOUTH AVENUE A, YUMA,

AZ, 85364, USA

1/1/2016 8/13/2025

Director STEVE PURVES

2601 E ROOSEVELT ST,

PHOENIX, AZ, 85008, USA

1/1/2014 8/13/2025

Director

JEFF

CHRISTENSEN

2650 N WYATT DRIVE, TUCSON,

AZ, 85712, USA

12/9/2021 9/6/2022

Years Due:

Original Publish Date:

Statutory Agent Information

Name:

CB SERVICE ENTITY LLC

Appointed Status:

Active 8/26/1954

Attention:

Address:

2800 N. CENTRAL AVENUE, SUITE 1900, Suite 1900, PHOENIX, AZ 85004, USA

Agent Last Updated:

8/13/2025

E-mail:

Attention:

Mailing Address:

County:

Maricopa

Principal Information

Privacy Policy (http://azcc.gov/privacy-policy) ǀ Contact Us (http://azcc.gov/corporations/corporation-contacts) http://azcc.gov/privacy-policy http://azcc.gov/privacy-policy http://azcc.gov/privacy-policy http://azcc.gov/privacy-policy http://azcc.gov/corporations/corporation-contacts http://azcc.gov/corporations/corporation-contacts

< Previous ... 1 2 3 4 ... Next > Page 1 of 4, records 1 to 5 of 17 Go to Page

Title Name Attention Address Date of Taking Office

Last Updated

Director NEAL JENSEN

5880 SOUTH HOSPITAL DRIVE,

GLOBE, AZ, 85501, USA

1/1/2016 8/13/2025

President/CEO Ann-Marie Alameddin

2800 N Central Ave, Suite 1450, PHOENIX, AZ, 85004, USA

4/2/2019 10/16/2019

Treasurer Roland Knox 901 W Rex Allen Dr, WILLCOX, AZ, 85643, USA

1/1/2015 9/22/2023

Director Jackie Lundblad 2800 North Central Avenue, Suite

1450, PHOENIX, AZ, 85004, USA

12/1/2023 10/7/2024

Director Richard Gray 5777 E. Mayo Blvd, PHOENIX, AZ, 85054, USA

10/1/2022 9/22/2023

Director Bruce Waldo 6015 W. Peoria Ave, Glendale, AZ, 85032, USA

1/1/2020 10/6/2020

Director Rhonda Anderson 21813 N. 39th Street, PHOENIX, AZ, 85050, USA

10/1/2022 9/22/2023

Director Chris Ruble 2800 North Central Avenue, Suite

1450, PHOENIX, AZ, 85004, USA

12/1/2024 8/13/2025

Director Dawn Tschabrun 2800 North Central Avenue, Suite

1450, PHOENIX, AZ, 85004, USA

12/1/2024 8/13/2025

Director Erica Brown 2800 North Central Avenue, Suite

1450, PHOENIX, AZ, 85004, USA

12/1/2024 8/13/2025

Director Vicki Began 2800 North Central Avenue, Suite

1450, PHOENIX, AZ, 85004, USA

12/1/2024 8/13/2025

Entity Known Place of Business

Attention: Karla Hartline

Address: 2800 N. Central Avenue, Suite 1450, PHOENIX, AZ, 85004, USA

County: Maricopa

Last Updated: 8/13/2025

Entity Principal Office Address

Attention: Privacy Policy (http://azcc.gov/privacy-policy) ǀ Contact Us (http://azcc.gov/corporations/corporation-contacts) javascript:$xhtml.paging(2) javascript:$xhtml.paging(3) javascript:$xhtml.paging(4) javascript:$xhtml.paging(2) http://azcc.gov/privacy-policy http://azcc.gov/privacy-policy http://azcc.gov/privacy-policy http://azcc.gov/privacy-policy http://azcc.gov/corporations/corporation-contacts http://azcc.gov/corporations/corporation-contacts

Address:

County:

Last Updated:

Back Return to Search Return to Results

Document History Name/Restructuring History Pending Documents Microfilm History

Privacy Policy (http://azcc.gov/privacy-policy) ǀ Contact Us (http://azcc.gov/corporations/corporation-contacts) http://azcc.gov/privacy-policy http://azcc.gov/privacy-policy http://azcc.gov/privacy-policy http://azcc.gov/privacy-policy http://azcc.gov/corporations/corporation-contacts http://azcc.gov/corporations/corporation-contacts http://azcc.gov/corporations/corporation-contacts http://azcc.gov/corporations/corporation-contacts

CTR073341 A2
Sam.gov
OIG Search Results
Arizona Corporation Commission

File details come from the government source that posted it. Updated .