SUMMIT HEALTHCARE ASSOCIATION: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- SUMMIT HEALTHCARE ASSOCIATION (EIN 86-0320447)
- Tax period
- 2023-01-01 to 2023-12-31
- Filed
- 2024-11-15
- IRS object ID
- 202423209349325042
- Schema version
- 2023v5.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-11-15T17:26:31+00:00 | ReturnTs |
| Tax Period End | 2023-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 440160260 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Forvis Mazars LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 14221 Dallas Parkway Suite 400 | AddressLine1Txt |
| City | Dallas | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 75254 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 860320447 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUMMIT HEALTHCARE ASSOCIATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SUMM | BusinessNameControlTxt |
| Phone | 9285374375 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2200 E SHOW LOW LAKE ROAD | AddressLine1Txt |
| City | SHOW LOW | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85901 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Jeff Comer | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Signature | 2024-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Noelle Alberto | PreparerPersonNm |
| PTIN | P01704142 | PTIN |
| Phone | 9727028262 | PhoneNum |
| Preparation | 2024-11-15 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2024-10-15 13:58:12Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUMMIT HC REGIONAL MEDICAL CENTER | BusinessNameLine1Txt |
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Jeff Comer | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2200 E SHOW LOW LAKE ROAD | AddressLine1Txt |
| City | SHOW LOW | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85901 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $293,771,771 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SUMMITHEALTHCARE.NET | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1976 | FormationYr |
| Legal Domicile State | AZ | LegalDomicileStateCd |
| Activity Or Mission | PROMOTE HEALTH AND WELLNESS TO THE COMMUNITIES WE SERVE. WE INVEST IN STATE-OF-THE-ART EQUIPMENT TO HELP OUR PATIENTS REACH THEIR HEALTH CARE GOALS AND RETURN TO A HEALTHY, ACTIVE LIFESTYLE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 6 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 4 | VotingMembersIndependentCnt |
| Total Employee | 1524 | TotalEmployeeCnt |
| Total Volunteers | 30 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,859,547 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,857,145 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $272,415,923 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $285,954,951 | CYProgramServiceRevenueAmt |
| PY Investment Income | $8,614,194 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,356,893 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,114,169 | PYOtherRevenueAmt |
| CY Other Revenue | $1,731,401 | CYOtherRevenueAmt |
| PY Total Revenue | $284,003,833 | PYTotalRevenueAmt |
| CY Total Revenue | $290,900,390 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $113,070,700 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $113,425,395 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $162,524,572 | PYOtherExpensesAmt |
| CY Other Expenses | $171,101,898 | CYOtherExpensesAmt |
| PY Total Expenses | $275,595,272 | PYTotalExpensesAmt |
| CY Total Expenses | $284,527,293 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $8,408,561 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $6,373,097 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $280,929,746 | TotalAssetsBOYAmt |
| Total Assets EOY | $276,520,074 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $126,330,916 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $114,339,908 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $154,598,830 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $162,180,166 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TRUSTED TO DELIVER EXCEPTIONAL, COMPASSIONATE CARE CLOSE TO HOME. SUMMIT HEALTHCARE CONTINUES TO PROMOTE HEALTH AND WELLNESS TO THE COMMUNITIES WE SERVE. WE INVEST IN STATE-OF-THE-ART EQUIPMENT TO HELP OUR PATIENTS REACH THEIR HEALTH CARE GOALS AND RETURN TO A HEALTHY, ACTIVE LIFESTYLE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $228,233,050 | ExpenseAmt |
| Revenue | $286,014,951 | RevenueAmt |
| Desc | Summit Healthcare is a licensed 101 Bed not-for-profit Rural Sole Community Hospital. Summit Healthcare is committed to provide exceptional compassionate care to the communities we serve. Summit Healthcare's array of services include a 24 bed emergency department which is pediatric certified, a cardiac and vascular Cath lab, diagnostic imaging which includes MRI, CT, Mammography, Nuclear Medicine, X Ray, Ultrasound and Pet/CT, Home Health Services, IV Therapy, Cancer Center with Medical and Radiation Oncology, Women's and Infant Services, Level II Nursery, Therapy Services with Children's Therapy, Occupational Health Therapy, Physical Therapy and Speech Therapy, Pain Medicine, Surgical Services, Telemedicine, Wound Care and Hyperbarics, 12 bed Geropsych Unit and much more. We opened an urgent care clinic on the first floor of our MOB. In FY2023, At the main hospital we treated 132,509 patients. In our Medical Group Clinic locations, we saw 188,868 patients. In 2022 we converted four of our outlying clinics to Rural Health Clinics to better serve those communities in Snowflake/Taylor, Eager/Springerville, and St. Johns. We continued to work with our community to identify new ways the serve them. We were awarded a grant which allowed us to better assist our patients with opioid and substance abuse by adding peer support services and implementing a naloxone distribution program within the community. In 2023 we expanded our opioid and substance abuse program to include pregnant women and their families. Our clinically integrated network assisted our chronically ill patients by reaching out to them and assisting them with the management of their specific disease. Summit Healthcare is committed to serving the needs of the community of the White Mountains. | Desc |
| Total Program Service Expenses | $228,233,050 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 14 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1524 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 6 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 4 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | AZ | StatesWhereCopyOfReturnIsFldCd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAVID ROTHENBERGER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9285376345 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2200 E SHOW LOW LAKE ROAD | AddressLine1Txt |
| City | SHOW LOW | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85901 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| BECKY THOMPSON | ||||||||||
| SECRETARY | 4.0 | 0.0 | Yes (X) | Yes (X) | $7,144 | $0 | $0 | |||
| NEIL TRAVER | ||||||||||
| VICE CHAIR/Finance Chair | 4.0 | 0.0 | Yes (X) | Yes (X) | $14,400 | $0 | $0 | |||
| PAUL WATSON | ||||||||||
| BOARD CHAIRMAN/Interim CEO | 15.0 | 0.0 | Yes (X) | Yes (X) | $83,980 | $0 | $0 | |||
| Chad Brimhall | ||||||||||
| Chief of Staff/Director | 60.0 | 0.0 | Yes (X) | $419,051 | $0 | $42,223 | ||||
| DOUG WRIGHT | ||||||||||
| DIRECTOR | 60.0 | 0.0 | Yes (X) | $663,256 | $0 | $51,495 | ||||
| JOHN CORDER | ||||||||||
| DIRECTOR | 4.0 | 0.0 | Yes (X) | $13,200 | $0 | $0 | ||||
| SIMRANJIT GALHOTRA | ||||||||||
| CHIEF OF STAFF/DIRECTOR END: 06/23 | 40.0 | 0.0 | Yes (X) | $270,060 | $0 | $20,209 | ||||
| DAVID MURRAY | ||||||||||
| CCO | 40.0 | 0.0 | Yes (X) | $211,388 | $0 | $13,489 | ||||
| DAVID ROTHENBERGER | ||||||||||
| CFO | 40.0 | 0.0 | Yes (X) | $335,639 | $0 | $34,811 | ||||
| JAY LARSON | ||||||||||
| CIO | 40.0 | 0.0 | Yes (X) | $222,972 | $0 | $33,780 | ||||
| Jeff Comer | ||||||||||
| CEO START: 11/23 | 40.0 | 0.0 | Yes (X) | $105,769 | $0 | $0 | ||||
| JONATHAN FELTON | ||||||||||
| COO | 40.0 | 0.0 | Yes (X) | $339,764 | $0 | $31,380 | ||||
| Shawn Morrow | ||||||||||
| CEO END: 03/23 | 40.0 | 0.0 | Yes (X) | $592,572 | $0 | $31,212 | ||||
| BURKE DELANGE | ||||||||||
| PHYSICIAN | 40.0 | 0.0 | $1,246,076 | $0 | $46,275 | Yes (X) | ||||
| DAX TRUJILLO | ||||||||||
| PHYSICIAN | 40.0 | 0.0 | $766,082 | $0 | $44,157 | Yes (X) | ||||
| FARBOD KHAKI | ||||||||||
| PHYSICIAN END: 02/23 | 40.0 | 0.0 | $195,374 | $0 | $5,410 | Yes (X) | ||||
| SAL MALAD | ||||||||||
| PHYSICIAN | 40.0 | 0.0 | $1,314,406 | $0 | $9,590 | Yes (X) | ||||
| Curtis Ellsworth | ||||||||||
| Physician | 40.0 | 0.0 | $824,668 | $0 | $41,799 | Yes (X) | ||||
| GEOFFREY CORNELSEN | ||||||||||
| PHYSICIAN | 40.0 | 0.0 | $812,864 | $0 | $47,685 | Yes (X) | ||||
| JAMES OLACK | ||||||||||
| PHYSICIAN | 40.0 | 0.0 | $853,861 | $0 | $35,785 | Yes (X) | ||||
| LYNN BRYAN | ||||||||||
| PHYSICIAN | 40.0 | 0.0 | $732,919 | $0 | $18,393 | Yes (X) | ||||
| Scott Salmon | ||||||||||
| Physician | 40.0 | 0.0 | $696,835 | $0 | $53,480 | Yes (X) | ||||
| Kenneth Allen | ||||||||||
| Former Physician SERVICES Officer END: 12/22 | 40.0 | 0.0 | $111,992 | $0 | $1,412 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $10,834,272 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $562,585 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 163 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CARDINAL HEALTH 411 INC | |||||
| PO BOX 56412 | LOS ANGELES | CA | 900747130 | Pharmaceuticals | $20,446,646 |
| ENSEMBLE RCM LLC | |||||
| PO BOX 639076 | CINCINNATI | OH | 45263 | Collection services | $14,881,143 |
| MEDICAL SOLUTIONS INC | |||||
| PO BOX 850737 | MINNEApolis | MN | 554850737 | Contract Labor | $11,010,799 |
| US BANK NATL ASSOC | |||||
| P0 BOX 70870 | St Paul | MN | 55170 | Finance | $7,054,481 |
| INTEGRATED MEDICAL SERVICES | |||||
| 3815 E BELL RD SUITE 2200 | PHOENIX | AZ | 85032 | Management Services | $3,832,500 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 122 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,796,446 | GovernmentGrantsAmt |
| All Other Contributions | $60,699 | AllOtherContributionsAmt |
| Total Contributions | $1,857,145 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT REVENUE | 622000 | $279,957,345 | $279,957,345 |
| OTHER OPERATING REVENUE | 622000 | $930,513 | $930,513 |
| PHARMACY REVENUE | 456110 | $5,067,093 | $5,067,093 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $285,954,951 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,451,935 | TotalRevenueColumnAmt |
| Exclusion | $1,451,935 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $104,363 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $104,363 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $104,363 | TotalRevenueColumnAmt |
| Exclusion | $104,363 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,677,789 | SecuritiesAmt |
| Other | $98,550 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,829,834 | SecuritiesAmt |
| Other | $41,547 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$152,045 | SecuritiesAmt |
| Other | $57,003 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$95,042 | TotalRevenueColumnAmt |
| Exclusion | -$95,042 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| CAFETERIA AND GIFT SHOP | 722511 | $1,017,059 | $1,017,059 |
| REBATES | 900099 | $609,979 | $609,979 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,627,038 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $290,900,390 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $285,954,951 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,088,294 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,143,432 | TotalAmt |
| Program Services | $1,785,858 | ProgramServicesAmt |
| Management And General | $5,357,574 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $113,404 | TotalAmt |
| Program Services | $28,351 | ProgramServicesAmt |
| Management And General | $85,053 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $86,680,576 | TotalAmt |
| Program Services | $77,435,419 | ProgramServicesAmt |
| Management And General | $9,245,157 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $841,671 | TotalAmt |
| Program Services | $760,523 | ProgramServicesAmt |
| Management And General | $81,148 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,593,556 | TotalAmt |
| Program Services | $10,104,224 | ProgramServicesAmt |
| Management And General | $2,489,332 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,052,756 | TotalAmt |
| Program Services | $5,109,483 | ProgramServicesAmt |
| Management And General | $943,273 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $210,401 | TotalAmt |
| Management And General | $210,401 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $245,990 | TotalAmt |
| Program Services | $59,244 | ProgramServicesAmt |
| Management And General | $186,746 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $127,575 | TotalAmt |
| Management And General | $127,575 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,883,329 | TotalAmt |
| Program Services | $36,164,358 | ProgramServicesAmt |
| Management And General | $25,718,971 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $610,823 | TotalAmt |
| Program Services | $8,728 | ProgramServicesAmt |
| Management And General | $602,095 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,439,228 | TotalAmt |
| Program Services | $1,228,011 | ProgramServicesAmt |
| Management And General | $1,211,217 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $193,593 | TotalAmt |
| Program Services | $156,247 | ProgramServicesAmt |
| Management And General | $37,346 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,885,372 | TotalAmt |
| Program Services | $647,449 | ProgramServicesAmt |
| Management And General | $2,237,923 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $145,378 | TotalAmt |
| Program Services | $74,654 | ProgramServicesAmt |
| Management And General | $70,724 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $237,804 | TotalAmt |
| Program Services | $83,972 | ProgramServicesAmt |
| Management And General | $153,832 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,020,389 | TotalAmt |
| Program Services | $4,020,389 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,796,883 | TotalAmt |
| Program Services | $15,035,090 | ProgramServicesAmt |
| Management And General | $3,761,793 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,251,720 | TotalAmt |
| Program Services | $1,776,221 | ProgramServicesAmt |
| Management And General | $475,499 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $42,291,534 | $40,882,359 | $1,409,175 |
| BAD DEBT EXPENSE | $18,425,800 | $18,425,800 | |
| GENERAL ASSESSMENT | $13,427,452 | $13,427,452 | |
| EQUIPMENT & REPAIRS | $1,043,737 | $684,591 | $359,146 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,864,890 | TotalAmt |
| Program Services | $334,627 | ProgramServicesAmt |
| Management And General | $1,530,263 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $284,527,293 | TotalAmt |
| Program Services | $228,233,050 | ProgramServicesAmt |
| Management And General | $56,294,243 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,297,697 | BOYAmt |
| EOY | $42,550,821 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,348,229 | BOYAmt |
| EOY | $49,315,487 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,346,745 | BOYAmt |
| EOY | $4,802,104 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,487,473 | BOYAmt |
| EOY | $3,598,370 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $285,081,170 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $161,218,515 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $140,294,465 | BOYAmt |
| EOY | $123,862,655 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,600,532 | BOYAmt |
| EOY | $18,948,818 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,554,605 | BOYAmt |
| EOY | $33,441,819 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $280,929,746 | BOYAmt |
| EOY | $276,520,074 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,189,464 | BOYAmt |
| EOY | $27,700,803 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $388,575 | BOYAmt |
| EOY | $18,346 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,488,584 | BOYAmt |
| EOY | $42,329,870 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,887,333 | BOYAmt |
| EOY | $20,797,333 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,376,960 | BOYAmt |
| EOY | $23,493,556 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $126,330,916 | BOYAmt |
| EOY | $114,339,908 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $153,964,745 | BOYAmt |
| EOY | $161,603,941 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $634,085 | BOYAmt |
| EOY | $576,225 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $154,598,830 | BOYAmt |
| EOY | $162,180,166 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $280,929,746 | BOYAmt |
| EOY | $276,520,074 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $6,373,097 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,208,239 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $11,351 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $11,351 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | FormAndLineReferenceDesc |
| Explanation | THE HOSPITAL PAYS DUES TO VARIOUS ORGANIZATIONS WHERE A PORTION IS ATTRIBUTED TO LOBBYING. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,340,953 | OtherCostOrOtherBasisAmt |
| Book Value | $5,340,953 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $143,759,232 | OtherCostOrOtherBasisAmt |
| Depreciation | $63,097,566 | DepreciationAmt |
| Book Value | $80,661,666 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $26,171,068 | OtherCostOrOtherBasisAmt |
| Depreciation | $14,039,152 | DepreciationAmt |
| Book Value | $12,131,916 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $108,755,449 | OtherCostOrOtherBasisAmt |
| Depreciation | $84,081,797 | DepreciationAmt |
| Book Value | $24,673,652 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,054,468 | OtherCostOrOtherBasisAmt |
| Book Value | $1,054,468 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $123,862,655 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Estimated third-party payor settlements | $9,906,867 |
| Right of Use Assets - Operating Leases | $87,590 |
| Right of Use Assets - Finance Leases | $23,203,106 |
| Assets Limited as to use | $244,256 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $33,441,819 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Operating Lease Liabilities | $87,400 |
| Finance Lease Liabilities | $23,406,156 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $23,493,556 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $273,548,111 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $1,208,239 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$18,423,295 | OtherRevenueAmt |
| Revenue Not Reported | -$17,215,056 | RevenueNotReportedAmt |
| Revenue Subtotal | $290,763,167 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $127,575 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $9,648 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $137,223 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $290,900,390 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $265,976,423 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $2,505 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $2,505 | ExpensesNotReportedAmt |
| Expenses Subtotal | $265,973,918 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $127,575 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $18,425,800 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $18,553,375 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $284,527,293 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote | tHE HOSPITAL IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "IRC") AND SIMILAR STATE PROVISIONS. HOWEVER, INCOME FROM CERTAIN ACTIVITIES NOT DIRECTLY RELATED TO THE HOSPITAL'S TAX-EXEMPT PURPOSE MAY BE SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME. IN ADDITION, THE HOSPITAL QUALIFIES FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER SECTION 170(B)(1)(A)(III) OF THE IRC AND HAS BEEN CLASSIFIED AS AN ORGANIZATION OTHER THAN A PRIVATE FOUNDATION UNDER SECTION 509(A)(1) OF THE IRC. THE HOSPITAL HAS PROVIDED FOR INCOME TAXES ON ITS UNRELATED BUSINESS INCOME, WHICH HAVE NOT BEEN SIGNIFICANT, AS REQUIRED BY SECTION 512 OF THE CODE. WMSP ELECTED TO BE TREATED AS A PARTNERSHIP FOR FEDERAL AND STATE INCOME TAX PURPOSES. MEMBERS WERE REQUIRED TO INCLUDE IN THEIR INDIVIDUAL INCOME TAX RETURNS THEIR SHARE OF INCOME OR LOSS, AS ADJUSTED TO REFLECT THE EFFECTS OF CERTAIN TRANSACTIONS WHICH ARE AFFORDED DIFFERENT ACCOUNTING TREATMENTS. WMSP INCOME DOES NOT QUALIFY AS UNRELATED BUSINESS INCOME TAXES FOR THE HOSPITAL AND IS NOT TAXABLE. THE HOSPITAL FOLLOWS THE GUIDANCE ISSUED BY ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA ("US GAAP"). UNDER THIS GUIDANCE, THE HOSPITAL ACCOUNTS FOR THE EFFECT OF ANY UNCERTAIN TAX POSITIONS BASED ON WHETHER IT IS "MORE-LIKELY-THAN-NOT" THAT THE POSITION WILL BE SUSTAINED BY THE TAXING AUTHORITY UPON EXAMINATION. THE HOSPITAL ROUTINELY EVALUATES POTENTIAL UNCERTAIN TAX POSITIONS. THE HOSPITAL HAS IDENTIFIED ITS STATUS AS AN EXEMPT ORGANIZATION AS A TAX POSITION; HOWEVER, THE ORGANIZATION HAS DETERMINED THAT SUCH TAX POSITION DOES NOT RESULT IN AN UNCERTAINTY THAT REQUIRES RECOGNITION. THE HOSPITAL FILES INFORMATIONAL AND INCOME TAX RETURNS IN THE U.S. FEDERAL JURISDICTION AND THE STATE OF ARIZONA. AS OF DECEMBER 31, 2023, U.S. FEDERAL INFORMATIONAL AND INCOME TAX RETURNS FOR YEARS ENDED PRIOR TO DECEMBER 31, 2020 AND STATE RETURNS FOR YEARS ENDED PRIOR TO DECEMBER 31, 2019 ARE CLOSED TO ASSESSMENT. INTEREST AND PENALTIES, IF ANY, ARE ACCRUED AS A COMPONENT OF MANAGEMENT AND GENERAL EXPENSES WHEN ASSESSED. |
| Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 | Bad Debt Expense - -18425800 Other Reconciling Difference - 2505 |
| Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements | Contributions Received - 9648 |
| Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 | Other Reconciling Difference - 2505 |
| Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements | Bad Debt Expense - 18425800 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $63,046 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $63,046 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0002 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $61,724,416 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $33,638,831 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $28,085,585 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.1055 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $61,787,462 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $33,638,831 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $28,148,631 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.1058 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $61,787,462 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $33,638,831 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $28,148,631 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.1058 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $18,425,800 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $53,113,115 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $46,456,652 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $6,656,463 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUMMIT HEALTHCARE ASSOCIATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2200 E SHOW LOW LAKE RD | AddressLine1Txt |
| City | SHOW LOW | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 85901 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.SUMMITHEALTHCARE.NET | WebsiteAddressTxt |
| State License | H0132 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUMMIT HEALTHCARE ASSOCIATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 23 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTPS://SUMMITHEALTHCARE.NET/COMMUNITY-HEALTH-NEEDS/ | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 23 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTPS://SUMMITHEALTHCARE.NET/COMMUNITY-HEALTH-NEEDS/ | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100.0 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.0 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTPS://SUMMITHEALTHCARE.NET/BILLING-INFORMATION/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTPS://SUMMITHEALTHCARE.NET/BILLING-INFORMATION/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS://SUMMITHEALTHCARE.NET/BILLING-INFORMATION/ | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 5 Facility , 1 | Facility , 1 - SUMMIT HEALTHCARE ASSOCIATION. The most recent CHNA included input from individuals from the following organizations: Navajo County Public Health Services District, Summit Healthcare Association, Care 1st Health Plan AZ, Arizona Work, Community Bridges Inc, Little Colorado Medical Center and CHange Point Integrated Health. A survey was conducted from February 1 to April 3, 2023 open to any individual over 18 years old in Navajo county. There were 2,393 completed surveys. |
| Schedule H, Part V, Section B, Line 6b Facility , 1 | Facility , 1 - Summit Healthcare Association. The CHNA was prepared by the Navajo County Public Services Districted with the assistance of other organizations within the county. Partnering organizations included: Summit Healthcare Association, Care 1st Health Plan AZ, Arizona Work, Community Bridges Inc, Little Colorado Medical Center and Change Point Integrated Health. |
| Schedule H, Part V, Section B, Line 7 Facility , 1 | Facility , 1 - CHNA. THE CHNA IS OFFERED AT TOWN HALL MEETINGS. |
| Schedule H, Part V, Section B, Line 11 Facility , 1 | Facility , 1 - SUMMIT HEALTHCARE ASSOCIATION. NEEDS ADDRESSED AND NOT ADDRESSED: The 2023 CHNA identified 5 focus areas similar to the focus areas identified in the prior CHNA. The Implementation Strategy titled the Navajo County Community Health Improvement Plan addresses all 5 of the areas identified. These areas are: 1. Social Determinants of Health - Numerous social and environmental factors affect an individual's health. Many Navajo County citizens experience health inequities, including housing instability, food insecurity, and low income. 2. Substance Use - Substance use disorder has become a significant problem in the United States. Due to substance use, Navajo County is experiencing adverse outcomes for its citizens and families. 3. Mental Health - The United States and Navajo County have recently experienced many societal disruptions and rapid changes on many levels. These adverse conditions, among others, have increased anxiety, depression, and loneliness across all ages. 4. Sexually Transmitted Infections - Sexually transmitted infections have significantly increased in Arizona, especially in Navajo County, and have become a health crisis. Due to the means of transmission and social customs, many individuals are unaware of these highly infectious diseases and how to prevent them, allowing their rampant spread and growth among a population. Social bias and denial are strong contributors to this growing problem. 5. Chronic Diseases - Chronic diseases are a major health issue in America and dramatically affects an individual's quality of life. Healthy living behaviors and regular health screenings often prevent many chronic diseases. |
| Schedule H, Part V, Section B, Line 13 Facility , 1 | Facility , 1 - SUMMIT HEALTHCARE ASSOCIATION. OTHER FACTORS TO DETERMINE ELIGIBILITY: NUMBER OF DEPENDENTS AND FAMILY SIZE. |
| Schedule H, Part V, Section B, Line 20 Facility , 1 | Facility , 1 - SUMMIT HEALTHCARE ASSOCIATION. EFFORTS TO NOTIFY INDIVIDUALS OF FINANCIAL ASSISTANCE POLICY: PATIENTS ARE NOTIFIED WHEN NEED IS IDENTIFIED. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 18 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (18 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| SHMA ED Physicians | ||||
| 2200 E Show Low Lake Rd | SHOW LOW | AZ | 85901 | INTERNAL MEDICINE |
| SHMA Cardiovascular Services | ||||
| 4951 S White Mountain Rd Bldg A | SHOW LOW | AZ | 85929 | Cardiovascular clinic |
| SHMA Pain Clinic | ||||
| 4951 S White Mountain Rd Bldg A | SHOW LOW | AZ | 85901 | Pain Clinic |
| SHMA Bison Ranch | ||||
| 2352 Quarter Horse Trl Suite 1 | OVERGAARD | AZ | 85933 | FAMILY MEDICINE |
| SHMA Urology | ||||
| 4951 S White Mountain Rd Bldg A | SHOW LOW | AZ | 85937 | Urology |
| SHMA Neurology | ||||
| 4951 S White Mountain Rd Bldg A | SHOW LOW | AZ | 85937 | Neurology |
| SHMA Patient Access OPP | ||||
| 4951 S White Mountain Rd Bldg A | SHOW LOW | AZ | 85901 | FAMILY MEDICINE, OBSTETRICS/GYNECOLOGY |
| SHMA OBGYN | ||||
| 4951 S White Mountain Rd Bldg A | SHOW LOW | AZ | 85025 | FAMILY MEDICINE, OBSTETRICS/GYNECOLOGY |
| SHMA Snowflake Medical | ||||
| 590 Main St | Snowflake | AZ | 85937 | FAMILY MEDICINE |
| SHMA Pediatrics | ||||
| 4951 S White Mountain Rd Bldg A | SHOW LOW | AZ | 85901 | Pediatric Care |
| SHMA Orthopedic Surgery | ||||
| 4951 S White Mountain Rd Bldg A | SHOW LOW | AZ | 85901 | Orthopedic Surgery |
| SHMA Primary Care OPP | ||||
| 4951 S White Mountain Rd Bldg A | SHOW LOW | AZ | 85901 | Primare Care |
| SHMA Pulmonary and Sleep | ||||
| 4951 S White Mountain Rd Bldg A | SHOW LOW | AZ | 85901 | Pulmonary & Sleep Clinic |
| SHMA General Surgery | ||||
| 4951 S White Mountain Rd Bldg A | SHOW LOW | AZ | 85901 | GENERAL/VASCULAR SURGERY |
| SHMA Urgent Care | ||||
| 4951 S White Mountain Rd Bldg A | SHOW LOW | AZ | 85901 | Urgent Care |
| SHMA Mountain Avenue | ||||
| 606 US-180 BUS | Eagar | AZ | 85825 | Family Medicine |
| SHMA Snowflake Taylor | ||||
| 1121 Main St | Snowflake | AZ | 85937 | Family Medicine |
| SHMA Family Medicine St Johns | ||||
| 625 N 13th W | St Johns | AZ | 85936 | Family Medicine |
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 7f | PERCENT OF TOTAL EXPENSES: BAD DEBT EXPENSE OF $18,425,800 WAS INCLUDED IN TOTAL EXPENSE ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT WAS SUBTRACTED FROM TOTAL EXPENSE FOR PURPOSES OF CALCULATING THE PERCENTAGE OF TOTAL EXPENSE IN COLUMN(F). COLUMN(F). |
| Schedule H, Part I, Line 3c | FACTORS OTHER THAN FPG DETERMINING FREE OR DISCOUNTED CARE: THE HOSPITAL USES THE FOLLOWING OTHER CRITERIA TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE: - FAMILY SIZE - NUMBER OF DEPENDENTS - MEDICAL INDIGENCY |
| Schedule H, Part I, Line 7 | COSTING METHODOLOGY: THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEETS 1 AND 3. |
| Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount | WE RESERVE FOR BAD DEBT EXPENSE FOR ALL ACCOUNTS WHEN THEY REACH AN AGE OF 300 DAYS FROM DISCHARGE DATE OF SERVICE. WE ALSO RESERVE FOR BAD DEBT EXPENSE ON SELF-PAY, WORKERS COMP AND THIRD PART LIABILITY CLAIMS AT 120 DAYS. THESE RESERVES GENERATE A GOOD ESTIMATE OF OUR OVERALL BAD DEBT EXPENSE AS AN ORGANIZATION. WE WILL WRITE OFF ACCOUNTS AFTER THEY ARE RETURNED FROM OUR COLLECTIONS AGENCIES. |
| Schedule H, Part III, Line 3 Bad Debt Expense Methodology | CHARGES TO THE FINANCIAL ASSISTANCE PROGRAM ARE NOT APPLIED TO BAD DEBT. THEREFORE, NONE OF THE ORGANIZATION'S BAD DEBT EXPENSE IS ATTRIBUTABLE TO THE CHARITY CARE POLICY. |
| Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote | THE FOOTNOTE CAN BE FOUND ON PAGE 14 OF THE AUDITED FINANCIAL STATEMENTS. |
| Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs | THE HOSPITAL USES THE COST TO CHARGE RATIO TO DETERMINE MEDICARE COSTS. |
| Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance | CHARITY CARE IS DEFINED AS AN INABILITY TO PAY. THE PATIENT'S INDIGENCE MUST BE DETERMINED BY THE FACILITY, NOT BY THE PATIENT. THIS DETERMINATION MAY OCCUR AT ANY TIME PRIOR TO THE PATIENT'S ACCOUNT ACHIEVING ZERO BALANCE; PRIOR TO ADMISSION, AT ADMISSION, AFTER DISCHARGE OR DURING THE BILLING AND COLLECTION PROCESS. THE CHARITY DETERMINATION IS TO BE MADE BASED ON THE PATIENT/RESPONSIBLE PARTY'S NET WORTH, NET INCOME AND THE NUMBER OF MEMBERS IN THE HOUSEHOLD. SUMMIT HEALTHCARE ASSOCIATION BASES THEIR CHARITY CARE ON THE FEDERAL POVERTY INCOME GUIDELINES. THE FACILITY MUST DETERMINE THAT NO SOURCE OTHER THAN THE PATIENT/RESPONSIBLE PARTY WOULD BE LEGALLY RESPONSIBLE FOR THE PATIENT'S MEDICAL BILL. THIS INCLUDES FEDERAL, STATE OR LOCAL FINANCIAL PROGRAMS AND/OR LEGAL GUARDIANS. THE PATIENT'S BUSINESS OFFICE FILE WILL CONTAIN DOCUMENTATION OF THE METHOD BY WHICH INDIGENCE WAS DETERMINED ALONG WITH ALL SUPPORTING DOCUMENTATION TO SUBSTANTIATE THE DECISION. THE FINAL DETERMINATION WILL BE MADE BY THE CFO, WITH THE RECOMMENDATION OF THE PATIENT ACCOUNT SUPERVISOR. |
| Schedule H, Part V, Section B, Line 16a FAP website | - SUMMIT HEALTHCARE ASSOCIATION: Line 16a URL: HTTPS://SUMMITHEALTHCARE.NET/BILLING-INFORMATION/; |
| Schedule H, Part V, Section B, Line 16b FAP Application website | - SUMMIT HEALTHCARE ASSOCIATION: Line 16b URL: HTTPS://SUMMITHEALTHCARE.NET/BILLING-INFORMATION/; |
| Schedule H, Part V, Section B, Line 16c FAP plain language summary website | - SUMMIT HEALTHCARE ASSOCIATION: Line 16c URL: HTTPS://SUMMITHEALTHCARE.NET/BILLING-INFORMATION/; |
| Schedule H, Part VI, Line 2 Needs assessment | SUMMIT HEALTHCARE ASSOCIATION DELIVERS COMMUNITY BENEFITS BASED ON THE UNIQUE HEALTH NEEDS OF THEIR RESPECTIVE SERVICE AREAS, REGARDLESS OF SOURCE OR AVAILABILITY OF PAYMENT. THESE PROGRAMS AND SERVICES ARE INTENDED TO IMPROVE ACCESS TO HEALTHCARE, HEALTH STATUS AND THE USE OF COMMUNITY BENEFITS TO MEMBERS OF OUR COMMUNITY AS PART OF ITS VISION; DELIVERING EXCEPTIONAL HEALTH CARE AND PROMOTING WELLNESS FOR THE INDIVIDUAL, THE FAMILY, AND THE COMMUNITY |
| Schedule H, Part VI, Line 3 Patient education of eligibility for assistance | HOSPITAL ADMITTING STAFF MEMBERS ADVISE AND ASSIST ALL SELF-PAY PATIENTS OF THE OPTIONS FOR AVAILABLE ASSISTANCE. |
| Schedule H, Part VI, Line 4 Community information | SUMMIT HEALTHCARE ASSOCIATION (THE HOSPITAL) OPERATES SUMMIT HEALTHCARE, AN 89-BED ACUTE CARE HOSPITAL FACILITY. THE HOSPITAL PROVIDES INPATIENT AND OUTPATIENT, HOME HEALTH, IMAGING AND OTHER HEALTH CARE RELATED SERVICES TO THE RESIDENTS OF SHOW LOW, ARIZONA AND THE SURROUNDING WHITE MOUNTAIN COMMUNITIES. Navajo county has a predominantly white population making up 62.4%. However, native Americans make up 20% and hispanics 9.6%. Over 43.8% of the homes within the county have children under 18% and the female to male ratio is 73% to 27%. |
| Schedule H, Part VI, Line 5 Promotion of community health | PLEASE REFER TO INFORMATION CONTAINED IN FORM 990, PART III, LINE 4A |
| Schedule H, Part VI, Line 7 State filing of community benefit report | AZ |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (true) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | Yes (true) | InitialContractExceptionInd |
| Rebuttable Presumption Proc | Yes (true) | RebuttablePresumptionProcInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SIMRANJIT GALHOTRA | ||||||||||||||
| CHIEF OF STAFF/DIRECTOR END: 06/23 | $228,791 | $0 | $24,810 | $0 | $16,459 | $0 | $5,458 | $0 | $14,751 | $0 | $290,269 | $0 | $0 | $0 |
| DOUG WRIGHT | ||||||||||||||
| DIRECTOR | $286,988 | $0 | $350,449 | $0 | $25,819 | $0 | $15,602 | $0 | $35,893 | $0 | $714,751 | $0 | $0 | $0 |
| Chad Brimhall | ||||||||||||||
| Chief of Staff/Director | $218,474 | $0 | $190,302 | $0 | $10,275 | $0 | $7,398 | $0 | $34,825 | $0 | $461,274 | $0 | $0 | $0 |
| Kenneth Allen | ||||||||||||||
| Former Physician SERVICES Officer END: 12/22 | $42,483 | $0 | $0 | $0 | $69,509 | $0 | $884 | $0 | $528 | $0 | $113,404 | $0 | $0 | $0 |
| Shawn Morrow | ||||||||||||||
| CEO END: 03/23 | $590,853 | $0 | $0 | $0 | $1,719 | $0 | $2,242 | $0 | $28,970 | $0 | $623,784 | $0 | $0 | $0 |
| DAVID ROTHENBERGER | ||||||||||||||
| CFO | $331,326 | $0 | $0 | $0 | $4,313 | $0 | $7,534 | $0 | $27,277 | $0 | $370,450 | $0 | $0 | $0 |
| JONATHAN FELTON | ||||||||||||||
| COO | $337,870 | $0 | $0 | $0 | $1,894 | $0 | $0 | $0 | $31,380 | $0 | $371,144 | $0 | $0 | $0 |
| JAY LARSON | ||||||||||||||
| CIO | $221,832 | $0 | $0 | $0 | $1,140 | $0 | $4,810 | $0 | $28,970 | $0 | $256,752 | $0 | $0 | $0 |
| DAVID MURRAY | ||||||||||||||
| CCO | $203,830 | $0 | $1,795 | $0 | $5,763 | $0 | $0 | $0 | $13,489 | $0 | $224,877 | $0 | $0 | $0 |
| SAL MALAD | ||||||||||||||
| PHYSICIAN | $679,276 | $0 | $633,536 | $0 | $1,594 | $0 | $0 | $0 | $9,590 | $0 | $1,323,996 | $0 | $0 | $0 |
| BURKE DELANGE | ||||||||||||||
| PHYSICIAN | $459,502 | $0 | $783,555 | $0 | $3,019 | $0 | $9,765 | $0 | $36,510 | $0 | $1,292,351 | $0 | $0 | $0 |
| DAX TRUJILLO | ||||||||||||||
| PHYSICIAN | $417,620 | $0 | $346,568 | $0 | $1,894 | $0 | $8,096 | $0 | $36,061 | $0 | $810,239 | $0 | $0 | $0 |
| FARBOD KHAKI | ||||||||||||||
| PHYSICIAN END: 02/23 | $78,074 | $0 | $112,198 | $0 | $5,102 | $0 | $0 | $0 | $5,410 | $0 | $200,784 | $0 | $0 | $0 |
| JAMES OLACK | ||||||||||||||
| PHYSICIAN | $511,688 | $0 | $340,729 | $0 | $1,444 | $0 | $9,135 | $0 | $26,650 | $0 | $889,646 | $0 | $0 | $0 |
| Curtis Ellsworth | ||||||||||||||
| Physician | $631,770 | $0 | $171,844 | $0 | $21,054 | $0 | $6,490 | $0 | $35,309 | $0 | $866,467 | $0 | $0 | $0 |
| GEOFFREY CORNELSEN | ||||||||||||||
| PHYSICIAN | $602,491 | $0 | $189,525 | $0 | $20,848 | $0 | $15,316 | $0 | $32,369 | $0 | $860,549 | $0 | $0 | $0 |
| LYNN BRYAN | ||||||||||||||
| PHYSICIAN | $420,559 | $0 | $311,533 | $0 | $827 | $0 | $8,582 | $0 | $9,811 | $0 | $751,312 | $0 | $0 | $0 |
| Scott Salmon | ||||||||||||||
| Physician | $484,633 | $0 | $211,086 | $0 | $1,116 | $0 | $17,969 | $0 | $35,511 | $0 | $750,315 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 1a Tax indemnification and gross-up payments | RETENTION BONUSES ARE GROSSED UP FOR TAXES. THIS IS DONE FOR ALL EMPLOYEES AT 5 YEAR INCREMENTS OF SERVICE. THESE PAYMENTS WERE MADE TO THE FOLLOWING INDIVIDUALS: |
| Schedule J, Part I, Line 4a Severance or change-of-control payment | SEVERANCE IS A VOLUNTARY AGREEMENT THAT SETS FORTH THE AGREED UPON SEPARATION DATE FOR EMPLOYMENT AND BENEFITS COVERAGE, THE SPECIFIED TIME PERIOD THEY WOULD CONTINUE TO RECEIVE BASE COMPENSATION, A CONFIDENTIALITY AGREEMENT CONCERNING COMPANY INFORMATION AND MATERIALS, RETURN OF COMPANY MATERIALS, AND COOPERATION CONCERNING BUSINESS MATTERS. DURING 2023, THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS: KENNETH ALLEN: $69,360 |
| Schedule J, Part I, Line 6a Compensation contingent on net earnings of the organization | THE PHYSICIANS RECEIVED INCENTIVE COMPENSATION BONUSES BASED ON RELATIVE VALUE UNITS WRUVS, AND OFFICERS RECEIVED BONUSES BASED ON BUDGET GOALS |
| Schedule J, Part I, Line 8 Payments on contract that is subject to the initial contract exception | PHYSICIANS HAVE EMPLOYMENT AGREEMENTS |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| THE INDUSTRIAL DEVELOPMENT AUTHORITY OF SHOW LOW | ||||||||
| A | 860912110 | XXXXXXXXX | 2015-08-04 | $23,549,000 | REFUND 2005 BOND AND PAYING COSTS | false | false | false |
| THE INDUSTRIAL DEVELOPMENT AUTHORITY OF SHOW LOW | ||||||||
| B | 860912110 | XXXXXXXXX | 2022-08-12 | $39,175,000 | REPLACE 2017A BONDS | false | false | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Other Spent ProceedsOtherSpentProceedsAmt |
|---|---|---|---|---|---|---|---|---|---|---|
| A | $12,285,000 | $23,549,000 | $23,287,023 | $261,977 | 2015 | false | Yes (true) | Yes (true) | Yes (true) | |
| B | $7,345,000 | $39,175,000 | $39,170,493 | 2022 | Yes (true) | false | false | Yes (true) | $4,507 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|
| A | false | false | false | false | 0.0 | false | false | Yes (true) |
| B | false | false | false | false | 0.0 | false | false | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd |
|---|---|---|---|---|---|---|---|---|---|
| A | Yes (true) | false | false | false | false | Yes (true) | |||
| B | false | false | false | false | false | Yes (true) | Yes (true) | false | false |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule K, Part V Different Procedures to Undertake Corrective Action | Issuer name: THE INDUSTRIAL DEVELOPMENT AUTHORITY OF SHOW LOW (A) ISSUER NAME: THE INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF SHOW LOW, ARIZONA (F) DESCRIPTION OF PURPOSE: REFUND 2005 BOND AND PAYING COSTS OF |
| Schedule K, Part V Different Procedures to Undertake Corrective Action | Issuer name: THE INDUSTRIAL DEVELOPMENT AUTHORITY OF SHOW LOW (A) ISSUER NAME: THE INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF SHOW LOW, ARIZONA (F) DESCRIPTION OF PURPOSE: REPLACE 2017A BONDS |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 11b Review of form 990 by governing body | THE FORM 990 IS REVIEWED IN THE SCHEDULED GOVERNING BOARD MEETING FOLLOWING ITS COMPLETION AND BEFORE FILING WITH THE IRS. |
| Form 990, Part VI, Line 12c Conflict of interest policy | ALL MEMBERS OF THE GOVERNING BOARD/MEDICAL STAFF/EMPLOYEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST FORM ON AN ANNUAL BASIS OR ATTEST TO NO CONFLICTS. ANY FORMS WITH A CONFLICT NOTATED ARE REVIEWED BY THE CHIEF COMPLIANCE OFFICER. ALL CONFLICTS ARE REVIEWED AT THE BOARD LEVEL AND ANY RESTRICTIONS NECESSARY ARE IMPOSED AT THAT LEVEL. ANY BOARD MEMBER THAT HAS A CONFLICT WITH A DECISION THAT NEEDS TO BE MADE AT THE BOARD LEVEL RECUSES THEMSELVES FROM THE DECISION PROCESS. |
| Form 990, Part VI, Line 15a Process to establish compensation of top management official | GALLAGHER COMPLETED A REVIEW OF ALL C-SUITE OFFICERS IN MARCH 2023. WE ALSO COMPLETED ANNUAL SALARY MARKET SURVEYS FOR ALL OF OUR POSITIONS. |
| Form 990, Part VI, Line 15b Process to establish compensation of other employees | KEY EMPLOYEES (PHYSICIAN) COMPENSATION WAS COMPLETED IN JUNE 2022 BY COKER GROUP. WE ALSO COMPLETED ANNUAL SALARY MARKET SURVEYS FOR ALL OF OUR POSITIONS. |
| Form 990, Part VI, Line 19 Required documents available to the public | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND AUDITED FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. |
| Form 990, Part IX, Line 11g Other Fees | Purchased Services - Total Expense: 32356041, Program Service Expense: 9765621, Management and General Expenses: 22590420, Fundraising Expenses: ; Contract Labor - Total Expense: 14166512, Program Service Expense: 12545531, Management and General Expenses: 1620981, Fundraising Expenses: ; Professional Medical Fees - Total Expense: 8792291, Program Service Expense: 8556387, Management and General Expenses: 235904, Fundraising Expenses: ; CME Physicians - Total Expense: 106769, Program Service Expense: 106769, Management and General Expenses: 0, Fundraising Expenses: ; Maintenance Contracts - Total Expense: 6461716, Program Service Expense: 5190050, Management and General Expenses: 1271666, Fundraising Expenses: ; |
| Form 990, Part XII, Line 2c Oversight Process | THE ORGANIZATION DID NOT CHANGE EITHER ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|
| SUMMIT HEALTHCARE MEDICAL ASSOCIATES LL | ||||||||
| 2200 E SHOW LOW LAKE ROAD | SHOW LOW | AZ | 85901 | PHYSICIAN | AZ | $0 | $0 | SHA |
| NORTHEASTERN ARIZONA REGIONAL CARE TEAM | ||||||||
| 2200 E SHOW LOW LAKE ROAD | SHOW LOW | AZ | 85901 | NETWORK | AZ | $0 | $0 | SHA |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule R, Part I, Column (d) | FormAndLineReferenceDesc |
| Explanation | COLUMNS D AND E: THE TOTAL INCOME AND END-OF-YEAR ASSETS CANNOT BE SEPARATELY IDENTIFIED AS THEY ARE CONSOLIDATED AND INTRINSIC TO THE EXEMPT PURPOSES AND REPORTED ACTIVITIES, CONTAINED HERE-IN, OF THE HOSPITAL. | ExplanationTxt |
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