Civic Intelligence

Summit Healthcare Association

EIN 86-0320447 • 501(c)3 • Ssow Low, AZ

Profile

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.

2200 E Show Low Lake RoadSsow Low, AZ 85901

www.summithealthcare.net

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

59th percentile

0.39x

Higher debt load relative to assets than 59% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Liabilities / Revenue

41st percentile

0.37x

Higher debt load relative to revenue than 41% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Net Margin

56th percentile

5.5%

Higher net margin than 56% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

34th percentile

2.3%

Faster asset growth than 34% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Annualized from 2022 to 2024

Revenue Growth

36th percentile

3.4%

Faster revenue growth than 36% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Annualized from 2022 to 2024

Assets

Up

$293,754,198

Up $17,234,124 (+6.2%) from 2023

Liabilities

Down

$113,640,315

Down $699,593 (-0.6%) from 2023

Net Assets

Up

$180,113,883

Up $17,933,717 (+11%) from 2023

Revenue

Up

$303,678,058

Up $12,777,668 (+4.4%) from 2023

Expenses

Up

$287,013,635

Up $2,486,342 (+0.9%) from 2023

Net Income

Up

$16,664,423

Up $10,291,326 (+161%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$400M$300M$200M$100M$0Assets 2010: $155,252,964Liabilities 2010: $58,263,532Net Assets 2010: $96,989,4322010Assets 2011: $155,870,449Liabilities 2011: $48,117,220Net Assets 2011: $107,753,2292011Assets 2012: $184,075,917Liabilities 2012: $73,847,834Net Assets 2012: $110,228,0832012Assets 2013: $178,932,693Liabilities 2013: $62,680,001Net Assets 2013: $116,252,6922013Assets 2014: $176,103,433Liabilities 2014: $56,568,569Net Assets 2014: $119,534,8642014Assets 2015: $185,756,625Liabilities 2015: $58,812,525Net Assets 2015: $126,944,1002015Assets 2016: $189,583,991Liabilities 2016: $60,485,515Net Assets 2016: $129,098,4762016Assets 2017: $211,050,628Liabilities 2017: $69,806,600Net Assets 2017: $141,244,0282017Assets 2018: $263,740,862Liabilities 2018: $118,575,267Net Assets 2018: $145,165,5952018Assets 2019: $308,568,197Liabilities 2019: $162,699,032Net Assets 2019: $145,869,1652019Assets 2020: $295,477,019Liabilities 2020: $145,472,082Net Assets 2020: $150,004,9372020Assets 2021: $298,424,920Liabilities 2021: $136,125,672Net Assets 2021: $162,299,2482021Assets 2022: $280,929,746Liabilities 2022: $126,330,916Net Assets 2022: $154,598,8302022Assets 2023: $276,520,074Liabilities 2023: $114,339,908Net Assets 2023: $162,180,1662023Assets 2024: $293,754,198Liabilities 2024: $113,640,315Net Assets 2024: $180,113,8832024

Highlighted filing

2024

Assets$293,754,198
Liabilities$113,640,315
Net Assets$180,113,883

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$400M$300M$200M$100M$0-$100MExpenses 2010: $103,332,3972010Expenses 2011: $98,047,3332011Expenses 2012: $121,955,5692012Revenue 2013: $134,132,779Expenses 2013: $128,108,170Net Income 2013: $6,024,6092013Revenue 2014: $140,828,534Expenses 2014: $137,917,298Net Income 2014: $2,911,2362014Revenue 2015: $158,952,535Expenses 2015: $149,368,882Net Income 2015: $9,583,6532015Revenue 2016: $161,899,499Expenses 2016: $161,007,858Net Income 2016: $891,6412016Revenue 2017: $180,454,687Expenses 2017: $170,994,234Net Income 2017: $9,460,4532017Revenue 2018: $197,827,617Expenses 2018: $187,428,553Net Income 2018: $10,399,0642018Revenue 2019: $206,027,947Expenses 2019: $211,841,700Net Income 2019: -$5,813,7532019Revenue 2020: $214,797,668Expenses 2020: $215,731,049Net Income 2020: -$933,3812020Revenue 2021: $258,306,139Expenses 2021: $253,131,563Net Income 2021: $5,174,5762021Revenue 2022: $284,003,833Expenses 2022: $275,595,272Net Income 2022: $8,408,5612022Revenue 2023: $290,900,390Expenses 2023: $284,527,293Net Income 2023: $6,373,0972023Revenue 2024: $303,678,058Expenses 2024: $287,013,635Net Income 2024: $16,664,4232024

Highlighted filing

2024

Revenue$303,678,058
Expenses$287,013,635
Net Income$16,664,423

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$294$114$180$304$287$16.7
2023Detailed filing. Detailed filing data is available for this year.$277$114$162$291$285$6.37
2022Detailed filing. Detailed filing data is available for this year.$281$126$155$284$276$8.41
2021Detailed filing. Detailed filing data is available for this year.$298$136$162$258$253$5.17
2020Detailed filing. Detailed filing data is available for this year.$295$145$150$215$216$0.93
2019Detailed filing. Detailed filing data is available for this year.$309$163$146$206$212$5.81
2018Detailed filing. Detailed filing data is available for this year.$264$119$145$198$187$10.4
2017Detailed filing. Detailed filing data is available for this year.$211$69.8$141$180$171$9.46
2016Detailed filing. Detailed filing data is available for this year.$190$60.5$129$162$161$0.89
2015Detailed filing. Detailed filing data is available for this year.$186$58.8$127$159$149$9.58
2014Detailed filing. Detailed filing data is available for this year.$176$56.6$120$141$138$2.91
2013Detailed filing. Detailed filing data is available for this year.$179$62.7$116$134$128$6.02
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$184$73.8$110$122
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$156$48.1$108$98.0
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$155$58.3$97.0$103
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 17, 2025
Return Version
2024v5.1
Gross Receipts
$303,678,058
Mission and Program Overview

Mission

To provide acute care, and other health care related services to the residents of Show Low, AZ and surrounding White Mountain Communities.

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.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$123,862,655$116,198,209▼ $7,664,446
Savings and Temporary Cash Investments$42,550,821$48,484,728▲ $5,933,907
Investments in Publicly Traded Securities$18,948,818$41,728,740▲ $22,779,922
Accounts Receivable$49,315,487$40,017,554▼ $9,297,933
Inventories for Sale or Use$4,802,104$5,062,399▲ $260,295
Prepaid Expenses and Deferred Charges$3,598,370$4,514,031▲ $915,661
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Investments Program Related$0--
Loans From Officers Directors$0$0→ $0
Total Assets$276,520,074$293,754,198▲ $17,234,124
Other Assets Total$33,441,819$37,748,537▲ $4,306,718
Liabilities
Tax Exempt Bond Liabilities$42,329,870$36,985,812▼ $5,344,058
Accounts Payable and Accrued Expenses$27,700,803$36,920,693▲ $9,219,890
Other Liabilities$23,493,556$19,996,566▼ $3,496,990
Mortgage Notes Payable Secured by Investment Property$20,797,333$19,707,373▼ $1,089,960
Deferred Revenue$18,346$29,871▲ $11,525
Total Liabilities$114,339,908$113,640,315▼ $699,593
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$161,603,941$179,613,383▲ $18,009,442
Net Assets With Donor Restrictions$576,225$500,500▼ $75,725
Total Net Assets Fund Balance$162,180,166$180,113,883▲ $17,933,717
Total Liabilities and Net Assets / Fund Balance$276,520,074$293,754,198▲ $17,234,124

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$75,526,570$67,709,687$143,236,257
Equipment$24,719,892$93,081,568$117,801,460
Leasehold Improvements$10,785,794$15,316,221$26,102,015
Land$5,165,953-$5,165,953
Other Assets Org$247,107--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Burke DelangePhysicianFT$526,194$858,655$1,384,849
Curtis EllsworthPhysicianFT$648,826$415,338$1,064,164
Geoffrey CornelsenPhysicianFT$663,869$228,585$892,454
James OlackPhysicianFT$681,907$156,527$838,434
Sal MaladPhysicianFT$378,354$439,582$817,936
Doug WrightDirectorFT$370,531$378,429$748,960
Jeff ComerCEOFT$620,791$21,707$642,498
Chad BrimhallChief of Staff/DirectorFT$291,896$210,044$501,940
David RothenbergerCFOFT$391,794$30,031$421,825
Jay LarsonCIOFT$247,201$36,218$283,419
David MurrayCCOFT$241,760$5,397$247,157
Jonathan FeltonCOOFT$69,377$99,897$169,274
Paul WatsonBoard ChairmanPT$14,400-$14,400
Becky ThompsonSecretary-$14,400-$14,400
John CorderDirector-$14,400-$14,400
Neil TraverVICE CHAIR/Finance Chair-$14,400-$14,400
Dawnafe WhitesingerDirector-$4,800-$4,800
Wayne WielgusDirector-$4,800-$4,800

Highest Paid Contractors

ContractorServicesLocationCompensation
Ensemble Rcm LLCCollection servicesPO BOX 639076, Cincinnati, OH 45263$16,504,354
Huron Consulting Services LLCConsulting Services3005 MOMENTUM PLACE, Chicago, IL 60689-5330$9,210,314
Medical Solutions INCContract LaborPO BOX 850737, Minneapolis, MN 55485-0737$5,574,690
Hhs Culinary And Nutrition Solutions LLCNutrition Services12495 SILVER CREEK ROAD, Dripping Springs, TX 78620$1,312,915
Bldgworks-usaHousekeeping/evsPO BOX 165332, Irving, TX 75016-5332$1,194,491
Revenue and Support

Revenue Composition

Contributions and Grants
$1,035,231
Program Service Revenue
$298,486,648
Investment Income
$2,720,506
Other Revenue
$1,435,673
All Other Contributions
$194,930
Change in Net Assets
$16,664,423

Audited Revenue Reconciliation

Revenue per Audited Statements
$303,433,857
Revenue Not Reported on Financial Statements
$244,201
Revenue Not Reported on Form 990
$1,269,294
Other Revenue Adjustments
$130,656
Total Revenue per Audited Statements
$304,703,151
Total Revenue per Form 990
$303,678,058
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$172,685,188
Salaries, Compensation, and Employee Benefits$114,328,447
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$80,690,319$12,057,226-$92,747,545
Fees for Services Other$40,499,294$32,055,044$0$72,554,338
Depreciation Depletion$15,329,244$2,977,664-$18,306,908
Other Employee Benefits$11,380,701$45,421-$11,426,122
Payroll Taxes$5,308,040$987,214-$6,295,254
Interest$3,709,691--$3,709,691
All Other Expenses$40,975$3,515,394$0$3,556,369
Current Officers, Directors, Trustees, and Key Employees$770,568$2,311,705-$3,082,273
Occupancy$522,959$2,372,386-$2,895,345
Insurance$2,053,722$839,732-$2,893,454
Office Expenses$1,283,339$1,417,388-$2,700,727
Other Expenses$961,335$240,884-$1,202,219
Pension Plan Contributions$670,247$107,006-$777,253
Advertising$1,848$611,824-$613,672
Fees for Services Legal-$472,954-$472,954
Conferences and Meetings$130,880$149,285-$280,165
Fees for Services Accounting$27,585$197,125-$224,710
Travel$146,678$52,739-$199,417
Information Technology$158,098$38,683-$196,781
Fees for Service Investment Mgmnt Fees-$113,545-$113,545
Total Functional Expenses$223,994,631$63,019,004$0$287,013,635

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$287,013,635
Expenses per Audited Statements$286,769,434
Total Expenses per Audited Statements$286,769,434
Expenses Not Reported on Financial Statements$244,201
Other Expense Adjustments$130,656
Expenses Not Reported on Form 990$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Federal Income Taxes$19,996,566
Operating Lease Liabilities-
Finance Lease Liabilities-

Bond Issues

BondIssuerIssuedIssue PricePurpose
BThe Industrial Development Authority of Show Low2022-08-12$39,175,000REPLACE 2017A BONDS
AThe Industrial Development Authority of Show Low2015-08-04$23,549,000Refund 2005 bond and paying costs

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
B$39,175,000-$7,846,000-
A$23,549,000$4,507$15,955,000$261,977

Bond Financing Compliance

No rebate due
No
Rebate not yet due
No
Form 8038-T filed
Yes
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

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 2023 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.

Filing and Contact Details

Filer

Filer Name
Summit Healthcare Association
EIN
86-0320447
Phone
9285374375
Address
2200 E Show Low Lake Road, Ssow Low, AZ 85901
Doing Business As
Summit Hc Regional Medical Center

Signing Officer

Name
Jeff Comer
Title
CEO
Signed
2025-11-17
Discuss with paid preparer
Yes

Organization Details

Formed
1976
Legal Domicile
Az
Voting Board Members
8
Independent Board Members
6
Employees
1,511
Volunteers
50

Preparer

Firm
Forvis Mazars LLP
Address
2700 Post Oak Blvd Ste 1500, Houston, TX 77056
Preparer
Amanda Maya
Phone
7134994600
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G Other Fees

Purchased Services - Total Expense: 38683407, Program Service Expense: 9532438, Management and General Expenses: 29150969, Fundraising Expenses: ; Contract Labor - Total Expense: 11051668, Program Service Expense: 9616971, Management and General Expenses: 1434697, Fundraising Expenses: ; Professional Medical Fees - Total Expense: 15906218, Program Service Expense: 15800515, Management and General Expenses: 105703, Fundraising Expenses: ; CME Physicians - Total Expense: 94672, Program Service Expense: 94672, Management and General Expenses: 0, Fundraising Expenses: ; Maintenance Contracts - Total Expense: 6818373, Program Service Expense: 5454698, Management and General Expenses: 1363675, 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.

Financial Statement Notes

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, 2024, u.s. Federal informational and income tax returns for years ended prior to december 31, 2021 and state returns for years ended prior to december 31, 2020 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 4(B) Other revenues in form 990 not in audited financial statements

Classification Differences - 130656

Schedule D, Part XII, Line 4(B) Other expenses in form 990 not in audited financial statements

Classification Differences - 130656

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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Desc0Summit 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 FY2024, At the main hospital we treated 134,877 patients. In our Medical Group Clinic locations, we saw 160,809 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.
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IRS990/MissionDesc0TRUSTED 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.
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