Liabilities / Assets
59th percentile
Higher debt load relative to assets than 59% of similar nonprofits.
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.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
59th percentile
Higher debt load relative to assets than 59% of similar nonprofits.
Liabilities / Revenue
41st percentile
Higher debt load relative to revenue than 41% of similar nonprofits.
Net Margin
56th percentile
Higher net margin than 56% of similar nonprofits.
Top Officer Pay
Score unavailable
No filing with officer rows is available for this organization yet.
Asset Growth
34th percentile
Faster asset growth than 34% of similar nonprofits.
Revenue Growth
36th percentile
Faster revenue growth than 36% of similar nonprofits.
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
Most recent year
2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
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.
| Line | Beginning | End | Change |
|---|---|---|---|
| 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 | Book Value | Depreciation | Basis |
|---|---|---|---|
| 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 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Burke Delange | Physician | FT | $526,194 | $858,655 | $1,384,849 |
| Curtis Ellsworth | Physician | FT | $648,826 | $415,338 | $1,064,164 |
| Geoffrey Cornelsen | Physician | FT | $663,869 | $228,585 | $892,454 |
| James Olack | Physician | FT | $681,907 | $156,527 | $838,434 |
| Sal Malad | Physician | FT | $378,354 | $439,582 | $817,936 |
| Doug Wright | Director | FT | $370,531 | $378,429 | $748,960 |
| Jeff Comer | CEO | FT | $620,791 | $21,707 | $642,498 |
| Chad Brimhall | Chief of Staff/Director | FT | $291,896 | $210,044 | $501,940 |
| David Rothenberger | CFO | FT | $391,794 | $30,031 | $421,825 |
| Jay Larson | CIO | FT | $247,201 | $36,218 | $283,419 |
| David Murray | CCO | FT | $241,760 | $5,397 | $247,157 |
| Jonathan Felton | COO | FT | $69,377 | $99,897 | $169,274 |
| Paul Watson | Board Chairman | PT | $14,400 | - | $14,400 |
| Becky Thompson | Secretary | - | $14,400 | - | $14,400 |
| John Corder | Director | - | $14,400 | - | $14,400 |
| Neil Traver | VICE CHAIR/Finance Chair | - | $14,400 | - | $14,400 |
| Dawnafe Whitesinger | Director | - | $4,800 | - | $4,800 |
| Wayne Wielgus | Director | - | $4,800 | - | $4,800 |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Ensemble Rcm LLC | Collection services | PO BOX 639076, Cincinnati, OH 45263 | $16,504,354 |
| Huron Consulting Services LLC | Consulting Services | 3005 MOMENTUM PLACE, Chicago, IL 60689-5330 | $9,210,314 |
| Medical Solutions INC | Contract Labor | PO BOX 850737, Minneapolis, MN 55485-0737 | $5,574,690 |
| Hhs Culinary And Nutrition Solutions LLC | Nutrition Services | 12495 SILVER CREEK ROAD, Dripping Springs, TX 78620 | $1,312,915 |
| Bldgworks-usa | Housekeeping/evs | PO BOX 165332, Irving, TX 75016-5332 | $1,194,491 |
| Line Item | Amount |
|---|---|
| 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 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| 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 |
| Line Item | Amount |
|---|---|
| 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 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Line Item | Beginning | End | Change |
|---|---|---|---|
| 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 |
| Liability | Amount |
|---|---|
| Federal Income Taxes | $19,996,566 |
| Operating Lease Liabilities | - |
| Finance Lease Liabilities | - |
| Bond | Issuer | Issued | Issue Price | Purpose |
|---|---|---|---|---|
| B | The Industrial Development Authority of Show Low | 2022-08-12 | $39,175,000 | REPLACE 2017A BONDS |
| A | The Industrial Development Authority of Show Low | 2015-08-04 | $23,549,000 | Refund 2005 bond and paying costs |
| Bond | Total Proceeds | Spent | Retired | Issuance Costs |
|---|---|---|---|---|
| B | $39,175,000 | - | $7,846,000 | - |
| A | $23,549,000 | $4,507 | $15,955,000 | $261,977 |
“The form 990 is reviewed in the scheduled governing board meeting following its completion and before filing with the irs.”
“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.”
“Gallagher completed a review of all c-suite officers in march 2023. We also completed annual salary market surveys for all of our positions.”
“Key employees (physician) compensation was completed in 2023 by coker group. We also completed annual salary market surveys for all of our positions.”
“The governing documents, conflict of interest policy and audited financial statements are made available upon request.”
“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: ;”
“The organization did not change either its oversight process or selection process during the tax year.”
“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.”
“Classification Differences - 130656”
“Classification Differences - 130656”
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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|---|---|---|
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| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 27700803 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 36920693 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 49315487 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 40017554 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | 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. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 611824 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 1848 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 613672 |
| IRS990/AllOtherContributionsAmt | 0 | 194930 |
| IRS990/AllOtherExpensesGrp/FundraisingAmt | 0 | 0 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 3515394 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 40975 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 3556369 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/AuditedFinancialStmtAttInd | 0 | true |
| IRS990/BackupWthldComplianceInd | 0 | true |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | DAVID ROTHENBERGER |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 9285376345 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 2200 E SHOW LOW LAKE ROAD |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | SHOW LOW |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | AZ |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 85901 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | false |
| IRS990/BusinessRlnWithFamMemInd | 0 | false |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 33 |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 2311705 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 770568 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 3082273 |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | true |
| IRS990/CompensationProcessOtherInd | 0 | true |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 149285 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 130880 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 280165 |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | true |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 16504354 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 9210314 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 5574690 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 1312915 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 1194491 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | PO BOX 639076 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 3005 MOMENTUM PLACE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | PO BOX 850737 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 12495 SILVER CREEK ROAD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | PO BOX 165332 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | CINCINNATI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | CHICAGO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | MINNEAPOLIS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | DRIPPING SPRINGS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | IRVING |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | OH |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | IL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | MN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | TX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | TX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 45263 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 606895330 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 554850737 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 78620 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 750165332 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | ENSEMBLE RCM LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | HURON CONSULTING SERVICES LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | MEDICAL SOLUTIONS INC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | HHS CULINARY AND NUTRITION SOLUTIONS LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | BLDGWORKS-USA |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | Collection services |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | CONSULTING SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | Contract Labor |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | NUTRITION SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | HOUSEKEEPING/EVS |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 1035231 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 2720506 |
| IRS990/CYOtherExpensesAmt | 0 | 172685188 |
| IRS990/CYOtherRevenueAmt | 0 | 1435673 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 298486648 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 16664423 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 114328447 |
| IRS990/CYTotalExpensesAmt | 0 | 287013635 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 303678058 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | false |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 18346 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 29871 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 2977664 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 15329244 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 18306908 |
| IRS990/Desc | 0 | 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 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. |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | true |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DoingBusinessAsName/BusinessNameLine1Txt | 0 | SUMMIT HC REGIONAL MEDICAL CENTER |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 576225 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 500500 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | false |
| IRS990/EmployeeCnt | 0 | 1511 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/EscrowAccountInd | 0 | false |
| IRS990/ExpenseAmt | 0 | 223994631 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditPerformedInd | 0 | true |
| IRS990/FederalGrantAuditRequiredInd | 0 | true |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 197125 |
| IRS990/FeesForServicesAccountingGrp/ProgramServicesAmt | 0 | 27585 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 224710 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 472954 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 472954 |
| IRS990/FeesForServicesOtherGrp/FundraisingAmt | 0 | 0 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 32055044 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 40499294 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 72554338 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ManagementAndGeneralAmt | 0 | 113545 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 113545 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 4.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 4.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 15.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 60.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 4.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 60.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 4.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 4.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 35340 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 38526 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 5397 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 30031 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 36218 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 21707 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 6554 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 29835 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 40349 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 35818 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 30362 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 5593 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | BECKY THOMPSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | NEIL TRAVER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | PAUL WATSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | Chad Brimhall |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | Dawnafe Whitesinger |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | DOUG WRIGHT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | JOHN CORDER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | Wayne Wielgus |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | DAVID MURRAY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | DAVID ROTHENBERGER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | JAY LARSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | Jeff Comer |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | JONATHAN FELTON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | BURKE DELANGE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | Curtis Ellsworth |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | GEOFFREY CORNELSEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | JAMES OLACK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | SAL MALAD |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 14400 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 14400 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 14400 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 466600 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 4800 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 710434 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 14400 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 4800 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 241760 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 391794 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 247201 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 620791 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 162720 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 1355014 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 1023815 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 856636 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 808072 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 812343 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | VICE CHAIR/Finance Chair |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | BOARD CHAIRMAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | Chief of Staff/Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | CCO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | CIO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | COO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | PHYSICIAN |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/FormationYr | 0 | 1976 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | true |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 459734 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 8 |
| IRS990/GovernmentGrantsAmt | 0 | 840301 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 459734 |
| IRS990/GrossReceiptsAmt | 0 | 303678058 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 47161 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | true |
| IRS990/IndependentAuditFinclStmtInd | 0 | false |
| IRS990/IndependentVotingMemberCnt | 0 | 6 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 224 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 38683 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 158098 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 196781 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 839732 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 2053722 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 2893454 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 3709691 |
| IRS990/InterestGrp/TotalAmt | 0 | 3709691 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 4802104 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 5062399 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 2260772 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 2260772 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 18948818 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 41728740 |
| IRS990/InvestTaxExemptBondsInd | 0 | false |
| IRS990/IRPDocumentCnt | 0 | 266 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 176107476 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 123862655 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 116198209 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 292305685 |
| IRS990/LegalDomicileStateCd | 0 | AZ |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LoansFromOfficersDirectorsGrp/BOYAmt | 0 | 0 |
| IRS990/LoansFromOfficersDirectorsGrp/EOYAmt | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | true |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | false |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | true |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MiscellaneousRevenueGrp/ExclusionAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/UnrelatedBusinessRevenueAmt | 0 | 0 |
| IRS990/MissionDesc | 0 | 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. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 20797333 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 19707373 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 162180166 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 180113883 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 459734 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 459734 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | 47161 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 47161 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 1269294 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 161603941 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 179613383 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 2372386 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 522959 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 2895345 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 1417388 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 1283339 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 2700727 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OnBehalfOfIssuerInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | true |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 33441819 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 37748537 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 45421 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 11380701 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 11426122 |
| IRS990/OtherExpensesGrp/Desc | 0 | MEDICAL SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 1 | GENERAL ASSESSMENT |
| IRS990/OtherExpensesGrp/Desc | 2 | Dues & Subscriptions |
| IRS990/OtherExpensesGrp/Desc | 3 | EQUIPMENT & REPAIRS |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 1352609 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 1103176 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 2 | 240884 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 43679699 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 16289337 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 340072 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 961335 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 45032308 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 16289337 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 1443248 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 1202219 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 23493556 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 19996566 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 722511 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 1 | 900099 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | CAFETERIA AND GIFT SHOP |
| IRS990/OtherRevenueMiscGrp/Desc | 1 | REBATES |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 0 | 906952 |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 1 | 481560 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 906952 |
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