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Summit Healthcare Association
Show Low, AZ 85901
| Bed count | 101 | Medicare provider number | 030062 | Member of the Council of Teaching Hospitals | NO | Children's hospital | NO |
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
(as % of total functional expenses)
Community Benefit Expenditures: 2021
All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Operating expenses $ 253,131,563 Total amount spent on community benefits as % of operating expenses$ 243,298,763 96.12 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 636,214 0.25 %Medicaid as % of operating expenses$ 69,757,499 27.56 %Costs of other means-tested government programs as % of operating expenses$ 0 0 %Health professions education as % of operating expenses$ 0 0 %Subsidized health services as % of operating expenses$ 172,905,050 68.31 %Research as % of operating expenses$ 0 0 %Community health improvement services and community benefit operations*
as % of operating expensesNote: these two community benefit categories are reported together on the Schedule H, part I, line 7e.$ 0 0 %Cash and in-kind contributions for community benefit* as % of operating expenses$ 0 0 %Community building*
as % of operating expenses$ 0 0 %- * = CBI denoted preventative categories
- Community building activities details:
Did tax-exempt hospital report community building activities? Not available Number of activities or programs (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Persons served (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Community building expense
as % of operating expenses$ 0 0 %Physical improvements and housing as % of community building expenses$ 0 Economic development as % of community building expenses$ 0 Community support as % of community building expenses$ 0 Environmental improvements as % of community building expenses$ 0 Leadership development and training for community members as % of community building expenses$ 0 Coalition building as % of community building expenses$ 0 Community health improvement advocacy as % of community building expenses$ 0 Workforce development as % of community building expenses$ 0 Other as % of community building expenses$ 0 Direct offsetting revenue $ 0 Physical improvements and housing $ 0 Economic development $ 0 Community support $ 0 Environmental improvements $ 0 Leadership development and training for community members $ 0 Coalition building $ 0 Community health improvement advocacy $ 0 Workforce development $ 0 Other $ 0
Other Useful Tax-exempt Hospital Information: 2021
In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.
Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
as % of operating expenses$ 11,091,906 4.38 %Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program? NO - Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.
Does the organization have a written financial assistance (charity care) policy? YES Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients? YES Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
as % of operating expenses$ 0 0 %- Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Reported to credit agency YES Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid? YES The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines? Not available In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.
Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute? NO
Community Health Needs Assessment Activities: 2021
The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.
Did the tax-exempt hospital report that they had conducted a CHNA? YES Did the CHNA define the community served by the tax-exempt hospital? YES Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital? YES Did the tax-exempt hospital make the CHNA widely available (i.e. post online)? YES Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA? YES
Supplemental Information: 2021
- Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4A (Expenses $ 196043189 including grants of $ 0) (Revenue $ 244569108) SUMMIT HEALTHCARE IS A LICENSED 89-BED NOT-FOR-PROFIT RURAL HOSPITAL. SUMMIT HEALTHCARE IS COMMITTED TO PROVIDE EXCEPTIONAL COMPASSIONATE CARE TO THE COMMUNITIES WE SERVE. SUMMIT HEALTHCARE'S ARRAY OF SERVICES INCLUDE A 24-EMERGENCY DEPARTMENT WHICH IS PEDIATRIC CERTIFIED, CARDIAC AND VASCULAR CATH LAB, DIAGNOSTIC IMAGING, WOMEN'S IMAGING, HOME HEALTH SERVICES, IV THERAPY, CANCER CENTER WITH MEDICAL AND RADIATION ONCOLOGY, WOMEN & INFANT SERVICES, LEVEL II NURSERY, THERAPY SERVICES WITH CHILDREN'S THERAPY - OCCUPATIONAL HEALTH- PHYSICAL THERAPY - SPEECH THERAPY, PAIN MEDICINE, SURGICAL SERVICES, TELEMEDICINE, WOUND CARE AND HYPERBARICS AND MUCH MORE. WE ARE PROUD TO OFFER TECHNOLOGY USUALLY FOUND IN LARGER CITIES - RIGHT HERE IN THE WHITE MOUNTAINS. FOR A COMPLETE LIST OF SERVICES VISIT SUMMITHEALTHCARE.NET.ACROSS THE COUNTRY, HEALTHCARE FACILITIES IN RURAL AREAS ARE COLLABORATING WITH LARGE NETWORKS TO CONTINUE TO PROVIDE A CONTINUUM OF CARE TO THEIR PATIENTS.EVENTSDUE TO THE COVID 19 PANDEMIC SUMMIT HEALTHCARE WAS UNABLE TO HOLD EVENTS IN 2021.FACILITYFOR 2021 SUMMIT HEALTHCARE'S NEW BUILDINGS, ADMINISTRATIVE SERVICES, OUTPATIENT PAVILION, AND OUTPATIENT SURGERY CENTER WERE ALL FULLY OPERATIONAL.EACH BUILDING WILL HOUSE THE FOLLOWING SERVICES WITH MORE HEALTHCARE SERVICES TO BE ADDED:ADMINISTRATIVE SERVICES BUILDING INCLUDES:ADMINISTRATION HUMAN RESOURCES MEDICAL RECORDS MATERIALS MANAGEMENT ENVIRONMENTAL SERVICES BUSINESS OFFICE FOR HOSPITAL AND PHYSICIAN CLINICS QUALITY AND PROFESSIONAL DEVELOPMENT MEDICAL STAFF SERVICES ACCOUNTING SOME INFORMATION TECHNOLOGYMEDICAL OFFICE BUILDING PRIMARY CARE SERVICESTHE URGENT CARE CLINICS IN SHOW LOW AND PINETOP WILL REMAIN OPENSPECIALTY SERVICESSUMMIT HEALTHCARE PLASTIC & RECONSTRUCTIVE SURGERYSUMMIT HEALTHCARE INTERNAL MEDICINESUMMIT HEALTHCARE NATUROPATHIC MEDICINESUMMIT HEALTHCARE PEDIATRICSSUMMIT HEALTHCARE ORTHOPEDICSSUMMIT HEALTHCARE PAIN CLINICSUMMIT HEALTHCARE HEART, LUNG AND VASCULARSUMMIT HEALTHCARE OB/GYNSUMMIT HEALTHCARE UROLOGYSUMMIT HEALTHCARE GENERAL SURGERYSUMMIT HEALTHCARE OUTPATIENT DIAGNOSTIC IMAGINGSUMMIT HEALTHCARE WOUND CARE CENTERHEALTHY STEPSSUMMIT HEALTHCARE PHARMACYAMBULATORY SURGERY CENTER PHYSICIANSSUMMIT HAS PHYSICIAN SPECIALISTS IN ONCOLOGY, RADIATION ONCOLOGY, PLASTIC SURGERY, CARDIOLOGY, PULMONARY MEDICINE, INTERNAL MEDICINE, PEDIATRICS, OBSTETRICS, PAIN MANAGEMENT, GENERAL SURGERY, ORTHOPEDICS, PODIATRY, UROLOGY, GENERAL SURGERY, VASCULAR SURGERY. WE CONTINUE TO RECRUIT NEW PHYSICIANS TO THE COMMUNITY TO MEET THE HEALTHCARE NEEDS.
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Facility Information
SUMMIT HEALTHCARE ASSOCIATION "PART V, SECTION B, LINE 5: THE HOSPITAL CREATED A COMMITTEE CALLED ""COMMUNITY HEALTH NEEDS COMMITTEE AND IT CONSISTS OF: NAVAJO COUNTY PUBLIC HEALTH, COMMUNITY COUNSELING CENTERS, COMMUNITY BRIDGES AND VARIOUS RELIGIOUS GROUPS; NAVAJO COUNTY COURTS; AND NAVAJO COUNTY PUBLIC ATTORNEY."
SUMMIT HEALTHCARE ASSOCIATION PART V, SECTION B, LINE 7D: OFFERED AT COMMUNITY TOWN HALL MEETINGS.
SUMMIT HEALTHCARE ASSOCIATION PART V, SECTION B, LINE 13H: NUMBER OF DEPENDENTS, FAMILY SIZE.
SUMMIT HEALTHCARE ASSOCIATION PART V, SECTION B, LINE 20E: PATIENTS ARE NOTIFIED WHEN NEED IS IDENTIFIED.
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Supplemental Information
PART I, LINE 7: COST TO CHARGE RATIO
PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES ARE CLINICAL SERVICES PROVIDED TO PATIENTS DESPITE A FINANCIAL LOSS TO THE ORGANIZATION. THE DIFFERENCE BETWEEN THE COSTS THE HOSPITAL INCURS TO PROVIDE A SPECIFIC SERVICE AND THE AMOUNT THE HOSPITAL RECEIVES AS PAYMENT FOR THAT SERVICE, DEFINE SUBSIDIZED HEALTH SERVICES. FURTHERMORE, THEY ARE THOSE CLINICAL SERVICES THAT: IF THE HOSPITAL WERE UNABLE TO PROVIDE, WOULD RESULT IN NOT MEETING COMMUNITY NEEDS. THIS WOULD MEAN THAT PATIENTS WOULD BE REQUIRED TO GO ELSEWHERE FOR SERVICES WHICH WOULD THEN BECOME THE RESPONSIBILITY OF GOVERNMENT OR OF OTHER TAX-EXEMPT ORGANIZATIONS.
PART I, LN 7 COL(F): PLEASE REFER TO THE EXPLANATION OF BAD DEBT EXPENSE PROVIDED FOR PART III, LINE 4.
PART II, COMMUNITY BUILDING ACTIVITIES: N/A
PART III, LINE 2: COST TO CHARGE RATIO
PART III, LINE 4: 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.FINANCIAL STATEMENT FOOTNOTE:THE HOSPITAL DOES NOT HAVE A FINANCIAL STATEMENT FOOTNOTE SPECIFIC TO BAD DEBT EXPENSE, BUT DOES INCLUDE A FINANCIAL FOOTNOTE RELATED TO CHARITY CARE. THE FINANCIAL STATEMENTS COMPUTE CHARITY CARE BY AGGREGATING GROSS CHARGES AND ALL DEDUCTIONS FROM REVENUE, WHILE THE SCHEDULE H COMPUTATIONS IN PARTS I AND III ARE CALCULATED USING A COST TO CHARGE APPROACH. THE FINANCIAL STATEMENT FOOTNOTE FOLLOWS:CHARITY CARE AND COMMUNITY BENEFITIN THE FURTHERANCE OF ITS CHARITABLE PURPOSES, THE HOSPITAL PROVIDES CHARITY CARE AND OTHER BENEFITS TO THE COMMUNITY IT SERVES. THE HOSPITAL'S CHARITY CARE POLICY IS DESIGNED TO PROVIDE A DISCOUNT OR WAIVER OF THE COST OF SERVICES FOR UNINSURED OR UNDERINSURED PATIENTS WITHOUT THE ABILITY TO PAY. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS PATIENT SERVICE REVENUE. IN ADDITION TO PROVIDING CHARITY CARE, THE HOSPITAL PAYS FOR THE COSTS OF MANY PUBLIC PROGRAMS, INCLUDING UNPAID MEDICARE AND AHCCCS COSTS AND DELIVERY OF COMMUNITY OUTREACH PROGRAMS THAT INCLUDE HEALTH EDUCATION, DIAGNOSTIC SCREENINGS, COMMUNITY HEALTH ASSESSMENT SURVEYS AND MOBILE SERVICES. THE HOSPITAL ESTIMATES CHARITY CARE COSTS BASED ON THE HOSPITAL'S COST TO CHARGE RATIO, WHICH INCLUDES BOTH DIRECT AND INDIRECT COSTS. TRADITIONALLY CHARITY CARE IS ESTIMATED BASED ON THE AVERAGE COST OF SERVICES PROVIDED FOR WHICH CHARGES ARE WRITTEN OFF IN ACCORDANCE WITH THE HOSPITAL'S CHARITY CARE POLICY. A SUMMARY OF THE GROSS CHARGES AND COSTS INCURRED FOR PROVIDING CHARITY CARE AND OTHER COMMUNITY BENEFITS FOR THE YEARS ENDED DECEMBER 31 ARE AS FOLLOWS: UNPAID COSTS RELATING TO THE AHCCCS PROGRAM $129,127,624TRADITIONAL CHARITIY, AT COST $618,125TOTAL CHARITY CARE $129,745,749 UNPAID COSTS RELATING TO THE MEDICARE PROGRAM $216,404,119TOTAL CHARITY CARE AND COMMUNITY BENEFIT COSTS $346,149,868
PART III, LINE 8: THE ENTIRE SHORTFALL IS ATTRIBUTED TO COMMUNITY BENEFIT.
PART III, LINE 9B: PROCEDURE: 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.
PART VI, LINE 2: "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 HEALTHCARE RESOURCES. SUMMIT HEALTHCARE PROVIDED CHARITY CARE AND COMMUNITY BENEFITS TO MEMBERS OF OUR COMMUNITY AS PART OF ITS VISION; ""...TO BE A MODEL OF SUCCESS AS A RURAL HEALTHCARE PROVIDER BY DELIVERING EXCEPTIONAL HEALTH CARE AND PROMOTING WELLNESS FOR THE INDIVIDUAL, THE FAMILY, AND THE COMMUNITY""..."
PART VI, LINE 3: HOSPITAL ADMITTING STAFF MEMBERS ADVISE AND ASSIST ALL SELF-PAY PATIENTS OF THE OPTIONS FOR AVAILABLE ASSISTANCE.
PART VI, LINE 4: 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.
PART VI, LINE 5: PLEASE REFER TO INFORMATION CONTAINED IN FORM 990, PART III, LINE 4A.
PART VI, LINE 6: N/A
PART VI, LINE 7, REPORTS FILED WITH STATES AZ
