SUMMA HEALTH GROUP RETURN: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: SUMMA HEALTH GROUP RETURN (EIN 90-0640432)
Tax period: 2015-01-01 to 2015-12-31
Filed: 2016-11-14
IRS object ID: 201633199349300918
Schema version: 2015v2.1
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 F
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule M
Schedule N
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-11-14T07:26:47-06:00	ReturnTs
Tax Period End	2015-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	420714325	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	RSM US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1 S WACKER DRIVE STE 800	AddressLine1Txt
City	CHICAGO	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60606	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	900640432	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SUMMA HEALTH GROUP RETURN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	SUMM	BusinessNameControlTxt
Phone	2343125867	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1077 GORGE BLVD PO BOX 2090	AddressLine1Txt
City	AKRON	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	443092090	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	BRIAN K DERRICK	PersonNm
Person Title	SR VP, CFO, TREASURER	PersonTitleTxt
Phone	2343125867	PhoneNum
Signature	2016-11-10	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	ZACK FORTSCH	PreparerPersonNm
PTIN	P00052725	PTIN
Phone	3126343400	PhoneNum

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2017-02-10 21:41:12Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	THOMAS MALONE MD	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1077 GORGE BLVD PO BOX 2090	AddressLine1Txt
City	AKRON	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	443092090	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,116,133,051	GrossReceiptsAmt
Group Return For Affiliates	Yes (1)	GroupReturnForAffiliatesInd
All Affiliates Included	Yes (1)	AllAffiliatesIncludedInd
Group Exemption	5864	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SUMMAHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Activity Or Mission	THE MISSION OF SUMMA HEALTH IS TO PROVIDE THE HIGHEST QUALITY, COMPASSIONATE CARE TO PATIENTS AND MEMBERS AND CONTRIBUTE TO A HEALTHIER COMMUNITY.	ActivityOrMissionDesc
Contract Termination	Yes (X)	ContractTerminationInd
Voting Members Governing Body	43	VotingMembersGoverningBodyCnt
Voting Members Independent	37	VotingMembersIndependentCnt
Total Employee	7923	TotalEmployeeCnt
Total Volunteers	1115	TotalVolunteersCnt
Total Gross UBI	$9,342,904	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$8,525,120	PYContributionsGrantsAmt
CY Contributions Grants	$5,313,648	CYContributionsGrantsAmt
PY Program Service Revenue	$1,002,586,876	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,036,977,973	CYProgramServiceRevenueAmt
PY Investment Income	$10,685,360	PYInvestmentIncomeAmt
CY Investment Income	$7,422,791	CYInvestmentIncomeAmt
PY Other Revenue	$28,711,727	PYOtherRevenueAmt
CY Other Revenue	$18,594,038	CYOtherRevenueAmt
PY Total Revenue	$1,050,509,083	PYTotalRevenueAmt
CY Total Revenue	$1,068,308,450	CYTotalRevenueAmt
PY Grants And Similar Paid	$354,193	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$245,767	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$457,028,302	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$454,148,546	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$3,255,164	CYTotalFundraisingExpenseAmt
PY Other Expenses	$541,818,043	PYOtherExpensesAmt
CY Other Expenses	$552,725,056	CYOtherExpensesAmt
PY Total Expenses	$999,200,538	PYTotalExpensesAmt
CY Total Expenses	$1,007,119,369	CYTotalExpensesAmt
PY Revenues Less Expenses	$51,308,545	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$61,189,081	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,165,798,880	TotalAssetsBOYAmt
Total Assets EOY	$1,139,746,498	TotalAssetsEOYAmt
Total Liabilities BOY	$687,554,548	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$672,875,229	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$478,244,332	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$466,871,269	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SUMMA HEALTH'S MISSION IS TO PROVIDE THE HIGHEST QUALITY, COMPASSIONATE CARE TO PATIENTS AND MEMBERS AND CONTRIBUTE TO A HEALTHIER COMMUNITY.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$373,883,716	ExpenseAmt
Revenue	$529,583,648	RevenueAmt
Desc	OUTPATIENT SERVICES FOR 2015: SUMMA HEALTH SYSTEM, SUMMA BARBERTON CITIZENS HOSPITAL AND SUMMA PHYSICIANS, INC. PROVIDED MORE THAN 1.5 MILLION OCCASIONS OF SERVICE, INCLUDING 166,170 EMERGENCY DEPARTMENT VISITS, 14,193 OBSERVATION PATIENTS, 13,744 SURGICAL OPERATIONS, AND MORE THAN 1.3 MILLION OTHER OUTPATIENT VISITS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$301,609,680	ExpenseAmt
Revenue	$427,211,852	RevenueAmt
Desc	INPATIENT SERVICES FOR 2015: SUMMA HEALTH SYSTEM AND SUMMA BARBERTON CITIZENS HOSPITAL HAD APPROXIMATELY 700 BEDS IN SERVICE, ADMITTED 37,286 ADULT PATIENTS, AND DELIVERED 3,700 NEWBORNS. THE ADULT PATIENTS RECEIVED 169,245 DAYS OF CARE, INPATIENT SURGERIES TOTALED 7,109, EMERGENCY ADMISSIONS TOTALED 25,967 AND THE AVERAGE LENGTH OF STAY WAS 4.54 DAYS.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$55,085,130	ExpenseAmt
Revenue	$12,749,024	RevenueAmt
Desc	RESEARCH/EDUCATION FOR 2015: SUMMA HEALTH HAS A HISTORY OF SPONSORING AND SUPPORTING BASIC AND CLINICAL RESEARCH TO UNDERSTAND DISEASES AND TREATMENT. CENTERS, PROGRAMS AND LABS FACILITATE RESEARCH IN A NUMBER OF MEDICAL FIELDS. SUMMA HEALTH FOSTERS A LEARNING ENVIRONMENT FOR THE NEXT GENERATION OF CAREGIVERS. AT SUMMA HEALTH'S HOSPITALS, APPROXIMATLY 250 MEDICAL SCHOOL GRADUATES TRAIN IN 19 ACCREDITED RESIDENCY PROGRAMS. SUMMA HEALTH PROVIDES CLINICAL LEARNING EXPERIENCES TO MORE THAN 250 NURSING AND ALLIED HEALTH STUDENTS.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (4 entries)

DescDesc	ExpenseExpenseAmt	GrantGrantAmt	RevenueRevenueAmt
PART III LINE 4D - OTHER PROGRAM SERVICES: SUMMA HEALTH IS AN INTEGRATED HEALTHCARE DELIVERY SYSTEM THAT PROVIDES COORDINATED, VALUE-BASED CARE ACROSS THE CONTINUUM FOR THE PEOPLE AND POPULATIONS WE SERVE. WE HOLD OURSELVES CLINICALLY AND FINANCIALLY ACCOUNTABLE FOR HEALTH OUTCOMES IN OUR COMMUNITIES.SUMMA HEALTH SERVES MORE THAN ONE MILLION PATIENTS EACH YEAR IN COMPREHENSIVE EMERGENCY, ACUTE, CRITICAL, OUTPATIENT AND LONG-TERM/HOMECARE SETTINGS AND REPRESENTS MORE THAN 1,300 REGISTERED, INPATIENT BEDS ON THE CAMPUSES OF SUMMA HEALTH SYSTEM, SUMMA BARBERTON CITIZEN'S HOSPITAL, SUMMA REHAB HOSPITAL, AND WESTERN RESERVE HOSPITAL. IN ADDITION, OUTPATIENT CARE IS PROVIDED IN MORE THAN 20 COMMUNITY HEALTH CENTERS AND EMERGENCY DEPARTMENTS (EDS), SOME INTEGRATED IN THE HEALTHCARE FACILITIES, OTHERS ARE FREE-STANDING. SUMMA REHAB HOSPITAL AND WESTERN RESERVE HOSPITAL ARE JOINT VENTURES IN WHICH SUMMA HEALTH HAS AN INTEREST, AND ARE REFERENCED IN THIS DOCUMENT FOR THE PURPOSE OF IDENTIFYING ALL ENTITIES AFFILIATED WITH SUMMA HEALTH. SUMMA'S PROPORTIONATE INTEREST OF THESE JOINT VENTURES' CHARITY CARE AND OTHER COMMUNITY BENEFITS ARE INCLUDED ON SCHEDULE H OF SUMMA HEALTH'S IRS FORM 990 GROUP RETURN.PROVIDING SUPERIOR, MULTI-SPECIALTY PATIENT CARE, MEDICAL RESEARCH AND CONTINUING MEDICAL EDUCATION, SUMMA HEALTH RANKS AS A HIGHLY RECOGNIZED HEALTHCARE PROVIDER IN SEVERAL DISCIPLINES INCLUDING: BARIATRIC SURGERY, CARDIOVASCULAR, EMERGENCY, ONCOLOGY, ORTHOPAEDIC SURGERY, PRIMARY CARE SPORTS MEDICINE, STROKE AND NURSING BY PRESTIGIOUS ORGANIZATIONS SUCH AS:AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCERAMERICAN HEART ASSOCIATIONAMERICAN STROKE ASSOCIATIONNATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERSAMERICAN NURSING CREDENTIALING CENTERCENTERS FOR MEDICARE AND MEDICAID SERVICESPREMIER HEALTHCARE ALLIANCEOHIO PATIENT SAFETY INSTITUTEUS NEWS AND WORLD REPORTAMERICAN COLLEGE OF RADIATIONNURSES IMPROVING CARE FOR HEALTHSYSTEM ELDERSAMERICAN SOCIETY FOR METABOLIC AND BARIATRIC SURGERY: CENTER OF EXCELLENCEMETABOLIC AND BARIATRIC SURGERY ACCREDITATION AND QUALITY IMPROVEMENT PROGRAMTHE JOINT COMMISSIONBABY-FRIENDLY THE LEAPFROG GROUPSUMMA HEALTH IS SUMMIT COUNTY'S LARGEST EMPLOYER AND A LEADING ECONOMIC ENGINE FOR THE REGION. SUMMA HEALTH INCLUDES THE FOLLOWING:SUMMA HEALTH SYSTEM:SUMMA HEALTH SYSTEM IS A SINGLE LEGAL ENTITY THAT INCLUDES THREE INPATIENT HOSPITAL CAMPUSES AND SEVERAL AMBULATORY LOCATIONS. SUMMA HEALTH SYSTEM OPERATES THE INPATIENT HOSPITAL LOCATIONS AS WELL AS THE HOSPITAL-BASED OFF-SITE LOCATIONS UNDER THE SAME MEDICARE PROVIDER NUMBER.SUMMA HEALTH EMPLOYS MORE THAN 9,000 INDIVIDUALS WITH SUMMA HEALTH SYSTEM ACCOUNTING FOR APPROXIMATELY 6,000 OF THESE EMPLOYEES. SUMMA HEALTH SYSTEM HAS A MEDICAL STAFF OF MORE THAN 1,000 PROFESSIONALS WORKING ON ITS CAMPUSES. SUMMA HEALTH SYTSEM HAS 1,320 REGISTERED BEDS. THE BUILDINGS AND FACILITIES ON ALL CAMPUSES TOTAL APPROXIMATELY 2.2 MILLION SQUARE FEET.SUMMA HEALTH SYSTEM- AKRON CAMPUS OFFERS GENERAL MEDICAL, SURGICAL, OBSTETRICAL, TRAUMA AND CRITICAL CARE SERVICES. THE AKRON CAMPUS PROVIDES ACUTE CARE SERVICES AND A WIDE RANGE OF OUTPATIENT SERVICES ON A CAMPUS OF APPROXIMATELY 60 ACRES. SUMMA HEALTH SYSTEM RECEIVED THE FOLLOWING RECOGNITION IN 2015: SUMMA AKRON CITY & ST. THOMAS HOSPITALS RANKED 13TH BEST HOSPITAL IN OHIO BY U.S. NEWS & WORLD REPORT. IT IS RANKED AS HIGH PERFORMING IN 7 ADULT SPECIALTIES: DIABETES AND ENDOCRINOLOGY; GASTROENTEROLOGY AND GASTROINTESTINAL SURGERY; GERIATRICS; NEPHROLOGY; NEUROLOGY & NEUROSURGERY; PULMONOLOGY; AND UROLOGY. SUMMA HEALTH SYSTEM- ST. THOMAS CAMPUS PROVIDES VARIOUS DIAGNOSTIC SERVICES ALONG WITH BEHAVIORAL HEALTH AND SUBSTANCE ABUSE CARE. SUMMA HEALTH SYSTEM- ST. THOMAS CAMPUS WAS ONE OF THE FIRST IN THE COUNTRY TO RECOGNIZE THE MEDICAL ASPECTS OF ALCOHOLISM AS A DISEASE AND IS THE FOUNDING LOCATION OF ALCOHOLICS ANONYMOUS. THE HOSPITAL OPENED THE NATION'S FIRST ALCOHOLISM TREATMENT WARD AND CONTINUES ITS LONGSTANDING DEDICATION TO THIS PROGRAM TODAY.AS A LEADER IN MEDICAL EDUCATION, SUMMA HEALTH SYSTEM SUPPORTS THE EDUCATION OF ITS PHYSICIANS AND HEALTHCARE PROFESSIONALS. THE AKRON AND ST. THOMAS CAMPUSES ARE TEACHING AFFILIATES OF THE NORTHEAST OHIO MEDICAL UNIVERSITY (NEOMED) AND INCLUDE A STAFF OF PHYSICIANS AND ACCREDITED RESIDENCY AND FELLOWSHIP PROGRAMS THAT FOSTER A DYNAMIC MEDICAL ENVIRONMENT. APPROXIMATELY 80 RESIDENTS AND FELLOWS GRADUATE FROM THE AKRON CAMPUS'S MEDICAL EDUCATION PROGRAMS EACH YEAR. THE BARBERTON CAMPUS HAS A FAMILY PRACTICE RESIDENCY PROGRAM AFFILIATED WITH NEOMED ALONG WITH PROVIDING EDUCATIONAL ROTATIONS FOR MEDICAL STUDENTS.SUMMA HEALTH SYSTEM- BARBERTON CAMPUSSUMMA HEALTH SYSTEM- BARBERTON CAMPUS IS A 500,000 SQUARE FOOT ACUTE CARE TEACHING HOSPITAL LOCATED ON NEARLY 16 ACRES, LOCATED APPROXIMATELY 10 MILES SOUTHWEST OF AKRON, OHIO. THE HOSPITAL HAS MORE THAN 1,600 EMPLOYEES AND HAS A MEDICAL STAFF OF MORE THAN 1,510 PROFESSIONALS. IT HAS 271 LICENSEDBEDS. THE BARBERTON CAMPUS PROVIDES THE COMMUNITY WITH EASY ACCESS TO COMPREHENSIVE, HIGH-QUALITY CANCER SERVICES AT THE COMMISSION ON CANCER ACCREDITED PARKVIEW PAVILION, AS WELL AS THE FULL SPECTRUM OF CARDIOVASCULAR DISEASE CARE INCLUDING DIAGNOSTIC, INTERVENTIONAL AND SURGICAL SERVICES, ALONG WITH A VARIETY OF OUTPATIENT SERVICES.
PART III LINE 4D - OTHER PROGRAM SERVICES - CONTINUED:CHARITY CAREIN 2015, SUMMA HEALTH PROVIDED CHARITY CARE AT AN ESTIMATED NET COST OF NEARLY $8.1 MILLION. THIS AMOUNT REPRESENTS THE NET COST ASSOCIATED WITH PROVIDING THE CARE AND DOES NOT INCLUDE BAD DEBT. PATIENTS WITH INCOME UP TO 200% OF THE FEDERAL POVERTY INCOME GUIDELINES OR WHO HAVE A HOSPITAL BILL THAT EXCEEDS 25% OF THEIR GROSS ANNUAL FAMILY INCOME ARE ELIGIBLE TO APPLY FOR FULLY DISCOUNTED CHARITY CARE ASSISTANCE. IN ADDITION, THERE IS A SLIDING SCALE DISCOUNT PROGRAM FOR THOSE WITH INCOMES BETWEEN 200% AND 400% OF THE FEDERAL POVERTY INCOME GUIDELINES. IN 2015, THE CHARITY CARE PROGRAM (INCLUDING HOSPITAL CARE ASSURANCE PROGRAM) BENEFITED APPROXIMATELY 27,000 PATIENT ENCOUNTERS.MEDICAID SHORTFALLHISTORICALLY, OHIO MEDICAID REIMBURSEMENTS HAVE NOT COVERED THE COST OF PROVIDING THE CARE TO PROGRAM BENEFICIARIES, CREATING A BUDGETARY SHORTFALL. AS ONE OF NORTHEAST OHIO'S TOP PROVIDERS OF HOSPITAL CARE FOR MEDICAID PATIENTS, SUMMA HEALTH'S UNPAID COSTS FOR MEDICAID TOTALED MORE THAN $16.3 MILLION.BAD DEBTSUMMA HEALTH IS COMMITED TO PROVIDING QUALITY AND ACCESSIBLE HEALTHCARE. THIS INCLUDES COVERING THE EXPENSE OF PAYMENTS THAT WERE EXPECTED BUT NOT RECEIVED. WHILE SUMMA HEALTH RECOGNIZES BAD DEBT IS PART OF DOING BUSINESS, IT AGREES WITH THE OHIO HOSPITAL ASSOCIATION THAT IT IS IMPORTANT TO REPORT THESE COSTS TO SHOW THE TOTAL PICTURE OF CARE SUMMA HEALTH PROVIDES TO THE COMMUNITY WITHOUT FULL REIMBURSEMENT. IN 2015, THE COST FOR PROVIDING CARE WRITTEN OFF AS A BAD DEBT EXPENSE WAS APPROXIMATELY $16 MILLION.COMMUNITY HEALTH IMPROVEMENT SERVICESAN IMPORTANT PART OF SUMMA HEALTH'S MISSION IS OFFERING A PREVENTION AND WELLNESS PROGRAM TO BUILD A HEALTHIER COMMUNITY. IN 2015, SUMMA HEALTH PROVIDED MORE THAN $3.2 MILLION TO HELP FUND HEALTH IMPROVEMENT ACTIVITIES SUCH AS FREE AND LOW-COST HEALTH SCREENING, HEALTH EDUCATION SERVICES AND WELLNESS PROGRAMMING. SUBSIDIZED HEALTH SERVICES SUMMA HEALTH IS COMMITTED TO PROVIDING SUBSIDIZED HEALTH SERVICES - CLINICIAL SERVICES THAT MEET AN IDENTIFIED COMMUNITY NEED AND ARE PROVIDED DESPITE FINANCIAL LOSS. VITAL SERVICES SUCH AS THE CENTER FOR SENIOR HEALTH, CARE CENTER FOR PATIENTS WITH HIV OR AIDS, AND DIABETES EDUCATION ARE OFFERED, EVEN THOUGH THEY ARE NOT PROFITABLE. INCOME FROM OTHER SERVICES IS USED TO COVER THESE COSTS. IN 2015, THE COST FOR SUBSIDIZED SERVICES WAS APPROXIMATELY $26 MILLION.FINANCIAL AND IN-KIND DONATIONSANNUALLY, SUMMA HEALTH CONTRIBUTES FINANCIAL ASSISTANCE AND IN-KIND SERVICES TO SUPPORT COMMUNITY ORGANIZATIONS THAT PROMOTE HEALTH, WELLNESS, AND AN IMPROVED QUALITY OF LIFE. FROM THE LOCAL CHAPTERS OF NATIONAL GROUPS SUCH AS UNITED WAY, THE AMERICAN HEART ASSOCIATION AND THE AMERICAN CANCER SOCIETY, TO AXESSPOINTE COMMUNITY HEALTH CENTER SUMMA HEALTH PARTICIPATES IN NUMEROUS COMMUNITY PROGRAMS AND HELPS OTHER NONPROFITS FULFILL THEIR MISSIONS. IN 2015, THESE CONTRIBUTIONS WERE MORE THAN $1.1 MILLION.RESEARCH AND INNOVATIONSUMMA HEALTH'S QUALITY MEDICAL CARE IS DERIVED IN PART FROM ITS ABILITY TO TRANSLATE RESULTS FROM CAREFULLY PLANNED AND EXECUTED RESEARCH INTO EFFECTIVE PATIENT CARE STRATEGIES. RESEARCH AND INNOVATION IS AN INTEGRAL FOCUS OF THE ACADEMIC AND CLINICAL ENVIRONMENT AT SUMMA HEALTH AND HELPS SET THE HIGHEST STANDARDS FOR MEDICAL CARE IN THE COMMUNITY. SUMMA HEALTH'S REPUTATION FOR EXCELLENCE IN SUCH CRITICAL SPECIALITIES AS CARDIOLOGY, DIABETES, EMERGENCY SERVICES, ORTHOPAEDICS, ONCOLOGY, SENIOR HEALTH, SURGERY, AND WOMEN'S HEALTH CONTINUES TO GROW THROUGH RESEARCH AND INNOVATION. SUMMA HEALTH INVESTED MORE THAN $4.8 MILLION IN RESEARCH IN 2015. IN ADDITION TO SUPPORT FROM SUMMA FOUNDATION, MAJOR RESEARCH PROGRAMS ARE SUPPORTED BY GRANTS FROM THE NATIONAL INSTITUTES OF HEALTH, THE DEPARTMENT OF DEFENSE AND INDUSTRY SPONSORS.EDUCATION SUMMA HEALTH SUPPORTS THE EDUCATION OF PHYSICIANS AND OTHER HEALTHCARE PROFESSIONALS. SUMMA HEALTH SYSTEM IS THE LARGEST OF THE MAJOR TEACHING AFFILIATES OF THE NORTHEST OHIO MEDICAL UNIVERSITY (NEOMED, A CONSORTIUM OF THE UNIVERSITY OF AKRON, KENT STATE UNIVERSITY AND YOUNGSTOWN STATE UNIVERSITY), AND OFFERS EDUCATION TO NEOMED'S COLLEGES OF MEDICINE AND PHARMACY STUDENTS, AS WELL AS TO MEDICAL STUDENTS FROM SCHOOLS AROUND THE COUNTRY. IN ADDITION, SUMMA HEALTH OFFERS 19 ACCREDITED RESIDENCY TRAINING PROGRAMS IN NUMEROUS SPECIALTIES, TRAINING THE NEXT GENERATION OF PRIMARY CARE AND SPECIALTY PHYSICIANS FOR THE REGION AND BEYOND. NURSING EDUCATION ALSO IS OFFERED IN COLLABORATION WITH LOCAL AND NATIONAL UNIVERSITY PARTNERS. IN 2015, APPROXIMATELY 250 RESIDENTS AND FELLOWS TRAINED AT SUMMA HEALTH'S THREE MAIN HOSPITALS. ON AVERAGE, APPROXIMATELY 40% OF THESE RESIDENTS REMAIN IN OUR LOCAL AND SURROUNDING COMMUNITIES. SUMMA HEALTH'S 2015 INVESTMENT IN HEALTH PROFESSIONS EDUCATION TOTALED $36 MILLION.
PART III LINE 4D - OTHER PROGRAM SERVICES - CONTINUED:SUMMA HEALTH SERVICES:FOLLOWING IS A DESCRIPTION OF SUMMA HEALTH'S NOTABLE ACCOMPLISHMENTS BY PRIMARY SERVICE LINES IN 2015: BARIATRIC CARE- METABOLIC AND BARIATRIC SURGERY ACCREDITATION AND QUALITY IMPROVEMENT PROGRAM (MBSAQIP): SUMMA HEALTH HAS ACHIEVED REACCREDITATION THROUGH THE MBSAQIP, WHICH WORKS TO ADVANCE SAFE, HIGH-QUALITY CARE FOR BARIATRIC SURGERY PATIENTS THROUGH THE ACCREDITATION OF BARIATRIC SURGICAL CENTERS A BARIATRIC SURGICAL CENTER ACHIEVES ACCREDITATION FOLLOWING A RIGOROUS REVIEW PROCESS DURING WHICH IT PROVES THAT IT CAN MAINTAIN CERTAIN PHYSICAL RESOURCES, HUMAN RESOURCES AND STANDARDS OF PRACTICE.CARDIOVASCULAR - SUMMA HEALTH SYSTEM- AKRON CAMPUS IMPLANTED A BREAKTHROUGH MEDICAL DEVICE INTO TWO PATIENTS WHO SUFFER FROM ATRIAL FIBRILLATION (AF). THE DEVICE, KNOWN AS THE "WATCHMAN LEFT ATRIAL APPENDAGE CLOSURE (LAAC) IMPLANT," PROVIDES AN ALTERNATIVE FOR AF PATIENTS WHO PREVIOUSLY RELIED ON BLOOD THINNING MEDICATIONS, SUCH AS WARFARIN (COUMADIN) TO REDUCE THEIR RISK OF STROKE. THE AKRON CAMPUS WAS ONE OF ONLY TWO HOSPITALS IN OHIO TO OFFER WATCHMAN. SUMMA HEALTH SYSTEM EARNED THE AMERICAN HEART ASSOCIATION (AHA) DESIGNATION AS A MISSION: LIFELINE HEART ATTACK RECEIVING CENTER.THE (AHA)/AMERICAN STROKE ASSOCIATION RECOGNIZED SUMMA HEALTH SYSTEM- AKRON CAMPUS AS A GOLD ACHIEVEMENT HOSPITAL FOR SUCCESSFULLY IMPLEMENTING A HIGHER STANDARD OF CARE FOR HEART FAILURE PATIENTS THROUGH THE GET WITH THE GUIDELINES -HEART FAILURE QUALITY IMPROVEMENT PROGRAM.NEUROSCIENCE - SUMMA HEALTH INTRODUCED THE TELEMEDICINE PROGRAM FOR STROKE THAT INCLUDES ADVANCED INTOUCH HEALTH ROBOTS AT EMERGENCY DEPARTMENTS AT SUMMA HEALTH SYSTEM- AKRON AND BARBERTON CAMPUSES. THE ROBOTS ALLOW STROKE NEUROLOGISTS TO REMOTELY PERFORM LIVE, REAL-TIME AUDIOVISUAL CONSULTATIONS WITH THE PATIENT AND EMERGENCY MEDICINE TEAM TO SPEED THE DELIVERY OF CLOT-BUSTING DRUGS CRUCIAL TO HALT AND REVERSE STROKE DAMAGE. SUMMA HEALTH SYSTEM- AKRON CAMPUS HAS BEEN CERTIFIED AS AN ADVANCED PRIMARY STROKE CENTER BY THE JOINT COMMISSION SINCE 2007. OUR CENTER FOR STROKE CARE WAS RECOGNIZED NATIONALLY TO RECEIVE THE AMERICAN HEART ASSOCIATION AND AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES STROKE GOLD PLUS QUALITY ACHIEVEMENT AWARD FOR THE SIXTH YEAR IN A ROW.ONCOLOGY - IN 2015, SUMMA HEALTH SYSTEM- AKRON CAMPUS OPENED A NEW BREAST CENTER AND BECAME THE ONLY HEALTHCARE SYSTEM IN THE REGION TO OFFER 3D AND 2D SCREENING AND DIAGNOSTIC MAMMOGRAMS AT ALL OF ITS IMAGING LOCATIONS.RESPIRATORY - EXPANDED ITS SMOKING CESSATION PROGRAM ACROSS THE SYSTEM.WOMEN'S SERVICES - IN AN EFFORT TO SUPPORT A HEALTHY BEGINNING FOR ALL MOTHERS AND BABIES, SUMMA HEALTH SYSTEM- AKRON CAMPUS PURSUED AND EARNED RECOGNITION AS A BABY-FRIENDLY DESIGNATED BIRTH FACILITY. BABY-FRIENDLY HOSPITALS HELP PROVIDE THE EXTRA EDUCATION AND SUPPORT NEW MOMS NEED TO SUCCESSFULLY BREASTFEED THEIR BABIES. CURRENTLY THERE ARE NEARLY 300 ACTIVE BABY-FRIENDLY HOSPITALS AND BIRTH CENTERS IN THE U.S. THE AKRON CAMPUS IS THE ONLY FACILITY IN SUMMIT COUNTY TO EARN THIS DESIGNATION. SUMMA HEALTH RECEIVED A MONETARY AWARD FROM AMERICAN EXCESS INSURANCE EXCHANGE (AEIX) FOR THE CENTERING PREGNANCY FOR THE OPIATE ADDICTED PREGNANT WOMAN INITIATIVE TAKING PLACE WITHIN THE HOSPITAL SYSTEM. THE CENTERING GROUP CARE (CGC) PROGRAM AT SUMMA HEALTH SYSTEM OFFERS AN APPOINTMENT OPTION FOR WOMEN, WITH DEDICATED CLASSES FOR PREGNANT WOMEN BATTLING ADDICTION. THIS HIGH-RISK GROUP VISIT MODEL ASSISTS OPIATE-ADDICTED PREGNANT WOMEN TO ENSURE A HEALTHY BABY AND REDUCE THE ADMISSIONS AND LENGTH OF STAY IN THE NEONATAL INTENSIVE CARE UNIT (NICU).SYSTEM- SUMMA HEALTH'S ACCOUNTABLE CARE ORGANIZATION, NEWHEALTH COLLABORATIVE, WAS RECOGNIZED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES FOR ACHIEVING SIGNIFICANT MULTI-MILLION DOLLAR SAVINGS IN THE MEDICARE SHARED SAVINGS PROGRAM.FOR THE 12TH CONSECUTIVE YEAR, SUMMA HEALTH WAS NAMED AS ONE OF THE 99 BEST WORKPLACES IN NORTHEAST OHIO, AS DETERMINED IN THE ANNUAL NORTHCOAST 99 AWARDS, SPONSORED BY THE EMPLOYERS RESOURCE COUNCIL.FOR THE FIFTH CONSECUTIVE YEAR, SUMMA HEALTH WAS NAMED ONE OF "HEALTHCARE'S MOST WIRED ORGANIZATIONS BY HOSPITALS & HEALTH NETWORKS (H&HN) FOR ACHIEVEMENT IN THE USE OF HEALTHCARE IT.
PART III LINE 4D - OTHER PROGRAM SERVICES - FINAL SECTION:SUMMARYALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATIONS AND STABILITY OF SUMMA HEALTH, NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. SUMMA HEALTH PROVIDED SERVICES TO ALL PATIENTS ON A NON-DISCRIMINATORY BASIS AND WITHOUT REGARD TO ANY PATIENT'S ABILITY TO PAY FOR SUCH SERVICES OR THE INDIVIDUAL'S PARTICIPATION IN A GOVERNMENT-SPONSORED OR SUBSIDIZED HEALTHCARE SYSTEM.PATIENTS WERE ENCOURAGED TO APPLY FOR UNCOMPENSATED CARE AND, DEPENDING ON THEIR LEVEL OF INCOME AND NUMBER OF DEPENDENTS, ALL (OR A PORTION) OF THEIR BILL WAS REDUCED. GROSS ANNUAL FAMILY INCOME WAS COMPARED USING A SLIDING SCALE BASED ON THE FEDERAL POVERTY INCOME GUIDELINES TO DETERMINE THE CHARITY DISCOUNT FOR WHICH THE PATIENT MAY BE ELIGIBLE. IN 2015, SUMMA HEALTH PROVIDED CHARITY CARE TO THE INDIGENT (INCLUDING UNREIMBURSED MEDICAID) AT THE COST OF APPROXIMATELY $ 24 MILLION. THIS AMOUNT DOES NOT INCLUDE SERVICES PROVIDED WRITTEN OFF AS BAD DEBT.IN ADDITON TO UNCOMPENSATED MEDICAL CARE, SUMMA HEALTH PROVIDED WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS AND SPECIAL PROGRAMS FOR THE ELDERLY, PERSONS WITH DISABILITIES AND THE MEDICALLY UNDERSERVED. SUMMA HEALTH ALSO OPERATED A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES. THESE PROGRAMS WERE OFFERED AT A REDUCED PRICE OR PROVIDED TO THE COMMUNITY FREE OF CHARGE. SUMMA HEALTH OPERATES ITS FACILITIES IN A MANNER CONSISTENT WITH THE COMMUNITY BENEFIT REQUIREMENTS OF REV. RULE 69-545 AND SUBSEQUENT CASE LAW AND IRS GUIDELINES. SUMMA HEALTH'S HOSPITALS PROVIDE EMERGENCY SERVICES WHICH ARE OPEN AND AVAILABLE TO ALL PERSONS OF THE COMMUNITY, REGARDLESS OF THEIR ABILITY TO PAY. THE BOARD OF DIRECTORS CONSISTED OF PERSONS WHO ARE BROADLY REPRESENTATIVE OF THE COMMUNITY AND MEDICAL STAFF.SUMMA PHYSICIANS INC. - PROGRAM SERVICE ACCOMPLISHMENTSSUMMA PHYSICIANS INC. (SPI), A SUMMA HEALTH ENTITY, IS A MULTI-SPECIALTY GROUP OF PHYSICIANS AND PHYSICIAN PRACTICES. IN TOTAL, SPI EMPLOYS NEARLY 300 PHYSICIANS AND MORE THAN 700 SUPPORT STAFF IN MORE THAN 30 SPECIALTIES AND SUB-SPECIALTIES. SPI PROMOTES STRONG AFFILIATION AND EMPLOYMENT OF PHYSICIANS TO ENSURE COMMUNITY AND HOSPITAL NEEDS FOR PHYSICIAN SERVICES ARE MET. IN 2015, SPI CONTINUED ITS DELVELOPMENT OF PRIMARY CARE PODS AND THE MEDICAL HOME MODEL OF CARE, TO FURTHER ENHANCE THE FOCUSED PATIENT CARE MODEL, BETTER COMMUNICATE QUALITY INITIATIVES AND ENHANCE PHYSICIAN RECRUITMENT.SUMMA HEALTH FOUNDATION - PROGRAM SERVICE ACCOMPLISHMENTSTHROUGH PHILANTHROPY, SUMMA HEALTH FOUNDATION SUPPORTS PATIENT CARE, MEDICAL EDUCATION AND RESEARCH. SUMMA HEALTH FOUNDATION OFFERS A SPECTRUM OF PHILANTHROPIC OPTIONS FOR DONORS DESIGNED TO CREATE A POSITIVE IMPACT ON SUMMA HEALTH'S OPERATIONS, PROGRAMS, PROJECTS AND PERCEPTIONS AND TO AFFECT POSITIVE CHANGE IN THE COMMUNITIES SUMMA HEALTH SERVES. PHILANTHROPIC COMMITMENTS TO THE SUMMA HEALTH FOUNDATION IN 2015 TOTALED $5.5 MILLION.COMMUNITY BENEFIT AND DIVERSITY THIS DEPARTMENT LEADS EFFORTS TO ADDRESS HEALTH DISPARITIES AND OTHER IMPORTANT COMMUNITY NEEDS AND RAISE AWARENESS OF HEALTH AND HEALTHCARE ISSUES AFFECTING THE COMMUNITIES SERVED BY SUMMA HEALTH. COMMUNITY BENEFIT AND DIVERSITY PROVIDE WELLNESS AND EDUCATIONAL TOOLS, FACILITATE ECONOMIC DEVELOPMENT PROGRAMS, DEVELOP COMMUNITY PARTNERSHIPS, COMMUNICATE SUMMA HEALTH'S BENEFIT TO THE COMMUNITY AND ENGAGE THE COMMUNITY AND ITS WORKFORCE WITHIN THE SYSTEM AND THROUGHOUT THE REGION.GOVERNMENT RELATIONS THIS DEPARTMENT IS DEDICATED TO ELEVATING SUMMA HEALTH AS A CREDIBLE LEADER AND PARTNER IN THE HEALTH POLICY PLANNING PROCESS. THIS DEPARTMENT COLLABORATES WITH NUMEROUS DEPARTMENTSTO BEST POSITION SUMMA EDUCATION, RESEARCH AND CLINICAL INNOVATION PRIORITIES WITH PUBLIC SECTOR FUNDING OPPORTUNITIES.	$42,183,247	$245,767	$59,750,016

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$42,183,247	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$245,767	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$59,750,016	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$772,761,773	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (1)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	Yes (1)	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	7923	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	43	GoverningBodyVotingMembersCnt
Independent Voting Member	37	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (1)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	OH	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	FL	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	BRIAN K DERRICK	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	2343125871	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1077 GORGE BLVD PO BOX 2090	AddressLine1Txt
City	AKRON	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	443092090	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (84 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
THOMAS CLARK
DIRECTOR/CHAIR SF	4.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
DANIEL FINELLI MD
DIR./VICE CHAIR SHS,SBH (END 10/15)	4.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
ROBERT A GERBERRY
DIR.SPI(END'15),SECTY SHS/SBH,GEN.COUNSEL	4.00	46.00	Yes (X)	Yes (X)	$0	$475,922	$6,307
SCOTT HONNOLD
DIRECTOR/TREAS SF	2.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
MONA SARKAR
DIRECTOR/SECTY SF	2.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
STEPHEN WILT
DIRECTOR/VICE CHAIR SF	2.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
KEN BABBY
DIRECTOR SF	2.00	0.00	Yes (X)		$0	$0	$0
SUSAN BAKER
DIR. SHS(END 10/15),SBH(END 5/15)	2.00	0.00	Yes (X)		$0	$0	$0
DANIELLE BARRAN
DIRECTOR SF	2.00	0.00	Yes (X)		$0	$0	$0
WILLIAM BAUMAN MD
DIR.SHS(END'15)SBH(END'15)SPI(END'15)	50.00	0.00	Yes (X)		$662,465	$0	$26,667
JULIA BIANCHI
DIRECTOR SF	2.00	0.00	Yes (X)		$0	$0	$0
JASON BUTTERWORTH
DIRECTOR SF	2.00	0.00	Yes (X)		$0	$0	$0
CANDACE CAMPBELL-JACKSON
DIR.SHS(END 10/15)SBH(END 5/15)	2.00	0.00	Yes (X)		$0	$0	$0
GEORGE DAVERIO JR
DIRECTOR SF	2.00	0.00	Yes (X)		$0	$0	$0
ROBERT DEBSKI MD
DIR. SHS(END 10/15),SBH(END 5/15)	50.00	0.00	Yes (X)		$174,045	$0	$17,042
R JAMES DOM DERA MD
DIR.SHN,DIR.SHS(END 10/15),SBH(END 5/15)	2.00	0.00	Yes (X)		$0	$0	$0
C GORDON EWERS
DIRECTOR SF	2.00	0.00	Yes (X)		$0	$0	$0
STEVEN GAICH MD
DIRECTOR SPI(END 12/15)	50.00	0.00	Yes (X)		$320,829	$0	$10,352
SAMIR GIBARA
DIRECTOR SF	2.00	0.00	Yes (X)		$0	$0	$0
MARK GOLDFARB
DIRECTOR SF	2.00	0.00	Yes (X)		$0	$0	$0
IRIS HARVEY
DIRECTOR SF	2.00	0.00	Yes (X)		$0	$0	$0
ROBERT HEMPHILL MD
DIRECTOR SF	2.00	0.00	Yes (X)		$0	$0	$0
MARY ANN JACKSON
DIRECTOR SF	2.00	0.00	Yes (X)		$0	$0	$0
PHILIP KAUFMANN
DIRECTOR SF	2.00	0.00	Yes (X)		$0	$0	$0
JOSEPH KOENIG MD
DIRECTOR SPI(END 12/15)	50.00	0.00	Yes (X)		$676,935	$0	$23,110
MARK KROHN
DIRECTOR SF	2.00	0.00	Yes (X)		$0	$0	$0
DAVID LIEBERTH
DIR.SHS(END 10/15),SBH(END 5/15)	2.00	0.00	Yes (X)		$0	$0	$0
HITESH MAKKAR MD
DIR.SHS(END 10/15),SBH(END 5/15)	2.00	0.00	Yes (X)		$0	$0	$0
DALE MURPHY MD
DIR.SPI (END 12/15)	2.00	0.00	Yes (X)		$0	$0	$0
CHARLES PARSONS
DIR.SHS(END 2/15),SBH(END 2/15)	2.00	0.00	Yes (X)		$0	$0	$0
JONATHON PAVLOFF
DIRECTOR SF	2.00	0.00	Yes (X)		$0	$0	$0
KATHLEEN RAYNOR
DIRECTOR SF	2.00	0.00	Yes (X)		$0	$0	$0
ERIK STEELE DO
DIR.SHS,SBH(END 5/15),SYS. CMO	46.00	4.00	Yes (X)		$0	$755,289	$7,950
GEORGE STRICKLER
DIRECTOR SF	2.00	0.00	Yes (X)		$0	$0	$0
SUSAN TAFT
DIR.SHS(END 10/15),SBH(END 5/15)	2.00	0.00	Yes (X)		$0	$0	$0
PAUL TESTA
DIRECTOR SF	2.00	0.00	Yes (X)		$0	$0	$0
SCOTT WEINER MD
DIR.SHS(END 10/15),SBH(END 5/15)	50.00	0.00	Yes (X)		$917,380	$0	$34,610
THOMAS MALONE MD
PRES.&CEO SHS & SBH,DIR.SHS & SF	46.00	4.00	Yes (X)	Yes (X)	$0	$1,285,333	$22,545
KAREN BUDD
DIRECTOR SF	2.00	0.00	Yes (X)		$0	$0	$0
VIVIAN VON GRUENIGEN MD
DIR./CHAIR SHS(END10/15),CHAIR SBH(END 5/15)	48.00	2.00	Yes (X)	Yes (X)	$455,940	$0	$27,867
MICHAEL HUGHES MD
DIR.SHS(CHR.END5/15),DIR.SBH(END5/15)	48.00	2.00	Yes (X)	Yes (X)	$665,564	$0	$25,912
JAMES MCILVAINE
DIR./CHR. SHS, DIR./CHR. SPI	4.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
REBECCA ANGERSTEIN RN
DIR.SHS(END 10/15),DIR.SBH(END 5/15)	2.00	0.00	Yes (X)		$0	$0	$0
NICHOLAS BROWNING
DIR. SHS, DIR. SPI	2.00	2.00	Yes (X)		$0	$0	$0
DARYL CAMERON
DIRECTOR SHS	2.00	2.00	Yes (X)		$0	$0	$0
BETSY CLARK
DIRECTOR SF	2.00	0.00	Yes (X)		$0	$0	$0
JAMES GRAVELL JR
DIRECTOR SHS (END 11/15)	2.00	2.00	Yes (X)		$0	$0	$0
LYNN HAMRICH MD
DIRECTOR SHS	2.00	2.00	Yes (X)		$0	$0	$0
THOMAS HARNDEN
DIR.SHS(END 10/15),DIR.SBH(END 5/15)	2.00	0.00	Yes (X)		$0	$0	$0
DONALD KLINE
DIRECTOR SHS	2.00	2.00	Yes (X)		$0	$0	$0
JAMES KRAVEC MD
DIRECTOR SHS	2.00	2.00	Yes (X)		$0	$0	$0
ANTHONY LOCKHART
DIRECTOR SHS	2.00	2.00	Yes (X)		$0	$0	$0
JEANNINE MARKS
DIRECTOR SF	2.00	0.00	Yes (X)		$0	$0	$0
RICHARD MARSH
DIRECTOR SHS	2.00	2.00	Yes (X)		$0	$0	$0
MAXWELL MEHLMAN PH D
DIR.SHS(END 10/15),DIR.SBH(END 5/15)	2.00	0.00	Yes (X)		$0	$0	$0
THERESA PROENZA
DIRECTOR SHS (END 11/15)	2.00	2.00	Yes (X)		$0	$0	$0
ROBERT RICE
DIRECTOR SF	2.00	0.00	Yes (X)		$0	$0	$0
BRIAN SMITH
DIR. SHS, DIR. SPI	2.00	2.00	Yes (X)		$0	$0	$0
LEILA VESPOLI
DIRECTOR SHS	2.00	2.00	Yes (X)		$0	$0	$0
NORMAN WELLS JR
DIRECTOR SHS	2.00	4.00	Yes (X)		$0	$0	$0
BRIAN DERRICK
TREAS SHS/SBH, ASSIST. TREAS SF, CFO	4.00	46.00		Yes (X)	$0	$945,036	$23,552
PHYLIS FERRARA
PRESIDENT & CDO, SF	50.00	0.00		Yes (X)	$461,198	$0	$16,345
JAY WILLIAMSON MD
PRESIDENT,SPI (END 10/15)	50.00	0.00		Yes (X)	$257,036	$0	$13,656
LYDIA COOK
PRESIDENT SPI	50.00	0.00		Yes (X)	$256,278	$0	$40,298
VALERIE GIBSON RN
PRESIDENT SHS, SBH (END 5/15), COO	46.00	4.00		Yes (X)	$0	$544,477	$19,810
KATHLEEN JOBE
VP, CNO, SBH(END 5/15)	46.00	4.00			$236,402	$0	$22,379	Yes (X)
JASON NIEHAUS
SVP HOSP. OPS & SITE ADMIN	46.00	4.00			$0	$582,187	$23,616	Yes (X)
THOMAS P O'NEILL
CFO, SHS; DIR. SPI(END 2015)	46.00	4.00			$0	$555,666	$18,277	Yes (X)
MARY WARD
SVP CNO	46.00	4.00			$0	$676,427	$10,309	Yes (X)
JOSEPH ZARCONI MD FACP
SYS. VP, MED ED & CHF ACADEMIC OFFICER(END 6/15)	50.00	0.00			$0	$897,420	$19,462	Yes (X)
DAVID CUSTODIO MD
SHS CMO	50.00	0.00			$445,347	$0	$32,637	Yes (X)
TAMMY SCARBOROUGH
COO, SPI	50.00	0.00			$0	$253,354	$6,380	Yes (X)
MATTHEW WAYNE MD
CMO, SPI	50.00	0.00			$205,386	$0	$3,407	Yes (X)
MARK POZSGAY DO
BARIATRIC SURGERY	50.00	0.00			$1,133,449	$0	$36,411		Yes (X)
JOHN G ZOGRAFAKIS MD
BARIATRIC SURGERY	50.00	0.00			$1,053,418	$0	$38,404		Yes (X)
ADRIAN G DAN MD
BARIATRIC SURGERY	50.00	0.00			$867,617	$0	$30,650		Yes (X)
ERIC T MILLER MD
ORTHOPAEDIC SURGERY	50.00	0.00			$871,454	$0	$12,052		Yes (X)
R DOUGLAS TROCHELMAN MD
MEDICAL DIR. ONCOLOGY	48.00	2.00			$711,774	$0	$26,338		Yes (X)
WILLIAM A POWEL III
FRMR DIR-SPI/SECTY SHS/SBH, COUNSEL	0.00	2.00			$0	$163,138	$1,864			Yes (X)
THOMAS J STRAUSS
FORMER DIR SF, SYSTEM PRES/CEO	8.00	0.00			$0	$544,652	$3,570			Yes (X)
THOMAS DEBORD
FORMER PRESIDENT SBH	0.00	0.00			$251,588	$0	$12,807			Yes (X)
ROBERT D HARRIGAN
FORMER OFFICER	0.00	0.00			$0	$215,100	$3,874			Yes (X)
STEVE SCHMIDT
FORMER OFFICER	0.00	0.00			$282,358	$0	$2,008			Yes (X)
BRYAN FREDERICKS
FORMER COO, SPI	0.00	0.00			$184,109	$0	$12,304			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$11,090,572	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$7,894,001	TotReportableCompRltdOrgAmt
Total Other Compensation	$632,772	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	410	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	Yes (1)	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Fundraising	$1,200,818	FundraisingAmt
Related Organizations	$145,227	RelatedOrganizationsAmt
Government Grants	$1,057,430	GovernmentGrantsAmt
All Other Contributions	$2,910,173	AllOtherContributionsAmt
Noncash Contributions	$1,226,311	NoncashContributionsAmt
Total Contributions	$5,313,648	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE	621110	$956,229,233	$956,001,529	$227,704
PROGRAM RELATED INVESTMENTS	900099	$12,058,874	$11,677,222	$381,652
REFERENCE LAB	621500	$7,074,077		$7,074,077
RENTAL INCOME FROM AFFILIATES	900099	$4,672,647	$4,672,647
ARRA MEANINGFUL USE	900099	$872,175	$872,175

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$56,070,967	TotalRevenueColumnAmt
Related Or Exempt Func Income	$56,070,967	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,036,977,973	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,607,597	TotalRevenueColumnAmt
Exclusion	$1,607,597	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,791	TotalRevenueColumnAmt
Exclusion	$4,791	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$7,798,428	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$6,758,276	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,040,152	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,040,152	TotalRevenueColumnAmt
Exclusion	$1,040,152	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$46,196,074	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$40,385,671	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$5,810,403	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,810,403	TotalRevenueColumnAmt
Exclusion	$5,810,403	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$139,418	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$1,200,818	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$680,654	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$541,236	TotalRevenueColumnAmt
Exclusion	-$541,236	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
CAFETERIA SALES	721210	$5,441,424	$174,179	$5,267,245
PARKING	812930	$1,635,384		$1,635,384

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,018,314	TotalRevenueColumnAmt
Unrelated Business Revenue	$1,485,292	UnrelatedBusinessRevenueAmt
Exclusion	$9,533,022	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$18,095,122	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,068,308,450	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,029,294,540	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$9,342,904	UnrelatedBusinessRevenueAmt
Exclusion	$24,357,358	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$167,971	TotalAmt
Program Services	$167,971	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$77,796	TotalAmt
Program Services	$77,796	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$4,825,383	TotalAmt
Program Services	$4,048,496	ProgramServicesAmt
Management And General	$776,887	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$525,498	TotalAmt
Program Services	$525,498	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$369,991,664	TotalAmt
Program Services	$308,600,884	ProgramServicesAmt
Management And General	$59,319,842	ManagementAndGeneralAmt
Fundraising	$2,070,938	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$6,665,770	TotalAmt
Program Services	$5,592,581	ProgramServicesAmt
Management And General	$1,073,189	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$47,804,107	TotalAmt
Program Services	$39,734,935	ProgramServicesAmt
Management And General	$7,624,940	ManagementAndGeneralAmt
Fundraising	$444,232	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$24,336,124	TotalAmt
Program Services	$20,418,008	ProgramServicesAmt
Management And General	$3,918,116	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$2,834,417	TotalAmt
Program Services	$2,378,076	ProgramServicesAmt
Management And General	$456,341	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$28,453	TotalAmt
Management And General	$28,453	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$196,815	TotalAmt
Management And General	$196,815	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$22,675	TotalAmt
Management And General	$22,675	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$150	TotalAmt
Management And General	$150	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$277,247,201	TotalAmt
Program Services	$138,828,907	ProgramServicesAmt
Management And General	$138,307,490	ManagementAndGeneralAmt
Fundraising	$110,804	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$548,312	TotalAmt
Program Services	$439,222	ProgramServicesAmt
Management And General	$84,285	ManagementAndGeneralAmt
Fundraising	$24,805	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$13,414,627	TotalAmt
Program Services	$11,039,127	ProgramServicesAmt
Management And General	$2,118,354	ManagementAndGeneralAmt
Fundraising	$257,146	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$2,379,252	TotalAmt
Program Services	$1,978,573	ProgramServicesAmt
Management And General	$379,679	ManagementAndGeneralAmt
Fundraising	$21,000	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$28,514,983	TotalAmt
Program Services	$23,924,071	ProgramServicesAmt
Management And General	$4,590,912	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,456,266	TotalAmt
Program Services	$1,215,411	ProgramServicesAmt
Management And General	$233,232	ManagementAndGeneralAmt
Fundraising	$7,623	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,529,444	TotalAmt
Program Services	$1,282,324	ProgramServicesAmt
Management And General	$246,072	ManagementAndGeneralAmt
Fundraising	$1,048	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$13,745,708	TotalAmt
Program Services	$11,532,649	ProgramServicesAmt
Management And General	$2,213,059	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$46,048,693	TotalAmt
Program Services	$38,634,853	ProgramServicesAmt
Management And General	$7,413,840	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$5,144,613	TotalAmt
Program Services	$4,316,330	ProgramServicesAmt
Management And General	$828,283	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	FundraisingFundraisingAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$151,453,854	$151,408,809	$45,045
LICENSES, DUES, MEMBERS	$4,038,606	$3,355,079	$39,704	$643,823
TAXES	$1,752,748	$1,470,556		$282,192
RECRUITMENT	$319,961	$268,447		$51,514

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,048,278	TotalAmt
Program Services	$1,523,170	ProgramServicesAmt
Management And General	$292,289	ManagementAndGeneralAmt
Fundraising	$232,819	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,007,119,369	TotalAmt
Program Services	$772,761,773	ProgramServicesAmt
Management And General	$231,102,432	ManagementAndGeneralAmt
Fundraising	$3,255,164	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$72,162	BOYAmt
EOY	$93,309	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$322,575,306	BOYAmt
EOY	$301,098,262	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$9,308,859	BOYAmt
EOY	$7,720,160	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$159,136,952	BOYAmt
EOY	$151,756,363	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$15,155,310	BOYAmt
EOY	$11,451,568	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$10,757,612	BOYAmt
EOY	$11,012,611	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$6,462,851	BOYAmt
EOY	$4,351,869	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,189,052,832	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$771,261,606	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$426,043,017	BOYAmt
EOY	$417,791,226	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$135,242,113	BOYAmt
EOY	$82,850,601	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$11,806,000	BOYAmt
EOY	$12,937,471	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$34,220,043	BOYAmt
EOY	$41,370,447	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,345,714	BOYAmt
EOY	$2,228,740	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$32,672,941	BOYAmt
EOY	$95,083,871	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,165,798,880	BOYAmt
EOY	$1,139,746,498	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$106,690,047	BOYAmt
EOY	$89,946,402	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$1,762,007	BOYAmt
EOY	$1,535,914	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$348,796,530	BOYAmt
EOY	$378,662,903	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$16,861,900	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$213,444,064	BOYAmt
EOY	$202,730,010	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$687,554,548	BOYAmt
EOY	$672,875,229	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$429,271,710	BOYAmt
EOY	$422,063,212	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$28,611,311	BOYAmt
EOY	$24,717,317	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$20,361,311	BOYAmt
EOY	$20,090,740	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$478,244,332	BOYAmt
EOY	$466,871,269	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,165,798,880	BOYAmt
EOY	$1,139,746,498	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$61,189,081	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$10,125,939	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$62,436,205	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	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 (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	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	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (1)	GrantsOtherOrganizationsInd
Grants Other Organizations	$22,675	GrantsOtherOrganizationsAmt
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$22,675	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	THE AMOUNT ON LINE 1(F) REPRESENTS THE PORTION OF ANNUAL DUES TO ORGANIZATIONS SUCH AS AHA AND OHA ALLOCABLE TO LOBBYING ACTIVITIES.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$19,966,435	BeginningYearBalanceAmt
Contributions	$313,575	ContributionsAmt
Investment Earnings Or Losses	-$559,200	InvestmentEarningsOrLossesAmt
End Year Balance	$19,720,810	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$17,564,267	BeginningYearBalanceAmt
Contributions	$1,927,170	ContributionsAmt
Investment Earnings Or Losses	$474,998	InvestmentEarningsOrLossesAmt
End Year Balance	$19,966,435	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$16,730,854	BeginningYearBalanceAmt
Contributions	$70,706	ContributionsAmt
Investment Earnings Or Losses	$762,707	InvestmentEarningsOrLossesAmt
End Year Balance	$17,564,267	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$15,896,470	BeginningYearBalanceAmt
Contributions	$347,618	ContributionsAmt
Investment Earnings Or Losses	$486,766	InvestmentEarningsOrLossesAmt
End Year Balance	$16,730,854	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$15,633,841	BeginningYearBalanceAmt
Contributions	$113,108	ContributionsAmt
Investment Earnings Or Losses	$149,521	InvestmentEarningsOrLossesAmt
End Year Balance	$15,896,470	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$69,133,188	OtherCostOrOtherBasisAmt
Book Value	$69,133,188	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$655,032,375	OtherCostOrOtherBasisAmt
Depreciation	$418,726,818	DepreciationAmt
Book Value	$236,305,557	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,800,486	OtherCostOrOtherBasisAmt
Depreciation	$2,108,881	DepreciationAmt
Book Value	$1,691,605	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$439,822,051	OtherCostOrOtherBasisAmt
Depreciation	$331,167,283	DepreciationAmt
Book Value	$108,654,768	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$21,264,732	OtherCostOrOtherBasisAmt
Depreciation	$19,258,624	DepreciationAmt
Book Value	$2,006,108	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$417,791,226	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDesc	Book ValueBookValueAmt
MALPRACTICE FUND	$15,192,679
DEFERRED PENSION & COMP	$289,787
NON-PERF ASSET AIR RIGHTS	$1,124,370
BENEFICIAL INTEREST IN PERP. TR	$4,913,965
OTHER ACCOUNTS RECEIVABLE	$102,404
BENEFICIAL INTEREST IN PROPERTY	$2,991,004
DUE FROM RELATED ORGANIZATIONS	$70,469,662

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$95,083,871	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)

DescDesc	AmtAmt
LEASE ESCALATION LIABILITY	$267,950
CAPITAL LEASE OBLIGATIONS	$25,177,247
ASSET RETIREMENT OBLIGATION FI	$2,580,880
INTEREST RATE SWAP	$13,214,216
POST RETIREMENT BENEFITS	$958,193
CONTINGENT LIABILITIES	$1,124,370
MALPRACTICE LIABILITY	$13,472,771
UNSECURED PAYABLES	$141,187,676
PURCHASE OPTION LIABILITY	$4,746,707

Field	Value	IRS element (for citing)
Total Liability	$202,730,010	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART V, LINE 4:

ENDOWMENT FUNDS PROVIDE INCOME TO BE USED TO FULFILL THE TAX-EXEMPT PURPOSES OF SUMMA FOUNDATION.

PART X, LINE 2:

SUMMA HEALTH AND MOST OF ITS SUBSIDIARIES ARE NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (CODE) AND ARE EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(A) OF THE CODE. THE SYSTEM ALSO HAS CERTAIN SUBSIDIARIES THAT ARE TAXABLE FOR FEDERAL INCOME TAX PURPOSES. SUMMACARE ("SC"), TOGETHER WITH AFFILIATES OF SUMMA HEALTH SYSTEM CORPORATION ("SHSC"), FILE A CONSOLIDATED FEDERAL INCOME TAX RETURN IN ACCORDANCE WITH A TAX SHARING AGREEMENT DATED JANUARY 1, 2010. THE ENTITIES UTILIZE A CONSOLIDATED APPROACH TO THE ALLOCATION OF FEDERAL INCOME TAXES, WHEREAS SHSC'S TAX SHARING AGREEMENT WITH ITS SUBSIDIARIES ALLOWS IT TO MAKE CERTAIN CODE ELECTIONS IN ITS CONSOLIDATED FEDERAL TAX RETURN. IN THE EVENT SUCH CODE ELECTIONS ARE MADE, ANY BENEFIT OR LIABILITY IS THE RESPONSIBILITY OF SHSC AND IS ACCRUED AND PAID BY THE PARTICIPATING SUBSIDIARIES. SC IS NOT SUBJECT TO STATE INCOME TAXES AND IT IS LICENSED AS A HEALTH INSURANCE COMPANY UNDER CHAPTER 1751 OF THE OHIO REVISED CODE. DEFERRED TAX ASSETS AND LIABILITIES ARE RECOGNIZED FOR THE FUTURE TAX CONSEQUENCES ATTRIBUTABLE TO DIFFERENCES BETWEEN THE FINANCIAL STATEMENT CARRYING AMOUNTS OF EXISTING ASSETS AND LIABILITIES AND THE RESPECTIVE TAX BASIS AND OPERATING LOSS AND TAX CREDIT CARRYFORWARDS. DEFERRED TAX ASSETS AND LIABILITIES ARE MEASURED USING ENACTED TAX RATES EXPECTED TO APPLY TO TAXABLE INCOME IN THE YEARS IN WHICH THOSE TEMPORARY DIFFERENCES ARE EXPECTED TO BE RECOVERED OR SETTLED. THE EFFECT OF DEFERRED TAX ASSETS AND LIABILITIES OF A CHANGE IN TAX RATES IS RECOGNIZED IN INCOME IN THE PERIOD THAT INCLUDES THE ENACTMENT DATE. SUMMA RECOGNIZES INTEREST INCOME, INTEREST EXPENSE, AND PENALTIES RELATED TO UNCERTAIN TAX POSITIONS WITH THE PROVISION FOR INCOME TAX.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxt	OfficesOfficesCnt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
CENTRAL AMERICA AND THE CARIBBEAN	1	0	PROGRAM SERVICES	SELF INSURANCE	$10,316,615
CENTRAL AMERICA AND THE CARIBBEAN	0	0	INVESTMENTS		$260,349

Field	Value	IRS element (for citing)
Subtotal Offices	1	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continutation Total Office	0	ContinutationTotalOfficeCnt
Continutation Total Employee	0	ContinutationTotalEmployeeCnt
Total Office	1	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$10,576,964	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$10,576,964	TotalSpentAmt
Transfer To Foreign Corp	Yes (1)	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (1)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	0	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (1)	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3:	CENTRAL AMERICAN AND THE CARIBBEAN: ACCRUAL
PART I, LINE 3(F):	EXPENDITURES: INSURANCE PREMIUMS PAID $10,316,615

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	GALA	Event1Nm
Gross Receipts Event1	$1,079,456	GrossReceiptsEvent1Amt
Charitable Contri Event1	$993,681	CharitableContriEvent1Amt
Gross Revenue Event1	$85,775	GrossRevenueEvent1Amt
Cash Prizes Event1	$0	CashPrizesEvent1Amt
Non Cash Prizes Event1	$0	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$44,709	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$128,051	FoodAndBeverageEvent1Amt
Entertainment Event1	$204,220	EntertainmentEvent1Amt
Other Direct Expenses Event1	$176,955	OtherDirectExpensesEvent1Amt
Event2	GOLF OUTING	Event2Nm
Gross Receipts Event2	$210,822	GrossReceiptsEvent2Amt
Charitable Contri Event2	$164,112	CharitableContriEvent2Amt
Gross Revenue Event2	$46,710	GrossRevenueEvent2Amt
Cash Prizes Event2	$0	CashPrizesEvent2Amt
Non Cash Prizes Event2	$6,935	NonCashPrizesEvent2Amt
Rent Facility Costs Event2	$0	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$21,441	FoodAndBeverageEvent2Amt
Entertainment Event2	$56,293	EntertainmentEvent2Amt
Other Direct Expenses Event2	$31,863	OtherDirectExpensesEvent2Amt
Other Events Total	1	OtherEventsTotalCnt
Gross Receipts Other Events	$49,958	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$43,025	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$6,933	GrossRevenueOtherEventsAmt
Cash Prizes Other Events	$0	CashPrizesOtherEventsAmt
Non Cash Prizes Other Events	$350	NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events	$2,748	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$200	FoodAndBeverageOtherEventsAmt
Entertainment Other Events	$1,000	EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events	$5,889	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$1,340,236	GrossReceiptsTotalAmt
Charitable Contributions Tot	$1,200,818	CharitableContributionsTotAmt
Gross Revenue Total Events	$139,418	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$7,285	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$47,457	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$149,692	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$261,513	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$214,707	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$680,654	DirectExpenseSummaryEventsAmt
Net Income Summary	-$541,236	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$24,465,611	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,308,233	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,157,378	NetCommunityBenefitExpnsAmt
Total Expense	0.00770	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$156,126,969	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$139,810,270	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,316,699	NetCommunityBenefitExpnsAmt
Total Expense	0.01540	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$180,592,580	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$156,118,503	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$24,474,077	NetCommunityBenefitExpnsAmt
Total Expense	0.02310	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,182,164	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$113,556	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,068,608	NetCommunityBenefitExpnsAmt
Total Expense	0.00290	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$48,828,702	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,957,192	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$35,871,510	NetCommunityBenefitExpnsAmt
Total Expense	0.03390	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$26,495,902	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$26,495,902	NetCommunityBenefitExpnsAmt
Total Expense	0.02500	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,690,350	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$860,931	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,829,419	NetCommunityBenefitExpnsAmt
Total Expense	0.00460	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,184,605	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,184,605	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$85,381,723	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,931,679	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$71,450,044	NetCommunityBenefitExpnsAmt
Total Expense	0.06750	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$265,974,303	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$170,050,182	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$95,924,121	NetCommunityBenefitExpnsAmt
Total Expense	0.09060	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,666	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$16,666	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,084	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,084	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$121,488	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$121,488	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$145,238	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$145,238	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$15,698,321	BadDebtExpenseAmt
Reimbursed By Medicare	$198,599,541	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$211,075,542	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$12,476,001	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 (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (4 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 SUMMA WESTERN RESERVE HOSPITAL LLC
GENERAL HOSPITAL	0.40000	0.00000	0.60000
2 OHIO SLEEP DISORDERS LLC
SLEEP MEDICINE	0.66670	0.00000	0.33330
3 DIGESTIVE HEALTH CENTER LLC
DIGESTIVE DISEASE	0.05000	0.00000	0.44000
4 MEDINA-SUMMIT ASC LLC
AMBULATORY SURGERY CENTER	0.20000	0.00000	0.70000

Field	Value	IRS element (for citing)
Hospital Facilities	4	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (4 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Research FacilityResearchFacilityInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd	OtherOtherDesc
SUMMA HEALTH SYSTEM
1	525 EAST MARKET STREET	AKRON	OH	44304	WWW.SUMMAHEALTH.ORG	1275	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
SUMMA BARBERTON CITIZENS HOSPITAL
2	155 FIFTH STREET NE	AKRON	OH	44203	WWW.SUMMAHEALTH.ORG	1280	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
SUMMA WESTERN RESERVE HOSPITAL LLC
3	1900 23RD STREET	CUYAHOGA FALLS	OH	44223	WWW.WESTERNRESERVEHOSPITAL.ORG	1280	Yes (X)	Yes (X)	Yes (X)		Yes (X)	A
SUMMA REHAB HOSPITAL LLC
4	29 NORTH ADAMS STREET	AKRON	OH	44304	WWW.SUMMAREHABHOSPITAL.COM	1503	Yes (X)		Yes (X)			B	REHABILITATION

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Information GapsInformationGapsInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Strategy AttachedStrategyAttachedInd	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd	Residency CriteriaResidencyCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	FAP Notice DisplayedFAPNoticeDisplayedInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	FAP Notified Upon AdmissionFAPNotifiedUponAdmissionInd	FAP Notified Before DischargeFAPNotifiedBeforeDischargeInd	FAP Notified All PatientsFAPNotifiedAllPatientsInd	Documented Elig DeterminationDocumentedEligDeterminationInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Other Method UsedOtherMethodUsedInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd	None MadeNoneMadeInd	No Emergency CareNoEmergencyCareInd	Medicare RatesMedicareRatesInd
FACILITY REPORTING GROUP - A
0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	13	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (X)	SEE SUPPLEMENTAL INFORMATION	Yes (X)	Yes (1)	13	Yes (1)	SEE SUPPLEMENTAL INFORMATION	0	0	Yes (1)	Yes (X)	200.000000000000	400.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	SEE ATTACHED SUPPLEMENTAL INFORMATION	Yes (X)	SEE ATTACHED SUPPLEMENTAL INFORMATION	Yes (X)	SEE ATTACHED SUPPLEMENTAL INFORMATION	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0
FACILITY REPORTING GROUP - B
0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	13	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (X)	SEE SUPPLEMENTAL INFORMATION	Yes (X)	Yes (1)	13	Yes (1)	SEE SUPPLEMENTAL INFORMATION	0	0	Yes (1)	Yes (X)	200.000000000000	400.000000000000					0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	0											Yes (1)	Yes (X)	0					0		0	0	Yes (X)	Yes (X)	Yes (X)

Supplemental Information SupplementalInformationGrp (18 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B, LINE 7A	HTTP://WWW.SUMMAHEALTH.ORG/ABOUT-US/ABOUT-SUMMA/COMMUNITY-BENEFIT-AND-DIVERSITY/COMMUNITYNEEDSASSESSMENT2013
PART V, SECTION B, LINE 10A	HTTP://WWW.SUMMAHEALTH.ORG/ABOUT-US/ABOUT-SUMMA/COMMUNITY-BENEFIT-AND-DIVERSITY/COMMUNITYNEEDSASSESSMENT2013
PART V SECTION B LINE 16A	HTTP://WWW.SUMMAHEALTH.ORG/PATIENTVISITOR/INSURANCEANDBILLING/FINANCIALASSISTANCEPOLICY
PART V SECTION B LINE 16B	HTTP://WWW.SUMMAHEALTH.ORG/PATIENTVISITOR/INSURANCEANDBILLING/FINANCIALASSISTANCEPOLICY
PART V SECTION B LINE 16C	HTTP://WWW.SUMMAHEALTH.ORG/PATIENTVISITOR/INSURANCEANDBILLING/FINANCIALASSISTANCEPOLICY
PART V, SECTION B	FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:	- FACILITY 1: SUMMA HEALTH SYSTEM, - FACILITY 2: SUMMA BARBERTON CITIZENS HOSPITAL, - FACILITY 3: SUMMA WESTERN RESERVE HOSPITAL, LLC
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 5:	INPUT FROM PERSONS WHO REPRESENT BROAD INTERESTS OF COMMUNITY SERVED:SUMMA HEALTH SYSTEM, SUMMA BARBERTON CITIZENS HOSPITAL, SUMMA WESTERN RESERVE HOSPITAL, LLC (GROUP A):INTERVIEWS WERE CONDUCTED WITH COMMUNITY LEADERS IN MARCH-APRIL 2013 TO GAIN THEIR INSIGHT ON WHAT THEY THOUGHT WERE THE SIGNIFICANT HEALTH NEEDS OF CHILDREN AND ADULTS IN THEIR COMMUNITIES, THE FACTORS THAT AFFECT THOSE HEALTH NEEDS, OTHER EXISTING COMMUNITY HEALTH NEEDS ASSESSMENTS, POSSIBLE COLLABORATION OPPORTUNITIES, AND TO SOLICIT SUGGESTIONS ON WHAT THE HOSPITALS CAN DO TO ADDRESS THE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE CHNA. THESE COMMUNITY LEADERS REPRESENT THE BROAD INTERESTS OF THE COMMUNITIES SERVED BY THE HOSPITAL FACILITY INCLUDING THE MEDICALLY UNDERSERVED, LOW-INCOME PERSONS, MINORITY GROUPS, THOSE WITH CHRONIC DISEASE NEEDS, AND LEADERS FROM LOCAL PUBLIC HEALTH AGENCIES AND DEPARTMENTS WHO HAVE SPECIAL KNOWLEDGE AND EXPERTISE IN PUBLIC HEALTH. LEADERS FROM THE FOLLOWING COMMUNITY ORGANIZATIONS WERE CONSULTED DURING THIS CHNA: SUMMIT COUNTY JOB AND FAMILY SERVICES, DIRECTOR AKRON PUBLIC SCHOOLS, EXECUTIVE DIRECTOR FOR BUSINESS AFFAIRS PORTAGE COUNTY JOB AND FAMILY SERVICES, ADMINISTRATOR MEDINA CITY SCHOOL DISTRICT, NURSING DIRECTOR FOR THE MEDINA COUNTY EDUCATIONAL SERVICE CENTER MEDINA COUNTY JOB AND FAMILY SERVICES, MEDICAID ELIGIBILITY SERVICES ADMINISTRATOR PORTAGE COUNTY MENTAL HEALTH AND RECOVERY BOARD, EXECUTIVE DIRECTOR PORTAGE COUNTY HEALTH DEPARTMENT, HEALTH COMMISSIONER ROBINSON MEMORIAL HOSPITAL, VICE PRESIDENT FOR BUSINESS DEVELOPMENT SUMMIT COUNTY PUBLIC HEALTH, DEPUTY HEALTH COMMISSIONER FOR PLANNING KENT CITY SCHOOL DISTRICT, DIRECTOR OF BUSINESS SERVICES MEDINA COUNTY HEALTH DEPARTMENT, HEALTH COMMISSIONER COUNTY OF SUMMIT ALCOHOL, DRUG ADDICTION, AND MENTAL HEALTH SERVICES BOARD, EXECUTIVE DIRECTOR FOCUS GROUPS WERE CONDUCTED WITH COMMUNITY RESIDENTS IN APRIL-MAY 2013 TO GET THEIR INPUT ON WHAT THEY THOUGHT WERE THE SIGNIFICANT HEALTH NEEDS OF CHILDREN AND ADULTS IN THEIR COMMUNITIES, THE FACTORS THAT AFFECT THOSE NEEDS, THE SOLUTIONS THEY THOUGHT WOULD SOLVE THOSE NEEDS, AND WHAT THE HOSPITALS AND OTHER COMMUNITY GROUPS COULD DO TO ADDRESS THOSE NEEDS. DUE TO THE OBSERVED INFORMATION GAP IN THE EPIDEMIOLOGIC DATA ON THE HEALTH OF CHILDREN, ADULT AND CHILD SUBSTANCE ABUSE ISSUES, AND ADULT AND CHILD MENTAL HEALTH ISSUES, SEVERAL QUESTIONS WERE ASKED TO PROBE MORE DEEPLY ON THESE ISSUES. IN ADDITION, A QUESTIONNAIRE WAS DISTRIBUTED TO FOCUS GROUP PARTICIPANTS TO GATHER DEMOGRAPHIC INFORMATION AND BASIC PERCEPTIONS OF COMMUNITY HEALTH. THE DISCUSSION GUIDE, QUESTIONNAIRE, AND PROTOCOL WERE REVIEWED AND APPROVED BY THE KENT STATE UNIVERSITY INSTITUTIONAL REVIEW BOARD. A TOTAL OF 60 PEOPLE PARTICIPATED IN THE COMMUNITY RESIDENT FOCUS GROUPS. ADDITIONAL DETAIL CAN BE FOUND ON THE SUMMA HEALTH WEBSITE AT HTTP://WWW.SUMMAHEALTH.ORG/ABOUT-US/ABOUT-SUMMA/COMMUNITY-BENEFIT-AND-DIVERSITY/COMMUNITYNEEDSASSESSMENT2013.
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6A:	CHNA CONDUCTED WITH ONE OR MORE OTHER HOSPITAL FACILITIES:SUMMA HEALTH SYSTEM, SUMMA BARBERTON CITIZENS HOSPITAL, SUMMA WESTERN RESERVE HOSPITAL, LLC (GROUP A): SUMMA HEALTH CONDUCTED THE CHNA ON BEHALF OF EACH OF ITS FOUR HOSPITAL FACILITIES LISTED IN PART V, SECTION A. IN ADDITION, SUMMA HEALTH COLLABORATED WITH AKRON GENERAL HEALTH SYSTEM AND AKRON CHILDREN'S HOSPITAL IN CONDUCTING THE CHNA.
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6B:	CHNA CONDUCTED WITH ONE OR MORE ORGANIZATIONS OTHER THAN HOSPITAL FACILITIES:SUMMA HEALTH SYSTEM, SUMMA BARBERTON CITIZENS HOSPITAL, SUMMA WESTERN RESERVE HOSPITAL, LLC (GROUP A):KENT STATE UNIVERSITY COLLEGE OF PUBLIC HEALTH
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 11:	HOW THE HOSPITAL FACILITY IS ADDRESSING NEEDS IDENTIFIED IN ITS CHNA:SUMMA HEALTH SYSTEM, SUMMA BARBERTON HOSPITAL, SUMMA WESTERN RESERVE HOSPITAL (GROUP A):THE ADULT HEALTH NEEDS PERTAINING TO ASTHMA, CANCER, CARDIOVASCULAR DISEASE, DIABETES, MENTAL HEALTH, SUBSTANCE ABUSE, LIFESTYLE FACTORS, ACCESS TO CARE FACTORS, AND QUALITY OF CARE FACTORS WILL BE ADDRESSED BY SUMMA HEALTH SYSTEM. THE HEALTH NEEDS PERTAINING TO ASTHMA, CANCER AND DIABETES ARE BEING ADDRESSED THROUGH INCREASING CONSUMER KNOWLEDGE BASE OF RISK FACTORS, RISK BEHAVIORS, AND GENETIC CONSIDERATIONS WHICH LEAD TO ASTHMA AND/OR ASTHMA RELATED DISEASE DEVELOPMENT. INCREASE KNOWLEDGE OF THE SIGNS AND SYMPTOMS OF ASTHMA AND ASTHMA RELATED DISEASES. ANOTHER OBJECTIVE IS TO INCREASE THE NUMBER OF INDIVIDUALS WHO HAVE ACCESS TO PRIMARY CARE MEDICAL HOMES. THE HEALTH NEEDS PERTAINING TO MENTAL HEALTH IS BEING ADDRESSED BY IMPROVING IDENTIFICATION, DIAGNOSIS, AND TREATMENT OF DEPRESSION; IMPROVING IDENTIFICATION AND TREATMENT OF PATIENTS WITH SUICIDAL TENDENCIES; AND INCREASING THE NUMBER OF INDIVIDUALS WHO HAVE ACCESS TO PRIMARY CARE MEDICAL HOMES. THE HEALTH NEEDS PERTAINING TO SUBSTANCE ABUSE IS BEING ADDRESSED BY DECREASING ADULT ALCOHOL ABUSE; DECREASING ADULT PRESCRIPTION DRUG ABUSE; AND ATTEMPTING TO DECREASE ADULT OPIOID DRUG ABUSE. THE HEALTH NEEDS PERTAINING TO LIFESTYLE FACTORS IS BEING ADDRESSED BY DECREASING SMOKING AND TOBACCO USE IN ADULTS AND INCREASING THE NUMBER OF INDIVIDUALS WHO HAVE ACCESS TO PRIMARY CARE MEDICAL HOMES. THE HEALTH NEEDS PERTAINING TO ACCESS TO CARE FACTORS IS BEING ADDRESSED BY INCREASING THE NUMBER OF INDIVIDUALS WHO HAVE ACCESS TO PRIMARY CARE MEDICAL HOMES; INCREASING ACCESS TO PRIMARY CARE PROVIDERS; INCREASING ACCESS TO DENTAL CARE PROVIDERS; AND INCREASING ACCESS TO MENTAL HEALTH PROVIDERS. THE HEALTH NEEDS PERTAINING TO QUALITY OF CARE FACTORS IS BEING ADDRESSED BY DECREASING HOSPITAL READMISSIONS; INCREASING THE NUMBER OF INDIVIDUALS WHO HAVE ACCESS TO PRIMARY CARE MEDICAL HOMES; INCREASING CONSUMER KNOWLEDGE BASE OF RISK FACTORS, RISK BEHAVIORS, AND GENETIC CONSIDERATIONS WHICH LEAD TO INCREASED INCIDENCE OF DIABETES; AND INFORMING THE COMMUNITY AND CREATING COMMUNITY AWARENESS OF THE HEALTH CARE NEEDS AND ISSUES OF SENIORS. A DETAILED DESCRIPTION OF THE ACTIONS BEING TAKEN TO ADDRESS THE HEALTH NEEDS IDENTIFIED ABOVE CAN BE FOUND ON THE SUMMA HEALTH IMPLEMENTATION STRATEGY AVAILABLE AT: HTTP://WWW.SUMMAHEALTH.ORG/ABOUT-US/ABOUT-SUMMA/COMMUNITY-BENEFIT-AND-DIVERSITY/COMMUNITYNEEDSASSESSMENT2013. DUE TO COMMUNITY RESOURCES AVAILABLE TO ASSIST INDIVIDUALS IN OBTAINING HEALTHY FOOD, INCLUDING THE AKRON CANTON REGIONAL FOOD BANK, SUMMA HEALTH HOSPITAL FACILITIES CHOSE NOT TO ADDRESS THIS ENVIRONMENTAL FACTOR HEALTH NEED. IN ADDITION, THE COMMUNITY RESOURCES AVAILABLE TO ASSIST CHILDREN, SPECIFICALLY AKRON CHILDREN'S HOSPITAL, IN THE AREAS OF CHILDHOOD CHRONIC DISEASE, CHILD DEVELOPMENT, CHILD LIFESTYLE RISK FACTORS, CHILD MENTAL HEALTH AND SUBSTANCE ABUSE, CHILD SAFETY, CHILD ACCESS TO CARE FACTORS AND CHILD ENVIRONMENTAL RISK FACTORS, LED TO THE DETERMINATION BY SUMMA HEALTH HOSPITAL FACILITIES TO NOT ADDRESS THESE CHILD HEALTH NEEDS.
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 22D:	HOW AMOUNTS CHARGED TO FAP-ELIGIBLE PATIENTS WERE DETERMINED:SUMMA HEALTH SYSTEM, SUMMA BARBERTON CITIZENS HOSPITAL, SUMMA WESTERN RESERVE HOSPITAL, LLC (GROUP A):PATIENTS WHOSE INCOME IS EQUAL TO OR LESS THAN 200% OF THE FEDERAL POVERTY GUIDELINES, ADJUSTED FOR NUMBER DEPENDENTS, RECEIVE A 100% DISCOUNT FOR CHARITY CARE. IF THE PATIENT'S INCOME EXCEEDS 200% OF THE FEDERAL POVERTY GUIDELINES AND UP TO 400% OF THE FEDERAL POVERTY GUIDELINES A SLIDING SCALE CHARITY CARE DISCOUNT OF EITHER 20%, 60% OR 80% OF BILLED CHARGES IS APPLIED. THIS SLIDING SCALE CHARITY CARE DISCOUNT POLICY IS BEING REEVALUATED TO BE EFFECTIVE JANUARY, 2016 WHEREBY THE CHARITY CARE DISCOUNT PERCENTAGE WOULD BE APPLIED TO THE AVERAGE ALLOWED AMOUNTS FOR COMMERCIALLY INSURED PATIENTS.
PART V, SECTION B	FACILITY REPORTING GROUP B
FACILITY REPORTING GROUP B CONSISTS OF:	- FACILITY 4: SUMMA REHAB HOSPITAL, LLC
FACILITY REPORTING GROUP - B PART V, SECTION B, LINE 5:	INPUT FROM PERSONS WHO REPRESENT BROAD INTERESTS OF COMMUNITY SERVED:SUMMA REHABILITATION HOSPITAL (GROUP B):INTERVIEWS WERE CONDUCTED WITH COMMUNITY LEADERS IN MARCH-APRIL 2013 TO GAIN THEIR INSIGHT ON WHAT THEY THOUGHT WERE THE SIGNIFICANT HEALTH NEEDS OF CHILDREN AND ADULTS IN THEIR COMMUNITIES, THE FACTORS THAT AFFECT THOSE HEALTH NEEDS, OTHER EXISTING COMMUNITY HEALTH NEEDS ASSESSMENTS, POSSIBLE COLLABORATION OPPORTUNITIES, AND TO SOLICIT SUGGESTIONS ON WHAT THE HOSPITALS CAN DO TO ADDRESS THE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE CHNA. THESE COMMUNITY LEADERS REPRESENT THE BROAD INTERESTS OF THE COMMUNITIES SERVED BY THE HOSPITAL FACILITY INCLUDING THE MEDICALLY UNDERSERVED, LOW-INCOME PERSONS, MINORITY GROUPS, THOSE WITH CHRONIC DISEASE NEEDS, AND LEADERS FROM LOCAL PUBLIC HEALTH AGENCIES AND DEPARTMENTS WHO HAVE SPECIAL KNOWLEDGE AND EXPERTISE IN PUBLIC HEALTH. LEADERS FROM THE FOLLOWING COMMUNITY ORGANIZATIONS WERE CONSULTED DURING THIS CHNA: SUMMIT COUNTY JOB AND FAMILY SERVICES, DIRECTOR AKRON PUBLIC SCHOOLS, EXECUTIVE DIRECTOR FOR BUSINESS AFFAIRS PORTAGE COUNTY JOB AND FAMILY SERVICES, ADMINISTRATOR MEDINA CITY SCHOOL DISTRICT, NURSING DIRECTOR FOR THE MEDINA COUNTY EDUCATIONAL SERVICE CENTER MEDINA COUNTY JOB AND FAMILY SERVICES, MEDICAID ELIGIBILITY SERVICES ADMINISTRATOR PORTAGE COUNTY MENTAL HEALTH AND RECOVERY BOARD, EXECUTIVE DIRECTOR PORTAGE COUNTY HEALTH DEPARTMENT, HEALTH COMMISSIONER ROBINSON MEMORIAL HOSPITAL, VICE PRESIDENT FOR BUSINESS DEVELOPMENT SUMMIT COUNTY PUBLIC HEALTH, DEPUTY HEALTH COMMISSIONER FOR PLANNING KENT CITY SCHOOL DISTRICT, DIRECTOR OF BUSINESS SERVICES MEDINA COUNTY HEALTH DEPARTMENT, HEALTH COMMISSIONER COUNTY OF SUMMIT ALCOHOL, DRUG ADDICTION, AND MENTAL HEALTH SERVICES BOARD, EXECUTIVE DIRECTOR FOCUS GROUPS WERE CONDUCTED WITH COMMUNITY RESIDENTS IN APRIL-MAY 2013 TO GET THEIR INPUT ON WHAT THEY THOUGHT WERE THE SIGNIFICANT HEALTH NEEDS OF CHILDREN AND ADULTS IN THEIR COMMUNITIES, THE FACTORS THAT AFFECT THOSE NEEDS, THE SOLUTIONS THEY THOUGHT WOULD SOLVE THOSE NEEDS, AND WHAT THE HOSPITALS AND OTHER COMMUNITY GROUPS COULD DO TO ADDRESS THOSE NEEDS. DUE TO THE OBSERVED INFORMATION GAP IN THE EPIDEMIOLOGIC DATA ON THE HEALTH OF CHILDREN, ADULT AND CHILD SUBSTANCE ABUSE ISSUES, AND ADULT AND CHILD MENTAL HEALTH ISSUES, SEVERAL QUESTIONS WERE ASKED TO PROBE MORE DEEPLY ON THESE ISSUES. IN ADDITION, A QUESTIONNAIRE WAS DISTRIBUTED TO FOCUS GROUP PARTICIPANTS TO GATHER DEMOGRAPHIC INFORMATION AND BASIC PERCEPTIONS OF COMMUNITY HEALTH. THE DISCUSSION GUIDE, QUESTIONNAIRE, AND PROTOCOL WERE REVIEWED AND APPROVED BY THE KENT STATE UNIVERSITY INSTITUTIONAL REVIEW BOARD. A TOTAL OF 60 PEOPLE PARTICIPATED IN THE COMMUNITY RESIDENT FOCUS GROUPS.
FACILITY REPORTING GROUP - B PART V, SECTION B, LINE 6A:	CHNA CONDUCTED WITH ONE OR MORE OTHER HOSPITAL FACILITIES:SUMMA REHABILITATION HOSPITAL (GROUP B):SUMMA HEALTH CONDUCTED THE CHNA ON BEHALF OF ITS FOUR HOSPITAL FACILITIES LISTED IN PART V, SECTION A. IN ADDITION, SUMMA HEALTH COLLABORATED WITH AKRON GENERAL HEALTH SYSTEM AND AKRON CHILDREN'S HOSPITAL IN CONDUCTING THE CHNA.
FACILITY REPORTING GROUP - B PART V, SECTION B, LINE 6B:	CHNA CONDUCTED WITH ONE OR MORE ORGANIZATIONS OTHER THAN HOSPITAL FACILITIES:SUMMA REHABILITATION HOSPITAL (GROUP B):KENT STATE UNIVERSITY COLLEGE OF PUBLIC HEALTH
FACILITY REPORTING GROUP - B PART V, SECTION B, LINE 11:	HOW THE HOSPITAL FACILITY IS ADDRESSING NEEDS IDENTIFIED IN ITS CHNA:SUMMA REHABILITATION HOSPITAL (GROUP B):DUE TO THE NATURE OF THE ADULT REHABILITATION SPECIALTY SERVICES PROVIDED BY SUMMA REHAB HOSPITAL, LLC, THE ADULT IDENTIFIED HEALTH NEED OF QUALITY OF CARE FACTORS-HOSPITAL READMISSIONS WILL BE THE ONLY HEALTH NEED ADDRESSED BY SUMMA REHAB HOSPITAL, LLC. THE HEALTH NEED OF QUALITY OF CARE FACTORS-HOSPITAL READMISSIONS IS BEING ADDRESSED BY DECREASING HOSPITAL READMISSIONS BY IMPROVING POST-OPERATIVE OUTCOMES FOR PATIENTS UNDERGOING JOINT REPAIRS AND INCREASING CONSUMER KNOWLEDGE OF ASPECTS OF PREOPERATIVE CARE THAT IMPROVES POST-OPERATIVE OUTCOMES AND DECREASING INCIDENCE OF HOSPITAL READMISSIONS. A DETAILED DESCRIPTION OF THE ACTIONS BEING TAKEN TO ADDRESS THE HEALTH NEEDS IDENTIFIED ABOVE CAN BE FOUND ON THE SUMMA HEALTH IMPLEMENTATION STRATEGY AVAILABLE AT:HTTP://WWW.SUMMAHEALTH.ORG/ABOUT-US/ABOUT-SUMMA/COMMUNITY-BENEFIT-AND-DIVERSITY/COMMUNITYNEEDSASSESSMENT2013. THE COMMUNITY RESOURCES PROVIDED BY A VARIETY OF INSTITUTIONS AND AGENCIES INCLUDING AKRON CHILDREN'S HOSPITAL AND SUMMA HEALTH SYSTEM, SUMMA BARBERTON HOSPITAL, AND SUMMA WADSWORTH-RITTMAN HOSPITAL LED TO THE DETERMINATION BY SUMMA REHAB HOSPITAL, LLC TO NOT ADDRESS ANY OTHER IDENTIFIED HEALTH NEEDS.

Field	Value	IRS element (for citing)
Facility	20	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (20 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - SUMMA HEALTH CNTR AT WADSWORTH-RITTMAN
195 WADSWORTH ROAD	WADSWORTH	OH	44281	OUTPATIENT SERVICES
2 - SUMMA HEALTH CENTER AT LAKE MEDINA
3780 MEDINA ROAD	MEDINA	OH	44256	LAB, IMAGING, THERAPY, SLEEP MEDICINE, RADIATION ONCOLOGY & OUTPATIENT SURGE
3 - REHABILITATION SVCS AT GREEN FAMILY
3838 MASSILLON ROAD	UNIONTOWN	OH	44685	LAB, IMAGING, REHAB., THERAPY AND OTHER HEALTH SERVICES.
4 - SUMMA HEALTH CENTER AT WHITE POND
1 PARK WEST BLVD SUITE 130	AKRON	OH	44320	LAB, IMAGING, AND OTHER SPECIALTY HEALTH PROGRAMS.
5 - SUMMA HEALTH CENTER AT WESTERN RESERVE
5655 HUDSON DRIVE SUITE 200	HUDSON	OH	44236	LAB, IMAGING, REHABILITATION, WOUND CARE & SPORTS MEDICINE
6 - SUMMA HOME INFUSION
2743 GILCHRIST ROAD STE 200	AKRON	OH	44305	HOME CARE & INFUSION SERVICES
7 - SUMMA NEUROSCIENCE CENTER AT WHITE POND
701 WHITE POND DR SUITE 210	AKRON	OH	44320	NEUROLOGY SERVICES
8 - SUMMA HEALTH CNTR AT HERITAGE CROSSING
1835 FRANKS PARKWAY	UNIONTOWN	OH	44685	LAB, IMAGING, AND OTHER SPECIALTY HEALTH PROGRAMS.
9 - SUMMA SLEEP MEDICINE CENTER - GREEN
1700 BOETTLER ROAD STE 215	UNIONTOWN	OH	44685	SLEEP AND NEUROLOGY SERVICES
10 - SUMMA HEALTH CENTER AT ANNA DEAN
28 CONSERVATORY DR STE A	BARBERTON	OH	44203	OUTPATIENT REHAB AND THERAPY
11 - SUMMA HEALTH CENTER AT CUYAHOGA FALLS
1860 STATE ROAD	CUYAHOGA FALLS	OH	44223	LAB AND IMAGING SERVICES
12 - SUMMA REHABILITATION SVCS AT WHITE POND
750 WHITE POND DR STE 500	AKRON	OH	44320	OCCUPATIONAL & REHAB SERVICES
13 - SUMMA WELLNESS INSTITUTE
5625 HUDSON DRIVE	HUDSON	OH	44236	MEDICAL-BASED FITNESS PROGRAMS REHABILITATION & THERAPY
14 - SUMMA HEALTH CENTER AT LAKE ANNA
500 WEST HOPOCAN AVENUE	BARBERTON	OH	44203	THERAPY, REHABILITATION, AND SPORTS MEDICINE
15 - SUMMA REHAB SERVICES AT TALLMADGE
46 NORTH MUNROE ROAD	TALLMADGE	OH	44278	PHYSICAL THERAPY AND SPORTS HEALTH
16 - IGNATIA HALL SOUTH
3730 WHIPPLE AVE NW STE 5	CANTON	OH	44718	OUTPATIENT ADDICTION MEDICINES
17 - SUMMA CTR AT NEW SEASONS-HEALTH EQUITY
1493 S HAWKINS AVENUE	AKRON	OH	44320	CHRONIC DISEASE MANAGEMENT, HEALTH, NUTRITION, EXERCISE & EDUCATION SERVICES
18 - SUMMA SERVICES-WADSWORTH COMMUNITY CTR
621 SCHOOL DRIVE	WADSWORTH	OH	44281	IMAGING, REHABILITATION, AND ORTHOPAEDIC SPORTS MEDICINE
19 - NATATORIUM REHABILITATION AND WELLNESS
2345 4TH STREET	CUYAHOGA FALLS	OH	44221	ORTHOPAEDIC & SPORTS THERAPY
20 - SUMMA REHAB SVCS AT UNIVERSITY PARK YMCA
477 EAST MARKET ST STE 100	AKRON	OH	44304	THERAPY, REHABILITATION, AND SPORTS MEDICINE

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 6A:	NAME OF RELATED ORGANIZATION THAT PREPARED THE COMMUNITY BENEFIT REPORT:SUMMA HEALTH
PART I, LINE 7:	EXPLANATION OF COST METHODOLOGY USED FOR CALCULATING LINE 7 TABLE:COST OF FINANCIAL ASSISTANCE AT COST WAS CALCULATED WITH A COST TO CHARGE RATIO USING WORKSHEET 2. THE COST RELATED TO MEDICAID PATIENTS WAS DETERMINED USING SUMMA HEALTH'S COST ACCOUNTING SYSTEM. FOR SUBSIDIZED SERVICES SUMMA HEALTH'S COST ACCOUNTING SYSTEM IS USED TO DETERMINE COST RELATED TO SPECIFIC SERVICES EXCLUDING TRADITIONAL MEDICAID AND MEDICAID MANAGED CARE PATIENTS. COSTS FOR CHARITY AND BAD DEBT ACCOUNTS ARE DEDUCTED USING A RATIO OF COST TO CHARGE SPECIFIC TO THAT SUBSIDIZED SERVICE. COSTS FOR OTHER PROGRAMS REFLECT THE DIRECT AND INDIRECT COSTS OF PROVIDING THOSE PROGRAMS.
PART I, LINE 7G:	DESCRIBE SUBSIDIZED HEALTH SERVICE COSTS FROM PHYSICIAN CLINIC ON LINE 7G:THE AMOUNT OF SUBSIDIZED HEALTH SERVICES REPORTED ON LINE 7(G) ATTRIBUTABLE TO SUMMA PHYSICIANS, INC. ("SPI") IS $13,481,094.
PART II, COMMUNITY BUILDING ACTIVITIES:	DESCRIBE HOW COMMUNITY BUILDING ACTIVITIES PROMOTE THE HEALTH OF THE COMMUNITY:SUMMA HEALTH ADDRESSES VARIOUS COMMUNITY CONCERNS INCLUDING HEALTH IMPROVEMENT, POVERTY, WORKFORCE DEVELOPMENT, AND ACCESS TO HEALTH CARE.SUMMA HEALTH HOSPITALS CONDUCT COMMUNITY HEALTH EDUCATION AND SUPPORT GROUPS, HEALTH FAIRS AND SCREENINGS FOR THE COMMUNITIES SERVED. SUMMA HEALTH HOSPITALS WORK WITH STATE AND LOCAL LEADERSHIP TO ADDRESS COMMUNITY NEEDS AND PROVIDE HEALTHCARE SERVICES TO THE POOR AND UNDERSERVED.SUMMA HEALTH HOSPITALS PROVIDE PROGRAMS TO IMPROVE THE PHYSICAL SURROUNDINGS AND HOUSING IN THE COMMUNITIES SERVED. INADEQUATE HOUSING HAS A NEGATIVE IMPACT ON THE HEALTH OF RESIDENTS IN THE AREA BY LEADING TO VIOLENCE IN THE NEIGHBORHOODS. A ROBUST ECONOMY POSITIVELY IMPACTS RESIDENTS COVERED BY HEALTH INSURANCE AND IMPROVES THE CAPACITY OF THE COMMUNITY TO SUPPORT HEALTH SERVICES.
PART III, LINE 2:	A COST-TO-CHARGE RATIO IS USED TO DETERMINE THE AMOUNT REFLECTED ON LINE 2. FOR A DESCRIPTION OF THE ACCOUNTING FOR BAD DEBT, SEE "NET PATIENT SERVICE REVENUE AND PATIENT ACCOUNTS RECEIVABLE" ON PAGE 12 OF THE ATTACHED CONSOLIDATED AUDITED FINANCIAL STATEMENTS UNDER FOOTNOTE 2, "SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES."
PART III, LINE 4:	FOOTNOTE IN ORGANIZATION'S FINANCIAL STATEMENTS DESCRIBING BAD DEBT EXPENSE:SUMMA HEALTH'S AUDITED FINANCIAL STATEMENTS CONTAIN A FOOTNOTE THAT DESCRIBES THE PROVISION FOR DOUBTFUL ACCOUNTS. SUMMA HEALTH HAS ADOPTED ASU 2011-07 WHICH RESULTS IN BAD DEBT EXPENSE BEING REFLECTED AS A DEDUCTION FROM REVENUE RATHER THAN AN OPERATING EXPENSE. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS, 1. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES, NET PATIENT SERVICE REVENUE AND PATIENT ACCOUNTS RECEIVABLE (PAGE 12) STATES SUMMA HEALTH MAINTAINS AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED ON THE EXPECTED COLLECTIBILITY OF PATIENT ACCOUNTS RECEIVABLE. THE PROVISION FOR DOUBTFUL ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGES, AND OTHER COLLECTION INDICATORS.
PART III, LINE 8:	DESCRIBE EXTENT ANY SHORTFALL FROM LINE 7 TREATED AS COMMUNITY BENEFIT AND COSTING METHOD USED:MEDICARE ALLOWABLE COST ARE BASED ON INFORMATION PROVIDED ON WORKSHEET B, PART I, COLUMN 26, LINE 118 FROM THE VARIOUS HOSPITALS' MEDICARE COST REPORTS. COSTING METHOD USED WAS TOTAL ALLOWABLE COST LESS ALL COSTS DEEMED NON-ALLOWABLE BY MEDICARE REGULATIONS. ANY MEDICARE SHORTFALL INCURRED BY SUMMA HEALTH IS NOT REPORTED AS A COMMUNITY BENEFIT.
PART III, LINE 9B:	DID COLLECTION POLICY CONTAIN PROVISIONS ON COLLECTION PRACTICES FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR ASSISTANCE:SUMMA WILL NOT PURSUE LEGAL ACTION FOR NON-PAYMENT OF BILLS AGAINST ANY PATIENT WHO IS WITHOUT ACCESS TO HEALTH INSURANCE AND WITHOUT OTHER SIGNIFICANT INCOME OR NET WORTH. BEFORE INITIATING LEGAL ACTION FOR NON-PAYMENT, OUR HOSPITALS WILL, IN CONJUNCTION WITH THE PATIENT, MAKE SURE THAT THE PATIENT IS NOT ELIGIBLE FOR ANY ASSISTANCE PROGRAM AND DOES NOT QUALIFY UNDER THE HOSPITALS' CHARITY CARE POLICY.
PART VI, LINE 2:	NEEDS ASSESSMENT:IN ADDITION TO THE CHNA DESCRIBED IN PART V, SECTION B, THE HEALTH CARE NEEDS OF THE COMMUNITY ARE COLLABORATIVELY ASSESSED BY SURVEY PROCESSES CONDUCTED BY SUMMA HEALTH, SUMMIT COUNTY PUBLIC HEALTH, CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON, THE UNITED WAY, SOCIAL SERVICES ADVISORY BOARD OF SUMMIT COUNTY, AND CLEVELAND CLINIC -AKRON GENERAL MEDICAL CENTER.
PART VI, LINE 3:	PATIENT EDUCATION:IN ACCORDANCE WITH THE RULES SET FORTH BY OHIO ADMINISTRATIVE CODE SECTION 2101:3-2-07.17 NOTICES, SUMMA HEALTH SYSTEM, AND SUMMA BARBERTON CITIZENS HOSPITAL HAVE NOTICES POSTED IN THE EMERGENCY ROOM, ADMISSION AREAS, CASHIER'S OFFICE, AND OTHER APPROPRIATE AREAS. THE NOTICES SPECIFY THE RIGHTS OF INDIVIDUALS TO RECEIVE WITHOUT CHARGE, BASIC MEDICALLY NECESSARY HOSPITAL-LEVEL SERVICES. A FINANCIAL COUNSELOR WHO IS ASSIGNED TO PATIENTS AT THE POINT OF ADMISSION REVIEWS THE AVAILABILITY OF FINANCIAL ASSISTANCE PROGRAMS AND ASSISTS WITH THE APPLICATION IF REQUESTED. THE SUMMA WEBSITE PROVIDES INFORMATION REGARDING FINANCIAL ASSISTANCE. CUSTOMER SERVICE REPRESENTATIVES PROVIDE FINANCIAL COUNSELING WITH EXPLANATION OF ASSISTANCE PROGRAMS TO PATIENTS WHO CALL. EACH STATEMENT SENT TO THE PATIENT CONTAINS AN EXPLANATION OF THE FREE CARE PROGRAM AS WELL AS AN APPLICATION ON THE BACK SIDE OF THE STATEMENT.
PART VI, LINE 4:	COMMUNITY INFORMATION:BASED ON 2015 PATIENT ADMISSION DATA, SUMMA HEALTH CARE DELIVERY IS PRIMARILY IN SUMMIT COUNTY. SUMMIT COUNTY REPRESENTS 75.32% OF THE 2015 ADMISSIONS FROM SUMMA HEALTH. WHILE SUMMA ALSO TREATS PATIENTS FROM MEDINA, NOTHERN STARK, AND WAYNE COUNTIES, MOST PATIENTS COME FROM SUMMIT COUNTY. THERE ARE 541,968 PEOPLE LIVING IN SUMMIT COUNTY. SINCE 2010, THE POPULATION HAS INCREASED SLIGHTLY, BY LESS THAN A PERCENT. THERE ARE 31 CITIES, VILLAGES, AND TOWNSHIPS IN SUMMIT COUNTY, WITH THE LARGEST BEING THE CITY OF AKRON. COMPARED TO THE STATE OF OHIO, SUMMIT COUNTY HAS A SLIGHTLY SMALLER PROPORTION OF CHILDREN (UNDER 18 YEARS OLD) AND A SLIGHTLY HIGHER PROPORTION OF OLDER ADULTS. IN SUMMIT COUNTY 20.5% PERCENT OF THE POPULATION IS NON WHITE, COMPARED TO 17.3% IN THE STATE. EDUCATIONAL ATTAINMENT IS SLIGHTLY HIGHER IN SUMMIT COUNTY THANT THE STATE OF OHIO, WITH 90.7% HAVING A HIGH SCHOOL DIPLOMA OR HIGHER AND 29.9% HAVING A BACHELOR'S DEGREE OR HIGHER. SIMILARLY, ANNUAL PER CAPITA INCOME IN SUMMIT COUNTY IS SLIGHLTY HIGHER THAN THE STATE OF OHIO, THE PERCENT OF SUMMIT COUNTY RESIDENTS LIVING IN POVERTY IS 2.2% LOWER THAN THAT OF THE STATE. MORE THAN 50% OF THE HOUSEHOLDS IN SUMMIT COUNTY MAKE LESS THAN $50,000 ANNUALLY AND 15.0% AND 14.5% OF HOUSEHOLDS MAKE LESS THAN $15,000 ANNUALLY RESPECTIVELY. FOR THE CALENDAR YEAR 2015, THE AVERAGE MONTHLY UNEMPLOYMENT RATE FOR SUMMIT COUNTY WAS 4.9% RESPECTIVELY. LOW INCOMES AND AN ESSENTIALLY STAGNANT UNEMPLOYMENT RATE ADD TO SUMMA'S BURDEN FOR CHARITY CARE. DESPITE THESE CHALLENGES, DEMAND FOR SUMMA'S SERVICES IN THESE COMMUNITIES IS PROJECTED TO GROW. WHILE THE TOTAL POPULATION OF SUMMIT COUNTY IS EXPECTED TO DECLINE (BY -1.2%), OVER THE 5-YEAR PERIOD 2013-2018. MORE IMPORTANTLY, THE AGE GROUP THAT DEMAND HEALTHCARE SERVICES THE MOST (AGE 65 AND OLDER) IS EXPECTED TO GROW SIGNIFICANTLY. THIS AGE GROUP IS EXPECTED TO INCREASE 16.0% IN SUMMIT COUNTY OVER THE FIVE YEAR PERIOD.
PART VI, LINE 5:	PROMOTION OF COMMUNITY HEALTH:AMONG THE WAYS THE HOSPITALS WITHIN SUMMA HEALTH PROMOTE THE HEALTH OF THE COMMUNITY ARE BY MAINTAINING AN OPEN MEDICAL STAFF AND A COMMUNITY ENGAGEMENT COMMITTEE (COMMUNITY BENEFIT COMMITTEE). SUMMA'S HOSPITALS ADDRESS HEALTH DISPARITIES THROUGH PRACTICE, RESEARCH, EDUCATION AND COLLABORATION WITH OTHER COMMUNITY ORGANIZATIONS. CONTRIBUTIONS, BOTH FINANCIAL AND IN-KIND, ARE MADE TO INITIATIVES AND PROGRAMMING (I.E. FEDERALLY QUALIFIED HEALTH CENTER, OPEN M, CENTER FOR COMMUNITY HEALTH IMPROVEMENT) THAT ARE DEEMED TO PROMOTE THE HEALTH, WELLNESS AND IMPROVED QUALITY OF LIFE FOR THE COMMUNITIES SUMMA HEALTH SERVES.
PART VI, LINE 6:	DESCRIPTION OF AFFILIATED GROUP:SUMMA HEALTH IS ONE OF THE LARGEST INTEGRATED DELIVERY SYSTEMS IN OHIO, ENCOMPASSING A NETWORK OF HOSPITALS, COMMUNITY-BASED HEALTH CENTERS, A HEALTH PLAN, A PHYSICIAN-HOSPITAL ORGANIZATION, RESEARCH AND MEDICAL EDUCATION AND A FOUNDATION. SUMMA HEALTH IS RENOWNED FOR EXCELLENCE IN PATIENT CARE AND FOR EXCEPTIONAL APPROACHES TO HEALTHCARE DELIVERY. DURING 2015, SUMMA HEALTH PROVIDED INPATIENT CARE THROUGH FACILITIES LOCATED ON SIX CAMPUSES AND IN ADDITION, OUTPATIENT CARE IS EXTENDED THROUGHOUT THE REGION IN A NUMBER OF OUTPATIENT CENTERS, BOTH HOSPITAL-BASED AND FREESTANDING. SUMMA HEALTH SYSTEM'S AKRON CITY HOSPITAL TERTIARY CAMPUS IS LOCATED IN DOWNTOWN AKRON, OHIO AND HAS SERVED, TOGETHER WITH SUMMA HEALTH, AS THE LARGEST SAFETY-NET HOSPITAL IN THE COMMUNITY FOR MANY YEARS. SUMMA BARBERTON HOSPITAL (SBH) IS A 249-BED GENERAL ACUTE CARE COMMUNITY HOSPITAL THAT OFFERS INPATIENT SERVICES, OUTPATIENT SERVICES AND COMMUNITY OUTREACH PROGRAMS. SBH IS LOCATED IN THE CITY OF BARBERTON IN SOUTHERN SUMMIT COUNTY. THE OPERATIONS OF SBH WERE MERGED INTO SUMMA HEALTH SYSTEM IN MAY 2015. SUMMA WESTERN RESERVE HOSPITAL, LLC ("SWRH") IS A JOINT VENTURE BETWEEN SUMMA HEALTH SYSTEM AND THE WESTERN RESERVE HEALTH PARTNERS AND PROVIDES A FULL RANGE OF ACUTE MEDICAL SERVICES. SWRH PROVIDES ITS HOSPITAL OPERATIONS ON THE CAMPUS OF SUMMA CUYAHOGA FALLS GENERAL HOSPITAL. SWRH PROVIDES A RANGE OF SERVICES INCLUDING A 24-HOUR EMERGENCY ROOM, AMBULATORY SURGERY, DIAGNOSTIC TESTING, ETC. AND ADHERES TO THE CHARITY CARE POLICY OF SUMMA HEALTH. SUMMA REHAB HOSPITAL, LLC, A JOINT VENTURE BETWEEN SUMMA HEALTH SYSTEM AND VIBRA HEALTHCARE, OPENED ON THE CAMPUS OF SUMMA AKRON CITY HOSPITAL IN 2012. THIS 60-BED FACILITY PROVIDES INPATIENT REHABILITATION CARE AND SERVICES AND ADHERES TO SUMMA'S CHARITY CARE POLICY. ESTABLISHED IN 1993, SUMMACARE OFFERS HEALTH CARE COVERAGE TO MEMBERS INCLUDING MEMBERS INSURED THROUGH ITS STATUS AS A MEDICARE ADVANTAGE ORGANIZATION. SUMMACARE IS RECOGNIZED BY THE HEALTH INDUSTRY RESEARCH COMPANY AS A HEALTH PLAN WITH EFFECTIVE DISEASE MANAGEMENT PROGRAMS FOR ASTHMA, HEALTH FAILURE AND DIABETES. SUMMACARE, ALONG WITH ITS THIRD PARTY ADMINISTRATIVE SERVICES PRODUCTS COVERS APPROXIMATELY 120,000 MEMBERS. SUMMA FOUNDATION IS A NONPROFIT ORGANIZATION ADVANCING TRANSFORMATIONAL PHILANTHROPY, COMMUNITY UNDERSTANDING AND GOODWILL FOR THE PROGRAMS AND PRIORITIES OF SUMMA HEALTH. SUMMA HEALTH NETWORK, LLC IS THE INTEGRATED PHYSICIAN-HOSPITAL ORGANIZATION AFFILIATED WITH SUMMA HEALTH. WITH MORE THAN 1,400 PHYSICIANS PARTICIPATING, SUMMA HEALTH NETWORK OVERSEES MUTUALLY BENEFICIAL CONTRACTS WITH INSURANCE COMPANIES, PREFERRED PROVIDER ORGANIZATIONS, THIRD-PARTY ADMINISTRATORS AND OTHER PAYORS ON BEHALF OF ITS PHYSICIANS AND HOSPITAL MEMBERS. SUMMA ACCOUNTABLE CARE ORGANIZATION (D/B/A NEWHEALTH COLLABORATIVE ("NHC")) IS A CLINICIAN-LED COLLABORATIVE, ORGANIZED TO COMPASSIONATELY CARE FOR AND SERVE PATIENTS IN AN ACCOUNTABLE, VALUE AND EVIDENCE-BASED MANNER. IN ACCORDANCE WITH THE AFFORDABLE CARE ACT, NHC CREATES INCENTIVES FOR PROVIDERS TO FURTHER ENHANCE THE QUALITY OF CARE. OHIO HEALTH CHOICE, INC. (OHC) IS OHIO'S OLDEST PREFERRED PROVIDER ORGANIZATION (PPO) NETWORK IN THE STATE. OHC IS CO-OWNED BY SUMMA HEALTH AND MERCY MEDICAL CENTER, AND IS COMPRISED OF APPROXIMATELY 200 HOSPITALS, 8,000 PRIMARY CARE PROVIDERS, 18,000 SPECIALISTS, COVERING MEMBERS ACROSS ALL 88 COUNTIES IN OHIO. SUMMA PHYSICIANS, INC. ("SPI") IS A MULTI-SPECIALTY PHYSICIAN PRACTICE. EMPLOYING CLOSE TO 300 PHYSICIANS IN MULTIPLE SPECIALTIES. SPI PROMOTES STRONGER AFFILIATION AND EMPLOYMENT OF PHYSICIANS TO ENSURE COMMUNITY AND HOSPITAL NEEDS FOR PHYSICIANS SERVICES ARE MET.
SCHEDULE H, PART VI, LINE 7	STATE FILING OF COMMUNITY BENEFIT REPORT:THE STATE OF OHIO DOES NOT REQUIRE THE FILING OF THE COMMUNITY BENEFIT REPORT. HOWEVER, INFORMATION FROM THE COMMUNITY BENEFIT REPORT IS SHARED ANNUALLY WITH THE OHIO HOSPITAL ASSOCIATION.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
AMERICAN HEART ASSOCIATION
3505 EMBASSY PARKWAY STE 100	AKRON	OH	44333	135613797	501(C)(3)	$105,000	RESEARCH AND EDUCATION
THE UNIVERSITY OF AKRON
302 BUCHTEL COMMON	AKRON	OH	44301	346002924	GOVERNMENTAL	$7,000	EDUCATIONAL
SUSAN G KOMEN FOR THE CURE
26210 EMERY RD	CLEVELAND	OH	44128	751835298	501(C)(3)	$10,000	CANCER WELLNESS SUPPORT
DIVERSITY & LEADERSHIP INC
PO BOX 891212	HOUSTON	TX	772891212	204317404		$5,500	DIVERSITY & LEADERSHIP
AMERICAN CANCER SOCIETY
525 NORTH BROAD STREET	CANFIELD	OH	44406	251798733	501(C)(3)	$20,000	CANCER RESEARCH

Field	Value	IRS element (for citing)
Total501c3 Org	4	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (3 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
SUMMASHARES	7	$5,457
DIABETES PROGRAM	9	$7,981
MAMMOGRAM SCREENS	604	$64,358

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	THE PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IS BASED ON THE CRITERIA ESTABLISHED PRIOR TO AWARDING THE GRANT OR ASSISTANCE. ONCE THE CRITERIA IS MET A PAYMENT WILL BE MADE TO THE ORGANIZATION UTILIZING THE FUNDS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (34 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
ROBERT A GERBERRY
DIR.SPI(END'15),SECTY SHS/SBH,GEN.CO	$0	$350,682	$0	$59,706	$0	$65,534	$0	$4,846	$0	$1,461	$0	$482,229	$0	$0
WILLIAM BAUMAN MD
DIR.SHS(END'15)SBH(END'15)SPI(END'15	$636,691	$0	$22,573	$0	$3,201	$0	$7,950	$0	$18,717	$0	$689,132	$0	$0	$0
ROBERT DEBSKI MD
DIR. SHS(END 10/15),SBH(END 5/15)	$166,925	$0	$7,120	$0	$0	$0	$0	$0	$17,042	$0	$191,087	$0	$0	$0
STEVEN GAICH MD
DIRECTOR SPI(END 12/15)	$295,314	$0	$25,070	$0	$445	$0	$7,950	$0	$2,402	$0	$331,181	$0	$0	$0
JOSEPH KOENIG MD
DIRECTOR SPI(END 12/15)	$633,868	$0	$40,877	$0	$2,190	$0	$9,275	$0	$13,835	$0	$700,045	$0	$0	$0
ERIK STEELE DO
DIR.SHS,SBH(END 5/15),SYS. CMO	$0	$493,506	$0	$90,963	$0	$170,820	$0	$7,950	$0	$0	$0	$763,239	$0	$11,381
SCOTT WEINER MD
DIR.SHS(END 10/15),SBH(END 5/15)	$831,637	$0	$83,553	$0	$2,190	$0	$9,275	$0	$25,335	$0	$951,990	$0	$0	$0
THOMAS MALONE MD
PRES.&CEO SHS & SBH,DIR.SHS & SF	$0	$796,996	$0	$250,000	$0	$238,337	$0	$5,608	$0	$16,937	$0	$1,307,878	$0	$0
VIVIAN VON GRUENIGEN MD
DIR./CHAIR SHS(END10/15),CHAIR SBH(E	$454,350	$0	$0	$0	$1,590	$0	$3,130	$0	$24,737	$0	$483,807	$0	$0	$0
MICHAEL HUGHES MD
DIR.SHS(CHR.END5/15),DIR.SBH(END5/15	$640,801	$0	$22,573	$0	$2,190	$0	$7,950	$0	$17,962	$0	$691,476	$0	$0	$0
BRIAN DERRICK
TREAS SHS/SBH, ASSIST. TREAS SF, CFO	$0	$540,515	$0	$143,655	$0	$260,866	$0	$6,625	$0	$16,927	$0	$968,588	$0	$55,878
PHYLIS FERRARA
PRESIDENT & CDO, SF	$286,900	$0	$72,100	$0	$102,198	$0	$9,275	$0	$7,070	$0	$477,543	$0	$4,730	$0
JAY WILLIAMSON MD
PRESIDENT,SPI (END 10/15)	$135,432	$0	$33,331	$0	$88,273	$0	$5,052	$0	$8,604	$0	$270,692	$0	$0	$0
LYDIA COOK
PRESIDENT SPI	$192,716	$0	$23,836	$0	$39,726	$0	$23,868	$0	$16,430	$0	$296,576	$0	$0	$0
VALERIE GIBSON RN
PRESIDENT SHS, SBH (END 5/15), COO	$0	$428,586	$0	$0	$0	$115,891	$0	$0	$0	$19,810	$0	$564,287	$0	$0
KATHLEEN JOBE
VP, CNO, SBH(END 5/15)	$179,937	$0	$15,756	$0	$40,709	$0	$6,994	$0	$15,385	$0	$258,781	$0	$0	$0
JASON NIEHAUS
SVP HOSP. OPS & SITE ADMIN	$0	$319,850	$0	$143,334	$0	$119,003	$0	$1,313	$0	$22,303	$0	$605,803	$0	$0
THOMAS P O'NEILL
CFO, SHS; DIR. SPI(END 2015)	$0	$291,048	$0	$70,000	$0	$194,618	$0	$9,275	$0	$9,002	$0	$573,943	$0	$32,825
MARY WARD
SVP CNO	$0	$357,702	$0	$102,331	$0	$216,394	$0	$7,950	$0	$2,359	$0	$686,736	$0	$67,624
JOSEPH ZARCONI MD FACP
SYS. VP, MED ED & CHF ACADEMIC OFFIC	$0	$158,039	$0	$49,541	$0	$689,840	$0	$7,771	$0	$11,691	$0	$916,882	$0	$63,647
DAVID CUSTODIO MD
SHS CMO	$343,173	$0	$34,313	$0	$67,861	$0	$9,275	$0	$23,362	$0	$477,984	$0	$0	$0
TAMMY SCARBOROUGH
COO, SPI	$0	$221,250	$0	$0	$0	$32,104	$0	$0	$0	$6,380	$0	$259,734	$0	$0
MATTHEW WAYNE MD
CMO, SPI	$181,731	$0	$0	$0	$23,655	$0	$0	$0	$3,407	$0	$208,793	$0	$0	$0
MARK POZSGAY DO
BARIATRIC SURGERY	$762,963	$0	$369,316	$0	$1,170	$0	$6,750	$0	$29,661	$0	$1,169,860	$0	$0	$0
JOHN G ZOGRAFAKIS MD
BARIATRIC SURGERY	$704,530	$0	$347,538	$0	$1,350	$0	$9,275	$0	$29,129	$0	$1,091,822	$0	$0	$0
ADRIAN G DAN MD
BARIATRIC SURGERY	$655,790	$0	$210,627	$0	$1,200	$0	$7,875	$0	$22,775	$0	$898,267	$0	$0	$0
ERIC T MILLER MD
ORTHOPAEDIC SURGERY	$714,594	$0	$155,690	$0	$1,170	$0	$3,694	$0	$8,358	$0	$883,506	$0	$0	$0
R DOUGLAS TROCHELMAN MD
MEDICAL DIR. ONCOLOGY	$654,484	$0	$55,100	$0	$2,190	$0	$9,275	$0	$17,063	$0	$738,112	$0	$0	$0
WILLIAM A POWEL III
FRMR DIR-SPI/SECTY SHS/SBH, COUNSEL	$0	$0	$0	$87,754	$0	$75,384	$0	$0	$0	$1,864	$0	$165,002	$0	$69,249
THOMAS J STRAUSS
FORMER DIR SF, SYSTEM PRES/CEO	$0	$86,438	$0	$294,381	$0	$163,833	$0	$0	$0	$3,570	$0	$548,222	$0	$148,461
THOMAS DEBORD
FORMER PRESIDENT SBH	$0	$0	$55,723	$0	$195,865	$0	$0	$0	$12,807	$0	$264,395	$0	$0	$0
ROBERT D HARRIGAN
FORMER OFFICER	$0	$0	$0	$0	$0	$215,100	$0	$0	$0	$3,874	$0	$218,974	$0	$0
STEVE SCHMIDT
FORMER OFFICER	$2,112	$0	$19,556	$0	$260,690	$0	$268	$0	$1,740	$0	$284,366	$0	$0	$0
BRYAN FREDERICKS
FORMER COO, SPI	$0	$0	$13,298	$0	$170,811	$0	$0	$0	$12,304	$0	$196,413	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	TAX INDEMNIFICATION AND GROSS-UP PAYMENTS: SUMMA HEALTH SYSTEM GROSSED UP TAXES FOR SUPPLEMENTAL EXECUTIVE RETIREMENT PROGRAMS PAID TO ONE DIRECTOR, ONE OFFICER, NINE KEY EMPLOYEES, TWO FORMER EMPLOYEES AND FOUR FORMER OFFICERS. THE AMOUNT OF THE GROSS UP IS RECOGNIZED AS ADDITIONAL TAXABLE COMPENSATION. HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES: SOCIAL CLUB DUES WERE PAID ON BEHALF OF ONE OFFICER. ANY PERSONAL USE IS RECOGNIZED AS ADDITIONAL TAXABLE COMPENSATION.
PART I, LINE 3	ARRANGEMENTS USED TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: THE COMPENSATION OF THE PRESIDENT AND CEO IS ESTABLISHED BY SUMMA HEALTH, THE RELATED PARENT ORGANIZATION FOR ALL MEMBERS IN THE SUMMA HEALTH SYSTEM GROUP RETURN. SUMMA HEALTH HAS A COMPENSATION COMMITTEE THAT USES AN INDEPENDENT COMPENSATION CONSULTANT, MARKET SURVEYS, AND AN ANNUAL REVIEW PROCESS TO ESTABLISH COMPENSATION FOR THE POSITION OF PRESIDENT AND CEO.
PART I, LINES 4A-B	PART I, LINE 4A SEVERANCE OR CHANGE-OF-CONTROL PAYMENT: IN 2015, THE FOLLOWING LISTED PERSONS RECEIVED SEVERANCE PAYMENTS AND BENEFITS FROM THE ORGANIZATION OR FROM A RELATED ORGANIZATION: THOMAS J. STRAUSS $15,372, WILLIAM POWEL, III $5,725, BRYAN FREDERICKS $148,344, ROBERT D. HARRIGAN $158,378, THOMAS DEBORD $161,741, STEVEN SCHMIDT $205,205, JOSEPH ZARCONI, MD, FACP $331,305. PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: SUMMA HEALTH HAS A 457(F) PROGRAM WHICH REWARDS CERTAIN OFFICERS, DIRECTORS, KEY AND HIGHEST COMPENSATED EMPLOYEES FOR MEETING LONG TERM STRATEGIC OBJECTIVES OF THE ORGANIZATION. AMOUNTS INCLUDIBLE AS TAXABLE COMPENSATION FOR LISTED INDIVIDUALS, DUE TO PLAN PARTICIPATION IN THE REPORTING YEAR, WERE AS FOLLOWS: THOMAS MALONE, MD $39,675, ERIK STEELE, DO $41,374, BRIAN K. DERRICK $114,825, PHYLIS FERRARA $20,505, JAY WILLIAMSON, MD $31,240, JASON NIEHAUS $6,452, THOMAS P. O'NEILL $55,117, MARY WARD $109,424, JOSEPH ZARCONI, MD $100,871, WILLIAM POWELL, III $69,249, THOMAS STRAUSS $148,461.
PART I, LINE 7	NON-FIXED PAYMENTS: THE SUMMA HEALTH SYSTEM MANAGEMENT INCENTIVE PROGRAM IS DESIGNED TO REWARD EMPLOYEES FOR MEETING QUALITY, PERFORMANCE AND FINANCIAL TARGETS. THESE TARGETS INCLUDE CLINICAL QUALITY, PATIENT SATISFACTION, EMPLOYEE/PHYSICIAN SATISFACTION, OPERATING MARGIN, AND THE STRENGTHENING OF THE BALANCE SHEET. PAYMENT IS BASED ON A FACTOR OF BASE COMPENSATION AND IS SUBJECT TO REVIEW AND APPROVAL BY SUMMA'S COMPENSATION COMMITTEE.
FORM 990 PART VII, SECTION A, LINE 5 INFORMATION	PERSON RECEIVING COMPENSATION FROM AN UNRELATED ORGANIZATION FOR SERVICES RENDERED TO THE ORGANIZATION: SUMMA HEALTH SYSTEM PAYS HEALTHSPAN PARTNERS, AND UNRELATED ORGANIZATION, FOR THE COMPENSATION LISTED FOR LYDIA COOK IN THE AMOUNTS LISTED ON FORM 990 PART VII AND SCHEDULE J PART II.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
A	346849674	67756AY89	2001-05-11	$180,125,341	SEE PART VI	0	0	0
AKRON BATH AND COPLEY JOINT TOWNSHIP HOSPITAL DISTRICT
B	341448680		2012-07-25	$32,509,635	SEE PART VI	0	0	0
SEE SCHEDULE K PART VI
C	341448680		2014-10-02	$145,250,000	SEE PART VI	0	0	0
AKRON BATH AND COPLEY JT TWP HOSP DIST
D	341448680		2015-12-16	$42,255,000	SEE PART VI	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Credit EnhancementCreditEnhancementAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	RetiredRetiredAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt
A	$180,162,106	$18,196,607	$3,004,911	$4,929,857	$154,030,731	2012	Yes (1)	Yes (1)	Yes (1)
B	$32,509,635					2012	Yes (1)	Yes (1)	Yes (1)	$9,222,622	$32,509,635
C	$145,250,000		$795,890			2008	Yes (1)	Yes (1)	Yes (1)	$5,980,000	$144,454,110
D	$42,255,000		$255,000		$37,789,920	2015	0	Yes (1)	Yes (1)			$4,213,757

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.01600	0.00120	0.01720	Yes (1)
B	0	0		0					Yes (1)
C	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.10490	0.00260	0.10750	Yes (1)
D	0	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00000	0.00000	0.00000	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line2GICProviderName/BusinessNameLine2Txt	Term Of GICTermOfGICPct	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd
MORGAN STANLEY &
A	0	0	0	Yes (1)	0	0	Yes (1)	COMPANY	2.200000000000	Yes (1)	0	Yes (1)
RBS CITIZENS BANK
B	0	0	Yes (1)	0	Yes (1)	Yes (1)	0				0	Yes (1)	12.000000000000	0	0
SEE SCHEDULE K VI
C	0	0	Yes (1)	0	Yes (1)	Yes (1)	0				0	Yes (1)	20.000000000000	0	0
(no name)
D	0	0	Yes (1)	0	Yes (1)	0	0				0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)
D	Yes (1)

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
DATE REBATE COMPUTATION PERFORMED	ISSUER NAME: OHIO HIGHER EDUCATIONAL FACILITY COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 05/11/2013
SCHEDULE K, PART I, COLUMN (A), LINE C	ISSUER NAME: THE 2014 BONDS CONSIST OF THE FOLLOWING THREE SERIES OF BONDS, WHICH ARE TREATED AS A SINGLE ISSUE OF BONDS FOR FEDERAL INCOME TAX PURPOSES: (1) AKRON, BATH AND COPLEY JOINT TOWNSHIP HOSPITAL DISTRICT, OHIO HOSPITAL FACILITIES REFUNDING REVENUE BONDS, SERIES 2014A (SUMMA HEALTH SYSTEM OBLIGATED GROUP) ISSUED IN THE ORIGINAL PRINCIPAL AMOUNT OF $93,685,000, (2) AKRON, BATH AND COPLEY JOINT TOWNSHIP HOSPITAL DISTRICT, OHIO HOSPITAL FACILITIES REFUNDING REVENUE BONDS, SERIES 2014B (SUMMA HEALTH SYSTEM OBLIGATED GROUP) ISSUED IN THE ORIGINAL PRINCIPAL AMOUNT OF $37,890,000, AND (3) DEVELOPMENT FINANCE AUTHORITY OF SUMMIT COUNTY PORT FACILITIES REVENUE REFUNDING BONDS, SERIES 2014 (SUMMA HEALTH SYSTEM OBLIGATED GROUP PROJECT) ISSUED IN THE ORIGINAL PRINCIPAL AMOUNT OF $13,675,000. THE SERIES 2014A BONDS AND THE DEVELOPMENT FINANCE AUTHORITY BONDS WERE EACH ISSUED ON OCTOBER 2, 2014, AND THE SERIES 2014B BONDS WERE ISSUED ON NOVEMBER 18, 2014. THE AKRON, BATH AND COPLEY JOINT TOWNSHIP HOSPITAL DISTRICT'S EIN IS 34-1448680, AND THE DEVELOPMENT FINANCE AUTHORITY'S EIN IS 34-1765940.
SCHEDULE K, PART I, LINE A, COLUMN (F)	OHIO HIGHER EDUCATIONAL FACILITY COMMISSION SERIES 2010 BONDS: THE PURPOSES OF THE SERIES 2010 BONDS WERE TO (1) CURRENTLY REFUND A TAXABLE LOAN TO SUMMA BARBERTON CITIZENS HOSPITAL UNDER A LINE OF CREDIT, THE PROCEEDS OF WHICH WERE USED TO ACQUIRE HOSPITAL FACILITIES, (2) CURRENTLY REFUND A TAXABLE LOAN TO SUMMA AKRON CITY AND ST. THOMAS HOSPITALS, THE PROCEEDS OF WHICH WERE USED FOR CERTAIN CAPITAL EXPENDITURES, (3) CONSTRUCT AND EQUIP HOSPITAL FACILITIES, (4) ACQUIRE, CONSTRUCT, AND EQUIP PARKING FACILITIES, NURSING FACILITIES, ADMINISTRATIVE FACILITIES, AMBULATORY CARE FACILITIES, AND MEDICAL EQUIPMENT, AND (5) PAY ISSUANCE COSTS.
SCHEDULE K, PART I, LINE B, COLUMN (F)	AKRON, BATH AND COPLEY JOINT TOWNSHIP HOSPITAL DISTRICT BONDS: THE PURPOSES OF THE SERIES 2012 BONDS WERE TO (1) CURRENTLY REFUND THE HOSPITAL FACILITIES REVENUE BONDS, SERIES 1998A ISSUED ON DECEMBER 23, 1998 IN THE ORIGINAL AMOUNT OF $50,000,000, AND (2) PAY THE COSTS OF ISSUANCE OF THE SERIES 2012 BONDS.
SCHEDULE K, PART I, LINE C, COLUMN (F)	SERIES 2014A, SERIES 2014B, AND SERIES 2014 BONDS: THE PURPOSE OF THE SERIES 2014A BONDS WAS TO CURRENTLY REFUND THE SERIES 2004B BONDS, WHICH WERE ISSUED TO (1) CONSTRUCT AND EQUIP A CRITICAL CARE PAVILION, (2) CONSTRUCT AND EQUIP OTHER HOSPITAL FACILITIES, (3) REFUND PRIOR ISSUES WITH THE FOLLOWING ISSUE DATES (A) DECEMBER 22, 1992 AND (B) JUNE 10, 1993, (4) PAY THE INITIAL COSTS OF A LIQUIDITY FACILITY, AND (5) PAY ISSUANCE COSTS. THE PURPOSES OF THE SERIES 2014B BONDS WERE TO (1) CURRENTLY REFUND THE SERIES 2004A BONDS, WHICH WERE ISSUED TO (A) CONSTRUCT AND EQUIP A CRITICAL CARE PAVILION, (B) CONSTRUCT AND EQUIP OTHER HOSPITAL FACILITIES, (C) REFUND PRIOR ISSUES WITH THE FOLLOWING ISSUE DATES (I) JULY 1, 1999, (II) JULY 28, 2000, AND (III) MARCH 12, 2002, (D) FUND A DEBT SERVICE RESERVE FOR SERIES 2004A BONDS, AND (E) PAY ISSUANCE COSTS, AND (2) FUND CAPITALIZED INTEREST ON THE SERIES 2014B BONDS. THE PURPOSE OF THE DEVELOPMENT FINANCE AUTHORITY SERIES 2014 BONDS WAS TO CURRENTLY REFUND THE SERIES 2006 BONDS, WHICH WERE ISSUED TO (1) ACQUIRE A PROJECT SITE FOR AND CONSTRUCT AND EQUIP A WELLNESS INSTITUTE, AND (2) TO PAY ISSUANCE COSTS.
SCHEDULE K, PART I, LINE D, COLUMN (F)	AKRON, BATH AND COPLEY JOINT TOWNSHIP HOSPITAL DISTRICT SERIES 2015 BONDS: THE PURPOSE OF THE SERIES 2015 BONDS WAS TO (1) ACQUIRE, CONSTRUCT, IMPROVE, EQUIP CERTAIN HOSPITAL FACILITIES, AND (2) PAY ISSUANCE COSTS.
SCHEDULE K, PART II, LINE 3	TOTAL PROCEEDS OF ISSUE - COLUMN A: THE DIFFERENCE BETWEEN THE TOTAL PROCEEDS OF THE ISSUE AND THE ISSUE PRICE PROVIDED IN PART I, LINE A, COL. (E) IS DUE TO INVESTMENT PROCEEDS OF THE ISSUE.
SCHEDULE K, PART III, LINE 4	PRIVATE BUSINESS USAGE - BOND ISSUE C: THE PRIVATE BUSINESS USAGE IS PROJECTED TO BE LESS THAN 5 PERCENT OVER THE LIFE OF THE SERIES 2014 BONDS DUE TO THE EXPECTED TERMINATION OF CERTAIN LEASE ARRANGEMENTS.
SCHEDULE K, PART III, LINE 6	TOTAL PRIVATE USE PERCENTAGE - COLUMN C: THIS NUMBER IS PROJECTED TO BE LESS THAN 5% OVER THE LIFE OF THE SERIES 2014 BONDS DUE TO THE EXPECTED TERMINATION OF CERTAIN LEASE ARRANGEMENTS.
SCHEDULE K, PART IV, LINE 4B	NAME OF HEDGE PROVIDER - COLUMN C: SERIES 2014A BONDS: GOLDMAN SACHS BANK USA. SERIES 2014B BONDS: THERE IS NO HEDGE WITH RESPECT TO THE SERIES 2014B BONDS. DEVELOPMENT FINANCE AUTHORITY SERIES 2014 BONDS: PNC BANK, NATIONAL ASSOCIATION
SCHEDULE K, PART IV, LINE 4C	TERM OF HEDGE - COLUMN C: THE TERM OF THE HEDGE WITH GOLDMAN SACHS BANK USA IS 20 YEARS. THE TERM OF THE HEDGE WITH PNC BANK, NATIONAL ASSOCIATION IS 30 YEARS.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
BRIAN BAUMAN
FAMILY MEMBER OF WILLIAM BAUMAN (DIRECTOR SHS, SBH, SPI)	$462,630	EMPLOYMENT AND INDEPENDENT CONTRACTOR	0
M&M PROPERTIES
DALE MURPHY, SPI DIRECTOR, HAS A REPORTABLE OWNERSHIP INTEREST IN M&M PROPE	$54,300	INDEPENDENT CONTRACTOR	0
CYNTHIA BROWNING
FAMILY MEMBER OF NICHOLAS BROWNING, SUMMA HEALTH BOARD MEMBER.	$51,704	EMPLOYMENT	0
KAREN CUSTODIO
FAMILY MEMBER OF DAVID CUSTODIO (KEY EMPLOYEE SHS)	$11,164	EMPLOYMENT	0

Schedule M IRS990ScheduleM

Works Of Art WorksOfArtGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	4	ContributionCnt
Noncash Contributions Rpt F990	$14,962	NoncashContributionsRptF990Amt
Method Of Determining Revenues	APPRAISAL	MethodOfDeterminingRevenuesTxt

Books And Publications BooksAndPublicationsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$2,500	NoncashContributionsRptF990Amt
Method Of Determining Revenues	REPLACEMENT COST	MethodOfDeterminingRevenuesTxt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	9	ContributionCnt
Noncash Contributions Rpt F990	$1,151,615	NoncashContributionsRptF990Amt
Method Of Determining Revenues	MARKET VALUE	MethodOfDeterminingRevenuesTxt

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$11,850	NoncashContributionsRptF990Amt
Method Of Determining Revenues	REPLACEMENT COST	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	EVENTS	Desc
Contribution	5	ContributionCnt
Noncash Contributions Rpt F990	$45,384	NoncashContributionsRptF990Amt
Method Of Determining Revenues	MARKET VALUE	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (1)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, COLUMN (B):	FormAndLineReferenceDesc
Explanation	EXPLANATIONS OF REPORTING METHOD FOR NUMBER OF CONTRIBUTIONS: ARTWORK: NUMBER OF CONTRIBUTIONS SECURITIES - PUBLICALLY TRADED: NUMBER OF CONTRIBUTIONS DRUGS AND MEDICAL SUPPLIES: NUMBER OF CONTRIBUTIONS OTHER: NUMBER OF CONTRIBUTIONS	ExplanationTxt

Schedule N IRS990ScheduleN

Liquidation Of Assets Table LiquidationOfAssetsTableGrp

Liquidation Of Assets Detail LiquidationOfAssetsDetail

Field	Value	IRS element (for citing)
Assets Distri Or Expnss Paid	SUMMA BARBERTON CITIZENS HOSPITAL PATIENT ACCOUNTS RECEIVABLE,PROPERTY AND EQUIPMENT, INVENTORY, OTHER ASSETS	AssetsDistriOrExpnssPaidDesc
Distribution	2015-05-31	DistributionDt
Fair Market Value Of Asset	$91,045,889	FairMarketValueOfAssetAmt
Method Of FMV Determination	BOOK VALUE	MethodOfFMVDeterminationTxt
EIN	340714755	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SUMMA HEALTH SYSTEM	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1077 GORGE BLVD	AddressLine1Txt
City	AKRON	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	44309	ZIPCd

Field	Value	IRS element (for citing)
IRC Section	501(C)(3)	IRCSectionTxt

Field	Value	IRS element (for citing)
Director Of Successor	0	DirectorOfSuccessorInd
Employee Of Successor	0	EmployeeOfSuccessorInd
Owner Of Successor	0	OwnerOfSuccessorInd
Receive Compensation	0	ReceiveCompensationInd
Assets Distributed	Yes (1)	AssetsDistributedInd
Required To Notify AG	Yes (1)	RequiredToNotifyAGInd
Attorney General Notified	Yes (1)	AttorneyGeneralNotifiedInd
Liabilities Paid	Yes (1)	LiabilitiesPaidInd
Bonds Outstanding	0	BondsOutstandingInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1	LINES 1A AND 1B: THE DIRECTOR COUNT INFORMATION IS PRESENTED IN THE FOLLOWING FORMAT: ENTITY NAME - NUMBER OF VOTING MEMBERS - NUMBER OF INDEPENDENT VOTING MEMBERS SUMMA HEALTH SYSTEM ("SHS") - 14 - 10 SUMMA FOUNDATION ("SF") - 26 - 25 SUMMA PHYSICIANS, INC. ("SPI") - 3 - 2 TOTALS FOR GROUP RETURN - 43 - 37 ALL OF THE ORGANIZATIONS LISTED ABOVE ARE SUBORDINATES UNDER THE CONTROL OF SUMMA HEALTH ("SH"). AS OF DECEMBER 31, 2015, SH HAD 14 VOTING DIRECTORS, 10 OF WHOM WERE INDEPENDENT VOTING DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 2	FAMILY/BUSINESS RELATIONSHIPS AMONGST INTERESTED PERSONS: SUMMA HEALTH SYSTEM SUMMA BARBERTON CITIZENS HOSPITAL: THOMAS MALONE, M.D., THOMAS P. O'NEILL, ERIK, STEELE, D.O., AND MARY WARD - BUSINESS RELATIONSHIP THOMAS P. O'NEILL AND UNHEE KIM - BUSINESS RELATIONSHIP BRIAN DERRICK, THOMAS MALONE, M.D., JAMES MCILVAINE, AND ERIC N. STEELE, D.O. - BUSINESS RELATIONSHIP RICHARD MARSH, LEILA VESPOLI, AND ANTHONY LOCKHART - BUSINESS RELATIONSHIP REBECCA ANGERSTEIN AND MICHAEL HUGHES, M.D. - BUSINESS RELATIONSHIP SUMMA FOUNDATION: SAMIR GIBARA AND SCOTT HONNOLD - BUSINESS RELATIONSHIP GEORGE DAVERIO, JR. AND C. GORDON EWERS - BUSINESS RELATIONSHIP
FORM 990, PART VI, SECTION A, LINE 4	SIGNIFICANT CHANGES TO GOVERNING DOCUMENTS: SUMMA HEALTH SYSTEM: THE ARTICLES OF INCORPORATION AND CODE OF REGULATIONS WAS AMENDED EFFECTIVE MARCH 1, 2015 TO CHANGE THE NAME FROM SUMMA AKRON CITY AND ST. THOMAS HOSPITALS TO SUMMA HEALTH SYSTEM. THE CODE OF REGULATIONS OF SUMMA HEALTH SYSTEM WAS FURTHER AMENDED AS FOLLOWS: THE NUMBER AND CLASSIFICATION OF THE DIRECTORS WAS CHANGED TO PROVIDE THAT THOSE DIRECTORS OF SUMMA HEALTH, THE SOLE MEMBER OF SUMMA HEALTH SYSTEM, WOULD BE THE DIRECTORS OF SUMMA HEALTH SYSTEM. AN EXECUTIVE COMMITTEE WAS AUTHORIZED FOR SUMMA HEALTH SYSTEM TO BE COMPRISED OF THOSE INDIVIDUALS WHO SERVE FROM TIME-TO-TIME AS THE EXECUTIVE COMMITTEE OF SUMMA HEALTH. ALL MEMBERS OF THE EXECUTIVE COMMITTEE ARE DIRECTORS OF SUMMA HEALTH SYSTEM. THE EXECUTIVE COMMITTEE IS AUTHORIZED TO MEET ON AN AD HOC BASIS AND IS AUTHORIZED TO EXERCISE THE POWERS OF THE BOARD AT SUCH TIME AS THE BOARD IS NOT IN SESSION, SUBJECT TO RESTRICTIONS IMPOSED BY PREVIOUS DECISIONS OF THE BOARD AND TO THE PROVISIONS OF THE SUMMA HEALTH SYSTEM CODE OF REGULATIONS. ALL INTERIM ACTIONS BY THE EXECUTIVE COMMITTEE ARE REPORTED AT THE BOARD'S NEXT MEETING SUCCEEDING SUCH ACTION. SUMMA BARBERTON CITIZENS HOSPITAL (MERGED MAY 31, 2015) SUMMA BARBERTON CITIZENS HOSPITAL MERGED WITH SUMMA HEALTH SYSTEM EFFECTIVE AS OF MAY 31, 2015. SUMMA HEALTH SYSTEM WAS THE SURVIVING ENTITY.
FORM 990, PART VI, SECTION A, LINE 6	CLASSES OF MEMBERS OR STOCKHOLDERS: SUMMA HEALTH SYSTEM:SUMMA HEALTH IS THE SOLE MEMBER OF SUMMA HEALTH SYSTEM. SUMMA FOUNDATION: SUMMA HEALTH IS THE SOLE MEMBER OF SUMMA FOUNDATION SUMMA BARBERTON CITIZENS HOSPITAL:PRIOR TO THE MERGER OF SUMMA BARBERTON CITIZENS HOSPITAL WITH SUMMA HEALTH SYSTEM EFFECTIVE MAY 31, 2015, SUMMA HEALTH WAS THE SOLE MEMBER OF SUMMA BARBERTON CITIZENS HOSPITAL. SUMMA PHYSICIANS, INC.: SUMMA PHYSICIANS, INC. HAS STOCKHOLDERS; THE STOCK IS HELD IN TRUST FOR THE BENEFIT OF SUMMA HEALTH.
FORM 990, PART VI, SECTION A, LINE 7A	MEMBERS OR STOCKHOLDERS ELECTING MEMBERS OF GOVERNING BODY: SUMMA HEALTH SYSTEM: THE CODE OF REGULATIONS OF SUMMA HEALTH SYSTEM WAS AMENDED IN 2015 TO PROVIDE THAT THOSE DIRECTORS OF SUMMA HEALTH, THE SOLE MEMBER OF SUMMA HEALTH SYSTEM, WOULD BE THE DIRECTORS OF SUMMA HEALTH SYSTEM. SUMMA FOUNDATION: IN ADDITION TO DIRECTORS ELECTED BY THE SUMMA HEALTH BOARD AS THE SOLE MEMBER OF SUMMA FOUNDATION, THE PRESIDENT AND CEO OF SUMMA HEALTH SERVES AS A DIRECTOR OF SUMMA FOUNDATION. SUMMA PHYSICIANS, INC.: SUMMA PHYSICIANS, INC. IS AFFILIATED WITH SUMMA HEALTH SYSTEM AND ONLY PERSONS APPROVED BY SUMMA HEALTH SYSTEM OR EMPLOYED BY SUMMA HEALTH SYSTEM OR AN AFFILIATED ENTITY MAY SERVE AS A DIRECTOR OF SUMMA PHYSICIANS, INC.
FORM 990, PART VI, SECTION A, LINE 7B	DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS: SUMMA HEALTH SYSTEM SUMMA BARBERTON CITIZENS HOSPITAL: SUMMA HEALTH IS THE SOLE MEMBER OF EACH OF SUMMA HEALTH SYSTEM AND SUMMA BARBERTON CITIZENS HOSPITAL. AS THE SOLE MEMBER, SUMMA HEALTH HAS THE POWER AND AUTHORITY TO APPROVE OR DISAPPROVE OF EACH OF THE FOLLOWING ON BEHALF OF EACH OF SUMMA HEALTH SYSTEM AND SUMMA BARBERTON CITIZENS HOSPITAL: (I)ANY MODIFICATION OF THE ESSENTIAL NATURE, PURPOSE, MISSION OR OPERATIONS OF THE CORPORATION; (II)ADOPTION OF A CODE OF REGULATIONS, BYLAWS OR OTHER CONSTITUTIVE DOCUMENT OF THE CORPORATION AND ANY AND ALL AMENDMENTS THERETO; (III)ADOPTION OF ANY AMENDMENTS TO THE ARTICLES OF INCORPORATION OR SIMILAR CHARTER OR ORGANIZATIONAL DOCUMENT OR AGREEMENT AND/OR ANY OTHER CHANGE IN THE CORPORATE STRUCTURE OR GOVERNANCE OF THE CORPORATION; (IV)ESTABLISHMENT OF QUALIFICATIONS FOR THE SELECTION OF DIRECTORS, DIRECTORS OR MANAGERS OF THE CORPORATION; (V)APPOINTMENT OR ELECTION AND REMOVAL OF MEMBERS OF THE GOVERNING BODY OF THE CORPORATION; (VI)APPOINTMENT OR ELECTION AND REMOVAL OF THE PRESIDENT AND/OR CHIEF EXECUTIVE OFFICER OR SIMILAR OFFICER(S) OF THE CORPORATION; (VII)ADOPTION OF ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORPORATION; (VIII)THE BORROWING OF MONEY OR OTHER INCURRING OR CREATING OF ANY INDEBTEDNESS OF THE CORPORATION, INCLUDING BY WAY OF A GUARANTY OF THE DEBT OF ANOTHER, IN AN AMOUNT GREATER THAN $1,000,000 OR THAT WILL INCREASE THE AMOUNT OF INDEBTEDNESS INCURRED IN THE CURRENT CALENDAR YEAR, IN THE AGGREGATE, TO MORE THAN $3,500,000; (IX)ADOPTION OF THE LONG RANGE PLANS OF THE CORPORATION; (X)DETERMINATIONS AS TO THE USE AND OCCUPANCY OF ANY BUILDING OWNED OR LEASED BY THE CORPORATION; (XI)THE SALE, ENCUMBRANCE, LEASE OR DISPOSITION OF REAL PROPERTY OF THE CORPORATION OTHER THAN IN THE ORDINARY COURSE OF THE OPERATIONS OF THE CORPORATION; AND (XII)THE MERGER, REORGANIZATION, DISSOLUTION OR OTHER CORPORATE ACTION OF A SIMILAR NATURE, INCLUDING PARTICIPATION IN A JOINT VENTURE, PROPOSED BY THE CORPORATION. SUMMA FOUNDATION: SUMMA HEALTH IS THE SOLE MEMBER ("MEMBER") OF SUMMA FOUNDATION. THE FOLLOWING ARE THE MATTERS ("RESERVED POWERS") WHICH MUST BE SUBMITTED TO, AND RECEIVE THE APPROVAL OF BOTH THE BOARD OF DIRECTORS OF SUMMA FOUNDATION AND THE MEMBER: (I)ADOPTION OF THE FOUNDATION'S ANNUAL OPERATING AND CAPITAL BUDGETS; (II)EXPENDITURES FOR (A) NON BUDGETED ITEMS IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER AND (B) ITEMS WHICH ARE INCLUDED IN THE FOUNDATION'S ANNUAL BUDGETS BUT WHICH EXCEED THE BUDGETED AMOUNT BY AN AMOUNT IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER; (III)INCURRENCE, ASSUMPTION OR GUARANTEE OF ANY INDEBTEDNESS IF FOLLOWING THE INCURRENCE, ASSUMPTION, OR GUARANTEE OF SUCH INDEBTEDNESS THE AGGREGATE AMOUNT OF ALL OUTSTANDING INDEBTEDNESS INCURRED, ASSUMED OR GUARANTEED BY THE FOUNDATION WHICH HAS NOT BEEN PREVIOUSLY APPROVED BY THE MEMBER EXCEEDS CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER; (IV)SUBMISSION OF ANY CERTIFICATE OF NEED APPLICATION WITH ANY STATE OR FEDERAL REGULATORY AGENCY; (V)EXECUTION OF ANY CONTRACT THAT CALLS FOR THE FOUNDATION TO EXPEND A SUM IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER OR TO PROVIDE SERVICES WITH A VALUE IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER; (VI)ELECTION OF SUCH OFFICERS AS ARE REQUIRED TO BE ELECTED UNDER THIS CODE OF REGULATIONS; (VII)APPOINTMENT OF THE FOUNDATION'S AUDITORS AND/OR ACCOUNTANTS; (VIII)ADOPTION OF THE FOUNDATION'S LONG RANGE PLANS AND MANAGEMENT OBJECTIVE, INCLUDING THE EXECUTION OF ANY AGREEMENT WITH CONSORTIUMS, ALLIANCES, ETC; (IX)SALE, LEASE OR OTHER DISPOSITION OF ANY REAL OR PERSONAL PROPERTY OF THE FOUNDATION WITH A VALUE IN EXCESS OF CERTAIN DOLLAR LIMITS TO BE SET FROM TIME TO TIME BY THE MEMBER; (X)SALE, RELEASE, DISSOLUTION, TRANSFER, EXCHANGE, OR OTHER DISPOSITION OF ANY ORGANIZATION (OR OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF SUCH ORGANIZATION) CONTROLLED BY THE FOUNDATION IF AFTER SUCH SALE, RELEASE, DISSOLUTION, TRANSFER, EXCHANGE OR OTHER DISPOSITION, SUCH ORGANIZATION (OR ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF SUCH ORGANIZATION) WOULD NO LONGER BE CONTROLLED BY THE FOUNDATION; (XI)ADOPTION OR AMENDMENT OF THE FOUNDATION'S CODE OF REGULATIONS OR ARTICLES OF INCORPORATION; (XII)ANY OTHER MATTER WHICH MAY BE SPECIFIED BY THE MEMBER OR BY THE BOARD OR REQUIRED BY LAW. SUMMA PHYSICIANS, INC. N/A
FORM 990, PART VI, SECTION B, LINE 11	REVIEW OF FORM 990 BY GOVERNING BODY: THE RETURN WAS REVIEWED IN DETAIL BY A COMMITTEE CONSISTING OF INTERNAL LEGAL COUNSEL, FINANCIAL MANAGEMENT, AND AN EXTERNAL AUDITOR. THE REVIEW COMMITTEE INCLUDED THE SENIOR VICE PRESIDENT, FINANCE & CFO AND THE SENIOR VICE PRESIDENT, LEGAL SERVICES & GENERAL COUNSEL. THIS DETAILED REVIEW OCCURRED IN OCTOBER 2016. FOLLOWING THIS REVIEW AND INCORPORATION OF CHANGES RECOMMENDED BY THIS COMMITTEE, THE RETURN WAS PROVIDED TO THE SUMMA HEALTH COMMITTEE ON GOVERNANCE PRIOR TO ITS OCTOBER 2016 MEETING FOR FURTHER REVIEW. THE COMMITTEE ON GOVERNANCE IS A STANDING COMMITTEE APPOINTED BY THE SUMMA HEALTH BOARD OF DIRECTORS AND INCLUDES MEMBERS OF THE BOARD OF DIRECTORS. SCHEDULE H OF THE RETURN WAS ALSO REVIEWED BY THE SUMMA HEALTH COMMUNITY BENEFITS COMMITTEE. AFTER THESE REVIEWS BY THE COMMITTEE ON GOVERNANCE AND THE COMMUNITY BENEFITS COMMITTEE, AND PRIOR TO FILING WITH THE IRS, AN EMAIL WAS SENT TO EACH VOTING MEMBER OF THE BOARDS OF DIRECTORS. THIS EMAIL INCLUDED INSTRUCTIONS AND A LINK TO A PASSWORD-PROTECTED WEB SITE ON WHICH THE ENTIRE FORM 990 WAS AVAILABLE FOR VIEWING, PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	CONFLICT OF INTEREST POLICY: A CONFLICT OF INTEREST QUESTIONNAIRE IS SENT ANNUALLY TO ALL SUMMA HEALTH ENTITIES' BOARDS OF DIRECTORS, KEY EMPLOYEES, SENIOR MANAGERS, MEDICAL DIRECTORS, EMPLOYED PHYSICIANS, CONTRACTED PHYSICIANS, ADMINISTRATIVE DIRECTORS, EXECUTIVE DIRECTORS, DEPARTMENT HEADS, MANAGERS, SUPERVISORS, AND MEMBERS OF PURCHASING COMMITTEES FOR COMPLETION. RESPONSES ARE INDIVIDUALLY REVIEWED FOR DETERMINATION OF POTENTIAL CONFLICTS. THOSE RESPONSES DEEMED TO PRESENT POTENTIAL CONFLICTS ARE THEN PRESENTED TO THE GOVERNANCE COMMITTEE (SUB-COMMITTEE OF THE SUMMA HEALTH BOARD OF DIRECTORS). THE GOVERNANCE COMMITTEE REVIEWS EACH RESPONSE THAT PRESENTS A POTENTIAL CONFLICT AND DETERMINES WHETHER ADDITIONAL ACTION IS REQUIRED TO ELIMINATE OR MITIGATE THE POTENTIAL CONFLICT. THIS ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE PROCESS IS MANAGED BY THE CORPORATE COMPLIANCE DEPARTMENT PURSUANT TO THE SUMMA HEALTH POLICY ON CONFLICT OF INTEREST AS APPROVED BY THE SUMMA HEALTH BOARD OF DIRECTORS. IN ADDITION TO THE ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE, THE CONFLICT OF INTEREST POLICY IMPOSES A DUTY TO DISCLOSE CONFLICTING INTERESTS ON AN ONGOING BASIS.
FORM 990, PART VI, SECTION B, LINE 15	PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL AND OTHER EMPLOYEES: EXECUTIVE COMPENSATION: THE COMPENSATION COMMITTEE OF THE SUMMA HEALTH BOARD OF DIRECTORS MEETS AT LEAST TWICE EACH YEAR TO REVIEW AND APPROVE BASE COMPENSATION AND TOTAL REMUNERATION FOR EXECUTIVE STAFF. EACH VOTING MEMBER OF THE COMPENSATION COMMITTEE IS AN INDEPENDENT DIRECTOR AND IS NOT AFFILIATED WITH MANAGEMENT. THE COMPENSATION COMMITTEE ENGAGES OUTSIDE CONSULTING SUPPORT TO PROVIDE INDEPENDENT MARKET DATA, ADVICE AND COUNSEL TO THE COMPENSATION COMMITTEE. FOR THE PAST SIX YEARS, THE COMPENSATION COMMITTEE HAS USED HAY GROUP, A NATIONALLY RECOGNIZED CONSULTING FIRM, TO ASSIST THEIR EFFORTS. THE HAY GROUP PROVIDES THE FOLLOWING SERVICES TO THE COMPENSATION COMMITTEE: (A) EDUCATION OF COMMITTEE MEMBERS REGARDING EXECUTIVE COMPENSATION TRENDS AND BEST PRACTICES IN HEALTHCARE ORGANIZATIONS; (B) ASSESSMENT OF THE MARKET COMPETITIVENESS AND REASONABLENESS OF SUMMA'S EXECUTIVE COMPENSATION PROGRAMS INCLUDING BASE SALARY, INCENTIVE COMPENSATION, CORE AND EXECUTIVE BENEFITS, AS WELL AS THEIR ALIGNMENT WITH THE MISSION AND FUTURE PERFORMANCE EXPECTATIONS; (C) WRITTEN, DETAILED EVALUATION OF THE MARKET REASONABLENESS OF SUMMA'S EXECUTIVE COMPENSATION AND BENEFITS PROGRAM; AND (D) ONGOING SUPPORT AND INDEPENDENT ADVICE TO THE COMPENSATION COMMITTEE ON MATTERS RELATED TO EXECUTIVE COMPENSATION. EACH YEAR THE COMPENSATION COMMITTEE REVIEWS AND APPROVES THE COMPENSATION FOR THE FOLLOWING POSITIONS: SUMMA HEALTH: PRESIDENT & CEO SENIOR VICE PRESIDENT, FINANCE & CFO SENIOR VICE PRESIDENT, LEGAL SERVICES & GENERAL COUNSEL SENIOR VICE PRESIDENT, IT&S & CIO SENIOR VICE PRESIDENT, PLANNING & MARKETING SENIOR VICE PRESIDENT & CHIEF NURSING OFFICER SENIOR VICE PRESIDENT, HUMAN RESOURCES SENIOR VICE PRESIDENT, CHIEF MEDICAL OFFICER CHIEF OPERATING OFFICER SUMMA HEALTH SYSTEM: PRESIDENT SUMMA FOUNDATION: PRESIDENT SUMMA BARBERTON CITIZENS HOSPITAL: SR. VICE PRESIDENT, HOSPITAL OPERATIONS/SITE ADMINISTRATOR SUMMA PHYSICIANS, INC.: PRESIDENT
FORM 990, PART VI, SECTION C, LINE 19	REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC: SUMMA HEALTH MAKES ITS CONFLICTS OF INTEREST POLICY AVAILABLE UPON REQUEST. THE ARTICLES OF INCORPORATION OF SUMMA HEALTH AND ITS RELATED ENTITIES ARE AVAILABLE ON THE WEBSITE OF THE OHIO SECRETARY OF STATE (WWW.SOS.STATE.OH.US). SUMMA HEALTH MAKES ITS FINANCIAL STATEMENTS AVAILABLE ON ITS WEBSITE (WWW.SUMMAHEALTH.ORG). THE FINANCIAL STATEMENTS ARE ALSO AVAILABLE THROUGH THE ELECTRONIC MUNICIPAL MARKET ACCESS (WWW.EMMA.MSRB.ORG) AND ON SUMMA'S WEBSITE (WWW.SUMMAHEALTH.ORG).
FORM 990, PART VII, SECTION B, LINE 1	BEGINNING WITH THE 2014 TAX YEAR ALL INDEPENDENT CONTRACTORS WERE PAID BY SUMMA HEALTH (EIN 34-1887844) WHICH IS THE PARENT ORGANIZATION OF THE FILING ORGANIZATION.
FORM 990, PART IX, LINE 11G	PURCHASED MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 42,993,337. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 42,993,337. PURCHASED NON-MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 134,931,170. FUNDRAISING EXPENSES 110,804. TOTAL EXPENSES 135,041,974. PERFUSION/BLOOD: PROGRAM SERVICE EXPENSES 2,818,230. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,818,230. AMBULANCE SERVICES: PROGRAM SERVICE EXPENSES 282,618. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 282,618. HOSPICE SERVICES: PROGRAM SERVICE EXPENSES 2,370,354. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,370,354. PHYSICIAN PRACTICE SUPPORT: PROGRAM SERVICE EXPENSES 20,788,149. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,788,149. PHYSICIAN SERVICES - AFFILIATES: PROGRAM SERVICE EXPENSES 51,981,606. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 51,981,606. COLLECTIONS: PROGRAM SERVICE EXPENSES 4,848,423. MANAGEMENT AND GENERAL EXPENSES 930,389. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,778,812. REPAIR/MAINTENANCE: PROGRAM SERVICE EXPENSES 12,746,190. MANAGEMENT AND GENERAL EXPENSES 2,445,931. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,192,121.
FORM 990, PART XI, LINE 9:	PENSION LIABILITY ADJUSTMENT -281,000. POST RETIREMENT BENEFIT ADJUSTMENT 36,000. NET ASSETS RELEASED FROM RESTRICTION 3,752,000. NET ASSET CONTRIBUTION TO(FROM) AFFILIATED ORGANIZATION -61,644,000. OTHER CHANGES IN NET ASSETS 42,000. CHANGE IN TRUST VALUE -558,662. RESTRICTED ACTIVITY - SUMMA FOUNDATION 388,193. CHANGE IN TEMPORARILY RESTRICTED NET ASSETS -3,893,994. CHANGE IN PERMANENTLY RESTRICTED NET ASSETS -270,572. OTHER CHANGES IN NET ASSETS - ADJUSTMENTS -6,170.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
SUMMA ENTERPRISE GROUP LLC
525 EAST MARKET STREET	AKRON	OH	44304	030507853	INVESTMENTS/REAL ESTATE, DISSOLVED DECEMBER 2015	OH	$2,847,000	$0	SUMMA HEALTH SYSTEM
SEG PROPERTIES LLC
525 EAST MARKET STREET	AKRON	OH	44304	550837372	REAL ESTATE	OH	$0	$0	SUMMA HEALTH SYSTEM
AKRON ENDOSCOPY ASC LLC
525 EAST MARKET STREET	AKRON	OH	44304	621865245	PROFESSIONAL MEDICAL SERVICES	OH	$0	$0	SUMMA HEALTH SYSTEM

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
ST THOMAS MEDICAL CENTER WOMEN'S BOARD
444 NORTH MAIN STREET	AKRON	OH	44310	346576575	SUPPORT ORGANIZATION	OH	501(C)(3)	LINE 11A, I	SUMMA HEALTH SYSTEM	0
SUMMA HEALTH SYSTEM COMMUNITY
1077 GORGE BLVD PO BOX 2090	AKRON	OH	443092090	463018310	SUPPORT ORGANIZATION	OH	501(C)(3)	LINE 11B, II	SUMMA HEALTH	Yes (1)
SUMMA ROBINSON HEALTH VENTURES
1077 GORGE BLVD PO BOX 2090	AKRON	OH	443092090	208650711	SUPPORT ORGANIZATION	OH	501(C)(3)	LINE 11A, I	SUMMA HEALTH	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt
OHIO SLEEP DISORDERS CENTER
130 WEST EXCHANGE STREET	AKRON	OH	44309	341872278	NEUROLOGY	OH	SUMMA HEALTH SYSTEM	RELATED	0	0	0.67000
SUMMA REHAB HOSPITAL LLC
29 NORTH ADAMS STREET	AKRON	OH	44304	271952573	REHAB HOSPITAL	OH	SUMMA HEALTH SYSTEM	RELATED	0	Yes (1)	0.52000	$14,843,156	$4,425,032

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (11 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
OHIO HEALTH CHOICE INC
1077 GORGE BLVD	AKRON	OH	443092090	341895396	PPO	OH	SHS CORP	C	$2,790,000	$5,346,000	0.80000	Yes (1)
SUMMA INSURANCE COMPANY INC
10 NORTH MAIN STREET	AKRON	OH	44308	341809108	PROP/CAS INS	OH	SHS CORP	C	$214,854,062	$59,694,266	1.00000	Yes (1)
SUMMA HEALTH SYSTEM CORP
1077 GORGE BLVD	AKRON	OH	443092090	341515252	MGMT SVCS	OH	SUMMA HEALTH	C	$1,997,833	$4,213,744	1.00000	Yes (1)
WADSWORTH RITTMAN HOS PROF SVC CORP
195 WADSWORTH RD	WADSWORTH	OH	44281	010842997	PROF MED SVCS	OH	SHS CORP	C			1.00000	Yes (1)
MIDDLEBURY ASSURANCE COMPANY
				980405096	SELF INSURANCE		SUMMA HEALTH	C	$10,818,647	$62,744,101	1.00000	Yes (1)	PO BOX 1051 KY1-1102	GRAND CAYMAN	CJ	CJ
SUMMACARE INC
10 NORTH MAIN STREET	AKRON	OH	44308	341726655	PROP/CAS INS	OH	SIC	C	$271,448,549	$90,584,577	1.00000	Yes (1)
ARIS TELERADIOLOGY HOLDINGS INC
5655 HUDSON DRIVE SUITE 210	HUDSON	OH	44236	453697866	RADIOLOGY SVC	OH	SUMMA HEALTH SYSTEM	C	$24,468,674	$13,179,234	0.58800	Yes (1)
SUMMA ACCOUNTABLE CARE ORGANIZATION
1077 GORGE BLVD	AKRON	OH	443092090	273857055	CONTRACTING	OH	SUMMA HEALTH	C	$11,972,000	$5,256,000	1.00000	Yes (1)
HEALTH CARE CENTERS PHYSICIANS INC
1900 23RD STREET	CUYAHOGA FALLS	OH	44223	341692767	INACTIVE	OH	SHS CORP	C			1.00000	Yes (1)
SUMMA MANAGEMENT SERVICES ORGANIZATION
10 NORTH MAIN STREET	AKRON	OH	44308	461145832	MGMT SVCS	OH	SHS CORP	C	$32,869,000	$8,170,000	1.00000	Yes (1)
SUMMA INTEGRATED SERVICES ORGANIZATION
10 NORTH MAIN STREET	AKRON	OH	44308	461159251	MGMT SVCS	OH	SHS CORP	C	$21,962,000	$12,863,000	1.00000	Yes (1)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (1)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
SUMMA REHAB HOSPITAL LLC
A	$2,362,572	FMV
SUMMA INSURANCE COMPANY INC
L	$101,475,697	FMV
SUMMA REHAB HOSPITAL LLC
L	$586,140	FMV
MIDDLEBURY ASSURANCE COMPANY
M	$8,550,429	FMV
MIDDLEBURY ASSURANCE COMPANY
M	$2,058,756	FMV
SUMMA INTEGRATED SERVICES ORGANIZATION
M	$947,048	FMV
SUMMA HEALTH