2015-11-13T16:05:46-06:00 2014-12-31 346565596 Ernst & Young LLP 111 Monument Circle Suite 4000 Indianapolis IN 46204 990 2014-01-01 341887844 Summa Health SUMM 2343125867 1077 Gorge Blvd PO Box 2090 Akron OH 443092090 Brian K Derrick CFO 2015-11-11 true Jennifer D Rhoderick P00395735 3176817000 2014 2016-03-07 17:11:31Z Thomas Malone MD 1077 Gorge Blvd PO Box 2090 Akron OH 443092090 114691766 false X www.summahealth.org X 1999 OH The mission of Summa Health is to provide the highest quality, compassionate care to patients and members and contribute to a healthier community. 15 10 839 10 185931 7894 0 0 47569109 110370152 147202 3670360 -346002 651254 47370309 114691766 535100 377174 0 0 28122497 57742197 0 0 0 17025782 49929603 45683379 108048974 1686930 6642792 374672189 705767404 70816500 280719038 303855689 425048366 The mission of Summa Health is to provide the highest quality, compassionate care to patients and members and contribute to a healthier community. false false 81593757 377174 110370152 Summa Health directs the activities of the system so that all system resources and assets are best allocated and utilized for the benefit of the community. Summa Health represents the collaborative efforts of health care providers to better administer, manage, provide and plan for the delivery of a full-range of health care services to all persons within the communities served by Summa Health without regard to the race, creed, color, national origin or economic status of such persons. See Summa Health Group Return (EIN 90-0640432) for further details. 3290742 0 4719076 Summa Health Network, LLC, a disregarded entity of Summa Health, partners with community physicians, regional and national payers to improve the clinical quality and efficiency of care, lower the cost of care to patients and employers and assist physicians with technology and resources necessary to achieve these goals. 84884499 true false false true false false false false true true false true true false true false true false false true false false false false false false true false true false false false false false false true false false false false false true true true true false false true 787 0 true 839 true true true true CJ false false false false false false false false X 15 10 true false true false true true true true true false false true true true true true false true true false OH X X Brian K Derrick 2343125867 1077 Gorge Blvd PO Box 2090 Akron OH 443092090 NICHOLAS BROWNING DIRECTOR & TREASURER 2.00 2.00 X X 0 0 0 JAMES MCILVAINE DIRECTOR & VICE CHAIRMAN 2.00 2.00 X X 0 0 0 THOMAS J STRAUSS SYSTEM PRESIDENT & CEO (END 12/14) 46.00 4.00 X X 4104922 0 122274 NORMAN WELLS DIRECTOR & CHAIRMAN 4.00 2.00 X X 0 0 0 DARYL CAMERON DIRECTOR 2.00 0 X 0 0 0 JAMES GRAVELL DIRECTOR 2.00 0 X 0 0 0 MICHAEL HUGHES MD DIRECTOR 2.00 48.00 X 0 659879 15970 JAMES KRAVEC MD DIRECTOR 2.00 0 X 0 0 0 ANTHONY LOCKHART DIRECTOR 2.00 2.00 X 0 0 0 RICHARD MARSH DIRECTOR 2.00 2.00 X 0 0 0 THERESA PROENZA DIRECTOR 2.00 2.00 X 0 0 0 BRIAN SMITH DIRECTOR 2.00 0 X 0 0 0 R DOUGLAS TROCHELMAN MD DIRECTOR 2.00 48.00 X 0 720276 16611 LEILA VESPOLI DIRECTOR 2.00 2.00 X 0 0 0 VIVIAN VON GRUENIGEN MD DIRECTOR 2.00 48.00 X 0 472662 15981 BRIAN DERRICK SYSTEM CFO & ASSIST TREAS 46.00 4.00 X 813681 0 61887 ROBERT A GERBERRY SECRETARY & GENERAL COUNSEL 46.00 4.00 X 190386 0 5140 WILLIAM A POWEL III SECRETARY & GENERAL COUNSEL (end 11/14) 46.00 4.00 X 1199700 0 64853 KYLE KLAWITTER BARR SENIOR VP, SYSTEM HR (END 6/14) 50.00 0.00 X 295079 0 8288 ERIC HUMPHREY SENIOR VP, System HR 50.00 0 X 264607 0 12974 KATHLEEN JOBE CNO, SBH, WRH 4.00 46.00 X 0 241733 12465 GREG KALL SENIOR VP, CIO 50.00 0 X 490341 0 48700 UNHEE KIM SENIOR VP, CLINICAL SERVICES 4.00 46.00 X 638759 0 60227 PATRICE LANGE SENIOR VP, PLANNING & SUPPORT (END 11/14) 50.00 0 X 887121 0 44475 THOMAS MALONE MD PRESIDENT, SHS, SBH, WRH 4.00 46.00 X 766092 0 8747 THOMAS P O'NEILL VP, CFO SHS 4.00 46.00 X 496651 0 34058 ERIK STEELE DO CMO, SUMMA HOSPITALS 4.00 46.00 X 724281 0 23472 MARK TERPYLAK DO PRESIDENT, SUMMA ACO 4.00 46.00 X 341156 0 767 MARY WARD SENIOR VP, CNO 4.00 46.00 X 596134 0 51032 CHARLES ROSS MD CHIEF MEDICAL INFORMATION OFFICER (END 11/14) 50.00 0 X 500717 0 36062 CHARLES VIGNOS VP MANAGED CARE 50.00 0 X 326130 0 36725 ROXIA BOYKIN VP, COMM BENEFIT & DIVERSITY 50.00 0 X 290576 0 23442 JAY MITZEL VP, SUPPLY CHAIN (END 5/14) 50.00 0 X 248230 0 9712 ED FRIEDL VP, CONSTRUCTION 50.00 0 X 286781 0 11616 ROBERT D HARRIGAN Former officer 0.00 0.00 X 1172059 0 5833 14633403 2094550 731311 66 true true false Professional Anesthesia Service 190 North Union Street Akron OH 44304 Medical Services 7582354 Allscripts Healthcare LLC Three Ravinia Drive Atlanta GA 30346 IT & EMR Services 5279017 Patient Centered Collaborative 275 Springside Drive Ste 100 Akron OH 44333 Medical Services 5257358 Akron Radiology INc 525 East Market Street Akron OH 44304 Medical Services 3072594 Primary Care Physicians INc 55 Arch Street Ste 3A Akron OH 44304 Medical Services 2364782 109 0 Corporate Allocation Fees 900099 98041524 98041524 Program Related Investments 900099 5355658 5243977 111681 Healthcare Revenue 524298 4719076 4719076 Rental Income from Affiliates 900099 2253894 2179644 74250 0 0 0 0 110370152 3143879 3143879 0 0 526481 526481 0 526481 526481 Purchase Discounts/Fees Earned 900099 264616 264616 Miscellaneous Income 900099 386638 386638 0 0 0 0 651254 114691766 110184221 185931 4321614 X 377174 377174 12355804 6417605 5938199 101005 101005 36948697 31020745 5927952 751169 630982 120187 4956452 4163420 793032 2629070 2208419 420651 46087 38713 7374 1041831 1041831 1063674 1063674 189380 189380 12003 12003 20101839 16588514 3513325 0 2909743 2444184 465559 3762394 3160411 601983 13447284 11295719 2151565 1150663 966557 184106 239612 201274 38338 176232 148035 28197 751287 631081 120206 4420607 3713310 707297 6982 5865 1117 Dues & Licenses 475920 399773 76147 Medical Supplies 311442 311442 Recruitment 59227 49751 9476 Tax Expense -249128 -249128 12524 10520 2004 0 108048974 84884499 23164475 0 0 0 2095775 0 436319 1010542 126732 2996776 3510131 259817 3618109 54820370 26138017 29299009 28682353 184724085 453924933 0 80897170 79321704 73963238 135572900 374672189 705767404 60643112 264391820 2459204 2209204 477155 458437 7237029 13659577 0 0 70816500 280719038 X 303855689 425048366 303855689 425048366 374672189 705767404 X 6642792 -9208663 123758548 X false true X true true true X X 4 Summa Health System 340714755 3 true 0 0 The Wadsworth-Rittman Area Hospital Association 346549371 3 false 0 0 Summa Barberton Citizens Hospital 261375072 3 false 0 0 Summa Foundation 341219001 7 true 0 0 4 0 false false false false false true false false false false false false false false false false Schedule A, Part IV, Section A, Line 1 Supported Orgs Listed By Name Summa Health System and Summa Foundation are designated as supported organizations by name. The Articles of Incorporation designates the other supported organizations, by class and purpose, to include any other hospital, health care provider or other entity that qualifies as a publicly supported organization within the meaning of sections 509(a)(1) or 509(a)(2) of the Internal Revenue Code, that is affiliated with the integrated health care delivery system operated and managed by Summa Health, and that is related to Summa Health in a manner described in section 509(a)(3) of the Internal Revenue Code. Schedule A, Part IV, Section A, Line 6 Support to other supported orgs In 2014 Summa Health provided support to the University of Akron and the YMCA of Akron. Schedule A, Part IV, Section C, Line 1 Majority director detail The management of the supporting and the supported organizations resides in the same management group. Thomas J. Strauss is System President and CEO and an officer and director for both organizations, Brian Derrick is System CFO and an officer for both organizations, and first William Powell III and then Robert Gerberry served as Secretary and General Counsel and an officer for both organizations. false true true 68 true 102 true 283 false true 189380 false false 189833 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY Part II-B, Line 1 In 2014, Summa Health board members, management, physicians and staff interacted with public sector leadership to influence select health policy and funding priorities. On a federal level, Summa leadership partnered with federal delegation members and staff on issues pertaining to the sustainable growth rate, graduate medical education, Medicare payments, and insurance reform. Summa also devoted a greater percentage of its advocacy resources to advance the Medicaid expansion issue within Ohio. Summa staff also interacted with state legislators and staff on issues related to insurance reform, workforce development, Medicaid payment and reform, and the Ohio Capital Bill. 17564266 1927171 474998 19966435 16730853 70706 762707 17564266 15896469 347618 486766 16730853 15633840 113108 149521 15896469 13145135 2481325 7380 15633840 1.0 false false 1081433 1081433 41274297 23248744 18025553 11350841 2889273 8461568 1113799 1113799 28682353 Ohio Health Choice, Inc 2986734 F Middlebury Assurance Company 41009165 F Summacare, Inc. 1000000 C Summa Insurance Company 25226327 C Summa Integrated Services Org 8086075 F PCCN, LLC 993403 F OPA, LLC 20000 F 79321704 Receivables from Affiliates 133113696 University of Akron Pledge 2459204 135572900 0 X Schedule D, Part V, Line 4 Intended uses of endowment funds Endowment funds provide income to be used to fulfill the tax-exempt purposes of Summa Foundation. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote The System 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. Summa Insurance Company ("SIC"), 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. SIC 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. The system recognizes interest income, interest expense, and penalties related to uncertain tax positions with the provision for income tax. Central America and the Caribbean Program Services Self Insurance 58779298 Central America and the Caribbean Unrelated Business Activities 6370 0 0 0 0 0 0 58785668 0 58785668 true false true false false false Schedule F, Part I, Line 3(f) Program Service Activity $58,045,894 Investments 733,404 Expenses $58,779,298 Total true University of Akron 302 Buchtel Common Akron OH 44301 346002924 Governmental 255000 Educational YMCA of Akron 50 South Main Street Ste LL 100 Akron OH 44308 340714727 501(c)(3) 122174 Mission Support 2 0 Schedule I, Part I, Line 2 Description Of Procedure For Monitoring Use Of Grant Funds The procedure for monitoring 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 university or agency utilizing the funds. Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. The procedure for monitoring 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 university or agency utilizing the funds. X X X true true X X X X true true false false false false false true false THOMAS J STRAUSS SYSTEM PRESIDENT & CEO (END 12/14) 873865 0 263899 0 2967158 0 108876 0 13398 0 4227196 0 94604 0 MICHAEL HUGHES MD DIRECTOR 0 658979 0 0 0 900 0 7800 0 8170 0 675849 0 0 R DOUGLAS TROCHELMAN MD DIRECTOR 0 679815 0 39561 0 900 0 9100 0 7511 0 736887 0 0 VIVIAN VON GRUENIGEN MD DIRECTOR 0 471762 0 0 0 900 0 3000 0 12981 0 488643 0 0 ROBERT D HARRIGAN Former officer 15007 0 148055 0 1008997 0 0 0 5833 0 1177892 0 0 0 BRIAN DERRICK SYSTEM CFO & ASSIST TREAS 509110 0 133187 0 171384 0 51969 0 9918 0 875568 0 11703 0 ROBERT A GERBERRY SECRETARY & GENERAL COUNSEL 181318 0 8468 0 600 0 4711 0 429 0 195526 0 0 0 WILLIAM A POWEL III SECRETARY & GENERAL COUNSEL (end 11/14) 346197 0 85315 0 768188 0 55640 0 9213 0 1264553 0 44128 0 KYLE KLAWITTER BARR SENIOR VP, SYSTEM HR (END 6/14) 140568 0 60038 0 94473 0 4662 0 3626 0 303367 0 36725 0 ERIC HUMPHREY SENIOR VP, System HR 196526 0 24060 0 44021 0 6125 0 6849 0 277581 0 0 0 KATHLEEN JOBE CNO, SBH, WRH 0 176796 0 25371 0 39566 0 7144 0 5321 0 254198 0 0 GREG KALL SENIOR VP, CIO 300032 0 61121 0 129188 0 43434 0 5266 0 539041 0 36292 0 UNHEE KIM SENIOR VP, CLINICAL SERVICES 384658 0 86551 0 167550 0 50902 0 9325 0 698986 0 43970 0 PATRICE LANGE SENIOR VP, PLANNING & SUPPORT (END 11/14) 241805 0 61528 0 583788 0 40448 0 4027 0 931596 0 29722 0 THOMAS MALONE MD PRESIDENT, SHS, SBH, WRH 544769 0 0 0 221323 0 3056 0 5691 0 774839 0 0 0 THOMAS P O'NEILL VP, CFO SHS 289459 0 60026 0 147166 0 31161 0 2897 0 530709 0 28354 0 ERIK STEELE DO CMO, SUMMA HOSPITALS 518580 0 72815 0 132886 0 17680 0 5792 0 747753 0 0 0 MARK TERPYLAK DO PRESIDENT, SUMMA ACO 250741 0 31205 0 59210 0 0 0 767 0 341923 0 0 0 MARY WARD SENIOR VP, CNO 362389 0 79838 0 153907 0 48477 0 2555 0 647166 0 45359 0 CHARLES ROSS MD CHIEF MEDICAL INFORMATION OFFICER (END 11/14) 228919 0 59237 0 212561 0 29571 0 6491 0 536779 0 22952 0 CHARLES VIGNOS VP MANAGED CARE 213912 0 54223 0 57995 0 28265 0 8460 0 362855 0 18923 0 ROXIA BOYKIN VP, COMM BENEFIT & DIVERSITY 183247 0 40329 0 67000 0 20125 0 3317 0 314018 0 17202 0 JAY MITZEL VP, SUPPLY CHAIN (END 5/14) 67450 0 28382 0 152398 0 3467 0 6245 0 257942 0 0 0 ED FRIEDL VP, CONSTRUCTION 216615 0 33351 0 36815 0 6192 0 5424 0 298397 0 0 0 Schedule J, Part I, Line 1a Tax indemnification and gross-up payments Summa Health grossed up taxes for supplemental executive retirement programs paid to three officers, eight key employees, three highest compensated employees, and two former employees. The amount of the gross up is recognized as additional taxable compensation. Schedule J, Part I, Line 1a Health or social club dues or initiation fees Social club dues were paid on behalf of one officer. The personal use is recognized as additional taxable compensation. Schedule J, Part I, Line 1a Personal services Legal services were paid on behalf of one officer. The personal use is recognized as additional taxable compensation. Schedule J, Part I, Line 4a Severance or change-of-control payment In 2014, the following listed persons received severance payments and benefits from the organization or from a related organization: Patrice Lange $284,919; William Powel, III $418,813; Thomas J. Strauss $1,787,410; Charles Ross, MD $38,442; Robert D. Harrigan $638,238; Jay Mitzel $107,686. Schedule J, 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: Kyle Klawitter Barr $52,541; Roxia Boykin $24,613; Brian Derrick $33,787; Robert D. Harrigan $110,849; Greg Kall $53,537; Unhee Kim $66,018; Patrice Lange $45,396; Thomas O'Neill $39,385; William Powel, III $67,398; Charles Ross, MD $33,837; Eric Steele, DO $5,690; Thomas J. Strauss $144,492; Charles Vignos $29,204; Mary Ward $65,698. Schedule J, Part I, Line 7 Non-fixed payments The Summa Health management incentive program is designed to reward employees for meeting quality, performance and financial targets. These include clinical quality, patient satisfaction, employee/physician satisfaction, net operating income 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. Cynthia Browning Family Member of Nicholas Browning, Summa Health Board Member 66228 Employment false Deanne Kvach Family Member of Kyle Klawitter Barr, Summa Health Key Employee 34777 Employment false Form 990, Part VI, Line 2 Family/business relationships amongst interested persons Michael Hughes, M.D., Douglas Trochelman, M.D., Vivian Von Gruenigen, M.D., Thomas P. O'Neill, William A. Powel, III, and Robert A. Gerberry - Business relationship, Ricahrd Marsh, Leila Vespoli, and Anthony Lockhart - Business relationship, Thomas Strauss and Thomas Malone, M.D. - Business relationship, Thomas P. O'Neill and Unhee Kim - Business relationship, Erik Steele, D.O. and Thomas P. O'Neill - Business relationship, James R. McIlvaine, William A. Powel, III, Brian Derrick, Erik Steele, D.O., and Thomas Strauss - Business relationship Form 990, Part VI, Line 4 Significant changes to organizational documents The Code of Regulations was amended in December 2014. The significant change was to create an Executive Committee of the Board of Directors. The Executive Committee is comprised of six (6) members including the Chair, two (2) Community Member Designated Directors, a Physician Director, and two (2) other Directors. All members of the Executive Committee are Directors of Summa Health. 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 Code of Regulations. All interim actions by the Executive Committee are reported at the Board's next meeting succeeding such action. Additionally, the name of the organization was changed from Summa Health System to Summa Health. Form 990, Part VI, Line 6 Classes of members or stockholders The members of Summa Health are Summa Health System Community and HealthSpan Partners. Summa Health Sytem Community's interest is 70% and HealthSpan Partners' interest is 30% Form 990, Part VI, Line 7a Members or stockholders electing members of governing body The members of the corporation are Summa Health System Community and HealthSpan Partners. The members have the following powers: 1. HealthSpan Partners to elect 5 directors (at least 1 to be a resident or community leader active in Summa's market area and at least 1 to be a physician, these may be the same individual). 2. Summa Health to elect 10 directors (7 elected lay directors and 3 physician director). A Director may only be removed by the Member which elected such Director, and if a Member removes a Director elected by such Member, then that Member may elect a Director to fill the vacancy. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders The following are reserved powers for the Members of the Corporation: 1. Actions that would adversely impact the tax-exempt status of the Corporation or Mercy Health 2. Appointment of a new CEO 3. Dissolution, merger, conversion, or consolidation of the Corporation, or sale/lease/disposition of substantially all of the Corporation's assets 4. Sale, lease, disposition of Corporation's core operating assets as defined in Definitive Agreement 5. Addition of a new corporate member of the Corporation 6. Amendment to the Statement of Common Values 7. Amendment to the Articles of Incorporation or Code of Regulations Reserved Powers 1, 3, 4, 5, 6, and 7 require the approval of each of the Members Form 990, Part VI, Line 11b 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 2015. 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 2015 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. 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 Board 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. Form 990, Part VI, 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. Disclosure Procedure: Any person with a conflicting interest in any transaction or arrangement is required to disclose the conflicting interest to the Board or committee considering such transaction or arrangement prior to or at the beginning of any meeting at which such transaction or arrangement is under consideration. The person with a conflicting interest is prohibited from using his/her personal influence on the matter but may briefly state his/her position on the transaction or arrangement and answer questions raised by members of the Board or committee. The person with a conflicting interest is prohibited from otherwise participating in the decision and may be required to leave the meeting during the discussion and vote on the transaction or arrangement. In addition, if appropriate, a non-interested person or committee may be appointed to investigate alternatives to the proposed transaction or arrangement. The minutes of Board meetings and committee meetings reflect whether any conflicting interests were disclosed, the nature of the conflicting interests, and the names of persons who were present for discussion and votes relating to the transaction or arrangement. Form 990, Part VI, Line 15a Process to establish compensation of top management official 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 five 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, Service Lines, Ambulatory & Ancillary * 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 * President, SummaCare Form 990, Part VI, Line 15b Process to establish compensation of other employees See response to Part VI, Line 15a for process of determining compensation of the organization's other officers or key employees. Form 990, Part VI, 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). Form 990, Part IX, Line 11g Other Fees Non-Billable Purchased Services - Total Expense: 14584500, Program Service Expense: 12250980, Management and General Expenses: 2333520, Fundraising Expenses: ; Consultant Fees - Total Expense: 3166956, Program Service Expense: 2660244, Management and General Expenses: 506712, Fundraising Expenses: ; Corporate Sponsorships - Total Expense: 390300, Program Service Expense: , Management and General Expenses: 390300, Fundraising Expenses: ; Health Screening - Total Expense: 192629, Program Service Expense: 192629, Management and General Expenses: , Fundraising Expenses: ; Repairs & Maintenance - Total Expense: 1767454, Program Service Expense: 1484661, Management and General Expenses: 282793, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Transfers to/from Affiliates - XXX-XX-XXXX; Other Adjustments - 174548; Summa Health Network LLC 525 East Market Street Akron OH 44304 341887844 Contracting OH 4866000 11869000 Summa Health Summa Health System Community 525 East Market Street Akron OH 44034 463018310 Supporting Organization OH 501(c)(3 Type II Summa Health true Summa Robinson Health Ventures 525 East Market Street Akron OH 44309 208650711 Supporting Organization OH 501(c)(3 Type I Summa Health true Ohio Sleep Disorders LLC 130 W Exchange Akron OH 44302 341872278 Sleep Center OH NA Related Summa Rehab Hospital 29 North Adams Street Akron OH 44034 271952573 Rehab Hospital OH Summa Health System Related Ohio Health Choice Inc 525 East Market Street Akron OH 44304 341895396 PPO OH SHS Corp C Corporation 2676800 4081600 0.8 true Summa Insurance Company Inc 10 North Main Street Akron OH 44308 341809108 Prop/Cas Ins OH SHS Corp C Corporation 235010709 72396586 1 true Summa Health System Corp 525 East Market Street Akron OH 44304 341515252 Mgmt Svcs OH Summa Health C Corporation 612093 6211355 1 true Wadsworth Rittman Hos Prof Svc Corp 195 Wadsworth Rd Wadsworth OH 44281 010842997 Prof Med Svcs OH SHS Corp C Corporation 0 0 1 true Middlebury Assurance Company PO Box 1051 KY1-1102 Grand Cayman CJ 980405096 Self Insurance CJ Summa Health C Corporation 12186668 65678000 1 true Summacare Inc 10 North Main Street Akron OH 44308 341726655 Prop/Cas Ins OH SIC C Corporation 283915318 82292518 1 true Aris Teleradiology Holdings Inc 5655 Hudson Drive Suite 210 Hudson OH 44236 453697866 Radiology Svc OH Summa Health System C Corporation 9312557 6896927 0.579 true Summa Accountable Care Organization 525 East Market Street Akron OH 44304 273857055 Contracting OH Summa Health C Corporation 12776023 3526018 1 true Health Care Centers Physicians Inc 1900 23rd Street Cuyahoga Falls OH 44223 341692767 Inactive OH SHS Corp C Corporation 0 0 1 true Summa Management Services Organization 10 North Main Street Akron OH 44308 461145832 Mgmt Svcs OH SHS Corp C Corporation 37513555 9046000 1 true Summa Integrated Services Organization 10 North Main Street Akron OH 44308 461159251 Mgmt Svcs OH SHS Corp C Corporation 20525030 22951000 1 true true false false false false true false false false false false true false false false true true true true SummaCare Inc A 2239099 FMV Middlebury Assurance Company F 2980960 FMV Middlebury Assurance Company F 5000000 Cost Summa Physicians Inc L 1312598 FMV Summa Health System L 1032648 FMV Summa Barberton Citizens Hospital L 138662 FMV Summacare Inc L 190216000 FMV Middlebury Assurance Company P 664761 FMV Summa Rehab Hospital LLC Q 148250 FMV Summa Accountable Care Organization Q 2075478 FMV Summa Health System Q 77718646 Cost Summa Barberton Citizens Hospital Q 9166804 Cost The Wadsworth-Rittman Area Hospital Assoc Q 3007606 Cost Summa Physicians Inc Q 1619217 Cost Summa Insurance Company Q 4025597 FMV Summa Foundation R 101840 Cost Middlebury Assurance Company S 4347724 Cost Ohio Health Choice Inc A 76988 FMV