2013-11-12T08:32:17-06:00 2012-12-31 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE SUITE 2600 INDIANAPOLIS IN 46204 990 2012-01-01 900640432 Summa Health System Group Return % BRIAN K DERRICK SUMM 3303753196 525 East Market Street Suite Akron OH 44309 Brian K Derrick 3303753196 2013-11-07 true 3176817000 2012 2016-02-24 21:20:13Z Thomas J Strauss 525 East Market Street Akron OH 44309 1332555000 true true 5864 X www.summahealth.org X Summa Health System and its related organizations' mission is to provide the highest quality, compassionate care to patients and members and contribute to a healthier community. X 87 58 9022 750 13216703 4988405 6053617 6541029 1061546122 1107704787 21938379 21233432 18099365 14763435 1107637483 1150242683 1448421 286406 0 0 495891252 513798749 0 0 1488546 566499307 593269146 1063838980 1107354301 43798503 42888382 1136021642 1193991987 718039774 727643905 417981868 466348082 X SUMMA HEALTH SYSTEM'S MISSION IS TO PROVIDE THE HIGHEST QUALITY, COMPASSIONATE CARE TO PATIENTS AND MEMBERS AND CONTRIBUTE TO A HEALTHIER COMMUNITY. false false 385379392 448286476 Inpatient Services - For 2012, Summa Akron City & St. Thomas Hospitals (SACSTH), Summa Barberton Citizens Hospital (SBH) and The Wadsworth-Rittman Area Hospital Association (WRH) had 816 beds in service, admitted 44,055 adult patients and delivered 3,589 newborns. The adult patients received 212,771 days of care, inpatient surgeries total 7,031, emergency admits totaled 31,492 and the average length of stay was 4.83 days. 493852862 574466522 Outpatient Services - In 2012, Summa Akron City & St. Thomas Hospitals, Summa Barberton Citizens Hospital, The Wadsworth-Rittman Area Hospital Association and Summa Physicians, Inc. provided 1,676,485 occasions of service, including 138,952 emergency room visits, 15,887 surgical operations, and 1,521,646 other outpatient visits. 37531241 13022632 Research/Education - Summa Health System 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 System fosters a learning environment for the next generation of caregivers. At three of Summa Health System's hospitals, over 200 medical schools graduates train in 17 accredited residency training programs. Summa Health System provides clinical learning experiences to more than 2,600 nursing and allied health students. 61835492 286406 71929157 978598987 true true false true false false false true true true false false true true true false true false false true false false false true false true true true true true true false false false false false false false true true true true false true false true true true true false true true 979 0 true 9022 true true true false false false false true true false false false false false X 87 58 true false true false true true true true true false false true true true true true false true true true true FL OH X BRIAN K DERRICK 3303753196 525 EAST MARKET STREET Akron OH 44309 John Adams 2.0 0.0 X 0 0 0 Karen Ayers DO 2.0 0.0 X 0 0 0 Michael Bage MD 48.0 2.0 X 501608 0 11162 Susan Baker 2.0 0.0 X 0 0 0 William Bauman MD 50.0 0.0 X 602900 0 11505 Julia Bianchi 2.0 0.0 X 0 0 0 Michael Bianco MD 10.0 0.0 X 61257 0 0 James Biggar 4.0 0.0 X X 0 0 0 Michelle Blanda MD 2.0 0.0 X 0 0 0 Nick Browning 2.0 0.0 X 0 0 0 Jason Butterworth 2.0 0.0 X 0 0 0 Candace Campbell-Jackson 2.0 0.0 X 0 0 0 Dennis Chack 2.0 0.0 X 0 0 0 Douglas Chonko DO 2.0 0.0 X 0 0 0 Thomas Clark 2.0 0.0 X X 0 0 0 Jacob Cohen MD 2.0 0.0 X 0 0 0 Norman Crocker MD 2.0 0.0 X 3000 0 0 George Daverio 2.0 0.0 X 0 0 0 David Dellinger DO 2.0 0.0 X 0 0 0 Dennis Dick 2.0 0.0 X X 0 0 0 Vince DiGirolamo 4.0 2.0 X X 0 0 0 CGordon Ewers 2.0 0.0 X 0 0 0 Edward Ferris MD 2.0 0.0 X 0 0 0 Daniel Figliola 2.0 0.0 X 0 0 0 Jason Fried DO 2.0 0.0 X 0 0 0 Steven Gaich MD 50.0 0.0 X 363435 0 9131 Samir Gibara 2.0 0.0 X 0 0 0 Mark Goldfarb 2.0 0.0 X 0 0 0 Eric Graf 2.0 0.0 X X 0 0 0 Russell Gregory 4.0 2.0 X X 0 0 0 Stephen Hailer 4.0 2.0 X X 0 0 0 Thomas Harnden 4.0 2.0 X X 0 0 0 Robert Harrigan 46.0 4.0 X X 993301 0 86844 Robert Hemphill MD 2.0 0.0 X 0 0 0 Scott Honnold 2.0 0.0 X 0 0 0 Thomas Hudson 2.0 0.0 X 0 0 0 Rodney Ison MD 2.0 10.0 X 27585 0 0 Mary Ann Jackson 2.0 0.0 X 0 0 0 Tracy Jensen 2.0 0.0 X 0 0 0 Phil Kaufmann 2.0 0.0 X 0 0 0 James Kennedy MD 2.0 0.0 X 0 0 0 Phillp Khalil DO 2.0 0.0 X 0 0 0 A Gus Kious MD 46.0 4.0 X X 324308 0 339 Thomas Knoll 48.0 2.0 X 214908 0 0 Joseph Koenig MD 50.0 0.0 X 709616 0 15872 James Kraynak 2.0 0.0 X X 0 0 0 Randall Langenderfer 2.0 0.0 X 0 0 0 Dennis Liddle 2.0 0.0 X X 0 0 0 Dina Lloyd 2.0 0.0 X X 0 0 0 Anthony Lockhart 4.0 2.0 X X 0 0 0 Richard Marsh 2.0 2.0 X 0 0 0 Joseph McShannic MD 50.0 0.0 X 497836 0 23473 Dale Murphy MD 48.0 2.0 X 572275 0 47495 Randy Myeroff 2.0 0.0 X 0 0 0 Vivian Celeste Neal 2.0 0.0 X 0 0 0 Joseph Nienaltowski DO 2.0 2.0 X 0 0 0 Thomas O'Neill 46.0 4.0 X X 468430 0 57141 Charles Parsons 2.0 0.0 X 0 0 0 Jonathon Pavloff 2.0 0.0 X 0 0 0 Mark Pluskota MD 2.0 0.0 X 0 0 0 William Powel III 46.0 4.0 X X 616537 0 67761 Dwight Powers 2.0 0.0 X 0 0 0 Ernest Preston 2.0 0.0 X 0 0 0 Margaret Ralston Payne 2.0 0.0 X 0 0 0 Kathleen Raynor 2.0 0.0 X 0 0 0 Froncie Repetti 2.0 0.0 X 0 0 0 Harriett Richman 2.0 0.0 X 0 0 0 Ronald Russ DO 2.0 0.0 X 0 0 0 Mona Sarkar 2.0 0.0 X X 0 0 0 Robert Schaal MD 10.0 2.0 X 75000 0 0 Diane Schnee 2.0 0.0 X 0 0 0 Helen Scott 2.0 0.0 X 0 0 0 Anthony Solaro 2.0 0.0 X 0 0 0 Martin Spector 2.0 4.0 X 0 0 0 Thomas Strauss 46.0 4.0 X X 1434283 0 114053 Vicki Sussman 2.0 0.0 X 0 0 0 Susan Taft 2.0 0.0 X 0 0 0 Terry Taylor 2.0 0.0 X 0 0 0 Paul Testa 2.0 0.0 X 0 0 0 Douglas Trochelman MD 50.0 0.0 X 698837 0 11162 Susan Ullman 2.0 0.0 X X 0 0 0 Sharon VanNostran MD 2.0 0.0 X 0 0 0 Joseph Varley MD 50.0 0.0 X 358631 0 19633 Norman Wells 4.0 2.0 X 0 0 0 Darrell Widmer MD 50.0 0.0 X 167767 0 654 Stephen Wilt 2.0 0.0 X X 0 0 0 Joseph Zarconi MD 48.0 2.0 X 517890 0 57992 Brian Derrick 46.0 4.0 X 691767 0 17206 Charles Alderson 50.0 0.0 X 228220 0 11720 Thomas DeBord 46.0 4.0 X 355337 0 38386 Bryan Fredericks 50.0 0.0 X 311295 0 14547 Steve Schmidt 50.0 0.0 X 375183 0 39743 Shane Seymour 50.0 0.0 X 208559 0 18602 Jeffrey Morris MD 50.0 0.0 X 171654 0 2308 Kathleen Jobe 50.0 0.0 X 217223 0 11695 Michael Hillman MD 46.0 4.0 X 786414 0 2033 Gregory Kall 46.0 4.0 X 433827 0 52595 Unhee Kim 46.0 4.0 X 565965 0 61983 Kyle Klawitter 46.0 4.0 X 433025 0 44285 Patrice Lange 46.0 4.0 X 423364 0 43871 Charles Ross MD 46.0 4.0 X 431078 0 37722 James Stonkus 50.0 0.0 X 206038 0 9960 Kevin Theiss 46.0 4.0 X 290205 0 29994 Mary Ward 46.0 4.0 X 512094 0 50340 Martin Hauser 4.0 46.0 X 0 635064 44285 John Zografakis MD 50.0 0.0 X 1040419 0 19974 Scott Weiner MD 50.0 0.0 X 976533 0 20733 Adrian Dan MD 50.0 0.0 X 787303 0 12874 Ramakrishna Bandi MD 50.0 0.0 X 750074 0 11162 Eric Espinal MD 50.0 0.0 X 694702 0 21711 Kathleen Rice 0.0 0.0 X 148439 0 90 Stephen Kaiser DO 50.0 0.0 X 114422 0 9683 Jay Williamson MD 50.0 0.0 X 288897 0 536 20651441 635064 1162255 451 true true false Hammond Construction Inc 1278 Park Avenue CANTON OH 44706 Construction 10098545 Professional Anesthesia Services 190 North Union Street AKRON OH 44304 Medical services 9095152 Siemens Medical Solutions 51 Valley Stream Parkway MALVERN PA 19355 Contract Services 4597200 Sodexo Inc Affiliates 10 Earhart Drive WILLIAMSVILLE NY 14221 Catering services 4237094 Allscripts Healthcare LLC Three Ravinia Drive ATLANTA GA 30346 IT & EMR services 3927714 74 628206 166654 2377208 3368961 552071 6541029 NET PATIENT REVENUE 621110 1033570041 1033317896 252145 PROGRAM RELATED INVESTMENTS 900099 41284790 41251316 33474 MEDICAL EDUCATION 611600 11739501 11739501 REFERENCE LAB 621500 9894253 9894253 ARRA MEANINGFUL USE 900099 8592726 8592726 0 2623476 2623476 1107704787 16956579 1122257 15834322 1361976 1361976 0 11487297 1478892 8654976 362281 2832321 1116611 3948932 1116611 2832321 175410103 359381 172854607 0 2555496 359381 2914877 2914877 139083 628206 440453 -301370 -301370 0 0 CAFETERIA SALES 721210 5425201 495873 4929328 PARKING 812930 1583991 1583991 GIFT/FLOWER SHOP 453220 1046454 1046454 3060227 302090 2758137 11115873 1150242683 1097524915 13216703 32960036 X 219220 219220 67186 67186 0 0 16705017 11118525 5586492 1158456 1009927 148529 392606657 347132604 44588752 885301 9196922 8093291 1103631 66839038 58593518 7990025 255495 27292659 24017540 3275119 10978836 3102353 7876483 1495680 3743 1491937 613429 185015 428414 191124 191124 0 38597 38597 178053041 160720181 17203570 129290 2774142 2040150 683037 50955 22433840 14382052 7986387 65401 17796909 13322115 4440705 34089 0 23727079 19703533 4023426 120 1545332 1260807 269091 15434 0 2340967 1582683 750864 7420 19297947 15438358 3859589 0 39783410 35407569 4375841 7763631 5822723 1940908 MEDICAL SUPPLIES 143249296 141658257 1591039 BAD DEBT PROVISION 97547612 97547612 STATE FRANCHISE FEE 11629951 11629951 UNRELATED BUSINESS INC. TAX 476364 476364 11531959 4540074 6946844 45041 1107354301 978598987 127266768 1488546 1450134 1802242 137063192 170463959 4886801 5664789 157350663 162255507 3952 0 0 0 21027546 23595042 12031830 13552762 9000945 10389016 1093180405 637265714 436400578 455914691 217906778 203858864 4675205 5214254 24403441 20436783 2696636 2579662 107123941 118264416 1136021642 1193991987 157668147 171468917 1915588 919847 3543430 2615753 356342139 350982844 1164886 4614 0 0 20536469 18985571 0 0 176869115 182666359 718039774 727643905 X 379626550 426876312 22097706 22365155 16257612 17106615 417981868 466348082 1136021642 1193991987 X 42888382 10631957 -5154125 X false true X true true true X X false false false SUMMA AKRON CITY AND ST THOMAS HOSPITALS 340714755 03 true 2043958 SUMMA BARBERTON CITIZENS HOSPITAL 261375072 03 true 137500 CUYAHOGA FALLS GENERAL HOSPITAL 340718383 04 true 0 THE WADSWORTH-RITTMAN AREA HOSPITAL ASSN 346549371 03 true 0 4 2181458 6323558 4540510 6941569 5638036 5122826 28566499 0 0 6323558 4540510 6941569 5638036 5122826 28566499 176266 28390233 2479286 1527282 1494312 1752613 1814584 9068077 0 0 37634576 6560828 0.75437 0.69849 X Cuyahoga Falls General Hospital ("CFGH") is a public charity organization under section 509(A)(2). Due to software limitations, Schedule A Part III for CFGH could not be completed. (Schedule A Part II is completed for Summa Foundation). Based on the Public Support Test under Part III, the public support percentage for 2012 for CFGH which should be shown in Section C, Line 15, is 88.76%. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true false false false true 26677 true 160645 false true 3802 191124 false Part II-B, Line 1 In 2012, Summa Health System volunteers and management interacted with Federal and state leaders to discuss the Affordable Care Act and its impact on local healthcare operations and finances. Summa leaders also discussed issues and opportunities relative to accountable care models, the sustainable growth rate, graduate medical education, hospital outpatient department reimbursement, and insurance reform with members, staff, and agency leadership at Federal, state and regional levels. Summa leadership also discussed sequestration and its impact on jobs and healthcare services with members and staff. Part II-B, Line 1(f) The amount on Line 1(f) represents the portion of annual dues to organizations such as AHA and OHA allocable to lobbying activities. false true 15896470 347618 486766 16730854 15633841 113108 149521 15896470 13145135 2481325 7380 15633840 13311624 -183166 16677 13145135 9445067 3890076 -23519 13311624 1.00000 true false 69130964 69130964 595297192 352014846 243282346 3350804 781167 2569637 380296179 267262350 113033829 45105266 17207351 27897915 455914691 MALPRACTICE FUND 13999671 BONDS ASSURED GUARANTY 4496332 BOND ISSUE COSTS 1947540 BENEFICAL INTEREST IN WRHF 934010 DEFERRED PENSION & COMP 265196 NON-PERF ASSET AIR RIGHTS 1124370 BENEFICAL INTEREST IN PERP. TR 4251551 DUE FROM RELATED ORGANIZATIONS 88315798 OTHER ACCOUNTS RECEIVABLE 73953 BENEFICAL INTEREST IN PROPERTY 2855995 118264416 0 LEASE ESCALATION LIABILITY 657910 CAPITAL LEASE OBILIGATIONS 60067302 ASSET RETIREMENT OBLIGATION FI 2312097 INTEREST RATE SWAP 12413076 POST RETIREMENT BENEFITS 1548275 CONTINGENT LIABILITIES 4775572 MALPRACTICE LIABILITY 13765589 UNSECURED PAYABLES 80684682 PURCHASE OPTION LIABILITY 4674912 OTHER OBLIGATIONS 1766944 182666359 Part IV, Line 2b Custodial funds held by Summa Foundation on behalf of Cuyahoga Falls General Hospital Foundation. Part V, Line 4 Endowment funds provide income to be used to fulfill the tax-exempt purposes of Summa Foundation. Part X, Line 2, FIN 48 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, Inc. ("SIC"), together with affiliates of Summa Health System Corp ("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 income 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 subsidiaries. SIC is not subject to state income taxes as 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. Central America and the Caribbean 0 0 Program Services Self Insurance 10936484 0 0 0 0 10936484 10936484 true false true false false false Gala 480860 405936 74924 27759 53535 116312 43329 71367 Golf Outing 198000 148500 49500 11554 3000 22995 43168 11367 1 88429 73770 14659 3040 7075 17195 8757 767289 628206 139083 42353 63610 156502 86497 91491 440453 -301370 true true X true X true X true true true false true true 18074095 4749697 13324398 0.01220 133010715 110347546 22663169 0.02070 151084810 115097243 35987567 0.03290 1377836 1377836 0.00120 33755228 11476669 22278559 0.02040 28055148 28055148 0.02560 6023815 1313392 4710423 0.00430 2360397 247640 2112757 0.00190 71572424 13037701 58534723 0.05340 222657234 128134944 94522290 0.08630 9547 9547 1720 1720 9611 9611 32303 32303 53461 53461 0.00010 106642 106642 0.00010 true 25800420 314867328 328881816 -14014488 X true true Crystal Clinic Ortho Orthopaedic Service 0.49650 0.50350 Summa Western Reserv General Hospital 0.40000 0.60000 Ohio Sleep Disorders Sleep Medicine 0.66670 0.33330 Digestive Health Ctr Digestive Disease 0.05000 0.44000 Medina-Summit ASC Ambulatory Surgery Center 0.20000 0.70000 6 1 Summa Akron City & St Thomas Hospital

525 East Market Street Akron OH 44304

www.summahealth.org X X X X X 1 2 Summa Barberton Citizens Hospital

155 Fifth Street NE Barberton OH 44203

www.summahealth.org X X X X X 1 3 The Wadsworth-Rittman Area Hospital

195 Wadsworth Road Wadsworth OH 44281

www.summahealth.org X X X X 1 4 Summa Western Reserve Hospital LLC

1900 23rd Street Cuyahoga Falls OH 44223

www.westernreservehospital.org X X X X 1 5 Crystal Clinic Orthopaedic Center LLC

444 North Main Street Akron OH 44310

www.crystalclinic.com X X X 2 6 Summa Rehab Hospital LLC

29 North Adams Street Akron OH 44304

www.summarehabhospital.com X X Rehabilitation 2 Group 1 true true 200. true 400. true X X X X X X false true X X X X X X true false X X X X true X false false Group 2 true true 200. true 400. true X X X X X X false true X X X X true false X X X X false X X false false 20 Summa Health Center at Lake Medina

3780 Medina Road Medina OH 44256

Lab, imaging, therapy, sleep medicine, radiation oncology & outpatient surgery Summa Health Center at Green

3838 Massillon Road Green OH 44685

Lab, imaging, rehabilitation, therapy & other health service Summa Health Center at White Pond

1 Park West Suite 130 Akron OH 44320

Lab, imaging, and other specialty health programs Summa Health Center at Western Reserve

5655 Hudson Drive Hudson OH 44236

Lab, imaging, rehabilitation, wound care & sports medicine Summa Health Center at Lake Anna

500 West Hopocan Avenue Barberton OH 44203

Therapy, rehabilitation and sports medicine Summa Health Center at Anna Dean

28 Conservatory Drive Barberton OH 44203

Outpatient rehab and therapy Summa Health Center at Cuyahoga Falls

1860 State Road Cuyahoga Falls OH 44223

Lab and imaging services Summa Wellness Institute

5625 Hudson Drive Hudson OH 44236

Medical-based fitness programs rehabilitation & therapy Summa Neurosciences at White Pond

750 White Pond Drive Akron OH 44320

Neurology services Summa Sleep Medicine Center

3985 Medina Road Ste 210 Medina OH 44256

Sleep and neurology services Summa Sleep Medicine Center - Green

1700 Boettler Road Ste 215 Uniontown OH 44685

Sleep and neurology services Summa Rehabilitation Svcs at White Pond

750 White Pond Drive Akron OH 44320

Occupational & rehab services Natatorium Rehabilitation and Wellness

2345 4th Street Cuyahoga Falls OH 44223

Orthopaedic & sports therapy Summa Rehab at Tallmadge Rec Center

46 North Munroe Tallmadge OH 44278

Physical therapy and sports health Summa Urgent Care & Corporate Health

2875 West Market Street Fairlawn OH 44333

Urgent care & corporate health Summa Urgent Care at Stow

3913 Darrow Road Ste 100 Stow OH 44224

Urgent care & occupational health services Cedar Pines

185 West Cedar Street Ste 100 Akron OH 44307

Cardiology & stress tests Ignatia Hall South

3730 Whipple Avenue Ste 5 Canton OH 44718

Outpatient addiction medicine Summa Home Infusion

2743 Gilchrist Road Ste 200 Akron OH 44305

Home care & infusion services Summa Ctr for Health Equity-New Seasons

1493 S Hawkins Avenue Akron OH 44320

Chronic disease management, health, nutrition, exercise & education services Part I, Line 7, Column (f) Total bad debt expense included on Form 990, Part IX, line 25, column (a) but subtracted for purposes of calculating the percentage on Part I, Line 7, Column (f) is $97,547,612. Part I, Line 7(g) The amount of subsidized health services reported on Line 7(g) attributable to Summa Physicians, Inc. ("SPI") is $14,304,904. Part III, Line 4 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 pages 14-15 of the attached consolidated Audited Financial Statements under footnote 2, "Accounting Policies". Part III, Line 8 Medicare allowable costs 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 System is not reported as a community benefit. Part III, Line 9(b) 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. The hospital reserves the right to place a lien on the patient's (guarantor's) real estate; however, the hospital will not execute foreclosure proceedings if this is the patient's (guarantor's) primary residence. Part V, Line 14(g) In addition to the measures indicated, Summa's hospitals also provide a description of the Financial Assistance Policy in the Patient Handbook, which is provided to all patients upon admission into the hospital facility. Part VI, Line 2 The health care needs of the community are collaboratively assessed by survey processes conducted by Summa Health System, Summit County Public Health, Healthy Connections Network, Children's Hospital Medical Center of Akron, the United Way, Social Services Advisory Board of Summit County, and Akron General Medical Center. Part VI, Line 3 In accordance with the rules set forth by Ohio Administrative Code Section 5101:3-2-07.17 Notices, Summa Akron City and St. Thomas Hospitals, Summa Barberton Citizens Hospital, The Wadsworth-Rittman Area Hospital Association, and Summa Western Reserve Hospital, LLC 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 availablity 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 Summa Health System has care delivery sites three counties in Northeast Ohio: Summit, Portage and Medina. Based on the 2010 Census, these counties constitute a population of approximately 854,000 individuals. Summit County has the largest population (546,000) and accounts for more than 60% of the persons served by Summa. Medina and Portage Counties have similar populations, with Medina being slightly larger. Each accounts for less than 20% of the persons served by Summa. More than 50% of households in Summit and Portage Counties make less than $50,000 dollars annually and 13.2% and 11.6% of households make less than $15,000 dollars annually respectively. For the calendar year 2012, the average monthly unemployment rates for Medina, Portage, and Summit Counties were 6.0%, 6.7%, and 6.8% 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 in Summit County is expected to remain flat, Portage and Medina Counties are projected to see growth (2.2% and 4.7% respectively) from the 5-year period 2012 to 2017. More importantly, the age groups that demand healthcare services the most (45-64 year olds and age 65 and older) are expected to grow significantly. In Medina County alone, these two groups are expected to increase 8.2% and 23.4% respectively over the five year period. The growth in population for those aged 65 and older is similarly dramatic in Summit and Portage Counties where this age group will grow 10.8% and 18.0% respectively. Part VI, Line 5 Among the ways the hospitals within Summa Health System promote the health of the community are by maintaining an open medical staff and a community board (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 System serves. Part VI, Line 6 Summa Health System 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 System is renowned for excellence in patient care and for exceptional approaches to healthcare delivery. Summa Health System represents more than 2,100 registered inpatient beds. In addition, outpatient care is extended throughout the region in a number of outpatient centers, both hospital-based and freestanding. Based on two campuses, Summa Akron City and St. Thomas Hospitals is located in downtown Akron, Ohio and has served, together with Summa Health System, as the largest safety-net hospital in the community for many years. Summa Barberton Citizens Hospital ("SBH") joined Summa Health System in December, 2007 when Summa Health System completed its acquisition of Barberton Citizens Hospital. SBH is a 311-bed general acute care community hospital that offers inpatient services, outpatient services and community outreach programs. SBH is located in the town of Barberton in southern Summit County. The Wadsworth-Rittman Area Hospital Association ("WRH") affiliated with Summa Health System in November 2007, and then merged with Summa Health System in 2008. WRH is a community-based acute care facility in Wadsworth, Medina County, Ohio, situated to the west of Summit County. WRH serves communities in Medina and Wayne counties. Summa Western Reserve Hospital, LLC ("SWRH") is a joint venture between Summa Health System and the Western Reserve Hospital 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 full range of services, including a 24-hour emergency room and adheres to the charity care policy of Summa Health System. The Crystal Clinic Orthopaedic Center, LLC ("CCOC"), a joint venture between Summa Akron City and St. Thomas Hospitals and the Crystal Clinic, integrates the inpatient and outpatient services and physician practices of the Akron-area's leading orthopaedic programs and operates as a "hospital within a hospital" at Summa St. Thomas Hospital. CCOC also adheres to Summa's charity care policy in providing both inpatient and outpatient services, including surgery, orthopaedic oncology, total joint replacement and others. CCOC offers outpatient ambulatory surgery at the Crystal Clinic surgery center in Montrose and physician practice locations in Akron and its suburbs of Barberton, Kent, Cuyahoga Falls, Medina, Green and Stow. Summma Rehab Hospital, LLC, a joint venture between Summa Akron City and St. Thomas Hospitals 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. Robinson Memorial Hospital, an affiliate of Summa Health System, is the largest provider of acute medical care in Portage County. This affiliation is charged with the responsibility of providing greater access to healthcare services for the residents of Portage County and the surrounding communities through joint ventures and physician strategies. Established in 1993, SummaCare offers health care coverage to members through its status as a Medicare Advantage organization. It is recognized by the Health Industry Research Company as a health plan with effective disease management programs for asthma, health failure and diabetes. SummaCare now covers more than 150,000 members. Summa Foundation is a nonprofit organization advancing transformational philanthropy, community understanding and goodwill for the programs and priorities of Summa Health System. Incorporating fund development, government relations, community benefit and diversity, the Foundation creates and implements innovative partnerships, health policy opportunities and funding strategies to support Summa Health System's education, research and patient care agenda. Summa Health Network, LLC is the integrated physician-hospital organization affiliated with Summa Akron City and St. Thomas Hospitals, Summa Barberton Hospital, The Wadsworth-Rittman Area Hospital Assn, Summa Western Reserve Hospital, LLC and Robinson Memorial Hospital (through an affiliation agreement with Summa Health System). 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 Health Network also offers a comprehensive performance incentive and clinical integration networks that partner with payors to improve the quality of care delivered to patients and to lower the cost of care. Summa Accountable Care Organization (d/b/a NewHealth Collaborative ("NHC")) is a clinician-led collaborative that partners with communities 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 lower the growth in health care costs while meeting performance standards on quality of care. Ohio Health Choice, Inc. is Ohio's oldest Preferred Provider Organization (PPO) network and one of the largest in the state. Co-owned by Summa Health System and Mercy Medical Center, Ohio Health Choice is a leader in the managed healthcare industry and is comprised of 198 hospitals, 8,000 primary care providers, 18,000 specialists and contracts with 94 third party administrators covering members across all 88 counties in Ohio. Summa Physicians Inc. ("SPI") is a Summa Health System entity of multi-specialty physicians and practices. Currently, SPI employs more than 275 physicians in multiple specialties. SPI promotes stronger affiliation and employment of physicians to ensure community and hospital needs for physician services are met. Part VI, Line 7 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. true Austen BioInnovation Institute in Akron 47 North Main Street Akron OH 44308 346002924 501(c)(3) 724112 300139 Cost In-Kind Healthcare research American Heart Association 5455 N High Street Columbus OH 43214 135613797 501(c)(3) 95000 Research/education Open M Summit County Free Clinic 941 Princeton Street Akron OH 44311 341046107 501(c)(3) 15100 Health & Wellness Habitat for Humanity of Summit County 2301 Romig Road Akron OH 44320 341518873 501(c)(3) 10170 Community support Business Volunteers Unlimited 1300 East Ninth Streeet Cleveland OH 44114 341724581 501(c)(3) 7500 Community Support Methodist Healthcare Foundation 1211 Union Avenue Memphis TN 38104 237320638 501(c)(3) 10000 Healthcare research Susan G Komen Northeast Ohio 26210 Emery Rd Ste 307 Cleveland OH 44128 751835298 501(c)(3) 10000 Cancer research Akron Urban League 440 Vernon Odom Blvd Akron OH 44307 340714520 501(c)(3) 14340 Community Support American Cancer Society 525 North Broad St Canfield OH 444069274 251798733 501(c)(3) 20000 Cancer research 9 0 Dental Clinic Fund 26 6462 Book NA Ophthalmology Cataract Surgery 57 52096 Book NA SummaShares 12 8628 Book NA Part I, Line 2, General Information on Grants and Assistance The procedures for monitoring the use of grant funds is based on the criterYa 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. Part II, Line 1(2) For furtherance of Summa Akron City and St. Thomas Hospitals charitable purposes including providing medical education and healthcare services to the surrounding community. X X X X true true X X X X true true false false false false false true false Michael Bage MD 404384 0 96624 0 600 0 0 0 11162 0 512770 0 0 0 William Bauman MD 572197 0 29323 0 1380 0 0 0 11505 0 614405 0 0 0 Brian Derrick 473268 0 98515 0 119984 0 0 0 17206 0 708973 0 0 0 Steven Gaich MD 287599 0 71772 0 4064 0 7500 0 1631 0 372566 0 0 0 Robert Harrigan 541403 0 242971 0 208927 0 76009 0 10835 0 1080145 0 57726 0 A Gus Kious MD 258097 0 0 0 66211 0 0 0 339 0 324647 0 0 0 Thomas Knoll 214908 0 0 0 0 0 0 0 0 0 214908 0 0 0 Joseph Koenig MD 547603 0 162013 0 0 0 0 0 15872 0 725488 0 0 0 Joseph McShannic MD 454327 0 43509 0 0 0 0 0 23473 0 521309 0 0 0 Dale Murphy MD 360038 0 127945 0 84292 0 36383 0 11112 0 619770 0 28865 0 Thomas O'Neill 250613 0 120346 0 97471 0 46357 0 10784 0 525571 0 18784 0 William Powel III 351398 0 143770 0 121369 0 54022 0 13739 0 684298 0 38653 0 Thomas Strauss 764126 0 379050 0 291107 0 102923 0 11130 0 1548336 0 81772 0 Douglas Trochelman MD 606165 0 91947 0 725 0 0 0 11162 0 709999 0 0 0 Joseph Varley MD 345568 0 11683 0 1380 0 0 0 19633 0 378264 0 0 0 Darrell Widmer MD 153331 0 14436 0 0 0 0 0 654 0 168421 0 0 0 Joseph Zarconi MD 301596 0 126451 0 89843 0 47612 0 10380 0 575882 0 36586 0 Jeffrey Morris MD 128055 0 30046 0 13553 0 0 0 2308 0 173962 0 0 0 Charles Alderson 166501 0 22482 0 39237 0 0 0 11720 0 239940 0 0 0 Thomas DeBord 232757 0 61241 0 61339 0 24132 0 14254 0 393723 0 2114 0 Bryan Fredericks 236527 0 34603 0 40165 0 0 0 14547 0 325842 0 0 0 Kathleen Jobe 158211 0 21294 0 37718 0 0 0 11695 0 228918 0 0 0 Steve Schmidt 253298 0 67418 0 54467 0 34797 0 4946 0 414926 0 0 0 Shane Seymour 126678 0 0 0 81881 0 0 0 18602 0 227161 0 0 0 Michael Hillman MD 305730 0 160370 0 320314 0 0 0 2033 0 788447 0 0 0 Gregory Kall 260569 0 106446 0 66812 0 42327 0 10268 0 486422 0 28546 0 Unhee Kim 332183 0 133797 0 99985 0 49797 0 12186 0 627948 0 34198 0 Kyle Klawitter 239730 0 97180 0 96115 0 38723 0 5562 0 477310 0 25732 0 Patrice Lange 239086 0 98814 0 85464 0 38835 0 5036 0 467235 0 28012 0 Charles Ross MD 248304 0 86468 0 96306 0 27494 0 10228 0 468800 0 17758 0 James Stonkus 150813 0 20513 0 34712 0 0 0 9960 0 215998 0 0 0 Kevin Theiss 175577 0 60904 0 53724 0 15900 0 14094 0 320199 0 11084 0 Mary Ward 313291 0 122047 0 76756 0 44944 0 5396 0 562434 0 30136 0 John Zografakis MD 586683 0 451996 0 1740 0 0 0 19974 0 1060393 0 0 0 Scott Weiner MD 781508 0 193405 0 1620 0 0 0 20733 0 997266 0 0 0 Adrian Dan MD 471564 0 314779 0 960 0 0 0 12874 0 800177 0 0 0 Ramakrishna Bandi MD 519205 0 229909 0 960 0 0 0 11162 0 761236 0 0 0 Eric Espinal MD 453175 0 240147 0 1380 0 0 0 21711 0 716413 0 0 0 Kathleen Rice 936 0 0 0 147503 0 0 0 90 0 148529 0 0 0 Stephen Kaiser DO 114422 0 0 0 0 0 0 0 9683 0 124105 0 0 0 Jay Williamson MD 192738 0 55915 0 40244 0 0 0 536 0 289433 0 0 0 Martin Hauser 0 344302 0 140752 0 150010 0 38723 0 5562 0 679349 0 28732 Part I, Line 1a Summa Health System grossed-up taxes for supplemental executive retirement programs paid to certain officers, key employees and the highly compensated. Health and social club dues, and tax preparation services were paid on behalf of certain officers. The personal use is reflected as wages. One officer received a housing allowance reflect as wages in 2012. Part I, Line 4a In 2012, Kathleen Rice received $148,529 in severance and benefits. Part I, Line 4b Summa Health System has a 457(f) program for the executive staff which rewards certain officers, directors and key employees for meeting key long-term strategic objectives of the organization. Amounts paid in 2012: Thomas J. Strauss $91,848, Robert Harrigan $64,838, Mary Ward $37,444, Kyle Klawitter $29,120, Greg Kall $31,749, William A. Powel, III $42,842, Joseph Zarconi, MD $36,551, Patrice Lange $28,857, Unhee Kim $40,593, Thomas P. O'Neill $35,181, Charles Ross, MD $20,030, Dale Murphy, MD $28,883, Martin Hauser $42,084, Steve Schmidt $27,297, Kevin Theiss $14,523 and Thomas DeBord $14,291. Part I, Line 7 Summa Health System management incentive program was designed to reward employees for meeting quality performance and financial targets. These include clinical quality, patient satisfaction, employee/physician satisfaction, net operating income, and 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. A Akron Bath Copley Jt Twp Hosp Dist 341448680 009730LT7 2004-06-10 160904918 See Schedule K, Part VI, Rider 2 false false false B Summit County Port Authority 341765940 86605VAE9 2006-10-31 15405000 See Schedule K, Part VI, Rider 6 false false false C Ohio Higher Educational Facility Comm 346849674 67756AY89 2010-05-11 180125341 See Schedule K, Part VI, Rider 8 false false false D Akron Bath Copley JT TWP Hosp Dist 341448680 2012-07-01 32509635 See Schedule K, Part VI, Rider 11 false false false A 15055000 0 164278376 3107915 2238718 0 2285007 3930806 0 89411463 59931009 0 2006 true true true true B 620000 0 15405000 0 867000 0 308100 153159 0 14076741 0 0 2008 false false true true C 0 0 180125341 18190573 3004911 0 0 4929857 0 132254843 0 21745157 2012 true false false true D 2454507 0 32509635 1316021 0 0 0 0 0 0 32509635 0 true false true true A false true true true false 0.18390 0.00050 0.18440 false false false true B true true false false 0.01340 0.02870 0.04210 false false false true C false true true true false 0.01430 0.00300 0.01730 false false false true D 0 false false false true A false true true false 0 true see rider 5 3.1 true false true B false true true true see Rider 7 30. false false false 0 false true C false true false false 0 true see rider 10 2.2 true false true D false true true true see Rider 13 12. false false false 0 true A true B true C true D true Rider 1 (for Series 2004 Bonds) Form 990, Schedule K, Part I, Line A, Col.(c) The CUSIP number assigned to the final maturity of the Series 2004A Bonds is 009730LT7. The CUSIP number assigned to the final maturity of the Series 2004B Bonds is 009730LU4. (Note: The Series 2004A Bonds and the Series 2004B Bonds are treated as a single issue of bonds for federal tax purposes). Rider 2 (for Series 2004 Bonds) Form 990, Schedule K, Part I, Line A, Col.(f) The purposes of the Series 2004A Bonds were 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) July 1, 1999, (b) July 28, 2004 and (c) March 12, 2002, (4)fund a debt service reserve for the issue, and (5) pay issuance costs. The purposes of the Series 2004B Bonds were to (1) construct and equip a critical care pavilion, (2) contruct 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. (Note: The Series 2004A Bonds and the Series 2004B Bonds are treated as a single bond issue for federal tax purposes). Rider 3 (for Series 2004 Bonds) Form 990, Schedule K, Part III, Col. A, Line 6 The private business use percentage on Schedule K, Part III, Col. A, Line 6 is projected to be less than 5% over the life of the bonds due to the expected termination of certain lease arrangements. Rider 4 (for Series 2004 Bonds) Form 990, Schedule K, Part IV, Col. A, Line 2c Series 2004A Bonds Date arbitrage rebate computation performed was June 10, 2013. Series 2004B Bonds Date arbitrage rebate computation performed was June 10, 2013. Rider 5 (for Series 2004 Bonds) Form 990, Schedule K, Part IV, Col. A, Line 5b Series 2004A Bonds Project Fund GIC - Financial Security Assurance Debt Service Reserve Fund GIC - Merrill Lynch Capital Services, Inc. Series 2004B Bonds Aegon/Transamerica Rider 6 (for Series 2006 Bonds) Form 990, Schedule K, Part I, Line B, Col.(f) The purposes of the Series 2006 Bonds were to (1) acquire a project site for and construct and equip a wellness institute, and (2) pay issuance costs. Rider 7 (for Series 2006 Bonds) Form 990, Schedule K, Part IV, Col. B, Line 4b Huntington National Bank Rider 8 (for Series 2010 Bonds) Form 990, Schedule K, Part I, Line C, Col.(f) 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. Rider 9 (for Series 2010 Bonds) Form 990, Schedule K, Part IV, Col. C, Line 2c Date arbitrage rebate computation performed was May 11, 2013. Rider 10 (for Series 2010 Bonds) Form 990, Schedule K, Part IV, Col. C, Line 5b Morgan Stanley & Company Incorporated Rider 11 (for Series 2012 Bonds) Form 990, Schedule K, Part I, Line D, Col. (f) The purposes of the Series 2012 Bonds were to (1) refund the Hospital Facilities Revenue Bonds, Series 1998A issued in the original amount of $50,000,000, and (2) to pay the costs of issuance of the Bonds. Rider 12 (for Series 2012 Bonds) Form 990, Schedule K, Part IV, Col. D, Line 2c Date arbitrage rebate computation performed was July 25, 2013. Rider 13 (for Series 2012 Bonds) Form 990, Schedule K, Part IV, Col. D, Line 4b RBS Citizens Bank 0 Kelly Bianco Family Member 24146 See Part V false Brian Bauman MD Family Member 409030 See Part V false Denise Angerstien Family Member 30266 See Part V false Deanne Kvach Family Member 56143 See Part V false Vincent Allen Family Member 23566 See Part V false Professional Anesthesia Service In See Part V 9095153 See Part V false Summa Emergency Associates See Part V 1659961 See Part V false Inpatient Medical Services Inc See Part V 429705 See Part V false Primary Care Physicians See Part V 2383784 See Part V false Ritzman Pharmacies Inc See Part V 2146400 See Part V false Paragon Health Associates LLC See Part V 938773 See Part V false Schedule L, Part IV Business Transactions Involving Interested Persons Kelly Bianco is a family member of Michael Bianco, M.D., director of WRH. Kelly Bianco was paid reasonable compensation as an employee of WRH. Brian Bauman, M.D. is a family member of William Bauman, M.D., director of Summa Physicians Inc. Brian Bauman was paid reasonable compensation as an employee of Summa Physicians Inc. Denise Angerstien is a family member of Dennis Chack, director of SACSTH. Denise Angerstien was paid reasonable compensation as an employee of SACSTH. Deanne Kvach is a family member of Kyle Klawitter, System VP of Human Resources. Deanne Kvach was paid reasonable compensation as an employee of SACSTH. Vincent Allen is a family member of Unhee Kim, VP of Clinical Services. Vincent Allen was paid reasonable compensation as an employee of SACSTH. Jacob Cohen, M.D., Director of SACSTH, is an officer of Professional Anesthesia Services, Inc. Compensation represents fees paid for services performed by Professional Anesthesia Services, Inc. Michelle Blanda, M.D., director of SACSTH, is an officer of Summa Emergency Associates, Inc. Compensation represents fees paid for services performed by Summa Emergency Services, Inc. Robert Schaal, M.D., director of SACSTH, is an officer of Inpatient Medical Services, Inc. Compensation represents fees paid for services performed by Inpatient Medical Services, Inc. Sharon VanNostran, D.O., director of SACSTH, is an officer of Primary Care Physicians. Compensation represents fees paid for services performed by Primary Care Physicians. Eric Graf, Director of WRH, is part owner of Ritzman Pharmacies, Inc. Thomas Knoll, Director of WRH, is on the board of Ritzman Pharmacies, Inc. Compensation represents fees for goods & services to Ritzman Pharmacies, Inc. Edward Ferris, M.D., director of SACSTH, is part owner of Paragon Health Associates, LLC. Compensation represents fees paid for services performed by Paragon Health Associates, LLC. X 632 FMV X 1269 FMV X 13 372666 FMV X 7 125486 FMV X 1 2000 Comparable Prices X Events 66 49865 Comparable Prices X GIFT CARDS 3 153 FMV false true false SUMMA FOUNDATION 2012-05-31 341219001 SUMMA FOUNDATION FKA SACSTH FOUNDA 525 EAST MARKET STREET AKRON OH 44309 501(c)(3) true false false false true true true true false Form 990, Schedule N, Part I, Line 1, Col. C Summa Foundation held no assets and incurred no expenses at the time of the merger. Form 990, Schedule N, Part I, Line 2e The following individuals were officers and/or directors of both Summa Foundation and Summa Akron City and St Thomas Hospitals Foundation at the time of the merger, and remained officers and/or directors of the surviving Summa Foundation: John Adams, director; Julia Bianchi, director; James Biggar, director; Jason Butterworth, director; Thomas Clark, director & Chairman; George Daverio Jr, director; Brian Derrick, Asst Treasurer; Vince DiGirolamo, director & Treasurer; C. Gordon Ewers, director; Samir Gibara, director; Mark Goldfarb, director; Robert Hemphill MD, director; Scott Honnold, director; Mary Ann Jackson, director; Tracy Jensen, director; Philip Kaufmann, director; Randy Myeroff, director; Vivian Celeste Neal, director; Jonathan Pavloff, director; Willam Powel III, Asst Secretary; Ernest Preston III, director; Margaret Ralston Payne, director; Kathleen Raynor, director; Mona Sarkar, director; Shane Seymour, Chief Development Officer; Martin Spector, director; Thomas Strauss, director & President; Paul Testa, director; Stephen Wilt, director & Vice Chair. Form 990, Page 1, Part I, Lines 3 & 4 Form 990, Page 6, Part VI, Lines 1a & 1b Entity Name Number of Voting Number of Independent Directors Voting Directors Summa Akron City & St. Thomas 19 7 Hospitals (SACSTH) Summa Foundation (SF) 26 24 Summa Physicians, Inc. (SPI) 7 0 Summa Barberton Citizens 9 7 Hospital (SBH) The Wadsworth-Rittman Area 13 9 Hospital Assn (WRH) Cuyahoga Falls General 13 11 Hospital (CFGH) Form 990, Page 2, Part III, Line 4d Other Programs Services included: (a) Program-related investments in the following joint venture hospitals: Summa Western Reserve Hospital, LLC, Crystal Clinic Orthopaedic Center, LLC, and Summa Rehab Hospital, LLC. (b) Payments received under the American Reinvestment and Recovery Act for "Meaningful Use" due to successful implementation of electronic medical records. (c) Physician House Calls program, which helps meet the needs of those patients in our community who have difficulty going to their physician's office for the care of their acute and chronic health problems. office for the care of their acute and chronic health problems. program is designed to provide ongoing access to care in the patient's home and is one more step in Summa Health System's mission to provide the highest quality care to our patients and members and contribute to a healthier community. Form 990, Page 6, Part VI, Line 1a Summa Akron City and St. Thomas Hospitals: N/A Summa Foundation f/k/a Summa Akron City and St. Thomas Hospitals Foundation: Summa Foundation has an Executive Committee comprised of the Chair, Vice Chair, Secretary, Treasurer, and one additional Director of the Summa Foundation. All members of the Executive Committee are Directors of Summa Foundation. The Executive Committee 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 Foundation Code of Regulations. All interim actions by the Executive Committee are reported at the Board's next meeting succeeding such action. The Executive Committee prepares and makes such recommendations to the Board as are pertinent to the welfare of the Summa Foundation. Summa Foundation (dissolved through merger June 1, 2012): Summa Foundation had an Executive Committee. The Executive Committee was appointed by the Board of Directors and may have included up to eleven (11) Directors including the Chair, President, Secretary, Treasurer, and the Special Voting Directors. The Special Voting Directors were (i) Chair, Summa Health System Board of Directors; (ii) President & CEO, Summa Health System; (iii) System Vice President, Medical Education & Research, (iv) System Director, Research; and (v) President, Summa Foundation. All members of the Executive Committee were Directors of Summa Foundation. The Executive Committee was authorized to exercise the powers of the Board at such time as the Board was not in session, subject to restrictions imposed by previous decisions of the Board and to the provisions of the Summa Foundation Code of Regulations. All interim actions by the Executive Committee were reported at the Board's next meeting succeeding such action. The Executive Committee prepared and made such recommendations to the Board as are pertinent to the welfare of the Summa Foundation. Summa Physicians, Inc.: The Code of Regulations provides for an Executive Committee to be comprised of three (3) directors. The Executive Committee may make governance decisions between Board meetings. Summa Barberton Citizens Hospital: N/A The Wadsworth-Rittman Area Hospital Association: The Wadsworth-Rittman Area Hospital Assn has an Executive Committee comprised of the Board Chair, President, Vice Chair, Treasurer, Secretary, and others as elected by the Board of Directors. All members of the Executive Committee are members of the Board of Directors. The Executive Committee 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 Wadsworth-Rittman Area Hospital Assn Code of Regulations. All interim actions by the Executive Committee are reported at the Board's next meeting succeeding such action. The Executive Committee prepares and makes such recommendations to the Board as are pertinent to the welfare of The Wadsworth-Rittman Area Hospital Assn. Cuyahoga Falls General Hospital: Cuyahoga Falls General Hospital has an Executive Committee comprised of three (3) physician directors, three (3) community directors, and (1) director selected by Summa Health System, the sole member of Cuyahoga Falls General Hospital. All members of the Executive Committee are Directors of Cuyahoga Falls General Hospital. The Executive Committee nominates the Community Directors to the Board of Directors and serves an advisory function to bring issues of importance to the board of directors of the Member, Summa Health System. Additionally, the Executive Committee has the power to transact all regular business of Cuyahoga Falls General Hospital between meetings of the Board of Directors, subject only to prior limitations established by the Board of Directors and the Member's Reserved Powers. Form 990, Page 6, Part VI, Line 2 Summa Akron City and St. Thomas Hospitals: Dennis Chack and Anthony Lockhart have a business relationship through First Energy: Dennis Chack is employed as an officer of First Energy and Anthony Lockhart is a retired officer of First Energy. Thomas Strauss and William A. Powel, III have a business relationship through Summa Western Reserve Hospital: both are Directors of Summa Western Reserve Hospital. Thomas O'Neill, and Unhee Kim have a business relationship through ARIS Teleradiology Holdings, Inc. and through ARIS Teleradiology Professional Corporation: each is a Director of both entities. Thomas O'Neill and Mary Ward have a business relationship through Crystal Clinic Orthopaedic Center, LLC: both are Directors of Crystal Clinic Orthopaedic Center, LLC. Robert Harrigan and Thomas Strauss have a business relationship through Summa Accountable Care Organization: both are Directors of Summa Accountable Care Organization Summa Foundation f/k/a Summa Akron City and St. Thomas Hospitals Foundation: Thomas Clark, Anthony Lockhart and Richard Marsh have a business relationship through First Energy: all are retired officers of First Energy. Samir Gibara and Scott Honnold have a business relationship through Goodyear Tire and Rubber Company: Samir Gibara is a retired officer of Goodyear and Scott Honnold is a current officer of Goodyear. George Daverio, Jr. and C. Gordon Ewers have a business relationship through Merrill Lynch: George Daverio, Jr. is retired from Merrill Lynch and C. Gordon Ewers is an officer at Merrill Lynch. Summa Foundation (dissolved through merger June 1, 2012): Samir Gibara and Scott Honnold have a business relationship through Goodyear Tire and Rubber Company: Samir Gibara is a retired officer of Goodyear and Scott Honnold is a current officer of Goodyear. George Daverio, Jr. and C. Gordon Ewers have a business relationship through Merrill Lynch: George Daverio, Jr. is retired from Merrill Lynch and C. Gordon Ewers is an officer at Merrill Lynch. Summa Physicians, Inc.: Brian Derrick, Dale Murphy, M.D., William A. Powel, III, and Thomas Strauss have a business relationship through Middlebury Assurance Corporation: all are Directors of Middlebury Assurance Corporation Summa Barberton Citizens Hospital: N/A The Wadsworth-Rittman Area Hospital Assn: Eric Graf and Thomas Knoll have a business relationship through Ritzman Pharmacies: Eric Graf is the CEO of Ritzman Pharmacies and Thomas Knoll is a Director of Ritzman Pharmacies. Cuyahoga Falls General Hospital: Stephen Hailer, Thomas Strauss, Joseph Nienaltowksi, D.O., and William A. Powel, III have a business relationship through Summa Western Reserve Hospital: Stephen Hailer, Thomas Strauss, and William A. Powel, III are Directors of Summa Western Reserve Hospital and Joseph Nienaltowski, D.O. is Director, Patient Experience at Summa Western Reserve Hospital, LLC. Douglas Chonko, D.O. and Ronald Russ, D.O. have a business relationship through Kent Management Group: each is employed by Kent Management Group. Form 990, Page 6, Part VI, Line 4 Summa Foundation (dissolved through merger June 1, 2012): Summa Foundation merged with Summa Akron City and St. Thomas Hospitals Foundation effective June 1, 2012. Summa Akron City and St. Thomas Hospitals Foundation was the surviving corporation and effective on the merger date, the surviving corporation changed its name to Summa Foundation. Summa Foundation f/k/a Summa Akron City and St. Thomas Hospitals Foundation: Summa Akron City and St. Thomas Hospitals Foundation merged with Summa Foundation effective June 1, 2012. Summa Akron City and St. Thomas Hospitals Foundation was the surviving corporation and effective on the merger date, the surviving corporation changed its name to Summa Foundation. The following changes were made to the Code of Regulations during the 2012 tax year: (i) Changed the name of the corporation from "Summa Akron City and St. Thomas Hospitals Foundation" to "Summa Foundation" (ii) Changed the Member from Summa Akron City and St. Thomas Hospitals to Summa Health System (iii) Changed the voting requirements for the sole Member to reject an elected director from 60% of Member's Board of Directors to a simple majority (iv) Changed the maximum number of Directors from 49 to 30 with not less than 25 (v) Changed the quorum definition from 40% to 50% (vi) Added a requirement that a majority of the Directors be independent (vii) Reduced the number of Special Voting Directors from 5 to 1; only the President & CEO of Summa Health System will be a Special Voting Director. The following Special Voting Directors were deleted: (1) Chair, Summa Akron City and St. Thomas Hospitals; (2) Chair, Summa Health System; (3) President, Medical Staff, Summa Akron City and St. Thomas Hospitals; and (4) System Vice President, Medical Education and Research (viii) Reduced the size of the Executive Committee from up to 11 to 5 (ix) Specified that the Executive Committee is to be appointed at the annual meeting; members will consist of the Chair, Vice Chair, Secretary, Treasurer and one director named by the Chair (x) Specified that the Executive and Finance Committees shall be the standing committees; the Development Committee was deleted as a standing committee (xi) Added a Vice Chair and a Chief Development Officer to the list of officers (xii) Changed the single President & COO position to two individual positions Form 990, Page 6, Part VI, Line 6 Summa Akron City and St. Thomas Hospitals: Summa Health System is the sole member of Summa Akron City and St. Thomas Hospitals. Summa Foundation f/k/a Summa Akron City and St. Thomas Hospitals Foundation: Summa Akron City and St. Thomas Hospitals is the sole member of Summa Foundation f/k/a Summa Akron City and St. Thomas Hospitals Foundation. Summa Foundation (dissolved through merger June 1, 2012): Summa Health System was the sole member of Summa Foundation. Summa Barberton Citizens Hospital: The sole member of Summa Barberton Citizens Hospital is Summa Barberton Wadworth-Rittman Hospitals, LLC, an Ohio non-profit limited liability company whose sole member is Summa Health System. The Wadsworth-Rittman Area Hospital Assn: The sole member of The Wadsworth-Rittman Area Hospital Assn is Summa Barberton Wadsworth-Rittman Hospitals, LLC, an Ohio non-profit limited liability company whose sole member is Summa Health System. Summa Physicians, Inc.: Summa Physicians, Inc. has stockholders; the stock is held in trust for the benefit of Summa Health System. Cuyahoga Falls General Hospital: Summa Health System is the sole member of Cuyahoga Falls General Hospital. Form 990, Page 6, Part VI, Line 7a Summa Akron City and St. Thomas Hospitals: (i) The medical staff of Summa Akron City and St. Thomas Hospitals elects two (2) directors: the President of the Medical Staff and the President-Elect of the Medical Staff. (ii) The Chairs of the medical staff departments elect two (2) department chairs to be directors (iii) The following individuals are directors by designation: (a) President & CEO of Summa Health System; (b) President & COO of Summa Akron City and St. Thomas Hospitals; (c) Chair of Summa Akron City and St. Thomas Hospitals Foundation; and (d) The Presidents of The Women's Board of St. Thomas Hospital and the Women's Board of Summa Health System shall rotate annually to provide a single representative. (iv) Other than as set forth above, Summa Health System is the sole member of Summa Akron City and St. Thomas Hospitals and has the right to elect the Board of Directors of Summa Akron City and St. Thomas Hospitals. Summa Foundation f/k/a Summa Akron City and St. Thomas Hospitals Foundation: In addition to directors elected by the Summa Health System Board as the sole member of Summa Foundation, the President and CEO of Summa Health System serves as a director of Summa Foundation. Summa Foundation (dissolved through merger June 1, 2012): In addition to directors elected by the Summa Health System Board as the sole member of Summa Foundation, the individuals holding the following offices serve as directors of Summa Foundation for so long as they serve in their respective capacities: (i) Chair, Summa Health System Board of Directors; (ii) President & CEO, Summa Health System; (iii) System Vice President, Medical Education & Research, (iv) System Director, Research; and (v) President, Summa Foundation. Summa Physicians, Inc.: Summa Physicians, Inc. is affiliated with Summa Akron City and St. Thomas Hospitals and only persons approved by Summa Akron City and St. Thomas Hospitals or employed by Summa Akron City and St. Thomas Hospitals or an affiliated entity may serve as a director of Summa Physicians, Inc. Summa Barberton Citizens Hospital: The sole member of Summa Barberton Citizens Hospital is Summa Barberton Wadsworth-Rittman Hospitals, LLC, an Ohio non-profit limited liability company whose sole member is Summa Health System. The sole member elects the Board of Directors of Summa Barberton Citizens Hospital subject to the approval of Summa Health System. The Wadsworth-Rittman Area Hospital Assn: The sole member of The Wadsworth-Rittman Area Hospital Assn is Summa Barberton Wadsworth-Rittman Hospitals, LLC, an Ohio non-profit limited liability company whose sole member is Summa Health System. The sole member elects the Board of Directors of The Wadsworth-Rittman Area Hospital Assn subject to the approval of Summa Health System. Cuyahoga Falls General Hospital: Summa Health System is the sole member of Cuyahoga Falls General Hospital and has the right to elect the Board of Directors of Cuyahoga Falls General Hospital. Form 990, Page 6, Part VI, Line 7b Summa Akron City and St. Thomas Hospitals: Summa Health System is the sole member of Summa Akron City and St. Thomas Hospitals. As the sole member, Summa Health System has the power and authority to approve or disapprove of each of the following on behalf of Summa Akron City and St. Thomas Hospitals: (i) Any modification of the essential nature, purpose, mission or operations of Summa Akron City and St. Thomas Hospitals; (ii) Approval of the Codes of Regulations, Bylaws or other constitutive document of Summa Akron City and St. Thomas Hospitals and any corporation or entity controlled by, related to or affiliated with Summa Akron City and St. Thomas Hospitals (an "Affiliated Corporation") and any and all amendments thereto; (iii) The 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 Summa Akron City and St. Thomas Hospitals or any Affiliated Corporation; (iv) The establishment of qualifications for the selection of Directors, Directors or Managers of Summa Akron City and St. Thomas Hospitals; (v) The appointment or election and removal of members of the governing body of Summa Akron City and St. Thomas Hospitals; (vi) The appointment or election and removal of the President and/or Chief Executive Officer or similar officer of Summa Akron City and St. Thomas Hospitals; (vii) The adoption of annual operating and capital budgets of Summa Akron City and St. Thomas Hospitals; (viii) The adoption of the long range plans of Summa Akron City and St. Thomas Hospitals; (ix) Determinations as to the use and occupancy of any building owned or leased by Summa Akron City and St. Thomas Hospitals; (x) The sale, encumbrance, lease or disposition of real property of Summa Akron City and St. Thomas Hospitals other than in the ordinary course of the operations of Summa Akron City and St. Thomas Hospitals; and (xi) The merger, reorganization, dissolution or other corporate action of a similar nature, including participation in a joint venture, undertaken by Summa Akron City and St. Thomas Hospitals. Summa Foundation f/k/a Summa Akron City and St. Thomas Hospitals Foundation: Summa Health System 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 expand 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. Form 990, Page 6, Part VI, Line 7b cont. Summa Foundation (dissolved through merger June 1, 2012): Summa Health System 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 and the Member: (i) Any modification of the essential nature, purpose, mission or operations of the Corporation; (ii) Adoption of a Code of Regulations 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 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 Chief Operating Officer ("President & COO") or similar officer(s) of the Corporation; (vii) Adoption of annual operating and capital budgets of the Corporation; (viii) 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 Corporation'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; (ix) 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 Corporation which has not been previously approved by the Member exceeds certain dollar limits set from time to time by the Member; (x) Execution of any contract that calls for the Corporation 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; (xi) Adoption of the long range plans of the Corporation; (xii) Determinations as to the use and occupancy of any building owned or leased by the Corporation; (xiii) The purchase, sale, encumbrance, lease or disposition of real property of the Corporation other than in the ordinary course of the operations of the Corporation; and (xiv) The merger, reorganization, dissolution or other corporate action of a similar nature proposed by the Corporation. Summa Physicians, Inc.: N/A Summa Barberton Citizens Hospital: Summa Health System is the sole member of Summa Barberton Wadsworth-Rittman Hospitals, LLC which, in turn, is the sole member of Summa Barberton Citizens Hospital. Summa Health System has the power and authority to approve or disapprove of each of the following on behalf of Summa Barberton Citizens Hospital: (i) Any modification of the essential nature, purpose, mission or operations of Summa Barberton Citizens Hospital; (ii) Approval of the Codes of Regulations, Bylaws or other constitutive document of Summa Barberton Citizens Hospital and any corporation or entity controlled by, related to or affiliated with Summa Barberton Citizens Hospital (an "Affiliated Corporation") and any and all amendments thereto; (iii) The 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 Summa Barberton Citizens Hospital or any Affiliated Corporation; (iv) The establishment of qualifications for the selection of Directors, Directors or Managers of Summa Barberton Citizens Hospital; (v) The appointment or election and removal of members of the governing body of Summa Barberton Citizens Hospital; (vi) The appointment or election and removal of the President and/or Chief Executive Officer or similar officer of Summa Barberton Citizens Hospital; (vii) The adoption of annual operating and capital budgets of Summa Barberton Citizens Hospital; (viii) The adoption of the long range plans of Summa Barberton Citizens Hospital; (ix) Determinations as to the use and occupancy of any building owned or leased by Summa Barberton Citizens Hospital; (x) The sale, encumbrance, lease or disposition of real property of Summa Barberton Citizens Hospital other than in the ordinary course of the operations of Summa Barberton Citizens Hospital; and (xi) The merger, reorganization, dissolution or other corporate action of a similar nature undertaken by Summa Barberton Citizens Hospital. The Wadsworth-Rittman Area Hospital Assn: Summa Health System is the sole member of Summa Barberton Wadsworth-Rittman Hospitals, LLC which, in turn, is the sole member of The Wadsworth-Rittman Area Hospital Assn. Summa Health System has the power and authority to approve or disapprove of each of the following on behalf of The Wadsworth-Rittman Area Hospital Assn: (i) Any modification of the essential nature, purpose, mission or operations of The Wadsworth-Rittman Area Hospital Assn; (ii) Approval of the Codes of Regulations, Bylaws or other constitutive document of The Wadsworth-Rittman Area Hospital Assn and any corporation or entity controlled by, related to or affiliated with The Wadsworth-Rittman Area Hospital Assn (an "Affiliated Corporation") and any and all amendments thereto; (iii) The 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 Wadsworth-Rittman Area Hospital Assn or any Affiliated Corporation; (iv) The establishment of qualifications for the selection of Directors, Directors or Managers of The Wadsworth-Rittman Area Hospital Assn; (v) The appointment or election and removal of members of the governing body of The Wadsworth-Rittman Area Hospital Assn; (vi) The appointment or election and removal of the President and/or Chief Executive Officer or similar officer of The Wadsworth-Rittman Area Hospital Assn; (vii) The adoption of annual operating and capital budgets of The Wadsworth-Rittman Area Hospital Assn; (viii) The adoption of the long range plans of The Wadsworth-Rittman Area Hospital Assn; (ix) Determinations as to the use and occupancy of any building owned or leased by The Wadsworth-Rittman Area Hospital Assn; (x) The sale, encumbrance, lease or disposition of real property of The Wadsworth-Rittman Area Hospital Assn other than in the ordinary course of the operations of The Wadsworth-Rittman Area Hospital Assn; and (xi) The merger, reorganization, dissolution or other corporate action of a similar nature undertaken by The Wadsworth-Rittman Area Hospital Assn. Cuyahoga Falls General Hospital: Summa Health System is the sole member of Cuyahoga Falls General Hospital. As the sole member, Summa Health System has the power and authority to approve or disapprove of each of the following on behalf of Cuyahoga Falls General Hospital: (i) Any modification of the essential nature, purpose, mission or operations of Cuyahoga Falls General Hospital; (ii) Approval of the Codes of Regulations, Bylaws or other constitutive document of Cuyahoga Falls General Hospital and any corporation or entity controlled by, related to or affiliated with Cuyahoga Falls General Hospital (an "Affiliated Corporation") and any and all amendments thereto; (iii) The 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 Cuyahoga Falls General Hospital or any Affiliated Corporation; (iv) The establishment of qualifications for the selection of Directors, Directors or Managers of Cuyahoga Falls General Hospital; (v) The appointment or election and removal of members of the governing body of Cuyahoga Falls General Hospital; (vi) The appointment or election and removal of the President and/or Chief Executive Officer or similar officer of Cuyahoga Falls General Hospital; (vii) The adoption of annual operating and capital budgets of Cuyahoga Falls General Hospital; (viii) The adoption of the long range plans of Cuyahoga Falls General Hospital; (ix) Determinations as to the use and occupancy of any building owned or leased by Cuyahoga Falls General Hospital; (x) The sale, encumbrance, lease or disposition of real property of Cuyahoga Falls General Hospital other than in the ordinary course of the operations of Cuyahoga Falls General Hospital; and (xi) The merger, reorganization, dissolution or other corporate action of a similar nature undertaken by Cuyahoga Falls General Hospital. Form 990, Page 6, Part VI, Line 11b The return was reviewed in detail by a committee consisting of internal and external legal counsel, financial management, and an external auditor. The review committee included the System Vice President, Finance and CFO and the System Vice President, Legal Services and General Counsel. This detailed review occurred in early October 2013. Following this review and incorporation of changes recommended by this committee, the return was provided to the Summa Health System Committee on Governance prior to its mid-October 2013 meeting for further review. The Committee on Governance is a standing committee appointed by the Summa Health System Board of Directors and includes members of the Board of Directors. Schedule H of the return was also reviewed by the Summa Health System 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. Form 990, Page 6, Part VI, Line 12c Conflict of Interest Process Summary: A Conflict of Interest Questionnaire is sent annually to all Summa Health System 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 System 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 System Policy on Conflict of Interest as approved by the Summa Health System 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, Page 6, Part VI, Line 15 Executive Compensation: The Compensation Committee of the Summa Health System 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 three years, the Compensation Committee has used The 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 System: President & CEO; System Vice President; Finance & CFO; System Vice President, Legal Services & General Counsel; System Vice President, IT&S & CIO; System Vice President, Service Lines, Ambulatory & Ancillary; System Vice President, Planning & Marketing; System Vice President & Chief Nursing Officer; System Vice President, Human Resources; System Vices President, Quality & Medical Affairs; Summa Akron City and St. Thomas Hospitals: President & COO Summa Foundation: President Summa Barberton Citizens Hospital & The Wadsworth-Rittman Area Hospital Assn: President & COO Summa Physicians, Inc: President SummaCare: President Cuyahoga Falls General Hospital: Note: Cuyahoga Falls General Hospital did not employ a President & COO during 2012 Form 990, Page 6, Part VI, Line 18 The Forms 990 are available on Summa Health System's website: www.summahealth.org. The Forms 990-T and group exemption application are available upon request. Form 990, Page 6, Part VI, Line 19 Summa Health System makes its Conflicts of Interest policy available on its website (www.summahealth.org). The Articles of Incorporation of Summa Health System and its related entities are available on the website of the Ohio Secretary of State (www.sos.state.oh.us). Summa Health System 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, Page 12, Part XI, Line 9 Other Changes in Net Assets or Fund Balances: FASB 106 Post Retirement (174,000) Net Assets released from restriction 1,816,333 Minimum Pension Liability (8,236,570) Transfers between affiliated organizations 960,964 Change in Trust Value 479,148 ----------- Total Changes in Net Assets (5,154,125) Form 990, Page 2, Part III Program Service Accomplishments Summa Health System 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 System serves more than one million patients each year in comprehensive emergency, acute, critical, outpatient and long-term/homecare settings and represents more than 2,000 registered, inpatient beds on the campuses of Summa Akron City and St. Thomas Hospitals, Summa Barberton Citizen's Hospital, The Wadsworth-Rittman Area Hospital Association, Summa Rehab Hospital*, Summa Western Reserve Hospital*, Crystal Clinic Orthopaedic Center*, and Robinson Memorial Hospital, an affiliate of Summa Health System.** In addition, outpatient care is provided in more than 16 community health centers and Emergency Departments (EDs), some integrated in the healthcare facilities, others free-standing. *Summa Rehab Hospital, *Summa Western Reserve Hospital and *Crystal Clinic Orthopaedic Center are joint ventures in which Summa Health System has an interest, and are referenced in this document for the purpose of indentifying all entities affiliated with Summa Health System. Summa's proportionate interest of these joint ventures' charity care and other community benefits are included below. ** Robinson Memorial Hospital, an affiliate of Summa Health System, is a county hospital. It is referenced in this document only for the purpose of identifying all entities affiliated with Summa Health System. Providing superior, multi-specialty patient care, medical research and continuing medical education, Summa Health System ranks as a highly recognized healthcare provider in several disciplines including: cardiovascular, emergency, oncology, stroke and nursing by prestigious organizations such as: The Society of Chest Pain Centers American College of Surgeons American Heart Association American Stroke Association National Accreditation Program of Breast Centers American Nurses Credentialing Center Premier Healthcare Alliance The Joint Commission Summa Health System is Summit County's largest employer and a leading economic engine for the region. Summa Health System includes the following: Summa Akron City and St. Thomas Hospitals: Summa Akron City and St. Thomas Hospitals is a single legal entity that includes two hospital campuses and several off-site locations. Summa Akron City and St. Thomas Hospitals operates both hospital locations as well as the hospital-based off-site locations under the same Medicare provider number. Summa Akron City and St. Thomas Hospitals employs more than 5,300 individuals and has a medical staff of more than 1,000 professionals. Summa Akron City and St. Thomas Hospitals has over 1,000 registered beds and 46 licensed bassinets. The buildings and facilities on both campuses total 1.7 million square feet. Summa Akron City Hospital offers general medical, surgical, obstetrical, trauma, and critical care services. Summa Akron City Hospital provides acute care services on a campus of approximately 60 acres. The campus is home to specialty health centers offering a wide range of outpatient services. In 2012, Summa Akron City Hospital completed a $45 million renovation and expansion of its emergency department, which now includes 44 patient treatment rooms, radiology rooms, triage area, an auditorium and offices to accommodate EMS, residency training, research, quality, informatics and disaster preparedness. The emergency department also offers the only dedicated emergency department program for patients aged 65+ in the area. Summa St. Thomas Hospital provides acute care services along with behavioral health and substance abuse care. Summa St. Thomas Hospital 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. Summa Akron City and St. Thomas Hospitals serves as a major teaching affiliate for Northeast Ohio Medical University (NEOMED), sponsoring and/or co-sponsoring 17 residencies and fellowships along with providing educational rotations for medical students. Summa Barberton Citizen's Hospital Summa Barberton Citizen's Hospital 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 employs more than 1,300 employees and has approximately 400 medical staff. It has 257 registered adult beds and 14 available bassinets. A new Acute Palliative Care Unit (APCU) and an Acute Care for Elders (ACE) unit opened at Summa Barberton Citizen's Hospital in 2012. Also, the hospital implemented electronic medical records (EMR), which enabled it to meet all criteria for Phase 1 Meaningful Use designation. The hospital's Parkview Center oncology program received reaccreditation with commendation in 2012 from the Commission on Cancer, placing the center in the top 10 percent of cancer programs nationally. The Wadsworth-Rittman Area Hospital Association The Wadsworth-Rittman Area Hospital Association is a 200,000 square foot acute care community hospital located on approximately 38 acres. Located approximately 20 miles west of Akron, Ohio, the Wadsworth-Rittman Area Hospital Association has 99 registered beds, employs more than 450 employees, and has a medical staff of more than 320 professionals. The hospital was recognized by The Joint Commission in 2012 as a Top Performer on Key Quality Measures for outstanding quality care in pneumonia and surgical services. A new outpatient center for senior services opened at the hospital in 2012. During the year, electronic medical records (EMR) were implemented, enabling the hospital to meet all criteria for Phase 1 Meaningful Use designation. Charity Care: In 2012, Summa Health System provided charity care at an estimated net cost of more than $13.3 million. This amount represented the net cost associated with providing the care and does not include bad debt. Patients with incomes 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 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 2012, the charity care program (including Hospital Care Assurance Program) benefitted approximately 61,000 patient encounters. Medicaid Shortfall Historically, 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 System's unpaid costs for Medicaid totaled more than $22.7 million. Bad Debt Summa Health System is committed to providing quality and accessible healthcare. This includes covering the expenses of payments that were expected but not received. While Summa Health System recognizes bad debt is part of the cost 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 System provides to the community without full reimbursement. In 2012, the cost for providing care written off as bad debt was approximately $25.8 million. Community Health Improvement Services An important part of Summa Health System's mission is offering a prevention and wellness program to build a healthier community. In 2012, Summa Health System provided approximately $1.4 million to help fund health improvement activities such as free and low-cost health screenings, health education services and wellness programming. Subsidized Health Services Summa Health System is committed to providing subsidized health services - clinical 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, Developing Options for Violent Emergencies (DOVE) program for crisis services and diabetes education are offered, even though they are not profitable. Income from other services is used to cover these costs. In 2012, the cost for subsidized services was approximately $28.1 million. Form 990, Page 2, Part III, continued Financial and In-kind Donations Annually, Summa Health System 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 Akron Community Health Resources (Akron's only federally-funded health center) Summa Health System participates in numerous community programs and helps other nonprofits fulfill their missions. In 2012, these contributions exceeded $2.1 million. Research Summa Health System'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 System and helps set the highest standards for medical care in the community. Summa Health System's reputation for excellence in such critical specialties as cardiology, diabetes, emergency services, orthopaedics, oncology, senior health, surgery, and women's health continues to grow through research and innovation. Summa Health System invested more than $4.7 million in research in 2012. 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 System supports the education of physicians and other healthcare professionals. Summa Akron City and St. Thomas Hospitals is the largest of the major teaching affiliates of the Northeast 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 offers 17 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 our local university partners. In 2012, 246 residents and fellows trained at Summa's three main hospitals. On average, more than 40% of these residents remain in our local and surrounding communities. Summa's 2012 investment in health professions education totaled nearly $22.3 million. The work of Summa's internal medicine residency program, directed at improving the quality and safety of patient care as part of the ACGME's Educational Innovation Project, was presented at two national meetings and published in the Journal of Graduate Medical Education. In addition, Summa has expanded the size and scope of the medical simulation center in support of Summa's commitment to quality and safety, and approved the development of two new fellowship training programs, one in medical simulation and one in emergency medical services. Summa Health System is one of five founding medical and educational institutions responsible for the creation of the Austen BioInnovation Institute in Akron (ABIA), a unique collaboration that expands upon the region's rich legacy in industrial and materials science to pioneer the next generation of life enhancing and life saving innovations. Summa Health System Services: Following is a description of Summa Health System's notable accomplishments by primary service lines in 2012: Behavioral Health - Summa Akron City and St. Thomas Hospitals together with Coleman Professional Services received a $400,000 grant from the Margaret Clark Morgan Foundation to develop integrated behavioral health services in the internal medicine and family practice centers. The purpose of the grant is to demonstrate improved health outcomes when behavioral health services are provided along with medical care. Cardiovascular - Completed a $2 million upgrade to the Heart Rhythm Services (HRS) Lab on the campus of Summa Akron City Hospital. The Cardiovascular Institute received the American Heart Association Mission Lifeline Accreditation and Silver level award. Emergency/Trauma Services - In addition to completing the renovation and expansion of the emergency department at Summa Akron City Hospital, the free-standing emergency department in Green was successfully completed and opened in July, 2012. The emergency departments at Summa Akron City and St. Thomas Hospitals and Summa Health Center at Lake Medina demonstrated continued excellence in patient satisfaction, rating in the 75th percentile. Neuroscience - Completed construction of second bi-plane suite to perform complex neuro-interventional procedures. Attained 45% growth in neuro-surgical procedures compared to 2011. Oncology - Summa Health System successfully attained three-year American Radiology Radiation Oncology Accreditation. Respiratory - Implemented the following programs in 2012: low-dose CT screening for early identification of lung cancer, and an inpatient smoking cessation program. Obtained a computerized lung simulator for use in training, research and simulation, and trained and certified more than 15 tobacco cessation specialists to provide community-based tobacco cessation programs. Seniors, Post Acute and Transitional Care - In addition to expanded services at Summa Barberton Citizens Hospital and Summa Wadsworth-Rittman Hospital noted above, Summa's Bridge-to-Home transitional care program expanded to include behavioral health support. The palliative care fellowship program received a five-year accreditation from ACGME, and the geriatric fellowship program received approval to add two spots for the 2014-15 year. Surgical Services - Summa Akron City Hospital developed and implemented a surgical services optimization plan led by nursing, physician and anesthesia leadership teams to improve efficiency and enhance access throughout the peri-operative environment. Summary Although reimbursement for services rendered is critical to the operations and stability of Summa Health System, not all individuals possess the ability to purchase essential medical services. Summa Health System 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 program. 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 2012, Summa Health System provided charity care to the indigent (including unreimbursed Medicaid) at the net cost of nearly $36 million. This amount does not include services provided and written off as bad debt. In addition to uncompensated medical care, Summa Health System provided wellness programs, community education programs and special programs for the elderly, handicapped, and medically underserved. Summa Health System also operated a variety of broad community support activities. Many of these programs were offered at a reduced price or provided to the community free of charge. Summa Health System 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 System'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. Form 990, Page 2, Part III continued Summa Physicians Inc. (SPI) - Program Service Accomplishments: Summa Physicians Inc. (SPI) is a Summa Health System entity comprised of multi-specialty physicians and practices. In 2012, SPI added 28 physicians in various specialties including cardiology and oncology. In total, SPI employs more than 275 physicians and 730 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 2012, SPI developed standardized contracts for providers to achieve efficiency and savings. Summa Foundation - Program Service Accomplishments: Through philanthropy, Summa Foundation supports medical education, research, technology, and clinical innovation. Encompassing fundraising, resource development, community benefit, diversity and government relations, Summa Foundation works to develop new, diversified and increased resources and build relationships that influence health policy to advance the regional priorities of Summa Health System. Development The Foundation's development department offers a spectrum of philanthropic options for donors designed to create a positive impact on Summa Health System's operations, programs, projects and perceptions and to affect positive change in the communities Summa Health System serves. Development houses the grant and proposal development offices created to identify the resources and expertise of external and internal partners to generate funding for research, education and clinical and system projects. Contributions to the Summa Foundation in 2012 exceeded $4.1 million, including private and public sector support and the value of partnerships and collaborative efforts. 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 System. Community benefit and diversity provide wellness and educational tools, facilitate economic development programs, develop community partnerships, communicate Summa Health System'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 System as a credible leader and partner in the health policy planning process. This department collaborates with the system development team to best position Summa education, research and clinical innovation priorities with public sector funding opportunities. OTHER FEES FOR SERVICES FOR NON-EMPLOYEES FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED MEDICAL SERVICES TOTAL FEES:34054620 OTHER FEES FOR SERVICES FOR NON-EMPLOYEES FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN SERVICES-AFFILIATE TOTAL FEES:50891728 OTHER FEES FOR SERVICES FOR NON-EMPLOYEES FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN PRACTICE SUPPORT TOTAL FEES:26416847 OTHER FEES FOR SERVICES FOR NON-EMPLOYEES FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION SERVICES TOTAL FEES:6877063 OTHER FEES FOR SERVICES FOR NON-EMPLOYEES FORM 990 PART IX LINE 11G DESCRIPTION:NON-MEDICAL PURCHASED SERVICES TOTAL FEES:38607366 OTHER FEES FOR SERVICES FOR NON-EMPLOYEES FORM 990 PART IX LINE 11G DESCRIPTION:PERFUSION/BLOOD PROCESSING TOTAL FEES:4281939 OTHER FEES FOR SERVICES FOR NON-EMPLOYEES FORM 990 PART IX LINE 11G DESCRIPTION:AMBULANCE SERVICE TOTAL FEES:532613 OTHER FEES FOR SERVICES FOR NON-EMPLOYEES FORM 990 PART IX LINE 11G DESCRIPTION:HOSPICE SERVICES TOTAL FEES:3772130 OTHER FEES FOR SERVICES FOR NON-EMPLOYEES FORM 990 PART IX LINE 11G DESCRIPTION:REPAIR & MAINTENANCE TOTAL FEES:12618735 Summa Enterprise Group LLC 525 East Market Street Akron OH 44304 030507853 Consulting OH 2405075 12548583 SACSTH Summa Enterprise Group Properties LLC 525 East Market Street Akron OH 44304 550837372 Real Estate OH 445782 122495 SEG Akron Endoscopy ASC LLC 525 East Market Street Akron OH 44309 621865245 prof.med.svcs OH 0 20000 sacsth St Thomas Medical Center Women's Board 444 North Main Street Akron OH 44310 346576575 Support OH 3 11-I SACSTH false Ohio Sleep Disorders Center 130 West Exchange Street Akron OH 44302 341872278 Office Physic OH SACSTH & SBH Related 0 0 false 0 true 0.66670 Summa Rehab Hospital LLC 4550 Lena Drive Mechanicsburg PA 17055 271952573 Rehab Hospita OH SACSTH Related 7915911 2999783 false 0 true 0.52000 Ohio Health Choice Inc 525 East Market Street Akron OH 443041619 341895396 PPO OH NA C Corp 2466445 1726637 0.80000 true Summa Insurance Company Inc 10 North Main Street Akron OH 44308 341809108 Prop/Cas. Ins OH NA C Corp 203193552 100602102 0.99000 true Summa Health System Corp 525 East Market Street Akron OH 443041619 341515252 Mgmt Services OH NA C Corp 1793000 6299558 1.00000 true Wadsworth-Rittman Prof Services Corp 195 Wadsworth Road Wadsworth OH 442819504 010842997 Prof. Med. Sv OH NA C Corp 0 14319 1.00000 true Middlebury Assurance Company PO Box 1051 KY1-1102 Grand Cayman Cayman Islands CJ 980405096 Self Insuranc CJ NA Foreign Corp 13520911 63349154 1.00000 true SummaCare Inc 525 East Market Street Akron OH 44309 341726655 Insurance OH NA C Corp 283292947 95086721 1.00000 true Health Care Center Physicians Inc 525 East Market Street Akron OH 443041619 341692767 Inactive OH NA C Corp 0 0 1.00000 true Summa Accountable Care Organization 525 East Market Street Akron OH 44304 273857055 Contracting OH NA C Corp 1571851 809665 1.00000 true Aris Teleradiology Holdings Inc 5655 Hudson Drive Hudson OH 44236 453697866 Radiology Svc DE SACSTH C Corp 7839849 5172689 0.57900 false Summa Management Services Organization 10 North Main Street Akron OH 44308 461145832 Mgmt Services OH SHS Corp C Corp 0 0 1.00000 true Summa Integrated Services Organization 10 North Main Street Akron OH 44308 461159251 Mgmt Services OH SHS Corp C Corp 4174077 11688806 1.00000 true true true true false false false false false false true true true true false false true true false false Summa Rehab Hospital LLC a 1950772 FMV Summa Akron City and St Thomas Hospital b 166654 FMV Summa Foundation b 2043958 FMV Summa Foundation b 137500 FMV Summa Foundation c 166654 FMV Summa Akron City and St Thomas Hospital c 2043958 FMV Summa Barberton Citizens Hospital c 137500 FMV Summa Physicians Inc j 2943261 FMV Summa Physicians Inc j 219754 FMV Summa Physicians Inc j 135241 FMV Summa Akron City and St Thomas Hospital k 2943261 FMV Summa Barberton Citizens Hospital k 219754 FMV The Wadsworth-Rittman Area Hospital Assn k 135241 FMV Summa Akron City and St Thomas Hospital l 43255651 FMV Summa Barberton Citizens Hospital l 6984824 FMV The Wadsworth-Rittman Area Hospital Assn l 1556716 FMV Summa Insurance Company Inc l 69394174 FMV Summa Insurance Company Inc l 10655542 FMV Summa Insurance Company Inc l 11767675 FMV Summa Insurance Company Inc l 4017147 FMV Summa Health System m 532644 FMV Summa Health System m 103992 FMV Summa Health System m 83211 FMV Summa Health System m 1078230 FMV Summa Physicians Inc m 43255651 FMV Summa Physicians Inc m 6984824 FMV Summa Physicians Inc m 1556716 FMV Middlebury Assurance Company m 7614552 FMV Middlebury Assurance Company m 1900318 FMV Middlebury Assurance Company m 1117119 FMV Middlebury Assurance Company m 304495 FMV Summa Insurance Company Inc m 1236026 FMV Summa Insurance Company Inc m 255912 FMV Summa Insurance Company Inc m 125877 FMV SummaCare Inc m 1826492 FMV Summa Akron City and St Thomas Hospital p 6765955 FMV Summa Foundation q 6765955 FMV Crystal Clinic Orthopaedic Center LLC 3925 Embassy Parkway 250 Akron OH 44333 261130649 Ortho Hospital OH Related false 54657515 21004751 false 0 false 0.49650 Summa Western Reserve Hospital LLC 1900 23rd Street Cuyahoga Falls OH 44223 263536780 Hospital OH Related false 46889200 9742292 false 0 false 0.40000