2023-11-10T15:05:45-06:00 2022-12-31 346565596 ERNST & YOUNG US LLP 111 MONUMENT CIR STE 4000 INDIANAPOLIS IN 46204 990 2022-01-01 341887844 SUMMA HEALTH SUMM 2343125867 1077 GORGE BLVD AKRON OH 44310 DAWN AHNER SR VP, CFO, TREAS 2343125867 2023-11-10 1 DAWN AHNER 999009999 0 JENNIFER D RHODERICK P00395735 3176817000 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z T CLIFFORD DEVENY MD 1077 GORGE BLVD AKRON OH 44310 544493420 0 5864 X WWW.SUMMAHEALTH.ORG X 1999 OH THE MISSION OF SUMMA HEALTH IS TO PROVIDE THE HIGHEST QUALITY, COMPASSIONATE CARE TO OUR PATIENTS AND TO CONTRIBUTE TO A HEALTHIER COMMUNITY. 12 8 1240 10 385622 207386 17230930 14872108 174286252 172331316 57058273 26377569 408638 382228 248984093 213963221 308571 305408 0 0 78250401 80283716 0 0 0 89794032 103748353 168353004 184337477 80631089 29625744 1250438155 950483781 742395713 616139652 508042442 334344129 THE MISSION OF SUMMA HEALTH IS TO PROVIDE THE HIGHEST QUALITY, COMPASSIONATE CARE TO PATIENTS AND MEMBERS AND CONTRIBUTE TO A HEALTHIER COMMUNITY. 0 0 157117773 305408 170494373 SUMMA HEALTH DIRECTS AND SUPPORTS THE PROGRAMS AND ACTIVITIES OF THE CONSOLIDATED SUMMA HEALTH ENTITIES SO THAT ALL SUMMA HEALTH RESOURCES AND ASSETS ARE BEST ALLOCATED AND UTILIZED FOR THE BENEFIT OF THE COMMUNITY. SUMMA HEALTH REPRESENTS THE COLLABORATIVE EFFORTS OF HEALTH CARE PROVIDERS TO BETTER ADMINISTER, MANAGE, PROVIDE AND PLAN FOR THE DELIVERY OF A FULL-RANGE OF HEALTH CARE SERVICES TO ALL PERSONS WITHIN THE COMMUNITIES SERVED BY SUMMA HEALTH WITHOUT REGARD TO THE RACE, SEX, CREED, COLOR, NATIONAL ORIGIN OR ECONOMIC STATUS OF SUCH PERSONS. 1617808 0 1836943 SUMMA HEALTH NETWORK, LLC, A DISREGARDED ENTITY OF SUMMA HEALTH, PARTNERS WITH COMMUNITY PHYSICIANS, REGIONAL AND NATIONAL PAYERS TO IMPROVE THE CLINICAL QUALITY AND EFFICIENCY OF CARE, LOWER THE COST OF CARE TO PATIENTS AND EMPLOYERS AND ASSIST PHYSICIANS WITH TECHNOLOGY AND RESOURCES NECESSARY TO ACHIEVE THESE GOALS. 158735581 1 1 0 1 0 0 0 1 0 1 1 1 0 0 1 1 0 1 0 0 1 0 0 0 1 0 0 1 1 1 0 0 0 0 0 1 1 0 1 0 0 0 1 1 1 1 0 0 1 772 0 1 1240 1 1 1 1 CJ 0 0 0 1 1 0 0 0 0 1 0 X 12 8 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 OH X X DAWN AHNER 2348677016 1077 GORGE BLVD AKRON OH 44310 T CLIFFORD DEVENY MD PRESIDENT & CEO 46.00 4.00 X X 1819932 0 210697 PETER BITTENBENDER MD DIR.,CLINICAL PHYSICIAN 2.00 52.00 X 0 792546 37060 LYNN HAMRICH MD DIR.,CLINICAL PHYSICIAN 2.00 52.00 X 0 284784 39950 GEORGE STRICKLER DIRECTOR AND CHAIRMAN 4.00 4.00 X X 0 0 0 NICHOLAS BROWNING DIRECTOR AND VICE CHAIR 4.00 4.00 X X 0 0 0 RAMONA HOOD DIRECTOR 2.00 2.00 X 0 0 0 ORRY JACOBS DIRECTOR 2.00 2.00 X 0 0 0 STEPHEN COMUNALE DIRECTOR (END 8/22) 2.00 2.00 X 0 0 0 BARBARA FACIANA DIRECTOR 2.00 2.00 X 0 0 0 COSTAS KEFALAS MD DIRECTOR 2.00 2.00 X 0 0 0 ALMETA COOPER DIRECTOR (START 2/22) 2.00 2.00 X 0 0 0 EDWARD MARX DIRECTOR (START 2/22) 2.00 2.00 X 0 0 0 KATHLEEN GEIER DIRECTOR (START 2/22) 2.00 2.00 X 0 0 0 KEITH T COLEMAN TREAS., SVP,CFO(END 1/22) 46.00 4.00 X 393969 0 4088 DAWN AHNER TREAS., SVP,CFO(BEG.1/22) 46.00 4.00 X 569021 0 98263 ROBERT A GERBERRY SECRETARY/GEN. COUNSEL 46.00 4.00 X 657460 0 84856 BENJAMIN P SUTTON EVP COO - PROVIDER OPS. 46.00 4.00 X 746982 0 127146 ELBRIDGE LOCKLEAR SVP CIO 50.00 0.00 X 514676 0 67926 ANTHONY COLLY SVP HUMAN RESOURCES 50.00 0.00 X 429622 0 47028 MICHELLE BISSON SVP MARKETING & BUS. DEV. 50.00 0.00 X 322303 0 44558 CHARLES ZONFA MD SVP CHIEF QUALITY OFFICER 50.00 50.00 X 273038 267892 57252 PENELOPE GORSUCHDNPRNNEA-BCFA SVP & CHF. NURSING EXEC. 50.00 0.00 X 429906 0 50866 MARK BARNHART VP PAYER STRATEGY 50.00 0.00 X 358250 0 29745 CYNTHIA S KELLEY DO VP MEDICAL EDUCATION 50.00 0.00 X 431035 0 28821 ED FRIEDL VP CONSTRUCTION 50.00 0.00 X 368161 0 39012 JENNIFER EATON VP RESEARCH 50.00 0.00 X 349558 0 31723 JUSTIN CATLETT VP,CHF. MEDICAL INFO. OFF. 50.00 0.00 X 357285 0 41065 MARK TERPYLAK DO FORMER SVP POPULATION HEALTH 0.00 0.00 X 577485 0 17986 8598683 1345222 1058042 138 1 1 0 QUALIVIS LLC 2000 CENTER POINT RD STE 2285 COLUMBIA SC 29210 MEDICAL SERVICES 47653946 BRIGHTWORK HEALTH IT 600 STEWART ST SEATTLE WA 98101 IT&S SERVICES 12513356 EPIC SYSTEMS CORPORATION 1979 MILKY WAY VERONA WI 53593 IT&S SERVICES 12452056 TRELLIS RX LLC 1175 PEACHTREE STREET NE ATLANTA GA 30361 MEDICAL SERVICES 11771827 MERCY HEALTH 1701 MERCY HEALTH PLACE CINCINNATI OH 45229 IT&S SERVICES 10221968 406 717140 7907499 1335454 4912015 2101700 14872108 CORP. ALLOCATION FEES 541610 178258644 178258644 HEALTHCARE REVENUE 524298 1836943 1836943 RESEARCH 541700 526153 526153 RENT INCOME,AFFILIATES 531120 406203 206774 199429 PROGRAM RELATED INVEST 900003 -8727968 -8914161 186193 31341 31341 172331316 17035219 17035219 8846 0 8846 8846 8846 339437042 330077744 16948 9359298 -16948 9342350 9342350 127564 717140 435507 -307943 -307943 PURCHASE DISCOUNTS/FEE 621990 317152 317152 CLINICAL ACCESS SVC. 621990 204808 204808 RESIDENT SERVICES 621990 80000 80000 79365 79365 681325 213963221 171945694 385622 26759797 X 288683 288683 16725 16725 7462933 3876247 3586686 768133 454324 313809 57990271 48711828 9278443 1100914 1045868 55046 8171023 7762472 408551 4790442 4550920 239522 86939 82592 4347 2310092 2310092 544933 544933 230430 230430 1447318 1447318 22824916 19629427 3195489 6119546 5813569 305977 7388666 7019233 369433 40195502 38185727 2009775 2479918 2355922 123996 251051 238498 12553 1929454 1832981 96473 144877 137633 7244 12790384 12150865 639519 1823723 1732537 91186 DUES & LICENSES 934529 934529 RECRUITMENT 353698 353698 0 TAX EXPENSE 248900 248900 MATERIALS AND SUPPLIES 80457 76434 4023 1563020 1484869 78151 184337477 158735581 25601896 0 40350664 46168014 30085981 36109280 2853035 5284539 2645342 2254735 8461767 11799343 129006984 58991831 40583791 70015153 899654299 579065603 166365406 151572864 48834264 39904149 10603606 8310101 1250438155 950483781 83171175 96729312 459204 209204 713021 570500 658052313 518630636 742395713 616139652 X 447025131 283020665 61017311 51323464 508042442 334344129 1250438155 950483781 X 29625744 -143446938 -59877119 X X 0 1 X 1 1 1 X X 2 SUMMA HEALTH SYSTEM 340714755 3 0 0 0 SUMMA FOUNDATION 341219001 7 1 0 0 2 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 PART IV, SECTION A, LINE 1 SUMMA FOUNDATION IS DESIGNATED AS A SUPPORTED ORGANIZATION BY NAME. THE ARTICLES OF INCORPORATION DESIGNATES THE OTHER SUPPORTED ORGANIZATIONS, BY CLASS AND PURPOSE, TO INCLUDE ANY OTHER HOSPITAL, HEALTH CARE PROVIDER OR OTHER ENTITY THAT QUALIFIES AS A PUBLICLY SUPPORTED ORGANIZATION WITHIN THE MEANING OF SECTIONS 509(A)(1) OR 509(A)(2) OF THE INTERNAL REVENUE CODE, THAT IS AFFILIATED WITH THE INTEGRATED HEALTH CARE DELIVERY SYSTEM OPERATED AND MANAGED BY SUMMA HEALTH, AND THAT IS RELATED TO SUMMA HEALTH IN A MANNER DESCRIBED IN SECTION 509(A)(3) OF THE INTERNAL REVENUE CODE. PART IV, SECTION A, LINE 6 IN 2022, SUMMA HEALTH PROVIDED $250,000 IN SUPPORT TO THE UNIVERSITY OF AKRON FOR MISSION SUPPORT. THIS ORGANIZATION PROVIDES DIRECT SUPPORT TO PATIENTS OF SUMMA HEALTH SYSTEM, A SUPPORTED ORGANIZATION OF SUMMA HEALTH. PART IV, SECTION C, LINE 1 THE MANAGEMENT OF THE SUPPORTING AND THE SUPPORTED ORGANIZATIONS RESIDES IN THE SAME MANAGEMENT GROUP. THE SUMMA HEALTH PRESIDENT AND CEO SERVES AS A DIRECTOR FOR BOTH SUMMA HEALTH AND THE SUPPORTED ORGANIZATIONS. THE INDIVIDUAL WHO HOLDS THE SUMMA HEALTH CFO POSITION IS AN OFFICER FOR BOTH SUMMA HEALTH AND EACH OF THE SUPPORTED ORGANIZATIONS, AND THE INDIVIDUAL WHO SERVES AS SECRETARY AND GENERAL COUNSEL IS AN OFFICER FOR BOTH SUPPORTED ORGANIZATIONS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 194060 0 1 36370 230430 0 PART II-B, LINE 1: THE AMOUNT ON LINE 1(I) REPRESENTS THE PORTION OF ANNUAL DUES TO THE AMERICAN HOSPITAL ASSOCIATION ALLOCABLE TO LOBBYING ACTIVITIES. IN 2022, SUMMA HEALTH EDUCATED CONGRESSIONAL MEMBERS ABOUT THE HEALTH SYSTEM'S FINANCIAL STATUS, WORKFORCE CHALLENGES, STRENGTHS OF THE MEDICARE ADVANTAGE PROGRAM, AND THE NEED TO EARN RELIEF FROM SEQUESTRATION, PAYGO (PAY AS YOU GO), AND PHYSICIAN FEE SCHEDULE CUTS. SUMMA HEALTH ALSO REQUESTED A RESTORATION OF 340B PAYMENT CUTS. WITH RESPECT TO COVID-19, THE HEALTH SYSTEM ENGAGED WITH HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) LEADERSHIP TO RESOLVE OUTSTANDING ISSUES RELATED TO THE PROVIDER RELIEF FUND (PHASE III AND IV). SUMMA HEALTH ALSO WORKED WITH HRSA LEADERS TO EXECUTE ITS FEDERAL APPROPRIATION IN SUPPORT OF THE NEW JUVE BEHAVIORAL HEALTH PAVILION SPACE WHICH WILL OPEN IN JANUARY 2023. HHS AND CONGRESSIONAL LEADERSHIP WILL PARTICIPATE WITH THE GRAND OPENING OF THE NEW PAVILION. THE HEALTH SYSTEM ALSO SUBMITTED PUBLIC COMMENTS TO CENTER FOR MEDICAID AND MEDICARE SERVICES REGARDING THE PHYSICIAN FEE SCHEDULE, HOSPITAL OUTPATIENT PROSPECTIVE PAYMENT SYSTEMS, AND AMBULATORY SURGICAL CENTER PROPOSED RULES. 523567 X 0 29263036 870744 -2075056 28058724 27566543 923605 772888 29263036 26418953 359489 788101 27566543 21923498 3075711 1419744 26418953 22691956 -86257 -682201 21923498 1.00000 0 0 1081433 1081433 17194608 8015212 9179396 19978 19978 105120692 49834454 55286238 5590273 1142165 4448108 70015153 CLOSELY HELD EQUITY INTERESTS 151572864 F 151572864 CONTINGENCY PLANNING 851741 OTHER ACCRUED TAXES 168168 PAYABLES TO RELATED ORGANIZATIONS 517610727 518630636 X PART III, LINE 4: SUMMA HEALTH'S VISION IS TO CREATE A HEALTHCARE ENVIRONMENT THAT SURROUNDS AND CONNECTS PATIENTS, VISITORS AND STAFF WITH THE HEALING POWERS OF THE ARTS. THE ACQUISITION OF ART THROUGH DONATIONS FOR PERMANENT DISPLAYS IN SUMMA HEALTH'S NEW PATIENT TOWER, CONTRIBUTES TO THE HEALING ENVIRONMENT FOR BOTH PATIENTS AND CAREGIVERS. SUMMA HEALTH WILL STUDY THE IMPACT OF THE HEALING ARTS ON PATIENT OUTCOMES AND SHARE RESULTS TO IMPROVE CARE AND SERVE AS A NATIONAL MODEL. PART V, LINE 4: ENDOWMENT FUNDS PROVIDE INCOME TO BE USED TO FULFILL THE TAX-EXEMPT PURPOSES OF SUMMA FOUNDATION, A SUPPORTED ORGANIZATION. PART X, LINE 2: SUMMA AND MOST OF ITS SUBSIDIARIES ARE NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND ARE EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(A) OF THE CODE. SUMMA ALSO HAS CERTAIN SUBSIDIARIES THAT ARE TAXABLE FOR FEDERAL INCOME TAX PURPOSES. SC, TOGETHER WITH AFFILIATES OF SHSC, FILES A CONSOLIDATED FEDERAL INCOME TAX RETURN IN ACCORDANCE WITH A TAX-SHARING AGREEMENT DATED JANUARY 1, 2010. THE ENTITIES UTILIZE A CONSOLIDATED APPROACH TO THE ALLOCATION OF FEDERAL INCOME TAXES, WHEREAS SHSC'S TAX-SHARING AGREEMENT WITH ITS SUBSIDIARIES ALLOWS IT TO MAKE CERTAIN CODE ELECTIONS IN ITS CONSOLIDATED FEDERAL TAX RETURN. IN THE EVENT SUCH CODE ELECTIONS ARE MADE, ANY BENEFIT OR LIABILITY IS THE RESPONSIBILITY OF SHSC AND IS ACCRUED AND PAID BY THE PARTICIPATING SUBSIDIARIES. SC IS NOT SUBJECT TO STATE INCOME TAXES 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 ON DEFERRED TAX ASSETS AND LIABILITIES OF A CHANGE IN TAX RATES IS RECOGNIZED IN INCOME IN THE PERIOD THAT INCLUDES THE ENACTMENT DATE. SUMMA RECOGNIZES INTEREST INCOME, INTEREST EXPENSE, AND PENALTIES RELATED TO UNCERTAIN TAX POSITIONS WITHIN THE PROVISION FOR INCOME TAX. CENTRAL AMERICA AND THE CARIBBEAN 0 0 PROGRAM SERVICES WHOLLY-OWNED FOREIGN INSURANCE COMPANY FOR SELF INSURANCE 58636090 EUROPE 0 0 INVESTMENT 1931335 0 0 0 0 0 0 60567425 0 60567425 1 0 1 1 0 0 PART I, LINE 3: METHOD TO ACCOUNT FOR EXPENDITURES ON ORGANIZATION'S FINANCIAL STATEMENTS: CENTRAL AMERICA AND THE CARIBBEAN: ACCRUAL PART III ACCOUNTING METHOD: SCHEDULE F, PART I, LINE 3(F) PROGRAM SERVICE ACTIVITY: $57,322,722 INVESTMENTS 1,313,368 EXPENSES $58,636,090 TOTAL GOLF OUTING 198850 150250 48600 0 6944 9103 29093 44742 1270 GALA 645854 566890 78964 0 0 219528 93342 20691 10794 844704 717140 127564 6944 228631 122435 65433 12064 435507 -307943 1 UNIVERSITY OF AKRON 302 BUCHTEL COMMON AKRON OH 44301 346002924 GOVERNMENTAL 250000 0 CONSTRUCTION OF UNIVERSITY STADIUM AND NAMING RIGHTS 1 0 SUMMASHARES 16 16725 PART I, LINE 2: THE PROCEDURE FOR MONITORING GRANT FUNDS IS BASED ON THE CRITERIA ESTABLISHED PRIOR TO AWARDING THE GRANT OR ASSISTANCE. ONCE THE CRITERIA IS MET, A PAYMENT WILL BE MADE TO THE UNIVERSITY OR AGENCY UTILIZING THE FUNDS. X X 1 1 X X X X 1 1 0 0 0 0 0 1 0 T CLIFFORD DEVENY MD PRESIDENT & CEO 1148747 0 663241 0 7944 0 182485 0 28212 0 2030629 0 0 0 BENJAMIN P SUTTON EVP COO - PROVIDER OPS. 509568 0 235377 0 2037 0 94171 0 32975 0 874128 0 0 0 PETER BITTENBENDER MD DIR.,CLINICAL PHYSICIAN 0 720178 0 71498 0 870 0 9150 0 27910 0 829606 0 0 ROBERT A GERBERRY SECRETARY/GEN. COUNSEL 435859 0 218881 0 2720 0 62807 0 22049 0 742316 0 0 0 DAWN AHNER TREAS., SVP,CFO(BEG.1/22) 527012 0 19462 0 22547 0 64656 0 33607 0 667284 0 0 0 CHARLES ZONFA MD SVP CHIEF QUALITY OFFICER 271456 147489 0 119410 1582 993 35030 0 13713 8509 321781 276401 0 0 MARK TERPYLAK DO FORMER SVP POPULATION HEALTH 0 0 134616 0 442869 0 0 0 17986 0 595471 0 442029 0 ELBRIDGE LOCKLEAR SVP CIO 383676 0 128573 0 2427 0 46972 0 20954 0 582602 0 0 0 PENELOPE GORSUCHDNPRNNEA-BCFA SVP & CHF. NURSING EXEC. 400207 0 14596 0 15103 0 48490 0 2376 0 480772 0 0 0 ANTHONY COLLY SVP HUMAN RESOURCES 302488 0 125104 0 2030 0 44361 0 2667 0 476650 0 0 0 CYNTHIA S KELLEY DO VP MEDICAL EDUCATION 328226 0 101277 0 1532 0 6663 0 22158 0 459856 0 0 0 ED FRIEDL VP CONSTRUCTION 282149 0 82895 0 3117 0 9496 0 29516 0 407173 0 0 0 JUSTIN CATLETT VP,CHF. MEDICAL INFO. OFF. 340442 0 15678 0 1165 0 7522 0 33543 0 398350 0 0 0 KEITH T COLEMAN TREAS., SVP,CFO(END 1/22) 60895 0 273075 0 59999 0 2146 0 1942 0 398057 0 0 0 MARK BARNHART VP PAYER STRATEGY 317195 0 36281 0 4774 0 0 0 29745 0 387995 0 0 0 JENNIFER EATON VP RESEARCH 265647 0 82895 0 1016 0 9115 0 22608 0 381281 0 0 0 MICHELLE BISSON SVP MARKETING & BUS. DEV. 242208 0 74876 0 5219 0 15603 0 28955 0 366861 0 0 0 LYNN HAMRICH MD DIR.,CLINICAL PHYSICIAN 0 283566 0 0 0 1218 0 8788 0 31162 0 324734 0 0 PART I, LINE 1A TAX INDEMNIFICATION AND GROSS-UP PAYMENTS: SUMMA HEALTH GROSSED UP TAXES FOR YEARS OF SERVICE ANNIVERSARIES IN THE AMOUNT OF $50 FOR EMPLOYEES WHO REACHED IMPORTANT MILESTONE ANNIVERSARIES; 5, 10, 15 YEARS, ETC. INCLUDED IN THESE MILESTONE ANNIVERSARY PAYMENTS WERE ONE KEY EMPLOYEE AND THREE HIGHLY COMPENSATED EMPLOYEES. THE AMOUNT OF THE GROSS UP IS RECOGNIZED AS ADDITIONAL TAXABLE COMPENSATION. HOUSING ALLOWANCE: A HOUSING ALLOWANCE WAS PAID ON BEHALF OF ONE OFFICER AND ONE KEY EMPLOYEE. THE AMOUNT IS RECOGNIZED AS ADDITIONAL TAXABLE COMPENSATION. PART I, LINES 4A-B PART I LINE 4A SEVERENCE OR CHANGE OF CONTROL PAYMENT: IN 2022 MARK TERPYLAK, DO RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $383,645 FROM THE ORGANIZATION. SEVERANCE AMOUNTS ARE TREATED AS TAXABLE COMPENSATION. PART I, LINE 4B SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: A SUPPLEMENTAL NON-QUALIFIED EXECUTIVE RETIREMENT PLAN IS TO PROVIDE KEY EMPLOYEES WITH ADDITIONAL COMPENSATION TO SUPPLEMENT THEIR RETIREMENT BENEFITS AND MITIGATE EFFECTS OF QUALIFIED RETIREMENT PLAN LIMITS. THE FOLLOWING LISTED PERSONS RECEIVED BENEFITS FROM THE ORGANIZATION OR FROM A RELATED ORGANIZATION: T. CLIFFORD DEVENY, MD $174,867, ROBERT A. GERBERRY $53,657, ELBRIDGE LOCKLEAR $46,972, ANTHONY COLLY $36,816, BENJAMIN P. SUTTON $83,496, DAWN AHNER $64,656, CHARLES ZONFA $35,004, MICHELLE BISSON $7,706, AND PENELOPE GORSUCH $48,490. PART I, LINE 7 THE SUMMA HEALTH MANAGEMENT INCENTIVE PROGRAM IS DESIGNED TO REWARD EMPLOYEES FOR MEETING QUALITY, PERFORMANCE AND FINANCIAL TARGETS. THESE TARGETS INCLUDE CLINICAL QUALITY, PATIENT SATISFACTION, EMPLOYEE/PHYSICIAN SATISFACTION, OPERATING MARGIN AND THE STRENGTHENING OF THE BALANCE SHEET. PAYMENT IS BASED ON A FACTOR OF BASE COMPENSATION AND IS SUBJECT TO REVIEW AND APPROVAL BY SUMMA'S COMPENSATION COMMITTEE. CAYLOR COLLY FAMILY MEMBER OF ANTHONY COLLY, KEY EMPLOYEE 96233 EMPLOYMENT 0 ALYSSA DRESSMAN FAMILY MEMBER OF LYNN HAMRICH, MD DIRECTOR 33693 EMPLOYMENT 0 MARIAH HOOD FAMILY MEMBER OF RAMONA HOOD DIRECTOR 42736 EMPLOYMENT 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 127867 CONSULTING 0 X 7 2061865 MARKET VALUE X 1 1000 REPLACEMENT COST X EQUIPMENT 1 22850 REPLACEMENT COST X EVENTS 1 15985 REPLACEMENT COST 0 0 1 0 PART I, COLUMN (B): EXPLANATIONS OF REPORTING METHOD FOR NUMBER OF CONTRIBUTIONS: SECURITIES - PUBLICLY TRADED: NUMBER OF CONTRIBUTIONS OTHER: NUMBER OF CONTRIBUTIONS FORM 990, PART VI, SECTION A, LINE 2 FAMILY/BUSINESS RELATIONSHIPS AMONGST INTERESTED PERSONS: THE FOLLOWING INDIVIDUALS HAVE A BUSINESS RELATIONSHIP AS BOARD MEMBERS OF A SUMMA HEALTH OWNED ENTITY: MIDDLEBURY ASSURANCE COMPANY: T. CLIFFORD DEVENY, MD, ROBERT GERBERRY, KEITH COLEMAN, DAWN AHNER SUMMA ACO DBA NEWHEALTH COLLABORATIVE: T. CLIFFORD DEVENY, MD, KEITH COLEMAN, DAWN AHNER, ROBERT GERBERRY, MARK TERPYLAK, DO SUMMA REHAB HOSPITAL: MARK TERPYLAK, DO, BENJAMIN SUTTON AND PENELOPE GORSUCH SUMMA HEALTH SYSTEM CORP: T. CLIFFORD DEVENY, MD, KEITH COLEMAN, DAWN AHNER, ROBERT GERBERRY THE FOLLOWING INDIVIDUALS HAVE A BUSINESS RELATIONSHIP AS BOARD MEMBERS OF A SUMMA HEALTH SYSTEM CORP., A SUMMA HEALTH OWNED ENTITY: OHIO HEALTH CHOICE: ROBERT GERBERRY AND MICHELLE BISSON SUMMA MANAGEMENT SERVICES ORG.: KEITH COLEMAN, DAWN AHNER AND ROBERT GERBERRY SUMMA INTEGRATED SERVICES ORG.: KEITH COLEMAN, DAWN AHNER AND ROBERT GERBERRY SUMMACARE AND SUMMA INSURANCE COMPANY: T. CLIFFORD DEVENY, MD, GEORGE STRICKLER, ROBERT GERBERRY, KEITH T. COLEMAN, DAWN AHNER AND BENJAMIN SUTTON BUSINESS RELATIONSHIP: T. CLIFFORD DEVENY, M.D., MARK TERPYLAK, D.O. FORM 990, PART VI, SECTION B, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY: THE RETURN WAS REVIEWED IN DETAIL BY A COMMITTEE CONSISTING OF INTERNAL LEGAL COUNSEL, FINANCIAL MANAGEMENT, AND AN EXTERNAL TAX ADVISOR. THE REVIEW COMMITTEE INCLUDED THE SENIOR VICE PRESIDENT, FINANCE & CFO AND THE SENIOR VICE PRESIDENT, LEGAL SERVICES & GENERAL COUNSEL. THIS DETAILED REVIEW OCCURRED IN OCTOBER 2023. FOLLOWING THIS REVIEW AND INCORPORATION OF CHANGES RECOMMENDED BY THIS COMMITTEE, THE RETURN WAS PROVIDED TO THE SUMMA HEALTH COMMITTEE ON GOVERNANCE PRIOR TO ITS OCTOBER 2023 MEETING FOR FURTHER REVIEW. THE COMMITTEE ON GOVERNANCE IS A STANDING COMMITTEE APPOINTED BY THE SUMMA HEALTH BOARD OF DIRECTORS AND INCLUDES MEMBERS OF THE BOARD OF DIRECTORS. AFTER THESE REVIEWS BY THE COMMITTEE ON GOVERNANCE AND THE COMMUNITY BENEFITS COMMITTEE, AND PRIOR TO FILING WITH THE IRS, AN EMAIL WAS SENT TO EACH VOTING MEMBER OF THE BOARD OF DIRECTORS. THIS EMAIL INCLUDED INSTRUCTIONS AND A LINK TO A PASSWORD-PROTECTED WEB SITE ON WHICH THE ENTIRE FORM 990 WAS AVAILABLE FOR VIEWING. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST PROCESS SUMMARY: A CONFLICT OF INTEREST QUESTIONNAIRE IS SENT ANNUALLY TO ALL SUMMA HEALTH ENTITIES BOARDS OF DIRECTORS, KEY EMPLOYEES, EXECUTIVE LEADERSHIP TEAM MEMBERS, MEDICAL DIRECTORS, QUALITY DIRECTORS, EMPLOYED PHYSICIANS, EMPLOYED ADVANCED PRACTICE PROVIDERS, MEMBERS OF THE AUDIT AND COMPLIANCE, INVESTMENT, FINANCE, GOVERNANCE, COMPENSATION, CREDENTIALING, SAFETY AND QUALITY, COMMUNITY ENGAGEMENT, PHARMACY AND THERAPEUTICS, OPERATING AND VALUE ANALYSIS PURCHASING COMMITTEES AND EMPLOYEES WHO ARE DIRECTORS AND ABOVE FOR COMPLETION. RESPONSES ARE INDIVIDUALLY REVIEWED FOR DETERMINATION OF POTENTIAL CONFLICTS. THOSE RESPONSES DEEMED TO PRESENT POTENTIAL CONFLICTS ARE THEN PRESENTED TO THE COMMITTEE ON GOVERNANCE (SUB-COMMITTEE OF THE SUMMA HEALTH BOARD OF DIRECTORS). THE COMMITTEE ON GOVERNANCE REVIEWS EACH RESPONSE THAT PRESENTS A POTENTIAL CONFLICT AND DETERMINES WHETHER ADDITIONAL ACTION IS REQUIRED TO ELIMINATE OR MITIGATE THE POTENTIAL CONFLICT. THIS ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE PROCESS IS MANAGED BY THE CORPORATE COMPLIANCE DEPARTMENT PURSUANT TO THE SUMMA HEALTH POLICY ON CONFLICT OF INTEREST AS APPROVED BY THE SUMMA HEALTH BOARD OF DIRECTORS. IN ADDITION TO THE ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE, THE CONFLICT OF INTEREST POLICY IMPOSES A DUTY TO DISCLOSE CONFLICTING INTERESTS ON AN ONGOING BASIS. FORM 990, PART VI, SECTION B, LINE 15 PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL AND OTHER EMPLOYEES: EXECUTIVE COMPENSATION: THE HUMAN RESOURCES COMMITTEE, (FKA COMPENSATION COMMITTEE) OF THE SUMMA HEALTH BOARD OF DIRECTORS MEETS AT LEAST TWICE EACH YEAR TO REVIEW AND APPROVE BASE COMPENSATION AND TOTAL REMUNERATION FOR EXECUTIVE STAFF. EACH VOTING MEMBER OF THE HUMAN RESOURCES COMMITTEE IS AN INDEPENDENT DIRECTOR AND IS NOT AFFILIATED WITH MANAGEMENT. THE HUMAN RESOURCES COMMITTEE ENGAGES OUTSIDE CONSULTING SUPPORT TO PROVIDE INDEPENDENT MARKET DATA, ADVICE AND COUNSEL TO THE HUMAN RESOURCES COMMITTEE. THE HUMAN RESOURCES COMMITTEE HAS USED KORN FERRY, A NATIONALLY RECOGNIZED CONSULTING FIRM, TO ASSIST THEIR EFFORTS. KORN FERRY PROVIDES THE FOLLOWING SERVICES TO THE HUMAN RESOURCES 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 HUMAN RESOURCES COMMITTEE ON MATTERS RELATED TO EXECUTIVE COMPENSATION. THE HUMAN RESOURCES COMMITTEE CONTEMPORANEOUSLY DOCUMENTS ITS DELIBERATIONS AND DECISIONS REGARDING COMPENSATION ARRANGEMENTS FOR EACH POSITION LISTED BELOW. EACH YEAR THE HUMAN RESOURCES COMMITTEE REVIEWS AND APPROVES THE COMPENSATION FOR THE FOLLOWING POSITIONS: PRESIDENT & CEO EXECUTIVE VP, CHIEF OPERATING OFFICER PROVIDER OPERATIONS SENIOR VICE PRESIDENT, FINANCE AND CFO SENIOR VICE PRESIDENT, CHIEF LEGAL OFFICER & GENERAL COUNSEL SENIOR VP, POST-ACUTE/AT HOME CARE DIVISION & INTEGRATED CARE MANAGEMENT SENIOR VICE PRESIDENT, IT&S & CIO SENIOR VICE PRESIDENT, CHIEF HUMAN RESOURCES OFFICER SENIOR VP, SH POPULATION HEALTH SERVICES/PRESIDENT SUMMA CARE SENIOR VICE PRESIDENT, SYSTEM CHIEF NURSING EXECUTIVE SENIOR VP, MARKETING AND BUSINESS DEVELOPMENT SENIOR VP, CHIEF QUALITY OFFICER PRESIDENT, SUMMA HEALTH SYSTEM HOSPITALS PRESIDENT, FOUNDATION, CHIEF DEVELOPMENT OFFICER PRESIDENT SUMMA HEALTH MEDICAL GROUP FORM 990, PART VI, SECTION C, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC: SUMMA HEALTH MAKES ITS CONFLICTS OF INTEREST POLICY AVAILABLE UPON REQUEST. THE ARTICLES OF INCORPORATION OF SUMMA HEALTH AND ITS RELATED ENTITIES ARE AVAILABLE ON THE WEBSITE OF THE OHIO SECRETARY OF STATE (WWW.SOS.STATE.OH.US). SUMMA HEALTH MAKES ITS FINANCIAL STATEMENTS AVAILABLE ON ITS WEBSITE (WWW.SUMMAHEATLH.ORG). THE FINANCIAL STATEMENTS ARE ALSO AVAILABLE THROUGH THE ELECTRONIC MUNICIPAL MARKET ACCESS. (WWW.EMMA.MSRB.ORG). FORM 990, PART IX, LINE 11G NON-BILLABLE PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 6,848,055. MANAGEMENT AND GENERAL EXPENSES 1,114,800. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,962,855. CONSULTANT FEES: PROGRAM SERVICE EXPENSES 11,309,874. MANAGEMENT AND GENERAL EXPENSES 1,841,143. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,151,017. EQUIPMENT MAINTENANCE: PROGRAM SERVICE EXPENSES 1,438,124. MANAGEMENT AND GENERAL EXPENSES 234,113. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,672,237. PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 33,374. MANAGEMENT AND GENERAL EXPENSES 5,433. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 38,807. FORM 990, PART XI, LINE 9: TRANSFERS TO/FROM AFFILIATES -57,061,000. OTHER ADJUSTMENTS -600,000. CHANGE IN ASSETS WITH DONOR RESTRICTIONS -9,522,000. OTHER NET ASSETS ADJUSTMENTS ENTRY ON FINANCIAL STATEMENT FOR SUBSIDIARY NOT REPORTABLE ON FORM 990 -2,431. NET ASSETS RELEASED FROM RESTRICTION FOR CAPITAL CHANGE IN TEMPORARILY RESTRICTED NET ASSETS 6,103,377. CHANGE IN PERMANENTLY RESTRICTED NET ASSETS 1,204,313. OTHER ADJUSTMENT FOR ROUNDING 622. PART XII, LINE 2C THE ORGANIZATION HAS NOT CHANGED EITHER ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR. SUMMA HEALTH NETWORK LLC 525 EAST MARKET STREET AKRON OH 44304 341887844 CONTRACTING OH 1837000 13341000 SUMMA HEALTH SUMMA SUPPORT SERVICES LLC 1077 GORGE BLVD AKRON OH 44305 874166252 PROFESSIONAL SERVICES OH 0 0 SUMMA HEALTH SUMMA REHAB HOSPITAL 29 NORTH ADAMS STREET AKRON OH 44034 271952573 REHAB HOSPITAL OH N/A 0 0 SUMMA HHAH HOLDINGS LLC C/O 1077 GORGE BLVD AKRON OH 44310 823600079 HOME HEALTH AND HOSPICE OH N/A 0 0 OHIO HEALTH CHOICE INC 1077 GORGE BLVD AKRON OH 443092090 341895396 PPO OH SUMMA HEALTH SYSTEM CORP C 2103000 4462000 0.80000 1 SUMMA INSURANCE COMPANY INC 1200 E MARKET ST 400 AKRON OH 44305 341809108 PROP/CAS INS OH SUMMACARE INC C 120153474 67850928 1.00000 1 SUMMA HEALTH SYSTEM CORP 1077 GORGE BLVD AKRON OH 443092090 341515252 MGMT SVCS OH SUMMA HEALTH C 1.00000 1 MIDDLEBURY ASSURANCE COMPANY PO BOX 1051 KY1-1102 GRAND CAYMAN CJ 980405096 SELF INSURANCE CJ SUMMA HEALTH C 15073000 76049000 1.00000 1 SUMMACARE INC 1200 E MARKET ST 400 AKRON OH 44305 341726655 PROP/CAS INS OH SUMMA HEALTH SYSTEM CORP C 315754544 123601016 1.00000 1 SUMMA ACCOUNTABLE CARE ORGANIZATION 1077 GORGE BLVD AKRON OH 443092090 273857055 CONTRACTING OH SUMMA HEALTH C 10289000 2718000 1.00000 1 SUMMA MANAGEMENT SERVICES ORGANIZATION 1200 E MARKET ST 400 AKRON OH 44305 461145832 MGMT SVCS OH SUMMA HEALTH SYSTEM CORP C 33945000 5162000 1.00000 1 SUMMA INTEGRATED SERVICES ORGANIZATION 1200 E MARKET ST 400 AKRON OH 44305 461159251 MGMT SVCS OH SUMMA HEALTH SYSTEM CORP C 4687000 14654000 1.00000 1 SUMMACARE OF MICHIGAN INC 1200 E MARKET ST 400 AKRON OH 44305 843836552 PROP/CAS INS OH SUMMACARE INC C 1491864 1.00000 1 1 1 1 0 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 OHIO HEALTH CHOICE INC A 98169 FMV SUMMA ACCOUNTABLE CARE ORGANIZATION A 101260 FMV MIDDLEBURY ASSURANCE COMPANY B 15203717 COST MIDDLEBURY ASSURANCE COMPANY F 4711596 COST SUMMA HEALTH SYSTEM L 588000 FMV SUMMA ACCOUNTABLE CARE ORGANIZATION Q 58884 FMV SUMMA HEALTH SYSTEM Q 166438056 COST SUMMA PHYSICIANS INC DBA SUMMA HEALTH MEDICAL GROUP Q 7929828 COST SUMMA INSURANCE COMPANY Q 672972 FMV SUMMACARE INC Q 1586304 FMV SUMMA INTEGRATED SERVICE ORGANIZATION Q 144204 FMV OHIO HEALTH CHOICE INC Q 84480 FMV SUMMA HEALTH SYSTEM S 431000 COST SUMMA PHYSICIANS INC DBA SUMMA HEALTH MEDICAL GROUP R 54594000 COST SUMMA FOUNDATION R 2898000 COST MIDDLEBURY ASSURANCE COMPANY F 489602 COST SUMMA FOUNDATION C 7907499 COST