SUMMA HEALTH GROUP RETURN: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: SUMMA HEALTH GROUP RETURN (EIN 90-0640432)
Tax period: 2021-01-01 to 2021-12-31
Filed: 2022-11-10
IRS object ID: 202213149349302561
Schema version: 2021v4.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-11-10T09:39:31-06:00	ReturnTs
Tax Period End	2021-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	346565596	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	111 MONUMENT CIR STE 4000	AddressLine1Txt
City	INDIANAPOLIS	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	46204	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	900640432	EIN

Business Name BusinessName

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

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1077 GORGE BLVD	AddressLine1Txt
City	AKRON	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	44310	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DAWN AHNER	PersonNm
Person Title	SR VP, CFO, TREAS	PersonTitleTxt
Phone	2343125867	PhoneNum
Signature	2022-11-04	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	DAWN	PersonFirstNm
Person Last	AHNER	PersonLastNm

Field	Value	IRS element (for citing)
SSN	XXX-XX-XXXX	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JENNIFER D RHODERICK	PreparerPersonNm
PTIN	P00395735	PTIN
Phone	3176817000	PhoneNum
Preparation	2022-11-02	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	T CLIFFORD DEVENY MD	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1077 GORGE BLVD	AddressLine1Txt
City	AKRON	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	44310	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,401,476,521	GrossReceiptsAmt
Group Return For Affiliates	Yes (1)	GroupReturnForAffiliatesInd
All Affiliates Included	Yes (1)	AllAffiliatesIncludedInd
Group Exemption	5864	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SUMMAHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Activity Or Mission	THE MISSION OF SUMMA HEALTH IS TO PROVIDE THE HIGHEST QUALITY, COMPASSIONATE CARE TO OUR PATIENTS AND TO CONTRIBUTE TO A HEALTHIER COMMUNITY.	ActivityOrMissionDesc
Voting Members Governing Body	38	VotingMembersGoverningBodyCnt
Voting Members Independent	31	VotingMembersIndependentCnt
Total Employee	8152	TotalEmployeeCnt
Total Volunteers	855	TotalVolunteersCnt
Total Gross UBI	$5,483,571	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$527,074	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$32,317,940	PYContributionsGrantsAmt
CY Contributions Grants	$18,097,338	CYContributionsGrantsAmt
PY Program Service Revenue	$1,085,525,622	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,356,457,546	CYProgramServiceRevenueAmt
PY Investment Income	$1,155,740	PYInvestmentIncomeAmt
CY Investment Income	$926,902	CYInvestmentIncomeAmt
PY Other Revenue	$14,954,048	PYOtherRevenueAmt
CY Other Revenue	$21,140,513	CYOtherRevenueAmt
PY Total Revenue	$1,133,953,350	PYTotalRevenueAmt
CY Total Revenue	$1,396,622,299	CYTotalRevenueAmt
PY Grants And Similar Paid	$242,757	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$13,212,281	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$517,361,097	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$599,409,897	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$2,951,182	CYTotalFundraisingExpenseAmt
PY Other Expenses	$640,257,765	PYOtherExpensesAmt
CY Other Expenses	$772,139,756	CYOtherExpensesAmt
PY Total Expenses	$1,157,861,619	PYTotalExpensesAmt
CY Total Expenses	$1,384,761,934	CYTotalExpensesAmt
PY Revenues Less Expenses	-$23,908,269	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$11,860,365	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,741,971,957	TotalAssetsBOYAmt
Total Assets EOY	$1,853,324,067	TotalAssetsEOYAmt
Total Liabilities BOY	$1,328,480,641	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,356,282,718	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$413,491,316	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$497,041,349	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SUMMA HEALTH'S MISSION IS TO PROVIDE THE HIGHEST QUALITY, COMPASSIONATE CARE TO PATIENTS AND MEMBERS AND CONTRIBUTE TO A HEALTHIER COMMUNITY.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$520,493,213	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$613,978,885	RevenueAmt
Desc	OUTPATIENT SERVICES FOR 2021: SUMMA HEALTH SYSTEM, AND SUMMA PHYSICIANS, INC. DBA SUMMA HEALTH MEDICAL GROUP, PROVIDED OVER 1.9 MILLION OCCASIONS OF SERVICE, INCLUDING 136,836 EMERGENCY DEPARTMENT VISITS, 9,128 OBSERVATION PATIENTS, 15,980 SURGICAL OPERATIONS, AND OVER 1.7 MILLION OTHER OUTPATIENT VISITS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$466,096,914	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$549,812,479	RevenueAmt
Desc	INPATIENT SERVICES FOR 2021: SUMMA HEALTH SYSTEM HAD APPROXIMATELY 662 BEDS IN SERVICE, ADMITTED 34,852 ADULT PATIENTS, AND DELIVERED 4,545 NEWBORNS. THE ADULT PATIENTS RECEIVED 179,868 DAYS OF CARE, INPATIENT SURGERIES TOTALED 6,882, EMERGENCY ADMISSIONS TOTALED 25,636 AND THE AVERAGE LENGTH OF STAY WAS 5.16 DAYS.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$44,568,831	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$11,825,897	RevenueAmt
Desc	RESEARCH/EDUCATION FOR 2021: SUMMA HEALTH HAS A HISTORY OF SPONSORING AND SUPPORTING BASIC AND CLINICAL RESEARCH TO UNDERSTAND DISEASES AND TREATMENT. CENTERS, PROGRAMS AND LABS FACILITATE RESEARCH IN A NUMBER OF MEDICAL FIELDS. SUMMA HEALTH FOSTERS A LEARNING ENVIRONMENT FOR THE NEXT GENERATION OF CAREGIVERS. AT SUMMA HEALTH'S HOSPITALS, APPROXIMATELY 270 MEDICAL SCHOOL GRADUATES TRAIN IN 14 ACCREDITED RESIDENCY PROGRAMS, EIGHT ACCREDITED FELLOWSHIP TRAINING PROGRAMS AND ONE NON-ACCREDITED FELLOWSHIP PROGRAM. SUMMA HEALTH PROVIDES CLINICAL LEARNING EXPERIENCES TO NEARLY 2,300 NURSING, MEDICAL, PHARMACY, EMERGENCY MEDICAL TECHNICIAN, PARAMEDIC, AND ALLIED HEALTH STUDENTS.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (4 entries)

ExpenseExpenseAmt	GrantGrantAmt	RevenueRevenueAmt	DescDesc
$153,305,176	$13,212,281	$180,840,285	PART III LINE 4D - OTHER PROGRAM SERVICES: SUMMA HEALTH IS AN INTEGRATED HEALTHCARE DELIVERY SYSTEM THAT PROVIDES COORDINATED, VALUE-BASED CARE ACROSS THE CONTINUUM FOR THE PEOPLE AND POPULATIONS WE SERVE. WE HOLD OURSELVES CLINICALLY AND FINANCIALLY ACCOUNTABLE FOR HEALTH OUTCOMES IN OUR COMMUNITIES.SUMMA HEALTH SERVES HUNDREDS OF THOUSANDS OF PATIENTS EACH YEAR IN COMPREHENSIVE EMERGENCY, ACUTE, CRITICAL, OUTPATIENT AND LONG-TERM/HOMECARE SETTINGS AND REPRESENTS 967 REGISTERED, INPATIENT BEDS ON THE CAMPUSES OF SUMMA HEALTH SYSTEM AND SUMMA REHAB HOSPITAL. IN ADDITION, OUTPATIENT CARE IS PROVIDED MORE THAN 20 COMMUNITY HEALTH CENTERS, URGENT CARE FACILITIES AND EMERGENCY DEPARTMENTS (EDS), SOME INTEGRATED IN THE HEALTHCARE FACILITIES, AND OTHERS ARE FREESTANDING. SUMMA REHAB HOSPITAL IS A JOINT VENTURE IN WHICH SUMMA HEALTH SYSTEM HAS AN INTEREST, AND IS REFERENCED IN THIS DOCUMENT FOR THE PURPOSE OF IDENTIFYING ALL ENTITIES AFFILIATED WITH SUMMA HEALTH. SUMMA'S PROPORTIONATE INTEREST OF THIS JOINT VENTURE'S CHARITY CARE AND OTHER COMMUNITY BENEFITS IS INCLUDED ON SCHEDULE H OF SUMMA HEALTH'S IRS FORM 990 GROUP RETURN.PROVIDING SUPERIOR, MULTI-SPECIALTY PATIENT CARE, MEDICAL RESEARCH AND CONTINUING MEDICAL EDUCATION, SUMMA HEALTH RANKS AS A HIGHLY RECOGNIZED HEALTHCARE PROVIDER IN SEVERAL DISCIPLINES INCLUDING: WEIGHT MANAGEMENT, CARDIOVASCULAR, EMERGENCY, ONCOLOGY, ORTHOPAEDIC, SURGERY, PRIMARY CARE, SPORTS MEDICINE, STROKE, UROLOGY, WOMEN'S SERVICES AND NURSING BY PRESTIGIOUS ORGANIZATIONS SUCH AS:AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCERAMERICAN HEART ASSOCIATIONAMERICAN STROKE ASSOCIATIONNATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERSAMERICAN NURSING CREDENTIALING CENTERCENTERS FOR MEDICARE AND MEDICAID SERVICESOHIO PATIENT SAFETY INSTITUTEAMERICAN COLLEGE OF RADIATIONNURSES IMPROVING CARE FOR HEALTH SYSTEM ELDERSAMERICAN SOCIETY FOR METABOLIC AND BARIATRIC SURGERYMETABOLIC AND BARIATRIC SURGERY ACCREDITATION AND QUALITY IMPROVEMENT PROGRAM- COMPREHENSIVE CENTERTHE JOINT COMMISSIONHEATLHGRADESSUMMA HEALTH IS SUMMIT COUNTY'S LARGEST EMPLOYER AND A LEADING ECONOMIC ENGINE FOR THE REGION. SUMMA HEALTH INCLUDES THE FOLLOWING:SUMMA HEALTH SYSTEM:SUMMA HEALTH SYSTEM IS A SINGLE LEGAL ENTITY THAT INCLUDES THREE INPATIENT HOSPITAL CAMPUSES AND SEVERAL AMBULATORY LOCATIONS. SUMMA HEALTH SYSTEM OPERATES THE INPATIENT HOSPITAL LOCATIONS AS WELL AS THE HOSPITAL-BASED OFF-SITE LOCATIONS UNDER THE SAME MEDICARE PROVIDER NUMBER.SUMMA HEALTH EMPLOYS MORE THAN 8,100 INDIVIDUALS WITH SUMMA HEALTH SYSTEM ACCOUNTING FOR THE VAST MAJORITY OF THESE EMPLOYEES. SUMMA HEALTH SYSTEM HAS A MEDICAL STAFF OF MORE THAN 1,000 PROFESSIONALS WORKING ON ITS CAMPUSES. SUMMA HEALTH SYSTEM HAS 1,005 REGISTERED BEDS. THE BUILDINGS AND FACILITIES ON ALL CAMPUSES TOTAL MORE THAN 3 MILLION SQUARE FEET.SUMMA HEALTH SYSTEM- AKRON CAMPUS OFFERS GENERAL MEDICAL, SURGICAL, OBSTETRICAL, TRAUMA AND CRITICAL CARE SERVICES. THE AKRON CAMPUS PROVIDES ACUTE CARE SERVICES AND A WIDE RANGE OF OUTPATIENT SERVICES ON A CAMPUS OF APPROXIMATELY 60 ACRES. SUMMA HEALTH SYSTEM- ST. THOMAS CAMPUS PROVIDES VARIOUS DIAGNOSTIC SERVICES ALONG WITH BEHAVIORAL HEALTH AND SUBSTANCE ABUSE CARE. SUMMA HEALTH SYSTEM- ST. THOMAS CAMPUS WAS ONE OF THE FIRST IN THE COUNTRY TO RECOGNIZE THE MEDICAL ASPECTS OF ALCOHOLISM AS A DISEASE AND IS THE FOUNDING LOCATION OF ALCOHOLICS ANONYMOUS. THE HOSPITAL OPENED THE NATION'S FIRST ALCOHOLISM TREATMENT WARD AND CONTINUES ITS LONGSTANDING DEDICATION TO THIS PROGRAM TODAY.AS A LEADER IN MEDICAL EDUCATION, SUMMA HEALTH SYSTEM SUPPORTS THE EDUCATION OF ITS PHYSICIANS AND HEALTHCARE PROFESSIONALS. THE AKRON AND ST. THOMAS CAMPUSES ARE TEACHING AFFILIATES OF THE NORTHEAST OHIO MEDICAL UNIVERSITY (NEOMED) AND INCLUDE A STAFF OF PHYSICIANS AND ACCREDITED RESIDENCY AND FELLOWSHIP PROGRAMS THAT FOSTER A DYNAMIC MEDICAL ENVIRONMENT. APPROXIMATELY 90 RESIDENTS AND FELLOWS GRADUATE FROM THE AKRON CAMPUS'S MEDICAL EDUCATION PROGRAMS EACH YEAR. THE BARBERTON CAMPUS HAS A FAMILY PRACTICE RESIDENCY PROGRAM AFFILIATED WITH NEOMED ALONG WITH PROVIDING EDUCATIONAL ROTATIONS FOR MEDICAL STUDENTS.SUMMA HEALTH SYSTEM- BARBERTON CAMPUSSUMMA HEALTH SYSTEM- BARBERTON CAMPUS IS A 500,000 SQUARE FOOT ACUTE CARE TEACHING HOSPITAL LOCATED ON NEARLY 16 ACRES, LOCATED APPROXIMATELY 10 MILES SOUTHWEST OF AKRON, OHIO. THE HOSPITAL HAS 271 LICENSED BEDS. THE BARBERTON CAMPUS PROVIDES THE COMMUNITY WITH EASY ACCESS TO COMPREHENSIVE, HIGH-QUALITY CANCER SERVICES AT THE COMMISSION ON CANCER ACCREDITED PARKVIEW PAVILION, AS WELL AS THE FULL SPECTRUM OF CARDIOVASCULAR DISEASE CARE INCLUDING DIAGNOSTIC, INTERVENTIONAL AND SURGICAL SERVICES, ALONG WITH A VARIETY OF OUTPATIENT SERVICES.
			PART III LINE 4D - OTHER PROGRAM SERVICES - CONTINUED:CHARITY CAREIN 2021, SUMMA HEALTH PROVIDED CHARITY CARE AT AN ESTIMATED NET COST OF OVER $14 MILLION. THIS AMOUNT REPRESENTS THE NET COST ASSOCIATED WITH PROVIDING THE CARE AND DOES NOT INCLUDE BAD DEBT. PATIENTS WITH INCOME UP TO 250% OF THE FEDERAL POVERTY INCOME GUIDELINES OR WHO HAVE A HOSPITAL BILL THAT EXCEEDS 25% OF THEIR GROSS ANNUAL FAMILY INCOME ARE ELIGIBLE TO APPLY FOR FULLY DISCOUNTED CHARITY CARE ASSISTANCE. IN ADDITION, THERE IS A SLIDING SCALE DISCOUNT PROGRAM FOR THOSE WITH INCOMES BETWEEN 250% AND 400% OF THE FEDERAL POVERTY INCOME GUIDELINES. IN 2021, THE CHARITY CARE PROGRAM (INCLUDING HOSPITAL CARE ASSURANCE PROGRAM) BENEFITED OVER 26,032 PATIENT ENCOUNTERS.MEDICAID SHORTFALLHISTORICALLY, OHIO MEDICAID REIMBURSEMENTS HAVE NOT COVERED THE COST OF PROVIDING THE CARE TO PROGRAM BENEFICIARIES, CREATING A BUDGETARY SHORTFALL. AS ONE OF NORTHEAST OHIO'S TOP PROVIDERS OF HOSPITAL CARE FOR MEDICAID PATIENTS, SUMMA HEALTH'S UNPAID COSTS FOR MEDICAID TOTALED OVER $68 MILLION.BAD DEBTSUMMA HEALTH IS COMMITTED TO PROVIDING QUALITY AND ACCESSIBLE HEALTHCARE. THIS INCLUDES COVERING THE EXPENSE OF PAYMENTS THAT WERE EXPECTED BUT NOT RECEIVED. WHILE SUMMA HEALTH RECOGNIZES BAD DEBT IS PART OF DOING BUSINESS, IT AGREES WITH THE OHIO HOSPITAL ASSOCIATION THAT IT IS IMPORTANT TO REPORT THESE COSTS TO SHOW THE TOTAL PICTURE OF CARE SUMMA HEALTH PROVIDES TO THE COMMUNITY WITHOUT FULL REIMBURSEMENT. IN 2021, THE COST FOR PROVIDING CARE WRITTEN OFF AS A BAD DEBT EXPENSE WAS OVER $21.1 MILLION.COMMUNITY HEALTH IMPROVEMENT SERVICESAN IMPORTANT PART OF SUMMA HEALTH'S MISSION IS OFFERING A PREVENTION AND WELLNESS PROGRAM TO BUILD A HEALTHIER COMMUNITY. IN 2021, SUMMA HEALTH PROVIDED MORE THAN $12.8 MILLION TO HELP FUND HEALTH IMPROVEMENT ACTIVITIES SUCH AS FREE AND LOW-COST HEALTH SCREENING, HEALTH EDUCATION SERVICES AND WELLNESS PROGRAMMING. SUBSIDIZED HEALTH SERVICES SUMMA HEALTH IS COMMITTED TO PROVIDING SUBSIDIZED HEALTH SERVICES - CLINICAL SERVICES THAT MEET AN IDENTIFIED COMMUNITY NEED AND ARE PROVIDED DESPITE FINANCIAL LOSS. VITAL SERVICES SUCH AS THE SUMMA HEALTH SENIOR HEALTH CENTER, SUMMA HEALTH TRAUMATIC STRESS CENTER, AND DIABETES EDUCATION ARE OFFERED, EVEN THOUGH THEY ARE NOT PROFITABLE. INCOME FROM OTHER SERVICES IS USED TO COVER THESE COSTS. IN 2021, THE COST FOR SUBSIDIZED SERVICES WAS MORE THAN $49.7 MILLION.FINANCIAL AND IN-KIND DONATIONSANNUALLY, SUMMA HEALTH CONTRIBUTES FINANCIAL ASSISTANCE AND IN-KIND SERVICES TO SUPPORT COMMUNITY ORGANIZATIONS THAT PROMOTE HEALTH, WELLNESS AND AN IMPROVED QUALITY OF LIFE. FROM NEIGHBORHOOD HEALTH FACILITIES SUCH AS OPEN M AND FAITHFUL SERVANTS CARE CENTER, TO MEDICAL SERVICES AT ATHLETIC EVENTS THROUGHOUT THE COMMUNITY, SUMMA HEALTH PARTICIPATES IN NUMEROUS COMMUNITY PROGRAMS AND HELPS OTHER NONPROFITS FULFILL THEIR MISSIONS. IN 2021, THESE CONTRIBUTIONS WERE MORE THAN $1.6 MILLION.RESEARCH AND INNOVATIONA MAJOR GOAL OF THE RESEARCH & INNOVATION GROUP IS TO OFFER OUR PATIENTS ACCESS TO CUTTING-EDGE THERAPIES AND TECHNOLOGIES WITHIN THE COMMUNITY, PARTICULARLY THROUGH CLINICAL TRIALS. THIS NOT ONLY PROVIDES THE BEST CARE FOR OUR PATIENTS, BUT ALSO IMPROVES THE HEALTH OF OUR COMMUNITY. IN 2021, SUMMA CONTRIBUTED A NET COST OF MORE THAN $6 MILLION TO EXPLORE POTENTIAL NEW THERAPIES, CARE COORDINATION IMPROVEMENTS AND TREATMENT OPTIONS.EDUCATION SUMMA HEALTH SUPPORTS THE EDUCATION OF PHYSICIANS AND OTHER HEALTHCARE PROFESSIONALS. SUMMA HEALTH SYSTEM IS THE LARGEST OF THE MAJOR TEACHING AFFILIATES OF THE NORTHEST OHIO MEDICAL UNIVERSITY (NEOMED, A CONSORTIUM OF THE UNIVERSITY OF AKRON, KENT STATE UNIVERSITY AND YOUNGSTOWN STATE UNIVERSITY), AND OFFERS EDUCATION TO NEOMED'S COLLEGES OF MEDICINE AND PHARMACY STUDENTS, AS WELL AS TO MEDICAL STUDENTS FROM SCHOOLS AROUND THE COUNTRY. IN ADDITION, SUMMA HEALTH OFFERS 14 ACCREDITED RESIDENCY TRAINING PROGRAMS, 8 ACCREDITED FELLOWSHIP TRAINING PROGRAMS AND 1 NON-ACCREDITED RESIDENCY TRAINING PROGRAM, IN NUMEROUS SPECIALTIES, TRAINING THE NEXT GENERATION OF PRIMARY CARE AND SPECIALTY PHYSICIANS FOR THE REGION AND BEYOND. NURSING EDUCATION ALSO IS OFFERED IN COLLABORATION WITH LOCAL AND NATIONAL UNIVERSITY PARTNERS. IN 2021, APPROXIMATELY 270 RESIDENTS AND FELLOWS TRAINED AT SUMMA HEALTH'S THREE MAIN HOSPITALS. ON AVERAGE, APPROXIMATELY 45% OF THESE RESIDENTS REMAIN IN OUR LOCAL AND SURROUNDING COMMUNITIES. SUMMA HEALTH'S 2021 INVESTMENT IN HEALTH PROFESSIONAL EDUCATION TOTALED NEARLY $26 MILLION.
			SUMMA HEALTH SERVICES:FOLLOWING IS A DESCRIPTION OF SUMMA HEALTH'S NOTABLE ACCOMPLISHMENTS BY PRIMARY SERVICE LINES IN 2021: HEART AND VASCULAR:SUMMA HEALTH HAS BEEN RECOGNIZED BY THE AMERICAN HEART ASSOCIATION FOR MANY AWARDS, INCLUDING GET WITH THE GUIDELINES GOLD PLUS-STROKE AND HEART FAILURE, LIFELINE HEART ATTACK REFERRING/RECEIVING CENTER ACCREDITATION AND STEMI (HEART ATTACK) ACCREDITATION. SUMMA HEALTH SYSTEM AKRON CAMPUS WAS RANKED AMONG THE TOP 50 CARDIOVASCULAR HOSPITALS IN THE U.S. BY IBM WATSON HEALTH. SUMMA HEALTH IS THE ONLY HOSPITAL SYSTEM IN NORTHEAST OHIO TO RECEIVE THIS YEAR'S AWARD. THE ANNUAL IBM 50 TOP CARDIOVASCULAR HOSPITALS STUDY IDENTIFIES TOP-PERFORMING HOSPITALS BASED ON A BALANCED LOOK AT CLINICAL, OPERATIONAL AND FINANCIAL METRICS. AS ONE OF THE 50 TOP CARDIOVASCULAR HOSPITALS, SUMMA HEALTH WAS SHOWN TO HAVE ACHIEVED BETTER SURVIVAL RATES, FEWER PATIENT COMPLICATIONS, FEWER HEALTHCARE ASSOCIATED INFECTIONS, LOWER 30-DAY MORTALITY AND READMISSION RATES, SHORTER LENGTHS OF STAY AND LOWER INPATIENT EXPENSES WHEN COMPARED TO SIMILAR HOSPITALS. THIS IS THE THIRD CONSECUTIVE YEAR SUMMA HEALTH HAS EARNED THIS RECOGNITION.SUMMA HEALTH SYSTEM AKRON CAMPUS HAS BECOME THE FIRST TRANSCATHETER VALVE PROGRAM IN THE STATE OF OHIO AND THE NINTH IN THE NATION TO BE FORMALLY RECOGNIZED BY THE AMERICAN COLLEGE OF CARDIOLOGY (ACC) FOR EXCELLING IN QUALITY FOR THE TAVR PROGRAM. NEUROSCIENCE:SUMMA HEALTH STROKE CARE CENTER HAS BEEN NATIONALLY RECOGNIZED FOR EARNING THE AMERICAN HEART ASSOCIATION (AHA) AND AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES STROKE GOLD PLUS QUALITY ACHIEVEMENT AWARD. SUMMA IS THE ONLY HOSPITAL IN THE AKRON AREA TO HAVE RECEIVED THE AMERICAN STROKE ASSOCIATION GET WITH THE GUIDELINES GOLD PLUS AWARD CONSECUTIVELY SINCE 2010. IN 2019, SUMMA HEALTH SYSTEM-AKRON CAMPUS WAS AWARDED THE THROMBECTOMY-CAPABLE STROKE CENTER CERTIFICATION FROM THE JOINT COMMISSION, IN COLLABORATION WITH THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION. BY EARNING THIS HONOR, SUMMA HEALTH BECAME THE FIRST HOSPITAL IN OHIO TO BE AWARDED THIS CERTIFICATION.SUMMA HEALTH HAS RECEIVED NUMEROUS AWARDS FROM HEALTHGRADES IN THE NEUROSCIENCES FIELD, INCLUDING THE HEALTHGRADES NEUROSCIENCES EXCELLENCE AWARD FOR 3 YEARS IN A ROW (2020-2022); THE HEALTHGRADES CRANIAL NEUROSURGERY EXCELLENCE AWARD FOR 4 YEARS IN A ROW (2019-2022); AND THE HEALTHGRADES STROKE CARE EXCELLENCE AWARD FOR 4 YEARS IN A ROW (2019-2022).NURSING:IN SEPTEMBER 2021, THE SUMMA HEALTH SYSTEM AKRON AND ST. THOMAS CAMPUSES RECEIVED MAGNET REDESIGNATION FOR NURSING EXCELLENCE FROM THE AMERICAN NURSES CREDENTIALING CENTER (ANCC). THE AKRON AND ST. THOMAS CAMPUSES WERE INITIALLY DESIGNATED IN 2011 AND REDESIGNATED IN 2016. IN ADDITION, OUR BARBERTON CAMPUS EARNED MAGNET DESIGNATION IN JUNE 2020. SUMMA SHARES MAGNET STATUS WITH JUST EIGHT PERCENT OF HOSPITALS IN THE COUNTRY. ONCOLOGY:SUMMA HEALTH IS A LEADER IN CANCER TREATMENT WITH NATIONALLY RECOGNIZED CANCER CENTERS THROUGHOUT NORTHEAST OHIO. SUMMA TREATS MORE THAN 100 CANCER TYPES, SPECIALIZING IN LUNG, BREAST, COLORECTAL, GYNECOLOGICAL AND ORTHOPEDIC. SUMMA HEALTH'S CANCER CENTERS ARE FULLY ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER (COC). IN NOVEMBER 2021, SUMMA HEALTH CANCER INSTITUTE RECEIVED A THREE-YEAR ACCREDITATION FROM THE NATIONAL ACCREDITATION PROGRAM FOR RECTAL CANCER (NAPRC), A QUALITY PROGRAM OF THE AMERICAN COLLEGE OF SURGEONS. AT THE TIME OF ACCREDITATION, SUMMA HEALTH WAS JUST ONE OF TWO ACCREDITED PROGRAMS IN OHIO, AND ONE OF ONLY 35 ACCREDITED PROGRAMS NATIONWIDE.WEIGHT MANAGEMENT:SUMMA'S BARIATRIC CARE CENTER IS DESIGNATED BY THE AMERICAN SOCIETY FOR METABOLIC AND BARIATRIC SURGERY (ASMBS) AS A MBSAQIP ACCREDITED - COMPREHENSIVE CENTER. THE MBSAQIP ACCREDITED - COMPREHENSIVE CENTER DESIGNATION IS ONLY AWARDED TO SURGICAL PROGRAMS THAT: - SUCCESSFULLY UNDERGO A RIGOROUS SITE SURVEY TO VERIFY COMPLIANCE WITH A SET OF NATIONALLY RECOGNIZED STANDARDS AND REQUIREMENTS. -DEMONSTRATE A COMPREHENSIVE COMMITMENT TO A HIGH LEVEL OF CARE. -SUBMIT INFORMATION FOR INCLUSION IN THE LARGEST REPOSITORY OF DEDICATED WEIGHT LOSS SURGERY PATIENT STATISTICAL DATA IN THE WORLD. -MEASURE AND REPORT SURGICAL OUTCOMES THAT ARE DEEMED FAVORABLE BY THE ASMBS, AN ORGANIZATION DEDICATED TO EXCELLENCE IN SURGICAL OUTCOMES. WOMEN'S SERVICES:SUMMA HEALTH SYSTEM AKRON AND BARBERTON CAMPUSES WERE NAMED TO NEWSWEEK'S 2021 LIST OF BEST MATERNITY CARE HOSPITALS. BARBERTON CAMPUS ALSO WON THIS AWARD IN 2020. THE DISTINCTION RECOGNIZES FACILITIES THAT HAVE EXCELLED IN PROVIDING CARE TO MOTHERS, NEWBORNS AND THEIR FAMILIES. SUMMA HEALTH SYSTEM- AKRON AND BARBERTON CAMPUSES HAVE BEEN DESIGNATED BLUE DISTINCTION CENTERS FOR MATERNITY CARE BY ANTHEM BLUE CROSS AND BLUE SHIELD. AKRON CAMPUS HAS HELD THIS DISTINCTION SINCE 2016. BARBERTON CAMPUS HAS EARNED FIVE STARS FROM THE OHIO FIRST STEPS FOR HEALTHY BABIES REVIEW COMMITTEE, A VOLUNTARY BREASTFEEDING DESIGNATION PROGRAM THAT RECOGNIZES MATERNITY CENTERS IN OHIO FOR TAKING STEPS TO PROMOTE, PROTECT AND SUPPORT BREASTFEEDING IN THEIR ORGANIZATION. SUMMA HEALTH SYSTEM AKRON CAMPUS HAS ACHIEVED THE HIGHLY PRESTIGIOUS INTERNATIONAL BABY-FRIENDLY DESIGNATION AFTER A RIGOROUS REVIEW PROCESS CONDUCTED BY BABY-FRIENDLY USA, THE ORGANIZATION RESPONSIBLE FOR BESTOWING THIS CERTIFICATION IN THE UNITED STATES. THIS DISTINGUISHED HONOR DEMONSTRATES THAT OUR AKRON CAMPUS IS ADHERING TO THE HIGHEST STANDARDS OF CARE FOR BREASTFEEDING MOTHERS AND THEIR BABIES.THE WOMEN'S HEALTH PROGRAM HAS EARNED SEVERAL BEST PRACTICE AWARDS FROM THE OHIO PATIENT SAFETY INSTITUTE (OPSI) FOR INCORPORATING REGIONAL AND NATIONAL PATIENT SAFETY BENCHMARKS, DEMONSTRATING A CLEAR FOCUS ON IMPROVING PATIENT SAFETY IN A HEALTHCARE SETTING, AND MOST IMPORTANTLY, BEING INNOVATIVE AND UNIQUE TO THE OHIO HEALTHCARE MARKET.SYSTEM: FOR THE 18TH CONSECUTIVE YEAR, SUMMA HEALTH WAS NAMED AS ONE OF THE 99 BEST WORKPLACES IN NORTHEAST OHIO, AS DETERMINED IN THE ANNUAL NORTHCOAST 99 AWARDS, SPONSORED BY THE EMPLOYERS RESOURCE COUNCILSUMMA HEALTH SYSTEM AKRON AND BARBERTON CAMPUSES WERE A RECIPIENT OF THE HEALTHGRADES 2022 AMERICA'S 100 BEST HOSPITALS AWARD. THIS PLACES SUMMA HEALTH AMONG THE TOP TWO PERCENT OF ALL HOSPITALS FOR CLINICAL CARE AND PATIENT OUTCOMES ACROSS TREATMENT OF THE MOST COMMON CONDITIONS AND PROCEDURES. HEALTHGRADES ALSO NAMED SUMMA HEALTH ONE OF HEALTHGRADES AMERICA'S 100 BEST HOSPITALSTM IN THREE DIFFERENT SPECIALTIES FOR 2022 INCLUDING STROKE CARE (THREE YEARS IN A ROW); PULMONARY CARE (THREE YEARS IN A ROW); AND CRITICAL CARE (FIVE YEARS IN A ROW).
			SUMMARYALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATIONS AND STABILITY OF SUMMA HEALTH, NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. SUMMA HEALTH PROVIDED SERVICES TO ALL PATIENTS ON A NON-DISCRIMINATORY BASIS AND WITHOUT REGARD TO ANY PATIENT'S ABILITY TO PAY FOR SUCH SERVICES OR THE INDIVIDUAL'S PARTICIPATION IN A GOVERNMENT-SPONSORED OR SUBSIDIZED HEALTHCARE SYSTEM.PATIENTS WERE ENCOURAGED TO APPLY FOR UNCOMPENSATED CARE AND, DEPENDING ON THEIR LEVEL OF INCOME AND NUMBER OF DEPENDENTS, ALL (OR A PORTION) OF THEIR BILL WAS REDUCED. GROSS ANNUAL FAMILY INCOME WAS COMPARED USING A SLIDING SCALE BASED ON THE FEDERAL POVERTY INCOME GUIDELINES TO DETERMINE THE CHARITY DISCOUNT FOR WHICH THE PATIENT MAY BE ELIGIBLE. IN 2021, SUMMA HEALTH PROVIDED CHARITY CARE TO THE INDIGENT (INCLUDING UNREIMBURSED MEDICAID) AT THE COST OF MORE THAN $81.9 MILLION. THIS AMOUNT DOES NOT INCLUDE SERVICES PROVIDED WRITTEN OFF AS BAD DEBT.IN ADDITION TO UNCOMPENSATED MEDICAL CARE, SUMMA HEALTH PROVIDED WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS AND SPECIAL PROGRAMS FOR THE ELDERLY, PERSONS WITH DISABILITIES AND THE MEDICALLY UNDERSERVED. SUMMA HEALTH ALSO OPERATED A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES. THESE PROGRAMS WERE OFFERED AT A REDUCED PRICE OR PROVIDED TO THE COMMUNITY FREE OF CHARGE. SUMMA HEALTH OPERATES ITS FACILITIES IN A MANNER CONSISTENT WITH THE COMMUNITY BENEFIT REQUIREMENTS OF REV. RULE 69-545 AND SUBSEQUENT CASE LAW AND IRS GUIDELINES. SUMMA HEALTH'S HOSPITALS PROVIDE EMERGENCY SERVICES WHICH ARE OPEN AND AVAILABLE TO ALL PERSONS OF THE COMMUNITY, REGARDLESS OF THEIR ABILITY TO PAY. THE BOARD OF DIRECTORS CONSISTS OF PERSONS WHO ARE BROADLY REPRESENTATIVE OF THE COMMUNITY AND MEDICAL STAFF.SUMMA HEALTH MEDICAL GROUP- PROGRAM SERVICE ACCOMPLISHMENTS:SUMMA HEALTH MEDICAL GROUP, A SUMMA HEALTH ENTITY, IS A MULTI-SPECIALTY GROUP OF PHYSICIANS, ADVANCED PRACTICE PROVIDERS AND CARE TEAMS IN MEDICAL PRACTICES LOCATED IN THE COMMUNITIES WE SERVE. IN TOTAL, SUMMA HEALTH MEDICAL GROUP EMPLOYS MORE THAN 300 PHYSICIANS, 150 ADVANCED PRACTICE PROVIDERS AND MORE THAN 1,200 SUPPORT STAFF IN MORE THAN 35 SPECIALTIES AND SUB-SPECIALTIES. SUMMA HEALTH MEDICAL GROUP PROMOTES STRONG AFFILIATION AND EMPLOYMENT OF PHYSICIANS TO ENSURE COMMUNITY AND HOSPITAL NEEDS FOR PHYSICIAN SERVICES ARE MET. AS MEMBERS OF NEWHEALTH COLLABORATIVE, A CLINICIAN-LED ACCOUNTABLE CARE ORGANIZATION, SUMMA HEALTH MEDICAL GROUP PHYSICIANS ARE LEADING THE WAY TOWARD VALUE-BASED HEALTHCARE WITH INITIATIVES SUCH AS THE PATIENT-CENTERED MEDICAL HOME (PCMH) AND MEANINGFUL USE OF HEALTH INFORMATION TECHNOLOGY. SUMMA FOUNDATION - PROGRAM SERVICE ACCOMPLISHMENTS:SUMMA FOUNDATION SUPPORTS PATIENT CARE, MEDICAL EDUCATION AND RESEARCH THROUGH PHILANTHROPY. GENEROUS CONTRIBUTIONS TOTALED $23.2 MILLION IN 2021 HELPING SUMMA HEALTH FULFILL ITS MISSION TO PROVIDE THE HIGHEST QUALITY, COMPASSIONATE CARE AND CONTRIBUTE TO A HEALTHIER COMMUNITY. SUMMA FOUNDATION LINKS COMMUNITY SUPPORTERS WITH PHILANTHROPIC PRIORITIES THAT ENHANCE THE DELIVERY OF PATIENT CARE AND EMPOWER CLINICAL EXCELLENCE ACROSS THE ENTIRE SYSTEM. GIFTS SUPPORT PHYSICIAN RESIDENCY PROGRAMS, ADVANCED CERTIFICATIONS FOR NURSES, BEHAVIORAL HEALTH PROGRAMS, GROUNDBREAKING RESEARCH, THE LATEST TECHNOLOGIES FOR DIAGNOSIS AND TREATMENT, CANCER SUPPORT SERVICES, AND HELP RECRUIT AND RETAIN THE REGION'S BEST PHYSICIANS, ASSURING PATIENTS AND FAMILIES A CONTINUUM OF QUALITY CARE FAR INTO THE FUTURE. SUMMA FOUNDATION ALSO COLLABORATES WITH SYSTEM AND CLINICAL LEADERS TO DOCUMENT THE IMPACT OF PHILANTHROPIC INVESTMENTS AND TO SHARE THAT IMPACT WITH DONORS.COMMUNITY BENEFIT AND DIVERSITY:THIS DEPARTMENT LEADS EFFORTS TO ADDRESS HEALTH DISPARITIES AND OTHER IMPORTANT COMMUNITY NEEDS AND RAISE AWARENESS OF HEALTH AND HEALTHCARE ISSUES AFFECTING THE COMMUNITIES SERVED BY SUMMA HEALTH. COMMUNITY BENEFIT AND DIVERSITY PROVIDE WELLNESS AND EDUCATIONAL TOOLS, FACILITATE ECONOMIC DEVELOPMENT PROGRAMS, DEVELOP COMMUNITY PARTNERSHIPS, COMMUNICATE SUMMA HEALTH'S BENEFIT TO THE COMMUNITY AND ENGAGE THE COMMUNITY AND ITS WORKFORCE WITHIN THE SYSTEM AND THROUGHOUT THE REGION.GOVERNMENT RELATIONS: THIS DEPARTMENT IS DEDICATED TO ELEVATING SUMMA HEALTH AS A CREDIBLE LEADER AND PARTNER IN THE HEALTH POLICY PLANNING PROCESS. THIS DEPARTMENT COLLABORATES WITH NUMEROUS DEPARTMENTS TO BEST POSITION SUMMA EDUCATION, RESEARCH AND CLINICAL INNOVATION PRIORITIES WITH PUBLIC SECTOR FUNDING OPPORTUNITIES.

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$153,305,176	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$13,212,281	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$180,840,285	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$1,184,464,134	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	8152	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	38	GoverningBodyVotingMembersCnt
Independent Voting Member	31	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	OH	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	FL	StatesWhereCopyOfReturnIsFldCd
Own Website	Yes (X)	OwnWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DAWN AHNER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	2343125867	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1077 GORGE BLVD	AddressLine1Txt
City	AKRON	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	44310	ZIPCd

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

Form990 Part VII Section A Form990PartVIISectionAGrp (50 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
T CLIFFORD DEVENY MD
CEO SHS, DIRECTOR SHS & SF	4.00	46.00	Yes (X)	Yes (X)	$0	$1,322,923	$206,790
PETER BITTENBENDER MD
DIR. SHS & DIR. SHMG, PHYSICIAN	52.00	2.00	Yes (X)		$757,437	$0	$33,881
PHYLIS FERRARA
SF PRESIDENT AND CDO	50.00	0.00	Yes (X)	Yes (X)	$454,120	$0	$68,690
WILLIAM BAUMAN MD
DIRECTOR SF, CLINICAL PHYSICIAN	2.00	0.00	Yes (X)		$373,733	$0	$32,715
LYNN HAMRICH MD
DIRECTOR SHS, CLINICAL PHYSICIAN	52.00	2.00	Yes (X)		$279,136	$0	$38,879
GEORGE STRICKLER
DIRECTOR & CHAIRMAN SHS	4.00	4.00	Yes (X)	Yes (X)	$0	$0	$0
NICHOLAS BROWNING
DIR. VICE CH. SHS, DIR. CH. SHMG	4.00	4.00	Yes (X)	Yes (X)	$0	$0	$0
RAMONA HOOD
DIRECTOR SHS (STARTED 1/21)	2.00	2.00	Yes (X)		$0	$0	$0
ORRY JACOBS
DIR. SHS & SHMG (START 1/21)	2.00	2.00	Yes (X)		$0	$0	$0
STEPHEN COMUNALE
DIRECTOR SHS	2.00	2.00	Yes (X)		$0	$0	$0
BARBARA FACIANA
DIRECTOR SHS	2.00	2.00	Yes (X)		$0	$0	$0
PHILIP KAUFMANN
DIRECTOR SHS	2.00	2.00	Yes (X)		$0	$0	$0
COSTAS KEFALAS MD
DIRECTOR SHS	2.00	2.00	Yes (X)		$0	$0	$0
JAY WILLIAMSON MD
DIR. & VICE CHAIR SHMG (START 1/21)	4.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
DANIEL BALMERT
DIRECTOR SHMG (STARTED 1/21)	2.00	0.00	Yes (X)		$0	$0	$0
JAMES MCILVAINE
DIR. SHMG (END 9/21)	2.00	0.00	Yes (X)		$0	$0	$0
JULIA BIANCHI
DIRECTOR & SECRETARY SF	4.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
KAREN BUDD PHD RN
DIRECTOR SF	2.00	0.00	Yes (X)		$0	$0	$0
JASON BUTTERWORTH
DIRECTOR SF	2.00	0.00	Yes (X)		$0	$0	$0
BETSY CLARK
DIRECTOR SF	2.00	0.00	Yes (X)		$0	$0	$0
STEVE COX
DIRECTOR SF	2.00	0.00	Yes (X)		$0	$0	$0
C GORDON EWERS
DIRECTOR SF (END 10/21)	2.00	0.00	Yes (X)		$0	$0	$0
KAY FRANKS
DIRECTOR SF	2.00	0.00	Yes (X)		$0	$0	$0
IRIS E HARVEY
DIRECTOR SF	2.00	0.00	Yes (X)		$0	$0	$0
MARY ANN JACKSON
DIRECTOR SF	2.00	0.00	Yes (X)		$0	$0	$0
BARBARA JONES
DIRECTOR SF	2.00	0.00	Yes (X)		$0	$0	$0
THOMAS KNOLL
DIRECTOR & TREASURER SF	4.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
GINGER MARCHETTA
DIRECTOR SF	2.00	0.00	Yes (X)		$0	$0	$0
PATRICIA WARTKO
DIRECTOR SF	2.00	0.00	Yes (X)		$0	$0	$0
R MARK WERNIG
DIRECTOR SF	2.00	0.00	Yes (X)		$0	$0	$0
GARY WILLIAMS MD
DIRECTOR SF	2.00	0.00	Yes (X)		$0	$0	$0
THOMAS CLARK
DIRECTOR SF	2.00	0.00	Yes (X)		$0	$0	$0
PAUL TESTA
DIRECTOR & VICE CHAIR SF	4.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
PATRICK O'NEILL
DIRECTOR/CHAIR SF	4.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
JONATHON PAVLOFF
DIRECTOR SF	2.00	0.00	Yes (X)		$0	$0	$0
CHARLES PETER MD
DIRECTOR SF	2.00	0.00	Yes (X)		$0	$0	$0
KEITH T COLEMAN
SVP CFO, TR. SHS & SHMG, SF	4.00	46.00		Yes (X)	$0	$623,567	$98,019
LYDIA COOK MD
PRES. SUMMA HEALTH MED (END10/21)	50.00	0.00		Yes (X)	$583,431	$0	$78,420
DAVID CUSTODIO MD
PRESIDENT, SHS	50.00	0.00		Yes (X)	$564,129	$0	$96,744
ROBERT A GERBERRY
GEN. COUNSEL/SEC. SHS/SHMG/SF	4.00	46.00		Yes (X)	$0	$493,592	$80,183
VIVECK BHALLA MD
PRES. SUMMA HEALTH MED.(ST. 10/21)	50.00	0.00		Yes (X)	$335,459	$0	$51,099
BENJAMIN P SUTTON
CHIEF STRATEGY OFF., & PRES.	4.00	46.00			$0	$517,877	$94,948	Yes (X)
MICHAEL HUGHES MD
PRESIDENT SUMMA BARBERTON	50.00	0.00			$497,379	$0	$83,219	Yes (X)
LORI RHINE RN
VP, CNO AKRON & ST. THOMAS	50.00	0.00			$316,786	$0	$37,228	Yes (X)
KATHLEEN BLAKE
SVP, PRES. POST ACUTE/HOME/NHC	52.00	0.00			$251,528	$0	$30,955	Yes (X)
BRADLEY INKROTT MD
CLINICAL PHYSICIAN - SHMG	50.00	0.00			$1,653,311	$0	$35,853		Yes (X)
DANE DONICH MD
CLINICAL PHYSICIAN - SHMG	50.00	0.00			$1,396,528	$0	$28,429		Yes (X)
SAMUEL BORSELLINO MD
CLINICAL PHYSICIAN - SHMG	50.00	0.00			$1,298,361	$0	$32,023		Yes (X)
ERIC ESPINAL MD
CLINICAL PHYSICIAN - SHMG	50.00	0.00			$1,149,495	$0	$38,096		Yes (X)
DEREK KLAUS MD
CLINICAL PHYSICIAN - SHMG	50.00	0.00			$1,129,493	$0	$39,471		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$11,040,326	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,957,959	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,205,642	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	699	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Government Grants	$1,743,630	GovernmentGrantsAmt
All Other Contributions	$16,353,708	AllOtherContributionsAmt
Total Contributions	$18,097,338	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SVCS LESS BD	621300	$1,168,090,252	$1,168,090,252
PHARMACY REVENUE	446110	$94,957,877	$94,693,671	$264,206
SHMG PRACTICE SUPPORT	621110	$53,042,672	$53,042,672
PROGRAM RELATED INVEST	621110	$13,817,007	$13,097,710	$719,297
LAB REVENUE	621500	$3,634,308		$3,634,308

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$22,915,430	TotalRevenueColumnAmt
Related Or Exempt Func Income	$22,915,430	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,356,457,546	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$207,682	TotalRevenueColumnAmt
Exclusion	$207,682	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$4,134,492	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$4,854,222	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$719,730	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$719,730	TotalRevenueColumnAmt
Exclusion	-$719,730	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$579,508	SecuritiesAmt
Other	$139,712	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$579,508	SecuritiesAmt
Other	$139,712	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$719,220	TotalRevenueColumnAmt
Exclusion	$719,220	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
CAFETERIA SALES	722511	$5,149,476	$356,171	$4,793,305
PY PENSION SERV. COSTS	621990	$4,148,029		$4,148,029
PARKING	812930	$1,502,951		$1,502,951

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,059,787	TotalRevenueColumnAmt
Unrelated Business Revenue	$509,589	UnrelatedBusinessRevenueAmt
Exclusion	$10,550,198	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$21,860,243	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,396,622,299	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,351,839,735	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$5,483,571	UnrelatedBusinessRevenueAmt
Exclusion	$21,201,655	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$13,212,281	TotalAmt
Program Services	$13,212,281	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$4,964,968	TotalAmt
Program Services	$4,091,134	ProgramServicesAmt
Management And General	$873,834	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$44,819	TotalAmt
Program Services	$36,931	ProgramServicesAmt
Management And General	$7,888	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$499,876,418	TotalAmt
Program Services	$410,226,176	ProgramServicesAmt
Management And General	$87,621,125	ManagementAndGeneralAmt
Fundraising	$2,029,117	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$8,893,825	TotalAmt
Program Services	$7,289,337	ProgramServicesAmt
Management And General	$1,556,946	ManagementAndGeneralAmt
Fundraising	$47,542	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$55,508,878	TotalAmt
Program Services	$45,353,449	ProgramServicesAmt
Management And General	$9,687,144	ManagementAndGeneralAmt
Fundraising	$468,285	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$30,120,989	TotalAmt
Program Services	$24,728,557	ProgramServicesAmt
Management And General	$5,281,828	ManagementAndGeneralAmt
Fundraising	$110,604	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$2,954,732	TotalAmt
Program Services	$2,434,699	ProgramServicesAmt
Management And General	$520,033	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$268,172	TotalAmt
Management And General	$268,172	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$8,060	TotalAmt
Management And General	$8,060	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$104,311,493	TotalAmt
Program Services	$77,648,001	ProgramServicesAmt
Management And General	$26,649,202	ManagementAndGeneralAmt
Fundraising	$14,290	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$40,436	TotalAmt
Program Services	$33,319	ProgramServicesAmt
Management And General	$7,117	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$9,368,272	TotalAmt
Program Services	$7,670,362	ProgramServicesAmt
Management And General	$1,638,330	ManagementAndGeneralAmt
Fundraising	$59,580	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,149,284	TotalAmt
Program Services	$877,414	ProgramServicesAmt
Management And General	$187,409	ManagementAndGeneralAmt
Fundraising	$84,461	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$15,038,100	TotalAmt
Program Services	$12,391,395	ProgramServicesAmt
Management And General	$2,646,705	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$176,592	TotalAmt
Program Services	$144,691	ProgramServicesAmt
Management And General	$30,905	ManagementAndGeneralAmt
Fundraising	$996	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,081,288	TotalAmt
Program Services	$889,178	ProgramServicesAmt
Management And General	$189,922	ManagementAndGeneralAmt
Fundraising	$2,188	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$25,300,938	TotalAmt
Program Services	$20,847,973	ProgramServicesAmt
Management And General	$4,452,965	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$58,772,380	TotalAmt
Program Services	$48,428,441	ProgramServicesAmt
Management And General	$10,343,939	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$10,491,078	TotalAmt
Program Services	$8,644,648	ProgramServicesAmt
Management And General	$1,846,430	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	FundraisingFundraisingAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$295,724,354	$295,722,857	$1,497
MANAGEMENT FEES	$156,704,764	$129,124,726		$27,580,038
SHMG PRACTICE SUPPORT	$53,042,672	$43,707,162		$9,335,510
TAXES AND FRANCHISE FEE	$23,627,134	$19,468,758		$4,158,376

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$14,080,007	TotalAmt
Program Services	$11,492,645	ProgramServicesAmt
Management And General	$2,454,740	ManagementAndGeneralAmt
Fundraising	$132,622	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,384,761,934	TotalAmt
Program Services	$1,184,464,134	ProgramServicesAmt
Management And General	$197,346,618	ManagementAndGeneralAmt
Fundraising	$2,951,182	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$98,772	BOYAmt
EOY	$91,494	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$7,293,805	BOYAmt
EOY	$5,177,105	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$139,347,411	BOYAmt
EOY	$174,777,799	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$491,685	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$19,925,796	BOYAmt
EOY	$22,206,564	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$7,976,026	BOYAmt
EOY	$15,672,721	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,677,679,451	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,007,273,437	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$639,028,984	BOYAmt
EOY	$670,406,014	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$11,163,529	BOYAmt
EOY	$10,383	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$14,537,818	BOYAmt
EOY	$12,044,160	EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$900,371,076	BOYAmt
EOY	$950,217,402	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,741,971,957	BOYAmt
EOY	$1,853,324,067	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$70,122,897	BOYAmt
EOY	$66,524,567	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$611,617	BOYAmt
EOY	$667,411	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$579,871,882	BOYAmt
EOY	$570,032,271	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$240,000,000	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$437,874,245	BOYAmt
EOY	$719,058,469	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,328,480,641	BOYAmt
EOY	$1,356,282,718	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$413,266,361	BOYAmt
EOY	$496,839,261	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$224,955	BOYAmt
EOY	$202,088	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$413,491,316	BOYAmt
EOY	$497,041,349	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,741,971,957	BOYAmt
EOY	$1,853,324,067	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$11,860,365	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$23,500,163	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$48,189,505	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd
Supported Organizations	1	SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

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

Field	Value	IRS element (for citing)
EIN	340714755	EIN
Organization Type	3	OrganizationTypeCd
Governing Document Listed	Yes (1)	GoverningDocumentListedInd
Support	$0	SupportAmt
Other Support	$0	OtherSupportAmt

Field	Value	IRS element (for citing)
Supported Organizations Total	1	SupportedOrganizationsTotalCnt
Support Sum	$0	SupportSumAmt
Other Support Sum	$0	OtherSupportSumAmt

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year	$16,292,512	CurrentTaxYearAmt
Total	$16,292,512	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year	$16,292,512	CurrentTaxYearAmt
Total	$16,292,512	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$1,375,319	SubstantialContributorsTotAmt
Public Support Total170	$14,917,193	PublicSupportTotal170Amt
Total Support	$16,292,512	TotalSupportAmt
Public Support CY170	0.91560	PublicSupportCY170Pct
Public Support PY170	0.27230	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

Field	Value	IRS element (for citing)
Listed By Name Governing Doc	Yes (1)	ListedByNameGoverningDocInd
Suprt Org No IRS Determination	0	SuprtOrgNoIRSDeterminationInd
Supported Org Section C456	0	SupportedOrgSectionC456Ind
Supported Org Not Organized US	0	SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org	0	OrganizationChangeSuprtOrgInd
Support Non Supported Org	0	SupportNonSupportedOrgInd
Payment Substantial Contribtr	0	PaymentSubstantialContribtrInd
Loan Disqualified Person	0	LoanDisqualifiedPersonInd
Controlled Disqualified Prsn	0	ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int	0	DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int	0	DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules	0	ExcessBusinessHoldingsRulesInd
Contribution Controller	0	ContributionControllerInd
Contribution Family	0	ContributionFamilyInd
Contribution35 Controlled	0	Contribution35ControlledInd

Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp

Field	Value	IRS element (for citing)
Timely Provided Documents	Yes (1)	TimelyProvidedDocumentsInd
Officers Close Relationship	Yes (1)	OfficersCloseRelationshipInd
Supported Org Voice Investment	Yes (1)	SupportedOrgVoiceInvestmentInd

Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp

Field	Value	IRS element (for citing)
Activities Test	Yes (X)	ActivitiesTestInd
Activities Further Exempt Prps	Yes (1)	ActivitiesFurtherExemptPrpsInd
Activities Engaged Org Invlmnt	Yes (1)	ActivitiesEngagedOrgInvlmntInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE A, PART I, LINE 3, 7, 12:	SUMMA HEALTH SYSTEM, EIN 34-0714755, IS A SUBORDINATE MEMBER OF THE SUMMA HEALTH GROUP RULING. THE ORGANIZATION'S PUBLIC CHARITY STATUS IS AS A HOSPITAL ORGANIZATION DESCRIBED IN SECTION 170(B)(1)(A)(III). SUMMA PHYSICIANS, INC. DBA SUMMA HEALTH MEDICAL GROUP (SHMG), EIN 34-1790929, IS A SUBORDINATE MEMBER OF THE SUMMA HEALTH GROUP RULING. THE ORGANIZATION'S PUBLIC CHARITY STATUS IS SECTION 509(A)(3) TYPE III FUNCTIONALLY INTEGRATED AND MUST COMPLETE SCHEDULE A, PART IV, SECTIONS A, D, AND E. THE NUMBER OF SUPPORTING ORGANIZATIONS FOR LINE 12F IS 1. THE SUPPORTED ORGANIZATION FOR LINE 12G IS SUMMA HEALTH SYSTEM, EIN 34-0714755, WHOSE ORGANIZATION TYPE DESCRIBED ON LINES 1-10 IS 3, AND WHICH IS LISTED IN THE SHMG ORGANIZING DOCUMENTS. LISTING ZERO IN SUPPORT FOR LINE 12G COLUMN (V) AND (VI). SUMMA FOUNDATION, EIN 34-1219001, IS A SUBORDINATE MEMBER OF THE SUMMA HEALTH GROUP RULING. THE ORGANIZATION'S PUBLIC CHARITY STATUS IS AN ORGANIZATION THAT NORMALLY RECEIVES A SUBSTANTIAL PART OF ITS SUPPORT FROM A GOVERNMENTAL UNIT OR FROM THE GENERAL PUBLIC DESCRIBED IN SECTION 170(B)(1)(A)(VI) AND MUST COMPLETE SCHEDULE A PART II. PURSUANT TO THE INSTRUCTIONS FOR GROUP FILINGS, THE ABOVE LISTED ORGANIZATIONS HAVE SEPARATELY DOCUMENTED THEIR COMPLIANCE REQUIREMENTS ON SCHEDULE A, PART VI, SUPPLEMENTAL INFORMATION.
SCHEDULE A, PART II, SECTION A, PUBLIC SUPPORT:	SCHEDULE A PUBLIC SUPPORT SCHEDULE IS BEING PREPARED FOR SUMMA FOUNDATION, EIN 34-1219001. SUMMA FOUNDATION IS A SUBORDINATE MEMBER OF THE SUMMA HEALTH GROUP RULING. THE ORGANIZATION'S PUBLIC CHARITY STATUS IS AN ORGANIZATION THAT NORMALLY RECEIVES A SUBSTANTIAL PART OF ITS SUPPORT FROM A GOVERNMENTAL UNIT OR FROM THE GENERAL PUBLIC DESCRIBED IN SECTION 170(B)(1)(A)(VI) AND MUST COMPLETE SCHEDULE A PART II.
SCHEDULE A, PART IV, SECTIONS A, D, AND E:	SHMG, EIN 34-1790929, IS A SUBORDINATE MEMBER OF THE SUMMA HEALTH GROUP RULING. THE ORGANIZATION'S PUBLIC CHARITY STATUS IS SECTION 509(A)(3) TYPE III FUNCTIONALLY INTEGRATED AND MUST COMPLETE SCHEDULE A, PART IV, SECTIONS A, D, AND E. THE ANSWERS PROVIDED ON SCHEDULE A, PART VI, FOR SCHEDULE A PART IV, SECTIONS A, D AND E ARE PROVIDED FOR SHMG.
SCHEDULE A, PART IV, SECTION A, LINE 1:	THE ANSWER FOR LINE 1 IS YES. SUPPORTED ORGANIZATIONS LISTED BY NAME: SHMG, EIN 34-1790929, WAS THE SUPPORTING ORGANIZATION TO THE FOLLOWING SUPPORTED ORGANIZATION - SUMMA HEALTH SYSTEM, INC. EIN 34-0714755. SUMMA HEALTH SYSTEM IS DESIGNATED AS A SUPPORTED ORGANIZATION BY NAME IN THE ARTICLES OF INCORPORATION OF SUMMA PHYSICIANS, INC. DBA SUMMA HEALTH MEDICAL GROUP. AN HISTORIC AND CONTINUING RELATIONSHIP OF SUPPORT EXISTS BETWEEN SUMMA PHYSICIANS, INC. DBA SUMMA HEALTH MEDICAL GROUP, AND SUMMA HEALTH SYSTEM, THE SUPPORTED HOSPITAL LISTED ON PART I LINE 12G.
SCHEDULE A, PART IV, SECTION A, LINES 2 - 4A:	THE ANSWERS FOR LINES 2-4A ARE AS FOLLOWS: 2, NO 3A, NO 4A, NO
SCHEDULE A, PART IV, SECTION A, LINE 5A:	THE ANSWER FOR LINE 5A IS NO.
SCHEDULE A, PART IV, SECTION A, LINES 6-11C :	THE ANSWERS FOR LINES 6 - 11C ARE AS FOLLOWS: 6, NO 7, NO 8, NO 9A-9C, NO 10A, NO 11A-11C, NO
SCHEDULE A, PART IV, SECTION D, LINES 1-3:	THE ANSWERS FOR LINES 1 - 3 ARE AS FOLLOWS: 1, YES 2, YES 3, YES. SUMMA HEALTH SYSTEM HAS A SIGNIFICANT VOICE IN SHMG'S INVESTMENT POLICIES AND IN DIRECTING THE USE OF SHMG'S INCOME OR ASSETS AT ALL TIME DURING THE TAX YEAR THROUGH COMMON BOARD MEMBERSHIP AND THROUGH COMMON CONTROL PROVIDED BY SUMMA HEALTH, THE PARENT ORGANIZATION OF SUMMA HEALTH SYSTEM, THE SUPPORTED ORGANIZATION.
SCHEDULE A, PART IV, SECTION E, LINE 1A:	THE ANSWER FOR LINE 1A IS "X"
SCHEDULE A, PART IV, SECTION E, LINE 2A:	THE ANSWER FOR LINE 2A IS YES: ORGANIZATION ACTIVITIES DIRECTLY FURTHER THE EXEMPT PURPOSES: SHMG PROMOTES THE STRONGER AFFILIATION AND EMPLOYMENT OF PHYSICIANS TO ENSURE THE SUPPORTED HOSPITALS LISTED IN PART I LINE 12G MEET COMMUNITY AND HOSPITAL NEEDS FOR PHYSICIAN SERVICES, AND ALSO DEVELOPS PHYSICIAN COVERAGE IN NEW MARKETS. SHMG DIRECTORS AND OFFICERS SERVE AS DIRECTORS AND OFFICERS ON THE BOARDS OF THE SUPPORTED ORGANIZATIONS, ENSURING RESPONSIVENESS. SHMG'S PROGRAM SERVICE ACCOMPLISHMENTS INCLUDE HOSPITAL-BASED PRACTICES, MISSION-BASED PRACTICES, AND STRATEGIC-BASED PRACTICES, ALL BASED EXCLUSIVELY IN THE IDENTIFIED SUPPORTED HOSPITAL AND CONSTITUTING SUBSTANTIALLY ALL OF SHMG'S ACTIVITIES.
SCHEDULE A, PART IV, SECTION E, LINE 2B:	THE ANSWER FOR LINE 2B IS YES. ACTIVITIES THAT ONE OR MORE SUPPORTED ORGANIZATIONS ENGAGED IN: BUT FOR SHMG'S WORK TO ENSURE A STRONG AFFILIATION AND EMPLOYMENT OF PHYSICIANS TO ENSURE THE SUPPORTED HOSPITAL LISTED IN PART I LINE 12G MEETS COMMUNITY AND HOSPITAL NEEDS FOR PHYSICIAN SERVICES, THE IMPORTANT RELATIONSHIPS BETWEEN THE SUPPORTED HOSPITAL AND ITS PHYSICIANS WOULD HAVE TO BE MANAGED BY THE HOSPITAL.

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (1)	GrantsOtherOrganizationsInd
Grants Other Organizations	$8,060	GrantsOtherOrganizationsAmt
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$8,060	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

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

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$27,566,543	BeginningYearBalanceAmt
Contributions	$923,605	ContributionsAmt
Investment Earnings Or Losses	$772,888	InvestmentEarningsOrLossesAmt
End Year Balance	$29,263,036	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$26,418,953	BeginningYearBalanceAmt
Contributions	$359,489	ContributionsAmt
Investment Earnings Or Losses	$788,101	InvestmentEarningsOrLossesAmt
End Year Balance	$27,566,543	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$21,923,498	BeginningYearBalanceAmt
Contributions	$3,075,711	ContributionsAmt
Investment Earnings Or Losses	$1,419,744	InvestmentEarningsOrLossesAmt
End Year Balance	$26,418,953	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$22,691,956	BeginningYearBalanceAmt
Contributions	-$86,257	ContributionsAmt
Investment Earnings Or Losses	-$682,201	InvestmentEarningsOrLossesAmt
End Year Balance	$21,923,498	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$20,437,936	BeginningYearBalanceAmt
Contributions	$426,808	ContributionsAmt
Investment Earnings Or Losses	$1,827,212	InvestmentEarningsOrLossesAmt
End Year Balance	$22,691,956	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$85,351,286	OtherCostOrOtherBasisAmt
Book Value	$85,351,286	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$951,939,372	OtherCostOrOtherBasisAmt
Depreciation	$526,228,913	DepreciationAmt
Book Value	$425,710,459	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,856,487	OtherCostOrOtherBasisAmt
Depreciation	$4,491,961	DepreciationAmt
Book Value	$6,364,526	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$571,784,690	OtherCostOrOtherBasisAmt
Depreciation	$450,223,117	DepreciationAmt
Book Value	$121,561,573	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$57,747,616	OtherCostOrOtherBasisAmt
Depreciation	$26,329,446	DepreciationAmt
Book Value	$31,418,170	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$670,406,014	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDesc	Book ValueBookValueAmt
NON-PERF ASSET AIR RIGHTS	$491,870
TAXES RECEIVABLE	$108,110
OTHER ACCOUNTS RECEIVABLE	$68,571
BENEFICIAL INTEREST IN PROPERTY	$3,272,496
DUE FROM RELATED ORGANIZATIONS	$921,621,594
RIGHT OF USE ASSETS	$16,279,959
OTHER ACCOUNTS RECEIVABLE UPL NET OF ALLOWANCE	$8,374,802

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$950,217,402	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (11 entries)

DescDesc	AmtAmt
LEASE ESCALATION LIABILITY	$188,586
CAPITAL LEASE OBLIGATIONS	$28,188,176
ASSET RETIREMENT OBLIGATION	$2,841,224
INTEREST RATE SWAP	$10,936,462
POST RETIREMENT BENEFITS	$477,177
CONTINGENT LIABILITIES	$490,083
MALPRACTICE LIABILITY	$15,611,000
UNSECURED PAYABLES	$347,070,881
PURCHASE OPTION LIABILITY	$4,621,680
RIGHT OF USE LEASE OBLIGATION	$10,015,620
2021 BONDS	$298,617,580

Field	Value	IRS element (for citing)
Total Liability	$719,058,469	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART V, LINE 4:

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

PART X, LINE 2:

SUMMA 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.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	CENTRAL AMERICA AND THE CARIBBEAN	RegionTxt
Offices	1	OfficesCnt
Employee	0	EmployeeCnt
Type Of Activities Conducted	PROGRAM SERVICES	TypeOfActivitiesConductedTxt
Specific Services Provided	SELF INSURANCE	SpecificServicesProvidedTxt
Region Total Expenditures	$13,317,356	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	1	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	1	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$13,317,356	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$13,317,356	TotalSpentAmt
Transfer To Foreign Corp	0	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	0	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	0	PassiveForeignInvestmestCoInd
Foreign Partnership	0	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3:	CENTRAL AMERICAN AND THE CARIBBEAN: ACCRUAL
PART III ACCOUNTING METHOD:
SCHEDULE F, PART I, LINE 3(F)	EXPENDITURES: INSURANCE PREMIUMS PAID $13,317,356

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	250.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$51,000,464	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$36,986,611	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,013,853	NetCommunityBenefitExpnsAmt
Total Expense	0.01000	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$219,686,152	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$151,766,467	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$67,919,685	NetCommunityBenefitExpnsAmt
Total Expense	0.04870	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$270,686,616	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$188,753,078	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$81,933,538	NetCommunityBenefitExpnsAmt
Total Expense	0.05870	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,997,945	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$135,590	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,862,355	NetCommunityBenefitExpnsAmt
Total Expense	0.00920	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$38,319,946	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,397,697	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$25,922,249	NetCommunityBenefitExpnsAmt
Total Expense	0.01860	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$49,712,728	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$49,712,728	NetCommunityBenefitExpnsAmt
Total Expense	0.03560	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,650,856	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$634,117	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,016,739	NetCommunityBenefitExpnsAmt
Total Expense	0.00430	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,610,742	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,610,742	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$109,292,217	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,167,404	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$96,124,813	NetCommunityBenefitExpnsAmt
Total Expense	0.06890	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$379,978,833	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$201,920,482	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$178,058,351	NetCommunityBenefitExpnsAmt
Total Expense	0.12760	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,517	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,517	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,732	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,732	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,249	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$13,249	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$12,110,000	BadDebtExpenseAmt
Reimbursed By Medicare	$148,931,044	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$158,261,622	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$9,330,578	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	1 DIGESTIVE HEALTH CENTER LLC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	DIGESTIVE DISEASE	PrimaryActivitiesTxt
Org Profit Or Ownership	0.05000	OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership	0.00000	OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership	0.44000	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Research FacilityResearchFacilityInd	Emergency Room24 HrsEmergencyRoom24HrsInd	OtherOtherDesc
SUMMA HEALTH SYSTEM
1	525 EAST MARKET STREET	AKRON	OH	44304	WWW.SUMMAHEALTH.ORG	1275	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)
SUMMA REHAB HOSPITAL LLC
2	29 NORTH ADAMS STREET	AKRON	OH	44304	WWW.SUMMAREHABHOSPITAL.COM	1503	Yes (X)		Yes (X)			REHABILITATION

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd	Residency CriteriaResidencyCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP TranslatedFAPTranslatedInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Look Back MedicareLookBackMedicareInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd	No Emergency CareNoEmergencyCareInd
SUMMA HEALTH SYSTEM
1	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	19	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (X)	SEE PART V, PAGE 8	Yes (X)	Yes (1)	20	Yes (1)	SEE PART V, PAGE 8	0	Yes (1)	Yes (X)	250.000000000000	400.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	SEE PART V, PAGE 8	Yes (X)	SEE PART V, PAGE 8	Yes (X)	SEE PART V, PAGE 8	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0
SUMMA REHAB HOSPITAL LLC
2	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	19	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (X)	SEE PART V, PAGE 8	Yes (X)	Yes (1)	20	Yes (1)	SEE PART V, PAGE 8	0	Yes (1)	Yes (X)	250.000000000000	400.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	SEE PART V, PAGE 8	Yes (X)	SEE PART V, PAGE 8	Yes (X)	SEE PART V, PAGE 8	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	0	Yes (X)	0	0	Yes (X)

Supplemental Information SupplementalInformationGrp (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SUMMA HEALTH SYSTEM	PART V, SECTION B, LINE 5: INPUT FROM PERSONS WHO REPRESENT BROAD INTERESTS OF COMMUNITY SERVED:SUMMA HEALTH SYSTEM:IN 2019 SUMMA HEALTH PARTNERED WITH SUMMIT COUNTY PUBLIC HEALTH (SCPH) AND THE SUMMIT COALITION FOR COMMUNITY HEALTH IMPROVEMENT (SCCHI) TO CONDUCT THE 2019 CHNA. DURING THE PROCESS, OVER 200 INDICATORS WERE REVIEWED, AND COMMUNITY LEADERS AND RESIDENTS WERE CONSULTED. THE 2019 CHNA WAS COMPLETED USING THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS (NACCHO) MODIFIED-MOBILIZING ACTION THROUGH PARTNERSHIP AND PLANNING (MAPP) PROCESS. THIS PROCESS WAS FACILITATED BY SCPH AND CONDUCTED WITH THE SCCHI. SCCHI IS A 40+ MEMBER COLLABORATIVE WITH THE MISSION OF IDENTIFYING KEY HEALTH PRIORITIES IN SUMMIT COUNTY AND COORDINATING ACTION TO IMPROVE POPULATION HEALTH AND PROMOTE HEALTH EQUITY FOR ALL. THESE COMMUNITY LEADERS PROVIDE A PERSPECTIVE ON THE BROAD INTERESTS OF THE GROUPS SERVED BY THE HOSPITAL FACILITY, INCLUDING THE MEDICALLY UNDERSERVED, LOW-INCOME PERSONS, MINORITY GROUPS. SCPH EPIDEMIOLOGY GATHERED DATA FROM A VARIETY OF SOURCES INCLUDING COUNTY HEALTH RANKINGS, AMERICAN COMMUNITY SURVEY, AND COMMUNITY HEALTH STATUS INDICATORS. SCPH ALSO UTILIZED THE 2018 YOUTH RISK BEHAVIORAL SURVEY, THE OHIO DEPARTMENTS OF HEALTH BIRTH AND DEATH DATA, AND EPICENTER. QUALITATIVE DATA COLLECTED THROUGH SURVEYS, FOCUS GROUPS AND COMMUNITY MEETINGS WERE ALSO UTILIZED TO GATHER INFORMATION ABOUT HOW SUMMIT COUNTY LEADERS AND RESIDENTS EXPERIENCE THE HEALTH OUTCOMES AND COMMUNITY CONDITIONS THAT AFFECT QUALITY OF LIFE. THIS INFORMATION CAN PROVIDE ADDITIONAL CONTEXT TO QUANTITATIVE DATA AND HEALTH TO STRATEGICALLY INFORM IMPROVEMENTS. SCCHI AND SCPH ALSO COMPLETED TWO QUALITATIVE MAPP ASSESSMENTS: COMMUNITY THEMES, STRENGTHS, AND THE FORCES OF CHANGE. FOCUS GROUPS AND SURVEYS WERE CONDUCTED AND DISTRIBUTED THROUGHOUT THE COMMUNITY IN 2019 TO IDENTIFY BARRIERS AND OPPORTUNITIES THROUGH THE LENS OF THE COMMUNITY MEMBER. LEADERS FROM THE FOLLOWING COMMUNITY ORGANIZATIONS WERE CONSULTED DURING THIS CHNA: AKRON AREA YMCAAKRON CANTON REGIONAL FOODBANKAKRON CHILDREN'S HOSPITALAKRON METROPOLITAN AREA TRANSPORTATION STUDYAKRON METROPOLITAN HOUSING AUTHORITY AKRON PUBLIC SCHOOLSAKRON REGION INTERPROFESSIONAL AREA HEALTH EDUCATION CENTERAKRON SUMMIT COMMUNITY ACTION, INCAKRON SUMMIT COUNTY PUBLIC LIBRARYAMERICAN CANCER SOCIETYASIAN SERVICES IN ACTION, INCAXESSPOINTE COMMUNITY HEALTH CENTERCHILD GUIDANCE AND FAMILY SOLUTIONSCITY OF AKRONCLEVELAND CLINIC AKRON GENERALCOMMUNITY HEALTH CENTERCOMMUNITY LEGAL AIDCOUNTY OF SUMMITCOUNTY OF SUMMIT ALCOHOL DRUG ADDICTION AND MENTAL HEALTH SERVICES BOARDGREATER AKRON CHAMBER OF COMMERCE HATTIE LARLHAMHAVEN OF REST MINISTRIESINFOLINE, INCINTERNATIONAL INSTITUTE OF AKRONLOVE AKRONMATURE SERVICESMUSTARD SEED MARKET AND CAFNOTHEAST OHIO MEDICAL UNIVERSITYOHIO GUIDESTONEOPEN M MINISTRIESOSU EXTENSIONPROJECT LEARN OF SUMMIT COUNTYSUMMIT COUNTY DD BOARDSUMMIT COUNTY PUBLIC HEALTH THE BLICK CENTERTHE OHIO AFFILIATE OF PREVENT BLINDNESSU.S. REPRESENTATIVE MARCIA FUDGEU.S. SENATOR SHERROD BROWNUNITED WAY OF SUMMIT COUNTYADDITIONAL DETAIL CAN BE FOUND ON THE SUMMA HEALTH WEBSITE AT HTTPS://WWW.SUMMAHEALTH.ORG/ABOUT-US/ABOUT-SUMMA/COMMUNITY-BENEFIT-AND-DIVERSITY/COMMUNITYNEEDSASSESSMENTS/COMMUNITYNEEDSASSESSMENT2019.
SUMMA REHAB HOSPITAL, LLC	PART V, SECTION B, LINE 5: INPUT FROM PERSONS WHO REPRESENT BROAD INTERESTS OF COMMUNITY SERVED:SUMMA REHABILITATION HOSPITAL:IN 2019 SUMMA HEALTH PARTNERED WITH SUMMIT COUNTY PUBLIC HEALTH (SCPH) AND THE SUMMIT COALITION FOR COMMUNITY HEALTH IMPROVEMENT (SCCHI) TO CONDUCT THE 2019 CHNA. DURING THE PROCESS, OVER 200 INDICATORS WERE REVIEWED, AND COMMUNITY LEADERS AND RESIDENTS WERE CONSULTED. THE 2019 CHNA WAS COMPLETED USING THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS (NACCHO) MODIFIED-MOBILIZING ACTION THROUGH PARTNERSHIP AND PLANNING (MAPP) PROCESS. THIS PROCESS WAS FACILITATED BY SCPH AND CONDUCTED WITH THE SCCHI. SCCHI IS A 40+ MEMBER COLLABORATIVE WITH THE MISSION OF IDENTIFYING KEY HEALTH PRIORITIES IN SUMMIT COUNTY AND COORDINATING ACTION TO IMPROVE POPULATION HEALTH AND PROMOTE HEALTH EQUITY FOR ALL. THESE COMMUNITY LEADERS PROVIDE A PERSPECTIVE ON THE BROAD INTERESTS OF THE GROUPS SERVED BY THE HOSPITAL FACILITY, INCLUDING THE MEDICALLY UNDERSERVED, LOW-INCOME PERSONS, MINORITY GROUPS. SCPH EPIDEMIOLOGY GATHERED DATA FROM A VARIETY OF SOURCES INCLUDING COUNTY HEALTH RANKINGS, AMERICAN COMMUNITY SURVEY, AND COMMUNITY HEALTH STATUS INDICATORS. SCPH ALSO UTILIZED THE 2018 YOUTH RISK BEHAVIORAL SURVEY, THE OHIO DEPARTMENTS OF HEALTH BIRTH AND DEATH DATA, AND EPICENTER. QUALITATIVE DATA COLLECTED THROUGH SURVEYS, FOCUS GROUPS AND COMMUNITY MEETINGS WERE ALSO UTILIZED TO GATHER INFORMATION ABOUT HOW SUMMIT COUNTY LEADERS AND RESIDENTS EXPERIENCE THE HEALTH OUTCOMES AND COMMUNITY CONDITIONS THAT AFFECT QUALITY OF LIFE. THIS INFORMATION CAN PROVIDE ADDITIONAL CONTEXT TO QUANTITATIVE DATA AND HEALTH TO STRATEGICALLY INFORM IMPROVEMENTS. SCCHI AND SCPH ALSO COMPLETED TWO QUALITATIVE MAPP ASSESSMENTS: COMMUNITY THEMES, STRENGTHS, AND THE FORCES OF CHANGE. FOCUS GROUPS AND SURVEYS WERE CONDUCTED AND DISTRIBUTED THROUGHOUT THE COMMUNITY IN 2019 TO IDENTIFY BARRIERS AND OPPORTUNITIES THROUGH THE LENS OF THE COMMUNITY MEMBER. LEADERS FROM THE FOLLOWING COMMUNITY ORGANIZATIONS WERE CONSULTED DURING THIS CHNA: AKRON AREA YMCAAKRON CANTON REGIONAL FOODBANKAKRON CHILDREN'S HOSPITALAKRON METROPOLITAN AREA TRANSPORTATION STUDYAKRON METROPOLITAN HOUSING AUTHORITY AKRON PUBLIC SCHOOLSAKRON REGION INTERPROFESSIONAL AREA HEALTH EDUCATION CENTERAKRON SUMMIT COMMUNITY ACTION, INCAKRON SUMMIT COUNTY PUBLIC LIBRARYAMERICAN CANCER SOCIETYASIAN SERVICES IN ACTION, INCAXESSPOINTE COMMUNITY HEALTH CENTERCHILD GUIDANCE AND FAMILY SOLUTIONSCITY OF AKRONCLEVELAND CLINIC AKRON GENERALCOMMUNITY HEALTH CENTERCOMMUNITY LEGAL AIDCOUNTY OF SUMMITCOUNTY OF SUMMIT ALCOHOL DRUG ADDICTION AND MENTAL HEALTH SERVICES BOARDGREATER AKRON CHAMBER OF COMMERCE HATTIE LARLHAMHAVEN OF REST MINISTRIESINFOLINE, INCINTERNATIONAL INSTITUTE OF AKRONLOVE AKRONMATURE SERVICESMUSTARD SEED MARKET AND CAFNOTHEAST OHIO MEDICAL UNIVERSITYOHIO GUIDESTONEOPEN M MINISTRIESOSU EXTENSIONPROJECT LEARN OF SUMMIT COUNTYSUMMIT COUNTY DD BOARDSUMMIT COUNTY PUBLIC HEALTH THE BLICK CENTERTHE OHIO AFFILIATE OF PREVENT BLINDNESSU.S. REPRESENTATIVE MARCIA FUDGEU.S. SENATOR SHERROD BROWNUNITED WAY OF SUMMIT COUNTYADDITIONAL DETAIL CAN BE FOUND ON THE SUMMA HEALTH WEBSITE AT HTTPS://WWW.SUMMAHEALTH.ORG/ABOUT-US/ABOUT-SUMMA/COMMUNITY-BENEFIT-AND-DIVERSITY/COMMUNITYNEEDSASSESSMENTS/COMMUNITYNEEDSASSESSMENT2019.
SUMMA HEALTH SYSTEM	PART V, SECTION B, LINE 6A: CHNA CONDUCTED WITH ONE OR MORE OTHER HOSPITAL FACILITIES:SUMMA HEALTH SYSTEM: SUMMA HEALTH CONDUCTED THE CHNA ON BEHALF OF EACH OF ITS HOSPITAL FACILITIES LISTED IN PART V, SECTION A, WHICH ARE, SUMMA HEALTH SYSTEM AND SUMMA REHAB HOSPITAL, LLC
SUMMA REHAB HOSPITAL, LLC	PART V, SECTION B, LINE 6A: CHNA CONDUCTED WITH ONE OR MORE OTHER HOSPITAL FACILITIES:SUMMA REHABILITATION HOSPITAL:SUMMA HEALTH CONDUCTED THE CHNA ON BEHALF OF EACH OF ITS HOSPITAL FACILITIES LISTED IN PART V, SECTION A, WHICH ARE SUMMA HEALTH SYSTEM AND SUMMA REHAB HOSPITAL, LLC
SUMMA HEALTH SYSTEM	PART V, SECTION B, LINE 6B: CHNA CONDUCTED WITH ONE OR MORE ORGANIZATIONS OTHER THAN HOSPITAL FACILITIES:SUMMA HEALTH SYSTEM:SUMMIT COUNTY PUBLIC HEALTH SUMMIT COALITION FOR COMMUNITY HEALTH IMPROVEMENT
SUMMA REHAB HOSPITAL, LLC	PART V, SECTION B, LINE 6B: CHNA CONDUCTED WITH ONE OR MORE ORGANIZATIONS OTHER THAN HOSPITAL FACILITIES:SUMMA REHABILITATION HOSPITAL:SUMMIT COUNTY PUBLIC HEALTH SUMMIT COALITION FOR COMMUNITY HEALTH IMPROVEMENT
SUMMA HEALTH SYSTEM	PART V, SECTION B, LINE 11: HOW THE HOSPITAL FACILITY IS ADDRESSING NEEDS IDENTIFIED IN ITS CHNA:SUMMA HEALTH SYSTEM:IN 2019 SUMMA HEALTH PARTNERED WITH SUMMIT COUNTY PUBLIC HEALTH (SCPH) AND THE SUMMIT COALITION FOR COMMUNITY HEALTH IMPROVEMENT (SCCHI) TO CONDUCT THE 2019 CHNA THAT WAS APPROVED BY THE SUMMA HEALTH BOARD OF DIRECTORS ON DECEMBER 12, 2019. DURING THIS PROCESS OVER 200 INDICATORS WERE REVIEWED, COMMUNITY LEADERS AND RESIDENTS WERE CONSULTED, AND SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED USING THE MAPP PROCESS. TO RESPOND TO THE NEEDS IDENTIFIED IN THE 2019 CHNA, IN COLLABORATION WITH SUMMA HEALTH'S INTERNAL LEADERSHIP AND DEPARTMENTS, ASSISTANCE FROM THE SUMMA COMMUNITY ENGAGEMENT COMMITTEE AND MANY EXTERNAL PARTNERS, SUMMA ENTERED INTO THE ACTION PHASE OF THE MAPP PROCESS. THIS PHASE INCLUDED THE PLANNING, IMPLEMENTATION, AND EVALUTION OF THE OBJECTIVES AND STRATEGIES FOR EACH OF THE IDENTIFIED PRIORITY AREAS. EACH PRIORITIZED HEALTH NEED ARE DETERMINED TO BE WIHTIN THE SCOPE OF SERVICES AND ALIGNED WITH THE MISSION OF THE SYSTEM. THE PLAN IS BUILT UPON THE EFFORTS OF THE PREVIOUS IMPLEMENTATION PLAN, UTLIZING LESSONS LEARNED AND CURRENT OPPORTUNITIES. THE MAPP PROCESS AND COUNTY HEALTH RANKINGS MODEL PROVIDED THE GUIDING PRINCIPLES AND FRAMEWORK FOR DEVELOPING THE PLAN AND CREATING EVIDENCE BASED STRATEGIES TO MOBILIZE COMMUNITY ACTION TOWARD HEALTH IMPROVEMENT. THE PRIORITY AREAS ARE AS FOLLOWS: CHRONIC DISEASE MANAGEMENT, ACCESS AND BARRIERS TO HEALTH CARE, HEALTH DISPARITIES, PREVENTION AND WELLNESS. ON MARCH 12, 2020, THE IMPLEMENTATION PLAN WAS APPROVED BY THE SUMMA HEALTH BOARD OF DIRECTORS. THE PRIORITIES ARE IN ALIGNMENT WITH CURRENT COMMUNITY HEALTH NEEDS IDENTIFIED BY THE SUMMIT COUNTY PUBLIC HEALTH 2019 COMMUNITY HEALTH ASSESSMENT AND THE OHIO DEPARTMENT OF HEALTH'S 2019 STATE HEALTH ASSESSMENT. THERE IS STRONG ALIGNMENT BETWEEN THE SELECTED HEALTH PRIORITIES AND THE PRIORITIES IN THE 2020-2022 OHIO STATE HEALTH IMPROVEMENT PLAN (SHIP)PRIORITY HEALTH NEEDS IDENTIFIED IN THE 2019 SUMMA CHNA:PRIORITY HEALTH ISSUE, PLAN TO ADDRESSACCESS TO HEALTH CARE, YESCHRONIC DISEASE, YESENVIRONMENTAL FACTORS, NOHEALTH DISPARITIES, YESINJURY AND ACCIDENTS, NOQUALITY OF HEALTH CARE, YESMATERNAL AND CHILD HEALTH, YESMENTAL HEALTH, YESPREVENTION AND WELLNESS, YESSUBSTANCE ABUSE, YESSIGNIFICANT HEALTH NEEDS ADDRESSED:PRIORITY HEALTH OUTCOME: IMPROVING PREVENTION AND WELLNESSAT SUMMA HEALTH, OUR POPULATION HEALTH STRATEGY IS EVOLVING THE WAY WE DELIVER CARE. OUR VISION FOR CARE PUTS THE PATIENT AT THE CENTER OF THIS MODEL BY CREATING A COLLABORATION BETWEEN THE PATIENT AND THEIR CAREGIVERS THAT IS FOCUSED ON PREVENTION AND WELLNESS (P&W). P&W FOCUSES ON IMPROVING THE WHOLE PERSON, BODY AND MIND AND REDUCING LIFESTYLE RISK FACTORS AND "EVERYDAY" BEHAVIORS THAT CAN NEGATIVELY IMPACT HEALTH. P&W STRATEGIES CROSS ALL THE PRIORITY HEALTH OUTCOMES, AND ARE EMBEDDED IN EACH OBJECTIVE.PRIORITY HEALTH OUTCOME: IMPROVING ACCESS TO HEALTH CARETHE HEALTH NEEDS PERTAINING TO ACCESS ARE BEING ADDRESSED BY INCORPORATING COMMUNITY HEALTH WORKERS IN COMMUNITY BASED SETTINGS, AND INCREASING THE NUMBER OF INDIVIDUALS WHO HAVE ACCESS TO PRIMARY CARE MEDICAL HOMES AND COMPREHENSIVE PRIMARY CARE PLUS PRACTICES THEREBY INCREASING THE OPPORTUNITIES FOR PREVENTATIVE AND EARLY INTERVENTIONS FOR INDIVIDUALS REQUIRING PRIMARY CARE, DENTAL, AND BEHAVIORAL HEALTH PROVIDERS.PRIORITY HEALTH OUTCOME: PROVIDING CHRONIC DISEASE MANAGEMENTTHE HEALTH NEEDS PERTAINING TO CHRONIC DISEASE ARE BEING ADDRESSED THROUGH INCREASING CONSUMER KNOWLEDGE BASE OF RISK FACTORS, RISK BEHAVIORS, AND GENETIC CONSIDERATIONS, WHICH LEAD TO CANCER, CARDIOVASCULAR DISEASE AND DIABETES (P&W). THE HEALTH NEEDS PERTAINING TO SUBSTANCE ABUSE ARE BEING ADDRESSED BY DECREASING ALCOHOL AND OPIATE RELATED OVERDOSES AND DEATHS (P&W). THE HEALTH NEEDS PERTAINING TO LIFESTYLE FACTORS ARE BEING ADDRESSED BY DECREASING SMOKING AND TOBACCO USE IN ADULTS. PRIORITY HEALTH OUTCOME: REDUCING HEALTH DISPARITIESTHE HEALTH NEEDS PERTAINING TO HEALTH DISPARITIES ARE BEING ADDRESSED THROUGH REDUCING INFANT MORTALITY BY PROVIDING PROGRAMS AND SERVICES THAT PROVIDE OUTREACH, EDUCATION, COORDINATION AND FOCUS ON REDUCING THE IMPACTS OF THE SOCIAL DETERMINANTS OF HEALTH FOR LOW INCOME MOTHERS(P&W). PRIORITY HEALTH OUTCOME: IMPROVING QUALITY OF HEALTH CARETHE HEALTH NEEDS PERTAINING TO QUALITY OF CARE FACTORS ARE BEING ADDRESSED BY DECREASING HOSPITAL READMISSIONS AND INCREASING CONSUMER KNOWLEDGE OF PREOPERATIVE CARE. SIGNIFICANT HEALTH NEEDS NOT ADDRESSEDTHE LIST ABOVE INDICATES SEVERAL PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE 2019 CHNA THAT SUMMA WILL NOT ADDRESS IN THE PLAN. REASONS FOR NOT TARGETING THESE AREAS INCLUDE THEY ARE ADDRESSED DURING CLINCIAL VISITS, GO BEYOND THE CURRENT SCOPE OF THE HOSPITAL, RESOURCE CONSTRAINTS, AVAILABLE EXPERTISE, OR BEING MORE APPRORIATE FOR OTHER COMMUNITY AGENCIES TO ADDRESS. POOR HEALTH STATUS CAN RESULT THROUGH A COMPLEX INTERACTION OF CHALLENGING SOCIAL, ECONOMIC, ENVIRONMENTAL AND BEHAVIORAL FACTORS, COMBINED WITH LACK OF ACCESS TO CARE. ADDRESSING THE MORE COMMON "ROOT" CAUSES OF POOR COMMUNITY HEALTH CAN SERVE TO IMPROVE A COMMUNITY'S QUALITY OF LIFE AND TO REDUCE MORTALITY AND MORBIDITY. HOWEVER, SUMMA RECOGNIZES THAT NO HOSPITAL FACILITY CAN ADDRESS ALL OF THE ROOT CAUSES AND HEALTH NEEDS PRESENT IN ITS COMMUNITY. THEREFORE, IT WAS DETERMINED THAT THE HEALTH SYSTEM WILL COLLABORATE WITH OTHER ORGANIZATIONS AS NEEDED TO ADDRESS THE HEALTH NEEDS NOT SELECTED. INJURIES, ACCIDENTS AND ENVIRONMENTAL FACTORS INCLUDING VIOLENCE, CRIME, AND POVERTY WILL NOT BE ADDRESSED DIRECTLY THROUGH OUR PLAN. SUMMA HEALTH WILL, LOOK FOR OPPORTUNITIES TO COLLABORATE WITH SAFE COMMUNITIES OF SUMMIT COUNTY, SUMMIT COUNTY SAFE KIDS COALITION, COMMUNITY DEVELOPMENT CORPORATIONS, LOCAL SERVICES AGENCIES AND OTHER ORGANIZATIONS TO ADDRESS THESE IMPORTANT HEALTH ISSUES WHENEVER POSSIBLE. THE PLAN IS ALSO IN ALIGNMENT WITH CURRENT COMMUNITY HEALTH NEEDS AND PRIORITIES IDENTIFIED BY THE SUMMIT COUNTY PUBLIC HEALTH 2019 COMMUNITY HEALTH ASSESSMENT AND THE OHIO DEPARTMENT OF HEALTH'S 2020-2022 STATE HEALTH IMPROVEMENT PLAN.A DETAILED DESCRIPTION OF THE ACTIONS BEING TAKEN TO ADDRESS THE HEALTH NEEDS IDENTIFIED ABOVE CAN BE FOUND ON THE 2020-2022 SUMMA HEALTH COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION PLAN FOUND ON THE SUMMA HEALTH WEBSITE AT HTTPS://WWW.SUMMAHEALTH.ORG/ABOUT-US/ABOUT-SUMMA/COMMUNITY-BENEFIT-AND-DIVERSITY/COMMUNITYNEEDSASSESSMENTS/COMMUNITYNEEDSASSESSMENT2019.A SUMMARY OF THE GOALS AND OBJECTIVES ARE AS FOLLOWS:PRIORITY HEALTH GOAL: INCREASE ACCESS TO QULITY HEALTHCARE OBJECTIVE 1: THE NUMBER OF INDIVUDALS WHO HAVE ACCESS TO PRIMARY CARE MEDICAL HOMES (PCMH) AND COMPREHENSIVE CARE PLUS (CPC+) PRACTICES HEREBY INCREASE THE OPPORTUNITIES FOR PREVENTATIVE AND EARLY INTERVENTIONS FOR INDIVIDUALS REQUIRING PRIMARY CARE, DENTAL AND BEHAVIORAL HEALTH PROVIDERS. OBJECTIVE 2: INCREASE ACCESS TO PRIMARY CARE PROVIDERS AND SPECIALISTS AS NEEDED ALONG THE CONTINUUM OF CARE. OBJECTIVE 3: PARTICPATE IN THE CMS ONCOLOTY CARE MODEL. OBJECTIVE 4: REDUCE FINANCIAL STRESS. PRIORITY HEALTH GOAL: CHRONIC DISEASE PREVENTION AND MANAGEMENT OBJECTIVE 1: DECREASE RATES OF CHRONIC DISEASE IN ADULTS. OBJECTIVE 2: INCREASE CONSUMER KNOWLEDGE BASE OF RISK FACTORS, RISK BEHAVIORS, AND GENETIC CONSIDERATIONS, WHICH LEAD TO CARDIOVASCULAR DISEASE DEVELOPMENT. OBJECTIVE 3: INCREASE CONSUMER KNOWLEDGE BASE OF RISK FACTORS, RISK BEHAVIORS, AND GENETIC CONSIDERATIONS, WHICH LEAD TO CANCER. OBJECTIVE 4: PROVIDE DIABETES PREVENTION PROGRAMS AND DIABETES EDUCATION SERVICES. OBJECTIVE 5: PROMOTE MENTAL WELLBEING AND PREVENT ALCOHOL AND OTHER DRUG DEPENDENCE FOR RESIDENTS OF SUMMIT COUNTY. OBJECTIVE 6: DECREASE SMOKING, TOBACCO AND VAPING USE IN ADULTS.PRIORITY HEALTH GOAL: REDUCE HEALTH DISPARITIES OBJECTIVE 1: IMPROVE ACCESS TO HEALTH CARE AND CARE COORINATION TO THE LGBTQ COMMUNITY THROUGH THE SUMMA HEALTH PRIDE CLINIC. OBJECTIVE 2: IMPROVE CARE COORDINATION AND REDUCE HEALTH DISPARITIES BY UTILIZING COMMUNITY HEALTH WORKERS (CHW) IN COMMUNITY-BASED SETTINGS. OBJECTIVE 3: REDUCE INFANT MORTALITY. OBJECTIVE 4: INCREASE ACADEMIC ACHIEVEMENT BY PARTNERING WITH AKRON PUBLIC SCHOOLS AS THE SUMMA HEALTH ACADEMY OF LEADERSHIP AND INNOVATION AT BUCHTEL HIGH SCHOOL.
SUMMA REHAB HOSPITAL, LLC	PART V, SECTION B, LINE 11: HOW THE HOSPITAL FACILITY IS ADDRESSING NEEDS IDENTIFIED IN ITS CHNA:SUMMA REHABILITATION HOSPITAL:DUE TO THE NATURE OF THE ADULT REHABILITATION SPECIALTY SERVICES PROVIDED BY SUMMA REHAB HOSPITAL, LLC, THE IDENTIFIED HEALTH NEED IN WHICH THEY HAVE THE OPPORTUNITY TO ADDRESS IN THIS COMMUNITY HEALTH NEEDS ASSESSMENT FOR THE GREATEST IMPACT IS ACCESS TO HEALTH CARE. THE COMMUNITY RESOURCES PROVIDED BY A VARIETY OF INSTITUTIONS AND AGENCIES, INCLUDING SHS LED TO THE DETERMINATION BY SUMMA REHAB HOSPITAL, LLC TO NOT ADDRESS ANY OTHER IDENTIFIED HEALTH NEEDS AS DESCRIBED IN THE CHNA. PRIORITY HEALTH OUTCOME: IMPROVING ACCESS TO HEALTH CARETHE HEALTH NEEDS PERTAINING TO ACCESS ARE BEING ADDRESSED BY ENHANCING ACCESS TO APPROPRIATE MEDICATIONS AND IMPROVE COMPLIANCE WITH MEDICATION PRESCRIPTIONS FOR PATIENTS THAT ARE DISCHARGED FROM SUMMA REHABILITATION HOSPITAL(SRH). SRH IS ALSO IMPROVING ACCESS BY ENHANCING ACCESS TO DIAGNOSIS SPECIFIC SUPPORT GROUPS FOR COMMUNITY MEMBERS TO INCREASE PATIENT KNOWLEDGE. SUPPORT GROUPS FOCUS ON STROKE, AMPUTEE, PARKINSON'S AND TRAMATIC BRAIN INJURY(TBI). IN ADDITION, SRH WILL ALSO PARTICIPATE IN ADVOCACY AND SUPPORT GROUP ACTIVITIES THROUGH NORTHEAST OHIO BRAIN INJURY FOUNDATION/ SUMMIT COUNTY TBI COLLABORATION. A DETAILED DESCRIPTION OF THE ACTIONS BEING TAKEN TO ADDRESS THE HEALTH NEEDS IDENTIFIED ABOVE CAN BE FOUND ON THE 2020-2022 SUMMA HEALTH COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION PLAN FOUND ON THE SUMMA HEALTH WEBSITE AT HTTPS://WWW.SUMMAHEALTH.ORG/ABOUT-US/ABOUT-SUMMA/COMMUNITY-BENEFIT-AND-DIVERSITY/COMMUNITYNEEDSASSESSMENTS/COMMUNITYNEEDSASSESSMENT2019.
PART V, SECTION B, LINE 7A FACILITY REPORTING SUMMA HEALTH & SUMMA REHAB	SUMMA HEALTH SYSTEM: HTTPS://WWW.SUMMAHEALTH.ORG/ABOUT-US/ABOUT-SUMMA/COMMUNITY-BENEFIT-AND-DIVERSITY/COMMUNITYNEEDSASSESSMENTS/COMMUNITYNEEDSASSESSMENT2019SUMMA REHAB HOSPITAL:HTTP://WWW.SUMMAREHABHOSPITAL.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/
PART V, SECTION B, LINE 10A FACILITY REPORTING SUMMA HEALTH AND SUMMA REHAB	SUMMA HEALTH SYSTEM:HTTPS://WWW.SUMMAHEALTH.ORG/ABOUT-US/ABOUT-SUMMA/COMMUNITY-BENEFIT-AND-DIVERSITY/COMMUNITYNEEDSASSESSMENTS/COMMUNITYNEEDSASSESSMENT2019SUMMA REHAB HOSPITAL:HTTPS://WWW.SUMMAREHABHOSPITAL.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDSASSESSMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-2019/
PART V SECTION B LINE 16A: FACILITY REPORTING SUMMA HEALTH & SUMMA REHAB	SUMMA HEALTH SYSTEM: HTTPS://WWW.SUMMAHEALTH.ORG/PATIENTVISITOR/INSURANCEANDBILLING/FINANCIALASSISTANCESUMMA REHAB HOSPITAL: HTTPS://WWW.SUMMAREHABHOSPITAL.COM/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE-POLICY-FOR-SUMMA-REHAB-HOSPITAL/
PART V SECTION B LINE 16B FACILITY REPORTING SUMMA HEALTH & SUMMA REHAB	SUMMA HEALTH SYSTEM: HTTPS://WWW.SUMMAHEALTH.ORG/PATIENTVISITOR/INSURANCEANDBILLING/FINANCIALASSISTANCESUMMA REHAB HOSPITAL: HTTPS://WWW.SUMMAREHABHOSPITAL.COM/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE-POLICY-FOR-SUMMA-REHAB-HOSPITAL/
PART V SECTION B LINE 16C FACILITY REPORTING SUMMA HEALTH & SUMMA REHAB	SUMMA HEALTH SYSTEM: HTTPS://WWW.SUMMAHEALTH.ORG/PATIENTVISITOR/INSURANCEANDBILLING/FINANCIALASSISTANCESUMMA REHAB HOSPITAL: HTTPS://WWW.SUMMAREHABHOSPITAL.COM/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE-POLICY-FOR-SUMMA-REHAB-HOSPITAL/
PART V SECTION B LINE 20A: EXTRAORDINARY COLLECTION ACTION	SUMMA REHAB HOSPITAL:SUMMA REHAB HOSPITAL DOES NOT TAKE ECAS AND THEREFORE WRITTEN NOTICES ARE NOT NECESSARY

Field	Value	IRS element (for citing)
Facility	109	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (109 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt	Address Line2USAddress/AddressLine2Txt
1 - SUMMA HEALTH EQUITY CENTER
1493 S HAWKINS AVENUE	AKRON	OH	44320	CHRONIC DISEASE MANAGEMENT, HEALTH, NUTRITION, EXERCISE AND EDUCATION SERVIC
2 - PARKVIEW CENTER
155 FIFTH STREET NE	BARBERTON	OH	44203	CANCER CENTER AND CANCER CARE, PHYSICIANS OFFICES
3 - SUMMA HEALTH COOPER PAVILION
161 NORTH FORGE STREET	AKRON	OH	44304	CANCER CENTER AND CANCER CARE
4 - SUMMA HEALTH CENTER AT GREEN - SLEEP LAB
1700 BOETTLER ROAD STE 215	UNIONTOWN	OH	44685	SLEEP AND NEUROLOGY SERVICES, OBSTETRICS AND GYNECOLOGY
5 - SUMMA HEALTH IGNATIA HALL SOUTH
3730 WHIPPLE AVE NW STE 5	CANTON	OH	44718	OUTPATIENT ADDICTION MEDICINES
6 - SUMMA HEALTH MEDINA SURGERY CENTER
3780 MEDINA RD SUITE 120	MEDINA	OH	44256	SURGERY CENTER
7 - PROFESSIONAL CENTER SOUTH
55 ARCH SUITE 2A	AKRON	OH	44304	FAMILY MEDICINE, INTERNAL MEDICINE
8 - SUMMA HEALTH MEDICAL GROUP
1 PARK WEST BLVD SUITE 350	AKRON	OH	44320	PHYSICIAN OFFICE
9 - SUMMA HEALTH MEDICAL GROUP
1 PARK WEST BLVD SUITE 200	AKRON	OH	44320	PHYSICIAN OFFICE
10 - SUMMA HEALTH MEDICAL GROUP
1 PARK WEST SUITE 330	AKRON	OH	44320	PHYSICIAN OFFICE
11 - SUMMA HEALTH MEDICAL GROUP
1 PARK WEST SUITE 330	AKRON	OH	44320	PHYSICIAN OFFICE
12 - SUMMA HEALTH MEDICAL GROUP
1260 INDEPENDENCE AVE	AKRON	OH	44310	PHYSICIAN OFFICE
13 - SUMMA HEALTH MEDICAL GROUP
1305 CORPORATE DR SUITE A	HUDSON	OH	44236	PHYSICIAN OFFICE
14 - SUMMA HEALTH MEDICAL GROUP
1463 CANTON RD	AKRON	OH	44312	PHYSICIAN OFFICE
15 - SUMMA HEALTH MEDICAL GROUP
1493 SOUTH HAWKINS AVE SUITE 130	AKRON	OH	44320	PHYSICIAN OFFICE
16 - SUMMA HEALTH MEDICAL GROUP
155 FIFTH STREET NE SUITE 100	BARBERTON	OH	44203	PHYSICIAN OFFICE
17 - SUMMA HEALTH MEDICAL GROUP
161 N FORGE ST SUITE G90	AKRON	OH	44304	PHYSICIAN OFFICE
18 - SUMMA HEALTH MEDICAL GROUP
161 N FORGE ST SUITE 190	AKRON	OH	44304	PHYSICIAN OFFICE
19 - SUMMA HEALTH MEDICAL GROUP
161 NORTH FORGE ST SUITE 298	AKRON	OH	44304	PHYSICIAN OFFICE
20 - SUMMA HEALTH MEDICAL GROUP
161 NORTH FORGE STSUITE 198	AKRON	OH	44304	PHYSICIAN OFFICE
21 - SUMMA HEALTH MEDICAL GROUP
1700 BOETTLER RD SUITE 225	UNIONTOWN	OH	44685	PHYSICIAN OFFICE
22 - SUMMA HEALTH MEDICAL GROUP
1700 BOETTLER RD SUITE 150	UNIONTOWN	OH	44685	PHYSICIAN OFFICE
23 - SUMMA HEALTH MEDICAL GROUP
1835 FRANKS PARKWAY	UNIONTOWN	OH	44685	PHYSICIAN OFFICE
24 - SUMMA PSYCHIATRY ASSOCIATES
1835 FRANKS PARKWAY	UNIONTOWN	OH	44685	PHYSICIAN OFFICE
25 - SUMMA HEALTH MEDICAL GROUP
1860 STATE RD SUITE D	CUYAHOGA FALLS	OH	44223	PHYSICIAN OFFICE
26 - SUMMA HEALTH MEDICAL GROUP
195 WADSWORTH RD SUITE 101	WADSWORTH	OH	44281	PHYSICIAN OFFICE
27 - SUMMA HEALTH MEDICAL GROUP
195 WADSWORTH RD SUITE 301	WADSWORTH	OH	44256	PHYSICIAN OFFICE
28 - SUMMA HEALTH MEDICAL GROUP
195 WADSWORTH RD SUITE 305	WADSWORTH	OH	44281	PHYSICIAN OFFICE
29 - SUMMA HEALTH MEDICAL GROUP
201 5TH ST NESUITE 16 AND 13	BARBERTON	OH	44203	PHYSICIAN OFFICE
30 - SUMMA HEALTH MEDICAL GROUP
201 5TH ST SUITE 2	BARBERTON	OH	44203	PHYSICIAN OFFICE
31 - SUMMA HEALTH MEDICAL GROUP
201 5TH ST SUITE 6	BARBERTON	OH	44203	PHYSICIAN OFFICE
32 - SUMMA HEALTH MEDICAL GROUP
201 5TH STREET NE SUITE 3	BARBERTON	OH	44203	PHYSICIAN OFFICE
33 - SUMMA HEALTH MEDICAL GROUP
201 FIFTH ST NE SUITE 10	BARBERTON	OH	44203	PHYSICIAN OFFICE
34 - SUMMA HEALTH MEDICAL GROUP
201 FIFTH STREET NE SUITE 8	BARBERTON	OH	44203	PHYSICIAN OFFICE
35 - SUMMA HEALTH MEDICAL GROUP
223 N MAIN ST	RITTMAN	OH	44270	PHYSICIAN OFFICE
36 - SUMMA HEALTH MEDICAL GROUP
242 PORTAGE TRAIL EXT W	CUYAHOGA FALLS	OH	442233613	PHYSICIAN OFFICE
37 - SUMMA HEALTH MEDICAL GROUP
25 S MAIN STREET SUITE B	RITTMAN	OH	44270	PHYSICIAN OFFICE
38 - SUMMA HEALTH MEDICAL GROUP
28 CONSERVATORY DR SUITE C	AKRON	OH	44314	PHYSICIAN OFFICE
39 - SUMMA HEALTH MEDICAL GROUP
2875 WEST MARKET ST SUITE A	FAIRLAWN	OH	44333	PHYSICIAN OFFICE
40 - SUMMA HEALTH MEDICAL GROUP
2875 WEST MARKET ST SUITE B	FAIRLAWN	OH	44333	PHYSICIAN OFFICE
41 - SUMMA HEALTH MEDICAL GROUP
328 HINES HILL ROAD	BOSTON HEIGHTS	OH	44236	PHYSICIAN OFFICE
42 - SUMMA HEALTH MEDICAL GROUP
3378 W MARKET ST	FAIRLAWN	OH	44333	PHYSICIAN OFFICE
43 - SUMMA HEALTH MEDICAL GROUP
3593 S ARLINGTON ROAD SUITE D	AKRON	OH	44312	PHYSICIAN OFFICE
44 - SUMMA HEALTH MEDICAL GROUP
3780 MEDINA RD SUITE 250	MEDINA	OH	44256	PHYSICIAN OFFICE
45 - SUMMA HEALTH MEDICAL GROUP
3780 MEDINA RD SUITE 220	MEDINA	OH	44256	PHYSICIAN OFFICE
46 - SUMMA HEALTH MEDICAL GROUP
3780 MEDINA RD SUITE 210	MEDINA	OH	44256	PHYSICIAN OFFICE
47 - SUMMA HEALTH MEDICAL GROUP
3780 MEDINA ROAD SUITE 150	MEDINA	OH	44256	PHYSICIAN OFFICE
48 - SUMMA HEALTH MEDICAL GROUP
3780 MEDINA ROAD SUITE 200	MEDINA	OH	44256	PHYSICIAN OFFICE
49 - SUMMA HEALTH MEDICAL GROUP
3780 MEDINA ROAD SUITE 310	MEDINA	OH	44256	PHYSICIAN OFFICE
50 - SUMMA HEALTH MEDICAL GROUP
3838 MASSILLON RD SUITE 350	UNIONTOWN	OH	44685	PHYSICIAN OFFICE
51 - SUMMA HEALTH MEDICAL GROUP
4055 EMBASSY PARKWAY SUITE 110	FAIRLAWN	OH	44333	PHYSICIAN OFFICE
52 - SUMMA HEALTH MEDICAL GROUP
4211 ST RT 44 SUITE 1550	ROOTSTOWN	OH	44272	PHYSICIAN OFFICE
53 - SUMMA HEALTH MEDICAL GROUP
444 N MAIN ST SUITE 201	AKRON	OH	443092090	PHYSICIAN OFFICE
54 - SUMMA PSYCHIATRY ASSOCIATES
444 NORTH MAIN ST 6TH FLOOR	AKRON	OH	44310	PHYSICIAN OFFICE
55 - SUMMA PSYCHIATRY ASSOCIATES
444 NORTH MAIN ST 4TH FLOOR	AKRON	OH	44310	PHYSICIAN OFFICE
56 - SUMMA PSYCHIATRY ASSOCIATES
444 NORTH MAIN STSUITE 420	AKRON	OH	44310	PHYSICIAN OFFICE
57 - SUMMA HEALTH MEDICAL GROUP
500 PORTAGE LAKES DRIVE SUITE B	AKRON	OH	44319	PHYSICIAN OFFICE
58 - SUMMA HEALTH MEDICAL GROUP
51 PARK WEST BLVD SUITE 200	AKRON	OH	44320	PHYSICIAN OFFICE
59 - SUMMA HEALTH MEDICAL GROUP
525 E MARKET ST SUITE 400	AKRON	OH	44304	PHYSICIAN OFFICE
60 - SUMMA HEALTH MEDICAL GROUP
525 E MARKET ST SUITE 3E	AKRON	OH	44304	PHYSICIAN OFFICE
61 - SUMMA HEALTH MEDICAL GROUP
525 EAST MARKET STSUITE 1-N	AKRON	OH	44304	PHYSICIAN OFFICE
62 - SUMMA HEALTH MEDICAL GROUP
55 ARCH ST SUITE 2A	AKRON	OH	44304	PHYSICIAN OFFICE
63 - SUMMA HEALTH MEDICAL GROUP
55 ARCH ST SUITE 3A	AKRON	OH	44304	PHYSICIAN OFFICE
64 - SUMMA HEALTH MEDICAL GROUP
55 ARCH ST SUITE 1A	AKRON	OH	44304	PHYSICIAN OFFICE
65 - SUMMA HEALTH MEDICAL GROUP
55 ARCH ST SUITE 1B	AKRON	OH	44304	PHYSICIAN OFFICE
66 - SUMMA HEALTH MEDICAL GROUP
55 ARCH STREET SUITE 2A	AKRON	OH	44304	PHYSICIAN OFFICE
67 - SUMMA PSYCHIATRY ASSOCIATES
5655 HUDSON DRIVE SUITE 305	HUDSON	OH	44236	PHYSICIAN OFFICE
68 - SUMMA HEALTH MEDICAL GROUP
5655 HUDSON DR SUITE 315	HUDSON	OH	44236	PHYSICIAN OFFICE
69 - SUMMA HEALTH MEDICAL GROUP
60 NORTH AVE	TALLMADGE	OH	44278	PHYSICIAN OFFICE
70 - SUMMA HEALTH MEDICAL GROUP
621 SCHOOL DR	WADSWORTH	OH	44281	PHYSICIAN OFFICE
71 - SUMMA HEALTH MEDICAL GROUP
75 ARCH ST SUITE 103	AKRON	OH	44304	PHYSICIAN OFFICE
72 - SUMMA HEALTH MEDICAL GROUP
75 ARCH ST SUITE 104	AKRON	OH	44304	PHYSICIAN OFFICE
73 - SUMMA HEALTH MEDICAL GROUP
75 ARCH ST SUITE 201	AKRON	OH	44304	PHYSICIAN OFFICE
74 - SUMMA HEALTH MEDICAL GROUP
75 ARCH ST SUITE 202	AKRON	OH	44304	PHYSICIAN OFFICE
75 - SUMMA HEALTH MEDICAL GROUP
75 ARCH ST SUITE 301	AKRON	OH	44304	PHYSICIAN OFFICE
76 - SUMMA HEALTH MEDICAL GROUP
75 ARCH ST SUITE 302	AKRON	OH	44304	PHYSICIAN OFFICE
77 - SUMMA HEALTH MEDICAL GROUP
75 ARCH ST SUITE 401	AKRON	OH	44304	PHYSICIAN OFFICE
78 - SUMMA HEALTH MEDICAL GROUP
75 ARCH ST SUITE 402	AKRON	OH	44304	PHYSICIAN OFFICE
79 - SUMMA HEALTH MEDICAL GROUP
75 ARCH ST SUITE 406	AKRON	OH	44304	PHYSICIAN OFFICE
80 - SUMMA PSYCHIATRY ASSOCIATES
75 ARCH ST SUITE 410	AKRON	OH	44304	PHYSICIAN OFFICE
81 - SUMMA HEALTH MEDICAL GROUP
75 ARCH ST SUITE 501	AKRON	OH	44304	PHYSICIAN OFFICE
82 - SUMMA HEALTH MEDICAL GROUP
75 ARCH ST SUITE 506	AKRON	OH	44304	PHYSICIAN OFFICE
83 - SUMMA HEALTH MEDICAL GROUP
75 ARCH ST SUITE B1	AKRON	OH	44304	PHYSICIAN OFFICE
84 - SUMMA HEALTH MEDICAL GROUP
75 ARCH ST SUITE B1	AKRON	OH	44304	PHYSICIAN OFFICE
85 - SUMMA HEALTH MEDICAL GROUP
75 ARCH ST SUITE G2	AKRON	OH	44304	PHYSICIAN OFFICE
86 - SUMMA DENTAL CENTER
75 ARCH ST SUITE 303	AKRON	OH	44304	FULL-SERVICE OUTPATIENT DENTAL FACILITY
87 - SUMMA HEALTH MEDICAL GROUP
75 ARCH STSUITE 206	AKRON	OH	44304	PHYSICIAN OFFICE
88 - SUMMA HEALTH MEDICAL GROUP
75 ARCH SUITE 201	AKRON	OH	44304	PHYSICIAN OFFICE
89 - SUMMA HEALTH MEDICAL GROUP
91 5TH STREET	BARBERTON	OH	44203	PHYSICIAN OFFICE
90 - SUMMA HEALTH MEDICAL GROUP
95 ARCH ST SUITE 115	AKRON	OH	44304	PHYSICIAN OFFICE
91 - SUMMA HEALTH MEDICAL GROUP
95 ARCH ST SUITE 165	AKRON	OH	44304	PHYSICIAN OFFICE
92 - SUMMA HEALTH MEDICAL GROUP
95 ARCH ST SUITE 175	AKRON	OH	44304	PHYSICIAN OFFICE
93 - SUMMA HEALTH MEDICAL GROUP
95 ARCH ST SUITE 215	AKRON	OH	44304	PHYSICIAN OFFICE
94 - SUMMA HEALTH MEDICAL GROUP
95 ARCH STSUITE 220	AKRON	OH	44304	PHYSICIAN OFFICE
95 - SUMMA HEALTH MEDICAL GROUP
95 ARCH ST SUITE 240	AKRON	OH	44304	PHYSICIAN OFFICE
96 - SUMMA HEALTH MEDICAL GROUP
95 ARCH ST SUITE 270	AKRON	OH	44304	PHYSICIAN OFFICE
97 - SUMMA HEALTH MEDICAL GROUP
95 ARCH ST SUITE 150	AKRON	OH	44304	PHYSICIAN OFFICE
98 - SUMMA HEALTH MEDICAL GROUP
95 ARCH STSUITE 260	AKRON	OH	44304	PHYSICIAN OFFICE
99 - SUMMA PSYCHIATRY ASSOCIATES
95 ARCH STSUITE 260	AKRON	OH	44304	PHYSICIAN OFFICE
100 - SUMMA HEALTH MEDICAL GROUP
95 ARCH STSUITE 300	AKRON	OH	44304	PHYSICIAN OFFICE
101 - SUMMA HEALTH MEDICAL GROUP
95 ARCH STSUITE 350	AKRON	OH	44304	PHYSICIAN OFFICE
102 - SUMMA HEALTH MEDICAL GROUP
AES BUILDING 388 SOUTH MAIN SUITE	AKRON	OH	44311	PHYSICIAN OFFICE	207
109 - SUMMA HEALTH MEDICAL GROUP
201 5TH ST NE SUITE 14	BARBERTON	OH	44203	PHYSICIAN OFFICE
202 - SUMMA HEALTH MEDICAL GROUP
3825 FISHCREEK RD SUITE 200 AND 150	STOW	OH	44224	PHYSICIAN OFFICE
202 - SUMMA PSYCHIATRY ASSOCIATES
3825 FISHCREEK RD SUITE 120	STOW	OH	44224	PHYSICIAN OFFICE
202 - SUMMA HEALTH MEDICAL GROUP
4211 STATE RT 44 SUITE 130	ROOTSTOWN	OH	44272	PHYSICIAN OFFICE
202 - SUMMA PSYCHIATRY ASSOCIATES
4211 STATE RT 44 SUITE 150	ROOTSTOWN	OH	44273	PHYSICIAN OFFICE
202 - SUMMA HEALTH MEDICAL GROUP
4211 STATE RT 44 SUITE 110	ROOTSTOWN	OH	44274	PHYSICIAN OFFICE
202 - SUMMA HEALTH MEDICAL GROUP
185 WADSWORTH RD	WADSWORTH	OH	44281	PHYSICIAN OFFICE

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	SUMMA HEALTH SYSTEM RESERVES THE RIGHT TO CONSIDER A DISCOUNT OR DISCOUNTED CARE TO ANY INDIVIDUAL WHO MAY FALL OUTSIDE THE PARAMETERS SET FORTH IN THE HOSPITAL FINANCIAL ASSISTANCE PROGRAM POLICY, WHERE SUCH INDIVIDUAL WHO HAS BEEN IDENTIFIED, IN THE SOLE DISCRETION OF HOSPITAL FACILITY AND APPROVED BY THE SYSTEM DIRECTOR HAVING EXCEPTIONAL MEDICAL CIRCUMSTANCES (I.E. TERMINAL ILLNESS, EXCESSIVE MEDICAL BILLS AND/OR MEDICATIONS, ETC.)
PART I, LINE 6A:	NAME OF RELATED ORGANIZATION THAT PREPARED THE COMMUNITY BENEFIT REPORT:SUMMA HEALTH
PART I, LINE 7:	EXPLANATION OF COST METHODOLOGY USED FOR CALCULATING LINE 7 TABLE:COST OF FINANCIAL ASSISTANCE AT COST WAS CALCULATED WITH A COST TO CHARGE RATIO USING WORKSHEET 2. THE COST RELATED TO MEDICAID PATIENTS WAS CALCULATED WITH A COST TO CHARGE RATIO USING WORKSHEET 2. FOR SUBSIDIZED SERVICES SUMMA HEALTH'S COST ACCOUNTING SYSTEM IS USED TO DETERMINE COST RELATED TO SPECIFIC SERVICES EXCLUDING TRADITIONAL MEDICAID AND MEDICAID MANAGED CARE PATIENTS. COSTS FOR CHARITY AND BAD DEBT ACCOUNTS ARE DEDUCTED USING A RATIO OF COST TO CHARGE SPECIFIC TO THAT SUBSIDIZED SERVICE. COSTS FOR OTHER PROGRAMS REFLECT THE DIRECT AND INDIRECT COSTS OF PROVIDING THOSE PROGRAMS.
PART I, LINE 7G:	DESCRIBE SUBSIDIZED HEALTH SERVICE COSTS FROM PHYSICIAN CLINIC ON LINE 7G:THE AMOUNT OF SUBSIDIZED HEALTH SERVICES REPORTED ON LINE 7(G) ATTRIBUTABLE TO SUMMA PHYSICIANS, INC. DBA SUMMA HEALTH MEDICAL GROUP IS $39,621,564.
PART II, COMMUNITY BUILDING ACTIVITIES:	DESCRIBE HOW COMMUNITY BUILDING ACTIVITIES PROMOTE THE HEALTH OF THE COMMUNITY:GUIDED BY OUR COMMUNITY HEALTH NEEDS ASSESSMENT, SUMMA HEALTH ADDRESSES VARIOUS COMMUNITY NEEDS, INCLUDING ECONOMIC DEVELOPMENT OPPORTUNITIES, HEALTH IMPROVEMENT, POVERTY, FOOD INSECURITY, WORKFORCE DEVELOPMENT AND ACCESS TO HEALTH CARE. SUMMA HEALTH HOSPITALS CONDUCT COMMUNITY HEALTH EDUCATION AND SUPPORT GROUPS, HEALTH FAIRS AND SCREENINGS FOR THE COMMUNITIES SERVED. SUMMA HEALTH HOSPITALS WORK WITH STATE AND LOCAL LEADERSHIP TO ADDRESS COMMUNITY NEEDS AND PROVIDE HEALTHCARE SERVICES TO THE POOR AND UNDERSERVED.SUMMA HEALTH HOSPITALS PROVIDE PROGRAMS TO IMPROVE THE PHYSICAL SURROUNDINGS IN THE COMMUNITIES SERVED. A ROBUST ECONOMY POSITIVELY IMPACTS RESIDENTS COVERED BY HEALTH INSURANCE AND IMPROVES THE CAPACITY OF THE COMMUNITY TO SUPPORT HEALTH SERVICES. SUMMA IS PROUD TO CONTRIBUTE TO THE ECONOMIC GROWTH OF THE COMMUNITIES WE SERVE. SUMMA HEALTH PROVIDES EMPLOYMENT TO OVER 8,100 EMPLOYEES AND PHYSICIANS, AND IS THE LARGEST EMPLOYER IN SUMMIT COUNTY. SUMMA'S CAPITAL INVESTMENTS IN OUR FACILITIES WITHIN OUR REGION, PROVIDE CONSTRUCTION AND HOSPITAL BASED JOBS. NEW STATE OF THE ART OUTPATIENT HEALTH CENTERS IN THE REGION HAVE SPURRED ECONOMIC GROWTH WHILE GIVING PEOPLE ACCESS TO THE CARE THEY NEED CLOSE TO HOME AND EXPANDING OUR COMMUNITY BENEFIT PROGRAMS.
PART III, LINE 2:	AN ESTIMATED PROVISION FOR DOUBTFUL ACCOUNTS IS RECORDED THAT RESULTS IN NET PATIENT SERVICE REVENUE BEING REPORTED AT THE NET AMOUNT EXPECTED TO BE RECEIVED. SUMMA HAS DETERMINED, BASED ON AN ASSESSMENT AT THE CONSOLIDATED LEVEL, THAT PATIENT SERVICE REVENUE IS PRIMARILY RECORDED PRIOR TO ASSESSING THE PATIENT'S ABILITY TO PAY AND AS SUCH, THE ENTIRE PROVISION FOR DOUBTFUL ACCOUNTS RELATED TO PATIENT REVENUE IS RECORDED AS A DEDUCTION FROM PATIENT SERVICE REVENUE IN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS. AT THE POINT IN TIME THAT A CHARGE IS BELIEVED TO BE UNCOLLECTIBLE, THE RELATED RECEIVABLE IS WRITTEN OFF AS A DOUBTFUL ACCOUNT.SUMMA MAINTAINS AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED ON THE EXPECTED COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE. THE PROVISION FOR DOUBTFUL ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGES, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGH THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE MODIFICATIONS TO THE PROVISION FOR DOUBTFUL ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR THE UNCOLLECTIBLE RECEIVABLES.
PART III, LINE 4:	FOOTNOTE IN ORGANIZATION'S FINANCIAL STATEMENTS DESCRIBING BAD DEBT EXPENSE:SUMMA HEALTH'S AUDITED FINANCIAL STATEMENTS NOTES TO CONSOLIDATED FINANCIAL STATEMENTS, 13. PATIENT SERVICE REVENUE, PAGE 37.
PART III, LINE 8:	DESCRIBE EXTENT ANY SHORTFALL FROM LINE 7 IS TREATED AS COMMUNITY BENEFIT AND COSTING METHODOLOGY OR SOURCE USED TO DETERMINE AMOUNT ON LINE 6:INCLUSION OF ALL COSTS ASSOCIATED WITH THE ORGANIZATION'S PARTICIPATION IN MEDICARE PROGRAMS WOULD SIGNIFICANTLY INCREASE THE MEDICARE SHORTFALL REPORTED ON SCHEDULE H, PART III, LINE 7. THE ORGANIZATION'S MEDICARE SHORTFALL IS ATTRIBUTABLE TO REIMBURSEMENTS THAT ARE LESS THAN THE COST OF PROVIDING PATIENT CARE AND SERVICES TO MEDICARE BENEFICIARIES AND DOES NOT INCLUDE ANY AMOUNTS THAT RESULT FROM INEFFICIENCIES OR POOR MANAGEMENT. THE ORGANIZATION ACCEPTS ALL MEDICARE PATIENTS KNOWING THAT THERE MAY BE SHORTFALLS, THEREFORE IT HAS TAKEN THE POSITION THAT ANY SHORTFALL SHOULD BE COUNTED AS PART OF ITS COMMUNITY BENEFIT.COSTING METHOD USED WAS TOTAL ALLOWABLE COST LESS ALL COSTS DEEMED NON-ALLOWABLE BY MEDICARE REGULATIONS. MEDICARE ALLOWABLE COST ARE BASED ON INFORMATION PROVIDED ON WORKSHEET B, PART I, COLUMN 26, LINE 118 FROM THE VARIOUS HOSPITALS' MEDICARE COST REPORTS.
PART III, LINE 9B:	DID COLLECTION POLICY CONTAIN PROVISIONS ON COLLECTION PRACTICES FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR ASSISTANCE:SUMMA WILL NOT PURSUE LEGAL ACTION FOR NON-PAYMENT OF BILLS AGAINST ANY PATIENT WHO IS WITHOUT ACCESS TO HEALTH INSURANCE AND WITHOUT OTHER SIGNIFICANT INCOME OR NET WORTH. BEFORE INITIATING LEGAL ACTION FOR NON-PAYMENT, OUR HOSPITALS WILL, IN CONJUNCTION WITH THE PATIENT, MAKE SURE THAT THE PATIENT IS NOT ELIGIBLE FOR ANY ASSISTANCE PROGRAM AND DOES NOT QUALIFY UNDER THE HOSPITALS' CHARITY CARE POLICY.
PART VI, LINE 2:	NEEDS ASSESSMENT:IN ADDITION TO THE CHNA DESCRIBED IN PART V, SECTION B, THE HEALTH CARE NEEDS OF THE COMMUNITY ARE COLLABORATIVELY ASSESSED BY SURVEY PROCESSES CONDUCTED BY SUMMA HEALTH, SUMMIT COUNTY PUBLIC HEALTH, AND SUMMIT COALITION FOR COMMUNITY HEALTH IMPROVEMENT.
PART VI, LINE 3:	PATIENT EDUCATION:IN ACCORDANCE WITH THE RULES SET FORTH BY OHIO ADMINISTRATIVE CODE SECTION 2101:3-2-07.17 NOTICES, SUMMA HEALTH SYSTEM'S HOSPITALS HAVE NOTICES POSTED IN THE EMERGENCY ROOMS, ADMISSION AREAS, CASHIER'S OFFICE, AND OTHER PATIENT AREAS. THE NOTICES SPECIFY THE RIGHTS OF INDIVIDUALS TO RECEIVE WITHOUT CHARGE, MEDICALLY NECESSARY HOSPITAL-LEVEL SERVICES. A FINANCIAL ADVOCATE IS AVAILABLE TO PATIENTS AT THE POINT OF ADMISSION AND PRIOR TO SCHEDULED OUTPATIENT SERVICE. FINANCIAL ADVOCATE REVIEWS THE AVAILABILITY OF FINANCIAL ASSISTANCE PROGRAMS AND ASSISTS WITH APPLICATION COMPLETION. THE SUMMA WEBSITE PROVIDES DETAILED INFORMATION REGARDING FINANCIAL ASSISTANCE ALONG WITH THE FINANCIAL ASSISTANCE APPLICATION. CUSTOMER SERVICE REPRESENTATIVES ARE AVAILABLE TO PROVIDE FINANCIAL COUNSELING TO PATIENTS WHO CALL. CUSTOMER SERVICE REPRESENTATIVES ASSIST THE PATIENT IN COMPLETING THE FINANCIAL ASSISTANCE APPLICATION. CUSTOMER SERVICE REPRESENTATIVES MAKE OUTGOING CALLS TO DISCUSS AND EDUCATE PATIENT ON FINANCIAL ASSISTANCE. PATIENT BILLING STATEMENTS CONTAIN CONTACT INFORMATION AND INFORMATION ABOUT FINANCIAL ASSISTANCE. THE STATEMENT INCLUDES AN APPLICATION FOR FINANCIAL ASSISTANCE. SUMMA HEALTH CONTRACTS WITH CORPORATE PARTNERS WHO MEET WITH INHOUSE PATIENTS. AVAILABILITY OF COUNTY AND FEDERAL ASSISTANCE PROGRAMS IS REVIEWED. A FINANCIAL ASSISTANCE APPLICATION IS COMPLETED DURING THIS MEETING. THIS CORPORATE PARTNER ALSO MAKES OUTGOING CALLS AND SENDS LETTERS TO PATIENTS WHO HAD OUTPATIENT PROCEDURES INFORMING THEM OF FINANCIAL ASSISTANCE.
PART VI, LINE 4:	COMMUNITY INFORMATION: BASED ON 2021 PATIENT ADMISSION DATA, SUMMA HEALTH CARE DELIVERY IS PRIMARILY IN SUMMIT COUNTY. SUMMIT COUNTY IS AN URBAN COUNTY AND REPRESENTS 69.6% OF THE 2021 ADMISSIONS FROM SUMMA HEALTH. WHILE SUMMA ALSO TREATS PATIENTS FROM MEDINA, NORTHERN STARK, AND WAYNE COUNTIES, MOST PATIENTS COME FROM SUMMIT COUNTY. THERE WERE 537,633 PEOPLE LIVING IN SUMMIT COUNTY IN 2021. THERE ARE 31 CITIES, VILLAGES, AND TOWNSHIPS IN SUMMIT COUNTY, WITH THE LARGEST BEING THE CITY OF AKRON. COMPARED TO THE STATE OF OHIO, SUMMIT COUNTY HAS A SLIGHTLY SMALLER PROPORTION OF CHILDREN (UNDER 18 YEARS OLD) AND A SLIGHTLY HIGHER PROPORTION OF OLDER ADULTS. IN SUMMIT COUNTY, 22.7 PERCENT OF THE POPULATION IS NON-WHITE, COMPARED TO 18.8% IN THE STATE. EDUCATIONAL ATTAINMENT IS SLIGHTLY HIGHER IN SUMMIT COUNTY THAN THE STATE OF OHIO, WITH 92.1% HAVING A HIGH SCHOOL DIPLOMA OR HIGHER AND 32.8% HAVING A BACHELOR'S DEGREE OR HIGHER. SIMILARLY, ANNUAL PER CAPITA INCOME IN SUMMIT COUNTY IS SLIGHLTY HIGHER THAN THE STATE OF OHIO AT $34,684; THE MEDIAN HOUSEHOLD INCOME IS $59,253; THE PERCENT OF SUMMIT COUNTY RESIDENTS LIVING IN POVERTY IS 12.1%. OF THE HOUSEHOLDS IN SUMMIT COUNTY, 47.7% MAKE LESS THAN $50,000 ANNUALLY. HOWEVER, THE CITY OF AKRON, WHICH IS THE LARGEST CITY IN SUMMIT COUNTY HAS A MEDIAN HOUSEHOLD INCOME IS $40,281 WITH A POVERTY RATE OF 23% FOR THE CALENDAR YEAR 2021. THE UNEMPLOYMENT RATE IN SUMMIT COUNTY REBOUNDED AFTER BEING IMPACTED BY COVID-19. IN 2020, THE HIGHEST RATE WAS IN APRIL AT 14.7%, THE RATE AT THE CLOSE OF 2021 WAS 3.7%. THE CURRENT UNEMPLOYMENT RATE IS UP SLIGHTLY IN JUNE OF 2022 AT 4.4% FOR SUMMIT COUNTY. THERE ARE TWO MEDICALLY UNDERSERVED AREAS (MUAS) PRESENT IN SUMMIT COUNTY: THE SOUTHEAST AKRON AND SUMMIT SERVICE AREAS. LOW INCOMES AND AN INCREASING 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. MORE IMPORTANTLY, THE AGE GROUP THAT DEMAND HEALTHCARE SERVICES THE MOST (AGE 65 AND OLDER) IS EXPECTED TO GROW SIGNIFICANTLY. THIS AGE GROUP IS EXPECTED TO INCREASE 16.0% IN SUMMIT COUNTY OVER THE FIVE YEAR PERIOD.
PART VI, LINE 5:	PROMOTION OF COMMUNITY HEALTH:SUMMA PROPOSES THAT ALL OF ITS ACTIONS EITHER DIRECTLY PROVIDE CARE TO OUR PATIENTS, OR CONTRIBUTE TO A HEALTHIER COMMUNITY, BOTH BY THE DIRECT INVESTMENTS IN THE DELIVERY OF HEALTHCARE AND IN PROVIDING SPECIALIZED INPATIENT AND OUTPATIENT CARE FOR PATIENTS OF ALL AGES THROUGHOUT NORTHEAST OHIO. AMONG THE WAYS THE HOSPITALS WITHIN SUMMA HEALTH PROMOTE THE HEALTH OF THE COMMUNITY ARE BY MAINTAINING AN INDEPENDENT MEDICAL STAFF AND A COMMUNITY ENGAGEMENT COMMITTEE (CEC). SUMMA IS COMPRISED OF AN INDEPENDENT MEDICAL STAFF AND EXTENDS THE OPPORTUNITY FOR ALL QUALIFIED PHYSICIANS TO APPLY FOR MEDICAL STAFF MEMBERSHIP AND HOSPITAL PRIVLEGES. THE CEC OF THE SUMMA HEALTH BOARD OF DIRECTORS IS RESPONSIBLE FOR THE OVERSIGHT AND IMPLEMENTATION OF SUMMA HEALTH'S COMMUNITY BENEFIT, COMMUNITY OUTREACH, AND COMMUNITY RELATIONS ACTIVITIES AND STRATEGIES, AS DIRECTED BY THE SUMMA HEALTH BOARD. THE CEC IS COMPRISED OF 17 DIVERSE COMMUNITY LEADERS, 100% OF THEM RESIDE OR WORK IN SUMMA'S PRIMARY AREA. IN ADDITION, A MAJORITY OF SUMMA'S BOARD OF DIRECTORS IS COMPRISED OF PERSONS WHO RESIDE IN SUMMA'S PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF SUMMA, NOR FAMILY MEMBERS THEREOF. SUMMA CONTINUES TO INVEST IN ITSELF AND THE COMMUNITY THROUGH ENHANCED CLINICAL SERVICES, RESEARCH, EDUCATIONAL PROGRAMS, AND CAPITAL IMPROVEMENTS THAT MEET THE HEALTH CARE NEEDS OF THE COMMUNITIES AND PATIENTS WE SERVE. SUMMA HAS MADE SIGNIFICANT MULTI-MILLION DOLLAR INVESTMENT TO EXPAND AND ENHANCE SERVICES AT THE AKRON AND BARBERTON CAMPUS IMPACTING BOTH INPATIENT AND OUTPATIENT SERVICES AND ADDRESSING THE GREATEST NEEDS IN OUR COMMUNITY. IN FEBRUARY OF 2021, SUMMA BEGAN PHASE TWO OF THE MASTER FACILITY PLAN WITH A GROUND BREAKING OF THE NEW BEHAVIORAL HEALTH PAVILION ON THE AKRON CAMPUS. THIS INVESTMENT WILL PROVIDE THE MOST ADVANCED BEHAVIORAL HEALTH FACILITY IN THE AKRON AREA AND WILL SERVE AS A HOME FOR ALL LEVELS OF BEHAVIORAL HEALTHCARE. IN JUNE OF 2021, SUMMA OPENED A COMPREHENSIVE MEDICAL CENTER IN STOW-KENT TO PROVIDE BETTER ACCESS TO HEALTHCARE SERVICES. WITH A FOCUS ON HEALTH AND WELLNESS, IT OFFERS ACCESS TO PRIMARY CARE, HEALTH SCREENINGS AND SPECIALITY CARE. THE STOW-KENT CENTER HONORS THE FARRIS, MCNEIL AND RIDDLE FAMILIES, THE FIRST BLACK FAMILIES TO PURCHASE PROPERTY IN THE CITY OF STOW. SUMMA HEALTH HONORS THESE FAMILIES FOR THEIR MOMENTOUS ACHIEVEMENTS IN THE FIELD OF MEDICINE AND EDUCATION, COURAGEOUS EFFORTS TO EXPAND RACIAL UNDERSTANDING, AND COMMITMENT TO ENGAGE OTHERS IN PRACTICING EQUALITY. IN SEPTEMBER OF 2021, PARTNERING WITH NORTHEAST OHIO MEDICAL UNIVERSITY, SUMMA OPENED A MEDICAL CENTER IN ROOTSTOWN TO NOT ONLY FILL A NEED FOR MEDICAL SERVICES, IT WILL GIVE MEDICAL STUDENTS ADDITIONAL OPPORTUNTIES TO LEARN AND GROW. SUMMA'S HOSPITALS ADDRESS HEALTH DISPARITIES THROUGH PRACTICE, RESEARCH, EDUCATION AND COLLABORATION WITH OTHER COMMUNITY ORGANIZATIONS. CONTRIBUTIONS, BOTH FINANCIAL AND IN-KIND, ARE MADE TO INITIATIVES AND PROGRAMMING (I.E. FEDERALLY QUALIFIED HEALTH CENTER, OPEN M, CENTER FOR COMMUNITY HEALTH IMPROVEMENT) THAT ARE DEEMED TO PROMOTE THE HEALTH, WELLNESS AND IMPROVED QUALITY OF LIFE FOR THE COMMUNITIES SUMMA HEALTH SERVES. ONE SPECIFIC WAY SUMMA PROMOTED THE HEALTH OF OUR COMMUNITY WAS BY UTILIZING ITS MOBILE VACCINATION UNIT. IN APRIL OF 2021, SUMMA LAUNCHED COMMUNITY VACCINATION CLINICS AT SUMMA'S CORPORATE OFFICE. WE SERVED THOUSANDS OF INDIVIDUALS WITH THE DRIVE-THRU CLINIC MODEL. UNDERSTANDING TRANSPORTATION IS A BARRIER TO CARE, WE DECIDED TO TAKE VACCINES DIRECTLY TO THE COMMUNITY. IN JUNE OF 2021, SUMMA HEALTH STARTED THE VITAL VAX AND GO PROGRAM, WHICH DEPLOYED A NEW STRATEGY TO VACCINATE UNDERSERVED COMMUNITIES. THE VITAL VAX AND GO UNIT PROVIDED COVID-19 VACCINE CLINICS TO DIFFERENT LOCATIONS IN NORTHEAST OHIO REDUCING THE TRANSPORTATION BARRIER THAT MANY COMMUNITIES FACE. SUMMA SERVED OVER 25,000 INDIVIDUALS WITH THE DRIVE-THRU VACCINE CLINIC AND VITAL VAX AND GO PROGRAM. THE PANDEMIC ADVERSELY AFFECTED SUMMA HEALTH'S OPERATIONS, INCLUDING A DECLINE IN PATIENT VOLUMES AND PATIENT SERVICE REVENUE AS COVID-19 SURGES AND STAFF SHORTAGES TEMPORARILY SHUT DOWN ELECTIVE SURGERIES AND OTHER PROCEDURES THROUGHOUT VARIOUS TIMES IN 2021. SUMMA ALSO HAS INCURRED, AND WILL CONTINUE TO INCUR, SIGNIFICANT COSTS TO ADDRESS COVID-19, WHICH INCLUDE INCREASED SUPPLY COSTS, INCLUDING FOR PERSONAL PROTECTIVE EQUIPMENT, AND ADDITIONAL LABOR COSTS. FURTHERMORE, TO SUPPORT OUR COMMUNITY DURING THE PANDEMIC, SUMMA INVESTED HEAVILY IN IT INFRASTRUCTURE AND TELEMEDICINE TO ALLOW FOR A REMOTE WORKFORCE AS WELL AS CONTINUITY OF CARE DESPITE CLOSURES.
PART VI, LINE 6:	DESCRIPTION OF AFFILIATED GROUP:SUMMA HEALTH, EIN 34-1887844, IS THE PARENT ORGANIZATION OF SUMMA HEALTH SYSTEM. SUMMA HEALTH IS ONE OF THE LARGEST INTEGRATED DELIVERY SYSTEMS IN OHIO, ENCOMPASSING A NETWORK OF HOSPITALS, COMMUNITY-BASED HEALTH CENTERS, A HEALTH PLAN, A PHYSICIAN-HOSPITAL ORGANIZATION, RESEARCH AND MEDICAL EDUCATION AND A FOUNDATION. SUMMA HEALTH IS RENOWNED FOR EXCELLENCE IN PATIENT CARE AND FOR EXCEPTIONAL APPROACHES TO HEALTHCARE DELIVERY. DURING 2020, SUMMA HEALTH PROVIDED INPATIENT CARE THROUGH FACILITIES LOCATED ON THREE MAIN CAMPUSES AND IN ADDITION, OUTPATIENT CARE IS EXTENDED THROUGHOUT THE REGION IN A NUMBER OF OUTPATIENT CENTERS, BOTH HOSPITAL-BASED AND FREESTANDING. SUMMA HEALTH SYSTEM'S AKRON TERTIARY CAMPUS IS LOCATED IN DOWNTOWN AKRON, OHIO AND HAS SERVED, TOGETHER WITH SUMMA HEALTH, AS THE LARGEST SAFETY-NET HOSPITAL IN THE COMMUNITY FOR MANY YEARS. THE BARBERTON CAMPUS IS A 271-BED HOSPITAL FACILITY THAT OFFERS INPATIENT SERVICES, OUTPATIENT SERVICES AND COMMUNITY OUTREACH PROGRAMS. THE BARBERTON CAMPUS IS LOCATED IN THE CITY OF BARBERTON IN SOUTHERN SUMMIT COUNTY. SUMMA REHAB HOSPITAL, LLC, A JOINT VENTURE BETWEEN SUMMA HEALTH SYSTEM AND VIBRA HEALTHCARE, OPENED ON THE CAMPUS OF SUMMA AKRON CITY HOSPITAL IN 2012. THIS 60-BED FREE STANDING FACILITY PROVIDES INPATIENT REHABILITATION CARE AND SERVICES AND ADHERES TO SUMMA'S CHARITY CARE POLICY. ESTABLISHED IN 1993, SUMMACARE OFFERS HEALTH CARE COVERAGE TO MEMBERS INCLUDING MEMBERS INSURED THROUGH ITS STATUS AS A MEDICARE ADVANTAGE ORGANIZATION. SUMMACARE IS RECOGNIZED BY THE HEALTH INDUSTRY RESEARCH COMPANY AS A HEALTH PLAN WITH EFFECTIVE DISEASE MANAGEMENT PROGRAMS FOR ASTHMA, HEALTH FAILURE AND DIABETES. SUMMACARE, ALONG WITH ITS THIRD PARTY ADMINISTRATIVE SERVICES PRODUCTS COVERS NEARLY 57,000 MEMBERS. SUMMA FOUNDATION IS A NONPROFIT ORGANIZATION ADVANCING TRANSFORMATIONAL PHILANTHROPY, COMMUNITY UNDERSTANDING AND GOODWILL FOR THE PROGRAMS AND PRIORITIES OF SUMMA HEALTH. SUMMA HEALTH NETWORK, LLC IS THE INTEGRATED PHYSICIAN-HOSPITAL ORGANIZATION AFFILIATED WITH SUMMA HEALTH. WITH MORE THAN 2,300 PHYSICIANS PARTICIPATING, SUMMA HEALTH NETWORK OVERSEES MUTUALLY BENEFICIAL CONTRACTS WITH INSURANCE COMPANIES, PREFERRED PROVIDER ORGANIZATIONS, THIRD-PARTY ADMINISTRATORS AND OTHER PAYORS ON BEHALF OF ITS PHYSICIANS AND HOSPITAL MEMBERS. SUMMA ACCOUNTABLE CARE ORGANIZATION (D/B/A NEWHEALTH COLLABORATIVE ("NHC")) IS A CLINICIAN-LED COLLABORATIVE, ORGANIZED TO COMPASSIONATELY CARE FOR AND SERVE PATIENTS IN AN ACCOUNTABLE, VALUE AND EVIDENCE-BASED MANNER. IN ACCORDANCE WITH THE AFFORDABLE CARE ACT, NHC CREATES INCENTIVES FOR PROVIDERS TO FURTHER ENHANCE THE QUALITY OF CARE. OHIO HEALTH CHOICE, INC. (OHC) IS OHIO'S OLDEST PREFERRED PROVIDER ORGANIZATION (PPO) NETWORK IN THE STATE. OHC IS CO-OWNED BY SUMMA HEALTH AND MERCY MEDICAL CENTER, AND IS COMPRISED OF APPROXIMATELY 200 HOSPITALS, 9,400 PRIMARY CARE PROVIDERS, 31,300 SPECIALISTS, COVERING MEMBERS ACROSS ALL 88 COUNTIES IN OHIO. SUMMA PHYSICIANS, INC. (D/B/A SUMMA HEALTH MEDICAL GROUP ("SHMG")) IS A MULTI-SPECIALTY PHYSICIAN PRACTICE EMPLOYING OVER 350 PHYSICIANS IN MULTIPLE SPECIALTIES. SHMG PROMOTES STRONGER AFFILIATION AND EMPLOYMENT OF PHYSICIANS TO ENSURE COMMUNITY AND HOSPITAL NEEDS FOR PHYSICIANS SERVICES ARE MET.
SCHEDULE H, PART VI, LINE 7 FACILITY REPORTING SUMMA HEALTH & SUMMA REHAB	STATE FILING OF COMMUNITY BENEFIT REPORT:THE STATE OF OHIO DOES NOT REQUIRE THE FILING OF THE COMMUNITY BENEFIT REPORT. HOWEVER, OHIO REQUIRES ALL TAX-EXEMPT HOSPITALS TO SUBMIT TO THE OHIO DEPARTMENT OF HEALTH (ODH)EXISTING COMMUNITY HEALTH NEEDS ASSESSMENTS AND PLANS. ADDITIONALLY, HOSPITALS ARE REQUIRED TO SUBMIT TO ODH A COPY OF THE HOSPITAL'S SCHEDULE H (FORM 990), CORRESPONDING ATTACHMENTS AND REPORTING ON FINANCIAL ASSISTANCE AND MEANS-TESTED GOVERNMENT PROGRAMS AND COMMUNITY BUILDING ACTIVITIES IN PARTS I AND II OF SCHEDULE H.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (13 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
AKRON AREA YMCA
50 SOUTH MAIN STREET STE LL 100	AKRON	OH	44308	340714727	501(C)(3)	$120,000	$0	PREVENTION, WELLNESS, ACCESS TO CARE AND HEALTH DISPARITIES
AMERICAN HEART ASSOCIATION
3505 EMBASSY PARKWAY STE 100	AKRON	OH	44333	135613797	501(C)(3)	$20,000	$0	PREVENTION, WELLNESS, ACCESS TO CARE AND HEALTH DISPARITIES, RESEARCH AND EDUCATION
SUMMIT COUNTY
1867 W MARKET STREET	AKRON	OH	44313	341807135	GOVT	$7,000	$0	PREVENTION, WELLNESS, ACCESS TO CARE AND HEALTH DISPARITIES
UNITED WAY OF SUMMIT COUNTY
37 N HIGH ST SUITE A	AKRON	OH	44308	341169247	501(C)(3)	$10,000	$0	PREVENTION, WELLNESS, ACCESS TO CARE AND HEALTH DISPARITIES
HABITAT FOR HUMANITY
2301 ROMIG ROAD	AKRON	OH	44320	341518873	501(C)(3)	$15,000	$0	PREVENTION, WELLNESS, ACCESS TO CARE AND HEALTH DISPARITIES
LOVE AKRON NETWORK
PO BOX 2971	AKRON	OH	44309	208035010	501(C)(3)	$14,036	$0	PREVENTION, WELLNESS, ACCESS TO CARE AND HEALTH DISPARITIES
BARBERTON COMMUNITY F
460 W PAIGE AVENUE	BARBERTON	OH	44203	341846432	501(C)(3)	$6,500	$0	PREVENTION, WELLNESS, ACCESS TO CARE AND HEALTH DISPARITIES
STEPHEN A COMUNALE JR
2900 NEWPARK DRIVE	BARBERTON	OH	44203	204345267	501(C)(3)	$15,000	$0	PREVENTION, WELLNESS, ACCESS TO CARE AND HEALTH DISPARITIES, CANCER WELLNESS SUPPORT
THE WELL COMMUNITY DEVELOPMENT CORPORATION
647 E MARKET STREET	AKRON	OH	44304	812680851	501(C)(3)	$50,000	$0	PREVENTION, WELLNESS, ACCESS TO CARE AND HEALTH DISPARITIES
AKRON PARKS COLLABORATION
PO BOX 13214	AKRON	OH	44334	824927742	501(C)(3)	$15,000	$0	PREVENTION, WELLNESS, ACCESS TO CARE AND HEALTH DISPARITIES
EPILEPSY ASSOCIATION
2831 PROSPECT AVE	CLEVELAND	OH	44115	237198807	501(C)(3)	$5,750	$0	PREVENTION, WELLNESS, ACCESS TO CARE AND HEALTH DISPARITIES
SUSAN G KOMEN FOR THE CURE
26210 EMERY ROAD	CLEVELAND	OH	44128	751835298	501(C)(3)	$7,500	$0	PREVENTION, WELLNESS, ACCESS TO CARE AND HEALTH DISPARITIES, CANCER WELLNESS SUPPORT
SUMMA HEALTH
1077 GORGE BLVD	AKRON	OH	44310	341887844	501(C)(3)	$12,842,550	$0	FUND MANAGEMENT FOR PREVENTION, WELLNESS, ACCESS TO CARE AND HEALTH DISPARITIES

Field	Value	IRS element (for citing)
Total501c3 Org	13	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
BRADLEY INKROTT MD
CLINICAL PHYSICIAN - SHMG	$1,261,048	$0	$391,393	$0	$870	$0	$4,381	$0	$31,472	$0	$1,689,164	$0	$0	$0
T CLIFFORD DEVENY MD
CEO SHS, DIRECTOR SHS & SF	$0	$1,112,488	$0	$202,311	$0	$8,124	$0	$178,442	$0	$28,348	$0	$1,529,713	$0	$0
DANE DONICH MD
CLINICAL PHYSICIAN - SHMG	$1,395,238	$0	$0	$0	$1,290	$0	$0	$0	$28,429	$0	$1,424,957	$0	$0	$0
SAMUEL BORSELLINO MD
CLINICAL PHYSICIAN - SHMG	$1,296,811	$0	$500	$0	$1,050	$0	$4,799	$0	$27,224	$0	$1,330,384	$0	$0	$0
ERIC ESPINAL MD
CLINICAL PHYSICIAN - SHMG	$1,148,305	$0	$500	$0	$690	$0	$3,692	$0	$34,404	$0	$1,187,591	$0	$0	$0
DEREK KLAUS MD
CLINICAL PHYSICIAN - SHMG	$835,836	$0	$292,487	$0	$1,170	$0	$5,910	$0	$33,561	$0	$1,168,964	$0	$0	$0
PETER BITTENBENDER MD
DIR. SHS & DIR. SHMG, PHYSICIAN	$684,239	$0	$71,998	$0	$1,200	$0	$7,991	$0	$25,890	$0	$791,318	$0	$0	$0
KEITH T COLEMAN
SVP CFO, TR. SHS & SHMG, SF	$0	$519,323	$0	$94,052	$0	$10,192	$0	$72,144	$0	$25,875	$0	$721,586	$0	$0
LYDIA COOK MD
PRES. SUMMA HEALTH MED (END10/21)	$487,635	$0	$87,828	$0	$7,968	$0	$68,563	$0	$9,857	$0	$661,851	$0	$0	$0
DAVID CUSTODIO MD
PRESIDENT, SHS	$472,723	$0	$86,107	$0	$5,299	$0	$67,651	$0	$29,093	$0	$660,873	$0	$0	$0
BENJAMIN P SUTTON
CHIEF STRATEGY OFF., & PRES.	$0	$438,556	$0	$77,707	$0	$1,614	$0	$64,709	$0	$30,239	$0	$612,825	$0	$0
MICHAEL HUGHES MD
PRESIDENT SUMMA BARBERTON	$409,566	$0	$75,347	$0	$12,466	$0	$59,781	$0	$23,438	$0	$580,598	$0	$0	$0
ROBERT A GERBERRY
GEN. COUNSEL/SEC. SHS/SHMG/SF	$0	$415,421	$0	$75,388	$0	$2,783	$0	$60,494	$0	$19,689	$0	$573,775	$0	$0
PHYLIS FERRARA
SF PRESIDENT AND CDO	$374,842	$0	$69,229	$0	$10,049	$0	$55,712	$0	$12,978	$0	$522,810	$0	$0	$0
WILLIAM BAUMAN MD
DIRECTOR SF, CLINICAL PHYSICIAN	$300,413	$0	$71,998	$0	$1,322	$0	$8,378	$0	$24,337	$0	$406,448	$0	$0	$0
VIVECK BHALLA MD
PRES. SUMMA HEALTH MED.(ST. 10/21)	$333,831	$0	$0	$0	$1,628	$0	$19,069	$0	$32,030	$0	$386,558	$0	$0	$0
LORI RHINE RN
VP, CNO AKRON & ST. THOMAS	$313,144	$0	$0	$0	$3,642	$0	$9,447	$0	$27,781	$0	$354,014	$0	$0	$0
LYNN HAMRICH MD
DIRECTOR SHS, CLINICAL PHYSICIAN	$277,088	$0	$500	$0	$1,548	$0	$8,372	$0	$30,507	$0	$318,015	$0	$0	$0
KATHLEEN BLAKE
SVP, PRES. POST ACUTE/HOME/NHC	$248,544	$0	$0	$0	$2,984	$0	$0	$0	$30,955	$0	$282,483	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 ONE HIGHLY COMPENSATED EMPLOYEE. THE AMOUNT OF THE GROSS UP IS RECOGNIZED AS ADDITIONAL TAXABLE COMPENSATION. HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES: SOCIAL CLUB DUES WERE PAID ON BEHALF OF ONE OFFICER. ANY PERSONAL USE IS RECOGNIZED AS ADDITIONAL TAXABLE COMPENSATION.
PART I, LINE 3	ARRANGEMENTS USED TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: THE COMPENSATION OF THE PRESIDENT AND CEO IS ESTABLISHED BY SUMMA HEALTH, THE RELATED PARENT ORGANIZATION FOR ALL MEMBERS IN THE SUMMA HEALTH SYSTEM GROUP RETURN. SUMMA HEALTH HAS A COMPENSATION COMMITTEE THAT USES AN INDEPENDENT COMPENSATION CONSULTANT, MARKET SURVEYS, AND AN ANNUAL REVIEW PROCESS TO ESTABLISH COMPENSATION FOR THE POSITION OF PRESIDENT AND CEO.
PART I, LINES 4A-B	PART I, LINE 4A SEVERANCE OR CHANGE OF CONTROL PAYMENT: IN 2021 MARK TERPYLAK, DO RECEIVED A SEVERANCE PAYMENT FROM SUMMA HEALTH, A RELATED ORGANIZATION, IN THE AMOUNT OF $102,929 FROM THE ORGANIZATION. SEVERANCE AMOUNTS ARE TREATED AS TAXABLE COMPENSATION. PART I, LINE 4B SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: A SUPPLEMENTAL EXECUTIVE NON-QUALIFIED 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 $169,772 PHYLIS FERRARA $46,026, LYDIA COOK, MD $59,532, VIVEK BHALLA, MD, KEITH T. COLEMAN $63,753, ROBERT A. GERBERRY $51,101, DAVID CUSTODIO, MD $58,366, MICHAEL HUGHES, MD $50,092, BENJAMIN P. SUTTON $54,952.
PART I, LINE 7	NON-FIXED PAYMENTS: THE SUMMA HEALTH SYSTEM MANAGEMENT INCENTIVE PROGRAM IS DESIGNED TO REWARD EMPLOYEES FOR MEETING QUALITY, PERFORMANCE AND FINANCIAL TARGETS. THESE TARGETS INCLUDE CLINICAL QUALITY, PATIENT SATISFACTION, EMPLOYEE/PHYSICIAN SATISFACTION, OPERATING MARGIN, AND THE STRENGTHENING OF THE BALANCE SHEET. PAYMENT IS BASED ON A FACTOR OF BASE COMPENSATION AND IS SUBJECT TO REVIEW AND APPROVAL BY SUMMA'S COMPENSATION COMMITTEE.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd	CUSIPCUSIPNum
AKRON BATH AND COPLEY JT TWP HOSP DIST
A	341448680	2012-07-25	$32,509,635	SEE PART VI	0	0	0
SEE SCHEDULE K PART VI
B	341448680	2014-10-02	$79,795,000	SEE PART VI	0	0	0
AKRON BATH AND COPLEY JT TWP HOSP DIST
C	341448680	2016-12-16	$204,934,207	SEE PART VI	0	0	0	009730NX6
AKRON BATH AND COPLEY JT TWP HOSP DIST
D	341448680	2017-12-22	$140,000,000	SEE PART VI	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Capitalized InterestCapitalizedInterestAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	UnspentUnspentAmt
A	$24,339,152	$32,509,635	$32,509,635	2012	Yes (1)	0	Yes (1)	Yes (1)
B		$79,795,000	$79,795,000	2008	Yes (1)	0	Yes (1)	Yes (1)
C	$11,190,000	$205,384,474	$102,782,949	2019	Yes (1)	Yes (1)	Yes (1)	Yes (1)	$1,874,244	$201,939	$100,525,342
D	$2,880,000	$142,286,323	$688	2019	0	0	Yes (1)	Yes (1)	$545,500		$141,723,005	$17,130

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropPct	Remedial Action TakenRemedialActionTakenInd
B	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00470	0.03500	0.03970	0	Yes (1)
C	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00580	0.00050	0.00630	Yes (1)	Yes (1)	0.05800	Yes (1)
D	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00310	0.00000	0.00310	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Business Name Line2GICProviderName/BusinessNameLine2Txt	Term Of GICTermOfGICPct	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd
RBS CITIZENS BANK
A	0	0	Yes (1)	0	Yes (1)	Yes (1)	12.000000000000	0	0	0	0	Yes (1)
SEE SCHEDULE K VI
B	0	0	Yes (1)	0	Yes (1)	Yes (1)	20.000000000000	0	0	0	0	Yes (1)
(no name)
C	0	Yes (1)	0	0	0	0				0	0	Yes (1)
NATIXIS FUNDING
D	0	0	Yes (1)	0	Yes (1)	0				Yes (1)	0	Yes (1)	CORP	1.100000000000	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE K	AKRON, BATH AND COPLEY JOINT TOWNSHIP HOSPITAL DISTRICT SERIES 2018 AND 2020 BONDS: AN ADDITIONAL SCHEDULE K IS INCLUDED TO PROVIDE FOR THE ISSUANCE OF THE SERIES 2018 BONDS AND THE SERIES 2020 BONDS.
SCHEDULE K, PART IV, COLUMN B, LINE 4B	NAME OF HEDGE PROVIDER: SERIES 2014A REISSUED BONDS: GOLDMAN SACHS BANK USA. DEVELOPMENT FINANCE AUTHORITY SERIES 2014 REISSUED BONDS: PNC BANK, NATIONAL ASSOCIATION.
SCHEDULE K, PART IV, COLUMN B, LINE 4C	TERM OF HEDGETERM OF HEDGE: THE TERM OF THE HEDGE WITH GOLDMAN SACHS BANK USA IS 20 YEARS. THE TERM OF THE HEDGE WITH PNC BANK, NATIONAL ASSOCIATION IS 30 YEARS.
SCHEDULE K, PART I, LINE A	AKRON, BATH AND COPLEY JOINT TOWNSHIP HOSPITAL DISTRICT SERIES 2018 BONDS: THE SERIES 2018 BONDS WERE AN ALTERNATIVE DISPOSITION OF SALE PROCEEDS OF A PORTION OF PROPERTY THAT WAS FINANCED WITH THE PROCEEDS OF THE SERIES 2016 BONDS. THE ALTERNATIVE DISPOSITION OF BOND PROCEEDS WAS A REMEDIAL ACTION DONE IN ACCORDANCE WITH REGULATIONS SECTION 1.141-12.
SCHEDULE K, PART I, LINE B, COLUMN (F)	AKRON, BATH AND COPLEY JOINT TOWNSHIP HOSPITAL DISTRICT SERIES 2020 BONDS: THE PURPOSES OF THE SERIES 2020 BONDS WERE TO (1) CURRENTLY REFUND THE OUTSTANDING $159,150,000 PRINCIPAL AMOUNT OF THE HOSPITAL FACILITIES REVENUE BONDS, SERIES 2010 ISSUED ON MAY 11, 2010, (2) PAY THE COSTS OF TERMINATING A RELATED, INTEGRATED HEDGE AGREEMENT, AND (3) PAY ISSUANCE COSTS.
SCHEDULE K, PART IV, COLUMN B, LINE 4C	TERM OF HEDGE: ANTICIPATORY FIXED-PAYOR INTEREST RATE HEDGE ENTERED INTO ON AUGUST 28, 2019 AND TERMINATED ON SEPTEMBER 10, 2020 SIMULTANEOUSLY WITH THE SALE OF THE SERIES 2020 BONDS.
SCHEDULE K, PART III, COLUMN C, LINE 8A	SALE OF BOND-FINANCED PROPERTY: SUMMA ELECTED TO USE THE ALTERNATIVE USE OF DISPOSITION PROCEEDS UNDER REGULATIONS SECTION 1.141-12. AN IRS FORM 8038 WAS FILED IN CONNECTION WITH THAT REMEDIAL ACTION AND, ACCORDINGLY, SUMMA HAS REPORTED THAT REMEDIAL ACTION AS A REISSUED BOND FOR PURPOSES OF SCHEDULE K.
SCHEDULE K, PART I, LINE A, COLUMN (F)	AKRON, BATH AND COPLEY JOINT TOWNSHIP HOSPITAL DISTRICT SERIES 2012 BONDS: THE PURPOSES OF THE SERIES 2012 BONDS WERE TO (1) CURRENTLY REFUND THE HOSPITAL FACILITIES REVENUE BONDS, SERIES 1998A ISSUED ON DECEMBER 23, 1998 IN THE ORIGINAL PRINCIPAL AMOUNT OF $50,000,000, AND (2) PAY ISSUANCE COSTS.
SCHEDULE K, PART I, LINE B, COLUMNS (A), (B), AND (D)	REISSUED AKRON, BATH AND COPLEY JOINT TOWNSHIP HOSPITAL DISTRICT SERIES 2014 BONDS AND REISSUED DEVELOPMENT FINANCE AUTHORITY OF SUMMIT COUNTY PORT FACILITIES REVENUE REFUNDING BONDS, SERIES 2014: THE REISSUED 2014 BONDS CONSISTED OF THE FOLLOWING TWO SERIES OF BONDS, WHICH WERE TREATED AS A SINGLE ISSUE OF BONDS FOR FEDERAL INCOME TAX PURPOSES: (1) AKRON, BATH AND COPLEY JOINT TOWNSHIP HOSPITAL DISTRICT, OHIO HOSPITAL FACILITIES REFUNDING REVENUE BONDS, SERIES 2014A (SUMMA HEALTH SYSTEM OBLIGATED GROUP) ISSUED IN THE ORIGINAL PRINCIPAL AMOUNT OF $93,685,000 (THE "SERIES 2014A BONDS"), AND (2) DEVELOPMENT FINANCE AUTHORITY OF SUMMIT COUNTY PORT FACILITIES REVENUE REFUNDING BONDS, SERIES 2014 (SUMMA HEALTH SYSTEM OBLIGATED GROUP PROJECT) ISSUED IN THE ORIGINAL PRINCIPAL AMOUNT OF $13,675,000 (THE "DEVELOPMENT FINANCE AUTHORITY BONDS"). THE SERIES 2014A BONDS AND THE DEVELOPMENT FINANCE AUTHORITY BONDS WERE EACH ORIGINALLY ISSUED ON OCTOBER 2, 2014, AND WERE DEEMED REISSUED ON DECEMBER 17, 2021 AS THE RESULT OF THE REPLACEMENT OF THE LIBOR INDEX, RELATED CHANGES TO CERTAIN COMPONENTS OF THE FORMULA USED TO CALCULATE INTEREST, AND THE EXTENSION OF THE INITIAL MANDATORY TENDER DATE. THE AKRON, BATH AND COPLEY JOINT TOWNSHIP HOSPITAL DISTRICT'S EIN IS 34-1448680, AND THE DEVELOPMENT FINANCE AUTHORITY'S EIN IS 34-1765940.
SCHEDULE K, PART I, LINE B, COLUMN (F)	SERIES 2014A BONDS, SERIES 2014B BONDS, AND SERIES 2014 BONDS REISSUED SERIES 2014A BONDS AND REISSUED DEVELOPMENT FINANCE AUTHORITY BONDS: THE PURPOSE OF THE SERIES 2014A BONDS WAS TO CURRENTLY REFUND THE SERIES 2004B BONDS, WHICH WERE ISSUED TO (1) CONSTRUCT AND EQUIP A CRITICAL CARE PAVILION, (2) CONSTRUCT AND EQUIP OTHER HOSPITAL FACILITIES, (3) REFUND PRIOR ISSUES WITH THE FOLLOWING ISSUE DATES: (A) DECEMBER 22, 1992 AND (B) JUNE 10, 1993, (4) PAY THE INITIAL COSTS OF A LIQUIDITY FACILITY, AND (5) PAY ISSUANCE COSTS. THE PURPOSE OF THE DEVELOPMENT FINANCE AUTHORITY SERIES 2014 BONDS WAS TO CURRENTLY REFUND THE SERIES 2006 BONDS, WHICH WERE ISSUED TO (1) ACQUIRE A PROJECT SITE FOR AND CONSTRUCT AND EQUIP A WELLNESS INSTITUTE, AND (2) PAY ISSUANCE COSTS.
SCHEDULE K, PART I, LINE C, COLUMN (F)	AKRON, BATH AND COPLEY JOINT TOWNSHIP HOSPITAL DISTRICT SERIES 2016 BONDS: THE PURPOSE OF THE SERIES 2016 BONDS WAS TO (1) ACQUIRE, CONSTRUCT, IMPROVE, AND EQUIP CERTAIN HOSPITAL FACILITIES, (2) CURRENTLY REFUND ALL OF THE OUTSTANDING AKRON, BATH AND COPLEY JOINT TOWNSHIP HOSPITAL DISTRICT, OHIO HOSPITAL FACILITIES REFUNDING REVENUE BONDS, SERIES 2014B (SUMMA HEALTH SYSTEM OBLIGATED GROUP), (3) CURRENTLY REFUND ALL OF THE OUTSTANDING AKRON, BATH AND COPLEY JOINT TOWNSHIP HOSPITAL DISTRICT, OHIO HOSPITAL FACILITIES REVENUE BONDS, SERIES 2015 (SUMMA HEALTH OBLIGATED GROUP) ISSUED IN THE ORIGINAL PRINCIPAL AMOUNT OF $42,255,000, WHICH WERE ISSUED TO ACQUIRE, CONSTRUCT, IMPROVE, AND EQUIP CERTAIN HOSPITAL FACILITIES AND PAY ISSUANCE COSTS, AND (4) ADVANCE REFUND $24,495,000 OF THE OUTSTANDING PRINCIPAL AMOUNT OF THE SERIES 2010 BONDS.
SCHEDULE K, PART I, LINE A, COLUMN (A)	AKRON, BATH AND COPLEY JOINT TOWNSHIP HOSPITAL DISTRICT SERIES 2017A BOND, SERIES 2017B BONDS, AND SERIES 2017C BONDS: THE 2017 BONDS CONSISTED OF THE FOLLOWING THREE SERIES OF BONDS, WHICH WERE TREATED AS A SINGLE ISSUE OF BONDS FOR FEDERAL INCOME TAX PURPOSES: (1) AKRON, BATH AND COPLEY JOINT TOWNSHIP HOSPITAL DISTRICT, OHIO HOSPITAL FACILITIES IMPROVEMENT REVENUE BONDS, SERIES 2017A (SUMMA HEALTH OBLIGATED GROUP) ISSUED IN THE ORIGINAL PRINCIPAL AMOUNT OF $15,000,000, (2) AKRON, BATH AND COPLEY JOINT TOWNSHIP HOSPITAL DISTRICT, OHIO HOSPITAL FACILITIES IMPROVEMENT REVENUE BONDS, SERIES 2017B (SUMMA HEALTH OBLIGATED GROUP) ISSUED IN THE ORIGINAL PRINCIPAL AMOUNT OF $75,000,000, AND (3) AKRON, BATH AND COPLEY JOINT TOWNSHIP HOSPITAL DISTRICT, OHIO HOSPITAL FACILITIES IMPROVEMENT REVENUE BONDS, SERIES 2017C (SUMMA HEALTH OBLIGATED GROUP) ISSUED IN THE ORIGINAL PRINCIPAL AMOUNT OF $50,000,000.
SCHEDULE K, PART I, LINE D, COLUMN (C)	CUSIP NUMBERS SERIES 2017A BONDS: 009730 PA4 SERIES 2017B BONDS: 009730 PCO SERIES 2017C BONDS: 009730 PE6
SCHEDULE K, PART II, COLUMN C, LINE 3	TOTAL PROCEEDS OF ISSUE COLUMN C: THE DIFFERENCE BETWEEN THE TOTAL PROCEEDS OF THE ISSUE AND THE ISSUE PRICE PROVIDED IN PART I, LINE C, COLUMN (E) IS DUE TO INVESTMENT PROCEEDS OF THE ISSUE. THIS AMOUNT IS SMALLER THAN THE AMOUNT REPORTED IN THE 2017 SCHEDULE K BECAUSE CERTAIN DISPOSITION PROCEEDS INCLUDED AS PROCEEDS OF THE SERIES 2016 BONDS WERE PART OF A REMEDIAL ACTION UNDER TREASURY REGULATIONS SECTION 1.141-12. THOSE DISPOSITION PROCEEDS ARE INCLUDED IN THE ADDITIONAL SCHEDULE K AS THE SERIES 2018 BONDS.
SCHEDULE K, PART II, COLUMN C, LINE 7	ISSUANCE COSTS FROM PROCEEDS - COLUMN C THE ISSUANCE COSTS OF THE ISSUE PROVIDED IN PART II, LINE 7, COLUMN C IS LESS THAN THE ISSUANCE COSTS PROVIDED IN THE FORM 8038 FOR THIS ISSUE BECAUSE OF THE TRANSFER OF UNEXPENDED MONEY IN THE EXPENSE FUND TO THE PROJECT FUND FOR THIS ISSUE.
SCHEDULE K, PART II, COLUMN D, LINE 3	TOTAL PROCEEDS OF ISSUE COLUMN A THE DIFFERENCE BETWEEN THE TOTAL PROCEEDS OF THE ISSUE AND THE ISSUE PRICE PROVIDED IN PART I, LINE D, COLUMN (E) IS DUE TO INVESTMENT PROCEEDS OF THE ISSUE.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd	CUSIPCUSIPNum
AKRON BATH AND COPLEY JT TWP HOSP DIST
A	341448680	2018-05-15	$16,252,805	CONSTRUCT AND EQUIP HOSPITAL FACILITIES	0	0	0
AKRON BATH AND COPLEY JT TWP HOSP DIST
B	341448680	2020-10-14	$155,456,329	SEE PART VI	0	0	0	009730PWG

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt
A	$16,252,805	$16,252,805	2019	0	0	Yes (1)	Yes (1)
B	$155,456,329		2012	Yes (1)	0	Yes (1)	Yes (1)	$1,416,436	$154,039,893

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd
A	0	Yes (1)	Yes (1)	Yes (1)	0	0.00310	0.00000	0.00310	0	0	Yes (1)
B	0	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.01120	0.00100	0.01220	0	0	Yes (1)	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd
(no name)
A	0	0	Yes (1)	0	0	0	0	0	Yes (1)
JPMORGAN CHASE BANK
B	0	0	Yes (1)	0	0	Yes (1)	0	0	Yes (1)	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

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

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
KAREN CUSTODIO
FAMILY MEMBER OF DAVID CUSTODIO, MD, OFFICER	$12,552	EMPLOYMENT	0
ALYSSA DRESSMAN
FAMILY MEMBER OF LYNN HAMRICH, MD, DIRECTOR	$32,267	EMPLOYMENT	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART V, LINE 2A AND 2B	THE PARENT ORGANIZATION, SUMMA HEALTH, EIN 34-1887844, IS THE EMPLOYER OF RECORD FOR EMPLOYEES WORKING FOR GROUP RETURN ENTITIES.
FORM 990, PART VI, SECTION A, LINE 1A	LINES 1A AND 1B: THE DIRECTOR COUNT INFORMATION IS PRESENTED IN THE FOLLOWING FORMAT: ENTITY NAME - NUMBER OF VOTING MEMBERS - NUMBER OF INDEPENDENT VOTING MEMBERS SUMMA HEALTH SYSTEM ("SHS") - 11 - 8 SUMMA FOUNDATION ("SF") - 22 - 19 SUMMA PHYSICIANS, INC. DBA SUMMA HEALTH MEDICAL GROUP ("SHMG") - 5 - 4 TOTALS FOR GROUP RETURN - 38 - 31 ALL OF THE ORGANIZATIONS LISTED ABOVE ARE SUBORDINATES UNDER THE CONTROL OF SUMMA HEALTH ("SH"). AS OF DECEMBER 31, 2021, SH HAD 11 VOTING DIRECTORS, 8 OF WHOM WERE INDEPENDENT VOTING DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 2	FAMILY/BUSINESS RELATIONSHIPS AMONGST INTERESTED PERSONS: SUMMA HEALTH SYSTEM: THE FOLLOWING INDIVIDUALS HAVE A BUSINESS RELATIONSHIP AS BOARD MEMBERS OF AN ENTITY IN WHICH SUMMA HEALTH SYSTEM HAS AN OWNERSHIP INTEREST: SUMMA REHAB HOSPITAL: DAVID CUSTODIO, MD, AND BENJAMIN SUTTON 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, VIVEK BHALLA, MD AND KEITH COLEMAN SUMMA ACO DBA NEWHEALTH COLLABORATIVE: T. CLIFFORD DEVENY, MD, KEITH COLEMAN, ROBERT GERBERRY, LYDIA COOK, MD, MICHAEL HUGHES, MD, KATHLEEN BLAKE SUMMA HEALTH SYSTEM CORP: T. CLIFFORD DEVENY, MD, KEITH COLEMAN, ROBERT GERBERRY THE FOLLOWING INDIVIDUALS HAVE A BUSINESS RELATIONSHIP AS BOARD MEMBERS OF A SUMMA HEALTH SYSTEM CORP., A SUMMA HEALTH OWNED ENTITY: SUMMA MANAGEMENT SERVICES ORG.: KEITH COLEMAN, ROBERT GERBERRY SUMMACARE AND SUMMA INSURANCE COMPANY: T. CLIFFORD DEVENY, MD, BENJAMIN SUTTON, GEORGE STRICKLER, ROBERT GERBERRY, KEITH COLEMAN, LYDIA COOK, MD SUMMA FOUNDATION: T. CLIFFORD DEVENY, M.D., PAUL TESTA BUSINESS RELATIONSHIP
FORM 990, PART VI, SECTION A, LINE 6	CLASSES OF MEMBERS OR STOCKHOLDERS: SUMMA HEALTH SYSTEM: SUMMA HEALTH IS THE SOLE MEMBER OF SUMMA HEALTH SYSTEM. SUMMA FOUNDATION: SUMMA HEALTH IS THE SOLE MEMBER OF SUMMA FOUNDATION SUMMA PHYSICIANS, INC. DBA SUMMA HEALTH MEDICAL GROUP: SUMMA PHYSICIANS, INC. HAS STOCKHOLDERS; THE STOCK IS HELD IN TRUST FOR THE BENEFIT OF SUMMA HEALTH.
FORM 990, PART VI, SECTION A, LINE 7A	MEMBERS OR STOCKHOLDERS ELECTING MEMBERS OF GOVERNING BODY: SUMMA HEALTH SYSTEM: THE CODE OF REGULATIONS OF SUMMA HEALTH SYSTEM PROVIDES THAT THOSE DIRECTORS OF SUMMA HEALTH, THE SOLE MEMBER OF SUMMA HEALTH SYSTEM, WOULD BE THE DIRECTORS OF SUMMA HEALTH SYSTEM. SUMMA FOUNDATION: IN ADDITION TO DIRECTORS ELECTED BY THE SUMMA HEALTH BOARD AS THE SOLE MEMBER OF SUMMA FOUNDATION, THE PRESIDENT AND CEO OF SUMMA HEALTH, THE CHAIR OF THE BOARD OF DIRECTORS OF SUMMA HEALTH, THE PRESIDENT OF SUMMA FOUNDATION, THE PRESIDENT OF THE WOMEN'S BOARD OF SUMMA HEALTH SHALL SERVE AS DIRECTORS OF SUMMA FOUNDATION. SUMMA PHYSICIANS, INC. DBA SUMMA HEALTH MEDICAL GROUP: THE SOLE SHAREHOLDER OF SUMMA PHYSICIANS, INC. IS SUBJECT TO A SHARE CONTROL AGREEMENT WHEREIN WHICH THEY MAY ELECT ONLY PERSONS APPROVED BY SUMMA HEALTH AS DIRECTORS OF SUMMA PHYSICIANS, INC. TO ENSURE SUMMA HEALTH SYSTEM MAINTAINS A SIGNIFICANT VOICE IN THE INVESTMENT POLICIES, GRANT-MAKING POLICIES, AND OTHERWISE IN THE USE OF INCOME AND ASSETS OF SUMMA PHYSICIANS, INC., AT LEAST ONE DIRECTOR OF SUMMA PHYSICIANS, INC. MUST ALSO BE A MEMBER OF SUMMA HEALTH SYSTEM'S BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7B	DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS: SUMMA HEALTH SYSTEM: SUMMA HEALTH IS THE SOLE MEMBER OF SUMMA HEALTH SYSTEM. AS THE SOLE MEMBER, SUMMA HEALTH HAS THE POWER AND AUTHORITY TO APPROVE OR DISAPPROVE OF EACH OF THE FOLLOWING ON BEHALF OF SUMMA HEALTH SYSTEM: (I) ANY MODIFICATION OF THE ESSENTIAL NATURE, PURPOSE, MISSION OR OPERATIONS OF THE CORPORATION; (II) APPROVAL OF THE CODE OF REGULATIONS, BYLAWS OR OTHER CONSTITUTIVE DOCUMENT OF THE CORPORATION AND ANY AND ALL AMENDMENTS THERETO; (III) ADOPTION OF ANY AMENDMENTS TO THE ARTICLES OF INCORPORATION OR SIMILAR CHARTER OR ORGANIZATIONAL DOCUMENT OR AGREEMENT AND/OR ANY OTHER CHANGE IN THE CORPORATE STRUCTURE OR GOVERNANCE OF THE CORPORATION; (IV) ESTABLISHMENT OF QUALIFICATIONS FOR THE SELECTION OF DIRECTORS, DIRECTORS OR MANAGERS OF THE CORPORATION; (V) APPOINTMENT OR ELECTION AND REMOVAL OF MEMBERS OF THE GOVERNING BODY OF THE CORPORATION; (VI) APPOINTMENT OR ELECTION AND REMOVAL OF THE PRESIDENT AND/OR CHIEF EXECUTIVE OFFICER OR SIMILAR OFFICER(S) OF THE CORPORATION; (VII) ADOPTION OF ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORPORATION; (VIII) ADOPTION OF STRATEGIC PLANS OF THE CORPORATION; (IX) DETERMINATIONS AS TO THE USE AND OCCUPANCY OF ANY BUILDING OWNED OR LEASED BY THE CORPORATION; (X) THE SALE, ENCUMBRANCE, LEASE OR DISPOSITION OF REAL PROPERTY OF THE CORPORATION OTHER THAN IN THE ORDINARY COURSE OF THE OPERATIONS OF THE CORPORATION; AND (XI) THE MERGER, REORGANIZATION, DISSOLUTION OR OTHER CORPORATE ACTION OF A SIMILAR NATURE, INCLUDING PARTICIPATION IN A JOINT VENTURE, PROPOSED BY THE CORPORATION. SUMMA FOUNDATION: SUMMA HEALTH IS THE SOLE MEMBER ("MEMBER") OF SUMMA FOUNDATION. THE FOLLOWING ARE THE MATTERS ("RESERVED POWERS") WHICH MUST BE SUBMITTED TO, AND RECEIVE THE APPROVAL OF BOTH THE BOARD OF DIRECTORS OF SUMMA FOUNDATION AND THE MEMBER: (I) ANY MODIFICATION OF THE ESSENTIAL NATURE, PURPOSE, MISSION OR OPERATIONS OF THE CORPORATION; (II) ADOPTION OF A CODE OF REGULATIONS, BYLAWS OR OTHER CONSTITUTIVE DOCUMENT OF THE CORPORATION AND ANY AND ALL AMENDMENTS THERETO; (III) ADOPTION OF ANY AMENDMENTS TO THE ARTICLES OF INCORPORATION OR SIMILAR CHARTER OR ORGANIZATIONAL DOCUMENT OR AGREEMENT AND/OR ANY OTHER CHANGE IN THE CORPORATE STRUCTURE OR GOVERNANCE OF THE CORPORATION; (IV) ESTABLISHMENT OF QUALIFICATIONS FOR THE SELECTION OF DIRECTORS, DIRECTORS OR MANAGERS OF THE CORPORATION; (V) APPOINTMENT OR ELECTION AND REMOVAL OF MEMBERS OF THE GOVERNING BODY OF THE CORPORATION; (VI) APPOINTMENT OR ELECTION AND REMOVAL OF THE PRESIDENT AND/OR CHIEF EXECUTIVE OFFICER OR SIMILAR OFFICER(S) OF THE CORPORATION; (VII) ADOPTION OF ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORPORATION; (VIII) THE BORROWING OF MONEY OR OTHER INCURRING OR CREATING OF ANY INDEBTEDNESS OF THE CORPORATION, INCLUDING BY WAY OF A GUARANTY OF THE DEBT OF ANOTHER, IN AN AMOUNT GREATER THAN $1,000,000 OR THAT WILL INCREASE THE AMOUNT OF INDEBTEDNESS INCURRED IN THE CURRENT CALENDAR YEAR, IN THE AGGREGATE, TO MORE THAN $3,500,000; (IX) ADOPTION OF THE LONG RANGE PLANS OF THE CORPORATION; (X) DETERMINATIONS AS TO THE USE AND OCCUPANCY OF ANY BUILDING OWNED OR LEASED BY THE CORPORATION; (XI) THE SALE, ENCUMBRANCE, LEASE OR DISPOSITION OF REAL PROPERTY OF THE CORPORATION OTHER THAN IN THE ORDINARY COURSE OF THE OPERATIONS OF THE CORPORATION; AND (XII) THE MERGER, REORGANIZATION, DISSOLUTION OR OTHER CORPORATE ACTION OF A SIMILAR NATURE, INCLUDING PARTICIPATION IN A JOINT VENTURE, PROPOSED BY THE CORPORATION. SUMMA PHYSICIANS, INC. DBA SUMMA HEALTH MEDICAL GROUP: A SHARE CONTROL AGREEMENT AMONG SUMMA HEALTH, SUMMA PHYSICIANS, INC. AND THE SOLE SHAREHOLDER OF SUMMA PHYSICIANS, INC. PROVIDES THAT THE SOLE SHAREHOLDER SHALL VOTE EACH SHARE OF SUMMA PHYSICIANS, INC.'S CAPITAL STOCK NOW OR HEREAFTER OWNED BY THE SHAREHOLDER ON ANY MATTER SUBMITTED FOR A VOTE TO THE SHAREHOLDERS OF SUCH STOCK, ONLY AS APPROVED IN ADVANCE BY SUMMA HEALTH, INCLUDING, BUT NOT LIMITED TO THE MATTERS LISTED BELOW: (A) LEASE, SELL, EXCHANGE, TRANSFER OR OTHERWISE DISPOSE OF ALL OR SUBSTANTIALLY ALL OF THE SUMMA PHYSICIANS, INC.'S ASSETS; (B) BE MERGED, CONSOLIDATED OR OTHERWISE REORGANIZED WITH OR INTO ANY OTHER CORPORATION OR TRADE OR BUSINESS; (C) ISSUE ANY SHARES OF ANY CLASS OF SUMMA PHYSICIANS, INC.'S CAPITAL STOCK (WHETHER FROM TREASURY OR FROM AUTHORIZED BUT UNISSUED SHARES); (D) AMEND OR OTHERWISE MODIFY ITS ARTICLES OF INCORPORATION OR CODE OF REGULATIONS; (E) DISSOLVE (OTHER THAN BY ACTION OF A COURT OF COMPETENT JURISDICTION); OR ENTER INTO ANY AGREEMENT WITH ANY PERSON TO DO ANY OF THE FOREGOING.
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 2022. 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 2022 MEETING FOR FURTHER REVIEW. THE COMMITTEE ON GOVERNANCE IS A STANDING COMMITTEE APPOINTED BY THE SUMMA HEALTH BOARD OF DIRECTORS AND INCLUDES MEMBERS OF THE BOARD OF DIRECTORS. SCHEDULE H OF THE RETURN WAS ALSO REVIEWED BY THE SUMMA HEALTH COMMUNITY BENEFITS COMMITTEE. AFTER THESE REVIEWS BY THE COMMITTEE ON GOVERNANCE AND THE COMMUNITY BENEFITS COMMITTEE, AND PRIOR TO FILING WITH THE IRS, AN EMAIL WAS SENT TO EACH VOTING MEMBER OF THE BOARDS OF DIRECTORS. THIS EMAIL INCLUDED INSTRUCTIONS AND A LINK TO A PASSWORD-PROTECTED WEB SITE ON WHICH THE ENTIRE FORM 990 WAS AVAILABLE FOR VIEWING.
FORM 990, PART VI, SECTION B, LINE 12C	CONFLICT OF INTEREST POLICY: A CONFLICT OF INTEREST QUESTIONNAIRE IS SENT ANNUALLY TO ALL SUMMA HEALTH ENTITIES' BOARDS OF DIRECTORS, KEY EMPLOYEES, SENIOR MANAGERS, MEDICAL DIRECTORS, ADMINISTRATIVE DIRECTORS, EXECUTIVE DIRECTORS, DEPARTMENT HEADS, MANAGERS, SUPERVISORS, AND MEMBERS OF PURCHASING COMMITTEES FOR COMPLETION. RESPONSES ARE INDIVIDUALLY REVIEWED FOR DETERMINATION OF POTENTIAL CONFLICTS. THOSE RESPONSES DEEMED TO PRESENT POTENTIAL CONFLICTS ARE THEN PRESENTED TO THE GOVERNANCE COMMITTEE (SUB-COMMITTEE OF THE SUMMA HEALTH BOARD OF DIRECTORS). THE GOVERNANCE COMMITTEE REVIEWS EACH RESPONSE THAT PRESENTS A POTENTIAL CONFLICT AND DETERMINES WHETHER ADDITIONAL ACTION IS REQUIRED TO ELIMINATE OR MITIGATE THE POTENTIAL CONFLICT. THIS ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE PROCESS IS MANAGED BY THE CORPORATE COMPLIANCE DEPARTMENT PURSUANT TO THE SUMMA HEALTH POLICY ON CONFLICT OF INTEREST AS APPROVED BY THE SUMMA HEALTH BOARD OF DIRECTORS. IN ADDITION TO THE ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE, THE CONFLICT OF INTEREST POLICY IMPOSES A DUTY TO DISCLOSE CONFLICTING INTERESTS ON AN ONGOING BASIS.
FORM 990, PART VI, SECTION B, LINE 15	PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL AND OTHER EMPLOYEES: COMPENSATION REVIEW IS DELEGATED TO SUMMA HEALTH, WHICH SHARES A COMMON BOARD WITH MEMBERS OF THE GROUP. EXECUTIVE COMPENSATION: THE COMPENSATION COMMITTEE OF THE SUMMA HEALTH BOARD OF DIRECTORS MEETS AT LEAST TWICE EACH YEAR TO REVIEW AND APPROVE BASE COMPENSATION AND TOTAL REMUNERATION FOR EXECUTIVE STAFF. EACH VOTING MEMBER OF THE COMPENSATION COMMITTEE IS AN INDEPENDENT DIRECTOR AND IS NOT AFFILIATED WITH MANAGEMENT. THE COMPENSATION COMMITTEE ENGAGES OUTSIDE CONSULTING SUPPORT TO PROVIDE INDEPENDENT MARKET DATA, ADVICE AND COUNSEL TO THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE HAS USED KORN FERRY, A NATIONALLY RECOGNIZED CONSULTING FIRM, TO ASSIST THEIR EFFORTS. KORN FERRY 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. THE COMPENSATION COMMITTEE CONTEMPORANEOUSLY DOCUMENTS ITS DELIBERATIONS AND DECISIONS REGARDING COMPENSATION ARRANGEMENTS FOR EACH POSITION LISTED BELOW. EACH YEAR THE COMPENSATION COMMITTEE REVIEWS AND APPROVES THE COMPENSATION FOR THE FOLLOWING POSITIONS: SUMMA HEALTH: PRESIDENT & CEO SENIOR VICE PRESIDENT, FINANCE & CFO SENIOR VICE PRESIDENT, CHIEF LEGAL OFFICER & GENERAL COUNSEL PRESIDENT, AMBULATORY CARE CLINICAL SERVICE LINES, CHIEF STRATEGY OFFICER SENIOR VICE PRESIDENT, IT&S & CIO SENIOR VICE PRESIDENT, CHIEF HUMAN RESOURCES OFFICER PRESIDENT, SUMMACARE SENIOR VICE PRESIDENT, POPULATION HEALTH, PRESIDENT, ACO/NHC SENIOR VICE PRESIDENT, SYSTEM CHIEF NURSING EXECUTIVE SUMMA HEALTH SYSTEM: PRESIDENT, SUMMA AKRON AND ST. THOMAS PRESIDENT, SUMMA BARBERTON PRESIDENT, AMBULATORY CARE AND CLINICAL SERVICE LINES VICE PRESIDENT AND CFO SUMMA HEALTH SYSTEM SUMMA FOUNDATION: PRESIDENT, CHIEF DEVELOPMENT OFFICER SUMMA PHYSICIANS, INC. DBA SUMMA HEALTH MEDICAL GROUP: 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.SUMMAHEALTH.ORG). THE FINANCIAL STATEMENTS ARE ALSO AVAILABLE THROUGH THE ELECTRONIC MUNICIPAL MARKET ACCESS (WWW.EMMA.MSRB.ORG) AND ON SUMMA'S WEBSITE (WWW.SUMMAHEALTH.ORG).
FORM 990, PART VII, SECTION B, LINE 1	BEGINNING WITH THE 2014 TAX YEAR ALL INDEPENDENT CONTRACTORS WERE PAID BY SUMMA HEALTH (EIN 34-1887844) WHICH IS THE PARENT ORGANIZATION OF THE FILING ORGANIZATION.
FORM 990, PART XI, LINE 9:	PENSION LIABILITY ADJUSTMENT 16,632,000. POST RETIREMENT BENEFIT ADJUSTMENT -88,000. NET ASSETS RELEASED FROM RESTRICTION FOR CAPITAL 416,000. NET ASSET CONTRIBUTION TO(FROM) AFFILIATED ORGANIZATION 34,664,000. OTHER CHANGES IN NET ASSETS - ADJUSTMENTS 74,000. CHANGE IN RESTRICTED ACTIVITY -3,511,158. OTHER CHANGES IN NET ASSETS - ADJUSTMENTS 2,663.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
MEDINA-SUMMIT AMBULATORY SURGERY CENTER LLC
1077 GORGE BLVD	AKRON	OH	443042408	340714755	SURGERY CENTER	OH	$2,047,000	$2,479,000	SUMMA HEALTH SYSTEM
SUMMA HEALTH OUTPATIENT SERVICES LLC
1077 GORGE BLVD	AKRON	OH	443042408	340714755	INFUSION CENTER	OH	$0	$0	SUMMA HEALTH SYSTEM

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
ST THOMAS MEDICAL CENTER WOMEN'S BOARD
444 NORTH MAIN STREET	AKRON	OH	44310	346576575	SUPPORT ORGANIZATION	OH	501(C)(3)	LINE 12A, I	SUMMA HEALTH SYSTEM	0
SUMMA HEALTH SYSTEM COMMUNITY
1077 GORGE BLVD PO BOX 2090	AKRON	OH	443092090	463018310	SUPPORT ORGANIZATION	OH	501(C)(3)	LINE 12B, II		Yes (1)	N/A
AKRON PHYSICIAN WELLNESS INITATIVE
C/O ONE PERKINS SQUARE	AKRON	OH	44308	853039796	PHYSICIAN WELLNESS INITATIVES	OH	501(C)(3)	LINE 7		0	N/A

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
SUMMA REHAB HOSPITAL LLC
29 NORTH ADAMS STREET	AKRON	OH	44304	271952573	REHAB HOSPITAL	OH	SUMMA HEALTH SYSTEM	RELATED	$17,565,080	$5,790,200	0	0	0.52000
SUMMA HHAH HOLDINGS LLC
C/O 1077 GORGE BLVD	AKRON	OH	44310	823600079	HOME HEALTH AND HOSPICE	OH	SUMMA HEALTH SYSTEM	RELATED	$27,069,600	$8,601,600	0	0	0.60000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (11 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
OHIO HEALTH CHOICE INC
1077 GORGE BLVD	AKRON	OH	443092090	341895396	PPO	OH	SUMMA HEALTH SYSTEM CORP	C	Yes (1)
SUMMA INSURANCE COMPANY INC
1200 E MARKET ST 400	AKRON	OH	44305	341809108	PROP/CAS INS	OH	SUMMACARE INC	C	Yes (1)
SUMMA HEALTH SYSTEM CORP
1077 GORGE BLVD	AKRON	OH	443092090	341515252	MGMT SVCS	OH	SUMMA HEALTH	C	Yes (1)
WADSWORTH RITTMAN HOS PROF SVC CORP
195 WADSWORTH RD	WADSWORTH	OH	44281	010842997	PROF MED SVCS	OH	SUMMA HEALTH SYSTEM CORP	C	Yes (1)
MIDDLEBURY ASSURANCE COMPANY
				980405096	SELF INSURANCE		SUMMA HEALTH	C	Yes (1)	PO BOX 1051 KY1-1102	GRAND CAYMAN	CJ	CJ
SUMMACARE INC
1200 E MARKET ST 400	AKRON	OH	44305	341726655	PROP/CAS INS	OH	SUMMA HEALTH SYSTEM CORP	C	Yes (1)
SUMMA ACCOUNTABLE CARE ORGANIZATION
1077 GORGE BLVD	AKRON	OH	443092090	273857055	CONTRACTING	OH	SUMMA HEALTH	C	Yes (1)
HEALTH CARE CENTERS PHYSICIANS INC
1077 GORGE BLVD	AKRON	OH	443092090	341692767	INACTIVE	OH	SUMMA HEALTH SYSTEM CORP	C	Yes (1)
SUMMA MANAGEMENT SERVICES ORGANIZATION
1200 E MARKET ST 400	AKRON	OH	44305	461145832	MGMT SVCS	OH	SUMMA HEALTH SYSTEM CORP	C	Yes (1)
SUMMA INTEGRATED SERVICES ORGANIZATION
1200 E MARKET ST 400	AKRON	OH	44305	461159251	MGMT SVCS	OH	SUMMA HEALTH SYSTEM CORP	C	Yes (1)
SUMMACARE OF MICHIGAN ING
1200 E MARKET ST 400	AKRON	OH	44305	843836552	PROP/CAS INS	OH	SUMMACARE INC	C	Yes (1)

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

Transactions Related Org TransactionsRelatedOrgGrp (12 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
SUMMA REHAB HOSPITAL LLC
A	$2,680,838	FMV
SUMMACARE INC
L	$60,668,327	FMV
SUMMACARE INC
L	$11,185,093	FMV
SUMMA INSURANCE COMPANY INC
L	$13,165,949	FMV
SUMMA INSURANCE COMPANY INC
L	$1,816,084	FMV
SUMMACARE INC
L	$149,776	FMV
SUMMACARE INC
L	$1,040,543	FMV
SUMMA REHAB HOSPITAL LLC
L	$454,347	FMV
MIDDLEBURY ASSURANCE COMPANY
M	$9,440,970	FMV
MIDDLEBURY ASSURANCE COMPANY
M	$3,876,386	FMV
SUMMA INTEGRATED SERVICES ORGANIZATION
M	$2,116,411	FMV
SUMMA HEALTH
B	$12,842,550	COST