2022-11-10T09:39:31-06:00 2021-12-31 346565596 ERNST & YOUNG US LLP 111 MONUMENT CIR STE 4000 INDIANAPOLIS IN 46204 990 2021-01-01 341887844 SUMMA HEALTH SUMM 2343125867 1077 GORGE BLVD AKRON OH 44310 DAWN AHNER SR VP, CFO, TREAS 2343125867 2022-11-04 1 DAWN AHNER XXX-XX-XXXX JENNIFER D RHODERICK P00395735 3176817000 2022-11-02 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z T CLIFFORD DEVENY MD 1077 GORGE BLVD AKRON OH 44310 478044120 0 5864 X WWW.SUMMAHEALTH.ORG X 1999 OH THE MISSION OF SUMMA HEALTH IS TO PROVIDE THE HIGHEST QUALITY, COMPASSIONATE CARE TO OUR PATIENTS AND TO CONTRIBUTE TO A HEALTHIER COMMUNITY. 11 8 1089 8 670969 223781 5587855 17230930 151921291 174286252 393145 57058273 8555099 408638 166457390 248984093 420621 308571 0 0 63878363 78250401 0 0 0 82010969 89794032 146309953 168353004 20147437 80631089 1226509582 1250438155 792977840 742395713 433531742 508042442 THE MISSION OF SUMMA HEALTH IS TO PROVIDE THE HIGHEST QUALITY, COMPASSIONATE CARE TO PATIENTS AND MEMBERS AND CONTRIBUTE TO A HEALTHIER COMMUNITY. 0 0 141354097 308571 170234539 SUMMA HEALTH DIRECTS AND SUPPORTS THE PROGRAMS AND ACTIVITIES OF THE CONSOLIDATED SUMMA HEALTH ENTITIES SO THAT ALL SUMMA HEALTH RESOURCES AND ASSETS ARE BEST ALLOCATED AND UTILIZED FOR THE BENEFIT OF THE COMMUNITY. SUMMA HEALTH REPRESENTS THE COLLABORATIVE EFFORTS OF HEALTH CARE PROVIDERS TO BETTER ADMINISTER, MANAGE, PROVIDE AND PLAN FOR THE DELIVERY OF A FULL-RANGE OF HEALTH CARE SERVICES TO ALL PERSONS WITHIN THE COMMUNITIES SERVED BY SUMMA HEALTH WITHOUT REGARD TO THE RACE, SEX, CREED, COLOR, NATIONAL ORIGIN OR ECONOMIC STATUS OF SUCH PERSONS. 3628618 0 4051713 SUMMA HEALTH NETWORK, LLC, A DISREGARDED ENTITY OF SUMMA HEALTH, PARTNERS WITH COMMUNITY PHYSICIANS, REGIONAL AND NATIONAL PAYERS TO IMPROVE THE CLINICAL QUALITY AND EFFICIENCY OF CARE, LOWER THE COST OF CARE TO PATIENTS AND EMPLOYERS AND ASSIST PHYSICIANS WITH TECHNOLOGY AND RESOURCES NECESSARY TO ACHIEVE THESE GOALS. 144982715 1 1 0 1 0 0 0 1 0 1 1 1 0 0 1 1 0 1 0 0 1 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 1 0 1 0 0 0 1 1 1 1 0 0 1 738 0 1 1089 1 1 1 1 CJ 0 0 0 1 1 0 0 0 0 1 0 X 11 8 1 0 1 0 1 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 OH X X DAWN AHNER 2343125871 1077 GORGE BLVD AKRON OH 44310 T CLIFFORD DEVENY MD PRESIDENT & CEO 46.00 4.00 X X 1322923 0 206790 PETER BITTENBENDER MD DIRECTOR, CLINICAL PHYSICIAN 2.00 52.00 X 0 757437 33881 LYNN HAMRICH MD DIRECTOR, CLINICAL PHYSICIAN 2.00 52.00 X 0 279136 38879 GEORGE STRICKLER DIRECTOR AND CHAIRMAN 4.00 4.00 X X 0 0 0 NICHOLAS BROWNING DIRECTOR AND VICE CHAIR 4.00 4.00 X X 0 0 0 RAMONA HOOD DIRECTOR (START 1/2021) 2.00 2.00 X 0 0 0 ORRY JACOBS DIRECTOR (START 1/2021) 2.00 2.00 X 0 0 0 STEPHEN COMUNALE DIRECTOR 2.00 2.00 X 0 0 0 BARBARA FACIANA DIRECTOR 2.00 2.00 X 0 0 0 PHILIP KAUFMANN DIRECTOR 2.00 2.00 X 0 0 0 COSTAS KEFALAS MD DIRECTOR 2.00 2.00 X 0 0 0 KEITH T COLEMAN TREASURER, SR VP, CFO 46.00 4.00 X 623567 0 98019 ROBERT A GERBERRY SECRETARY/GENERAL COUNSEL 46.00 4.00 X 493592 0 80183 MARK TERPYLAK DO SR. VP POPULATION HEALTH 4.00 46.00 X 616232 0 484681 BENJAMIN P SUTTON CHIEF STRATEGY OFF., & PRES. 46.00 4.00 X 517877 0 94948 ELBRIDGE LOCKLEAR SR. VP CIO (START 3/2021) 52.00 0.00 X 355659 0 51735 ANTHONY COLLY SR. VP HUMAN RESOURCES 50.00 0.00 X 292719 0 44167 KENNETH WATERS INTERIM SR. VP, CIO (END 4/2021) 50.00 0.00 X 221499 0 42850 CYNTHIA S KELLEY DO VP MEDICAL EDUCATION 50.00 0.00 X 363027 0 27492 ED FRIEDL VP, CONSTRUCTION 50.00 0.00 X 293551 0 35335 JENNIFER EATON VP RESEARCH 50.00 0.00 X 291015 0 30626 JUSTIN CATLETT VP, CHIEF MEDICAL INFORMATION OFFICER 50.00 0.00 X 252346 0 37784 MICHELLE BISSON VP, MARKETING AND COMMUNICATIONS 50.00 0.00 X 254188 0 35839 5898195 1036573 1343209 119 0 1 0 MERCY HEALTH 1701 MERCY HEALTH PLACE CINCINNATI OH 45229 IT&S SERVICES 13411180 QUALIVIS LLC 2000 CENTER POINT RD STE 2285 COLUMBIA SC 29210 MEDICAL SERVICES 13111443 TRELLIS RX LLC 1175 PEACHTREE STREET NE ATLANTA GA 30361 MEDICAL SERVICES 9740913 PROFESSIONAL ANESTHESIA SERVICE 190 NORTH UNION STREET AKRON OH 44304 MEDICAL SERVICES 8540484 CERNER CORPORATION 2800 ROCKCREEK PARKWAY N KANSAS CITY MO 64117 IT&S SERVICES 5376201 377 263878 12842550 4124502 938418 17230930 CORP. ALLOCATION FEES 541610 160753476 160753476 PROGRAM RELATED INVEST 900003 8458210 7951023 507187 HEALTHCARE REVENUE 524298 4051713 4051713 RESEARCH 541700 634117 634117 RENT INCOME,AFFILIATES 531120 367982 204200 163782 20754 20754 174286252 20610573 20610573 8427 0 8427 8427 8427 265359516 228911816 36447700 36447700 36447700 61196 263878 148211 -87015 -87015 PURCHASE DISCOUNTS/FEE 621990 257631 257631 FEES EARNED 621990 49350 49350 SETTLEMENT 621990 25000 25000 155245 155245 487226 248984093 173615283 670969 57466911 X 266477 266477 42094 42094 5547441 2881341 2666100 108405 91060 17345 59161241 49695442 9465799 1026521 975195 51326 8205233 7794971 410262 4201560 3991482 210078 94479 89755 4724 2523597 2523597 594752 594752 102650 102650 1517801 1517801 17363144 14932304 2430840 5977655 5678772 298883 5324772 5058533 266239 36103899 34298704 1805195 2671162 2537604 133558 64061 60858 3203 472723 449087 23636 806431 766109 40322 10205024 9694773 510251 1246251 1183938 62313 ACO ADMINISTRATIVE FEE 1895687 1895687 MATERIALS AND SUPPLIES 1094099 1039394 54705 DUES & LICENSES 856202 856202 TAX EXPENSE 139714 139714 739929 702933 36996 168353004 144982715 23370289 0 133602055 40350664 17694748 30085981 2165148 2853035 3782861 2645342 7866227 8461767 120712217 80128426 40774084 40583791 839446925 899654299 138782241 166365406 40891688 48834264 1503605 10603606 1226509582 1250438155 80859521 83171175 709204 459204 609651 713021 100000000 0 610799464 658052313 792977840 742395713 X 378243216 447025131 55288526 61017311 433531742 508042442 1226509582 1250438155 X 80631089 28235261 -34355650 X X 0 1 X 1 1 1 X X 2 SUMMA HEALTH SYSTEM 340714755 3 0 0 0 SUMMA FOUNDATION 341219001 7 1 0 0 2 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 PART IV, SECTION A, LINE 1 SUMMA FOUNDATION IS DESIGNATED AS A SUPPORTED ORGANIZATION BY NAME. THE ARTICLES OF INCORPORATION DESIGNATES THE OTHER SUPPORTED ORGANIZATIONS, BY CLASS AND PURPOSE, TO INCLUDE ANY OTHER HOSPITAL, HEALTH CARE PROVIDER OR OTHER ENTITY THAT QUALIFIES AS A PUBLICLY SUPPORTED ORGANIZATION WITHIN THE MEANING OF SECTIONS 509(A)(1) OR 509(A)(2) OF THE INTERNAL REVENUE CODE, THAT IS AFFILIATED WITH THE INTEGRATED HEALTH CARE DELIVERY SYSTEM OPERATED AND MANAGED BY SUMMA HEALTH, AND THAT IS RELATED TO SUMMA HEALTH IN A MANNER DESCRIBED IN SECTION 509(A)(3) OF THE INTERNAL REVENUE CODE. PART IV, SECTION A, LINE 6 IN 2021, SUMMA HEALTH PROVIDED $250,000 IN SUPPORT TO THE UNIVERSITY OF AKRON FOR MISSION SUPPORT. THIS ORGANIZATION PROVIDES DIRECT SUPPORT TO PATIENTS OF SUMMA HEALTH SYSTEM, A SUPPORT ORGANIZATION OF SUMMA HEALTH. PART IV, SECTION C, LINE 1 THE MANAGEMENT OF THE SUPPORTING AND THE SUPPORTED ORGANIZATIONS RESIDES IN THE SAME MANAGEMENT GROUP. THE SUMMA HEALTH PRESIDENT AND CEO SERVES AS A DIRECTOR FOR BOTH SUMMA HEALTH AND THE SUPPORTED ORGANIZATIONS. THE INDIVIDUAL WHO HOLDS THE SUMMA HEALTH CFO POSITION IS AN OFFICER FOR BOTH SUMMA HEALTH AND EACH OF THE SUPPORTED ORGANIZATIONS, AND THE INDIVIDUAL WHO SERVES AS SECRETARY AND GENERAL COUNSEL IS AN OFFICER FOR BOTH SUPPORTED ORGANIZATIONS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 1 34756 1 67894 0 0 102650 0 PART II-B, LINE 1: THE AMOUNT ON LINE 1(F) REPRESENTS THE PORTION OF ANNUAL DUES TO THE AMERICAN HOSPITAL ASSOCIATION ALLOCABLE TO LOBBYING ACTIVITIES. SUMMA HEALTH SERVED AS THE PRIMARY PROVIDER FOR COVID PATIENTS RESIDING WITHIN THE GREATER AKRON REGION IN 2021. THE OMICRON SURGE SENT AN OVERWHELMING NUMBER OF INDIVIDUALS TO SUMMA FOR CARE AND SERVICES. OHIO GOVERNOR MIKE DEWINE ULTIMATELY DEPLOYED THE NATIONAL GUARD TO SUMMA TO HELP SERVE PATIENTS. FEMA ALSO ACTIVATED A MEDICAL UNIT TO HELP THE HEALTH SYSTEM RESPOND TO PATIENTS. SUMMA DEVOTED ITS FEDERAL ADVOCACY EFFORTS TO EDUCATING AND ENGAGING LEGISLATORS AND STAFF ABOUT THE IMPORTANCE OF DELAYING SEQUESTRATION, PHYSICIAN FEE SCHEDULE, AND PAYGO CUTS WHILE THE HEALTH SYSTEM CONTINUED TO NAVIGATE THROUGH THE COVID-19 PANDEMIC. IN THESE DISCUSSIONS, HEALTH SYSTEM LEADERSHIP ALSO PROVIDED FEEDBACK ON THE COVID PATIENT REIMBURSEMENT SCHEDULE, THE FCC TELEHEALTH FUNDING INITIATIVE, THE MEDICARE ACCELERATED ADVANCED PAYMENT (AAP) AND PROVIDER RELIEF FUND (PRF) PROGRAMS. SUMMA ALSO EXPRESSED CONCERNS ABOUT RISING DRUG COSTS AND HEALTHCARE WORKFORCE SHORTAGES. LEADERSHIP SPECIFICALLY HIGHLIGHTED HOW RISING NURSE STAFF AGENCY RATES AFFECT CONTINUITY OF PATIENT CARE AND EMPLOYED STAFF MORALE. RISING AGENCY COSTS ALSO SIGNIFICANTLY IMPACT THE HOSPITAL'S EXPENSE TRENDS. 523567 X 0 27566543 923605 772888 29263036 26418953 359489 788101 27566543 21923498 3075711 1419744 26418953 22691956 -86257 -682201 21923498 20437936 426808 1827212 22691956 1.00000 0 0 1081433 1081433 17141238 6893429 10247809 19978 19978 91894609 72400994 19493615 10574959 834003 9740956 40583791 166365406 F 166365406 CONTINGENCY PLANNING 4459799 OTHER ACCRUED TAXES 64006 PAYABLES TO RELATED ORGANIZATIONS 653528508 658052313 X PART III, LINE 4: SUMMA HEALTH'S VISION IS TO CREATE A HEALTHCARE ENVIRONMENT THAT SURROUNDS AND CONNECTS PATIENTS, VISITORS AND STAFF WITH THE HEALING POWERS OF THE ARTS. THE ACQUISITION OF ART THROUGH DONATIONS FOR PERMANENT DISPLAYS IN SUMMA HEALTH'S NEW PATIENT TOWER, CONTRIBUTES TO THE HEALING ENVIRONMENT FOR BOTH PATIENTS AND CAREGIVERS. SUMMA HEALTH WILL STUDY THE IMPACT OF THE HEALING ARTS ON PATIENT OUTCOMES AND SHARE RESULTS TO IMPROVE CARE AND SERVE AS A NATIONAL MODEL. PART V, LINE 4: ENDOWMENT FUNDS PROVIDE INCOME TO BE USED TO FULFILL THE TAX-EXEMPT PURPOSES OF SUMMA FOUNDATION. PART X, LINE 2: SUMMA AND MOST OF ITS SUBSIDIARIES ARE NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND ARE EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(A) OF THE CODE. SUMMA ALSO HAS CERTAIN SUBSIDIARIES THAT ARE TAXABLE FOR FEDERAL INCOME TAX PURPOSES. SC, TOGETHER WITH AFFILIATES OF SHSC, FILES A CONSOLIDATED FEDERAL INCOME TAX RETURN IN ACCORDANCE WITH A TAX-SHARING AGREEMENT DATED JANUARY 1, 2010. THE ENTITIES UTILIZE A CONSOLIDATED APPROACH TO THE ALLOCATION OF FEDERAL INCOME TAXES, WHEREAS SHSC'S TAX-SHARING AGREEMENT WITH ITS SUBSIDIARIES ALLOWS IT TO MAKE CERTAIN CODE ELECTIONS IN ITS CONSOLIDATED FEDERAL TAX RETURN. IN THE EVENT SUCH CODE ELECTIONS ARE MADE, ANY BENEFIT OR LIABILITY IS THE RESPONSIBILITY OF SHSC AND IS ACCRUED AND PAID BY THE PARTICIPATING SUBSIDIARIES. SC IS NOT SUBJECT TO STATE INCOME TAXES AS IT IS LICENSED AS A HEALTH INSURANCE COMPANY UNDER CHAPTER 1751 OF THE OHIO REVISED CODE. DEFERRED TAX ASSETS AND LIABILITIES ARE RECOGNIZED FOR THE FUTURE TAX CONSEQUENCES ATTRIBUTABLE TO DIFFERENCES BETWEEN THE FINANCIAL STATEMENT CARRYING AMOUNTS OF EXISTING ASSETS AND LIABILITIES AND THE RESPECTIVE TAX BASIS AND OPERATING LOSS AND TAX CREDIT CARRYFORWARDS. DEFERRED TAX ASSETS AND LIABILITIES ARE MEASURED USING ENACTED TAX RATES EXPECTED TO APPLY TO TAXABLE INCOME IN THE YEARS IN WHICH THOSE TEMPORARY DIFFERENCES ARE EXPECTED TO BE RECOVERED OR SETTLED. THE EFFECT ON DEFERRED TAX ASSETS AND LIABILITIES OF A CHANGE IN TAX RATES IS RECOGNIZED IN INCOME IN THE PERIOD THAT INCLUDES THE ENACTMENT DATE. SUMMA RECOGNIZES INTEREST INCOME, INTEREST EXPENSE, AND PENALTIES RELATED TO UNCERTAIN TAX POSITIONS WITHIN THE PROVISION FOR INCOME TAX. CENTRAL AMERICA AND THE CARIBBEAN 0 0 PROGRAM SERVICES WHOLLY-OWNED FOREIGN INSURANCE COMPANY FOR SELF INSURANCE 56070405 0 0 0 0 0 0 56070405 0 56070405 1 0 1 1 0 0 PART I, LINE 3: METHOD TO ACCOUNT FOR EXPENDITURES ON ORGANIZATION'S FINANCIAL STATEMENTS: CENTRAL AMERICA AND THE CARIBBEAN: ACCRUAL PART III ACCOUNTING METHOD: SCHEDULE F, PART I, LINE 3(F) PROGRAM SERVICE ACTIVITY: $55,117,765 INVESTMENTS 952,640 EXPENSES $56,070,405 TOTAL GOLF OUTING 203843 155243 48600 18700 6257 27982 49090 4552 GALA 121231 108635 12596 37880 3750 325074 263878 61196 18700 6257 27982 86970 8302 148211 -87015 PART II FUNDRAISING EVENTS: THE GALA EVENT WAS CANCELED DUE TO COVID-19. FUND BALANCES WILL CARRY OVER TO THE 2022 EVENT. 1 UNIVERSITY OF AKRON 302 BUCHTEL COMMON AKRON OH 44301 346002924 GOVERNMENTAL 250000 0 CONSTRUCTION OF UNIVERSITY STADIUM AND NAMING RIGHTS 1 0 SUMMASHARES 17 17982 0 MAMMOGRAM SCREENS 69 24112 0 PART I, LINE 2: THE PROCEDURE FOR MONITORING GRANT FUNDS IS BASED ON THE CRITERIA ESTABLISHED PRIOR TO AWARDING THE GRANT OR ASSISTANCE. ONCE THE CRITERIA IS MET, A PAYMENT WILL BE MADE TO THE UNIVERSITY OR AGENCY UTILIZING THE FUNDS. X 1 1 X X X X 1 1 0 0 0 0 0 1 0 T CLIFFORD DEVENY MD PRESIDENT & CEO 1112488 0 202311 0 8124 0 178442 0 28348 0 1529713 0 0 0 MARK TERPYLAK DO SR. VP POPULATION HEALTH 419235 0 87828 0 109169 0 460435 0 24246 0 1100913 0 0 0 PETER BITTENBENDER MD DIRECTOR, CLINICAL PHYSICIAN 0 684239 0 71998 0 1200 0 7991 0 25890 0 791318 0 0 KEITH T COLEMAN TREASURER, SR VP, CFO 519323 0 94052 0 10192 0 72144 0 25875 0 721586 0 0 0 BENJAMIN P SUTTON CHIEF STRATEGY OFF., & PRES. 438556 0 77707 0 1614 0 64709 0 30239 0 612825 0 0 0 ROBERT A GERBERRY SECRETARY/GENERAL COUNSEL 415421 0 75388 0 2783 0 60494 0 19689 0 573775 0 0 0 ELBRIDGE LOCKLEAR SR. VP CIO (START 3/2021) 353796 0 0 0 1863 0 36456 0 15279 0 407394 0 0 0 CYNTHIA S KELLEY DO VP MEDICAL EDUCATION 312853 0 48517 0 1657 0 6274 0 21218 0 390519 0 0 0 ANTHONY COLLY SR. VP HUMAN RESOURCES 288779 0 1880 0 2060 0 42102 0 2065 0 336886 0 0 0 ED FRIEDL VP, CONSTRUCTION 251165 0 39384 0 3002 0 6031 0 29304 0 328886 0 0 0 JENNIFER EATON VP RESEARCH 250739 0 39115 0 1161 0 8591 0 22035 0 321641 0 0 0 LYNN HAMRICH MD DIRECTOR, CLINICAL PHYSICIAN 0 277088 0 500 0 1548 0 8372 0 30507 0 318015 0 0 JUSTIN CATLETT VP, CHIEF MEDICAL INFORMATION OFFICE 251582 0 500 0 264 0 5986 0 31798 0 290130 0 0 0 MICHELLE BISSON VP, MARKETING AND COMMUNICATIONS 220979 0 27967 0 5242 0 7767 0 28072 0 290027 0 0 0 KENNETH WATERS INTERIM SR. VP, CIO (END 4/2021) 219251 0 500 0 1748 0 7644 0 35206 0 264349 0 0 0 PART I, LINE 1A TAX INDEMNIFICATION AND GROSS-UP PAYMENTS: SUMMA HEALTH GROSSED UP TAXES FOR YEARS OF SERVICE ANNIVERSARIES IN THE AMOUNT OF $50 FOR EMPLOYEES WHO REACHED IMPORTANT MILESTONE ANNIVERSARIES; 5, 10, 15 YEARS, ETC. INCLUDED IN THESE MILESTONE ANNIVERSARY PAYMENTS WERE ONE KEY EMPLOYEE AND THREE HIGHLY COMPENSATED EMPLOYEES. THE AMOUNT OF THE GROSS UP IS RECOGNIZED AS ADDITIONAL TAXABLE COMPENSATION. PART I, LINES 4A-B PART I LINE 4A SEVERENCE OR CHANGE OF CONTROL PAYMENT: IN 2021 MARK TERPYLAK, DO RECEIVED A SEVERANCE PAYMENT 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 NON-QUALIFIED EXECUTIVE RETIREMENT PLAN IS TO PROVIDE KEY EMPLOYEES WITH ADDITIONAL COMPENSATION TO SUPPLEMENT THEIR RETIREMENT BENEFITS AND MITIGATE EFFECTS OF QUALIFIED RETIREMENT PLAN LIMITS. THE FOLLOWING LISTED PERSONS RECEIVED BENEFITS FROM THE ORGANIZATION OR FROM A RELATED ORGANIZATION: T. CLIFFORD DEVENY, MD $169,772, KEITH T. COLEMAN $63,753, ROBERT A. GERBERRY $51,101, ELBRIDGE LOCKLEAR $36,453, MARK TERPYLAK, DO $58,389, ANTHONY COLLY $35,061, BENJAMIN P. SUTTON $54,952. PART I, LINE 7 THE SUMMA HEALTH MANAGEMENT INCENTIVE PROGRAM IS DESIGNED TO REWARD EMPLOYEES FOR MEETING QUALITY, PERFORMANCE AND FINANCIAL TARGETS. THESE TARGETS INCLUDE CLINICAL QUALITY, PATIENT SATISFACTION, EMPLOYEE/PHYSICIAN SATISFACTION, OPERATING MARGIN AND THE STRENGTHENING OF THE BALANCE SHEET. PAYMENT IS BASED ON A FACTOR OF BASE COMPENSATION AND IS SUBJECT TO REVIEW AND APPROVAL BY SUMMA'S COMPENSATION COMMITTEE. CAYLOR COLLY FAMILY MEMBER OF ANTHONY COLLY, KEY EMPLOYEE 76138 EMPLOYMENT 0 ALYSSA DRESSMAN FAMILY MEMBER OF LYNN HAMRICH, MD DIRECTOR 32267 EMPLOYMENT 0 X 505 REPLACEMENT COST X 10 504134 MARKET VALUE X 164 2956 REPLACEMENT COST X 1 3335 REPLACEMENT COST X EQUIPMENT 1 30000 REPLACEMENT COST 0 0 1 0 PART I, COLUMN (B): EXPLANATIONS OF REPORTING METHOD FOR NUMBER OF CONTRIBUTIONS: SECURITIES - PUBLICLY TRADED: NUMBER OF CONTRIBUTIONS OTHER: NUMBER OF CONTRIBUTIONS FORM 990, PART VI, SECTION A, LINE 2 FAMILY/BUSINESS RELATIONSHIPS AMONGST INTERESTED PERSONS: THE FOLLOWING INDIVIDUALS HAVE A BUSINESS RELATIONSHIP AS BOARD MEMBERS OF A SUMMA HEALTH OWNED ENTITY: MIDDLEBURY ASSURANCE COMPANY: T. CLIFFORD DEVENY, MD, ROBERT GERBERRY, KEITH COLEMAN SUMMA ACO DBA NEWHEALTH COLLABORATIVE: T. CLIFFORD DEVENY, MD, KEITH COLEMAN, ROBERT GERBERRY, MARK TERPYLAK, DO SUMMA HEALTH SYSTEM CORP: T. CLIFFORD DEVENY, MD, KEITH COLEMAN, ROBERT GERBERRY 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: MARK TERPYLAK, DO AND BENJAMIN SUTTON 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, GEORGE STRICKLER, ROBERT GERBERRY, KEITH T. COLEMAN, AND BENJAMIN SUTTON BUSINESS RELATIONSHIP: T. CLIFFORD DEVENY, M.D., MARK TERPYLAK, D.O. FORM 990, PART VI, SECTION A, LINE 4 SUMMA HEALTH SYSTEM COMMUNITY WAS REMOVED AS A MEMBER OF THE CORPORATION. THE NUMBER OF DIRECTORS CHANGED FROM 11 TO 16 TO 11 TO 15 THE SELECTION PROCESS FOR PHYSICIAN DIRECTORS WAS MODIFIED THE MAXIMUM TERM OF DIRECTORS CHANGES TO THREE (3) TERMS OF THREE (3) YEARS THE ROLE OF EMERITUS DIRECTORS HAVE BEEN REMOVED FROM THE CODE ADDED AN EXPECTATION OF 75% ATTENDANCE AT ALL MEETINGS CHANGED THE ACCEPTABLE METHODS BY WHICH NOTICE CAN BE GIVEN TO DIRECTORS CHANGED TO REQUIRE A SUPER MAJORITY FOR THE REMOVAL OF DIRECTORS/OFFICERS MODIFIED TO ADD SUMMA HEALTH GIFT POLICY TO THE CODE OF REGULATIONS ADDED A SECTION TO PERMIT THE SECRETARY OF SUMMA HEALTH TO AMEND THE CODE OF REGULATIONS DUE TO REQUIRED TECHNICAL OR LEGAL MODIFICATIONS WITHOUT THE NEED FOR BOARD APPROVAL (I.E. RENUMBERING, INACCURATE CROSS-REFERENCES, COMMITTEE NAMES, ETC.) FORM 990, PART VI, SECTION A, LINE 6 THE DIRECTORS OF SUMMA HEALTH ARE THE MEMBERS OF SUMMA HEALTH AND HAVE ALL THE RIGHTS AND PRIVILEGES OF MEMBERS. 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. AFTER THESE REVIEWS BY THE COMMITTEE ON GOVERNANCE AND THE COMMUNITY BENEFITS COMMITTEE, AND PRIOR TO FILING WITH THE IRS, AN EMAIL WAS SENT TO EACH VOTING MEMBER OF THE BOARD OF DIRECTORS. THIS EMAIL INCLUDED INSTRUCTIONS AND A LINK TO A PASSWORD-PROTECTED WEB SITE ON WHICH THE ENTIRE FORM 990 WAS AVAILABLE FOR VIEWING. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST PROCESS SUMMARY: A CONFLICT OF INTEREST QUESTIONNAIRE IS SENT ANNUALLY TO ALL SUMMA HEALTH ENTITIES' BOARDS OF DIRECTORS, KEY EMPLOYEES, 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 COMMITTEE ON GOVERNANCE (SUB-COMMITTEE OF THE SUMMA HEALTH BOARD OF DIRECTORS). THE COMMITTEE ON GOVERNANCE REVIEWS EACH RESPONSE THAT PRESENTS A POTENTIAL CONFLICT AND DETERMINES WHETHER ADDITIONAL ACTION IS REQUIRED TO ELIMINATE OR MITIGATE THE POTENTIAL CONFLICT. THIS ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE PROCESS IS MANAGED BY THE CORPORATE COMPLIANCE DEPARTMENT PURSUANT TO THE SUMMA HEALTH POLICY ON CONFLICT OF INTEREST AS APPROVED BY THE SUMMA HEALTH BOARD OF DIRECTORS. IN ADDITION TO THE ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE, THE CONFLICT OF INTEREST POLICY IMPOSES A DUTY TO DISCLOSE CONFLICTING INTERESTS ON AN ONGOING BASIS. FORM 990, PART VI, SECTION B, LINE 15 PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL AND OTHER EMPLOYEES: EXECUTIVE COMPENSATION: THE 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 PRESIDENT, SUMMA AKRON AND ST. THOMAS PRESIDENT, SUMMA BARBERTON PRESIDENT, FOUNDATION, CHIEF DEVELOPMENT OFFICER PRESIDENT, SUMMA HEALTH MEDICAL GROUP FORM 990, PART VI, SECTION C, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC: SUMMA HEALTH MAKES ITS CONFLICTS OF INTEREST POLICY AVAILABLE UPON REQUEST. THE ARTICLES OF INCORPORATION OF SUMMA HEALTH AND ITS RELATED ENTITIES ARE AVAILABLE ON THE WEBSITE OF THE OHIO SECRETARY OF STATE (WWW.SOS.STATE.OH.US). SUMMA HEALTH MAKES ITS FINANCIAL STATEMENTS AVAILABLE ON ITS WEBSITE (WWW.SUMMAHEATLH.ORG). THE FINANCIAL STATEMENTS ARE ALSO AVAILABLE THROUGH THE ELECTRONIC MUNICIPAL MARKET ACCESS. (WWW.EMMA.MSRB.ORG). FORM 990, PART IX, LINE 11G NON-BILLABLE PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 4,714,042. MANAGEMENT AND GENERAL EXPENSES 767,402. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,481,444. CONSULTANT FEES: PROGRAM SERVICE EXPENSES 8,964,239. MANAGEMENT AND GENERAL EXPENSES 1,459,295. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,423,534. EQUIPMENT MAINTENANCE: PROGRAM SERVICE EXPENSES 1,200,629. MANAGEMENT AND GENERAL EXPENSES 195,451. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,396,080. PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 53,394. MANAGEMENT AND GENERAL EXPENSES 8,692. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 62,086. FORM 990, PART XI, LINE 9: TRANSFERS TO/FROM AFFILIATES -34,476,000. OTHER ADJUSTMENTS CHANGE IN ASSETS WITH DONOR RESTRICTIONS 5,561,000. OTHER NET ASSETS ADJUSTMENTS 32,000. ENTRY ON FINANCIAL STATEMENT FOR SUBSIDIARY NOT REPORTABLE ON FORM 990 670,215. NET ASSETS RELEASED FROM RESTRICTION FOR CAPITAL CHANGE IN TEMPORARILY RESTRICTED NET ASSETS -4,449,261. CHANGE IN PERMANENTLY RESTRICTED NET ASSETS -1,696,493. OTHER ADJUSTMENT FOR ROUNDING 2,889. PART XII, LINE 2C THE ORGANIZATION HAS NOT CHANGED EITHER ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR. SUMMA HEALTH NETWORK LLC 525 EAST MARKET STREET AKRON OH 44304 341887844 CONTRACTING OH 4052000 14399000 SUMMA HEALTH SUMMA HEALTH SYSTEM COMMUNITY 1077 GORGE BLVD AKRON OH 443092090 463018310 SUPPORTING ORGANIZATION OH 501(C)(3) 12B TYPE II N/A 1 SUMMA REHAB HOSPITAL 29 NORTH ADAMS STREET AKRON OH 44034 271952573 REHAB HOSPITAL OH N/A 0 0 SUMMA HHAH HOLDINGS LLC C/O 1077 GORGE BLVD AKRON OH 44310 823600079 HOME HEALTH AND HOSPICE OH N/A 0 0 OHIO HEALTH CHOICE INC 1077 GORGE BLVD AKRON OH 443092090 341895396 PPO OH SUMMA HEALTH SYSTEM CORP C 1906000 4245000 0.80000 1 SUMMA INSURANCE COMPANY INC 1200 E MARKET ST 400 AKRON OH 44305 341809108 PROP/CAS INS OH SUMMACARE INC C 109419820 57076755 1.00000 1 SUMMA HEALTH SYSTEM CORP 1077 GORGE BLVD AKRON OH 443092090 341515252 MGMT SVCS OH SUMMA HEALTH C 1.00000 1 WADSWORTH RITTMAN HOS PROF SVC CORP 195 WADSWORTH RD WADSWORTH OH 44281 010842997 PROF MED SVCS OH SUMMA HEALTH SYSTEM CORP C 1.00000 1 MIDDLEBURY ASSURANCE COMPANY PO BOX 1051 KY1-1102 GRAND CAYMAN CJ 980405096 SELF INSURANCE CJ SUMMA HEALTH C 13839000 72034000 1.00000 1 SUMMACARE INC 1200 E MARKET ST 400 AKRON OH 44305 341726655 PROP/CAS INS OH SUMMA HEALTH SYSTEM CORP C 287324785 113281777 1.00000 1 SUMMA ACCOUNTABLE CARE ORGANIZATION 1077 GORGE BLVD AKRON OH 443092090 273857055 CONTRACTING OH SUMMA HEALTH C 11829000 3870000 1.00000 1 HEALTH CARE CENTERS PHYSICIANS INC 1077 GORGE BLVD AKRON OH 443092090 341692767 INACTIVE OH SUMMA HEALTH SYSTEM CORP C 1.00000 1 SUMMA MANAGEMENT SERVICES ORGANIZATION 1200 E MARKET ST 400 AKRON OH 44305 461145832 MGMT SVCS OH SUMMA HEALTH SYSTEM CORP C 33213000 5640000 1.00000 1 SUMMA INTEGRATED SERVICES ORGANIZATION 1200 E MARKET ST 400 AKRON OH 44305 461159251 MGMT SVCS OH SUMMA HEALTH SYSTEM CORP C 4667000 11766000 1.00000 1 SUMMACARE OF MICHIGAN INC 1200 E MARKET ST 400 AKRON OH 44305 843836552 PROP/CAS INS OH SUMMACARE INC C 81 1497848 1.00000 1 1 1 1 0 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 OHIO HEALTH CHOICE INC A 65446 FMV SUMMA ACCOUNTABLE CARE ORGANIZATION A 98336 FMV MIDDLEBURY ASSURANCE COMPANY B 14815634 COST MIDDLEBURY ASSURANCE COMPANY F 8278463 FMV SUMMA HEALTH SYSTEM L 619848 FMV SUMMA ACCOUNTABLE CARE ORGANIZATION Q 49692 FMV SUMMA HEALTH SYSTEM Q 149629668 COST SUMMA PHYSICIANS INC DBA SUMMA HEALTH MEDICAL GROUP Q 7083156 COST SUMMA INSURANCE COMPANY Q 581697 FMV SUMMACARE INC Q 1521375 FMV SUMMA INTEGRATED SERVICE ORGANIZATION Q 134244 FMV OHIO HEALTH CHOICE INC Q 80460 FMV SUMMA HEALTH SYSTEM S 1015000 COST SUMMA PHYSICIANS INC DBA SUMMA HEALTH MEDICAL GROUP R 32913000 COST SUMMA FOUNDATION R 2766000 COST MIDDLEBURY ASSURANCE COMPANY F 328850 COST SUMMA FOUNDATION C 12842550 COST