2021-11-08T13:27:31-06:00 2020-12-31 346565596 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE SUITE 4000 INDIANAPOLIS IN 46204 990 2020-01-01 341887844 SUMMA HEALTH SUMM 2343125867 1077 GORGE BLVD AKRON OH 44310 KEITH T COLEMAN SR VP, CFO, TREAS 2343125871 2021-11-03 1 KEITH COLEMAN XXX-XX-XXXX JENNIFER D RHODERICK P00395735 3176817000 2021-10-31 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z T CLIFFORD DEVENY MD 1077 GORGE BLVD AKRON OH 44310 284876720 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. 16 13 1029 13 750708 134497 9887577 5587855 152121294 151921291 27592046 393145 919193 8555099 190520110 166457390 349903 420621 0 0 69796366 63878363 0 0 0 90734039 82010969 160880308 146309953 29639802 20147437 1054496798 1226509582 412636866 792977840 641859932 433531742 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 120576870 420621 150238794 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. SEE SUMMA HEALTH GROUP RETURN (EIN 90-0640432) FOR FURTHER DETAILS. 1585794 1682497 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. 122162664 1 1 0 1 0 0 0 1 0 1 1 1 0 0 1 1 0 1 0 0 1 0 0 0 1 0 0 1 1 1 0 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 0 0 1 713 0 1 1029 1 1 1 1 CJ 0 0 0 1 1 0 0 0 0 1 0 X 16 13 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 OH X X KEITH T COLEMAN 2343125871 1077 GORGE BLVD AKRON OH 44310 T CLIFFORD DEVENY MD PRESIDENT & CEO 46.00 4.00 X X 1659225 0 35124 PETER BITTENBENDER MD DIRECTOR 2.00 52.00 X 0 762238 23441 LYNN HAMRICH MD DIRECTOR 2.00 52.00 X 0 277819 37439 NICHOLAS BROWNING DIRECTOR 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 JAMES MCILVAINE DIRECTOR 2.00 4.00 X 0 0 0 GEORGE STRICKLER DIRECTOR 2.00 2.00 X 0 0 0 COSTAS KEFALAS MD DIRECTOR & VICE CHAIR 4.00 4.00 X X 0 0 0 DARYL CAMERON DIRECTOR 2.00 2.00 X 0 0 0 JEFFREY COPELAND DIRECTOR 2.00 2.00 X 0 0 0 JAMES KRAVEC MD DIRECTOR 2.00 2.00 X 0 0 0 JASON SEIGERT DIRECTOR 2.00 2.00 X 0 0 0 ROBERT SHRODER DIRECTOR 2.00 2.00 X 0 0 0 ANTHONY LOCKHART DIRECTOR & CHAIRMAN 4.00 4.00 X X 0 0 0 KEITH T COLEMAN TREASURER, SR VP, CFO 46.00 4.00 X 782599 0 28130 ROBERT A GERBERRY SECRETARY/GENERAL COUNSEL 46.00 4.00 X 621938 0 23709 MARK TERPYLAK DO SR. VP POPULATION HEALTH 4.00 46.00 X 731168 0 35231 BENJAMIN P SUTTON CHIEF STRATEGY OFFICER AND PRESIDENT, AMBULATORY C 46.00 4.00 X 616041 0 37038 THOMAS P O'NEILL VP, CFO SHS (END 10/20) 4.00 46.00 X 562826 0 26309 LORRAINE WASHINGTON SR. VP HUMAN RESOURCES (END 12/20) 50.00 0.00 X 565051 0 23507 TANYA ARTHUR SR. VP, CIO (END 10/20) 50.00 0.00 X 508891 0 19396 KENNETH WATERS INTERIM SR. VP, CIO (START 10/20) 50.00 0.00 X 223269 0 39140 ANTHONY COLLY SR. VP HUMAN RESOURCES (START 11/20) 50.00 0.00 X 198576 0 8265 CYNTHIA S KELLEY DO VP MEDICAL EDUCATION 50.00 0.00 X 400771 0 26284 ED FRIEDL VP, CONSTRUCTION 50.00 0.00 X 332377 0 32615 JEFFREY PRICE PRESIDENT NHC 50.00 0.00 X 316983 0 36078 JENNIFER EATON VP RESEARCH 50.00 0.00 X 319634 0 28017 WILLIAM SCHWARTZ VP, INFORMATION TECHNOLOGY/ASSOCIATE CIO 50.00 0.00 X 287183 0 30988 8126532 1040057 490711 95 0 1 0 MERCY HEALTH 1701 MERCY HEALTH PLACE CINCINNATI OH 45229 IT&S SERVICES 11476568 PROFESSIONAL ANESTHESIA SERVICE 190 NORTH UNION STREET AKRON OH 44304 MEDICAL SERVICES 8566334 CERNER CORPORATION 2800 ROCKCREEK PARKWAY N KANSAS CITY MO 64117 IT&S SERVICES 5401098 QUALIVIS LLC 2000 CENTER POINT RD STE 2285 COLUMBIA SC 29210 MEDICAL SERVICES 5021404 TRELLIS RX LLC 1175 PEACHTREE STREET NE ATLANTA GA 30361 MEDICAL SERVICES 4673969 367 346420 5241435 497438 5587855 CORP. ALLOCATION FEES 900099 149312501 149312501 HEALTHCARE REVENUE 524298 1682497 1682497 RESEARCH 541700 1028294 1028294 RENT INCOME,AFFILIATES 900099 492302 175599 316703 PROGRAM RELATED INVEST 900099 -610474 -1044479 434005 16171 16171 151921291 16014211 16014211 12982 0 12982 12982 12982 102678721 118299787 -15621066 -15621066 -15621066 9452 346420 119543 -110091 -110091 DISSOLUTION SETTLEMENT 900099 7500000 7500000 RETURN OF LEASE PMT. 900099 724313 724313 PURCHASE DISCOUNTS/FEE 900099 146530 146530 281365 281365 8652208 166457390 151170583 750708 8948244 X 385114 385114 35507 35507 6745433 3503578 3241855 70019 70019 45329420 38076713 7252707 837252 753527 83725 6593862 5934476 659386 4302377 3872139 430238 41112 37001 4111 1797762 1797762 510503 510503 144414 144414 1024693 1024693 15951135 13398953 2552182 5847376 5262638 584738 5550436 4995392 555044 29757216 26781494 2975722 2643249 2378924 264325 83436 75092 8344 294086 264677 29409 816566 734909 81657 10383576 9345218 1038358 1429413 1286472 142941 MATERIALS AND SUPPLIES 3085926 2777333 308593 DUES & LICENSES 388561 388561 RECRUITMENT 243360 219024 24336 TAX EXPENSE 178236 178236 1839913 1655922 183991 146309953 122162664 24147289 0 100717022 133602055 17444836 17694748 1709782 2165148 535332 3782861 6549835 7866227 110697486 69923402 46010755 40774084 760008135 839446925 74209322 138782241 45583408 40891688 1728371 1503605 1054496798 1226509582 60277177 80859521 959204 709204 601875 609651 0 100000000 350798610 610799464 412636866 792977840 X 590839224 378243216 51020708 55288526 641859932 433531742 1054496798 1226509582 X 20147437 54341036 -282816663 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 2020 SUMMA HEALTH PROVIDED SUPPORT TO THE UNIVERSITY OF AKRON AND THE AKRON AREA YMCA FOR MISSION SUPPORT. THESE ORGANIZATIONS PROVIDE 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 33561 1 110853 0 0 144414 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. IN EARLY 2020, SUMMA DEVOTED ITS FEDERAL ADVOCACY EFFORTS TO EDUCATING AND ENGAGING LEGISLATORS AND STAFF WITH SURPRISE BILLING AND PRICE TRANSPARENCY POLICY PROPOSALS. WE SHARED OUR RECOMMENDATIONS RELATIVE TO AN INTEGRATED DELIVERY SYSTEM GIVEN THAT WE ARE COMPRISED OF HOSPITAL AND HEALTH PLAN ENTITIES. BY MID-MARCH 2020, THE HEALTH SYSTEM TURNED ITS FULL ATTENTION TO SPEAKING FREQUENTLY WITH PUBLIC SECTOR LEADERSHIP TO DISCUSS EMERGING CHALLENGES IN RESPONDING TO THE COVID-19 PANDEMIC ON A LOCAL LEVEL. IN PARTNERSHIP WITH OUR NORTHEAST OHIO DELEGATION MEMBERS, AND IN SOME CASES THE ENTIRE OHIO FEDERAL DELEGATION, WE WERE ABLE TO REQUEST ASSISTANCE WITH MEDICARE AND MEDICAID REIMBURSEMENT, MEDICARE ADVANCED AND ACCELERATED PAYMENT (AAP) LOANS, COVID SAFETY NET GRANTS, COVID SUPPLY CHAIN MATTERS INCLUDING PERSONAL PROTECTIVE EQUIPMENT (PPE), TESTING, AND VACCINATION PLANS. WE ALSO ADVOCATED TO FEDERAL LEADERSHIP ABOUT REGULATORY FLEXIBILITY MATTERS INVOLVING THE USE OF TELEHEALTH, WORKFORCE, AND ALTERNATE CARE DELIVERY MODELS. 4400 523567 X 0 26418953 359489 788101 27566543 21923498 3075711 1419744 26418953 22691956 -86257 -682201 21923498 20437936 426808 1827212 22691956 19720810 66105 651021 20437936 1.00000 0 0 3951576 3951576 16125068 5824729 10300339 19978 19978 87520919 63561906 23959013 3079945 536767 2543178 40774084 138782241 F 138782241 CONTINGENCY PLANNING 2000000 OTHER ACCRUED TAXES 789989 PAYABLES TO RELATED ORGANIZATIONS 608009475 610799464 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 52224043 0 0 0 0 0 0 52224043 0 52224043 1 0 1 1 1 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: $51,400,063 INVESTMENTS 823,980 EXPENSES $52,224,043 TOTAL GALA 355872 346420 9452 4835 5000 7650 94528 7530 355872 346420 9452 4835 5000 7650 94528 7530 119543 -110091 1 UNIVERSITY OF AKRON 302 BUCHTEL COMMON AKRON OH 44301 346002924 GOVERNMENTAL 229167 CONSTRUCTION OF UNIVERSITY STADIUM AND NAMING RIGHTS UNITED WAY 50 SOUTH MAIN STREET STE LL 100 AKRON OH 44308 340714727 501(C)(3) 120000 PREVENTION, WELLNESS AND HEALTH DISPARITIES 2 0 SUMMASHARES 22 14419 MAMMOGRAM SCREENS 99 21088 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 0 1 0 0 0 0 0 1 0 T CLIFFORD DEVENY MD PRESIDENT & CEO 894091 0 524447 0 240687 0 9436 0 25688 0 1694349 0 0 0 KEITH T COLEMAN TREASURER, SR VP, CFO 446523 0 214604 0 121472 0 4386 0 23744 0 810729 0 0 0 PETER BITTENBENDER MD DIRECTOR 0 689570 0 71498 0 1170 0 8550 0 14891 0 785679 0 0 MARK TERPYLAK DO SR. VP POPULATION HEALTH 417552 0 206036 0 107580 0 9975 0 25256 0 766399 0 0 0 BENJAMIN P SUTTON CHIEF STRATEGY OFFICER AND PRESIDENT 360018 0 165720 0 90303 0 9500 0 27538 0 653079 0 0 0 ROBERT A GERBERRY SECRETARY/GENERAL COUNSEL 356639 0 176848 0 88451 0 3785 0 19924 0 645647 0 0 0 THOMAS P O'NEILL VP, CFO SHS (END 10/20) 324420 0 168580 0 69826 0 7583 0 18726 0 589135 0 0 0 LORRAINE WASHINGTON SR. VP HUMAN RESOURCES (END 12/20) 324621 0 156446 0 83984 0 9975 0 13532 0 588558 0 0 0 TANYA ARTHUR SR. VP, CIO (END 10/20) 330267 0 175293 0 3331 0 3840 0 15556 0 528287 0 0 0 CYNTHIA S KELLEY DO VP MEDICAL EDUCATION 283417 0 115807 0 1547 0 5922 0 20362 0 427055 0 0 0 ED FRIEDL VP, CONSTRUCTION 236728 0 92813 0 2836 0 5116 0 27499 0 364992 0 0 0 JEFFREY PRICE PRESIDENT NHC 248607 0 66993 0 1383 0 8360 0 27718 0 353061 0 0 0 JENNIFER EATON VP RESEARCH 225157 0 93367 0 1110 0 6707 0 21310 0 347651 0 0 0 WILLIAM SCHWARTZ VP, INFORMATION TECHNOLOGY/ASSOCIATE 102160 0 47256 0 137767 0 3973 0 27015 0 318171 0 0 0 LYNN HAMRICH MD DIRECTOR 0 276279 0 0 0 1540 0 8550 0 28889 0 315258 0 0 KENNETH WATERS INTERIM SR. VP, CIO (START 10/20) 201439 0 20275 0 1555 0 5065 0 34075 0 262409 0 0 0 ANTHONY COLLY SR. VP HUMAN RESOURCES (START 11/20) 173157 0 18636 0 6783 0 6728 0 1537 0 206841 0 0 0 PART I, LINE 1A TAX INDEMNIFICATION AND GROSS-UP PAYMENTS: SUMMA HEALTH GROSSED UP TAXES FOR SUPPLEMENTAL EXECUTIVE RETIREMENT PROGRAMS PAID TO THREE OFFICERS, AND SIX KEY EMPLOYEES. THE AMOUNT OF THE GROSS UP IS RECOGNIZED AS ADDITIONAL TAXABLE COMPENSATION. PART I, LINE 4B 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 $232,563, KEITH T. COLEMAN $107,846, ROBERT A. GERBERRY $85,987, THOMAS P. O'NEILL $63,986, MARK TERPYLAK, DO $100,685, BENJAMIN P. SUTTON $88,882, LORRAINE WASHINGTON $78,554, ANTHONY COLLY $5,811. 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 70019 EMPLOYMENT 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 106756 INDEPENDENT 0 X 1 4400 MARKET VALUE X 11 196275 MARKET VALUE X 16761 65729 REPLACEMENT COST X 46928 150195 REPLACEMENT COST X EQUIPMENT 18 27711 REPLACEMENT COST X EVENT SUPPLIES 3 14997 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, JAMES MCILVAINE, ROBERT GERBERRY, THOMAS O'NEILL 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: SELECT SPECIALTY HOSPITAL, LLC: THOMAS O'NEILL, MARK TERPYLAK, DO SUMMA REHAB HOSPITAL: THOMAS O'NEILL, 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, ANTHONY LOCKHART, ROBERT GERBERRY, KEITH T. COLEMAN, THOMAS O'NEILL, BENJAMIN SUTTON T. CLIFFORD DEVENY, M.D., MARK TERPYLAK, D.O. BUSINESS RELATIONSHIP FORM 990, PART VI, SECTION A, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS: THE MEMBERS OF SUMMA HEALTH ARE SUMMA HEALTH SYSTEM COMMUNITY ("SUMMA MEMBER") AND HEALTHSPAN PARTNERS ("COMMUNITY MEMBER"). SUMMA MEMBER'S INTEREST IS 70%; COMMUNITY MEMBER'S INTEREST IS 30%. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS OR STOCKHOLDERS ELECTING MEMBERS OF GOVERNING BODY: THE MEMBERS OF THE CORPORATION ARE SUMMA HEALTH SYSTEM COMMUNITY ("SUMMA MEMBER") AND HEALTHSPAN PARTNERS ("COMMUNITY MEMBER"). THE MEMBERS HAVE THE FOLLOWING POWERS: COMMUNITY MEMBER TO ELECT 5 DIRECTORS (AT LEAST 1 TO BE A RESIDENT OR COMMUNITY LEADER ACTIVE IN SUMMA'S MARKET AREA AND AT LEAST 1 TO BE A PHYSICIAN; THESE MAY BE SAME INDIVIDUAL) SUMMA MEMBER TO ELECT 10 DIRECTORS (7 ELECTED LAY DIRECTORS AND 3 PHYSICIAN DIRECTORS) A DIRECTOR MAY ONLY BE REMOVED BY THE MEMBER WHICH ELECTED SUCH DIRECTOR, AND IF A MEMBER REMOVES A DIRECTOR ELECTED BY SUCH MEMBER, THEN THAT MEMBER MAY ELECT A DIRECTOR TO FILL THE VACANCY. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS: THE FOLLOWING ARE RESERVED POWERS FOR THE MEMBERS OF THE CORPORATION: 1. ACTIONS THAT WOULD ADVERSELY IMPACT THE TAX-EXEMPT STATUS OF THE CORPORATION OR MERCY HEALTH 2. APPOINTMENT OF A NEW CEO 3. DISSOLUTION, MERGER, CONVERSION, OR CONSOLIDATION OF THE CORPORATION, OR SALE/LEASE/DISPOSITION OF SUBSTANTIALLY ALL OF THE CORPORATION'S ASSETS 4. SALE, LEASE, DISPOSITION OF CORPORATION'S CORE OPERATING ASSETS AS DEFINED IN DEFINITIVE AGREEMENT 5. ADDITION OF A NEW CORPORATE MEMBER OF THE CORPORATION 6. AMENDMENT TO THE STATEMENT OF COMMON VALUES 7. AMENDMENT TO THE ARTICLES OF INCORPORATION OR CODE OF REGULATIONS RESERVED POWERS 1, 3, 4, 5, 6, AND 7 REQUIRE THE APPROVAL OF EACH OF THE MEMBERS FORM 990, PART VI, 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 2021. 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 2021 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 PRESIDENT, SUMMA AKRON AND ST. THOMAS PRESIDENT, SUMMA BARBERTON PRESIDENT, AMBULATORY CARE AND CLINICAL SERVICE LINES VICE PRESIDENT & CFO SUMMA HEALTH SYSTEM 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 5,340,768. MANAGEMENT AND GENERAL EXPENSES 1,017,289. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,358,057. CONSULTANT FEES: PROGRAM SERVICE EXPENSES 7,001,919. MANAGEMENT AND GENERAL EXPENSES 1,333,699. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,335,618. EQUIPMENT MAINTENANCE: PROGRAM SERVICE EXPENSES 960,128. MANAGEMENT AND GENERAL EXPENSES 182,882. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,143,010. PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 96,138. MANAGEMENT AND GENERAL EXPENSES 18,312. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 114,450. FORM 990, PART XI, LINE 9: TRANSFERS TO/FROM AFFILIATES -41,679,000. OTHER ADJUSTMENTS -241,010,000. CHANGE IN ASSETS WITH DONOR RESTRICTIONS 4,399,000. OTHER NET ASSETS ADJUSTMENTS 89. ENTRY ON FINANCIAL STATEMENT FOR SUBSIDIARY NOT REPORTABLE ON FORM 990 -222,906. NET ASSETS RELEASED FROM RESTRICTION FOR CAPITAL 48,000. CHANGE IN TEMPORARILY RESTRICTED NET ASSETS -3,202,697. CHANGE IN PERMANENTLY RESTRICTED NET ASSETS -1,147,590. OTHER ADJUSTMENT FOR ROUNDING -1,559. 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 1682000 13375000 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 2104000 4129000 0.80000 1 SUMMA INSURANCE COMPANY INC 1200 E MARKET ST 400 AKRON OH 44305 341809108 PROP/CAS INS OH SUMMACARE INC C 112350271 45089172 1.00000 1 SUMMA HEALTH SYSTEM CORP 1077 GORGE BLVD AKRON OH 443092090 341515252 MGMT SVCS OH SUMMA HEALTH C 2877381 6009 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 12352000 64158000 1.00000 1 SUMMACARE INC 1200 E MARKET ST 400 AKRON OH 44305 341726655 PROP/CAS INS OH SUMMA HEALTH SYSTEM CORP C 284385422 113492451 1.00000 1 SUMMA ACCOUNTABLE CARE ORGANIZATION 1077 GORGE BLVD AKRON OH 443092090 273857055 CONTRACTING OH SUMMA HEALTH C 18478000 4724000 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 29567000 5258000 1.00000 1 SUMMA INTEGRATED SERVICES ORGANIZATION 1200 E MARKET ST 400 AKRON OH 44305 461159251 MGMT SVCS OH SUMMA HEALTH SYSTEM CORP C 4858000 11209000 1.00000 1 SUMMACARE OF MICHIGAN INC 1200 E MARKET ST 400 AKRON OH 44305 843836552 PROP/CAS INS OH SUMMACARE INC C 1303 1501106 1.00000 1 1 1 0 0 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 SUMMA ACCOUNTABLE CARE ORGANIZATION A 98336 FMV SUMMACARE INC A 218367 FMV MIDDLEBURY ASSURANCE COMPANY B 11025151 COST MIDDLEBURY ASSURANCE COMPANY F 4788601 FMV SUMMA HEALTH SYSTEM L 619848 FMV SUMMA ACCOUNTABLE CARE ORGANIZATION Q 102060 FMV SUMMA HEALTH SYSTEM Q 138663756 COST SUMMA PHYSICIANS INC DBA SUMMA HEALTH MEDICAL GROUP Q 6566736 COST SUMMA INSURANCE COMPANY Q 562817 FMV SUMMACARE INC Q 1581377 FMV SUMMA INTEGRATED SERVICE ORGANIZATION Q 164155 FMV OHIO HEALTH CHOICE INC Q 15588 FMV SUMMA HEALTH SYSTEM R 7338000 COST SUMMA PHYSICIANS INC DBA SUMMA HEALTH MEDICAL GROUP R 32974000 COST SUMMA FOUNDATION R 2216000 COST SUMMA ACCOUNTABLE CARE ORGANIZATION S 153000 COST SUMMA MANAGEMENT SERVICES ORGANIZATION S 696000 COST SUMMACARE OF MICHIGAN ING Q 36721 FMV