SUMMA HEALTH GROUP RETURN: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: SUMMA HEALTH GROUP RETURN (EIN 90-0640432)
Tax period: 2018-01-01 to 2018-12-31
Filed: 2019-11-15
IRS object ID: 201933199349303583
Schema version: 2018v3.1
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 C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-11-15T09:11:07-06:00	ReturnTs
Tax Period End	2018-12-31	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 CIRCLE SUITE 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	2018-01-01	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	T CLIFFORD DEVENY MD	PersonNm
Person Title	SR VP, CFO, TREAS	PersonTitleTxt
Phone	2343125867	PhoneNum
Signature	2019-11-15	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JENNIFER D RHODERICK	PreparerPersonNm
PTIN	P00395735	PTIN
Phone	3176817000	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	199.52.13.132	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2019-11-15	IPDt
IP Tm	09:10:59	IPTm
IP Timezone	ES	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DA39A3EE5E6B4B0D3255BFEF95601890AFD80709	AtSubmissionCreationDeviceId
At Submission Filing Device Id	7C60462F21CDFFB40771A052A0B004FBCDB53576	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-04-17 16:48:07Z	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	$1,069,627,893	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	39	VotingMembersGoverningBodyCnt
Voting Members Independent	33	VotingMembersIndependentCnt
Total Employee	7503	TotalEmployeeCnt
Total Volunteers	2020	TotalVolunteersCnt
Total Gross UBI	$6,625,701	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$242,085	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,017,693	PYContributionsGrantsAmt
CY Contributions Grants	$1,059,909	CYContributionsGrantsAmt
PY Program Service Revenue	$980,455,645	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,008,429,386	CYProgramServiceRevenueAmt
PY Investment Income	$8,423,490	PYInvestmentIncomeAmt
CY Investment Income	$16,248,192	CYInvestmentIncomeAmt
PY Other Revenue	$11,330,107	PYOtherRevenueAmt
CY Other Revenue	$16,219,303	CYOtherRevenueAmt
PY Total Revenue	$1,001,226,935	PYTotalRevenueAmt
CY Total Revenue	$1,041,956,790	CYTotalRevenueAmt
PY Grants And Similar Paid	$151,500	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$250,271	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$472,335,028	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$459,853,972	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$1,853,875	CYTotalFundraisingExpenseAmt
PY Other Expenses	$554,008,926	PYOtherExpensesAmt
CY Other Expenses	$532,152,144	CYOtherExpensesAmt
PY Total Expenses	$1,026,495,454	PYTotalExpensesAmt
CY Total Expenses	$992,256,387	CYTotalExpensesAmt
PY Revenues Less Expenses	-$25,268,519	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$49,700,403	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,304,834,315	TotalAssetsBOYAmt
Total Assets EOY	$1,378,833,024	TotalAssetsEOYAmt
Total Liabilities BOY	$949,419,049	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$977,480,290	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$355,415,266	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$401,352,734	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	$445,939,226	ExpenseAmt
Revenue	$555,889,963	RevenueAmt
Desc	OUTPATIENT SERVICES FOR 2018: SUMMA HEALTH SYSTEM, AND SUMMA PHYSICIANS, INC. DBA SUMMA HEALTH MEDICAL GROUP, PROVIDED MORE THAN 1.7 MILLION OCCASIONS OF SERVICE, INCLUDING 155,175 EMERGENCY DEPARTMENT VISITS, 13,499 OBSERVATION PATIENTS, 15,290 SURGICAL OPERATIONS, AND NEARLY 1.5 MILLION OTHER OUTPATIENT VISITS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$308,322,391	ExpenseAmt
Revenue	$384,342,333	RevenueAmt
Desc	INPATIENT SERVICES FOR 2018: SUMMA HEALTH SYSTEM HAD APPROXIMATELY 649 BEDS IN SERVICE, ADMITTED 31,724 ADULT PATIENTS, AND DELIVERED 4,134 NEWBORNS. THE ADULT PATIENTS RECEIVED 143,367 DAYS OF CARE, INPATIENT SURGERIES TOTALED 6,371, EMERGENCY ADMISSIONS TOTALED 21,782 AND THE AVERAGE LENGTH OF STAY WAS 4.52 DAYS.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$45,138,008	ExpenseAmt
Revenue	$11,440,836	RevenueAmt
Desc	RESEARCH/EDUCATION FOR 2018: 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, APPROXIMATLY 241 MEDICAL SCHOOL GRADUATES TRAIN IN 19 ACCREDITED RESIDENCY PROGRAMS. SUMMA HEALTH PROVIDES CLINICAL LEARNING EXPERIENCES TO MORE THAN 2,599 NURSING, MEDICAL, PHARMACY, EMERGENCY MEDICAL TECHNICIAN, PARAMEDIC, AND ALLIED HEALTH STUDENTS.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (4 entries)

ExpenseExpenseAmt	GrantGrantAmt	RevenueRevenueAmt	DescDesc
$45,530,305	$250,271	$56,756,254	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 1,045 REGISTERED, INPATIENT BEDS ON THE CAMPUSES OF SUMMA HEALTH SYSTEM AND SUMMA REHAB HOSPITAL. IN ADDITION, OUTPATIENT CARE IS PROVIDED IN NEARLY 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 INSTITUTEUS NEWS AND WORLD REPORTAMERICAN 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 COMMISSIONBABY-FRIENDLY THE LEAPFROG GROUPSUMMA 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 7,000 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 1,045 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 86 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 251 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 2018, SUMMA HEALTH PROVIDED CHARITY CARE AT AN ESTIMATED NET COST OF OVER $5.4 MILLION. THIS AMOUNT REPRESENTS THE NET COST ASSOCIATED WITH PROVIDING THE CARE AND DOES NOT INCLUDE BAD DEBT. PATIENTS WITH INCOME UP TO 200% OF THE FEDERAL POVERTY INCOME GUIDELINES OR WHO HAVE A HOSPITAL BILL THAT EXCEEDS 25% OF THEIR GROSS ANNUAL FAMILY INCOME ARE ELIGIBLE TO APPLY FOR FULLY DISCOUNTED CHARITY CARE ASSISTANCE. IN ADDITION, THERE IS A SLIDING SCALE DISCOUNT PROGRAM FOR THOSE WITH INCOMES BETWEEN 200% AND 400% OF THE FEDERAL POVERTY INCOME GUIDELINES. IN 2018, THE CHARITY CARE PROGRAM (INCLUDING HOSPITAL CARE ASSURANCE PROGRAM) BENEFITED OVER 17,800 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 MORE THAN $30 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 2018, THE COST FOR PROVIDING CARE WRITTEN OFF AS A BAD DEBT EXPENSE WAS APPROXIMATELY $15.3 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 2018, SUMMA HEALTH PROVIDED MORE THAN $9.5 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, THE SUMMA HEALTH DENTAL CLINIC AND DIABETES EDUCATION ARE OFFERED, EVEN THOUGH THEY ARE NOT PROFITABLE. INCOME FROM OTHER SERVICES IS USED TO COVER THESE COSTS. IN 2018, THE COST FOR SUBSIDIZED SERVICES WAS APPROXIMATELY $29.7 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 2018, THESE CONTRIBUTIONS WERE MORE THAN $1.8 MILLION.RESEARCH AND INNOVATIONSUMMA HEALTH'S QUALITY MEDICAL CARE IS DERIVED IN PART FROM ITS ABILITY TO TRANSLATE RESULTS FROM CAREFULLY PLANNED AND EXECUTED RESEARCH INTO EFFECTIVE PATIENT CARE STRATEGIES. RESEARCH AND INNOVATION IS AN INTEGRAL FOCUS OF THE ACADEMIC AND CLINICAL ENVIRONMENT AT SUMMA HEALTH AND HELPS SET THE HIGHEST STANDARDS FOR MEDICAL CARE IN THE COMMUNITY. SUMMA HEALTH'S REPUTATION FOR EXCELLENCE IN SUCH CRITICAL SPECIALTIES AS CARDIOLOGY, DIABETES, EMERGENCY SERVICES, ORTHOPAEDICS, ONCOLOGY, SENIOR HEALTH, SURGERY, AND WOMEN'S HEALTH CONTINUES TO GROW THROUGH RESEARCH AND INNOVATION. SUMMA HEALTH INVESTED MORE THAN $6.4 MILLION IN RESEARCH IN 2018.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 19 ACCREDITED RESIDENCY TRAINING PROGRAMS IN NUMEROUS SPECIALTIES, TRAINING THE NEXT GENERATION OF PRIMARY CARE AND SPECIALTY PHYSICIANS FOR THE REGION AND BEYOND. NURSING EDUCATION ALSO IS OFFERED IN COLLABORATION WITH LOCAL AND NATIONAL UNIVERSITY PARTNERS. IN 2018, APPROXIMATELY 241 RESIDENTS AND FELLOWS TRAINED AT SUMMA HEALTH'S THREE MAIN HOSPITALS. ON AVERAGE, APPROXIMATELY 38% OF THESE RESIDENTS REMAIN IN OUR LOCAL AND SURROUNDING COMMUNITIES. SUMMA HEALTH'S 2018 INVESTMENT IN HEALTH PROFESSIONAL EDUCATION TOTALED APPROXIMATELY $23.6 MILLION.
			SUMMA HEALTH SERVICES:FOLLOWING IS A DESCRIPTION OF SUMMA HEALTH'S NOTABLE ACCOMPLISHMENTS BY PRIMARY SERVICE LINES IN 2018: 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. CARDIOVASCULAR: THE AMERICAN COLLEGE OF CARDIOLOGY (ACC) DESIGNATED THE AKRON CAMPUS OF THE SUMMA HEALTH HEART AND VASCULAR INSTITUTE (SHHVI) A 2018 HEARTCARE CENTER. THIS NATIONAL DISTINCTION OF EXCELLENCE RECOGNIZES SUMMA AMONG AN ELITE GROUP OF FORWARD-THINKING HOSPITALS AND INSTITUTIONS THAT GO ABOVE AND BEYOND TO ENSURE THAT PATIENTS HAVE ACCESS TO THE HIGHEST LEVELS OF CONSISTENT CARDIOVASCULAR CARE. TO BE ELIGIBLE FOR CONSIDERATION, ORGANIZATIONS MUST MEET A SET OF CRITERIA THAT CAN BE REALIZED THROUGH PARTICIPATION IN THE ACC'S EXISTING SUITE OF QUALITY IMPROVEMENT PROGRAMS.NEUROSCIENCE - SUMMA HEALTH SYSTEM- AKRON CAMPUS HAS BEEN CERTIFIED AS AN ADVANCED PRIMARY STROKE CENTER BY THE JOINT COMMISSION SINCE 2007. OUR STROKE CENTER IS NATIONALLY RECOGNIZED AS HAVING RECEIVED THE AMERICAN HEART ASSOCIATION AND AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES STROKE GOLD PLUS QUALITY ACHIEVEMENT AWARD FOR THE PRIOR 8 YEARS. IN 2018 SUMMA AKRON CAMPUS ER SAW 83 MORE STROKE TEAMS DUE TO THE EXPANSION OF STROKE GUIDELINES, LEADING TO 23 MORE PATIENTS RECEIVING CLOT BUSTER DRUG TREATMENT. IN 2018, OUR AKRON CAMPUS'S DOOR-TO-DRUG TIME WAS 13 MINUTES FASTER THAN THE NATIONAL GOAL OF 60 MINUTES. ADDITIONALLY, WE GAVE OUR CLOT BUSTER DRUG IN 45 MINUTES OR LESS 69% OF THE TIME, COMPARED TO ONLY 49% OF OTHER OHIO HOSPITALS. SUMMA HIRED A NEUROINTERVENTIONAL SURGEON IN JULY 2018, LEADING TO 12 MORE CLOT RETRIEVAL PROCEDURES THAN IN PRIOR YEAR AND 11 MINIMALLY INVASIVE ANEURYSM COILINGS. NURSING:SUMMA HEALTH SYSTEM- AKRON AND ST. THOMAS CAMPUSES HAVE MAGNET RECOGNITION FOR EXCELLENCE IN NURSING FROM THE AMERICAN NURSES CREDENTIALING CENTER (ANCC). SUMMA SHARES MAGNET STATUS WITH JUST SEVEN 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). SUMMA HEALTH EARNED THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL FOR HOSPITAL ACCREDITATION BY DEMONSTRATING CONTINUOUS COMPLIANCE WITH ITS PERFORMANCE STANDARDS. THE GOLD SEAL OF APPROVAL IS A SYMBOL OF QUALITY THAT REFLECTS AN ORGANIZATION'S COMMITMENT TO PROVIDING SAFE AND EFFECTIVE PATIENT CARE. IN 2018, SUMMA HEALTH ALSO RECEIVED THE 2017 OUTSTANDING ACHIEVEMENT AWARD FROM THE COC. COC IS A PROGRAM OF THE AMERICAN COLLEGE OF SURGEONS AND RECOGNIZES CANCER CARE PROGRAMS FOR THEIR COMMITMENT TO PROVIDING COMPREHENSIVE, HIGH-QUALITY AND MULTIDISCIPLINARY PATIENT-CENTERED CARE. SUMMA HEALTH IS ONE OF JUST 16 COC-ACCREDITED PROGRAMS TO ACHIEVE THIS RECOGNITION DURING THE SECOND-HALF 2017 SURVEY PERIOD. IT IS THE FIRST TIME SUMMA HAS ACHIEVED SUCH A HIGH HONOR. IN ADDITION, SUMMA IS ONE OF ONLY TWO MAJOR HEALTH SYSTEMS IN NORTHEAST OHIO TO EARN THE PRESTIGIOUS AMERICAN COLLEGE OF RADIATION (ACR) ACCREDITATION IN RADIATION ONCOLOGY. SUMMA HEALTH LUNG IMAGING CENTER WAS NAMED A SCREENING CENTER OF EXCELLENCE BY THE LUNG CANCER ALLIANCE FOR THE ONGOING COMMITMENT TO RESPONSIBLE LUNG CANCER SCREENING.WOMEN'S SERVICES:SUMMA HEALTH EXPANDED ITS CENTERING GROUP CARE (CGC) PROGRAM BY ADDING A MOMMY CARE CENTERING CLASS. CENTERING IS AN APPOINTMENT OPTION FOR WOMEN, WITH DEDICATED CLASSES FOR PREGNANT WOMEN BATTLING ADDICTION. THIS HIGH-RISK GROUP VISIT MODEL ASSISTS OPIATE-ADDICTED PREGNANT WOMEN TO ENSURE A HEALTHY BABY AND REDUCE THE ADMISSIONS AND LENGTH OF STAY IN THE NEONATAL INTENSIVE CARE UNIT (NICU).BARBERTON CAMPUS IS PARTICIPATING IN THE OHIO HOSPITAL ASSOCIATION AND THE OHIO DEPARTMENT OF HEALTH'S OHIO FIRST STEPS FOR HEALTHY BABIES BREASTFEEDING RECOGNITION PROGRAM. THE PURPOSE OF THIS PROGRAM IS TO RECOGNIZE MATERNITY CENTERS IN OHIO THAT HAVE TAKEN STEPS TO PROMOTE, PROTECT AND SUPPORT BREASTFEEDING IN THEIR ORGANIZATIONS. THIS PROGRAM OFFERS A NUMBER OF OPPORTUNITIES FOR LEARNING AND NETWORKING IN SUPPORT OF THE TEN STEPS TO SUCCESSFUL BREASTFEEDING. SYSTEM: FOR THE 14TH 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 COUNCILIN NOVEMBER 2018, THE LEAPFROG HOSPITAL SAFETY GROUP, THE LEADING SCORECARD ON HOSPITAL SAFETY ACROSS THE COUNTRY, ANNOUNCED THAT IT HAS AWARDED ITS TOP "A" GRADE TO BOTH THE SUMMA HEALTH AKRON AND BARBERTON CAMPUSES.
			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 2018, SUMMA HEALTH PROVIDED CHARITY CARE TO THE INDIGENT (INCLUDING UNREIMBURSED MEDICAID) AT THE COST OF MORE THAN $36 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 AND PHYSICIAN PRACTICES. IN TOTAL, SUMMA HEALTH MEDICAL GROUP EMPLOYS NEARLY 300 PHYSICIANS, 150 APPS AND 700 SUPPORT STAFF IN MORE THAN 30 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. IN 2018, SUMMA HEALTH MEDICAL GROUP CONTINUED ITS DEVELOPMENT OF PRIMARY CARE PODS AND THE MEDICAL HOME MODEL OF CARE, TO FURTHER ENHANCE THE FOCUSED PATIENT CARE MODEL, BETTER COMMUNICATE QUALITY INITIATIVES AND ENHANCE PHYSICIAN RECRUITMENT.SUMMA FOUNDATION - PROGRAM SERVICE ACCOMPLISHMENTS:THROUGH PHILANTHROPY, SUMMA FOUNDATION SUPPORTS PATIENT CARE, MEDICAL EDUCATION AND RESEARCH. SUMMA FOUNDATION OFFERS A SPECTRUM OF PHILANTHROPIC OPTIONS FOR DONORS DESIGNED TO CREATE A POSITIVE IMPACT ON SUMMA HEALTH'S OPERATIONS, PROGRAMS, PROJECTS AND PERCEPTIONS AND TO AFFECT POSITIVE CHANGE IN THE COMMUNITIES SUMMA HEALTH SERVES. PHILANTHROPIC COMMITMENTS TO THE SUMMA HEALTH FOUNDATION IN 2018 TOTALED $8.0 MILLION.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	$45,530,305	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$250,271	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$56,756,254	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$844,929,930	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	0	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
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
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	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	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	7503	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	0	QuidProQuoContributionsInd
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	39	GoverningBodyVotingMembersCnt
Independent Voting Member	33	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	Keith Coleman	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	2343125867	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1077 GORGE BLVD PO BOX 2090	AddressLine1Txt
City	AKRON	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	443092090	ZIPCd

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

Form990 Part VII Section A Form990PartVIISectionAGrp (53 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
NICHOLAS BROWNING
DIR. SHS & DIR. SHMG	2.00	2.00	Yes (X)	$0	$0	$0
Stephen Comunale
DIRECTOR SHS	2.00	2.00	Yes (X)	$0	$0	$0
Anton Decker
DIRECTOR SHS (End 11/2018)	2.00	2.00	Yes (X)	$0	$0	$0
T Clifford Deveny MD
CEO SHS, Director SHS & SF	4.00	46.00	Yes (X)	$0	$1,502,579	$32,943	Yes (X)
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
ANTHONY LOCKHART
DIRECTOR & CHAIRMAN SHS	2.00	2.00	Yes (X)	$0	$0	$0	Yes (X)
JAMES MCILVAINE
DIR. SHS & CHAIR/DIR. SHMG	4.00	2.00	Yes (X)	$0	$0	$0	Yes (X)
George Strickler
DIRECTOR SHS (Start 5/18) Dir/Treas SF (end 7/18	4.00	2.00	Yes (X)	$0	$0	$0	Yes (X)
LEILA VESPOLI
DIRECTOR SHS (End 3/2018)	2.00	2.00	Yes (X)	$0	$0	$0
Peter Bittenbender MD
DIR. SHS & DIR. SHMG	52.00	2.00	Yes (X)	$710,999	$0	$16,762
Lynn Hamrich MD
DIRECTOR SHS	52.00	2.00	Yes (X)	$262,831	$0	$24,336
Costas Kefalas MD
DIRECTOR SHS	2.00	2.00	Yes (X)	$0	$0	$0
DARYL CAMERON
DIRECTOR SHS	2.00	2.00	Yes (X)	$0	$0	$0
Jeffrey Copeland
DIRECTOR SHS	2.00	2.00	Yes (X)	$0	$0	$0
JAMES KRAVEC MD
DIRECTOR SHS	2.00	2.00	Yes (X)	$0	$0	$0
Jason Seigert
DIRECTOR SHS (Start 11/2018)	2.00	2.00	Yes (X)	$0	$0	$0
ROBERT SHRODER
DIRECTOR SHS	2.00	2.00	Yes (X)	$0	$0	$0
MARK ALLIO
DIRECTOR SF (Started 1/2018)	2.00	0.00	Yes (X)	$0	$0	$0
KEN BABBY
DIRECTOR SF	2.00	0.00	Yes (X)	$0	$0	$0
JULIA BIANCHI
DIRECTOR SF	2.00	0.00	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 (Start 12/2018)	2.00	0.00	Yes (X)	$0	$0	$0
THOMAS CLARK
DIRECTOR/CHAIR SF	4.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
GEORGE DAVERIO JR
DIRECTOR SF	2.00	0.00	Yes (X)	$0	$0	$0
C GORDON EWERS
DIRECTOR SF	2.00	0.00	Yes (X)	$0	$0	$0
PHYLIS FERRARA
PRESIDENT & CDO, SF	50.00	0.00	Yes (X)	$400,917	$0	$21,191	Yes (X)
SAMIR GIBARA
DIRECTOR SF (End 3/2018)	2.00	0.00	Yes (X)	$0	$0	$0
William Ginter
DIRECTOR SF	2.00	0.00	Yes (X)	$0	$0	$0
IRIS 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
Lyn Jones
DIRECTOR SF (start 12/2018)	2.00	0.00	Yes (X)	$0	$0	$0
Patrick O'Neill
DIRECTOR & Secretary SF	2.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
JONATHON PAVLOFF
DIRECTOR & Treas. SF	2.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
Julie L Pulk
DIRECTOR SF	2.00	0.00	Yes (X)	$0	$0	$0
PAUL TESTA
DIRECTOR & Vice Chair SF	4.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
R Mark Wernig
DIRECTOR SF	2.00	0.00	Yes (X)	$0	$0	$0
Lydia Cook MD
President Summa Health Medical Group	50.00	0.00		$509,434	$0	$18,432	Yes (X)
BRIAN DERRICK
SVP CFO, TR. SHS & SHMG, Asst. TR SF (End 1/2018)	4.00	46.00		$0	$1,413,771	$22,256	Yes (X)
KEITH T COLEMAN
SVP CFO, TR. SHS & SHMG, Asst. TR SF (Start 10/201	4.00	46.00		$0	$262,725	$9,126	Yes (X)
ROBERT A GERBERRY
SHS SEC./SR. VP G.Counsel, SF Secretary	4.00	46.00		$0	$435,557	$30,972	Yes (X)
THOMAS P O'NEILL
VP, CFO SHS, Assistant Tresurer	46.00	4.00		$0	$460,639	$24,386	Yes (X)
David Custodio MD
President, SHS	50.00	0.00		$501,189	$0	$32,678	Yes (X)
Michael Hughes MD
President Summa Barberton	50.00	0.00		$441,237	$0	$25,869		Yes (X)
Lori Rhine RN
VP, CNO Akron & St. Thomas	50.00	0.00		$244,144	$0	$30,612		Yes (X)
Tammy Scarborough
President Ambulatory Care & Clinical Care Services	46.00	4.00		$0	$400,402	$17,179		Yes (X)
MARK POZSGAY DO
ClINICAL PHYSICIAN - SHMG	50.00	0.00		$1,227,736	$0	$36,884			Yes (X)
JOHN G ZOGRAFAKIS MD
clinICAL PHYSICIAN - SHMG	50.00	0.00		$1,083,534	$0	$35,105			Yes (X)
ERIC A ESPINAL MD
CliniCAL PHYSICIAN - SHMG	50.00	0.00		$1,001,994	$0	$34,887			Yes (X)
Derek Klaus MD
CLINICAL PHYSICIAN - SHMG	50.00	0.00		$1,040,086	$0	$33,939			Yes (X)
Anand Desai MD
CLINICAL PHYSICIAN - SHMG	50.00	0.00		$965,396	$0	$9,983			Yes (X)
MARY WARD
Former SR VP CNO SHS	46.00	4.00		$0	$406,334	$0				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$8,389,497	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,882,007	TotReportableCompRltdOrgAmt
Total Other Compensation	$457,540	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	476	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Government Grants	$1,059,909	GovernmentGrantsAmt
Total Contributions	$1,059,909	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE le	621110	$943,060,698	$942,974,113	$86,585
SHMG Practice support	621110	$34,383,525	$34,383,525
Program related invest	900099	$5,040,104	$4,433,990	$606,114
Reference Lab	621500	$4,725,112		$4,725,112
Rental Income From Aff	900099	$2,524,310	$2,524,310

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$18,695,637	TotalRevenueColumnAmt
Related Or Exempt Func Income	$18,695,637	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,008,429,386	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$217,019	TotalRevenueColumnAmt
Exclusion	$217,019	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,182,791	TotalRevenueColumnAmt
Exclusion	$2,182,791	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$5,489,198	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$6,860,222	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$1,371,024	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$1,371,024	TotalRevenueColumnAmt
Exclusion	-$1,371,024	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$34,659,263	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$20,810,881	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$13,848,382	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$13,848,382	TotalRevenueColumnAmt
Exclusion	$13,848,382	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
CAFETERIA SALES	722210	$5,286,353	$474,819	$4,811,534
REBATES	900099	$2,886,418		$2,886,418
Wellness Institute	621990	$2,592,396	$334,130	$2,258,266

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,825,160	TotalRevenueColumnAmt
Unrelated Business Revenue	$398,941	UnrelatedBusinessRevenueAmt
Exclusion	$6,426,219	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$17,590,327	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,041,956,790	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,003,011,575	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$6,625,701	UnrelatedBusinessRevenueAmt
Exclusion	$31,259,605	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$250,271	TotalAmt
Program Services	$250,271	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,834,297	TotalAmt
Program Services	$2,380,809	ProgramServicesAmt
Management And General	$453,488	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$379,154,856	TotalAmt
Program Services	$317,259,916	ProgramServicesAmt
Management And General	$60,430,460	ManagementAndGeneralAmt
Fundraising	$1,464,480	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$7,222,414	TotalAmt
Program Services	$6,066,828	ProgramServicesAmt
Management And General	$1,155,586	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$46,205,393	TotalAmt
Program Services	$38,767,068	ProgramServicesAmt
Management And General	$7,384,203	ManagementAndGeneralAmt
Fundraising	$54,122	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$24,437,012	TotalAmt
Program Services	$20,527,090	ProgramServicesAmt
Management And General	$3,909,922	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$2,536,458	TotalAmt
Program Services	$2,130,625	ProgramServicesAmt
Management And General	$405,833	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$137,502	TotalAmt
Management And General	$137,502	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$5,832	TotalAmt
Management And General	$5,832	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$84,259,825	TotalAmt
Program Services	$58,419,816	ProgramServicesAmt
Management And General	$25,801,840	ManagementAndGeneralAmt
Fundraising	$38,169	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$79,254	TotalAmt
Program Services	$66,573	ProgramServicesAmt
Management And General	$12,681	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$9,713,990	TotalAmt
Program Services	$8,085,462	ProgramServicesAmt
Management And General	$1,540,088	ManagementAndGeneralAmt
Fundraising	$88,440	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,134,662	TotalAmt
Program Services	$902,564	ProgramServicesAmt
Management And General	$171,917	ManagementAndGeneralAmt
Fundraising	$60,181	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$11,578,492	TotalAmt
Program Services	$9,725,933	ProgramServicesAmt
Management And General	$1,852,559	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$401,854	TotalAmt
Program Services	$329,744	ProgramServicesAmt
Management And General	$62,808	ManagementAndGeneralAmt
Fundraising	$9,302	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,272,616	TotalAmt
Program Services	$1,068,108	ProgramServicesAmt
Management And General	$203,449	ManagementAndGeneralAmt
Fundraising	$1,059	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$22,600,138	TotalAmt
Program Services	$18,984,116	ProgramServicesAmt
Management And General	$3,616,022	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$42,480,824	TotalAmt
Program Services	$35,683,892	ProgramServicesAmt
Management And General	$6,796,932	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,544,053	TotalAmt
Program Services	$1,297,005	ProgramServicesAmt
Management And General	$247,048	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Supplies	$158,740,941	$158,740,941
Management fees	$129,194,400	$108,523,296	$20,671,104
SHMG PRACTICE SUPPORT	$34,383,525	$28,882,161	$5,501,364
Taxes and Franchise fee	$13,273,378	$11,149,638	$2,123,740

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$18,814,400	TotalAmt
Program Services	$15,688,074	ProgramServicesAmt
Management And General	$2,988,204	ManagementAndGeneralAmt
Fundraising	$138,122	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$992,256,387	TotalAmt
Program Services	$844,929,930	ProgramServicesAmt
Management And General	$145,472,582	ManagementAndGeneralAmt
Fundraising	$1,853,875	FundraisingAmt

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

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$97,327	BOYAmt
EOY	$100,200	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$6,390,943	BOYAmt
EOY	$5,092,750	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$133,829,574	BOYAmt
EOY	$126,197,284	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$1,618,384	BOYAmt
EOY	$3,343,435	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$13,364,973	BOYAmt
EOY	$14,570,264	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$6,545,644	BOYAmt
EOY	$3,213,183	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,394,238,317	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$854,986,557	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$420,299,931	BOYAmt
EOY	$539,251,760	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$177,910,668	BOYAmt
EOY	$78,373,119	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$10,856,164	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$26,491,165	BOYAmt
EOY	$9,001,289	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	$505,200,802	BOYAmt
EOY	$597,461,000	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,304,834,315	BOYAmt
EOY	$1,378,833,024	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$82,100,375	BOYAmt
EOY	$84,737,027	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$2,030,250	BOYAmt
EOY	$806,200	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$605,198,987	BOYAmt
EOY	$597,152,806	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$260,089,437	BOYAmt
EOY	$294,784,257	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$949,419,049	BOYAmt
EOY	$977,480,290	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$355,012,743	BOYAmt
EOY	$400,989,497	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$8,389	BOYAmt
EOY	$8,389	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$394,134	BOYAmt
EOY	$354,848	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$355,415,266	BOYAmt
EOY	$401,352,734	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,304,834,315	BOYAmt
EOY	$1,378,833,024	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$49,700,403	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$760,551	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$4,523,486	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

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 HEATLH 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 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 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. THE SOFTWARE USED TO PREPARE THE SUMMA HEALTH GROUP RETURN DOES NOT ALLOW FOR MULTIPLE PUBLIC CHARITY STATUS. ACCORDINGLY, THE ABOVE LISTED ORGANIZATION IS SEPARATELY DOCUMENTING ITS PUBLIC SUPPORT PERCENTAGES AGGREGATED AS FOLLOWS: Part II, Section A. Public Support: Line 1 - column (a) 8,525,120, (b) 5,313,648, (c) 1,438,055, (d) 0, (e) 0, (f) 15,276,823; Line 4 - column (a) 8,525,120, (b) 5,313,648, (c) 1,438,055, (d) 0, (e) 0, (f) 15,276,823; Line 5 - column (f) 2,381,500; Line 6 - Public Support (f) 12,895,323 Part II, Section B. Total Support: Line 7 - column (a) 8,525,120, (b) 5,313,648, (c) 1,438,055, (d) 0, (e) 0, (f) 15,276,823; Line 8 - column (a) 236,286, (b) 212,488, (c) 98,245, (d) 0, (e) 0, (f) 547,019 Line 11 - Total support (f) 15,823,842 Line 12 Gross receipts from related activities (f) 2,841,906 Part II, Section C. Computation of Public Support Percentage: Line 14 - PUBLIC SUPPORT PERCENTAGE FOR 2018, SCHEDULE A, PART II, LINE 14 IS 81.49% Line 15 - PUBLIC SUPPORT PERCENTAGE FOR 2017, SCHEDULE A, PART II, LINE 15 IS 81.22% Line 16a Box = X
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 SOFTWARE USED TO PREPARE THE SUMMA HEALTH GROUP RETURN DOES NOT ALLOW FOR MULTIPLE PUBLIC CHARITY STATUS. ACCORDINGLY, 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 TO FOR SCHEDULE A, PART IV, SECTION A, 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 SCHEDULE A, PART IV, SECTION A, LINES 2-4A ARE AS FOLLOWS: 2, NO 3A, NO 4A, NO
Schedule A, Part IV, Section A, Line 5a:	THE ANSWER FOR SCHEDULE A, PART IV, SECTION A, LINE 5A IS NO.
Schedule A, Part IV, Section A, Lines 6-11c :	THE ANSWERS FOR SCHEDULE A, PART IV, SECTION A, 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 SCHEDULE A, PART IV, SECTION D, 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:	SCHEDULE A, PART IV, SECTION E, LINE 1A IS "X"
Schedule A, Part IV, Section E, Line 2A:	THE ANSWER FOR SCHEDULE A, PART IV, SECTION E, 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 SCHEDULE A, PART IV, SECTION E, 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 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	$5,832	GrantsOtherOrganizationsAmt
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$5,832	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	$22,691,956	BeginningYearBalanceAmt
Contributions	-$86,257	ContributionsAmt
Investment Earnings Or Losses	-$682,201	InvestmentEarningsOrLossesAmt
End Year Balance	$21,923,498	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$19,720,810	BeginningYearBalanceAmt
Contributions	$66,105	ContributionsAmt
Investment Earnings Or Losses	$651,021	InvestmentEarningsOrLossesAmt
End Year Balance	$20,437,936	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$19,966,435	BeginningYearBalanceAmt
Contributions	$313,575	ContributionsAmt
Investment Earnings Or Losses	-$559,200	InvestmentEarningsOrLossesAmt
End Year Balance	$19,720,810	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$17,564,267	BeginningYearBalanceAmt
Contributions	$1,927,170	ContributionsAmt
Investment Earnings Or Losses	$474,998	InvestmentEarningsOrLossesAmt
End Year Balance	$19,966,435	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	$69,251,739	OtherCostOrOtherBasisAmt
Book Value	$69,251,739	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$660,655,897	OtherCostOrOtherBasisAmt
Depreciation	$453,449,566	DepreciationAmt
Book Value	$207,206,331	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,349,868	OtherCostOrOtherBasisAmt
Depreciation	$2,775,002	DepreciationAmt
Book Value	$2,574,866	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$461,879,330	OtherCostOrOtherBasisAmt
Depreciation	$377,759,308	DepreciationAmt
Book Value	$84,120,022	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$197,101,483	OtherCostOrOtherBasisAmt
Depreciation	$21,002,681	DepreciationAmt
Book Value	$176,098,802	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$539,251,760	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
Non-Perf Asset Air Rights	$491,870
Taxes receivable	$385,205
Other Accounts Receivable	$68,571
Beneficial Interest in Property	$3,128,586
Due from Related Organizations	$593,386,768

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$597,461,000	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)

DescDesc	AmtAmt
Lease Escalation Liability	$225,639
Capital Lease Obligations	$23,970,497
Asset Retirement Obligation	$2,796,880
Interest Rate Swap	$8,423,309
Post Retirement Benefits	$765,940
Contingent Liabilities	$490,083
Malpractice Liability	$12,869,883
Unsecured Payables	$240,627,414
Purchase Option Liability	$4,614,612

Field	Value	IRS element (for citing)
Total Liability	$294,784,257	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 Health and most of its subsidiaries are not-for-profit corporations as described in Section 501(c)(3) of the Internal Revenue Code (Code) and are exempt from federal income taxes pursuant to Section 501(A) of the Code. The System also has certain subsidiaries that are taxable for federal income tax purposes. SummaCare ("SC"), together with affiliates of Summa Health System Corp. ("SHSC"), file a consolidated federal income tax return in accordance with a tax sharing agreement dated January 1, 2010. The entities utilize a consolidated approach to the allocation of federal income taxes, whereas SHSC's tax sharing agreement with its subsidiaries allows it to make certain code elections in its consolidated federal 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 and it is licensed as a health insurance company under Chapter 1751 of the Ohio Revised code. Deferred tax assets and liabilities are recognized for the future tax consequences attributable to differences between the financial statement carrying amounts of existing assets and liabilities and the respective tax basis and operating loss and tax credit carryforwards. Deferred tax assets and liabilities are measured using enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. The effect of deferred tax assets and liabilities of a change in tax rates is recognized in income in the period that includes the enactment date. Summa recognizes interest income, interest expense, and penalties related to uncertain tax positions with 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	$9,697,251	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	$9,697,251	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$9,697,251	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 (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, line 3:	Central American and the Caribbean: Accrual
SCHEDULE F, PART I, LINE 3(F)	EXPENDITURES: INSURANCE PREMIUMS PAID $9,697,251

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
Percent200	Yes (X)	Percent200Ind
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	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
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	$38,850,346	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$29,923,068	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,927,278	NetCommunityBenefitExpnsAmt
Total Expense	0.00890	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$160,841,014	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$130,204,334	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$30,636,680	NetCommunityBenefitExpnsAmt
Total Expense	0.03050	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$199,691,360	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$160,127,402	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$39,563,958	NetCommunityBenefitExpnsAmt
Total Expense	0.03940	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,624,148	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$116,975	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,507,173	NetCommunityBenefitExpnsAmt
Total Expense	0.00950	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$35,083,103	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,445,680	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,637,423	NetCommunityBenefitExpnsAmt
Total Expense	0.02360	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$29,744,770	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$29,744,770	NetCommunityBenefitExpnsAmt
Total Expense	0.02960	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,277,400	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$788,875	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,488,525	NetCommunityBenefitExpnsAmt
Total Expense	0.00650	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,763,539	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,763,539	NetCommunityBenefitExpnsAmt
Total Expense	0.00180	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$83,492,960	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,351,530	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$71,141,430	NetCommunityBenefitExpnsAmt
Total Expense	0.07100	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$283,184,320	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$172,478,932	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$110,705,388	NetCommunityBenefitExpnsAmt
Total Expense	0.11040	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$16,666	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,666	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$6,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$2,525	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,525	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$8,205	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,205	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$33,396	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$33,396	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$15,258,000	BadDebtExpenseAmt
Reimbursed By Medicare	$153,872,898	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$157,115,162	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$3,242,264	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 (2 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
2 Digestive Health Center LLC
Digestive Disease	0.05000	0.00000	0.44000
3 Medina-Summit ASC LLC
Ambulatory Surgery Center	0.20000	0.00000	0.70000

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	Provided Written NoticeProvidedWrittenNoticeInd	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)	16	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (X)	SEE PART V, PAGE 8	Yes (X)	Yes (1)	17	Yes (1)	SEE PART V, PAGE 8	0	Yes (1)	Yes (X)	200.000000000000	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 (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)	16	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (X)	SEE PART V, PAGE 8	Yes (X)	Yes (1)	17	Yes (1)	SEE PART V, PAGE 8	0	Yes (1)	Yes (X)	200.000000000000	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 (15 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:INTERVIEWS WERE CONDUCTED WITH COMMUNITY LEADERS IN MARCH-JUNE 2016 TO GAIN THEIR INSIGHT ON WHAT THEY THOUGHT WERE THE SIGNIFICANT HEALTH NEEDS OF CHILDREN AND ADULTS IN THEIR COMMUNITIES, THE FACTORS THAT AFFECT THOSE HEALTH NEEDS, OTHER EXISTING COMMUNITY HEALTH NEEDS ASSESSMENTS, POSSIBLE COLLABORATION OPPORTUNITIES, AND WHAT HOSPITALS CAN DO TO ADDRESS THE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). 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, THOSE WITH CHRONIC DISEASE NEEDS, AND LEADERS FROM LOCAL PUBLIC HEALTH AGENCIES AND DEPARTMENTS WHO HAVE SPECIAL KNOWLEDGE AND EXPERTISE IN PUBLIC HEALTH.LEADERS FROM THE FOLLOWING COMMUNITY ORGANIZATIONS WERE CONSULTED DURING THIS CHNA: AKRON PUBLIC SCHOOLSBARBERTON COMMUNITY FOUNDATIONCITY OF AKRON ASSISTANT TO THE MAYOR FOR HEALTH, EDUCATION AND FAMILIESCITY OF HUDSON MAYORCITY OF NEW FRANKLIN MAYORCITY OF STOW MAYOREMERGE MINISTRIESGREATER AKRON CHAMBER OF COMMERCE PRESIDENT AND CEOHAVEN OF REST MINISTRIESHUDSON CITY SCHOOL DISTRICTINTERNATIONAL INSTITUTE OF AKRON DIRECTOR OF REFUGEE RESETTLEMENTLOVE AKRONOPEN M MINISTRIESSENATOR SHERROD BROWNSENATOR ROB PORTMANSUMMIT COUNTY ALCOHOL, DRUG ADDICTION, AND MENTAL HEALTH BOARD DIRECTORSUMMIT COUNTY EXECUTIVESUMMIT COUNTY PUBLIC HEALTH COMMISSIONERIN ADDITION TO THE INPUT FROM COMMUNITY LEADERS, FIVE COMMUNITY RESIDENT FOCUS GROUPS WERE CONDUCTED WITH COMMUNITY RESIDENTS FROM APRIL-SEPTEMBER 2016 TO GET THEIR INPUT ON WHAT THEY THOUGHT WERE THE SIGNIFICANT HEALTH NEEDS IN THEIR COMMUNITIES, THE FACTORS THAT AFFECT THOSE NEEDS, THE SOLUTIONS THEY THOUGHT WOULD SOLVE THOSE NEEDS, AND WHAT THE HOSPITALS AND OTHER COMMUNITY GROUPS COULD DO TO ADDRESS THOSE NEEDS. DUE TO THE OBSERVED INFORMATION GAP IN THE EPIDEMIOLOGIC DATA ON SUBSTANCE ABUSE ISSUES AND MENTAL HEALTH ISSUES, SEVERAL QUESTIONS WERE ASKED TO PROBE MORE DEEPLY INTO THESE ISSUES. IN ADDITION, A QUESTIONNAIRE WAS DISTRIBUTED TO FOCUS GROUP PARTICIPANTS TO GATHER DEMOGRAPHIC INFORMATION AND BASIC PERCEPTIONS OF COMMUNITY HEALTH. THE DISCUSSION GUIDE, QUESTIONNAIRE, AND PROTOCOL WERE REVIEWED AND APPROVED BY THE KENT STATE UNIVERSITY INSTITUTIONAL REVIEW BOARD. A TOTAL OF FIFTY-FOUR SUMMIT COUNTY RESIDENTS PARTICIPATED IN THE COMMUNITY RESIDENT FOCUS GROUPS. ADDITIONAL DETAIL CAN BE FOUND ON THE SUMMA HEALTH WEBSITE AT HTTPS://WWW.SUMMAHEALTH.ORG/ABOUT-US/ABOUT-SUMMA/COMMUNITY-BENEFIT-AND-DIVERSITY/COMMUNITYNEEDSASSESSMENTS/COMMUNITYNEEDSASSESSMENT2016.
Summa Rehab Hospital, LLC	Part V, Section B, Line 5: Input from persons who represent broad interests of community served:Summa Rehabilitation Hospital:INTERVIEWS WERE CONDUCTED WITH COMMUNITY LEADERS IN MARCH-JUNE 2016 TO GAIN THEIR INSIGHT ON WHAT THEY THOUGHT WERE THE SIGNIFICANT HEALTH NEEDS OF CHILDREN AND ADULTS IN THEIR COMMUNITIES, THE FACTORS THAT AFFECT THOSE HEALTH NEEDS, OTHER EXISTING COMMUNITY HEALTH NEEDS ASSESSMENTS, POSSIBLE COLLABORATION OPPORTUNITIES, AND WHAT HOSPITALS CAN DO TO ADDRESS THE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). 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, THOSE WITH CHRONIC DISEASE NEEDS, AND LEADERS FROM LOCAL PUBLIC HEALTH AGENCIES AND DEPARTMENTS WHO HAVE SPECIAL KNOWLEDGE AND EXPERTISE IN PUBLIC HEALTH.LEADERS FROM THE FOLLOWING COMMUNITY ORGANIZATIONS WERE CONSULTED DURING THIS CHNA: AKRON PUBLIC SCHOOLSBARBERTON COMMUNITY FOUNDATIONCITY OF AKRON ASSISTANT TO THE MAYOR FOR HEALTH, EDUCATION AND FAMILIESCITY OF HUDSON MAYORCITY OF NEW FRANKLIN MAYORCITY OF STOW MAYOREMERGE MINISTRIESGREATER AKRON CHAMBER OF COMMERCE PRESIDENT AND CEOHAVEN OF REST MINISTRIESHUDSON CITY SCHOOL DISTRICTINTERNATIONAL INSTITUTE OF AKRON DIRECTOR OF REFUGEE RESETTLEMENTLOVE AKRONOPEN M MINISTRIESSENATOR SHERROD BROWNSENATOR ROB PORTMANSUMMIT COUNTY ALCOHOL, DRUG ADDICTION, AND MENTAL HEALTH BOARD DIRECTORSUMMIT COUNTY EXECUTIVESUMMIT COUNTY PUBLIC HEALTH COMMISSIONERIN ADDITION TO THE INPUT FROM COMMUNITY LEADERS, FIVE COMMUNITY RESIDENT FOCUS GROUPS WERE CONDUCTED WITH COMMUNITY RESIDENTS FROM APRIL-SEPTEMBER 2016 TO GET THEIR INPUT ON WHAT THEY THOUGHT WERE THE SIGNIFICANT HEALTH NEEDS IN THEIR COMMUNITIES, THE FACTORS THAT AFFECT THOSE NEEDS, THE SOLUTIONS THEY THOUGHT WOULD SOLVE THOSE NEEDS, AND WHAT THE HOSPITALS AND OTHER COMMUNITY GROUPS COULD DO TO ADDRESS THOSE NEEDS. DUE TO THE OBSERVED INFORMATION GAP IN THE EPIDEMIOLOGIC DATA ON SUBSTANCE ABUSE ISSUES AND MENTAL HEALTH ISSUES, SEVERAL QUESTIONS WERE ASKED TO PROBE MORE DEEPLY INTO THESE ISSUES. IN ADDITION, A QUESTIONNAIRE WAS DISTRIBUTED TO FOCUS GROUP PARTICIPANTS TO GATHER DEMOGRAPHIC INFORMATION AND BASIC PERCEPTIONS OF COMMUNITY HEALTH. THE DISCUSSION GUIDE, QUESTIONNAIRE, AND PROTOCOL WERE REVIEWED AND APPROVED BY THE KENT STATE UNIVERSITY INSTITUTIONAL REVIEW BOARD. A TOTAL OF FIFTY-FOUR SUMMIT COUNTY RESIDENTS PARTICIPATED IN THE COMMUNITY RESIDENT FOCUS GROUPS. ADDITIONAL DETAIL CAN BE FOUND ON THE SUMMA HEALTH WEBSITE AT HTTPS://WWW.SUMMAHEALTH.ORG/ABOUT-US/ABOUT-SUMMA/COMMUNITY-BENEFIT-AND-DIVERSITY/COMMUNITYNEEDSASSESSMENTS/COMMUNITYNEEDSASSESSMENT2016.
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. IN ADDITION SUMMA HEALTH COLLABORATED WITH CLEVELAND CLINIC AKRON GENERAL AND AKRON CHILDREN'S HOSPITAL IN CONDUCTING THE CHNA.
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. IN ADDITION SUMMA HEALTH COLLABORATED WITH CLEVELAND CLINIC AKRON GENERAL, AND AKRON CHILDREN'S HOSPITAL IN CONDUCTING THE CHNA.
Summa Health System	Part V, Section B, Line 6b: CHNA conducted with one or more organizations other than hospital facilities:Summa Health System:KENT STATE UNIVERSITY COLLEGE OF PUBLIC HEALTH
Summa Rehab Hospital, LLC	Part V, Section B, Line 6b: CHNA conducted with one or more organizations other than hospital facilities:Summa Rehabilitation Hospital:KENT STATE UNIVERSITY COLLEGE OF PUBLIC HEALTH
Summa Health System	Part V, Section B, Line 11: How the hospital facility is addressing needs identified in its CHNA:Summa Health System:AFTER CAREFUL ANALYSIS OF BOTH THE EPIDEMIOLOGICAL AND QUALITATIVE DATA, SUMMA HEALTH WILL ADDRESS THE ADULT HEALTH NEEDS IN FIVE PRIMARY CATEGORIES: CHRONIC DISEASE MANAGEMENT, ACCESS AND BARRIERS TO HEALTH CARE, HEALTH DISPARITIES, PREVENTION AND WELLNESS. THE PRIORITIES ARE IN ALIGNMENT WITH CURRENT COMMUNITY HEALTH NEEDS IDENTIFIED BY THE SUMMIT COUNTY PUBLIC HEALTH 2016 COMMUNITY HEALTH ASSESSMENT AND THE OHIO DEPARTMENT OF HEALTH'S 2017-2019 STATE HEALTH IMPROVEMENT PLAN.PRIORITY HEALTH NEEDS IDENTIFIED IN THE 2016 SUMMA CHNA:PRIORITY HEALTH ISSUE, PLAN TO ADDRESSACCESS TO HEALTH CARE, YESCHRONIC DISEASE, YESENVIRONMENTAL FACTORS, NOHEALTH DISPARITIES, YESINFECTIOUS DISEASE, NOINJURY 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, ARE EMBEDDED IN EACH OBJECTIVE AND WILL BE IDENTIFIED AS P&W.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 (P&W), 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 (P&W). 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(P&W). 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 2016 CHNA THAT SUMMA WILL NOT ADDRESS IN THE PLAN. 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. RESOURCES, AS WELL AS AVAILABLE EXPERTISE, LIMIT OUR SELECTION OF PRIORITIES. SUMMA HEALTH WILL, HOWEVER, 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 2016 COMMUNITY HEALTH ASSESSMENT AND THE OHIO DEPARTMENT OF HEALTH'S 2017-2019 STATE HEALTH IMPROVEMENT PLAN.A DETAILED DESCRIPTION OF THE ACTIONS BEING TAKEN TO ADDRESS THE HEALTH NEEDS IDENTIFIED ABOVE CAN BE FOUND ON THE 2017-2019 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/COMMUNITYNEEDSASSESSMENT2016.
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,(" Hospital") the identified health need in which they have the opportunity to address in this implementation plan for the greatest impact is access to health care. The community resources provided by a variety of institutions and agencies, including Summa Health System, Akron and St. Thomas campuses, and Akron Children's Hospital led to the determination by Summa Rehab Hospital, LLC to not address any other identified health needs as described in the CHNA. A DETAILED DESCRIPTION OF THE ACTIONS BEING TAKEN TO ADDRESS THE HEALTH NEEDS IDENTIFIED ABOVE CAN BE FOUND ON THE 2017-2019 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/COMMUNITYNEEDSASSESSMENT2016.
PART V SECTION C LINE 3e Facility Reporting Summa Health & Summa Rehab	The significant health needs are a prioritized description of the significant health needs of the community and identified through the CHNA.
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/communityneedsassessment2016Summa Rehab Hospital:http://www.summarehabhospital.com/about-us/community-health-needs-assessments/
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/communityneedsassessment2016Summa Rehab Hospital:https://www.summahealth.org/about-us/about-summa/community-benefit-and-diversity/communityneedsassessments/communityneedsassessment2016
PART V SECTION B LINE 16a: Facility Reporting Summa Health & Summa Rehab	Summa Health System: https://www.summahealth.org/patientvisitor/insuranceandbilling/financialassistanceSumma Rehab Hospital: http://www.summarehabhospital.com/patient-resources/financial-assistance-policy/
PART V SECTION B LINE 16B Facility Reporting Summa Health & Summa Rehab	Summa Health System: https://www.summahealth.org/patientvisitor/insuranceandbilling/financialassistanceSumma Rehab Hospital: http://www.summarehabhospital.com/patient-resources/financial-assistance-policy/
PART V SECTION B LINE 16C Facility Reporting Summa Health & Summa Rehab	Summa Health System: https://www.summahealth.org/patientvisitor/insuranceandbilling/financialassistanceSumma Rehab Hospital: http://www.summarehabhospital.com/patient-resources/financial-assistance-policy/
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	125	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (125 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 & EDUCATION SERVICES
2 - PARKVIEW CENTER
155 FIFTH STREET NE	BARBERTON	OH	44203	CANCER CENTER & CANCER CARE
3 - SUMMA HEALTH JEAN & MILTON COOPER PAVILION
161 NORTH FORGE STREET	AKRON	OH	44304	CANCER CENTER & CANCER CARE
4 - SUMMA HEALTH CENTER AT GREEN - SLEEP LAB
1700 BOETTLER ROAD STE 215	UNIONTOWN	OH	44685	SLEEP AND NEUROLOGY SERVICES, OBSTETRICS & GYNECOLOGY
5 - SUMMA HEALTH GREEN MEDICAL CENTER
1835 FRANKS PARKWAY	UNIONTOWN	OH	44685	LAB, IMAGING, AND OTHER SPECIALTY HEALTH PROGRAMS.
6 - SUMMA HEALTH WADSWORTH-RITTMAN MEDICAL C
195 WADSWORTH ROAD	WADSWORTH	OH	44281	OUTPATIENT SERVICES, EMERGENCY DEPARTMENT
7 - SUMMA HEALTH THERAPY AT ANNA DEAN PROFES
28 CONSERVATORY DR STE A	BARBERTON	OH	44203	OUTPATIENT REHAB AND THERAPY
8 - SUMMA HEALTH IGNATIA HALL SOUTH
3730 WHIPPLE AVE NW STE 5	CANTON	OH	44718	OUTPATIENT ADDICTION MEDICINES
9 - SUMMA HEALTH THERAPY AT TALLMADGE RECREA
46 NORTH MUNROE ROAD	TALLMADGE	OH	44278	PHYSICAL THERAPY AND SPORTS HEALTH
10 - SUMMA HEALTH THERAPY AT KOHL FAMILY YMCA
477 EAST MARKET ST STE 100	AKRON	OH	44304	THERAPY, REHABILITATION, AND SPORTS MEDICINE
11 - Professional Center South
55 Arch	AKRON	OH	44304	Family medicine, internal medicine
12 - SUMMA HEALTH WELLNESS CENTER
5625 HUDSON DRIVE	HUDSON	OH	44236	MEDICAL-BASED FITNESS PROGRAMS REHABILITATION & THERAPY
13 - SUMMA HEALTH HUDSON MEDICAL CENTER
5655 HUDSON DRIVE STE 200	HUDSON	OH	44236	LAB, IMAGING, REHABILITATION, WOUND CARE & SPORTS MEDICINE
14 - SUMMA HEALTH AT WADSWORTH COMMUNITY CENT
621 SCHOOL DRIVE	WADSWORTH	OH	44281	IMAGING, REHABILITATION, AND ORTHOPAEDIC SPORTS MEDICINE
15 - SUMMA HEALTH NEUROSCIENCE CENTER
701 WHITE POND DR STE 210	AKRON	OH	44320	NEUROLOGY SERVICES
16 - SUMMA HEALTH THERAPY AT SHAW JEWISH COMM
750 WHITE POND DR STE 500	AKRON	OH	44320	OCCUPATIONAL & REHAB SERVICES
17 - Summa Health Group
1 Park West Blvd Suite 350	Akron	OH	44320	Physician office
18 - Summa Health Group
1 Park West Blvd Suite 200	Akron	OH	44320	Physician office
19 - Summa Health Group
1 Park West Suite 330	Akron	OH	44320	Physician office
20 - Summa Health Group
1 Park West Suite 330	Akron	OH	44320	Physician office
21 - Summa Health Group & Labcare Plus
1260 Independence Ave	Akron	OH	44310	Physician office and lab
22 - Summa Health Group
1305 Corporate Dr Suite A	Hudson	OH	44236	Physician office
23 - Summa Health Group
1320 Mercy Drive NW	Canton	OH	44708	Physician office
24 - Summa Health Group
1463 Canton Rd	Akron	OH	44312	Physician office
25 - Summa Health Group & Labcare Plus
1493 South Hawkins Ave	Akron	OH	44320	Physician office and lab
26 - Summa Health Group
155 Fifth Street NE	Barberton	OH	44203	Physician office
27 - Summa Health Group
156 Fifth St Parkview Bldg	Barberton	OH	44204	Physician office
28 - Summa Health Group
161 N Forge St Suite G90	Akron	OH	44304	Physician office
29 - Summa Health Group
161 N Forge St Suite 190	Akron	OH	44304	Physician office
30 - Summa Health Group
161 North Forge St Suite 298	Akron	OH	44304	Physician office
31 - Summa Health Group
161 North Forge StSuite 198	Akron	OH	44304	Physician office
32 - Summa Health Group
161 North Forge Street Suite G90	Akron	OH	44304	Physician office
33 - Summa Health Group
1700 Boettler Rd Suite 225	Uniontown	OH	44685	Physician office
34 - Summa Health Group
1700 Boettler Rd Suite 150	Uniontown	OH	44685	Physician office
35 - Summa Health Group
1835 Franks Parkway	Uniontown	OH	44685	Physician office
36 - Summa Psychiatry Associates
1835 Franks Parkway	Uniontown	OH	44685	Physician office
37 - Summa Health Group
1860 State Rd Suite D	Cuyahoga Falls	OH	44223	Physician office
38 - Summa Health Group
1860 State RdSuite A	Cuyahoga Falls	OH	44223	Physician office
39 - Summa Health Group
1900 23rd St Suite 1000	Cuyahoga Falls	OH	44223	Physician office
40 - Summa Health Group
195 Wadsworth Rd	Wadsworth	OH	44281	Physician office
41 - Summa Health Group
195 Wadsworth Rd Suite 301	Wadsworth	OH	44256	Physician office
42 - Summa Health Group
195 Wadsworth Rd Suite 305	Wadsworth	OH	44281	Physician office
43 - Summa Health Group
201 5th St NESuite 16	Barberton	OH	44203	Physician office
44 - Summa Health Group
201 5th St Suite 2	Barberton	OH	44203	Physician office
45 - Summa Health Group
201 5th St Suite 6	Barberton	OH	44203	Physician office
46 - Summa Health Group
201 5th Street NE Suite 3	Barberton	OH	44203	Physician office
47 - Summa Health Group
201 Fifth St NE Suite 10	Barberton	OH	44203	Physician office
48 - Summa Health Group
201 Fifth Street NE Suite 8	Barberton	OH	44203	Physician office
49 - Summa Health Group
223 N Main St	Rittman	OH	44270	Physician office
50 - Summa Health Group
242 Portage Trail Ext W	Cuyahoga Falls	OH	442233613	Physician office
51 - Summa Health Group
25 S Main Street Suite B	Rittman	OH	44270	Physician office
52 - Summa Health Group
275 Graham Road Suite 11	Cuyahoga Falls	OH	44223	Physician office
53 - Summa Health Group
28 Conservatory Dr Suite C	Akron	OH	44314	Physician office
54 - Summa Health Group & Labcare Plus
2875 West Market St Suite A	Fairlawn	OH	44333	Physician office and lab
55 - Summa Health Group
2875 West Market St Suite B	Fairlawn	OH	44333	Physician office
56 - Summa Health Group
328 Hines Hill Road	Boston Heights	OH	44236	Physician office
57 - Summa Health Group
3378 W Market St	Fairlawn	OH	44333	Physician office
58 - Summa Health Group
3593 S Arlington Road Suite D	Akron	OH	44312	Physician office
59 - Summa Health Group
3780 Medina Rd Suite 250	Medina	OH	44256	Physician office
60 - Summa Health Group
3780 Medina Rd Suite 220	Medina	OH	44256	Physician office
61 - Summa Health Group
3780 Medina Rd Suite 210	Medina	OH	44256	Physician office
62 - Summa Health Group
3780 Medina Road Suite 150	Medina	OH	44256	Physician office
63 - Summa Health Group
3780 Medina Road Suite 200	Medina	OH	44256	Physician office
64 - Summa Health Group
3780 Medina Road Suite 310	Medina	OH	44256	Physician office
65 - Summa Health Group
3838 Massillon Rd Suite 350	Uniontown	OH	44685	Physician office
66 - Summa Health Group
4055 Embassy Parkway Suite 110	Fairlawn	OH	44333	Physician office
67 - Summa Health Group
4211 St Rt 44	Rootstown	OH	44272	Physician office
68 - Summa Health Group
444 N Main St Suite 201	Akron	OH	443092090	Physician office
69 - Summa Psychiatry Associates
444 North Main St 6th Floor	Akron	OH	44310	Physician office
70 - Summa Psychiatry Associates
444 North Main St 4th Floor	Akron	OH	44310	Physician office
71 - Summa Psychiatry Associates
444 North Main StSuite 420	Akron	OH	44310	Physician office
72 - Summa Health Group
500 Portage Lakes Drive Suite B	Akron	OH	44319	Physician office
73 - Summa Health Group
51 Park West Blvd Suite 200	Akron	OH	44320	Physician office
74 - Summa Health Group
525 E Market St Suite 400	Akron	OH	44304	Physician office
75 - Summa Health Group
525 E Market St Suite 3E	Akron	OH	44304	Physician office
76 - Summa Health Group
525 East Market StSuite 1-N	Akron	OH	44304	Physician office
77 - Summa Health Group
55 Arch St Suite 2A	Akron	OH	44304	Physician office
78 - Summa Health Group
55 Arch St Suite 3A	Akron	OH	44304	Physician office
79 - Summa Health Group
55 Arch St Suite 1A	Akron	OH	44304	Physician office
80 - Summa Health Group
55 Arch St Suite 1B	Akron	OH	44304	Physician office
81 - Summa Health Group
55 Arch Street Suite 2A	Akron	OH	44304	Physician office
82 - Summa Psychiatry Associates
5655 Hudson Drive Suite 305	Hudson	OH	44236	Physician office
83 - Summa Health Group
5655 Hudson Dr Suite 315	Hudson	OH	44236	Physician office
84 - Summa Health Group
60 North Ave	Tallmadge	OH	44278	Physician office
85 - Summa Health Group
621 School Dr	Wadsworth	OH	44281	Physician office
86 - Summa Health Group
75 Arch St Suite 103	Akron	OH	44304	Physician office
87 - Summa Health Group
75 Arch St Suite 104	Akron	OH	44304	Physician office
88 - Summa Health Group
75 Arch St Suite 201	Akron	OH	44304	Physician office
89 - Summa Health Group
75 Arch St Suite 202	Akron	OH	44304	Physician office
90 - Summa Health Group
75 Arch St Suite 301	Akron	OH	44304	Physician office
91 - Summa Health Group
75 Arch St Suite 302	Akron	OH	44304	Physician office
92 - Summa Health Group
75 Arch St Suite 302	Akron	OH	44304	Physician office
93 - Summa Health Group
75 Arch St Suite 402	Akron	OH	44304	Physician office
94 - Summa Health Group
75 Arch St Suite 406	Akron	OH	44304	Physician office
95 - Summa Psychiatry Associates
75 Arch St Suite 410	Akron	OH	44304	Physician office
96 - Summa Health Group
75 Arch St Suite 501	Akron	OH	44304	Physician office
97 - Summa Health Group
75 Arch St Suite 506	Akron	OH	44304	Physician office
98 - Summa Health Group
75 Arch St Suite 514	Akron	OH	44304	Physician office
99 - Summa Health Group
75 Arch St Suite B1	Akron	OH	44304	Physician office
100 - Summa Health Group
75 Arch St Suite B1	Akron	OH	44304	Physician office
101 - Summa Health Group
75 Arch St Suite G2	Akron	OH	44304	Physician office
102 - Summa Dental Center
75 Arch St Suite 303	Akron	OH	44304	Full-service outpatient dental facility
103 - Summa Health Group
75 Arch StSuite 206	Akron	OH	44304	Physician office
104 - Summa Health Group
75 Arch StSuite 407	Akron	OH	44304	Physician office
105 - Summa Health Group
75 Arch Suite 201	Akron	OH	44304	Physician office
106 - Summa Health Group
91 5th Street	Barberton	OH	44203	Physician office
107 - Summa Health Group
95 Arch St Suite 150	Akron	OH	44304	Physician office
108 - Summa Health Group
95 Arch St Suite 165	Akron	OH	44304	Physician office
109 - Summa Health Group
95 Arch St Suite 175	Akron	OH	44304	Physician office
110 - Summa Health Group
95 Arch St Suite 215	Akron	OH	44304	Physician office
111 - Summa Health Group
95 Arch StSuite 220	Akron	OH	44304	Physician office
112 - Summa Health Group
95 Arch St Suite 240	Akron	OH	44304	Physician office
113 - Summa Health Group
95 Arch St Suite 270	Akron	OH	44304	Physician office
114 - Summa Health Group
95 Arch St Suite 280	Akron	OH	44304	Physician office
115 - Summa Health Group
95 Arch StSuite 260	Akron	OH	44304	Physician office
116 - Summa Psychiatry Associates
95 Arch StSuite 260	Akron	OH	44304	Physician office
117 - Summa Health Group
95 Arch StSuite 300	Akron	OH	44304	Physician office
118 - Summa Health Group
95 Arch StSuite 350	Akron	OH	44304	Physician office
119 - Summa Health Group
AES Building 388 South Main Suite	Akron	OH	44311	Physician office	201
120 - LABCARE PLUS
165 FIFTH STREET SE STE A	BARBERTON	OH	44203	LAB
121 - LABCARE PLUS
201 FIFTH STREET NE SUITE 4	BARBERTON	OH	44203	LAB
122 - LABCARE PLUS
3869 DARROW RD STE 208	STOW	OH	44224	LAB
123 - LABCARE PLUS
600 PORTAGE TRAIL	CUYAHOGA FALLS	OH	44221	LAB
124 - LABCARE PLUS
754 S CLEVELAND AVE STE 100	MAGADORE	OH	44260	LAB
125 - LABCARE PLUS
908 E WATERLOO RD	AKRON	OH	44603	LAB

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 determined using Summa Health's cost accounting system. 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 $23,192,389.
Part II, Community Building Activities:	Describe how Community Building Activities promote the health of the community:Summa Health addresses various community concerns including health improvement, poverty, 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.
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, 14. 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:Any Medicare shortfall incurred by Summa Health is not reported as a 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, CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON, THE UNITED WAY, SOCIAL SERVICES ADVISORY BOARD OF SUMMIT COUNTY, AND CLEVELAND CLINIC -AKRON GENERAL MEDICAL CENTER.
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 APPROPRIATE AREAS. THE NOTICES SPECIFY THE RIGHTS OF INDIVIDUALS TO RECEIVE WITHOUT CHARGE, BASIC MEDICALLY NECESSARY HOSPITAL-LEVEL SERVICES. A FINANCIAL COUNSELOR WHO IS ASSIGNED TO PATIENTS AT THE POINT OF ADMISSION REVIEWS THE AVAILABILITY OF FINANCIAL ASSISTANCE PROGRAMS AND ASSISTS WITH THE APPLICATION IF REQUESTED. THE SUMMA WEBSITE PROVIDES INFORMATION REGARDING FINANCIAL ASSISTANCE. CUSTOMER SERVICE REPRESENTATIVES PROVIDE FINANCIAL COUNSELING WITH EXPLANATION OF ASSISTANCE PROGRAMS TO PATIENTS WHO CALL. EVERY PATIENT BILLING STATEMENT CONTAINS CONTACT INFORMATION AND INSTRUCTIONS TO LEARN ABOUT AND APPLY FOR FINANCIAL ASSISTANCE, AND INCLUDES AN APPLICATION FOR FINANCIAL ASSISTANCE.
Part VI, Line 4:	Community information:BASED ON 2018 PATIENT ADMISSION DATA, SUMMA HEALTH CARE DELIVERY IS PRIMARILY IN SUMMIT COUNTY. SUMMIT COUNTY REPRESENTS 75% OF THE 2018 ADMISSIONS FROM SUMMA HEALTH. WHILE SUMMA ALSO TREATS PATIENTS FROM MEDINA, NORTHERN STARK, AND WAYNE COUNTIES, MOST PATIENTS COME FROM SUMMIT COUNTY. THERE ARE 541,372 PEOPLE LIVING IN SUMMIT COUNTY. 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 20.4% PERCENT OF THE POPULATION IS NON WHITE, COMPARED TO 18.1% IN THE STATE. EDUCATIONAL ATTAINMENT IS SLIGHTLY HIGHER IN SUMMIT COUNTY THAN THE STATE OF OHIO, WITH 91% HAVING A HIGH SCHOOL DIPLOMA OR HIGHER AND 30.7% HAVING A BACHELOR'S DEGREE OR HIGHER. SIMILARLY, ANNUAL PER CAPITA INCOME IN SUMMIT COUNTY IS SLIGHLTY HIGHER THAN THE STATE OF OHIO, THE PERCENT OF SUMMIT COUNTY RESIDENTS LIVING IN POVERTY IS 14.3%. OF THE HOUSEHOLDS IN SUMMIT COUNTY 48.4% MAKE LESS THAN $50,000 ANNUALLY AND 13.1% OF HOUSEHOLDS MAKE LESS THAN $15,000 ANNUALLY RESPECTIVELY. FOR THE CALENDAR YEAR 2018, THE AVERAGE MONTHLY UNEMPLOYMENT RATE FOR SUMMIT COUNTY WAS 4.7% RESPECTIVELY. LOW INCOMES AND AN ESSENTIALLY STAGNANT UNEMPLOYMENT RATE ADD TO SUMMA'S BURDEN FOR CHARITY CARE. DESPITE THESE CHALLENGES, DEMAND FOR SUMMA'S SERVICES IN THESE COMMUNITIES IS PROJECTED TO GROW. WHILE THE TOTAL POPULATION OF SUMMIT COUNTY IS EXPECTED TO DECLINE (BY -1.2%), OVER THE 5-YEAR PERIOD 2013-2018. 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:AMONG THE WAYS THE HOSPITALS WITHIN SUMMA HEALTH PROMOTE THE HEALTH OF THE COMMUNITY ARE BY MAINTAINING AN OPEN MEDICAL STAFF AND A COMMUNITY ENGAGEMENT COMMITTEE (COMMUNITY BENEFIT COMMITTEE). SUMMA'S HOSPITALS ADDRESS HEALTH DISPARITIES THROUGH PRACTICE, RESEARCH, EDUCATION AND COLLABORATION WITH OTHER COMMUNITY ORGANIZATIONS. CONTRIBUTIONS, BOTH FINANCIAL AND IN-KIND, ARE MADE TO INITIATIVES AND PROGRAMMING (I.E. FEDERALLY QUALIFIED HEALTH CENTER, OPEN M, CENTER FOR COMMUNITY HEALTH IMPROVEMENT) THAT ARE DEEMED TO PROMOTE THE HEALTH, WELLNESS AND IMPROVED QUALITY OF LIFE FOR THE COMMUNITIES SUMMA HEALTH SERVES.
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 2018, 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 251-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 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 APPROXIMATELY 71,000 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 1,500 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, 14,000 PRIMARY CARE PROVIDERS, 25,000 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 NEARLY 300 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 for 2018. 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 (11 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
AMERICAN HEART ASSOCIATION
3505 EMBASSY PARKWAY STE 100	AKRON	OH	44333	135613797	501(C)(3)	$27,500	Prevention, Wellness, Access to Care and Health Disparities, RESEARCH AND EDUCATION
CITY OF AKRON
166 SOUTH HIGH STREET	AKRON	OH	44308	346000020	Governmental	$10,000	HEALTH EQUITY
THE UNIVERSITY OF AKRON
302 BUCHTEL COMMON	AKRON	OH	44301	346002924	Governmental	$6,000	EDUCATIONAL
SUSAN G KOMEN FOR THE CURE
26210 EMERY ROAD	CLEVELAND	OH	44128	751835298	501(C)(3)	$20,000	Prevention, Wellness, Access to Care and Health Disparities, CANCER WELLNESS SUPPORT
AKRON COMMUNITY FOUNDATION
345 WEST CEDAR STREET	AKRON	OH	44307	341087615	501(C)(3)	$8,000	Prevention, Wellness and Health Disparities
STEWARTS CARING PLACE
2955 WEST MARKET STREET	AKRON	OH	44333	200181338	501(C)(3)	$10,000	Prevention, Wellness, Access to Care and Health Disparities
AMERICAN CANCER SOCIETY
525 NORTH BROAD STREET	CANFIELD	OH	44406	251798733	501(C)(3)	$15,000	PREVENTION, WELLNESS, ACCESS TO CARE, HEALTH DISPARITIES AND CANCER RESEARCH
YMCA of Akron
50 SOUTH MAIN STREET STE LL 100	AKRON	OH	44308	340714727	501(C)(3)	$10,000	Prevention, Wellness and Health Disparities
AKRON URBAN LEAGUE
440 VERNON ODOM BOULEVARD	AKRON	OH	44307	340714520	501(C)(3)	$11,500	Prevention, Wellness, Access to Care and Health Disparities
HABITAT FOR HUMANITY
2301 ROMIG ROAD	AKRON	OH	44320	341518873	501(C)(3)	$7,500	Prevention, Wellness and Health Disparities
STEPHEN A COMUNALE JR FAMILY CANCER FOUNDATION
C/O 2900 NEWPARK DRIVE	BARBERTON	OH	44203	204345267	501(C)(3)	$15,000	Prevention, Wellness, Access to Care and Health Disparities

Field	Value	IRS element (for citing)
Total501c3 Org	11	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)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Housing Allowance Or Residence	Yes (X)	HousingAllowanceOrResidenceInd
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
T Clifford Deveny MD
CEO SHS, Director SHS & SF	$0	$884,308	$0	$425,000	$0	$193,271	$0	$7,626	$0	$25,317	$0	$1,535,522	$0	$0
Peter Bittenbender MD
DIR. SHS & DIR. SHMG	$665,811	$0	$44,018	$0	$1,170	$0	$8,250	$0	$8,512	$0	$727,761	$0	$0	$0
Lynn Hamrich MD
DIRECTOR SHS	$261,545	$0	$0	$0	$1,286	$0	$8,025	$0	$16,311	$0	$287,167	$0	$0	$0
PHYLIS FERRARA
PRESIDENT & CDO, SF	$320,320	$0	$0	$0	$80,597	$0	$9,625	$0	$11,566	$0	$422,108	$0	$0	$0
Lydia Cook MD
President Summa Health Medical Group	$409,069	$0	$0	$0	$100,365	$0	$9,625	$0	$8,807	$0	$527,866	$0	$0	$0
BRIAN DERRICK
SVP CFO, TR. SHS & SHMG, Asst. TR SF	$0	$37,227	$0	$0	$0	$1,376,544	$0	$1,052	$0	$21,204	$0	$1,436,027	$0	$0
KEITH T COLEMAN
SVP CFO, TR. SHS & SHMG, Asst. TR SF	$0	$221,348	$0	$0	$0	$41,377	$0	$0	$0	$9,126	$0	$271,851	$0	$0
ROBERT A GERBERRY
SHS SEC./SR. VP G.Counsel, SF Secret	$0	$351,965	$0	$0	$0	$83,592	$0	$9,625	$0	$21,347	$0	$466,529	$0	$0
THOMAS P O'NEILL
VP, CFO SHS, Assistant Tresurer	$0	$374,296	$0	$0	$0	$86,343	$0	$7,321	$0	$17,065	$0	$485,025	$0	$0
David Custodio MD
President, SHS	$402,743	$0	$0	$0	$98,446	$0	$9,625	$0	$23,053	$0	$533,867	$0	$0	$0
Michael Hughes MD
President Summa Barberton	$354,089	$0	$0	$0	$87,148	$0	$9,625	$0	$16,244	$0	$467,106	$0	$0	$0
Lori Rhine RN
VP, CNO Akron & St. Thomas	$241,265	$0	$0	$0	$2,879	$0	$8,575	$0	$22,037	$0	$274,756	$0	$0	$0
Tammy Scarborough
President Ambulatory Care & Clinical	$0	$324,269	$0	$0	$0	$76,133	$0	$8,094	$0	$9,085	$0	$417,581	$0	$0
MARK POZSGAY DO
ClINICAL PHYSICIAN - SHMG	$906,111	$0	$320,425	$0	$1,200	$0	$4,125	$0	$32,759	$0	$1,264,620	$0	$0	$0
JOHN G ZOGRAFAKIS MD
clinICAL PHYSICIAN - SHMG	$876,158	$0	$206,026	$0	$1,350	$0	$8,079	$0	$27,026	$0	$1,118,639	$0	$0	$0
ERIC A ESPINAL MD
CliniCAL PHYSICIAN - SHMG	$900,304	$0	$101,000	$0	$690	$0	$4,125	$0	$30,762	$0	$1,036,881	$0	$0	$0
Derek Klaus MD
CLINICAL PHYSICIAN - SHMG	$593,037	$0	$445,879	$0	$1,170	$0	$5,425	$0	$28,514	$0	$1,074,025	$0	$0	$0
Anand Desai MD
CLINICAL PHYSICIAN - SHMG	$602,078	$0	$362,148	$0	$1,170	$0	$4,125	$0	$5,858	$0	$975,379	$0	$0	$0
MARY WARD
Former SR VP CNO SHS	$0	$27,298	$0	$0	$0	$379,036	$0	$0	$0	$0	$0	$406,334	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 1a	Travel for companions: Spousal travel was paid on behalf of one director. The amount is recognized as additional taxable compensation. Tax indemnification and gross-up payments: Summa Health System grossed up taxes for supplemental executive retirement programs paid to seven officers, and two key employees. The amount of the gross up is recognized as additional taxable compensation. Housing allowance: A housing allowance was paid on behalf of one officer. The amount 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 1, Line 4A Severance or Change-of-control payment: In 2018, the following listed persons received severance payments and benefits from the organization or from a related organization: Brian K. Derrick $1,124,947, Mary Ward $378,828. Severance amounts are treated as taxable compensation. Part 1, Line 4b Supplemental non-qualfied retirement plan A Supplemental executive retirement plan is to provide key employees with addiitional compensation to supplement their retirement benefits and mitigate effects of qualified retirment plan limits. The following listed persons received benefits from the organization or from a related organization: T. Clifford Deveny, MD $161,084, Phylis Ferrara $75,235, Lydia Cook, MD $95,778, Brian Derrick $249,160, Keith T. Coleman $37,836, Robert A. Gerberry $81,793, Thomas P. O'Neill $80,133, David Custodio, MD $93,881, Michael Hughes, MD $81,271, Tammy Scarborough $74,447.
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	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
Ohio Higher Educational Facility Commission
A	346849674	67756AY89	2010-05-11	$180,125,341	See Part VI	Yes (1)	0	0
Akron Bath and Copley Jt Twp Hosp Dist
B	341448680		2012-07-25	$32,509,635	see Part VI	0	0	0
See Schedule K Part VI
C	341448680		2014-10-02	$145,250,000	see Part VI	0	0	0
Akron Bath and Copley Jt Twp Hosp Dist
D	341448680	009730NX6	2016-12-16	$204,934,207	see Part VI	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Credit EnhancementCreditEnhancementAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	RetiredRetiredAmt	Other Spent ProceedsOtherSpentProceedsAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt
A	$24,495,000	$180,162,106	$17,210,123	$3,004,911	$4,929,857	$154,030,731	2012	Yes (1)	0	Yes (1)	Yes (1)
B		$32,509,635					2012	Yes (1)	0	Yes (1)	Yes (1)	$16,503,574	$32,509,635
C		$145,250,000		$795,890			2008	Yes (1)	0	Yes (1)	Yes (1)	$53,405,000	$144,454,110
D		$205,384,474		$1,874,244		$100,525,342	2019	Yes (1)	Yes (1)	0	Yes (1)	$4,680,000	$76,157,754	$26,625,195	$201,939

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
A	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00300	0.00100	0.00400	0	Yes (1)
C	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.03500	0.00500	0.04000	0	Yes (1)
D	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00600		0.00600	Yes (1)	Yes (1)	0.05800	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	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line2GICProviderName/BusinessNameLine2Txt	Term Of GICTermOfGICPct	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd
Morgan Stanley &
A	0	0	0	Yes (1)	0	0	Yes (1)	Company	2.200000000000	Yes (1)	0	Yes (1)
RBS Citizens Bank
B	0	0	Yes (1)	0	Yes (1)	Yes (1)	0				0	Yes (1)	12.000000000000	0	0
See Schedule K VI
C	0	0	Yes (1)	0	Yes (1)	Yes (1)	0				0	Yes (1)	20.000000000000	0	0
See Schedule K VI
D	0	Yes (1)	0	0	0	0	Yes (1)		1.000000000000	Yes (1)	0	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 (19 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Date Rebate Computation Performed	Issuer Name: Ohio Higher Educational Facility Commission Date the Rebate Computation was Performed: 05/11/2013
Schedule K	Akron, Bath and Copley Joint Township Hospital District Series 2017 Bonds: An additional Schedule K is included to provide for the issuance of the Series 2017 Bonds and the Series 2018 Bonds.
Schedule K, Part I, Line A, Column (f)	Ohio Higher Educational Facility Commission Series 2010 Bonds: The purposes of the Series 2010 Bonds were to (1) currently refund a taxable loan to Summa Barberton Citizens Hospital under a line of credit, the proceeds of which were used to acquire hospital facilities, (2) currently refund a taxable loan to Summa Akron City and St. Thomas Hospitals, the proceeds of which were used for certain capital expenditures, (3) construct and equip hospital facilities, (4) acquire, construct, and equip parking facilities, nursing facilities, administrative facilities, ambulatory care facilities, and medical equipment, and (5) pay issuance costs.
Schedule K, Part I, Line B, 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 C, Column (a)	Akron, Bath and Copley Joint Township Hospital District Series 2014 Bonds: The 2014 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 Refunding Revenue Bonds, Series 2014A (Summa Health System Obligated Group) issued in the original principal amount of $93,685,000 (the "Series 2014A Bonds"), (2) Akron, Bath and Copley Joint Township Hospital District, Ohio Hospital Facilities Refunding Revenue Bonds, Series 2014B (Summa Health System Obligated Group) issued in the original principal amount of $37,890,000 (the "Series 2014B Bonds"), and (3) 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 issued on October 2, 2014, and the Series 2014B Bonds were issued on November 18, 2014. 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 C, Column (f)	Series 2014A Bonds, Series 2014B Bonds, and Series 2014 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 purposes of the Series 2014B Bonds were to (1) currently refund the Series 2004A Bonds, which were issued to (a) construct and equip a critical care pavilion, (b) construct and equip other hospital facilities, (c) refund prior issues with the following issue dates: (I) July 1, 1999, (II) July 28, 2000, and (iii) March 12, 2002, (d) fund a debt service reserve for Series 2004A Bonds, and (e) pay issuance costs, (2) fund capitalized interest on the Series 2014B Bonds. 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 D, 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 Series 2014B Bonds, (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 II, Column A, 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 A, Column (e) is due to investment proceeds of the issue.
Schedule K, Part II, Column A, Line 4	Total Proceeds of Issue - Column A: A portion of the reserve fund of this issue was deposited into an escrow fund in connection with the advance refunding of a portion of this issue with the Series 2016 Bonds.
Schedule K, Part II, Column D, Line 3	Total Proceeds of Issue - Column D: The difference between the total proceeds of the issue and the issue price provided in Part I, Line 4, 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 D, Line 7	Issuance Costs from Proceeds - Column D: The issuance costs of the issue provided in Part II, Line 7, Column D 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 III, Column D, 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 IV, Column C, Line 4b	Name of Hedge Provider: Series 2014A Bonds: Goldman Sachs Bank USA. Development Finance Authority Series 2014 Bonds: PNC Bank, National Association.
Schedule K, Part IV, Column C, Line 4c	Term 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 IV, Column A, Line 2c	Rebate Calculation: The calculation for computing no rebate due was performed on 05/11/2013.
SCHEDULE K, PART IV, COLUMN A, LINE 5B	Name of GIC Provider: Morgan Stanley & Company Incorporated
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 B	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 II, Column A, Line 3	Akron, Bath and Copley Joint Township Hospital District Series 2018 Bonds: Total Proceeds of Issue - Column A The difference between the total proceeds of the issue and the issue price provided in Part I, Line A, 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
Akron Bath and Copley Jt Twp Hosp Dist
A	341448680	2017-12-22	$140,000,000	see Part VI	0	0	0
Akron Bath and Copley Jt Twp Hosp Dist
B	341448680	2018-05-15	$16,252,805	see Part VI	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Capitalized InterestCapitalizedInterestAmt	Capital ExpendituresCapitalExpendituresAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$142,450,805	$545,000	$80,796,809	$61,653,807	2019	0	0	0	Yes (1)
B	$16,252,805			$16,252,805	2019	0	0	0	Yes (1)

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
A	0	0	Yes (1)	Yes (1)	0	0.00000	0.00000	0.00000	0	0	Yes (1)
B	0	0	Yes (1)	Yes (1)	0	0.00000	0.00000	0.00000	0	0	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	Business Name Line2GICProviderName/BusinessNameLine2Txt	Term Of GICTermOfGICPct	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
Natixis Funding
A	0	Yes (1)	0	0	Yes (1)	0	Yes (1)	Corp	1.100000000000	Yes (1)	0	Yes (1)
(no name)
B	0	Yes (1)	0	0	0	0	0				0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 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 entites.
Form 990, Part VI, Section A, line 1	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") - 16 - 13 Summa Foundation ("SF") - 20 - 18 Summa Physicians, Inc. dba Summa Health Medical Group ("SHMG") - 3 - 2 Totals for Group return - 39 - 33 All of the organizations listed above are subordinates under the control of Summa Health ("SH"). As of December 31, 2018, SH had 16 voting directors, 13 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: Aris Teleradiology Holdings, Inc.: Thomas O'Neill, Tammy Scarborough Select Specialty Hospital, LLC: Thomas O'Neill, Mark Terpylak, DO, Lori Rhine, RN Summa Rehab Hospital: Thomas O'Neill, Mark Terpylak, DO, Tammy Scarborough, David Custodio, MD 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, Lydia Cook, MD, Michael Hughes, MD 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: Ohio Health Choice: Robert Gerberry, Thomas O'Neill, Mark Terpylak, DO Summa Management Services Org.: Keith Coleman, Robert Gerberry SummaCare and Summa Insurance Company: T. Clifford Deveny, MD, Anthony Lockhart, Jeffrey Copeland, Robert Gerberry, Thomas O'Neill, Lydia Cook, MD Michael M. Hughes, M.D., and Thomas P. O'Neill business relationship Thomas P. O'Neill, Lorie Rhine business relationship 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 and the President of Summa Foundation serve as directors of Summa Foundation. Summa Physicians, Inc. dba Summa Health Medical Group: Summa Physicians, Inc. is affiliated with Summa Health System and only persons approved by Summa Health System or employed by Summa Health System or an affiliated entity may serve as a director of Summa Physicians, Inc.
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 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)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 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 N/A
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 October 4, 2019. 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 2019 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: 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. For the past nine years, the Compensation Committee has used Kron Ferry, fka Hay Group, a nationally recognized consulting firm, to assist their efforts. The 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, Legal Services & General Counsel Senior Vice President, Strategy & Performance Management Senior Vice President, IT&S & CIO Senior Vice President, Human Resources President, SummaCare Senior Vice President, Population Health, President, ACO/NHC Summa Health System: President, Akron & St. Thomas President, Summa Barberton President, Ambulatory Care and Clinical Service Lines Vice President & CFO Summa Health System Summa Foundation: President Summa Physicians, Inc. dba Summa Health Medical Group: President
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 X, Balance sheet	Beginning of year balances for Part X, line 2 Savings and temporary cash investments and Line 15 Other assets have been restated to report net receivables from affiliates consistent with the current year's presentation. The result of the classification change had no impact on Unrestricted Net Assets.
Form 990, Part XI, line 9:	Pension Liability Adjustment -4995000. Post Retirement Benefit Adjustment -190000. Net assets released from restriction 248000. Net asset contribution to(from) affiliated organization 455000. Change in Permanently restricted net assets -39286. Other Changes in Net Assets - adjustments -2200.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 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

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	$14,722,760	$2,505,360	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	$18,076,800	$5,575,800	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	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
Ohio Health Choice Inc
1077 Gorge Blvd	Akron	OH	443092090	341895396	PPO	OH	Summa Health System Corp	C	0
Summa Insurance Company Inc
10 North Main Street	Akron	OH	44308	341809108	Prop/Cas Ins	OH	SUMMACARE INC	C	0
Summa Health System Corp
1077 Gorge Blvd	Akron	OH	443092090	341515252	Mgmt Svcs	OH	Summa Health	C	0
Wadsworth Rittman Hos Prof Svc Corp
195 Wadsworth Rd	Wadsworth	OH	44281	010842997	Prof Med Svcs	OH	Summa Health System Corp	C	0
Middlebury Assurance Company
				980405096	Self Insurance		Summa Health	C	0	PO Box 1051 KY1-1102	Grand Cayman	CJ	CJ
Summacare Inc
10 North Main Street	Akron	OH	44308	341726655	Prop/Cas Ins	OH	SUMMA HEALTH SYSTEM CORP	C	0
Aris Teleradiology Holdings Inc
5655 Hudson Drive Suite 210	Hudson	OH	44236	453697866	Radiology Svc	OH	Summa Health System	C	Yes (1)					$31,158,502	$17,913,966	0.58800
Summa Accountable Care Organization
1077 Gorge Blvd	Akron	OH	443092090	273857055	Contracting	OH	Summa Health	C	0
Health Care Centers Physicians Inc
1900 23rd Street	Cuyahoga Falls	OH	44223	341692767	Inactive	OH	Summa Health System Corp	C	0
Summa Management Services Organization
10 North Main Street	Akron	OH	44308	461145832	Mgmt Svcs	OH	Summa Health System Corp	C	0
Summa Integrated Services Organization
10 North Main Street	Akron	OH	44308	461159251	Mgmt Svcs	OH	Summa Health System Corp	C	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (1)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	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	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	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	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (11 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Summa Rehab Hospital LLC
A	$2,524,310	FMV
SUMMACARE INC
L	$57,861,116	FMV
SUMMACARE INC
L	$8,696,134	FMV
SUMMA INSURANCE COMPANY INC
L	$22,496,405	FMV
SUMMA INSURANCE COMPANY INC
L	$1,925,327	FMV
SUMMACARE INC
L	$525,000	FMV
Summa Rehab Hospital LLC
L	$671,020	FMV
SUMMACARE INC
M	$1,770,231	FMV
Middlebury Assurance Company
M	$6,772,077	FMV
Middlebury Assurance Company
M	$3,001,888	FMV
Summa Integrated Services Organization
M	$1,769,912	FMV