2019-11-15T09:19:25-06:00 2018-12-31 346565596 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE SUITE 4000 INDIANAPOLIS IN 46204 990 2018-01-01 341887844 SUMMA HEALTH SUMM 2343125867 1077 GORGE BLVD AKRON OH 44310 Keith T Coleman SR VP, CFO, TREAS 2343125867 2019-11-15 1 JENNIFER D RHODERICK P00395735 3176817000 199.52.13.132 2019-11-15 09:19:20 ES P 10D40757338076D52CC4237D125AC571E9019363 7C60462F21CDFFB40771A052A0B004FBCDB53576 2018 2020-03-31 21:24:44Z T CLIFFORD DEVENY MD 1077 GORGE BLVD AKRON OH 44310 261432573 0 5864 X WWW.SUMMAHEALTH.ORG X 1999 OH THE MISSION OF SUMMA HEALTH IS TO PROVIDE THE HIGHEST QUALITY, COMPASSIONATE CARE TO OUR PATIENTS AND TO CONTRIBUTE TO A HEALTHIER COMMUNITY. 16 13 863 15 589547 0 9211797 5972649 159692466 132288548 27516890 17329933 495370 1209424 196916523 156800554 499855 481402 0 0 65157140 64510337 0 0 0 85552392 82776416 151209387 147768155 45707136 9032399 987791222 992669368 356144477 410491431 631646745 582177937 THE MISSION OF SUMMA HEALTH IS TO PROVIDE THE HIGHEST QUALITY, COMPASSIONATE CARE TO PATIENTS AND MEMBERS AND CONTRIBUTE TO A HEALTHIER COMMUNITY. 0 0 121528030 480802 131238110 Summa Health directs and supports the programs and activities of the consolidated Summa Health entities so that all Summa Health resources and assets are best allocated and utilized for the benefit of the community. Summa Health represents the collaborative efforts of health care providers to better administer, manage, provide and plan for the delivery of a full-range of health care services to all persons within the communities served by Summa Health without regard to the race, sex, creed, color, national origin or economic status of such persons. See Summa Health Group Return (EIN 90-0640432) for further details. 2345214 600 1931674 Summa Health Network, LLC, a disregarded entity of Summa Health, partners with community physicians, regional and national payers to improve the clinical quality and efficiency of care, lower the cost of care to patients and employers and assist physicians with technology and resources necessary to achieve these goals. 123873244 1 1 0 1 0 0 0 1 0 1 1 0 0 0 1 1 0 1 0 0 1 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 0 0 1 523 0 1 863 1 1 1 1 CJ 0 0 0 1 1 0 0 0 0 1 0 X 16 13 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 OH X X Keith T Coleman 2343125871 1077 GORGE BLVD PO BOX 2090 AKRON OH 443092090 NICHOLAS BROWNING DIRECTOR 2.00 2.00 X 0 0 0 Stephen Comunale DIRECTOR 2.00 2.00 X 0 0 0 Anton Decker DIRECTOR (End 11/2018) 2.00 2.00 X 0 0 0 T Clifford Deveny MD President & CEO 46.00 4.00 X X 1502579 0 32943 Barbara Faciana DIRECTOR 2.00 2.00 X 0 0 0 Philip Kaufmann DIRECTOR 2.00 2.00 X 0 0 0 ANTHONY LOCKHART DIRECTOR & CHAIRMAN 2.00 2.00 X X 0 0 0 JAMES MCILVAINE DIRECTOR 2.00 4.00 X 0 0 0 George Strickler DIRECTOR (Start 5/2018) 2.00 4.00 X 0 0 0 LEILA VESPOLI DIRECTOR (End 3/2018) 2.00 2.00 X 0 0 0 Peter Bittenbender MD DIRECTOR 2.00 52.00 X 0 710999 16762 Lynn Hamrich MD DIRECTOR 2.00 52.00 X 0 262831 24336 Costas Kefalas MD DIRECTOR 2.00 2.00 X 0 0 0 DARYL CAMERON DIRECTOR 2.00 2.00 X 0 0 0 Jeffrey Copeland DIRECTOR 2.00 2.00 X 0 0 0 JAMES KRAVEC MD DIRECTOR 2.00 2.00 X 0 0 0 Jason Seigert DIRECTOR (Start 11/2018) 2.00 2.00 X 0 0 0 ROBERT SHRODER DIRECTOR 2.00 2.00 X 0 0 0 BRIAN DERRICK Treasurer, Sr VP, CFO (End 1/2018) 46.00 4.00 X 1413771 0 22256 KEITH T COLEMAN Treasurer, Sr VP, CFO (Start 10/2018) 46.00 4.00 X 262725 0 9126 ROBERT A GERBERRY SECRETARY/GENERAL COUNSEL 46.00 4.00 X 435557 0 30972 TANYA ARTHUR SR. VP, CIO (START 1/2018) 50.00 0.00 X 613273 0 13130 THOMAS P O'NEILL VP, CFO SHS 4.00 46.00 X 460639 0 24386 MARK TERPYLAK DO SR. VP POPULATION HEALTH 4.00 46.00 X 0 496869 30570 Benjamin P Sutton Sr. VP Strategy & Performa 50.00 0.00 X 408807 0 32919 Lorraine Washington Sr. VP Human Resources 50.00 0.00 X 394061 0 23427 TAMMY SCARBOROUGH President Ambulatory Care & Clinical Care Services 4.00 46.00 X 400402 0 17179 JUSTIN CATLETT MD CHIEF MEDICAL INFORMATION OFFICER 4.00 46.00 X 243935 0 25896 CYNTHIA S KELLEY DO VP MEDICAL EDUCATION 0.00 50.00 X 288641 0 22396 Ed Friedl VP, Construction 50.00 0.00 X 225823 0 29778 JEFFREY PRICE PRESIDENT NHC 50.00 0.00 X 224881 0 32031 MARY WARD Former SR. VP, CNO 0.00 1.00 X 406334 0 0 7281428 1470699 388107 87 1 1 0 Mercy Health 4600 MCAuley PL Cincinnati OH 45242 IT & EMR SERVICES 9674313 PROFESSIONAL ANESTHESIA SERVICE 190 NORTH UNION STREET AKRON OH 44304 MEDICAL SERVICES 7052843 CERNER CORPORATION 2800 ROCKCREEK PARKWAY N KANSAS CITY MO 64117 IT&S SERVICES 4371483 EMERGENCY MEDICAL PHYSICIANS 4535 Dressler Rd NW Canton OH 44718 MEDICAL SERVICES 4275562 HASENSTAB ARCHITECTS INC 190 NORTH UNION STREET STE 400 AKRON OH 44304 ARCHITECT SERVICES 3822138 280 1159800 4812849 244689 5972649 Corporate Allocation F 900099 134110641 134110641 Healthcare Revenue 524298 1931674 1931674 RESEARCH 541700 684310 684310 Rental Income from Aff 900099 658206 148548 509658 Program Related Invest 900099 -5162036 -5241925 79889 65753 65753 132288548 17781614 17781614 48968 0 48968 48968 48968 103382851 278498 104113030 0 -730179 278498 -451681 -451681 154780 1159800 518989 -364209 -364209 SHARED SAVINGS PERFORM 900099 881238 881238 Purchase Discounts/Fee 900099 234819 234819 408608 408608 1524665 156800554 132580239 589547 17658119 X 421074 421074 60328 60328 6086905 3161538 2925367 432665 224726 207939 47434134 39844673 7589461 835939 752345 83594 6372473 5735226 637247 3348221 3013399 334822 150601 135541 15060 1321255 1321255 507447 507447 23448 23448 799700 799700 19348888 16253066 3095822 5374526 4837073 537453 6625948 5963353 662595 26549435 23894491 2654944 1525260 1372734 152526 247286 222557 24729 574109 516698 57411 290739 261665 29074 14504302 13053872 1450430 1660452 1494407 166045 Tax Expense 357830 357830 Dues & Licenses 308040 308040 Recruitment 225946 203351 22595 2381204 2143087 238117 147768155 123873244 23894911 0 X 90203063 137764858 15384902 15977464 1013828 1251210 259363 356530 929977 508332 4353127 4517115 102421692 54247672 54589069 48174020 764092253 702703026 0 34435305 55256436 45003137 1709204 1978371 987791222 992669368 57288521 56236680 1459204 1209204 706250 569375 296690502 352476172 356144477 410491431 X 585726574 539465604 23228216 20788836 22691955 21923497 631646745 582177937 987791222 992669368 X 9032399 -43386677 -15114528 X X 0 1 X 1 1 1 X X 2 Summa Health System 340714755 3 0 0 0 Summa Foundation 341219001 7 1 0 0 2 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 Part IV, Section A, Line 1 Summa Foundation is designated as a supported organization by name. The Articles of Incorporation designates the other supported organizations, by class and purpose, to include any other hospital, health care provider or other entity that qualifies as a publicly supported organization within the meaning of sections 509(a)(1) or 509(a)(2) of the Internal Revenue Code, that is affiliated with the integrated health care delivery system operated and managed by Summa Health, and that is related to Summa Health in a manner described in section 509(a)(3) of the Internal Revenue Code. Part IV, Section A, Line 6 In 2018 Summa Health provided support to The University of Akron, The Akron Area YMCA, Stewarts Caring Place and Stephen A Comunale Jr Family Cancer Foundation for mission support. These organizations provide direct support to patients of Summa Health System, a support organization of Summa Health. Part IV, Section C, Line 1 The management of the supporting and the supported organizations resides in the same management group. The Summa Health President and CEO serves as a director for both Summa Health and the supported organizations. The individual who holds the Summa Health CFO position is an officer for both Summa Health and each of the supported organizations, and the individual who serves as Secretary and General Counsel is an officer for both supported organizations. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 50893 0 0 50893 0 Part II-B, Line 1: In 2018, Summa Health Board Members, Management, Physicians and Staff interacted with elected officials and their staff to; inform them about our search for a strategic partner; about the importance of 340B to our mission as a community-focused hospital; to advocate for scope of practice changes at the state level in the nurse anesthetist specialty; to inform regulators about the impacts of the international drug pricing model and the refined Medicare Accountable Care Organization regulations on our system; to fight against proposed hospital rate cuts in Medicaid; to combat the opioid addiction crisis and to fight infant mortality; to discuss improvements and refinements in the Medicaid managed care program in the state; and to discuss the state's behavioral health redesign. Publications and media advertisements include the costs of maintaining a website for the Akron Canton Medicaid Coalition. 519167 519167 X 0 22691956 -86257 -682201 21923498 20437936 426808 1827212 22691956 19720810 66105 651021 20437936 19966435 313575 -559200 19720810 17564266 1927171 474998 19966435 1.00000 0 0 2454325 2454325 15708618 3800429 11908189 19978 19978 77293366 50345046 26948320 6945405 102197 6843208 48174020 SHORT TERM CAPITAL LEASE OBLIGATIONS 764413 CONTINGENCY PLANNING 7147159 LONG TERM CAPITAL LEASE OBLIGATIONS 2448082 Other accrued taxes 407859 PAYABLES TO RELATED ORGANIZATIONS 341708659 352476172 X Part III, Line 4: Summa Health's vision is to create a healthcare environment that surrounds and connects patients, visitors and staff with the healing powers of the arts. The acquisition of art through donations for permanent displays in Summa Health's new patient tower, contributes to the healing environment for both patients and caregivers. Summa Health will study the impact of the healing arts on patient outcomes and share results to improve care and serve as a national model. Part V, Line 4: Endowment funds provide income to be used to fulfill the tax-exempt purposes of Summa Foundation. Part X, Line 2: Summa Health and most of its subsidiaries are not-for-profit corporations as described in Section 501(c)(3) of the Internal Revenue Code (the Code) and are exempt from federal income taxes pursuant to Section 501(a) of the Code. Summa also has certain subsidiaries that are taxable for federal income tax purposes. Summa Care ("SC"), together with affiliates of Summa Health System Corporation ("SHSC"), files a consolidated federal income tax return in accordance with a tax sharing agreement dated January 1, 2010. The entities utilize a consolidated approach to the allocation of federal income taxes, whereas SHSC's tax sharing agreement with its subsidiaries allows it to make certain Code elections in its consolidated federal tax return. In the event such Code elections are made, any benefit or liability is the responsibility of SHSC and is accrued and paid by the participating subsidiaries. SC is not subject to state income taxes 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. Central America and the Caribbean 0 0 Program Services WHOLLY-OWNED FOREIGN INSURANCE COMPANY FOR SELF INSURANCE 44329352 Central America and the Caribbean 0 0 INVESTMENT 208569 0 0 0 0 0 0 44537921 0 44537921 1 0 1 1 1 0 Part I, line 3: Method to account for expenditures on organization's financial statements: CENTRAL AMERICA AND THE CARIBBEAN: ACCRUAL SCHEDULE F, PART I, LINE 3(F) PROGRAM SERVICE ACTIVITY: $43,723,239 INVESTMENTS 606,113 EXPENSES $44,329,352 TOTAL Gala 1098815 979135 119680 56392 115268 203000 50524 Golf Outing 215765 180665 35100 3400 16876 2085 24481 44640 2323 1314580 1159800 154780 3400 16876 58477 139749 247640 52847 518989 -364209 1 YMCA of Akron 50 SOUTH MAIN STREET STE LL 100 AKRON OH 44308 340714727 501(C)(3) 120000 MISSION SUPPORT University of Akron 302 Buchtel Common AKRON OH 44301 346002924 Governmental 250000 Construction of University stadium and naming rights STEPHEN A COMUNALE JR FAMILY CANCER FOUNDATION C/O 2900 NEWPARK DRIVE BARBERTON OH 44203 204345267 501(C)(3) 6813 MISSION SUPPORT STEWARTS CARING PLACE 2955 W MARKET STREET AKRON OH 44333 200181338 501(C)(3) 6813 MISSION SUPPORT 4 0 SummaShares 26 25414 Mammogram Screens 135 34914 Part I, Line 2: The procedure for monitoring grant funds is based on the criteria established prior to awarding the grant or assistance. Once the criteria is met, a payment will be made to the university or agency utilizing the funds. X X X 1 1 X X X X 1 1 0 0 0 0 0 1 0 T Clifford Deveny MD President & CEO 884308 0 425000 0 193271 0 7626 0 25317 0 1535522 0 0 0 Peter Bittenbender MD DIRECTOR 0 665811 0 44018 0 1170 0 8250 0 8512 0 727761 0 0 Lynn Hamrich MD DIRECTOR 0 261545 0 0 0 1286 0 8025 0 16311 0 287167 0 0 BRIAN DERRICK Treasurer, Sr VP, CFO (End 1/2018) 37227 0 0 0 1376544 0 1052 0 21204 0 1436027 0 0 0 KEITH T COLEMAN Treasurer, Sr VP, CFO (Start 10/2018 221348 0 0 0 41377 0 0 0 9126 0 271851 0 0 0 ROBERT A GERBERRY SECRETARY/GENERAL COUNSEL 351965 0 0 0 83592 0 9625 0 21347 0 466529 0 0 0 TANYA ARTHUR SR. VP, CIO (START 1/2018) 335865 0 0 0 277408 0 0 0 13130 0 626403 0 0 0 THOMAS P O'NEILL VP, CFO SHS 374296 0 0 0 86343 0 7321 0 17065 0 485025 0 0 0 MARK TERPYLAK DO SR. VP POPULATION HEALTH 0 413028 0 0 0 83841 0 9625 0 20945 0 527439 0 0 Benjamin P Sutton Sr. VP Strategy & Performa 330933 0 0 0 77874 0 9250 0 23669 0 441726 0 0 0 Lorraine Washington Sr. VP Human Resources 315878 0 0 0 78183 0 10719 0 12708 0 417488 0 0 0 TAMMY SCARBOROUGH President Ambulatory Care & Clinical 324269 0 0 0 76133 0 8094 0 9085 0 417581 0 0 0 JUSTIN CATLETT MD CHIEF MEDICAL INFORMATION OFFICER 243415 0 0 0 520 0 0 0 25896 0 269831 0 0 0 CYNTHIA S KELLEY DO VP MEDICAL EDUCATION 287082 0 0 0 1559 0 4047 0 18349 0 311037 0 0 0 Ed Friedl VP, Construction 224086 0 0 0 1737 0 5717 0 24061 0 255601 0 0 0 JEFFREY PRICE PRESIDENT NHC 223545 0 0 0 1336 0 9232 0 22799 0 256912 0 0 0 MARY WARD Former SR. VP, CNO 27298 0 0 0 379036 0 0 0 0 0 406334 0 0 0 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 grossed up taxes for supplemental executive retirement programs paid to four officers, five key employees, one highest compensated employees. The amount of the gross up is recognized as additional taxable compensation. Housing allowance: A housing allowance was paid on behalf of one officer. The amount is recognized as additional taxable compensation. 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, Brian Derrick $249,160, Keith T. Coleman $37,836, Robert A. Gerberry $81,793, Tanya Arthur $77,811, Thomas P. O'Neill $80,133, Mark Terpylak, DO $79,193, Benjamin P. Sutton $76,547, Lorraine Washington $74,528, Tammy Scarborough $74,447. Part I, Line 7 The Summa Health management incentive program is designed to reward employees for meeting quality, performance and financial targets. These targets include clinical quality, patient satisfaction, employee/physician satisfaction, operating margin and the strengthening of the balance sheet. Payment is based on a factor of base compensation and is subject to review and approval by Summa's compensation committee. Substantial contributor substantial contributor 190465 Independent contractor 0 Substantial contributor substantial contributor 1279717 Independent contractor 0 Substantial contributor Substantial contributor 222632 Independent contractor 0 Substantial contributor Substantial contributor 163775 Independent contractor 0 Substantial contributor Substantial contributor 214721 Independent contractor 0 Substantial contributor Substantial contributor 119034 Independent contractor 0 Substantial contributor Substantial contributor 212879 Independent contractor 0 Substantial contributor Substantial contributor 219820 Independent contractor 0 Substantial contributor Substantial contributor 358575 Independent contractor 0 X 5190 REPLACEMENT COST X 10 171861 MARKET VALUE X Event supplies 3 36897 REPLACEMENT COST X Medical equipment 3 20141 REPLACEMENT COST X GIFT CARDS 437 10600 REPLACEMENT COST 0 1 0 Part I, Column (b): Explanations of reporting method for number of contributions: Securities - Publicly traded: number of contributions Other: number of contributions Form 990, Part VI, Section A, line 2 Family/Business relationships amongst interested persons: The following individuals have a business relationship as board members of a Summa Health owned entity: Middlebury Assurance Company: T. Clifford Deveny, MD, James McIlvaine, Robert Gerberry, Thomas O'Neill Summa ACO dba NewHealth Collaborative: T. Clifford Deveny, MD, Keith Coleman, Robert Gerberry, Mark Terpylak, DO Summa Health System Corp: T. Clifford Deveny, MD, Keith Coleman, Robert Gerberry The following individuals have a business relationship as board members of an entity in which Summa Health System has an ownership interest: Select Specialty Hospital, LLC: Thomas O'Neill, Mark Terpylak, DO Summa Rehab Hospital: Thomas O'Neill, Mark Terpylak, DO 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, Robert Gerberry, Thomas O'Neill, Benjamin Sutton T. Clifford Deveny, M.D., Mark Terpylak, D.O. business relationship Form 990, Part VI, Section A, line 6 Classes of members or stockholders: The Members of Summa Health are Summa Health System Community ("Summa Member") and HealthSpan Partners ("Community Member"). Summa Member's interest is 70%; Community Member's interest is 30%. Form 990, Part VI, Section A, line 7a Members or stockholders electing members of governing body: The Members of the Corporation are Summa Health System Community ("Summa Member") and HealthSpan Partners ("Community Member"). The Members have the following powers: Community Member to elect 5 Directors (at least 1 to be a resident or community leader active in Summa's market area and at least 1 to be a physician; these may be same individual) Summa Member to elect 10 Directors (7 Elected Lay Directors and 3 Physician Directors) A Director may only be removed by the Member which elected such Director, and if a Member removes a Director elected by such Member, then that Member may elect a Director to fill the vacancy. Form 990, Part VI, Section A, line 7b Decisions Requiring Approval by members or stockholders: The following are reserved powers for the Members of the Corporation: 1. Actions that would adversely impact the tax-exempt status of the Corporation or Mercy Health 2. Appointment of a new CEO 3. Dissolution, merger, conversion, or consolidation of the Corporation, or sale/lease/disposition of substantially all of the Corporation's assets 4. Sale, lease, disposition of Corporation's core operating assets as defined in Definitive Agreement 5. Addition of a new corporate member of the Corporation 6. Amendment to the Statement of Common Values 7. Amendment to the Articles of Incorporation or Code of Regulations Reserved Powers 1, 3, 4, 5, 6, and 7 require the approval of each of the Members Form 990, Part VI, Section B, line 11b Review of Form 990 by governing body: The return was reviewed in detail by a committee consisting of internal legal counsel, financial management, and an external tax advisor. The review committee included the Senior Vice President, Finance & CFO and the Senior Vice President, Legal Services & General Counsel. This detailed review occurred on 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. After these reviews by the Committee on Governance and the Community Benefits Committee, and prior to filing with the IRS, an email was sent to each voting member of the Board of Directors. This email included instructions and a link to a password-protected web site on which the entire Form 990 was available for viewing. Form 990, Part VI, Section B, line 12c Conflict of Interest Process Summary: A Conflict of Interest Questionnaire is sent annually to all Summa Health entities' Boards of Directors, Key Employees, Senior Managers, Medical Directors, Administrative Directors, Executive Directors, Department Heads, Managers, Supervisors, and Members of Purchasing Committees for completion. Responses are individually reviewed for determination of potential conflicts. Those responses deemed to present potential conflicts are then presented to the Committee on Governance (Sub-Committee of the Summa Health Board of Directors). The Committee on Governance reviews each response that presents a potential conflict and determines whether additional action is required to eliminate or mitigate the potential conflict. This annual conflict of interest questionnaire process is managed by the Corporate Compliance Department pursuant to the Summa Health Policy on Conflict of Interest as approved by the Summa Health Board of Directors. In addition to the annual Conflict of Interest Questionnaire, the Conflict of Interest Policy imposes a duty to disclose conflicting interests on an ongoing basis. Form 990, Part VI, Section B, line 15 Process to establish compensation of top management official and other employees: Executive Compensation: The Compensation Committee of the Summa Health Board of Directors meets at least twice each year to review and approve base compensation and total remuneration for executive staff. Each voting member of the Compensation Committee is an independent director and is not affiliated with management. The Compensation Committee engages outside consulting support to provide independent market data, advice and counsel to the Compensation Committee. For the past nine years, the Compensation Committee has used Korn 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 President, Population Health, President ACO/NHC President, Akron and St. Thomas President, Summa Barberton President, Ambulatory Care and Clinical Service Lines Vice President & CFO Summa Health System President, Foundation President, Summa Health Medical Group Form 990, Part VI, Section C, line 19 Required documents available to the public: Summa Health makes its conflicts of interest policy available upon request. The articles of incorporation of Summa Health and its related entities are available on the website of the Ohio Secretary of State (www.SOS.STATE.OH.US). Summa Health makes its financial statements available on its website (www.SummaHeatlh.org). The financial statements are also available through the electronic municipal market access. (www.emma.msrb.org). Form 990, Part IX, line 11g Non-Billable Purchased Services: Program service expenses 4517040. Management and general expenses 860388. Fundraising expenses 0. Total expenses 5377428. Consultant Fees: Program service expenses 9927222. Management and general expenses 1890900. Fundraising expenses 0. Total expenses 11818122. EQUIPMENT MAINTENANCE: Program service expenses 1747159. Management and general expenses 332792. Fundraising expenses 0. Total expenses 2079951. physician services: Program service expenses 61645. Management and general expenses 11742. Fundraising expenses 0. Total expenses 73387. Balance Sheet, Part X Beginning of year balances for Line 2 Savings and Temporary Cash Investments, Line 15 Other Assets, and Line 17 Accounts Payable and Accrued Expenses have been restated to report net payables to 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: Transfers to/from Affiliates -14702204. Other Adjustments 1000. RESTRICTED ACTIVITY REPORTED 2442688. CHANGE IN TEMPORARILY RESTRICTED NET ASSETS -1674230. CHANGE IN PERMANENTLY RESTRICTED NET ASSETS -768458. OTHER NET ASSETS ADJUSTMENTS -545. Entry on financial statement for subsidiary not reportable on Form 990 -412838. Unrealized gain loss reported on Financial Statements as revenue -132. Other adjustment for rounding 191. Part XII, Line 2c THE ORGANIZATION HAS NOT CHANGED EITHER ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR. Summa Health Network LLC 525 East Market Street Akron OH 44304 341887844 Contracting OH 2813000 12640000 SUMMA HEALTH Summa Health System Community 1077 Gorge Blvd Akron OH 443092090 463018310 Supporting organization OH 501(C)(3) 12b Type II N/A 1 Summa Rehab Hospital 29 North Adams Street Akron OH 44034 271952573 Rehab hospital OH N/A SUMMA HHAH HOLDINGS LLC C/O 1077 GORGE BLVD Akron OH 44310 823600079 HOME HEALTH AND HOSPICE OH N/A Ohio Health Choice Inc 1077 Gorge Blvd Akron OH 443092090 341895396 PPO OH Summa Health System Corp C 2095000 7795000 0.80000 1 Summa Insurance Company Inc 10 North Main Street Akron OH 44308 341809108 Prop/Cas Ins OH SUMMACARE INC C 170796083 50010096 1.00000 1 Summa Health System Corp 1077 Gorge Blvd Akron OH 443092090 341515252 Mgmt Svcs OH Summa Health C 1202217 48342 1.00000 1 Wadsworth Rittman Hos Prof Svc Corp 195 Wadsworth Rd Wadsworth OH 44281 010842997 Prof Med Svcs OH Summa Health System Corp C 1.00000 1 Middlebury Assurance Company PO Box 1051 KY1-1102 Grand Cayman CJ 980405096 Self Insurance CJ Summa Health C 10193000 50456000 1.00000 1 Summacare Inc 10 North Main Street Akron OH 44308 341726655 Prop/Cas Ins OH SUMMA HEALTH SYSTEM CORP C 258836015 78199782 1.00000 1 Aris Teleradiology Holdings Inc 5655 Hudson Drive Suite 210 Hudson OH 44236 453697866 Radiology Svc OH Summa Health System C 0 Summa Accountable Care Organization 1077 Gorge Blvd Akron OH 443092090 273857055 Contracting OH Summa Health C 5282000 2619000 1.00000 1 Health Care Centers Physicians Inc 1900 23rd Street Cuyahoga Falls OH 44223 341692767 Inactive OH Summa Health System Corp C 1.00000 1 Summa Management Services Organization 10 North Main Street Akron OH 44308 461145832 Mgmt Svcs OH Summa Health System Corp C 27343000 6604000 1.00000 1 Summa Integrated Services Organization 10 North Main Street Akron OH 44308 461159251 Mgmt Svcs OH Summa Health System Corp C 6557000 10055000 1.00000 1 1 1 0 0 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 Ohio Health Choice Inc A 178098 FMV Summa Accountable Care Organization A 133496 FMV SummaCare Inc A 198064 FMV SummaCare Inc B 17000000 cost Middlebury Assurance Company F 3169943 FMV Middlebury Assurance Company F 5000000 Cost Summa Health System L 619848 FMV Summacare Inc M 76741 FMV Summa Accountable Care Organization Q 139932 FMV Summa Health System Q 122367204 Cost Summa Physicians Inc dba Summa Health Medical Group Q 6723948 Cost Summa Insurance Company Q 1146178 FMV SUMMACARE Inc Q 1749249 FMV SUMMA INTEGRATED SERVICE ORGANIZATION Q 120650 FMV Summa Foundation Q 109080 Cost Ohio Health Choice Inc Q 65220 FMV Middlebury Assurance Company S 3917165 Cost Summa Health System S 455070 Cost Summa Integrated SERVICE ORGANIZATION S 3000000 cost Summa Health System R 247134 Cost