SUMMA HEALTH GROUP RETURN: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: SUMMA HEALTH GROUP RETURN (EIN 90-0640432)
Tax period: 2024-01-01 to 2024-12-31
Filed: 2025-11-14
IRS object ID: 202523189349316562
Schema version: 2024v5.1
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 L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-11-14T20:39:22+00:00	ReturnTs
Tax Period End	2024-12-31	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 US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	2005 MARKET STREET	AddressLine1Txt
City	PHILADELPHIA	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	19103	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-01-01	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	Naomi Ganoe	PersonNm
Person Title	Treasurer	PersonTitleTxt
Phone	3303753159	PhoneNum
Signature	2025-11-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (true)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Lauren E Bennett	PreparerPersonNm
PTIN	P01787029	PTIN
Phone	2154485000	PhoneNum
Preparation	2025-11-12	PreparationDt

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Naomie Ganoe	BusinessNameLine1Txt

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	$1,697,561,172	GrossReceiptsAmt
Group Return For Affiliates	Yes (true)	GroupReturnForAffiliatesInd
All Affiliates Included	Yes (true)	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	31	VotingMembersIndependentCnt
Total Employee	8514	TotalEmployeeCnt
Total Volunteers	755	TotalVolunteersCnt
Total Gross UBI	$2,283,721	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$243,422	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$9,620,694	PYContributionsGrantsAmt
CY Contributions Grants	$11,138,034	CYContributionsGrantsAmt
PY Program Service Revenue	$1,516,233,180	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,660,509,065	CYProgramServiceRevenueAmt
PY Investment Income	$812,350	PYInvestmentIncomeAmt
CY Investment Income	$3,511,259	CYInvestmentIncomeAmt
PY Other Revenue	$21,244,344	PYOtherRevenueAmt
CY Other Revenue	$19,695,789	CYOtherRevenueAmt
PY Total Revenue	$1,547,910,568	PYTotalRevenueAmt
CY Total Revenue	$1,694,854,147	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,688,555	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$393,242	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$644,275,797	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$682,216,870	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$2,277,241	CYTotalFundraisingExpenseAmt
PY Other Expenses	$947,281,554	PYOtherExpensesAmt
CY Other Expenses	$1,039,982,541	CYOtherExpensesAmt
PY Total Expenses	$1,593,245,906	PYTotalExpensesAmt
CY Total Expenses	$1,722,592,653	CYTotalExpensesAmt
PY Revenues Less Expenses	-$45,335,338	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$27,738,506	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,825,616,945	TotalAssetsBOYAmt
Total Assets EOY	$1,865,213,665	TotalAssetsEOYAmt
Total Liabilities BOY	$1,311,023,498	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,295,977,514	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$514,593,447	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$569,236,151	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	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$664,125,729	ExpenseAmt
Revenue	$769,262,606	RevenueAmt
Desc	OUTPATIENT SERVICES FOR 2024: SUMMA HEALTH SYSTEM, AND SUMMA PHYSICIANS, INC. DBA SUMMA HEALTH MEDICAL GROUP, PROVIDED OVER 1.6 MILLION OCCASIONS OF SERVICE, INCLUDING 128,661 EMERGENCY DEPARTMENT VISITS, 10,886 OBSERVATION PATIENTS, 16,865 SURGICAL OPERATIONS, AND ALMOST 1.5 MILLION OTHER OUTPATIENT VISITS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$489,731,786	ExpenseAmt
Revenue	$567,260,585	RevenueAmt
Desc	INPATIENT SERVICES FOR 2024: SUMMA HEALTH SYSTEM HAD APPROXIMATELY 670 BEDS IN SERVICE, ADMITTED 34,611 ADULT PATIENTS, AND DELIVERED 4,981 NEWBORNS. THE ADULT PATIENTS RECEIVED 176,991 DAYS OF CARE, INPATIENT SURGERIES TOTALED 7,888, EMERGENCY ADMISSIONS TOTALED 23,282 AND THE AVERAGE LENGTH OF STAY WAS 5.11 DAYS.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$54,374,019	ExpenseAmt
Revenue	$15,631,368	RevenueAmt
Desc	RESEARCH/EDUCATION FOR 2024: SUMMA HEALTH HAS A HISTORY OF SPONSORING AND SUPPORTING BASIC AND CLINICAL RESEARCH TO UNDERSTAND DISEASES AND TREATMENT. CENTERS, PROGRAMS AND LABS FACILITATE RESEARCH IN A NUMBER OF MEDICAL FIELDS. SUMMA HEALTH FOSTERS A LEARNING ENVIRONMENT FOR THE NEXT GENERATION OF CAREGIVERS. AT SUMMA HEALTH'S HOSPITALS, APPROXIMATELY 285 RESIDENTS AND FELLOWS TRAIN IN 12 ACCREDITED RESIDENCY PROGRAMS, EIGHT ACCREDITED FELLOWSHIP TRAINING PROGRAMS AND ONE NON-ACCREDITED FELLOWSHIP PROGRAM. SUMMA HEALTH PROVIDES CLINICAL LEARNING EXPERIENCES TO OVER 2,100 NURSING, MEDICAL, PHARMACY, EMERGENCY MEDICAL TECHNICIAN, PARAMEDIC, AND ALLIED HEALTH STUDENTS.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (3 entries)

ExpenseExpenseAmt	GrantGrantAmt	RevenueRevenueAmt	DescDesc
$264,609,314	$393,242	$306,499,269	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 A TOTAL OF 874 LICENSED, INPATIENT BEDS ON THE CAMPUSES OF SUMMA HEALTH SYSTEM AND SUMMA REHAB HOSPITAL. IN ADDITION, OUTPATIENT CARE IS PROVIDED IN MORE THAN 20 COMMUNITY HEALTH CENTERS, URGENT CARE FACILITIES AND EMERGENCY DEPARTMENTS (EDS), SOME INTEGRATED IN THE HEALTHCARE FACILITIES, AND OTHERS ARE FREESTANDING. SUMMA REHAB HOSPITAL IS A JOINT VENTURE IN WHICH SUMMA HEALTH SYSTEM HAS AN INTEREST, AND IS REFERENCED IN THIS DOCUMENT FOR THE PURPOSE OF IDENTIFYING ALL ENTITIES AFFILIATED WITH SUMMA HEALTH. SUMMA'S PROPORTIONATE INTEREST OF THIS JOINT VENTURE'S CHARITY CARE AND OTHER COMMUNITY BENEFITS IS INCLUDED ON SCHEDULE H OF SUMMA HEALTH'S IRS FORM 990 GROUP RETURN. PROVIDING SUPERIOR, MULTI-SPECIALTY PATIENT CARE, MEDICAL RESEARCH AND CONTINUING MEDICAL EDUCATION, SUMMA HEALTH RANKS AS A HIGHLY RECOGNIZED HEALTHCARE PROVIDER IN SEVERAL DISCIPLINES INCLUDING: WEIGHT MANAGEMENT, CARDIOVASCULAR, EMERGENCY, ONCOLOGY, ORTHOPEDICS & SPORTS MEDICINE, SURGERY, PRIMARY CARE, PULMONARY, STROKE, TRAUMA, UROLOGY, WOMEN'S SERVICES AND NURSING BY PRESTIGIOUS ORGANIZATIONS SUCH AS: AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER AMERICAN HEART ASSOCIATION AMERICAN STROKE ASSOCIATION NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS NATIONAL ACCREDITATION PROGRAM FOR RECTAL CANCER AMERICAN NURSING CREDENTIALING CENTER CENTERS FOR MEDICARE AND MEDICAID SERVICES OHIO PATIENT SAFETY INSTITUTE AMERICAN COLLEGE OF RADIATION AMERICAN SOCIETY FOR METABOLIC AND BARIATRIC SURGERY METABOLIC AND BARIATRIC SURGERY ACCREDITATION AND QUALITY IMPROVEMENT PROGRAM- COMPREHENSIVE CENTER LUNG CANCER ALLIANCE THE JOINT COMMISSION HEALTHGRADES SUMMA 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 TWO INPATIENT HOSPITAL CAMPUSES AND SEVERAL AMBULATORY LOCATIONS. SUMMA HEALTH SYSTEM OPERATES THE INPATIENT HOSPITAL LOCATIONS AS WELL AS THE HOSPITAL-BASED OFF-SITE LOCATIONS UNDER THE SAME MEDICARE PROVIDER NUMBER. SUMMA HEALTH EMPLOYS MORE THAN 8,500 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 814 LICENSED 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. AS A LEADER IN MEDICAL EDUCATION, SUMMA HEALTH SYSTEM SUPPORTS THE EDUCATION OF ITS PHYSICIANS AND HEALTHCARE PROFESSIONALS. THE AKRON CAMPUS IS A TEACHING AFFILIATE OF THE NORTHEAST OHIO MEDICAL UNIVERSITY (NEOMED) AND INCLUDES A STAFF OF PHYSICIANS AND ACCREDITED RESIDENCY AND FELLOWSHIP PROGRAMS THAT FOSTER A DYNAMIC MEDICAL ENVIRONMENT. APPROXIMATELY 95 RESIDENTS AND FELLOWS GRADUATE FROM THE INSTITUTION'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 CAMPUS SUMMA 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 159 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, A STATE-OF-THE-ART ORTHOPEDIC JOINT REPLACEMENT CENTER OF EXCELLENCE, ALONG WITH A VARIETY OF OUTPATIENT SERVICES. CHARITY CARE IN 2024, SUMMA HEALTH PROVIDED CHARITY CARE AT AN ESTIMATED NET COST OF OVER $14.2 MILLION. THIS AMOUNT REPRESENTS THE NET COST ASSOCIATED WITH PROVIDING THE CARE AND DOES NOT INCLUDE BAD DEBT. PATIENTS WITH INCOME UP TO 250% OF THE FEDERAL POVERTY INCOME GUIDELINES OR WHO HAVE A HOSPITAL BILL THAT EXCEEDS 25% OF THEIR GROSS ANNUAL FAMILY INCOME ARE ELIGIBLE TO APPLY FOR FULLY DISCOUNTED CHARITY CARE ASSISTANCE. IN ADDITION, THERE IS A SLIDING SCALE DISCOUNT PROGRAM FOR THOSE WITH INCOMES BETWEEN 250% AND 400% OF THE FEDERAL POVERTY INCOME GUIDELINES. IN 2024, THE CHARITY CARE PROGRAM (INCLUDING HOSPITAL CARE ASSURANCE PROGRAM) BENEFITED OVER 17,788 PATIENT ENCOUNTERS. MEDICAID SHORTFALL HISTORICALLY, OHIO MEDICAID REIMBURSEMENTS HAVE NOT COVERED THE COST OF PROVIDING THE CARE TO PROGRAM BENEFICIARIES, CREATING A BUDGETARY SHORTFALL. AS ONE OF NORTHEAST OHIO'S TOP PROVIDERS OF HOSPITAL CARE FOR MEDICAID PATIENTS, SUMMA HEALTH'S UNPAID COSTS FOR MEDICAID TOTALED OVER $89 MILLION. BAD DEBT SUMMA 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 2024, THE COST FOR PROVIDING CARE WRITTEN OFF AS A BAD DEBT EXPENSE WAS OVER $17.7 MILLION. COMMUNITY HEALTH IMPROVEMENT SERVICES AN IMPORTANT PART OF SUMMA HEALTH'S MISSION IS OFFERING A PREVENTION AND WELLNESS PROGRAM TO BUILD A HEALTHIER COMMUNITY. IN 2024, SUMMA HEALTH PROVIDED MORE THAN $16.9 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 OUR DIABETES EDUCATION EFFORTS ARE OFFERED, EVEN THOUGH THEY ARE NOT PROFITABLE. INCOME FROM OTHER SERVICES IS USED TO COVER THESE COSTS. IN 2024, THE COST FOR SUBSIDIZED SERVICES WAS OVER $50 MILLION. FINANCIAL AND IN-KIND DONATIONS ANNUALLY, 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 2024, THESE CONTRIBUTIONS WERE MORE THAN $4.4 MILLION. RESEARCH AND INNOVATION A MAJOR GOAL OF THE RESEARCH & INNOVATION GROUP IS TO OFFER OUR PATIENTS ACCESS TO CUTTING-EDGE THERAPIES AND TECHNOLOGIES WITHIN THE COMMUNITY, PARTICULARLY THROUGH CLINICAL TRIALS. THIS NOT ONLY PROVIDES THE BEST CARE FOR OUR PATIENTS, BUT ALSO IMPROVES THE HEALTH OF OUR COMMUNITY. IN 2024, SUMMA CONTRIBUTED A NET COST OF MORE THAN $6.5 MILLION TO EXPLORE POTENTIAL NEW THERAPIES, CARE COORDINATION IMPROVEMENTS AND TREATMENT OPTIONS.
			(CONTINUED) 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 NORTHEAST 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 12 ACCREDITED RESIDENCY TRAINING PROGRAMS, 8 ACCREDITED FELLOWSHIP 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 2024, APPROXIMATELY 285 RESIDENTS AND FELLOWS TRAINED AT SUMMA HEALTH'S TWO MAIN HOSPITALS. ON AVERAGE, APPROXIMATELY 40% OF THESE RESIDENTS REMAIN IN OUR LOCAL AND SURROUNDING COMMUNITIES. SUMMA HEALTH'S 2024 INVESTMENT IN HEALTH PROFESSIONAL EDUCATION TOTALED NEARLY $30.9 MILLION. SUMMA HEALTH SERVICES: FOLLOWING IS A DESCRIPTION OF SUMMA HEALTH'S NOTABLE ACCOMPLISHMENTS BY PRIMARY SERVICE LINES IN 2024: CRITICAL CARE FOR THE EIGHTH TIME, SUMMA HEALTH RECEIVED THE AMERICA'S 100 BEST HOSPITALS FOR CRITICAL CARE AWARD FROM HEALTHGRADES REPRESENTING SUPERIOR CLINICAL OUTCOMES IN TREATING PULMONARY EMBOLISM, RESPIRATORY SYSTEM FAILURE, SEPSIS AND DIABETIC EMERGENCIES. SUMMA HEALTH RANKED #1 IN THE STATE BY HEALTHGRADES FOR CRITICAL CARE. HEART AND VASCULAR: SUMMA HEALTH HAS BEEN RECOGNIZED BY THE AMERICAN HEART ASSOCIATION FOR MANY AWARDS, INCLUDING GET WITH THE GUIDELINES GOLD PLUS- STROKE AND HEART FAILURE, LIFELINE HEART ATTACK REFERRING/RECEIVING CENTER ACCREDITATION AND STEMI (HEART ATTACK) ACCREDITATION. SUMMA HEALTH RECEIVED THE NCDR CHEST PAIN MI GOLD PERFORMANCE ACHIEVEMENT AWARD FOR 2024 FROM THE AMERICAN COLLEGE OF CARDIOLOGY. FOR THE SECOND CONSECUTIVE YEAR, SUMMA HEALTH WAS RECOGNIZED FOR OUR COMMITMENT AND SUCCESS IN SUSTAINING A TOP-LEVEL STANDARD FOR CARE FOR HEART ATTACK PATIENTS. SUMMA HEALTH IS ONE OF ONLY 61 HOSPITALS NATIONWIDE TO RECEIVE THE GOLD HONOR. THE SUMMA HEALTH HEART AND VASCULAR INSTITUTE HAS BEEN DESIGNATED AS A CAROTID CARE QUALITY CHAMPION BY THE SOCIETY FOR VASCULAR SURGERY VASCULAR QUALITY INITIATIVE (SVS VQI). THIS DISTINGUISHED PROGRAM HONORS HEALTHCARE ORGANIZATIONS ACROSS THE COUNTRY DEDICATED TO IMPROVING THE SAFETY AND EFFECTIVENESS OF VASCULAR CARE THROUGH PARTICIPATION AND ENGAGEMENT IN VQI'S CAROTID ARTERY STENTING AND CAROTID ENDARTERECTOMY REGISTRIES. PARTICIPATION IN THE VQI ALLOWS US TO MONITOR PERFORMANCE, BENCHMARK OUTCOMES AND PROVIDE THE BEST POSSIBLE CARE FOR OUR PATIENTS. NEUROSCIENCE: SUMMA HEALTH SYSTEM - AKRON CAMPUS RECEIVED SEVERAL HEALTHGRADES AWARDS FOR NEUROSCIENCES: * RANKED #1 IN THE STATE FOR NEUROSCIENCES. * RANKED #1 IN THE STATE FOR CRANIAL NEUROSURGERY. * RANKED #1 IN THE STATE FOR STROKE CARE. 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 CANCER INSTITUTE WAS REACCREDITED FROM THE NATIONAL ACCREDITATION PROGRAM FOR RECTAL CANCER (NAPRC), A QUALITY PROGRAM OF THE AMERICAN COLLEGE OF SURGEONS. PULMONARY SUMMA HEALTH RECEIVED THE AMERICA'S 100 BEST HOSPITALS FOR PULMONARY CARE AWARD (SIX YEARS IN A ROW) REPRESENTING SUPERIOR CLINICAL OUTCOMES IN TREATING CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) AND PNEUMONIA.
			(CONTINUED) SYSTEM: FOR THE 21ST 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 COUNCIL. SUMMA HEALTH SYSTEM - AKRON AND BARBERTON CAMPUSES WERE RECIPIENTS OF THE HEALTHGRADES 2025 AMERICA'S 50 BEST HOSPITALS AWARD. THIS PLACES SUMMA HEALTH AMONG THE TOP ONE PERCENT OF ALL HOSPITALS FOR CLINICAL CARE AND PATIENT OUTCOMES ACROSS TREATMENT OF THE MOST COMMON CONDITIONS AND PROCEDURES. SUMMA HEALTH WAS SELECTED BY THE WOMEN'S NETWORK LEADERSHIP INSTITUTE, A PROGRAM OF THE GREATER AKRON CHAMBER, AS THE 2024 DOROTHY O. JACKSON AWARD HONOREE. THIS HONOR REFLECTS OUR ORGANIZATION'S EXCELLENCE AND LEADERSHIP IN THE COMMITMENT TO THE EMPOWERMENT OF WOMEN AND THE PROMOTION OF DIVERSITY IN THE WORKPLACE. SUMMARY ALTHOUGH 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 2024, SUMMA HEALTH PROVIDED CHARITY CARE TO THE INDIGENT (INCLUDING UNREIMBURSED MEDICAID) AT THE COST OF OVER $103 MILLION. THIS AMOUNT DOES NOT INCLUDE SERVICES PROVIDED WRITTEN OFF AS BAD DEBT. IN ADDITION TO UNCOMPENSATED MEDICAL CARE, SUMMA HEALTH PROVIDED WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS AND SPECIAL PROGRAMS FOR THE ELDERLY, PERSONS WITH DISABILITIES AND THE MEDICALLY UNDERSERVED. SUMMA HEALTH ALSO OPERATED A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES. THESE PROGRAMS WERE OFFERED AT A REDUCED PRICE OR PROVIDED TO THE COMMUNITY FREE OF CHARGE. SUMMA HEALTH OPERATES ITS FACILITIES IN A MANNER CONSISTENT WITH THE COMMUNITY BENEFIT REQUIREMENTS OF REV. RULE 69-545 AND SUBSEQUENT CASE LAW AND IRS GUIDELINES. SUMMA HEALTH'S HOSPITALS PROVIDE EMERGENCY SERVICES WHICH ARE OPEN AND AVAILABLE TO ALL PERSONS OF THE COMMUNITY, REGARDLESS OF THEIR ABILITY TO PAY. THE BOARD OF DIRECTORS CONSISTS OF PERSONS WHO ARE BROADLY REPRESENTATIVE OF THE COMMUNITY AND MEDICAL STAFF. SUMMA HEALTH MEDICAL GROUP- PROGRAM SERVICE ACCOMPLISHMENTS: SUMMA HEALTH MEDICAL GROUP, A SUMMA HEALTH ENTITY, IS A MULTI-SPECIALTY GROUP OF PHYSICIANS, ADVANCED PRACTICE PROVIDERS AND CARE TEAMS IN MEDICAL PRACTICES LOCATED IN THE COMMUNITIES WE SERVE. IN TOTAL, SUMMA HEALTH MEDICAL GROUP EMPLOYS APPROXIMATELY 370 PHYSICIANS AND 1,400 SUPPORT STAFF IN MORE THAN 40 SPECIALTIES AND SUB-SPECIALTIES. SUMMA HEALTH MEDICAL GROUP PROMOTES STRONG AFFILIATION AND EMPLOYMENT OF PHYSICIANS TO ENSURE COMMUNITY AND HOSPITAL NEEDS FOR PHYSICIAN SERVICES ARE MET. AS MEMBERS OF NEWHEALTH COLLABORATIVE, A CLINICIAN-LED ACCOUNTABLE CARE ORGANIZATION, SUMMA HEALTH MEDICAL GROUP PHYSICIANS ARE LEADING THE WAY TOWARD VALUE-BASED HEALTHCARE WITH INITIATIVES SUCH AS THE PATIENT-CENTERED MEDICAL HOME (PCMH) AND MEANINGFUL USE OF HEALTH INFORMATION TECHNOLOGY. SUMMA FOUNDATION - PROGRAM SERVICE ACCOMPLISHMENTS: SUMMA FOUNDATION SUPPORTS PATIENT CARE, MEDICAL EDUCATION AND RESEARCH THROUGH PHILANTHROPY. GENEROUS CONTRIBUTIONS AVERAGE $10 MILLION A YEAR AND HELP SUMMA HEALTH FULFILL ITS MISSION TO PROVIDE THE HIGHEST QUALITY, COMPASSIONATE CARE AND CONTRIBUTE TO A HEALTHIER COMMUNITY. SUMMA FOUNDATION LINKS COMMUNITY SUPPORTERS WITH PHILANTHROPIC PRIORITIES THAT ENHANCE THE DELIVERY OF PATIENT CARE AND EMPOWER CLINICAL EXCELLENCE ACROSS THE ENTIRE SYSTEM. GIFTS SUPPORT PHYSICIAN RESIDENCY PROGRAMS, ADVANCED CERTIFICATIONS FOR NURSES, BEHAVIORAL HEALTH PROGRAMS, GROUNDBREAKING RESEARCH, THE LATEST TECHNOLOGIES FOR DIAGNOSIS AND TREATMENT, CANCER SUPPORT SERVICES, AND HELP RECRUIT AND RETAIN THE REGION'S BEST PHYSICIANS, ASSURING PATIENTS AND FAMILIES A CONTINUUM OF QUALITY CARE FAR INTO THE FUTURE. SUMMA FOUNDATION ALSO COLLABORATES WITH SYSTEM AND CLINICAL LEADERS TO DOCUMENT THE IMPACT OF PHILANTHROPIC INVESTMENTS AND TO SHARE THAT IMPACT WITH DONORS. COMMUNITY BENEFIT AND DIVERSITY: THIS DEPARTMENT LEADS EFFORTS TO ADDRESS HEALTH DISPARITIES AND OTHER IMPORTANT COMMUNITY NEEDS AND RAISE AWARENESS OF HEALTH AND HEALTHCARE ISSUES AFFECTING THE COMMUNITIES SERVED BY SUMMA HEALTH. COMMUNITY BENEFIT AND DIVERSITY PROVIDE WELLNESS AND EDUCATIONAL TOOLS, FACILITATE ECONOMIC DEVELOPMENT PROGRAMS, DEVELOP COMMUNITY PARTNERSHIPS, COMMUNICATE SUMMA HEALTH'S BENEFIT TO THE COMMUNITY AND ENGAGE THE COMMUNITY AND ITS WORKFORCE WITHIN THE SYSTEM AND THROUGHOUT THE REGION. GOVERNMENT RELATIONS: THIS DEPARTMENT IS DEDICATED TO ELEVATING SUMMA HEALTH AS A CREDIBLE HEALTH SYSTEM EXPERT AND PARTNER IN THE PUBLIC POLICY AND REGULATORY PLANNING PROCESS. THIS DEPARTMENT COLLABORATES WITH INTERNAL AND EXTERNAL STAKEHOLDERS TO BEST PROTECT AND PROMOTE SUMMA'S MISSION, SUMMA BUSINESS AND CLINICAL INNOVATION PRIORITIES WITH PUBLIC OFFICIALS AND STAFF.

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$264,609,314	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$393,242	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$306,499,269	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$1,472,840,848	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	8514	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	39	GoverningBodyVotingMembersCnt
Independent Voting Member	31	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Policies Reference Chapters	false	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	FL	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	OH	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	NAOMI GANOE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3303753159	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

Form990 Part VII Section A Form990PartVIISectionAGrp (51 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
GARY WILLIAMS MD
DIRECTOR SF & SECRETARY	4.0	0	Yes (X)	Yes (X)	$0	$0	$0
GEORGE STRICKLER
DIRECTOR & CHAIRMAN SHS	4.0	4.0	Yes (X)	Yes (X)	$0	$0	$0
JAY WILLIAMSON MD
DIRECTOR & VICE CHAIR SHMG	4.0	0	Yes (X)	Yes (X)	$0	$0	$0
JESSICA HUDSON
SF PRESIDENT & CDO	50.0	0	Yes (X)	Yes (X)	$460,494	$0	$6,056
JULIA BIANCHI
DIRECTOR & CHAIR SF	4.0	0	Yes (X)	Yes (X)	$0	$0	$0
NICHOLAS BROWNING
DIRECTOR V.CH. SHS, DIRECTOR CH SHMG (End 07/24)	4.0	4.0	Yes (X)	Yes (X)	$0	$0	$0
T CLIFFORD DEVENY MD
CEO SHS, DIRECTOR SHS & SF	4.0	46.0	Yes (X)	Yes (X)	$0	$2,017,927	$222,002
ALMETA COOPER
DIRECTOR	2.0	2.0	Yes (X)		$0	$0	$0
BARBARA FACIANA
DIRECTOR SHS	2.0	2.0	Yes (X)		$0	$0	$0
BETSY CLARK
DIRECTOR SF	2.0	0	Yes (X)		$0	$0	$0
CHARLES PETER MD
DIRECTOR SF	2.0	0	Yes (X)		$0	$0	$0
DANIEL BALMERT
DIRECTOR SHMG	2.0	0	Yes (X)		$0	$0	$0
DOMINIC WRIGHT
DIRECTOR SF	2.0	0	Yes (X)		$0	$0	$0
EDWARD MARX
DIRECTOR	2.0	2.0	Yes (X)		$0	$0	$0
GEORGE SCHMUTZ
DIRECTOR SF	2.0	0	Yes (X)		$0	$0	$0
GINGER MARCHETTA
DIRECTOR SF	2.0	0	Yes (X)		$0	$0	$0
IRIS HARVEY
DIRECTOR SF	2.0	0	Yes (X)		$0	$0	$0
JASON BUTTERWORTH
DIRECTOR SF	2.0	0	Yes (X)		$0	$0	$0
JONATHON PAVLOFF
DIRECTOR SF (End 12/24)	2.0	0	Yes (X)		$0	$0	$0
JULIE PASTERNAK
DIRECTOR Sf	2.0	0	Yes (X)		$0	$0	$0
JUSTIN DUNN MD
DIRECTOR SF	2.0	0	Yes (X)		$0	$0	$0
KAREN BUDD PhD RN
DIRECTOR SF	2.0	0	Yes (X)		$0	$0	$0
KATHLEEN GEIER
DIRECTOR	2.0	2.0	Yes (X)		$0	$0	$0
KAY FRANKS
DIRECTOR SF (End 08/24)	2.0	0	Yes (X)		$0	$0	$0
LEIGH GERSTENBERGER
DIRECTOR	2.0	2.0	Yes (X)		$0	$0	$0
LYNN HAMRICH MD
DIRECTOR SHS, CLINICAL PHYSICIAN	52.0	2.0	Yes (X)		$298,135	$0	$38,725
MARGARET LEE
DIRECTOR SF	2.0	0	Yes (X)		$0	$0	$0
MARY ANN JACKSON
DIRECTOR SF	2.0	0	Yes (X)		$0	$0	$0
NANCY BRENNAN
DIRECTOR SF	2.0	0	Yes (X)		$0	$0	$0
NAOMI GANOE
DIRECTOR SF	2.0	0	Yes (X)		$0	$0	$0
ORRY JACOBS
DIRECTOR SHS & SHMG	2.0	2.0	Yes (X)		$0	$0	$0
PATRICIA WARTKO
DIRECTOR SF	2.0	0	Yes (X)		$0	$0	$0
PATRICK O'NEILL
DIRECTOR SF	2.0	0	Yes (X)		$0	$0	$0
PETER BITTENBENDER MD
DIRECTOR SHS & SHMG, CLINICAL PHYSICIAN	52.0	2.0	Yes (X)		$708,351	$0	$36,207
RAMONA HOOD
DIRECTOR SHS	2.0	2.0	Yes (X)		$0	$0	$0
RANDY LANGENDERFER
DIRECTOR	2.0	2.0	Yes (X)		$0	$0	$0
STEVE COX
DIRECTOR SF	2.0	0	Yes (X)		$0	$0	$0
STEVEN GORSUCH MD
DIRECTOR	2.0	2.0	Yes (X)		$0	$0	$0
WILLIAM BAUMAN
DIRECTOR SF, CLINICAL PHYSICIAN (End 12/24)	52.0	0	Yes (X)		$114,009	$0	$5,326
DAWN AHNER
TREAS., SVP, CFO	4.0	46.0		Yes (X)	$0	$901,252	$115,249
ROBERT A GERBERRY
GEN. COUNSEL/SEC. SHS/SHMG	4.0	46.0		Yes (X)	$0	$797,073	$91,539
VIVEK BHALLA
PRESIDENT SUMMA HEALTH MED.GR.	50.0	0		Yes (X)	$708,081	$0	$101,987
BENJAMIN P SUTTON
EVP COO - PROVIDER OPS. PRESIDENT SHS	4.0	46.0			$0	$1,167,829	$132,616	Yes (X)
BONNIE PANLASIGUI
SHS PRESIDENT (END 09/24)	50.0	0			$662,453	$0	$34,587	Yes (X)
KATHLEEN BLAKE
SVP, PRESIDENT POST ACUTE/HOME	2.0	50.0			$0	$528,642	$77,168	Yes (X)
PENELOPE GORSUCH DNPRNNEA-BC
SVP & CHF. NURSING EXEC.	2.0	50.0			$0	$683,351	$62,745	Yes (X)
BRADLEY INKROTT
CLINICAL PHYSICIAN - SHMG	50.0	0			$1,942,367	$0	$43,191		Yes (X)
DANE DONICH
CLINICAL PHYSICIAN - SHMG	50.0	0			$2,466,041	$0	$25,106		Yes (X)
KIEL PFEFFERLE
CLINICAL PHYSICIAN - SHMG	50.0	0			$1,425,807	$0	$41,992		Yes (X)
MATTHEW JAYKEL
CLINICAL PHYSICIAN - SHMG	50.0	0			$1,528,832	$0	$36,016		Yes (X)
PAUL HARTZFELD
CLINICAL PHYSICIAN - SHMG	50.0	0			$1,638,716	$0	$37,591		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$11,953,286	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$6,096,074	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,108,103	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1066	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Government Grants	$7,273,992	GovernmentGrantsAmt
All Other Contributions	$3,864,042	AllOtherContributionsAmt
Total Contributions	$11,138,034	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SVCS LESS BD	620000	$1,334,308,874	$1,334,308,874
PROGRAM RELATED INVESTMENTS	901101	$7,783,219	$7,495,959	$287,260
PHARMACY REVENUE	620000	$231,913,206	$231,913,206
LAB REVENUE	620000	$1,567,977		$1,567,977
SHMG PRACTICE SUPPORT	620000	$79,618,044	$79,618,044

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,317,745	TotalRevenueColumnAmt
Related Or Exempt Func Income	$5,317,745	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,660,509,065	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$406	TotalRevenueColumnAmt
Exclusion	$406	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,792,813	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$842,972	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$949,841	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$949,841	TotalRevenueColumnAmt
Exclusion	$949,841	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$5,374,906	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$248,501	SecuritiesAmt
Other	$1,615,552	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$248,501	SecuritiesAmt
Other	$3,759,354	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,510,853	TotalRevenueColumnAmt
Exclusion	$3,510,853	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
CAFETERIA SALES	722511	$5,539,224	$5,539,224
PARKING	812930	$2,413,663	$2,413,663
WELLNESS INSTITUTE	810000	$2,512,665	$2,084,181	$428,484

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,280,396	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$8,280,396	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$18,745,948	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,694,854,147	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,658,653,828	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,283,721	UnrelatedBusinessRevenueAmt
Exclusion	$22,778,564	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$393,242	TotalAmt
Program Services	$393,242	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,174,410	TotalAmt
Program Services	$2,567,463	ProgramServicesAmt
Management And General	$606,947	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$64,419	TotalAmt
Program Services	$52,102	ProgramServicesAmt
Management And General	$12,317	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$570,256,830	TotalAmt
Program Services	$459,971,449	ProgramServicesAmt
Management And General	$108,737,068	ManagementAndGeneralAmt
Fundraising	$1,548,313	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,552,790	TotalAmt
Program Services	$3,636,803	ProgramServicesAmt
Management And General	$859,739	ManagementAndGeneralAmt
Fundraising	$56,248	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$67,770,121	TotalAmt
Program Services	$54,615,665	ProgramServicesAmt
Management And General	$12,911,121	ManagementAndGeneralAmt
Fundraising	$243,335	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$36,398,300	TotalAmt
Program Services	$29,354,330	ProgramServicesAmt
Management And General	$6,939,352	ManagementAndGeneralAmt
Fundraising	$104,618	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$2,628,000	TotalAmt
Program Services	$2,125,526	ProgramServicesAmt
Management And General	$502,474	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$232,830	TotalAmt
Management And General	$232,830	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$4,579	TotalAmt
Management And General	$4,579	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$147,629,539	TotalAmt
Program Services	$116,509,572	ProgramServicesAmt
Management And General	$31,116,116	ManagementAndGeneralAmt
Fundraising	$3,851	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$59,613	TotalAmt
Program Services	$45,872	ProgramServicesAmt
Management And General	$10,844	ManagementAndGeneralAmt
Fundraising	$2,897	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$9,710,340	TotalAmt
Program Services	$7,724,649	ProgramServicesAmt
Management And General	$1,826,104	ManagementAndGeneralAmt
Fundraising	$159,587	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,343,645	TotalAmt
Program Services	$1,082,979	ProgramServicesAmt
Management And General	$256,016	ManagementAndGeneralAmt
Fundraising	$4,650	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$16,759,406	TotalAmt
Program Services	$13,555,008	ProgramServicesAmt
Management And General	$3,204,398	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$328,131	TotalAmt
Program Services	$262,814	ProgramServicesAmt
Management And General	$62,129	ManagementAndGeneralAmt
Fundraising	$3,188	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,097,458	TotalAmt
Program Services	$874,861	ProgramServicesAmt
Management And General	$206,817	ManagementAndGeneralAmt
Fundraising	$15,780	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$35,689,051	TotalAmt
Program Services	$28,865,304	ProgramServicesAmt
Management And General	$6,823,747	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$53,516,372	TotalAmt
Program Services	$43,284,042	ProgramServicesAmt
Management And General	$10,232,330	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$12,949,649	TotalAmt
Program Services	$10,473,675	ProgramServicesAmt
Management And General	$2,475,974	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	FundraisingFundraisingAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$441,711,803	$441,718,915	-$7,112
MANAGEMENT FEES	$207,205,025	$167,587,424		$39,617,601
SHMG PRACTICE SUPPORT	$79,215,073	$64,069,151		$15,145,922
TAXES AND FRANCHISE FEE	$34,118,083	$27,594,706		$6,523,377

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	-$4,216,056	TotalAmt
Program Services	-$3,524,704	ProgramServicesAmt
Management And General	-$833,238	ManagementAndGeneralAmt
Fundraising	$141,886	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,722,592,653	TotalAmt
Program Services	$1,472,840,848	ProgramServicesAmt
Management And General	$247,474,564	ManagementAndGeneralAmt
Fundraising	$2,277,241	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$99,871	BOYAmt
EOY	$95,848	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$5,214,728	BOYAmt
EOY	$4,805,979	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$223,651,190	BOYAmt
EOY	$195,992,143	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$477,293	BOYAmt
EOY	$448,267	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$29,867,152	BOYAmt
EOY	$33,901,796	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$18,847,630	BOYAmt
EOY	$21,260,357	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,456,662,445	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$771,631,053	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$696,155,822	BOYAmt
EOY	$685,031,392	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$11,493,194	BOYAmt
EOY	$11,528,829	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	$837,581,325	BOYAmt
EOY	$909,920,314	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,825,616,945	BOYAmt
EOY	$1,865,213,665	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$69,215,568	BOYAmt
EOY	$59,370,710	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$2,838,994	BOYAmt
EOY	$2,868,501	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$545,779,834	BOYAmt
EOY	$533,398,381	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$693,189,102	BOYAmt
EOY	$700,339,922	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,311,023,498	BOYAmt
EOY	$1,295,977,514	EOYAmt

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

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$514,413,348	BOYAmt
EOY	$569,056,052	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$180,099	BOYAmt
EOY	$180,099	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$514,593,447	BOYAmt
EOY	$569,236,151	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,825,616,945	BOYAmt
EOY	$1,865,213,665	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$27,738,506	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$615,504	NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments	-$2,748,373	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$84,514,079	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

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 (true)	GoverningDocumentListedInd
Support	$0	SupportAmt
Other Support	$0	OtherSupportAmt

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

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus3 Years	$16,292,512	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$11,562,518	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$5,935,837	CurrentTaxYearMinus1YearAmt
Current Tax Year	$3,864,042	CurrentTaxYearAmt
Total	$37,654,909	TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$16,292,512	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$11,562,518	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$5,935,837	CurrentTaxYearMinus1YearAmt
Current Tax Year	$3,864,042	CurrentTaxYearAmt
Total	$37,654,909	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$11,627,145	SubstantialContributorsTotAmt
Public Support Total170	$26,027,764	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$37,654,909	TotalSupportAmt
Gross Receipts Rltd Activities	$0	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.69122	PublicSupportCY170Pct
Public Support PY170	0.64219	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

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

Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp

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

Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp

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

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule A, Part I LINE 3, 7, 12	SUMMA HEALTH SYSTEM, EIN 34-0714755, IS A SUBORDINATE MEMBER OF THE SUMMA HEALTH GROUP RULING. THE ORGANIZATION'S PUBLIC CHARITY STATUS IS AS A HOSPITAL ORGANIZATION DESCRIBED IN SECTION 170(B)(1)(A)(III). SUMMA PHYSICIANS, INC. DBA SUMMA HEALTH MEDICAL GROUP (SHMG), EIN 34-1790929, IS A SUBORDINATE MEMBER OF THE SUMMA HEALTH GROUP RULING. THE ORGANIZATION'S PUBLIC CHARITY STATUS IS SECTION 509(A)(3) TYPE III FUNCTIONALLY INTEGRATED AND MUST COMPLETE SCHEDULE A, PART IV, SECTIONS A, D, AND E. THE NUMBER OF SUPPORTING ORGANIZATIONS FOR LINE 12F IS 1. THE SUPPORTED ORGANIZATION FOR LINE 12G IS SUMMA HEALTH SYSTEM, EIN 34-0714755, WHOSE ORGANIZATION TYPE DESCRIBED ON LINES 1-10 IS 3, AND WHICH IS LISTED IN THE SHMG ORGANIZING DOCUMENTS. LISTING ZERO IN SUPPORT FOR LINE 12G COLUMN (V) AND (VI). SUMMA FOUNDATION, EIN 34-1219001, IS A SUBORDINATE MEMBER OF THE SUMMA HEALTH GROUP RULING. THE ORGANIZATION'S PUBLIC CHARITY STATUS IS AN ORGANIZATION THAT NORMALLY RECEIVES A SUBSTANTIAL PART OF ITS SUPPORT FROM A GOVERNMENTAL UNIT OR FROM THE GENERAL PUBLIC DESCRIBED IN SECTION 170(B)(1)(A)(VI) AND MUST COMPLETE SCHEDULE A PART II. PURSUANT TO THE INSTRUCTIONS FOR GROUP FILINGS, THE ABOVE LISTED ORGANIZATIONS HAVE SEPARATELY DOCUMENTED THEIR COMPLIANCE REQUIREMENTS ON SCHEDULE A, PART VI, SUPPLEMENTAL INFORMATION.
Schedule A, Part II Public Support	SCHEDULE A PUBLIC SUPPORT SCHEDULE IS BEING PREPARED FOR SUMMA FOUNDATION, EIN 34-1219001. SUMMA FOUNDATION IS A SUBORDINATE MEMBER OF THE SUMMA HEALTH GROUP RULING. THE ORGANIZATION'S PUBLIC CHARITY STATUS IS AN ORGANIZATION THAT NORMALLY RECEIVES A SUBSTANTIAL PART OF ITS SUPPORT FROM A GOVERNMENTAL UNIT OR FROM THE GENERAL PUBLIC DESCRIBED IN SECTION 170(B)(1)(A)(VI) AND MUST COMPLETE SCHEDULE A PART II.
Schedule A, Part IV, Section A, Line 1 Schedule A, Part IV, Sections A, D, and E	SHMG, EIN 34-1790929, IS A SUBORDINATE MEMBER OF THE SUMMA HEALTH GROUP RULING. THE ORGANIZATION'S PUBLIC CHARITY STATUS IS SECTION 509(A)(3) TYPE III FUNCTIONALLY INTEGRATED AND MUST COMPLETE SCHEDULE A, PART IV, SECTIONS A, D, AND E. THE ANSWERS PROVIDED ON SCHEDULE A, PART VI, SECTIONS A, D, AND E ARE PROVIDED FOR SHMG.
Schedule A, Part IV, Section A, Line 1	THE ANSWER FOR LINE 1 IS YES. SUPPORTED ORGANIZATIONS LISTED BY NAME: SHMG, EIN 34-1790929, WAS THE SUPPORTING ORGANIZATION TO THE FOLLOWING SUPPORTED ORGANIZATION SUMMA HEALTH SYSTEM, INC. EIN 34-0714755. SUMMA HEALTH SYSTEM IS DESIGNATED AS A SUPPORTED ORGANIZATION BY NAME IN THE ARTICLES OF INCORPORATION OF SUMMA PHYSICIANS, INC. DBA SUMMA HEALTH MEDICAL GROUP. AN HISTORIC AND CONTINUING RELATIONSHIP OF SUPPORT EXISTS BETWEEN SUMMA PHYSICIANS, INC. DBA SUMMA HEALTH MEDICAL GROUP, AND SUMMA HEALTH SYSTEM, THE SUPPORTED HOSPITAL LISTED ON PART I LINE 12G. SECTIONS A, D AND E ARE PROVIDED FOR SHMG.
Schedule A, Part IV, Section D, Line 3 Supp. Org. Have Significant Voice In Investment Policies	SUMMA HEALTH 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 SUPPORT ORGANIZATION.
Schedule A, Part IV, Section E, Line 2a Org. Activities Directly Further The Exempt Purposes	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 Activities That One Or More Supp. Org. Engaged In	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	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$4,579	OtherActivitiesAmt
Total Lobbying Expenditures	$4,579	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	THE AMOUNT ON LINE 1(I) 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	$29,193,531	BeginningYearBalanceAmt
Contributions	-$3,554	ContributionsAmt
Investment Earnings Or Losses	$601,772	InvestmentEarningsOrLossesAmt
End Year Balance	$29,791,749	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$28,058,724	BeginningYearBalanceAmt
Contributions	$135,091	ContributionsAmt
Investment Earnings Or Losses	$999,716	InvestmentEarningsOrLossesAmt
End Year Balance	$29,193,531	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$29,263,036	BeginningYearBalanceAmt
Contributions	$870,744	ContributionsAmt
Investment Earnings Or Losses	-$2,075,056	InvestmentEarningsOrLossesAmt
End Year Balance	$28,058,724	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

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

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	1.0	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.0	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$46,474,602	OtherCostOrOtherBasisAmt
Book Value	$46,474,602	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$906,050,983	OtherCostOrOtherBasisAmt
Depreciation	$429,686,617	DepreciationAmt
Book Value	$476,364,366	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$19,374,888	OtherCostOrOtherBasisAmt
Depreciation	$7,792,227	DepreciationAmt
Book Value	$11,582,661	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$428,257,748	OtherCostOrOtherBasisAmt
Depreciation	$305,106,861	DepreciationAmt
Book Value	$123,150,887	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$56,504,224	OtherCostOrOtherBasisAmt
Depreciation	$29,045,348	DepreciationAmt
Book Value	$27,458,876	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$685,031,392	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (8 entries)

DescDesc	Book ValueBookValueAmt
NON-PERF ASSET AIR RIGHTS	$491,870
TAXES RECEIVABLE	$221,092
OTHER ACCOUNTS RECEIVABLE	$68,571
BENEFICIAL INTEREST IN PROPERTY	$3,423,026
DUE FROM RELATED ORGANIZATIONS	$884,177,932
RIGHT OF USE ASSETS	$15,694,348
OTHER ACCOUNTS RECEIVABLE UPL NET OF ALLOWANCE	-$1,142,543
PREPAID PENSION ASSET	$6,986,018

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$909,920,314	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (11 entries)

DescDesc	AmtAmt
Federal Income Taxes
CAPITAL LEASE OBLIGATIONS	$24,681,280
ASSET RETIREMENT OBLIGATION	$0
INTEREST RATE SWAP	$1,708,104
POST RETIREMENT BENEFITS	$294,934
CONTINGENT LIABILITIES	$490,083
MALPRACTICE LIABILITY	$16,274,000
UNSECURED PAYABLES	$341,871,705
PURCHASE OPTION LIABILITY	$4,680,805
RIGHT OF USE LEASE OBLIGATION	$10,356,373
2021 BONDS	$299,982,638

Field	Value	IRS element (for citing)
Total Liability	$700,339,922	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Other Revenue	$0	OtherRevenueAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$0	RevenueSubtotalAmt
Other Revenues Not Included	$0	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$0	TotalRevenuePerForm990Amt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$0	ExpensesSubtotalAmt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$0	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule D, Part V, Line 4 Intended uses of endowment funds

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

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

SUMMA AND MOST OF ITS SUBSIDIARIES ARE NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND ARE EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(A) OF THE CODE. SUMMA ALSO HAS CERTAIN SUBSIDIARIES THAT ARE TAXABLE FOR FEDERAL INCOME TAX PURPOSES. SC, TOGETHER WITH AFFILIATES OF SHSC, FILES A CONSOLIDATED FEDERAL INCOME TAX RETURN IN ACCORDANCE WITH A TAX-SHARING AGREEMENT DATED JANUARY 1, 2010. THE ENTITIES UTILIZE A CONSOLIDATED APPROACH TO THE ALLOCATION OF FEDERAL INCOME TAXES, WHEREAS SHSC'S TAX-SHARING AGREEMENT WITH ITS SUBSIDIARIES ALLOWS IT TO MAKE CERTAIN CODE ELECTIONS IN ITS CONSOLIDATED FEDERAL TAX RETURN. IN THE EVENT SUCH CODE ELECTIONS ARE MADE, ANY BENEFIT OR LIABILITY IS THE RESPONSIBILITY OF SHSC AND IS ACCRUED AND PAID BY THE PARTICIPATING SUBSIDIARIES. SC IS NOT SUBJECT TO STATE INCOME TAXES AS IT IS LICENSED AS A HEALTH INSURANCE COMPANY UNDER CHAPTER 1751 OF THE OHIO REVISED CODE. DEFERRED TAX ASSETS AND LIABILITIES ARE RECOGNIZED FOR THE FUTURE TAX CONSEQUENCES ATTRIBUTABLE TO DIFFERENCES BETWEEN THE FINANCIAL STATEMENT CARRYING AMOUNTS OF EXISTING ASSETS AND LIABILITIES AND THE RESPECTIVE TAX BASIS AND OPERATING LOSS AND TAX CREDIT CARRYFORWARDS. DEFERRED TAX ASSETS AND LIABILITIES ARE MEASURED USING ENACTED TAX RATES EXPECTED TO APPLY TO TAXABLE INCOME IN THE YEARS IN WHICH THOSE TEMPORARY DIFFERENCES ARE EXPECTED TO BE RECOVERED OR SETTLED. THE EFFECT ON DEFERRED TAX ASSETS AND LIABILITIES OF A CHANGE IN TAX RATES IS RECOGNIZED IN INCOME IN THE PERIOD THAT INCLUDES THE ENACTMENT DATE. SUMMA RECOGNIZES INTEREST INCOME, INTEREST EXPENSE, AND PENALTIES RELATED TO UNCERTAIN TAX POSITIONS WITHIN THE PROVISION FOR INCOME TAX.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	RegionTxt
Offices	1	OfficesCnt
Employee	0	EmployeeCnt
Type Of Activities Conducted	Program Services	TypeOfActivitiesConductedTxt
Specific Services Provided	Self Insurance	SpecificServicesProvidedTxt
Region Total Expenditures	$15,214,496	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	$15,214,496	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$15,214,496	TotalSpentAmt
Transfer To Foreign Corp	false	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	false	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements	FormAndLineReferenceDesc
Explanation	CENTRAL AMERICA AND THE CARIBBEAN-Accrual	ExplanationTxt

Schedule H IRS990ScheduleH

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

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	250	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$50,300,229	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$36,004,715	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,295,514	NetCommunityBenefitExpnsAmt
Total Expense	0.00824	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$238,966,717	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$149,413,831	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$89,552,886	NetCommunityBenefitExpnsAmt
Total Expense	0.05159	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$289,266,946	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$185,418,546	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$103,848,400	NetCommunityBenefitExpnsAmt
Total Expense	0.05983	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,940,332	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,940,332	NetCommunityBenefitExpnsAmt
Total Expense	0.00976	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$47,211,806	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,311,117	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$30,900,689	NetCommunityBenefitExpnsAmt
Total Expense	0.01780	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$50,273,093	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$50,273,093	NetCommunityBenefitExpnsAmt
Total Expense	0.02896	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,162,213	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$603,951	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,558,262	NetCommunityBenefitExpnsAmt
Total Expense	0.00378	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,460,685	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,460,685	NetCommunityBenefitExpnsAmt
Total Expense	0.00257	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$126,048,129	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,915,068	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$109,133,061	NetCommunityBenefitExpnsAmt
Total Expense	0.06287	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$415,315,075	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$202,333,614	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$212,981,461	NetCommunityBenefitExpnsAmt
Total Expense	0.12270	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$87,512	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$87,512	NetCommunityBenefitExpnsAmt
Total Expense	0.00005	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$87,512	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$87,512	NetCommunityBenefitExpnsAmt
Total Expense	0.00005	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$17,739,000	BadDebtExpenseAmt
Reimbursed By Medicare	$134,988,871	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$169,233,916	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$34,245,045	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 (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

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

Field	Value	IRS element (for citing)
Primary Activities	DIGESTIVE DISEASE	PrimaryActivitiesTxt
Org Profit Or Ownership	0.1019	OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership	0.0	OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership	0.44	PhysiciansProfitOrOwnershipPct

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

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Research FacilityResearchFacilityInd	Emergency Room24 HrsEmergencyRoom24HrsInd	OtherOtherDesc
SUMMA HEALTH SYSTEM
1	141 N FORGE ST	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	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	22	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (X)	HTTPS://WWW.SUMMAHEALTH.ORG/ABOUT-US/ABOUT-SUMMA/COMMUNITY-BENEFIT-AND-DIVERSITY/COMMUNITYNEEDSASSES	Yes (X)	Yes (true)	22	Yes (true)	HTTPS://WWW.SUMMAHEALTH.ORG/ABOUT-US/ABOUT-SUMMA/COMMUNITY-BENEFIT-AND-DIVERSITY/COMMUNITYNEEDSASSES	false	Yes (true)	Yes (X)	250.0	400.0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	https://www.summahealth.org/patientvisitor/insuranceandbilling/financialassistance	Yes (X)	https://www.summahealth.org/patientvisitor/insuranceandbilling/financialassistance	Yes (X)	https://www.summahealth.org/patientvisitor/insuranceandbilling/financialassistance	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
SUMMA REHAB HOSPITAL LLC
1	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	22	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (X)	HTTPS://SUMMAREHABHOSPITAL.COM/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-2022/	Yes (X)	Yes (true)	22	Yes (true)	HTTPS://SUMMAREHABHOSPITAL.COM/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-2022/	false	Yes (true)	Yes (X)	250.0	400.0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	https://summarehabhospital.com/financial-assistance/	Yes (X)	https://summarehabhospital.com/financial-assistance/	Yes (X)	https://summarehabhospital.com/financial-assistance/	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false		Yes (X)	Yes (X)	Yes (X)	false	Yes (X)	false	false	Yes (X)

Supplemental Information SupplementalInformationGrp (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - SUMMA HEALTH SYSTEM. IN 2022 SUMMA HEALTH PARTNERED WITH SUMMIT COUNTY PUBLIC HEALTH (SCPH) AND THE SUMMIT COALITION FOR COMMUNITY HEALTH IMPROVEMENT (SCCHI) TO CONDUCT THE 2022 CHNA. DURING THE PROCESS, OVER 250 INDICATORS WERE REVIEWED, AND COMMUNITY LEADERS AND RESIDENTS WERE CONSULTED. THE 2022 CHNA WAS COMPLETED USING THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS (NACCHO) MODIFIED-MOBILIZING ACTION THROUGH PARTNERSHIP AND PLANNING (MAPP) PROCESS. THIS PROCESS WAS FACILITATED BY SCPH AND CONDUCTED WITH THE SCCHI. SCCHI IS A 40+ MEMBER COLLABORATIVE WITH THE MISSION OF IDENTIFYING KEY HEALTH PRIORITIES IN SUMMIT COUNTY AND COORDINATING ACTION TO IMPROVE POPULATION HEALTH AND PROMOTE HEALTH EQUITY FOR ALL. THESE COMMUNITY LEADERS PROVIDE A PERSPECTIVE ON THE BROAD INTERESTS OF THE GROUPS SERVED BY THE HOSPITAL FACILITY, INCLUDING THE MEDICALLY UNDERSERVED, LOW-INCOME PERSONS, MINORITY GROUPS. SCPH EPIDEMIOLOGY GATHERED DATA FROM A VARIETY OF SOURCES INCLUDING COUNTY HEALTH RANKINGS, AMERICAN COMMUNITY SURVEY, AND COMMUNITY HEALTH STATUS INDICATORS. SCPH ALSO UTILIZED THE 2018 YOUTH RISK BEHAVIORAL SURVEY, THE OHIO DEPARTMENTS OF HEALTH BIRTH AND DEATH DATA, AND EPICENTER. QUALITATIVE DATA COLLECTED THROUGH SURVEYS, FOCUS GROUPS AND COMMUNITY MEETINGS WERE ALSO UTILIZED TO GATHER INFORMATION ABOUT HOW SUMMIT COUNTY LEADERS AND RESIDENTS EXPERIENCE THE HEALTH OUTCOMES AND COMMUNITY CONDITIONS THAT AFFECT QUALITY OF LIFE. THIS INFORMATION CAN PROVIDE ADDITIONAL CONTEXT TO QUANTITATIVE DATA AND HEALTH TO STRATEGICALLY INFORM IMPROVEMENTS. SCCHI AND SCPH ALSO COMPLETED TWO QUALITATIVE MAPP ASSESSMENTS: COMMUNITY THEMES, STRENGTHS, AND THE FORCES OF CHANGE. FOCUS GROUPS AND SURVEYS WERE CONDUCTED AND DISTRIBUTED THROUGHOUT THE COMMUNITY IN 2022 TO IDENTIFY BARRIERS AND OPPORTUNITIES THROUGH THE LENS OF THE COMMUNITY MEMBER. LEADERS FROM THE FOLLOWING COMMUNITY ORGANIZATIONS WERE CONSULTED DURING THIS CHNA: AETNA AKRON AREA YMCA AKRON CANTON REGIONAL FOODBANK AKRON CHILDREN'S HOSPITAL AKRON COMMUNITY FOUNDATION AKRON METROPOLITAN AREA TRANSPORTATION STUDY AKRON METROPOLITAN HOUSING AUTHORITY AKRON PUBLIC SCHOOLS AKRON REGION INTERPROFESSIONAL AREA HEALTH EDUCATION CENTER AKRON SUMMIT COMMUNITY ACTION, INC AKRON SUMMIT COUNTY PUBLIC LIBRARY AKRON ZOO ALZHEIMER'S ASSOCIATION SUMMA HEALTH GROUP RETURN 90-0640432 AMERICAN CANCER SOCIETY AMERICAN HEART ASSOCIATION ASIAN SERVICES IN ACTION, INC AXESSPOINTE COMMUNITY HEALTH CENTER BABY 1ST NETWORK BLACK HEALTH COALITION CHC ADDICTION CHILD GUIDANCE AND FAMILY SOLUTIONS CITY OF AKRON CITY OF TALLMADGE CHOICES CLEVELAND CLINIC AKRON GENERAL COMMUNITY LEGAL AID COUNTY OF SUMMIT COUNTY OF SUMMIT ALCOHOL DRUG ADDICTION AND MENTAL HEALTH SERVICES BOARD FAIR HOUSING AKRON GREATER AKRON CHAMBER OF COMMERCE GREEN LEAF CENTER HOPE HEALING HAVEN OF REST MINISTRIES HUMILITY OF MARY HOUSING PROGRAM INFOLINE, INC INTERNATIONAL INSTITUTE OF AKRON LET'S GROW AKRON LOVE AKRONMATURE SERVICES MHA ADVOCACY MUSTARD SEED MARKET AND CAF NORTHEAST OHIO MEDICAL UNIVERSITY OHIO GUIDESTONE OPEN M MINISTRIES PLANNED PARENTHOOD OF GREATER OHIO PROJECT LEARN OF SUMMIT COUNTY SIDS OHIO STARK STATE UNIVERSITY SUMMIT COUNTY DD BOARD SUMMIT COUNTY PUBLIC HEALTH SUMMIT EDUCATION INITIATIVE SUMMIT METRO PARKS THE BLICK CENTER UHCAN OHIO UNITED WAY OF SUMMIT COUNTY UNIVERSITY OF AKRON ADDITIONAL DETAIL CAN BE FOUND ON THE SUMMA HEALTH WEBSITE AT https://www.summahealth.org/about-us/about-summa/community-benefit-and-diversity/communityneedsassessments
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - SUMMA HEALTH SYSTEM. SUMMA HEALTH CONDUCTED THE CHNA ON BEHALF OF EACH OF ITS HOSPITAL FACILITIES LISTED IN PART V, SECTION A, WHICH ARE, SUMMA HEALTH SYSTEM AND SUMMA REHAB HOSPITAL, LLC
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - SUMMA HEALTH SYSTEM. SUMMIT COUNTY PUBLIC HEALTH SUMMIT COALITION FOR COMMUNITY HEALTH IMPROVEMENT
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - SUMMA HEALTH SYSTEM. IN 2022 SUMMA HEALTH PARTNERED WITH SUMMIT COUNTY PUBLIC HEALTH (SCPH) AND THE SUMMIT COALITION FOR COMMUNITY HEALTH IMPROVEMENT (SCCHI) TO CONDUCT THE 2022 CHNA THAT WAS APPROVED BY THE SUMMA HEALTH BOARD OF DIRECTORS ON OCTOBER 27, 2022. DURING THIS PROCESS OVER 200 INDICATORS WERE REVIEWED, COMMUNITY LEADERS AND RESIDENTS WERE CONSULTED, AND SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED USING THE MAPP PROCESS. IN COLLABORATION WITH SUMMA'S INTERNAL LEADERSHIP AND DEPARTMENTS, ASSISTANCE FROM MEMBERS OF THE SUMMA CEC AND MANY EXTERNAL PARTNERS, SUMMA'S PRIORITIZATION PROCESS INCLUDED REVIEW OF THE DATA FINDINGS, BURDEN SCOPE AND URGENCY OF THE HEALTH NEED, THE FEASIBILITY OF INTERVENING, THE HOSPITAL'S STRATEGIC PRIORITIES, FINANCIAL AND HUMAN RESOURCES, PARTER ACTIVITY, AND THE LOCAL AND STATE HEALTH IMPROVEMENT PLANS. THE OUTCOME OF THE 2022 CHNA EFFORTS AS DETERMINED BY CAREFUL ANALYSIS OF BOTH THE EPIDEMIOLOGICAL AND QUALITATIVE DATA, YIELDED THE FOLLOWING PRIORITIES: ACCESS AND BARRIERS TO HEALTH CARE, CHRONIC DISEASE PREVENTION AND MANAGEMENT, HEALTH EQUITY, MENTAL HEALTH AND ADDICTION AND SOCIAL DETERMINANTS OF HEALTH. THE PRIORITIES ARE IN ALIGNMENT WITH CURRENT COMMUNITY HEALTH NEEDS IDENTIFIED BY THE SUMMIT COUNTY PUBLIC HEALTH 2022 COMMUNITY HEALTH ASSESSMENT AND THE OHIO DEPARTMENT OF HEALTH'S 2019 STATE HEALTH ASSESSMENT AND THE 2020-2022 STATE HEALTH IMPROVEMENT PLAN, WHICH WAS THE MOST CURRENT PLAN AVAILABLE. SIGNIFICANT HEALTH NEEDS ADDRESSED: CHNA HEALTH PRIORITY: ACCESS AND BARRIERS TO HEALTH CARE: ACCESS TO HEALTH CARE IS A BROAD TERM USED TO DESCRIBE THE AVAILABILITY, ACCEPTABILITY, AFFORDABILITY AND ACCESSIBILITY OF HEALTH CARE SYSTEMS AND PROVIDERS. ADULTS WITH POOR ACCESS TO HEALTHCARE, OR WHO FACE BARRIERS TO CARE, HAVE A HARDER TIME GETTING PREVENTATIVE SERVICES OR MEDICATION. ACCESS TO CLINICAL CARE ACCOUNTS FOR 20% OF A PERSON'S HEALTH STATUS ACCORDING TO THE WISCONSIN COUNTY HEALTH RANKINGS MODEL. BOTH ACCESS TO CARE AND THE QUALITY OF THAT CARE HAVE AFFECTED THE HEALTH OF SUMMIT COUNTY. EVEN AFTER THE IMPLEMENTATION OF THE ACA, 8% OF ADULTS AND 3% OF CHILDREN STILL DO NOT HAVE HEALTH INSURANCE. HAVING HEALTH INSURANCE IS ONLY ONE PART OF THE HEALTH ACCESS PICTURE, HOWEVER. HAVING ACCESS TO A PROVIDER WHEN THEY ARE NEEDED ALSO IS IMPORTANT. RATIOS OF PRIMARY CARE PHYSICIANS, MENTAL HEALTH PROVIDERS AND DENTISTS TO POPULATION ALL SHOWED MEANINGFUL IMPROVEMENT SINCE THE 2019 CHNA. LANGUAGE BARRIERS ALSO IMPACT HEALTH CARE ACCESS. THE RECENT INFLUX OF IMMIGRANT AND PARTICULARLY REFUGEE POPULATIONS FROM AROUND THE WORLD HAS CREATED CHALLENGES TO HEALTH CARE ACCESS. FOR EXAMPLE, THE PERCENTAGE OF THOSE AGE 5 AND OLDER WHO ARE LINGUISTICALLY ISOLATED (SPEAK ENGLISH LESS THAN VERY WELL AS WELL AS A LANGUAGE OTHER THAN ENGLISH IN THE HOME) INCREASED SHARPLY BETWEEN 2015 AND 2019. AT THE TIME OF THE 2019 CHNA, ONLY 59% OF FEMALE MEDICARE PATIENTS RECEIVE MAMMOGRAPHY SCREENING. THAT PERCENTAGE HAS NOW DECREASED TO JUST 43%. LOW RATES OF ELIGIBLE WOMEN RECEIVING ROUTINE MAMMOGRAMS COULD MEAN THAT MANY WOMEN WITH CANCER WILL NOT RECEIVE A DIAGNOSIS OF BREAST CANCER UNTIL THAT CANCER IS IN ITS LATER STAGES. PREVENTIVE DENTAL HEALTH SCREENINGS ARE ALSO LOW, WITH LESS THAN TWO-THIRDS OF ADULTS, MIDDLE SCHOOL STUDENTS, AND HIGH SCHOOL STUDENTS SAYING THEY HAVE VISITED A DENTIST IN THE PAST 12 MONTHS. GOAL: IMPROVE ACCESS AND REDUCE BARRIERS TO QUALITY HEALTHCARE FOR THE RESIDENTS OF SUMMIT COUNTY. THE HEALTH NEEDS PERTAINING TO ACCESS ARE BEING ADDRESSED BY INCORPORATING COMMUNITY HEALTH WORKERS IN COMMUNITY BASED SETTINGS AND INCREASING THE NUMBER OF INDIVIDUALS WHO HAVE ACCESS TO PRIMARY CARE MEDICAL HOMES AND COMPREHENSIVE PRIMARY CARE PLUS PRACTICES THEREBY INCREASING THE OPPORTUNITIES FOR PREVENTATIVE AND EARLY INTERVENTIONS FOR INDIVIDUALS REQUIRING PRIMARY CARE, DENTAL, AND BEHAVIORAL HEALTH PROVIDERS. EXPECTED OUTCOME (S): INCREASED USE OF HEALTHCARE SERVICES REDUCED BARRIERS TO ACCESSING CARE INCREASED ACCESS TO SCREENINGS CHNA HEALTH PRIORITY: CHRONIC DISEASE PREVENTION AND MANAGEMENT: CHRONIC DISEASES ARE DISEASES THAT A PERSON HAS FOR A LONG TIME, SOMETIMES INDEFINITELY. PEOPLE WITH CHRONIC DISEASES USUALLY NEED TO SEE THEIR DOCTORS ON A REGULAR BASIS TO MONITOR THE PROGRESSION OF THEIR DISEASE TO GET TREATMENT. DEATH RATES FROM A FEW OF THE MORE COMMON CHRONIC DISEASES EITHER STAYED THE SAME OR SLIGHTLY DECREASED SINCE THE 2019 CHNA, INCLUDING BREAST, COLORECTAL CANCER, STROKE, AND CHRONIC LOWER RESPIRATORY DISEASE. THE STABILIZATION AND/OR IMPROVEMENT OF CANCER DEATH RATES FOR BREAST AND COLORECTAL CANCER IS ESPECIALLY IMPORTANT, AS THESE ARE CANCERS THAT ARE MORE READILY DETECTED THROUGH EARLY SCREENING. DEATH RATES FROM ALL CANCER TYPES COMBINED DECREASED BY ABOUT 2%. DEATHS FROM CHRONIC KIDNEY DISEASE AND PROSTATE CANCER INCREASED, AS DID DEATH RATES FROM HEART DISEASE AND ALZHEIMER'S/DEMENTIA. OVER THE PAST SEVERAL YEARS, THE BEHAVIORAL RISK FACTOR SURVEILLANCE SURVEY (BRFSS) HAS SHOWN THAT NEARLY TWO-THIRDS OF THE ADULT POPULATION IS EITHER OVERWEIGHT OR OBESE, AND ABOUT ONE-THIRD OF THOSE INDIVIDUALS HAVE REPORTED BEING TOLD THEY HAVE EITHER HIGH CHOLESTEROL OR HIGH BLOOD PRESSURE. IN ADDITION, ABOUT ONE-QUARTER OF ADULTS SAY THEY SMOKE, AND ANOTHER QUARTER SAY THEY ARE NOT PHYSICALLY ACTIVE. ALL OF THESE BEHAVIORS HAVE EITHER STAYED THE SAME OR INCREASED OVER THE PAST SEVERAL YEARS, DESPITE SOLID EVIDENCE THAT THEY INCREASE CHRONIC DISEASE RATES. SEVERAL EXTERNAL CAUSES OF DEATH ALSO HAVE INCREASED (DEATHS NOT CAUSED BY DISEASE OR OTHER NATURAL CAUSES). IN ADDITION TO DRUG OVERDOSE DEATHS, OTHER KINDS OF ACCIDENTAL DEATHS (AUTO ACCIDENTS AND FALLS BEING THE MOST COMMON) HAVE INCREASED 36% SINCE 2019. FIREARM-RELATED HOMICIDES ALSO ARE UP 37% SINCE THE 2019 CHNA. FALL-RELATED DEATHS AMONG SENIORS, AND BOTH TRAUMATIC BRAIN INJURY EMERGENCY ROOM VISITS RESULTING FROM AND DEATHS FROM TRAUMATIC BRAIN INJURY HAVE INCREASED FOR SENIORS SINCE 2018. GOAL: REDUCE CHRONIC DISEASE AND PROMOTE WELLBEING FOR THE RESIDENTS OF SUMMIT COUNTY. THE 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 AND PROVIDING EVIDENCED BASED LIFESTYLE MODIFICATION PROGRAMS. EXPECTED OUTCOME (S): DECREASE RATES OF CHRONIC DISEASE IN ADULTS. DECREASE SMOKING, TOBACCO AND VAPING USE IN ADULTS. REDUCE INCIDENCE OF CARDIOVASCULAR DISEASE IN SUMMIT COUNTY. REDUCE INCIDENCE OF CANCER IN SUMMIT COUNTY. REDUCE INCIDENCE OF DIABETES IN SUMMIT COUNTY. CHNA HEALTH PRIORITY: HEALTH EQUITY THE CENTERS FOR DISEASE CONTROL AND PREVENTION DEFINE HEALTH EQUITY AS A STATE IN WHICH EVERYONE HAS A FAIR AND JUST OPPORTUNITY TO ATTAIN THEIR HIGHEST LEVEL OF HEALTH. HEALTH EQUITY IS FOCUSED ON CREATING BETTER OPPORTUNITIES FOR HEALTH AND GIVING SPECIAL ATTENTION TO THE NEEDS OF THOSE AT THE GREATEST RISK FOR POOR HEALTH. ACHIEVING HEALTH EQUITY WILL REQUIRE FOCUSED AND ONGOING SOCIETAL EFFORTS TO CHANGE THE SYSTEMS AND POLICIES THAT HAVE RESULTED IN THE GENERATIONAL INJUSTICES THAT CONTRIBUTE TO RACIAL AND ETHNIC HEALTH DISPARITIES. IN THE SUMMER OF 2020, BOTH SUMMIT COUNTY COUNCIL AND THE CITY OF AKRON FORMALLY DECLARED RACISM AS A PUBLIC HEALTH CRISIS AND ARE TAKING STEPS TOWARDS ALLOCATING RESOURCES AND IMPLEMENTING CHANGE THROUGH STRATEGIC ACTION. THE PASSING OF THESE RESOLUTIONS, AND THE CONCRETE STEPS THAT HAVE FOLLOWED AFTER THE PASSAGE, DEMONSTRATES THAT SUMMIT COUNTY ALONG WITH OVER 250 OTHER COUNTIES, CITIES AND COMMUNITY ORGANIZATIONS ACROSS THE UNITED STATES ARE COMMITTED TO OPPOSING AND DISMANTLING RACISM AND PURSUING EQUITY, DIVERSITY AND INCLUSION. IN JUNE OF 2020, SUMMA MADE A PROMISE TO NOT ONLY ACKNOWLEDGE RACISM AS A PUBLIC HEALTH CRISIS, BUT TO TAKE SWIFT ACTION IN ADDRESSING THIS TOPIC WITH RESOURCES, EDUCATION AND TANGIBLE COMMITMENTS. THE SUMMA STANDS WITH OUR COMMUNITY ACTION PLAN WAS CREATED THAT PROMOTES DIVERSITY, REDUCING HEALTH DISPARITIES AND EDUCATING STAFF, AS WELL AS AN EVALUATION METRIC TO TRACK THE PROGRESS.
Schedule H, Part V, Section B, Line 11 Facility , 2	Facility , 2 - SUMMA HEALTH SYSTEM (continued). GOAL: REDUCE HEALTH DISPARITIES AND ADVANCE HEALTH EQUITY FOR THE RESIDENTS OF SUMMIT COUNTY. THE HEALTH NEEDS PERTAINING TO ADVANCING HEALTH EQUITY IS BEING ADDRESSED BY UTILIZING CHW'S IN COMMUNITY-BASED SETTINGS AT THE SUMMA CENTER FOR HEALTH EQUITY TO ADDRESS SOCIAL DETERMINANTS OF HEALTH. COORDINATING CARE OF LGBTQ AND COMPLEX CARE PATIENTS THROUGH SPECIALIZED CLINICS. 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. ADVANCING DIVERSITY, EQUITY AND INCLUSION (DEI) THROUGH THE SUMMA STANDS WITH OUR COMMUNITY PLAN FOCUS AREAS AND ANALYZE IMPACT UTILIZING THE DEI SCORECARD. EXPECTED OUTCOME (S): IMPROVE ACCESS TO HEALTH CARE AND CARE COORDINATION TO THE LGBTQ COMMUNITY. IMPROVE CARE COORDINATION BY UTILIZING COMMUNITY HEALTH WORKERS (CHW). REDUCE INFANT MORTALITY. REDUCE PRETERM BIRTHS AND LOW BIRTH-WEIGHT BIRTHS IN SUMMIT COUNTY. CHNA HEALTH PRIORITY: MENTAL HEALTH AND ADDICTION THE COVID-19 PANDEMIC BROUGHT NEW CHALLENGES TO MENTAL HEALTH AND ADDICTION SERVICES AS LOCKDOWNS, JOB LOSS AND SOCIAL ISOLATION FED DEPRESSION, SUICIDE AND OVERDOSE RATES. AN EMERGENCY SHIFT IN POLICY REGARDING MEDICAID REIMBURSEMENT OPENED UP OPPORTUNITIES TO USE TELEMEDICINE FOR MENTAL AND BEHAVIORAL HEALTH SERVICES. WHILE SHORT STAFFING IS NOT A NEW ISSUE TO CLINICAL FIELDS, THE PANDEMIC CREATED ADDITIONAL STAFFING CHALLENGES AT THE SAME TIME AS THE RISE IN DEMAND FOR SERVICES. VARIOUS STRATEGIES HAVE BEEN PUT IN PLACE TO INCREASE PROVIDER CAPACITY THROUGH RECRUITMENT METHODS, SHIFTS IN PRIORITIES, AND NEW WAYS TO MEET THE COMMUNITY'S NEEDS SUCH AS TELEHEALTH. MANY LOCAL AGENCIES REPORTED INCREASED SHOW-RATES AND ENGAGEMENT WITH THE ADDITIONOF TELEHEALTH OPTIONS, WHICH IS LEADING TO THE POTENTIAL DEVELOPMENT OF INNOVATIVE STRATEGIES TO INCORPORATE THESE METHODS LONG-TERM. UNFORTUNATELY, NOT ALL WHO SUFFER FROM DEPRESSION AND SUICIDAL IDEATION RECEIVE THE HELP THEY NEEDIN TIME. WHILE THE OVERALL TOTAL OF CONFIRMED COMPLETED SUICIDES AVERAGES THE SAME FOR THE PAST SEVERAL YEARS, THE COUNTY OF SUMMIT ALCOHOL, DRUG ADDICTION AND MENTAL HEALTH SERVICES BOARD HAS REPORTED A RISE IN SUICIDE RATES FOR BLACK MALES. THIS IS FOLLOWING MUCH THE SAME LINES AS THE RISE IN OVERDOSES FOR THIS DEMOGRAPHIC. COMMUNITY-BASED AGENCIES AND COMBINED PROFESSIONAL, PEER AND FAITH-BASED COALITIONS ARE WORKING TOGETHER TO HELP PROVIDE RESOURCES AND HELP TO THOSE WHO NEED IT MOST. THIS INCLUDES ORGANIZATIONAL POLICIES WORKING TOWARD DIVERSE AND EQUITABLE ACCESS TO BEHAVIORAL HEALTH CARE FOR SEVERAL POPULATIONS IN SUMMIT COUNTY INCLUDING SOME SPECIFIC TO BLACK INDIVIDUALS, LGBTQ+ AND LOCAL REFUGEE COMMUNITIES. NATIONWIDE, ILLICIT DRUG USE HAS IMPLICATIONS ACROSS MORE THAN THE HEALTH AND SAFETY OF THE COMMUNITY. ACCORDING TO THE OFFICE OF THE U.S. SURGEON GENERAL, THE ESTIMATED ANNUAL ECONOMIC IMPACT OF ALCOHOL MISUSE IS $249 BILLION, AND FOR ILLICIT DRUG USE $193 BILLION. NOT ONLY HAS OHIO BEEN ONE OF THE HARDEST-HIT STATES IN THE COUNTRY IN TERMS OF OVERDOSES AND OVERDOSE RELATED DEATHS, BUT SUMMIT COUNTY SPECIFICALLY HAS BEEN HEAVILY IMPACTED. GOAL: PROMOTE MENTAL WELLBEING AND PREVENT ALCOHOL AND OTHER DRUG DEPENDENCE FOR RESIDENTS OF SUMMIT COUNTY. THE HEALTH NEEDS PERTAINING TO SUBSTANCE ABUSE ARE BEING ADDRESSED BY DECREASING ALCOHOL AND OPIATE RELATED OVERDOSES AND DEATHS THROUGH CARE COORDINATION AND EVIDENCE BASED PROGRAMS. EXPECTED OUTCOME (S): REDUCE INCIDENCE OF SUBSTANCE USE DISORDERS, OVERDOSES, AND DEATHS INCREASED KNOWLEDGE AND AWARENESS OF MENTAL HEALTH ISSUES INCREASED REFERRALS FOR MENTAL AND BEHAVIORAL HEALTH SERVICES IMPROVED ACCESS FOR MENTAL AND BEHAVIORAL HEALTH SERVICES. CHNA HEALTH PRIORITY: SOCIAL DETERMINANTS OF HEALTH (SDOH) THE SOCIAL DETERMINANTS OF HEALTH (SDOH) ARE THE CONDITIONS IN THE ENVIRONMENT WHERE PEOPLE ARE BORN, LIVE, WORK, PLAY AND AGE THAT AFFECT A WIDE RANGE OF HEALTH AND QUALITY OF LIFE OUTCOMES. SDOH INCLUDE FACTORS SUCH AS EDUCATION, EMPLOYMENT AND INCOME MAKE UP THE LARGEST SINGLE SHARE OF INDIVIDUAL HEALTH, 50% IN THE COUNTY HEALTH RANKINGS MODEL. UNFORTUNATELY, THE RECESSION OF 2007-2009 HAS CONTINUED TO HAVE A HUGE IMPACT ON THE SOCIOECONOMIC LANDSCAPE IN SUMMIT COUNTY MORE THAN A DECADE LATER. THE ECONOMIC UPHEAVAL CAUSED BY COVID-19 HAS ONLY AGGRAVATED THE LONG-TERM ECONOMIC RECOVERY OF SUMMIT COUNTY. THESE FACTORS ARE IMPORTANT TO ADDRESS BECAUSE ACCESS TO HEALTH CARE IS NECESSARY, BUT NOT SUFFICIENT, FOR GOOD HEALTH. AN ESTIMATED 80% OF THE MODIFIABLE FACTORS THAT AFFECT OVERALL HEALTH ARE ATTRIBUTED TO COMMUNITY CONDITIONS AND THE OPPORTUNITY TO MAKE HEALTHY CHOICES. GOAL: ENHANCE POPULATION HEALTH BY ADDRESSING THE SDOH FOR THE RESIDENTS OF SUMMIT COUNTY. THE HEALTH NEEDS PERTAINING TO ADDRESSING THE SDOH IS THROUGH UTILIZING THE EPIC PLATFORM, CARE COORIDNATION, CAREER EDUCATION, WORKFORCE PROGRAMS, AND EXPANDING PROGRAMS THAT LEVERAGE COMMUNITY PARNTERS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH. EXPECTED OUTCOME (S): IMPROVE HEALTH STATUS. REDUCE PREMATURE DEATH. INCREASE EDUCATIONAL AND EMPLOYMENT OPPORTUNITIES. SIGNIFICANT HEALTH NEEDS NOT ADDRESSED: SUMMA RECOGNIZES THAT NO HOSPITAL FACILITY CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. INJURIES, ACCIDENTS, AFFORDABLE HOUSING, VIOLENCE AND CRIME WILL NOT BE ADDRESSED DIRECTLY THROUGH OUR PLAN. REASONS FOR NOT TARGETING THESE AREAS INCLUDE THEY ARE ADDRESSED DURING CLINCIAL VISITS, GO BEYOND THE CURRENT SCOPE OF THE HOSPITAL, RESOURCE CONSTRAINTS, AVAILABLE EXPERTISE, OR BEING MORE APPRORIATE FOR OTHER COMMUNITY AGENCIES TO ADDRESS. ALTHOUGH THESE HEALTH NEEDS WILL NOT BE DIRECTLY ADDRESSED THROUGH OUR PLAN, SUMMA WILL CONSIDER THEM WHILE IMPLEMENTING THE STRATEGIES OUTLINED ABOVE. IN ADDITION, SUMMA WILL, LOOK FOR OPPORTUNITIES TO COLLABORATE WITH SAFE COMMUNITIES OF SUMMIT COUNTY, SUMMIT COUNTY SAFE KIDS COALITION, YOUTH VIOLENCE PREVENTION TASK-FORCE, COMMUNITY DEVELOPMENT CORPORATIONS, LOCAL SERVICES AGENCIES AND OTHER ORGANIZATIONS TO ADDRESS THESE IMPORTANT HEALTH ISSUES WHENEVER POSSIBLE. 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. THE PLAN IS ALSO IN ALIGNMENT WITH CURRENT COMMUNITY HEALTH NEEDS AND PRIORITIES IDENTIFIED BY THE SUMMIT COUNTY PUBLIC HEALTH 2022 COMMUNITY HEALTH ASSESSMENT AND THE OHIO DEPARTMENT OF HEALTH'S 2023-2025 STATE HEALTH IMPROVEMENT PLAN. A DETAILED DESCRIPTION OF THE ACTIONS BEING TAKEN TO ADDRESS THE HEALTH NEEDS IDENTIFIED ABOVE CAN BE FOUND ON THE 2020 - 2022 SUMMA HEALTH COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION PLAN FOUND ON THE SUMMA HEALTH WEBSITE AT https://www.summahealth.org/about-us/about-summa/community-benefit-and-diversity/communityneedsassessments
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - SUMMA REHABILITATION HOSPITAL. IN 2022 SUMMA HEALTH PARTNERED WITH SUMMIT COUNTY PUBLIC HEALTH (SCPH) AND THE SUMMIT COALITION FOR COMMUNITY HEALTH IMPROVEMENT (SCCHI) TO CONDUCT THE 2022 CHNA. DURING THE PROCESS, OVER 250 INDICATORS WERE REVIEWED, AND COMMUNITY LEADERS AND RESIDENTS WERE CONSULTED. THE 2022 CHNA WAS COMPLETED USING THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS (NACCHO) MODIFIED-MOBILIZING ACTION THROUGH PARTNERSHIP AND PLANNING (MAPP) PROCESS. THIS PROCESS WAS FACILITATED BY SCPH AND CONDUCTED WITH THE SCCHI. SCCHI IS A 40+ MEMBER COLLABORATIVE WITH THE MISSION OF IDENTIFYING KEY HEALTH PRIORITIES IN SUMMIT COUNTY AND COORDINATING ACTION TO IMPROVE POPULATION HEALTH AND PROMOTE HEALTH EQUITY FOR ALL. THESE COMMUNITY LEADERS PROVIDE A PERSPECTIVE ON THE BROAD INTERESTS OF THE GROUPS SERVED BY THE HOSPITAL FACILITY, INCLUDING THE MEDICALLY UNDERSERVED, LOW-INCOME PERSONS, MINORITY GROUPS. SCPH EPIDEMIOLOGY GATHERED DATA FROM A VARIETY OF SOURCES INCLUDING COUNTY HEALTH RANKINGS, AMERICAN COMMUNITY SURVEY, AND COMMUNITY HEALTH STATUS INDICATORS. SCPH ALSO UTILIZED THE 2018 YOUTH RISK BEHAVIORAL SURVEY, THE OHIO DEPARTMENTS OF HEALTH BIRTH AND DEATH DATA, AND EPICENTER. QUALITATIVE DATA COLLECTED THROUGH SURVEYS, FOCUS GROUPS AND COMMUNITY MEETINGS WERE ALSO UTILIZED TO GATHER INFORMATION ABOUT HOW SUMMIT COUNTY LEADERS AND RESIDENTS EXPERIENCE THE HEALTH OUTCOMES AND COMMUNITY CONDITIONS THAT AFFECT QUALITY OF LIFE. THIS INFORMATION CAN PROVIDE ADDITIONAL CONTEXT TO QUANTITATIVE DATA AND HEALTH TO STRATEGICALLY INFORM IMPROVEMENTS. SCCHI AND SCPH ALSO COMPLETED TWO QUALITATIVE MAPP ASSESSMENTS: COMMUNITY THEMES, STRENGTHS, AND THE FORCES OF CHANGE. FOCUS GROUPS AND SURVEYS WERE CONDUCTED AND DISTRIBUTED THROUGHOUT THE COMMUNITY IN 2022 TO IDENTIFY BARRIERS AND OPPORTUNITIES THROUGH THE LENS OF THE COMMUNITY MEMBER. LEADERS FROM THE FOLLOWING COMMUNITY ORGANIZATIONS WERE CONSULTED DURING THIS CHNA: AETNA AKRON AREA YMCA AKRON CANTON REGIONAL FOODBANK AKRON CHILDREN'S HOSPITAL AKRON COMMUNITY FOUNDATION AKRON METROPOLITAN AREA TRANSPORTATION STUDY AKRON METROPOLITAN HOUSING AUTHORITY AKRON PUBLIC SCHOOLS AKRON REGION INTERPROFESSIONAL AREA HEALTH EDUCATION CENTER AKRON SUMMIT COMMUNITY ACTION, INC AKRON SUMMIT COUNTY PUBLIC LIBRARY AKRON ZOO ALZHEIMER'S ASSOCIATION AMERICAN CANCER SOCIETY AMERICAN HEART ASSOCIATION ASIAN SERVICES IN ACTION, INC AXESSPOINTE COMMUNITY HEALTH CENTER BABY 1ST NETWORK BLACK HEALTH COALITION CHC ADDICTION CHILD GUIDANCE AND FAMILY SOLUTIONS CITY OF AKRON CITY OF TALLMADGE CHOICES CLEVELAND CLINIC AKRON GENERAL COMMUNITY LEGAL AID COUNTY OF SUMMIT COUNTY OF SUMMIT ALCOHOL DRUG ADDICTION AND MENTAL HEALTH SERVICES BOARD FAIR HOUSING AKRON GREATER AKRON CHAMBER OF COMMERCE GREEN LEAF CENTER HOPE HEALING HAVEN OF REST MINISTRIES HUMILITY OF MARY HOUSING PROGRAM INFOLINE, INC INTERNATIONAL INSTITUTE OF AKRON LET'S GROW AKRON LOVE AKRONMATURE SERVICES MHA ADVOCACY MUSTARD SEED MARKET AND CAF NORTHEAST OHIO MEDICAL UNIVERSITY OHIO GUIDESTONE OPEN M MINISTRIES PLANNED PARENTHOOD OF GREATER OHIO PROJECT LEARN OF SUMMIT COUNTY SIDS OHIO STARK STATE UNIVERSITY SUMMIT COUNTY DD BOARD SUMMIT COUNTY PUBLIC HEALTH SUMMIT EDUCATION INITIATIVE SUMMIT METRO PARKS THE BLICK CENTER UHCAN OHIO UNITED WAY OF SUMMIT COUNTY UNIVERSITY OF AKRON ADDITIONAL DETAIL CAN BE FOUND ON THE SUMMA HEALTH WEBSITE AT https://summarehabhospital.com/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-2022/
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - SUMMA REHABILITATION HOSPITAL. SUMMA HEALTH CONDUCTED THE CHNA ON BEHALF OF EACH OF ITS HOSPITAL FACILITIES LISTED IN PART V, SECTION A, WHICH ARE SUMMA HEALTH SYSTEM AND SUMMA REHAB HOSPITAL, LLC
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - SUMMA REHABILITATION HOSPITAL. SUMMIT COUNTY PUBLIC HEALTH SUMMIT COALITION FOR COMMUNITY HEALTH IMPROVEMENT
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - 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. THE COMMUNITY RESOURCES PROVIDED BY A VARIETY OF INSTITUTIONS INCLUDING SUMMA AKRON AND BARBERTON CAMPUS, LED TO THE DETERMINATION BY SUMMA REHAB HOSPITAL, LLC TO NOT ADDRESS ANY OTHER IDENTIFIED HEALTH NEED. THIS PRIORITY SPECIFIC COMMUNITY HEALTH NEEDS THAT THE HOSPITAL HAS DETERMINED TO MEET IN WHOLE OR IN PART AND THAT ARE CONSISTENT WITH ITS MISSION. THE HOSPITAL RESERVES THE RIGHT TO AMEND THIS STRATEGY AS CIRCUMSTANCES WARRANT. FOR EXAMPLE, CERTAIN NEEDS BECOME MORE PRONOUNCED AND REQUIRE ENHANCEMENTS TO THE DESCRIBED STRATEGIC INITIATIVES. DURING THE THREE YEARS ENDING DECEMBER 31, 2025, OTHER ORGANIZATIONS IN THE COMMUNITY MAY DECIDE TO ADDRESS CERTAIN NEEDS, INDICATING THAT THE HOSPITAL THEN SHOULD REFOCUS ITS LIMITED RESOURCES TO BEST SERVE THE COMMUNITY. PRIORITY HEALTH GOAL: INCREASE ACCESS TO QUALITY HEALTHCARE THE HEALTH NEEDS PERTAINING TO ACCESS ARE BEING ADDRESSED THROUGH CARE COORDINATION, PROVIDING EDUCATIONAL PROGRAMS, PATIENT ASSISTANCE PROGRAMS AND ADVOCACY. EXPECTED OUTCOME (S): INCREASE ACCESS TO CARE AND PATIENT KNOWLEDGE INCREASE ADHERENCE TO MEDICATIONS A DETAILED DESCRIPTION OF THE ACTIONS BEING TAKEN TO ADDRESS THE HEALTH NEEDS IDENTIFIED ABOVE CAN BE FOUND ON THE 2020-2022 SUMMA HEALTH COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION PLAN FOUND ON THE SUMMA HEALTH WEBSITE AT https://summarehabhospital.com/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-2022/ SIGNIFICANT HEALTH NEEDS NOT ADDRESSED THE LIST ABOVE INDICATES SEVERAL PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE 2019 CHNA THAT SUMMA WILL NOT ADDRESS IN THE PLAN. REASONS FOR NOT TARGETING THESE AREAS INCLUDE THEY ARE ADDRESSED DURING CLINCIAL VISITS, GO BEYOND THE CURRENT SCOPE OF THE HOSPITAL, RESOURCE CONSTRAINTS, AVAILABLE EXPERTISE, OR BEING MORE APPRORIATE FOR OTHER COMMUNITY AGENCIES TO ADDRESS. POOR HEALTH STATUS CAN RESULT THROUGH A COMPLEX INTERACTION OF CHALLENGING SOCIAL, ECONOMIC, ENVIRONMENTAL AND BEHAVIORAL FACTORS, COMBINED WITH LACK OF ACCESS TO CARE. ADDRESSING THE MORE COMMON "ROOT" CAUSES OF POOR COMMUNITY HEALTH CAN SERVE TO IMPROVE A COMMUNITY'S QUALITY OF LIFE AND TO REDUCE MORTALITY AND MORBIDITY. HOWEVER, SUMMA RECOGNIZES THAT NO HOSPITAL FACILITY CAN ADDRESS ALL OF THE ROOT CAUSES AND HEALTH NEEDS PRESENT IN ITS COMMUNITY. THEREFORE, IT WAS DETERMINED THAT THE HEALTH SYSTEM WILL COLLABORATE WITH OTHER ORGANIZATIONS AS NEEDED TO ADDRESS THE HEALTH NEEDS NOT SELECTED. INJURIES, ACCIDENTS AND ENVIRONMENTAL FACTORS INCLUDING VIOLENCE, CRIME, AND POVERTY WILL NOT BE ADDRESSED DIRECTLY THROUGH OUR PLAN. SUMMA HEALTH WILL, LOOK FOR OPPORTUNITIES TO COLLABORATE WITH SAFE COMMUNITIES OF SUMMIT COUNTY, SUMMIT COUNTY SAFE KIDS COALITION, COMMUNITY DEVELOPMENT CORPORATIONS, LOCAL SERVICES AGENCIES AND OTHER ORGANIZATIONS TO ADDRESS THESE IMPORTANT HEALTH ISSUES WHENEVER POSSIBLE. THE PLAN IS ALSO IN ALIGNMENT WITH CURRENT COMMUNITY HEALTH NEEDS AND PRIORITIES IDENTIFIED BY THE SUMMIT COUNTY PUBLIC HEALTH 2022 COMMUNITY HEALTH ASSESSMENT AND THE OHIO DEPARTMENT OF HEALTH'S 2023-2025 STATE HEALTH IMPROVEMENT PLAN. A DETAILED DESCRIPTION OF THE ACTIONS BEING TAKEN TO ADDRESS THE HEALTH NEEDS IDENTIFIED ABOVE CAN BE FOUND ON THE 2020-2022 SUMMA HEALTH COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION PLAN FOUND ON THE SUMMA HEALTH WEBSITE AT https://summarehabhospital.com/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-2022/

Field	Value	IRS element (for citing)
Facility	100	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (100 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
SUMMA HEALTH MEDICAL GROUP
1 PARK WEST BLVD SUITE 200	AKRON	OH	44320	PHYSICIAN OFFICE - Dermotology & Internal Medicine
SUMMA HEALTH MEDICAL GROUP
1 PARK WEST BLVD SUITE 350	AKRON	OH	44320	PHYSICIAN OFFICE - NEOCS & ENDO
SUMMA HEALTH MEDICAL GROUP
1 PARK WEST BLVD SUITE 370	AKRON	OH	44320	PHYSICIAN OFFICE - Sleep Medicine
SUMMA HEALTH MEDICAL GROUP
1 PARK WEST BLVD SUITE 330	AKRON	OH	44320	PHYSICIAN OFFICE - Sports Medicine, Orthopaedics, Osteoporosis
SUMMA HEALTH MEDICAL GROUP
1260 INDEPENDENCE AVE	AKRON	OH	44310	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
1463 CANTON RD	AKRON	OH	44312	PHYSICIAN OFFICE
SUMMA HEALTH EQUITY CENTER
1493 S HAWKINS AVENUE	AKRON	OH	44320	PHYSICIAN OFFICE - Internal Medicine, Pain Management, Gyn Oncology
PARKVIEW CENTER
155 FIFTH STREET NE	BARBERTON	OH	44203	CANCER CENTER AND CANCER CARE, PHYSICIANS OFFICES
SUMMA HEALTH MEDICAL GROUP
155 FIFTH STREET NE SUITE Ground fl	BARBERTON	OH	44203	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
155 FIFTH STREET NE SUITE 102	BARBERTON	OH	44203	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
155 FIFTH STREET NE SUITE 100	BARBERTON	OH	44203	PHYSICIAN OFFICE - NEOCS
SUMMA HEALTH MEDICAL GROUP
155 FIFTH STREET NE SUITE 106	BARBERTON	OH	44203	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
161 N FORGE ST SUITE G90	AKRON	OH	44304	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
161 NORTH FORGE ST SUITE 298	AKRON	OH	44304	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
161 NORTH FORGE STSUITE 198	AKRON	OH	44304	PHYSICIAN OFFICE
SUMMA HEALTH COOPER PAVILION
161 NORTH FORGE STREET SUITE 295	AKRON	OH	44304	CANCER CENTER AND CANCER CARE
SUMMA HEALTH MEDICAL GROUP
1700 BOETTLER RD SUITE 150	UNIONTOWN	OH	44685	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
1700 BOETTLER RD SUITE 225	UNIONTOWN	OH	44685	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
1790 GRAYBILL RD SUITE 100	UNIONTOWN	OH	44685	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
1790 GRAYBILL RD SUITE 200	UNIONTOWN	OH	44685	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
1835 FRANKS PARKWAY	UNIONTOWN	OH	44685	PHYSICIAN OFFICE
SUMMA PSYCHIATRY ASSOCIATES
1835 FRANKS PARKWAY	UNIONTOWN	OH	44685	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
185 WADSWORTH RD STE J	WADSWORTH	OH	44281	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
1860 STATE RD SUITE D	CUYAHOGA FALLS	OH	44223	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
195 Wadsworth - Rundle Bldg	WADSWORTH	OH	44281	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
195 WADSWORTH RD 105	WADSWORTH	OH	44281	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
195 WADSWORTH RD SUITE 301	WADSWORTH	OH	44256	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
195 WADSWORTH RD SUITE 305	WADSWORTH	OH	44281	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
195 WADSWORTH RD SUITE 402	WADSWORTH	OH	44281	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
201 5TH ST NESUITE 16 AND 13	BARBERTON	OH	44203	PHYSICIAN OFFICE - 16 is Neuro Outpatient
SUMMA HEALTH MEDICAL GROUP
201 5TH ST SUITE 2	BARBERTON	OH	44203	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
201 5TH ST SUITE 6	BARBERTON	OH	44203	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
201 5TH STREET NE SUITE 3	BARBERTON	OH	44203	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
201 FIFTH ST NE SUITE 10	BARBERTON	OH	44203	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
201 FIFTH STREET NE SUITE 8	BARBERTON	OH	44203	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
201 FIFTH STREET NE SUITE 12 B	BARBERTON	OH	44203	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
242 PORTAGE TRAIL EXT W	CUYAHOGA FALLS	OH	442233613	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
25 S MAIN STREET SUITE B	RITTMAN	OH	44270	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
2875 WEST MARKET ST SUITE A	FAIRLAWN	OH	44333	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
2875 WEST MARKET ST SUITE B	FAIRLAWN	OH	44333	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
3378 W MARKET ST	FAIRLAWN	OH	44333	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
3593 S ARLINGTON ROAD SUITE D	AKRON	OH	44312	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
3780 MEDINA RD SUITE 210	MEDINA	OH	44256	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
3780 MEDINA RD SUITE 220	MEDINA	OH	44256	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
3780 MEDINA RD SUITE 250	MEDINA	OH	44256	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
3780 MEDINA ROAD SUITE 150	MEDINA	OH	44256	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
3780 MEDINA ROAD SUITE 200	MEDINA	OH	44256	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
3780 MEDINA ROAD SUITE 310	MEDINA	OH	44256	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
3825 FISHCREEK RD SUITE 120	STOW	OH	44224	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
3825 FISHCREEK RD SUITE 200 AND 150	STOW	OH	44224	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
3838 MASSILLON RD SUITE 350	UNIONTOWN	OH	44685	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
4209 ST RT 44 SUITE 130	ROOTSTOWN	OH	44272	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
4211 ST RT 44 SUITE 1550	ROOTSTOWN	OH	44272	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
4211 STATE RT 44 SUITE 110	ROOTSTOWN	OH	44274	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
4211 STATE RT 44 SUITE 130	ROOTSTOWN	OH	44272	PHYSICIAN OFFICE
SUMMA PSYCHIATRY ASSOCIATES
4211 STATE RT 44 SUITE 150	ROOTSTOWN	OH	44273	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
45 ARCH ST SUITE 500	AKRON	OH	44304	PHYSICIAN OFFICE - Traumatic Stress Center
SUMMA HEALTH MEDICAL GROUP
45 ARCH ST SUITE 600	AKRON	OH	44304	PHYSICIAN OFFICE - Juve BH Pavilion
SUMMA HEALTH MEDICAL GROUP
500 PORTAGE LAKES DRIVE SUITE A	AKRON	OH	44319	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
500 PORTAGE LAKES DRIVE SUITE B	AKRON	OH	44319	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
51 PARK WEST BLVD SUITE 200	AKRON	OH	44320	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
525 E MARKET ST SUITE 400	AKRON	OH	44304	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
525 EAST MARKET STSUITE 1-N 1-W	AKRON	OH	44304	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
55 ARCH ST SUITE 2A	AKRON	OH	44304	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
55 ARCH ST SUITE 3A	AKRON	OH	44304	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
55 ARCH ST SUITE 1A	AKRON	OH	44304	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
55 ARCH ST SUITE 1B	AKRON	OH	44304	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
60 NORTH AVE	TALLMADGE	OH	44278	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
621 SCHOOL DR	WADSWORTH	OH	44281	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
7034 BRAUCHER ST SUITE C	NORTH CANTON	OH	44720	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
75 ARCH ST SUITE 104	AKRON	OH	44304	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
75 ARCH ST SUITE 201	AKRON	OH	44304	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
75 ARCH ST SUITE 202	AKRON	OH	44304	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
75 ARCH ST SUITE 301	AKRON	OH	44304	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
75 ARCH ST SUITE 302	AKRON	OH	44304	PHYSICIAN OFFICE
SUMMA DENTAL CENTER
75 ARCH ST SUITE 303	AKRON	OH	44304	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
75 ARCH ST SUITE 401	AKRON	OH	44304	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
75 ARCH ST SUITE 402	AKRON	OH	44304	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
75 ARCH ST SUITE 406	AKRON	OH	44304	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
75 ARCH ST SUITE 410	AKRON	OH	44304	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
75 ARCH ST SUITE 501	AKRON	OH	44304	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
75 ARCH ST SUITE 506	AKRON	OH	44304	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
75 ARCH ST SUITE 512	AKRON	OH	44304	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
75 ARCH ST SUITE B1	AKRON	OH	44304	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
75 ARCH ST SUITE G2	AKRON	OH	44304	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
91 5TH STREET	BARBERTON	OH	44203	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
95 ARCH ST SUITE 115	AKRON	OH	44304	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
95 ARCH ST SUITE 150	AKRON	OH	44304	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
95 ARCH ST SUITE 165	AKRON	OH	44304	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
95 ARCH ST SUITE 175 A	AKRON	OH	44304	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
95 ARCH ST SUITE 215	AKRON	OH	44304	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
95 ARCH STSUITE 220	AKRON	OH	44304	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
95 ARCH ST SUITE 240	AKRON	OH	44304	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
95 ARCH STSUITE 260	AKRON	OH	44304	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
95 ARCH ST SUITE 270	AKRON	OH	44304	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
95 ARCH STSUITE 300	AKRON	OH	44304	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
95 ARCH STSUITE 350	AKRON	OH	44304	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
95 ARCH STSUITE G50	AKRON	OH	44304	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
AES BUILDING 388 SOUTH MAIN SUITE	AKRON	OH	44311	PHYSICIAN OFFICE
SUMMA HEALTH MEDICAL GROUP
AES BUILDING 388 SOUTH MAIN SUITE	AKRON	OH	44311	PHYSICIAN OFFICE

Supplemental Information Detail SupplementalInformationDetail (19 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 3c	SUMMA HEALTH SYSTEM RESERVES THE RIGHT TO CONSIDER A DISCOUNT OR DISCOUNTED CARE TO ANY INDIVIDUAL WHO MAY FALL OUTSIDE THE PARAMETERS SET FORTH IN THE HOSPITAL FINANCIAL ASSISTANCE PROGRAM POLICY, WHERE SUCH INDIVIDUAL WHO HAS BEEN IDENTIFIED, IN THE SOLE DISCRETION OF HOSPITAL FACILITY AND APPROVED BY THE SYSTEM DIRECTOR HAVING EXCEPTIONAL MEDICAL CIRCUMSTANCES (I.E. TERMINAL ILLNESS, EXCESSIVE MEDICAL BILLS AND/OR MEDICATIONS, ETC.)
Schedule H, Part VI, Line 7 FACILITY REPORTING SUMMA HEALTH & SUMMA REHAB	STATE FILING OF COMMUNITY BENEFIT REPORT: THE STATE OF OHIO DOES NOT REQUIRE THE FILING OF THE COMMUNITY BENEFIT REPORT. HOWEVER, OHIO REQUIRES ALL TAX-EXEMPT HOSPITALS TO SUBMIT TO THE OHIO DEPARTMENT OF HEALTH (ODH)EXISTING COMMUNITY HEALTH NEEDS ASSESSMENTS AND PLANS. ADDITIONALLY, HOSPITALS ARE REQUIRED TO SUBMIT TO ODH A COPY OF THE HOSPITAL'S SCHEDULE H (FORM 990), CORRESPONDING ATTACHMENTS AND REPORTING ON FINANCIAL ASSISTANCE AND MEANS-TESTED GOVERNMENT PROGRAMS AND COMMUNITY BUILDING ACTIVITIES IN PARTS I AND II OF SCHEDULE H.
Schedule H, Part I, Line 6a Community benefit report prepared by related organization	SUMMA HEALTH
Schedule H, Part I, Line 7g Subsidized Health Services	THE AMOUNT OF SUBSIDIZED HEALTH SERVICES REPORTED ON LINE 7(G) ATTRIBUTABLE TO SUMMA PHYSICIANS, INC. DBA SUMMA HEALTH MEDICAL GROUP IS $32,108,229.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	EXPLANATION OF COST METHODOLOGY USED FOR CALCULATING LINE 7 TABLE: COST OF FINANCIAL ASSISTANCE AT COST WAS CALCULATED WITH A COST TO CHARGE RATIO USING WORKSHEET 2. THE COST RELATED TO MEDICAID PATIENTS WAS CALCULATED WITH A COST TO CHARGE RATIO USING WORKSHEET 2. FOR SUBSIDIZED ERVICES 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.
Schedule H, Part II Community Building Activities	GUIDED BY OUR COMMUNITY HEALTH NEEDS ASSESSMENT, SUMMA HEALTH CONTINUES TO ADDRESS A WIDE RANGE OF COMMUNITY NEEDS, INCLUDING ECONOMIC DEVELOPMENT OPPORTUNITIES, HEALTH IMPROVEMENT, POVERTY, FOOD INSECURITY, WORKFORCE DEVELOPMENT, AND ACCESS TO HEALTH CARE. OUR COMMUNITY BUILDING ACTIVITIES ALIGN WITH THE SOCIAL DRIVERS OF HEALTH AND REFLECT A STRATEGIC APPROACH TO IMPROVING THE CONDITIONS IN WHICH PEOPLE LIVE, WORK, AND RECEIVE CARE. SUMMA HEALTH HOSPITALS PROVIDE ROBUST HEALTH EDUCATION PROGRAMS, SUPPORT GROUPS, SCREENINGS, AND HEALTH FAIRS THROUGHOUT OUR SERVICE AREA. IN 2024, THESE ACTIVITIES INCLUDED PARTICIPATION IN OVER 150 COMMUNITY OUTREACH EVENTS, FURTHER EXPANDING OUR REACH IN UNDERSERVED NEIGHBORHOODS. WE ALSO PARTNERED WITH STATE AND LOCAL LEADERS, INCLUDING SUMMIT COUNTY PUBLIC HEALTH AND THE SUMMIT COALITION FOR COMMUNITY HEALTH IMPROVEMENT, TO ADDRESS UNMET COMMUNITY NEEDS. SUMMA CONTRIBUTES TO THE ECONOMIC GROWTH OF OUR COMMUNITIES BY INVESTING IN PROGRAMS THAT IMPROVE THE PHYSICAL ENVIRONMENT, SUPPORT LOCAL JOB CREATION, AND STRENGTHEN COMMUNITY INFRASTRUCTURE. IN 2024, SUMMA HEALTH REMAINED THE LARGEST EMPLOYER IN SUMMIT COUNTY, WITH OVER 8,100 EMPLOYEES AND PHYSICIANS. CAPITAL INVESTMENTS AT OUR AKRON AND BARBERTON CAMPUSES CREATED CONSTRUCTION JOBS, EXPANDED OUTPATIENT SERVICE LOCATIONS, AND INCREASED ACCESS TO CARE CLOSE TO HOME, WHILE SUPPORTING THE GROWTH OF OUR COMMUNITY BENEFIT PROGRAMS. DIGITAL INNOVATION PLAYED A SIGNIFICANT ROLE IN COMMUNITY BUILDING IN 2024. THROUGH THE DEPLOYMENT OF EPIC CHEERS, MYCHART, HELLO WORLD, AND WEBSITE CHATBOTS, SUMMA HEALTH ENHANCED PATIENT COMMUNICATION, STREAMLINED APPOINTMENT REMINDERS, AND EXPANDED SELF-SERVICE OPTIONS. THESE TECHNOLOGIES IMPROVED PATIENT ENGAGEMENT, REDUCED CALL CENTER VOLUME, AND INCREASED PATIENT SATISFACTION WHILE REMOVING BARRIERS TO ACCESS. EPIC CHEERS ENABLED INNOVATIVE COMMUNICATION CAMPAIGNS AND PERSONALIZED OUTREACH. HELLO WORLD INTRODUCED TEXT-BASED REMINDERS THAT BROADENED OUR REACH, AND ENHANCED MYCHART FUNCTIONALITY RESULTED IN A RECORD NUMBER OF ACTIVELY ENGAGED PATIENTS. WEBSITE CHATBOTS ON SUMMA HEALTH AND SUMMACARE PORTALS GAVE PATIENTS 24/7 ACCESS TO INFORMATION AND SERVICES. IN 2024, SUMMA IMPLEMENTED THE ROUNDTRIP TRANSPORTATION PLATFORM TO ADDRESS NON-EMERGENCY MEDICAL TRANSPORTATION NEEDS. THIS COMMUNITY-BUILDING SOLUTION HELPED PATIENTS WITHOUT RELIABLE TRANSPORTATION ARRIVE ON TIME FOR APPOINTMENTS, SUPPORTING CARE CONTINUITY AND IMPROVING HEALTH OUTCOMES FOR INDIVIDUALS MANAGING CHRONIC CONDITIONS. SUMMA ALSO ADVANCED WORKFORCE DEVELOPMENT INITIATIVES IN 2024 THROUGH PARTICIPATION IN LOCAL TALENT PIPELINE PROGRAMS, SCHOOL PARTNERSHIPS, AND SUPPORT FOR HEALTH CAREER PATHWAYS. THESE EFFORTS ARE DESIGNED TO BUILD A FUTURE HEALTH CARE WORKFORCE THAT REFLECTS THE COMMUNITIES WE SERVE. IN SUMMARY, SUMMA HEALTH'S COMMUNITY BUILDING ACTIVITIES IN 2024 PROMOTED HEALTH NOT ONLY THROUGH CLINICAL INTERVENTIONS BUT ALSO BY ADDRESSING THE BROADER SOCIAL AND ECONOMIC CONTEXT IN WHICH HEALTH IS DETERMINED. THESE EFFORTS ARE CENTRAL TO OUR MISSION AND REPRESENT A LONG-TERM COMMITMENT TO BUILDING A STRONGER, MORE EQUITABLE HEALTH SYSTEM FOR ALL.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	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.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	SUMMA HEALTH'S AUDITED FINANCIAL STATEMENTS NOTES TO CONSOLIDATED FINANCIAL STATEMENTS, 13. PATIENT SERVICE REVENUE, PAGE 34 to 37.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	DESCRIBE EXTENT ANY SHORTFALL FROM LINE 7 IS TREATED AS COMMUNITY BENEFIT AND COSTING METHODOLOGY OR SOURCE USED TO DETERMINE AMOUNT ON LINE 6: INCLUSION OF ALL COSTS ASSOCIATED WITH THE ORGANIZATION'S PARTICIPATION IN MEDICARE PROGRAMS WOULD SIGNIFICANTLY INCREASE THE MEDICARE SHORTFALL REPORTED ON SCHEDULE H, PART III, LINE 7. THE ORGANIZATION'S MEDICARE SHORTFALL IS ATTRIBUTABLE TO REIMBURSEMENTS THAT ARE LESS THAN THE COST OF PROVIDING PATIENT CARE AND SERVICES TO MEDICARE BENEFICIARIES AND DOES NOT INCLUDE ANY AMOUNTS THAT RESULT FROM INEFFICIENCIES OR POOR MANAGEMENT. THE ORGANIZATION ACCEPTS ALL MEDICARE PATIENTS KNOWING THAT THERE MAY BE SHORTFALLS, THEREFORE IT HAS TAKEN THE POSITION THAT ANY SHORTFALL SHOULD BE COUNTED AS PART OF ITS COMMUNITY BENEFIT. COSTING METHOD USED WAS TOTAL ALLOWABLE COST LESS ALL COSTS DEEMED NON-ALLOWABLE BY MEDICARE REGULATIONS. MEDICARE ALLOWABLE COST ARE BASED ON INFORMATION PROVIDED ON WORKSHEET B, PART I, COLUMN 26, LINE 118 FROM THE VARIOUS HOSPITALS' MEDICARE COST REPORTS.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	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.
Schedule H, Part V, Section B, Line 16a FAP website	- SUMMA HEALTH SYSTEM: Line 16a URL: https://www.summahealth.org/patientvisitor/insuranceandbilling/financialassistance; - SUMMA REHAB HOSPITAL, LLC: Line 16a URL: https://summarehabhospital.com/financial-assistance/;
Schedule H, Part V, Section B, Line 16b FAP Application website	- SUMMA HEALTH SYSTEM: Line 16b URL: https://www.summahealth.org/patientvisitor/insuranceandbilling/financialassistance; - SUMMA REHAB HOSPITAL, LLC: Line 16b URL: https://summarehabhospital.com/financial-assistance/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- SUMMA HEALTH SYSTEM: Line 16c URL: https://www.summahealth.org/patientvisitor/insuranceandbilling/financialassistance; - SUMMA REHAB HOSPITAL, LLC: Line 16c URL: https://summarehabhospital.com/financial-assistance/;
Schedule H, Part VI, Line 2 Needs assessment	IN ADDITION TO THE CHNA DESCRIBED IN PART V, SECTION B, THE HEALTH CARE NEEDS OF THE COMMUNITY ARE COLLABORATIVELY ASSESSED BY SURVEY PROCESSES CONDUCTED BY SUMMA HEALTH, SUMMIT COUNTY PUBLIC HEALTH, AND SUMMIT COALITION FOR COMMUNITY HEALTH IMPROVEMENT. THESE PARTNERS WORK TOGETHER TO IDENTIFY PRIORITY HEALTH ISSUES, GATHER INPUT FROM DIVERSE COMMUNITY STAKEHOLDERS, AND INFORM STRATEGIC DECISIONS THAT ADVANCE EQUITY AND POPULATION HEALTH ACROSS THE REGION.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	IN ACCORDANCE WITH THE RULES SET FORTH BY OHIO ADMINISTRATIVE CODE SECTION 2101:3-2-07.17 NOTICES, SUMMA HEALTH SYSTEM'S HOSPITALS HAVE NOTICES POSTED IN THE EMERGENCY ROOMS, ADMISSION AREAS, CASHIER'S OFFICE, AND OTHER PATIENT AREAS. THE NOTICES SPECIFY THE RIGHTS OF INDIVIDUALS TO RECEIVE WITHOUT CHARGE, MEDICALLY NECESSARY HOSPITAL-LEVEL SERVICES. A FINANCIAL ADVOCATE IS AVAILABLE TO PATIENTS AT THE POINT OF ADMISSION AND PRIOR TO SCHEDULED OUTPATIENT SERVICE. FINANCIAL ADVOCATE REVIEWS THE AVAILABILITY OF FINANCIAL ASSISTANCE PROGRAMS AND ASSISTS WITH APPLICATION COMPLETION. THE SUMMA WEBSITE PROVIDES DETAILED INFORMATION REGARDING FINANCIAL ASSISTANCE ALONG WITH THE FINANCIAL ASSISTANCE APPLICATION. CUSTOMER SERVICE REPRESENTATIVES ARE AVAILABLE TO PROVIDE FINANCIAL COUNSELING TO PATIENTS WHO CALL. CUSTOMER SERVICE REPRESENTATIVES ASSIST THE PATIENT IN COMPLETING THE FINANCIAL ASSISTANCE APPLICATION. CUSTOMER SERVICE REPRESENTATIVES MAKE OUTGOING CALLS TO DISCUSS AND EDUCATE PATIENT ON FINANCIAL ASSISTANCE. PATIENT BILLING STATEMENTS CONTAIN CONTACT INFORMATION AND INFORMATION ABOUT FINANCIAL ASSISTANCE. THE STATEMENT INCLUDES AN APPLICATION FOR FINANCIAL ASSISTANCE. SUMMA HEALTH CONTRACTS WITH CORPORATE PARTNERS WHO MEET WITH INHOUSE PATIENTS. AVAILABILITY OF COUNTY AND FEDERAL ASSISTANCE PROGRAMS IS REVIEWED. A FINANCIAL ASSISTANCE APPLICATION IS COMPLETED DURING THIS MEETING. THIS CORPORATE PARTNER ALSO MAKES OUTGOING CALLS AND SENDS LETTERS TO PATIENTS WHO HAD OUTPATIENT PROCEDURES INFORMING THEM OF FINANCIAL ASSISTANCE.
Schedule H, Part VI, Line 4 Community information	SUMMA HEALTH, WITH HOSPITAL CAMPUSES IN AKRON AND BARBERTON, SERVES A DIVERSE COMMUNITY CHARACTERIZED BY A MIX OF URBAN AND SUBURBAN POPULATIONS. THE SUMMA AKRON CAMPUS IS LOCATED IN THE HEART OF AKRON, OHIO, A CITY IN SUMMIT COUNTY KNOWN FOR ITS RICH INDUSTRIAL HISTORY AND DIVERSE COMMUNITY. AKRON IS CHARACTERIZED BY A MIX OF URBAN AND SUBURBAN AREAS, WITH A POPULATION THAT INCLUDES A SIGNIFICANT NUMBER OF ELDERLY RESIDENTS AS WELL AS YOUNGER FAMILIES AND PROFESSIONALS. THE CITY IS HOME TO VARIOUS ETHNIC GROUPS, NOTABLY AFRICAN AMERICAN, HISPANIC AND BHUTANESE-NEPALI COMMUNITIES. COMMUNITIES. AKRON EMPHASIZES EDUCATION, HEALTHCARE, AND COMMUNITY DEVELOPMENT, WITH NUMEROUS CULTURAL AND RECREATIONAL OPPORTUNITIES CONTRIBUTING TO ITS VIBRANT LOCAL LIFE. BARBERTON, WHERE THE SUMMA BARBERTON CAMPUS IS LOCATED, IS A SMALL CITY IN SUMMIT COUNTY WITH A RICH INDUSTRIAL HISTORY. THE COMMUNITY IS KNOWN FOR ITS WORKING-CLASS ROOTS AND STRONG SENSE OF LOCAL PRIDE. BARBERTON HAS A DIVERSE POPULATION, WITH A MIX OF FAMILIES, ELDERLY RESIDENTS, AND A GROWING NUMBER OF YOUNGER INDIVIDUALS AND PROFESSIONALS. THE CITY PLACES A HIGH VALUE ON COMMUNITY HEALTH, EDUCATION, AND LOCAL CULTURE, WITH NUMEROUS PARKS, RECREATIONAL FACILITIES, AND COMMUNITY EVENTS CONTRIBUTING TO A VIBRANT AND CONNECTED COMMUNITY LIFE. THE REGION HAS A DEMOGRAPHIC COMPOSITION THAT INCLUDES A SIGNIFICANT PROPORTION OF ELDERLY RESIDENTS, REFLECTING THE NEED FOR COMPREHENSIVE HEALTHCARE SERVICES TAILORED TO AGING POPULATIONS. ADDITIONALLY, THE COMMUNITY IS ETHNICALLY DIVERSE, WITH NOTABLE AFRICAN AMERICAN AND HISPANIC POPULATIONS, NECESSITATING CULTURALLY COMPETENT HEALTHCARE PRACTICES AND PROGRAMS TO ADDRESS THE SPECIFIC HEALTH NEEDS OF THESE GROUPS. SUMMA HEALTH'S SERVICES CATER TO THESE VARIED DEMOGRAPHICS, ENSURING ACCESSIBLE AND EQUITABLE HEALTHCARE FOR ALL RESIDENTS IN THE AREA. THERE WERE 538,370 PEOPLE LIVING IN SUMMIT COUNTY IN 2024. IN SUMMIT COUNTY, 23.5 PERCENT OF THE POPULATION IS NON-WHITE, COMPARED TO 19.4 PERCENT IN THE STATE. EDUCATIONAL ATTAINMENT IS SLIGHTLY HIGHER IN SUMMIT COUNTY THAN THE STATE OF OHIO, WITH 93.8 PERCENT HAVING A HIGH SCHOOL DIPLOMA OR HIGHER AND 38.2 PERCENT HAVING A BACHELOR'S DEGREE OR HIGHER. SIMILARLY, ANNUAL PER CAPITA INCOME IN SUMMIT COUNTY IS SLIGHTLY HIGHER THAN THE STATE OF OHIO AT $43,456. THE MEDIAN HOUSEHOLD INCOME IS $69,577, AND THE PERCENT OF SUMMIT COUNTY RESIDENTS LIVING IN POVERTY IS 12.7 PERCENT. OF THE HOUSEHOLDS IN SUMMIT COUNTY, 47.9 PERCENT MAKE LESS THAN $50,000 ANNUALLY. HOWEVER, THE CITY OF AKRON, WHICH IS THE LARGEST CITY IN SUMMIT COUNTY, HAS A MEDIAN HOUSEHOLD INCOME OF $50,025 WITH A POVERTY RATE OF 22.8 PERCENT FOR CALENDAR YEAR 2024. THE UNEMPLOYMENT RATE IN SUMMIT COUNTY REBOUNDED AFTER BEING IMPACTED BY COVID-19. IN 2020, THE HIGHEST RATE WAS IN APRIL AT 14.7 PERCENT. IN 2024, THE UNEMPLOYMENT RATE WAS 4.9 PERCENT. THERE ARE TWO MEDICALLY UNDERSERVED AREAS (MUAs) PRESENT IN SUMMIT COUNTY: THE SOUTHEAST AKRON AND SUMMIT SERVICE AREAS. LOW INCOMES AND UNEMPLOYMENT CONTRIBUTE TO SUMMA'S BURDEN FOR CHARITY CARE. DESPITE THESE CHALLENGES, DEMAND FOR SUMMA'S SERVICES IN THESE COMMUNITIES IS PROJECTED TO GROW. MORE IMPORTANTLY, THE AGE GROUP THAT DEMANDS HEALTHCARE SERVICES THE MOST (AGE 65 AND OLDER) IS EXPECTED TO GROW SIGNIFICANTLY. THIS AGE GROUP IS PROJECTED TO INCREASE BY 16.0 PERCENT IN SUMMIT COUNTY OVER THE NEXT FIVE YEARS.
Schedule H, Part VI, Line 5 Promotion of community health	SUMMA HEALTH PROMOTES COMMUNITY HEALTH THROUGH AN OPEN MEDICAL STAFF MODEL, STRATEGIC REINVESTMENT OF SURPLUS FUNDS, A COMMITMENT TO DIVERSITY, EQUITY AND INCLUSION (DEI), SUPPORT FOR GRADUATE MEDICAL EDUCATION, AND ENGAGEMENT OF LOCAL COMMUNITY LEADERS THROUGH FORMAL GOVERNANCE STRUCTURES. THESE EFFORTS COLLECTIVELY ADVANCE SUMMA'S EXEMPT PURPOSE BY ADDRESSING THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE. SUMMA MAINTAINS AN OPEN MEDICAL STAFF POLICY THAT EXTENDS HOSPITAL PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE REGION. THIS APPROACH SUPPORTS PROVIDER DIVERSITY AND PROMOTES BROAD ACCESS TO COMPREHENSIVE CARE. SUMMA'S COMMUNITY ENGAGEMENT COMMITTEE (CEC), A SUBCOMMITTEE OF THE SUMMA HEALTH BOARD OF DIRECTORS, PROVIDES OVERSIGHT FOR COMMUNITY BENEFIT, OUTREACH, AND COMMUNITY RELATIONS STRATEGIES. THE CEC IS COMPRISED OF 17 DIVERSE COMMUNITY LEADERS, 100 PERCENT OF WHOM RESIDE OR WORK WITHIN SUMMA'S PRIMARY SERVICE AREA. THIS STRUCTURE ENSURES THAT LOCAL PERSPECTIVES GUIDE PROGRAMMING THAT ADDRESSES IDENTIFIED COMMUNITY NEEDS. SURPLUS FUNDS ARE REINVESTED IN PATIENT CARE, CLINICAL SERVICES, INFRASTRUCTURE, MEDICAL EDUCATION, AND COMMUNITY INITIATIVES. IN 2024, SUMMA COMPLETED MULTI-MILLION DOLLAR CAPITAL IMPROVEMENTS AT THE AKRON AND BARBERTON CAMPUSES TO ENHANCE INPATIENT AND OUTPATIENT SERVICE CAPACITY. THE ORGANIZATION ALSO RECRUITED 44 NEW PHYSICIANS IN PRIMARY CARE AND SPECIALTY AREAS TO ADDRESS ACCESS GAPS. SUMMA HEALTH SUPPORTS ITS EDUCATIONAL MISSION THROUGH ROBUST GRADUATE MEDICAL EDUCATION PROGRAMS, TRAINING MORE THAN 250 RESIDENTS AND FELLOWS ANNUALLY ACROSS MULTIPLE SPECIALTIES. THESE PROGRAMS CONTRIBUTE TO WORKFORCE DEVELOPMENT AND HELP PREPARE THE NEXT GENERATION OF PHYSICIANS TO SERVE OUR REGION. INNOVATIVE PROGRAMS SUCH AS THE LAUNCH OF THE ROUNDTRIP TRANSPORTATION PLATFORM IN 2024 HAVE REMOVED BARRIERS TO NON-EMERGENCY MEDICAL TRANSPORTATION, IMPROVING CONTINUITY OF CARE FOR VULNERABLE POPULATIONS. SUMMA CONTINUED TO INVEST IN TECHNOLOGY TO ENHANCE PATIENT ENGAGEMENT, INCLUDING EPIC CHEERS, MYCHART, HELLO WORLD, AND WEBSITE CHATBOTS. THESE TOOLS STREAMLINED SCHEDULING, EXPANDED PATIENT SELF-SERVICE OPTIONS, AND IMPROVED COMMUNICATION SYSTEM-WIDE. IN 2024, SUMMA RECEIVED NATIONAL HONORS INCLUDING THE HEALTHGRADES AMERICA'S 50 BEST HOSPITALS AWARD, NEWSWEEK'S RECOGNITION OF SUMMA MEDINA MEDICAL CENTER AMONG "AMERICA'S BEST AMBULATORY SURGERY CENTERS, THE NORTHCOAST99 WORKPLACE EXCELLENCE AWARD FOR THE 21ST YEAR. SUMMA ALSO RECEIVED THE 2024 DOROTHY O. JACKSON AWARD FOR ADVANCING DIVERSITY AND INCLUSION, AND THE NATIONAL EPA ENERGY STAR CERTIFICATION FOR ENVIRONMENTAL STEWARDSHIP. SUMMA HEALTH'S 2024-2027 DEI STRATEGIC PLAN, "YOUR HEALTH, OUR COMMITMENT," GUIDES ORGANIZATIONAL EFFORTS TO PROMOTE A CULTURE OF BELONGING, IMPROVE EQUITY IN CARE DELIVERY, AND ADDRESS SYSTEMIC BARRIERS THAT AFFECT HEALTH OUTCOMES. INITIATIVES INCLUDE INTERNAL EDUCATION, DATA-DRIVEN STRATEGIES, AND PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS TO ADVANCE HEALTH EQUITY. SUMMA'S DEI WORK HAS BEEN RECOGNIZED BY THE HUMAN RIGHTS CAMPAIGN HEALTHCARE EQUALITY INDEX, THE AMERICAN HEART ASSOCIATION, THE NAACP, AND THE COMMISSION ON ECONOMIC INCLUSION. FINALLY, IN 2024, SUMMA ENTERED INTO A DEFINITIVE AGREEMENT WITH THE HEALTH ASSURANCE TRANSFORMATION COMPANY (HATCO). THIS STRATEGIC PARTNERSHIP IS DESIGNED TO STABILIZE OPERATIONS AND SUPPORT THE DEVELOPMENT OF A MORE AFFORDABLE, PROACTIVE, AND COMMUNITY-BASED MODEL OF HEALTHCARE DELIVERY.
Schedule H, Part VI, Line 6 Affiliated health care system	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. SUMMA HEALTH PROVIDED INPATIENT CARE THROUGH FACILITIES LOCATED ON TWO 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 159-BED HOSPITAL FACILITY THAT OFFERS INPATIENT SERVICES, OUTPATIENT SERVICES AND COMMUNITY OUTREACH PROGRAMS. THE BARBERTON CAMPUS IS LOCATED IN THE CITY OF BARBERTON IN SOUTHERN SUMMIT COUNTY. SUMMA REHAB HOSPITAL, LLC, A JOINT VENTURE BETWEEN SUMMA HEALTH SYSTEM AND VIBRA HEALTHCARE, OPENED ON THE CAMPUS OF SUMMA AKRON CITY HOSPITAL IN 2012. THIS 60-BED FREE STANDING FACILITY PROVIDES INPATIENT REHABILITATION CARE AND SERVICES AND ADHERES TO SUMMA'S CHARITY CARE POLICY. ESTABLISHED IN 1993, SUMMACARE OFFERS HEALTH CARE COVERAGE TO MEMBERS including members insured through ITS STATUS AS A MEDICARE ADVANTAGE ORGANIZATION. SUMMACARE IS RECOGNIZED BY THE HEALTH INDUSTRY RESEARCH COMPANY AS A HEALTH PLAN WITH EFFECTIVE DISEASE MANAGEMENT PROGRAMS FOR ASTHMA, HEALTH FAILURE AND DIABETES. SUMMACARE, ALONG WITH ITS THIRD PARTY ADMINISTRATIVE SERVICES PRODUCTS COVERS OVER 62,000 MEMBERS. SUMMA FOUNDATION IS A NONPROFIT ORGANIZATION ADVANCING TRANSFORMATIONAL PHILANTHROPY, COMMUNITY UNDERSTANDING AND GOODWILL FOR THE PROGRAMS AND PRIORITIES OF SUMMA HEALTH. SUMMA HEALTH NETWORK, LLC IS THE INTEGRATED PHYSICIAN-HOSPITAL ORGANIZATION AFFILIATED WITH SUMMA HEALTH. WITH MORE THAN 2, 270 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 CLEVELAND CLINIC MERCY HOSPITAL, AND IS COMPRISED OF approximately 200 HOSPITALS, 8,300 PRIMARY CARE PROVIDERS, 36,700 SPECIALISTS, COVERING MEMBERS ACROSS ALL 88 COUNTIES IN OHIO. SUMMA PHYSICIANS, INC. (D/B/A SUMMA HEALTH MEDICAL GROUP ("SHMG")) IS A MULTI-SPECIALTY PHYSICIAN PRACTICE EMPLOYING OVER 350 PHYSICIANS IN MULTIPLE SPECIALTIES. SHMG PROMOTES STRONGER AFFILIATION AND EMPLOYMENT OF PHYSICIANS TO ENSURE COMMUNITY AND HOSPITAL NEEDS FOR PHYSICIANS SERVICES ARE MET.
Schedule H, Part VI, Line 7 State filing of community benefit report	OH

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

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

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)
Recipient EIN	341887844	RecipientEIN
IRC Section	501(C)(3)	IRCSectionDesc
Cash Grant	$393,242	CashGrantAmt
Purpose Of Grant	FUND MANAGEMENT FOR PREVENTION, WELLNESS, ACCESS TO CARE AND HEALTH DISPARITIES	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 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	$1,217,105	$0	$643,910	$0	$156,912	$0	$190,298	$0	$31,704	$0	$2,239,929	$0	$149,148
JESSICA HUDSON
SF PRESIDENT & CDO	$317,427	$0	$141,771	$0	$1,296	$0	$3,560	$0	$2,496	$0	$466,550	$0	$0	$0
PETER BITTENBENDER MD
DIRECTOR SHS & SHMG, CLINICAL PHYSICIAN	$636,313	$0	$71,498	$0	$540	$0	$3,450	$0	$32,757	$0	$744,558	$0	$0	$0
LYNN HAMRICH MD
DIRECTOR SHS, CLINICAL PHYSICIAN	$297,238	$0	$0	$0	$897	$0	$3,074	$0	$35,651	$0	$336,860	$0	$0	$0
DAWN AHNER
TREAS., SVP, CFO	$0	$598,643	$0	$292,638	$0	$9,971	$0	$78,579	$0	$36,670	$0	$1,016,501	$0	$4,829
VIVEK BHALLA
PRESIDENT SUMMA HEALTH MED.GR.	$468,944	$0	$230,948	$0	$8,189	$0	$63,477	$0	$38,510	$0	$810,068	$0	$6,876	$0
ROBERT A GERBERRY
GEN. COUNSEL/SEC. SHS/SHMG	$0	$487,534	$0	$259,671	$0	$49,868	$0	$65,174	$0	$26,365	$0	$888,612	$0	$44,790
KATHLEEN BLAKE
SVP, PRESIDENT POST ACUTE/HOME	$0	$351,409	$0	$171,678	$0	$5,555	$0	$43,655	$0	$33,513	$0	$605,810	$0	$0
PENELOPE GORSUCH DNPRNNEA-BC
SVP & CHF. NURSING EXEC.	$0	$455,588	$0	$219,434	$0	$8,329	$0	$60,425	$0	$2,320	$0	$746,096	$0	$3,636
BONNIE PANLASIGUI
SHS PRESIDENT (END 09/24)	$622,228	$0	$0	$0	$40,225	$0	$0	$0	$34,587	$0	$697,040	$0	$38,816	$0
BENJAMIN P SUTTON
EVP COO - PROVIDER OPS. PRESIDENT SHS	$0	$728,959	$0	$388,755	$0	$50,115	$0	$95,176	$0	$37,440	$0	$1,300,445	$0	$48,165
DANE DONICH
CLINICAL PHYSICIAN - SHMG	$1,521,550	$0	$942,961	$0	$1,530	$0	$0	$0	$25,106	$0	$2,491,147	$0	$0	$0
PAUL HARTZFELD
CLINICAL PHYSICIAN - SHMG	$1,516,956	$0	$121,070	$0	$690	$0	$863	$0	$36,728	$0	$1,676,307	$0	$0	$0
BRADLEY INKROTT
CLINICAL PHYSICIAN - SHMG	$1,251,301	$0	$690,556	$0	$510	$0	$3,450	$0	$39,741	$0	$1,985,558	$0	$0	$0
MATTHEW JAYKEL
CLINICAL PHYSICIAN - SHMG	$1,189,879	$0	$338,443	$0	$510	$0	$3,450	$0	$32,566	$0	$1,564,848	$0	$0	$0
KIEL PFEFFERLE
CLINICAL PHYSICIAN - SHMG	$974,224	$0	$451,043	$0	$540	$0	$2,871	$0	$39,121	$0	$1,467,799	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a Tax indemnification and gross-up payments	SUMMA HEALTH GROSSED UP TAXES FOR YEARS OF SERVICE ANNIVERSARIES IN THE AMOUNT OF $50 FOR EMPLOYEES WHO REACHED IMPORTANT MILESTONE ANNIVERSARIES; 5, 10, 15 YEARS, ETC. INCLUDED IN THESE MILESTONE ANNIVERSARY PAYMENTS WERE ONE OFFICER, ONE HIGHLY COMPENSATED EMPLOYEE, AND ONE DIRECTOR. THE AMOUNT OF THE GROSS UP IS RECOGNIZED AS ADDITIONAL TAXABLE COMPENSATION.
Schedule J, Part I, Line 1a 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.
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	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.
Schedule J, Part I, Line 4a Severance or change-of-control payment	In 2024, Bonnie Panlasigui received payment in the amount of $175,486 from the organization. Severance amounts are treated as taxable compensation.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	A SUPPLEMENTAL EXECUTIVE NON-QUALIFIED RETIREMENT PLAN IS TO PROVIDE KEY EMPLOYEES WITH ADDITIONAL COMPENSATION TO SUPPLEMENT THEIR RETIREMENT BENEFITS AND MITIGATE EFFECTS OF QUALIFIED RETIREMENT PLAN LIMITS.THE FOLLOWING LISTED PERSONS RECEIVED BENEFITS FROM THE ORGANIZATION OR FROM A RELATED ORGANIZATION: T. CLIFFORD DEVENY, MD $185,518, VIVEK BHALLA, MD $58,302, DAWN AHNER $74,401, ROBERT A. GERBERRY $59,999, BENJAMIN P. SUTTON $90,001, JESSICA HUDSON $39,602, AND KATHLEEN BLAKE $43,655.
Schedule J, Part I, Line 7 Non-fixed payments	THE SUMMA HEALTH SYSTEM MANAGEMENT INCENTIVE PROGRAM IS DESIGNED TO REWARD EMPLOYEES FOR MEETING QUALITY, PERFORMANCE AND FINANCIAL TARGETS. THESE TARGETS INCLUDE CLINICAL QUALITY, PATIENT SATISFACTION, EMPLOYEE/PHYSICIAN SATISFACTION, OPERATING MARGIN, AND THE STRENGTHENING OF THE BALANCE SHEET. PAYMENT IS BASED ON A FACTOR OF BASE COMPENSATION AND IS SUBJECT TO REVIEW AND APPROVAL BY SUMMA'S COMPENSATION COMMITTEE.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd	CUSIPCUSIPNum	PurposePurposeDesc
See Schedule K Part VI
A	341448680	2014-10-02	$79,795,000	false	false	false
See Schedule K Part VI
B	341448680	2016-12-16	$204,934,207	false	false	false	009730NX6
See Schedule K Part VI
C	341448680	2017-12-22	$140,000,000	false	false	false
See Schedule K Part VI
D	341448680	2018-05-15	$16,252,805	false	false	false		CONSTRUCT AND EQUIP HOSPITAL FACILITIES

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Capitalized InterestCapitalizedInterestAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	UnspentUnspentAmt
A	$13,265,000	$79,795,000	$79,795,000	2008	Yes (true)	false	Yes (true)	Yes (true)
B	$19,255,000	$205,384,474	$102,782,949	2019	Yes (true)	Yes (true)	Yes (true)	Yes (true)	$1,874,244	$201,939	$100,525,342
C	$8,355,000	$142,289,841	$688	2019	false	false	Yes (true)	Yes (true)	$545,500		$141,723,005	$17,464
D		$16,252,805		2019	false	false	Yes (true)	Yes (true)			$16,252,805

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	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	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropPct	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0	0	0.0	false	false	0	false	Yes (true)
B	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.008	0.001	0.009	false	Yes (true)	0.058	Yes (true)	Yes (true)
C	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.003	0	0.003	false	false	0	false	Yes (true)
D	false	Yes (true)	Yes (true)	Yes (true)	false	false	0.008	0.001	0.009	false	false	0	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Term Of GICTermOfGICPct	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
(no name)
A	false	false	Yes (true)	false	Yes (true)	Yes (true)	20.0	false	false	false	0	false	false	Yes (true)
(no name)
B	false	false	false	Yes (true)	false	false	0	false	false	false	0	false	false	Yes (true)
NATIXIS FUNDING COR
C	false	false	Yes (true)	false	Yes (true)	false	0	false	false	Yes (true)	1.1	Yes (true)	false	Yes (true)
(no name)
D	false	false	Yes (true)	false	false	false	0	false	false	false	0	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail (21 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part I Akron, Bath & Copley Joint Township Hospital District Series 2018 & 2020 Bonds	An additional Schedule K is included to provide for the issuance of the Series 2020 Bonds.
Schedule K, Part I, Column (b) See Explanation for Bond Identifier	Set I, Bond A: Reissued Akron, Bath and Copley Joint Township Hospital District Series 2014 Bonds and Reissued Development Finance Authority of Summit County Port Facilities Revenue Refunding Bonds, Series 2014: The Reissued 2014 Bonds consisted of the following two series of Bonds, which were treated as a single issue of bonds for federal income tax purposes: (1) ABC District Hospital Facilities Refunding Revenue Bonds, Series 2014A (Summa Health System Obligated Group) issued in the original principal amount of $93,685,000 (the "Series 2014A Bonds"), and (2) DFA Port Facilities Revenue Refunding Bonds, Series 2014 (Summa Health System Obligated Group Project) issued in the original principal amount of $13,675,000 (the "DFA Bonds"). The Series 2014A Bonds and the DFA Bonds were each originally issued on October 2, 2014, and were deemed reissued on December 17, 2021 as the result of the replacement of the LIBOR index, related changes to certain components of the formula used to calculate interest, and the extension of the initial mandatory tender date. The ABC District's EIN is 34-1448680, and the DFA's EIN is 34-1765940.
Schedule K, Part I, Column (f) See Explanation for Bond Identifier	Set I, Bond A: Reissued Series 2014A Bonds and Reissued Development Finance Authority Bonds: The purpose of the Series 2014A Bonds was to currently refund the Series 2004B Bonds, which were issued to (1) construct and equip a critical care pavilion, (2) construct and equip other hospital facilities, (3) refund prior issues with the following issue dates: (a) December 22, 1992 and (b) June 10, 1993, (4) pay the initial costs of a liquidity facility, and (5) pay issuance costs. The purpose of the DFA 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, Column (f) Akron, Bath & Copley Joint Twnshp Hospital District Series 2016 Bonds	Set I, Bond B: 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 ABC District Hospital Facilities Refunding Revenue Bonds, Series 2014B (Summa Health System Obligated Group), (3) currently refund all of the outstanding ABC District Hospital Facilities Revenue Bonds, Series 2015 (Summa Health Obligated Group) issued in the original principal amount of $42,255,000, which were issued to acquire, construct, improve, and equip certain hospital facilities and pay issuance costs, and (4) advance refund $24,495,000 of the outstanding principal amount of the Series 2010 Bonds.
Schedule K, Part I, Column (a) See Explanation for Bond Identifier	Set I, Bond C: Akron, Bath and Copley Joint Township Hospital District Series 2017A Bonds, 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) ABC District Hospital Facilities Improvement Revenue Bonds, Series 2017A (Summa Health Obligated Group) issued in the original principal amount of $15,000,000, (2) ABC District Hospital Facilities Improvement Revenue Bonds, Series 2017B (Summa Health Obligated Group) issued in the original principal amount of $75,000,000, and (3) ABC District 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, Column (d) CUSIP Numbers	Set I, Bond C: Series 2017A Bonds: 009730 PA4 Series 2017B Bonds: 009730 PCO Series 2017C Bonds: 009730 PE6
Schedule K, Part II, Line 3 Total Proceeds of Issue - Column B	Set I, Bond B: The difference between the total proceeds of the issue and the issue price provided in Part I, Line B, 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 Schedule K as the Series 2018 Bonds.
Schedule K, Part II, Line 7 Issuance Costs from Proceeds - Column B	Set I, Bond B: The issuance costs of the issue provided in Part II, Line 7, Column B is less than the issuance costs provided in the Form 8038 for this issue because of the transfer of unexpended money in the expense fund to the project fund for this issue.
Schedule K, Part II, Line 3 Total Proceeds of Issue-Column C	Set I, Bond C: The difference between the total proceeds of the issue and the issue price provided in Part I, Line C, Column (e) is due to investment proceeds of the issue.
Schedule K, Part III, Line 8a Sale of Bond-Financed Property	Set I, Bond B: 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, Line 2c Date of Rebate Computation	Set I, Bond B: The rebate computation for the period of December 21, 2016 to December 21, 2021 was performed on August 29, 2023.
Schedule K, Part IV, Line 4b Name of Hedge Provider	Set I, Bond A: Series 2014A Reissued Bonds: Goldman Sachs Bank USA. Development Finance Authority Series 2014 Reissued Bonds: PNC Bank, National Association.
Schedule K, Part IV, Line 4c Term of Hedge	Set I, Bond A: The term of the hedge with Goldman Sachs Bank USA is 20 years. Set II, Bond A: The term of the hedge with PNC Bank, National Association is 30 years.
Schedule K, Part I, Column (a) See Explanation for Bond Identifier	Set I, Bond D: Akron, Bath and Copley Joint Township Hospital District Series 2018 Bonds: The Series 2018 Bonds were an alternative disposition of sale proceeds of a portion of property that was financed with the proceeds of the Series 2016 Bonds. The alternative disposition of bond proceeds was a remedial action done in accordance with Regulations Section 1.141-12.
Schedule K, Part I, Column (f) See Explanation for Bond Identifier	Set II, Bond A: Akron, Bath and Copley Joint Township Hospital District Series 2020 Bonds: The purposes of the Series 2020 Bonds were to (1) currently refund the outstanding $159,150,000 principal amount of the hospital facilities revenue bonds, Series 2010 issued on May 11, 2010, (2) pay the costs of terminating a related, integrated hedge agreement, and (3) pay issuance costs.
Schedule K, Part IV, Line 4c Term of Hedge	Set II, Bond A: Anticipatory fixed-payor interest rate hedge entered into on August 28, 2019 and terminated on September 10, 2020 simultaneously with the sale of the Series 2020 Bonds.
Schedule K, Part I, Column (a) Schedule K, Part I, Col (a), Line A	Set I, Bond A: The issuer name of Bond A with issuance date 10/02/14 is: AKRON, BATH AND COPLEY JT. TWP. HOSP. DIST.
Schedule K, Part I, Column (a) Schedule K, Part I, Col (a), Line B	Set I, Bond B: The issuer name of Bond B with issuance date 12/16/16 is: AKRON, BATH AND COPLEY JT. TWP. HOSP. DIST.
Schedule K, Part I, Column (a) Schedule K, Part I, Col (a), Line C	Set I, Bond C: The issuer name of Bond C with issuance date 12/22/17 is: AKRON, BATH AND COPLEY JT. TWP. HOSP. DIST.
Schedule K, Part I, Column (a) Schedule K II, Part I, Col (a), Line D	Set I, Bond D: The issuer name of Bond D with issuance date 05/15/18 is: AKRON, BATH AND COPLEY JT. TWP. HOSP. DIST.
Schedule K, Part I, Column (a) Schedule K II, Part I, Col (a), Line A	Set II, Bond A: The issuer name of Sch K II, Bond A with issuance date 10/14/20 is: AKRON, BATH AND COPLEY JT. TWP. HOSP. DIST.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	See Schedule K Part VI	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	341448680	BondIssuerEIN
CUSIP	009730PWG	CUSIPNum
Bond Issued	2020-10-14	BondIssuedDt
Issue Price	$155,456,329	IssuePriceAmt
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Total Proceeds	$155,456,329	TotalProceedsAmt
Issuance Costs From Proceeds	$1,416,436	IssuanceCostsFromProceedsAmt
Other Spent Proceeds	$154,039,893	OtherSpentProceedsAmt
Substantial Completion	2012	SubstantialCompletionYr
Refunding Tax Exempt Bonds	Yes (true)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	false	RefundingTaxableBondsInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	Yes (true)	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (true)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (true)	EngageBondCounselContractsInd
Any Research Agreements	Yes (true)	AnyResearchAgreementsInd
Engage Bond Counsel Research	Yes (true)	EngageBondCounselResearchInd
Private Bus Use By Others	0.044	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.0	PrivateBusConcerningUBIPct
Total Private Business Use	0.044	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropPct
Remedial Action Taken	false	RemedialActionTakenInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	false	RebateNotDueYetInd
Exception To Rebate	Yes (true)	ExceptionToRebateInd
No Rebate Due	false	NoRebateDueInd
Variable Rate Issue	false	VariableRateIssueInd
Hedge Identified In Bks And Rec	Yes (true)	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	JPMORGAN CHASE BANK	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Term Of Hedge	0	TermOfHedgePct
Superintegrated Hedge	false	SuperintegratedHedgeInd
Hedge Terminated	Yes (true)	HedgeTerminatedInd
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd
Term Of GIC	0	TermOfGICPct
Regulatory Safe Harbor Stsfd	false	RegulatorySafeHarborStsfdInd
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
ALYSSA DRESSMAN
FAMILY MEMBER OF LYNN HAMRICH, MD, SUMMA HEALTH SYSTEM DIRECTOR	$39,685	EMPLOYMENT	false
MARIAH HOOD LPN
FAMILY MEMBER OF RAMONA HOOD, SUMMA HEALTH SYSTEM DIRECTOR	$24,735	EMPLOYMENT	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (19 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4d Description of other program services	(Expenses $ 264,609,314 including grants of $ 393,242)(Revenue $ 306,499,269) 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 A TOTAL OF 874 LICENSED, INPATIENT BEDS ON THE CAMPUSES OF SUMMA HEALTH SYSTEM AND SUMMA REHAB HOSPITAL. IN ADDITION, OUTPATIENT CARE IS PROVIDED IN MORE THAN 20 COMMUNITY HEALTH CENTERS, URGENT CARE FACILITIES AND EMERGENCY DEPARTMENTS (EDS), SOME INTEGRATED IN THE HEALTHCARE FACILITIES, AND OTHERS ARE FREESTANDING. SUMMA REHAB HOSPITAL IS A JOINT VENTURE IN WHICH SUMMA HEALTH SYSTEM HAS AN INTEREST, AND IS REFERENCED IN THIS DOCUMENT FOR THE PURPOSE OF IDENTIFYING ALL ENTITIES AFFILIATED WITH SUMMA HEALTH. SUMMA'S PROPORTIONATE INTEREST OF THIS JOINT VENTURE'S CHARITY CARE AND OTHER COMMUNITY BENEFITS IS INCLUDED ON SCHEDULE H OF SUMMA HEALTH'S IRS FORM 990 GROUP RETURN. PROVIDING SUPERIOR, MULTI-SPECIALTY PATIENT CARE, MEDICAL RESEARCH AND CONTINUING MEDICAL EDUCATION, SUMMA HEALTH RANKS AS A HIGHLY RECOGNIZED HEALTHCARE PROVIDER IN SEVERAL DISCIPLINES INCLUDING: WEIGHT MANAGEMENT, CARDIOVASCULAR, EMERGENCY, ONCOLOGY, ORTHOPEDICS & SPORTS MEDICINE, SURGERY, PRIMARY CARE, PULMONARY, STROKE, TRAUMA, UROLOGY, WOMEN'S SERVICES AND NURSING BY PRESTIGIOUS ORGANIZATIONS SUCH AS: AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER AMERICAN HEART ASSOCIATION AMERICAN STROKE ASSOCIATION NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS NATIONAL ACCREDITATION PROGRAM FOR RECTAL CANCER AMERICAN NURSING CREDENTIALING CENTER CENTERS FOR MEDICARE AND MEDICAID SERVICES OHIO PATIENT SAFETY INSTITUTE AMERICAN COLLEGE OF RADIATION AMERICAN SOCIETY FOR METABOLIC AND BARIATRIC SURGERY METABOLIC AND BARIATRIC SURGERY ACCREDITATION AND QUALITY IMPROVEMENT PROGRAM- COMPREHENSIVE CENTER LUNG CANCER ALLIANCE THE JOINT COMMISSION HEALTHGRADES SUMMA 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 TWO INPATIENT HOSPITAL CAMPUSES AND SEVERAL AMBULATORY LOCATIONS. SUMMA HEALTH SYSTEM OPERATES THE INPATIENT HOSPITAL LOCATIONS AS WELL AS THE HOSPITAL-BASED OFF-SITE LOCATIONS UNDER THE SAME MEDICARE PROVIDER NUMBER. SUMMA HEALTH EMPLOYS MORE THAN 8,500 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 814 LICENSED 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. AS A LEADER IN MEDICAL EDUCATION, SUMMA HEALTH SYSTEM SUPPORTS THE EDUCATION OF ITS PHYSICIANS AND HEALTHCARE PROFESSIONALS. THE AKRON CAMPUS IS A TEACHING AFFILIATE OF THE NORTHEAST OHIO MEDICAL UNIVERSITY (NEOMED) AND INCLUDES A STAFF OF PHYSICIANS AND ACCREDITED RESIDENCY AND FELLOWSHIP PROGRAMS THAT FOSTER A DYNAMIC MEDICAL ENVIRONMENT. APPROXIMATELY 95 RESIDENTS AND FELLOWS GRADUATE FROM THE INSTITUTION'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 CAMPUS SUMMA 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 159 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, A STATE-OF-THE-ART ORTHOPEDIC JOINT REPLACEMENT CENTER OF EXCELLENCE, ALONG WITH A VARIETY OF OUTPATIENT SERVICES. CHARITY CARE IN 2024, SUMMA HEALTH PROVIDED CHARITY CARE AT AN ESTIMATED NET COST OF OVER $14.2 MILLION. THIS AMOUNT REPRESENTS THE NET COST ASSOCIATED WITH PROVIDING THE CARE AND DOES NOT INCLUDE BAD DEBT. PATIENTS WITH INCOME UP TO 250% OF THE FEDERAL POVERTY INCOME GUIDELINES OR WHO HAVE A HOSPITAL BILL THAT EXCEEDS 25% OF THEIR GROSS ANNUAL FAMILY INCOME ARE ELIGIBLE TO APPLY FOR FULLY DISCOUNTED CHARITY CARE ASSISTANCE. IN ADDITION, THERE IS A SLIDING SCALE DISCOUNT PROGRAM FOR THOSE WITH INCOMES BETWEEN 250% AND 400% OF THE FEDERAL POVERTY INCOME GUIDELINES. IN 2024, THE CHARITY CARE PROGRAM (INCLUDING HOSPITAL CARE ASSURANCE PROGRAM) BENEFITED OVER 17,788 PATIENT ENCOUNTERS. MEDICAID SHORTFALL HISTORICALLY, OHIO MEDICAID REIMBURSEMENTS HAVE NOT COVERED THE COST OF PROVIDING THE CARE TO PROGRAM BENEFICIARIES, CREATING A BUDGETARY SHORTFALL. AS ONE OF NORTHEAST OHIO'S TOP PROVIDERS OF HOSPITAL CARE FOR MEDICAID PATIENTS, SUMMA HEALTH'S UNPAID COSTS FOR MEDICAID TOTALED OVER $89 MILLION. BAD DEBT SUMMA 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 2024, THE COST FOR PROVIDING CARE WRITTEN OFF AS A BAD DEBT EXPENSE WAS OVER $17.7 MILLION. COMMUNITY HEALTH IMPROVEMENT SERVICES AN IMPORTANT PART OF SUMMA HEALTH'S MISSION IS OFFERING A PREVENTION AND WELLNESS PROGRAM TO BUILD A HEALTHIER COMMUNITY. IN 2024, SUMMA HEALTH PROVIDED MORE THAN $16.9 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 OUR DIABETES EDUCATION EFFORTS ARE OFFERED, EVEN THOUGH THEY ARE NOT PROFITABLE. INCOME FROM OTHER SERVICES IS USED TO COVER THESE COSTS. IN 2024, THE COST FOR SUBSIDIZED SERVICES WAS OVER $50 MILLION. FINANCIAL AND IN-KIND DONATIONS ANNUALLY, 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 2024, THESE CONTRIBUTIONS WERE MORE THAN $4.4 MILLION. RESEARCH AND INNOVATION A MAJOR GOAL OF THE RESEARCH & INNOVATION GROUP IS TO OFFER OUR PATIENTS ACCESS TO CUTTING-EDGE THERAPIES AND TECHNOLOGIES WITHIN THE COMMUNITY, PARTICULARLY THROUGH CLINICAL TRIALS. THIS NOT ONLY PROVIDES THE BEST CARE FOR OUR PATIENTS, BUT ALSO IMPROVES THE HEALTH OF OUR COMMUNITY. IN 2024, SUMMA CONTRIBUTED A NET COST OF MORE THAN $6.5 MILLION TO EXPLORE POTENTIAL NEW THERAPIES, CARE COORDINATION IMPROVEMENTS AND TREATMENT OPTIONS.
Form 990, Part III, Line 4d Description of other program services	(Expenses $ including grants of $) (CONTINUED) 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 NORTHEAST 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 12 ACCREDITED RESIDENCY TRAINING PROGRAMS, 8 ACCREDITED FELLOWSHIP 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 2024, APPROXIMATELY 285 RESIDENTS AND FELLOWS TRAINED AT SUMMA HEALTH'S TWO MAIN HOSPITALS. ON AVERAGE, APPROXIMATELY 40% OF THESE RESIDENTS REMAIN IN OUR LOCAL AND SURROUNDING COMMUNITIES. SUMMA HEALTH'S 2024 INVESTMENT IN HEALTH PROFESSIONAL EDUCATION TOTALED NEARLY $30.9 MILLION. SUMMA HEALTH SERVICES: FOLLOWING IS A DESCRIPTION OF SUMMA HEALTH'S NOTABLE ACCOMPLISHMENTS BY PRIMARY SERVICE LINES IN 2024: CRITICAL CARE FOR THE EIGHTH TIME, SUMMA HEALTH RECEIVED THE AMERICA'S 100 BEST HOSPITALS FOR CRITICAL CARE AWARD FROM HEALTHGRADES REPRESENTING SUPERIOR CLINICAL OUTCOMES IN TREATING PULMONARY EMBOLISM, RESPIRATORY SYSTEM FAILURE, SEPSIS AND DIABETIC EMERGENCIES. SUMMA HEALTH RANKED #1 IN THE STATE BY HEALTHGRADES FOR CRITICAL CARE. HEART AND VASCULAR: SUMMA HEALTH HAS BEEN RECOGNIZED BY THE AMERICAN HEART ASSOCIATION FOR MANY AWARDS, INCLUDING GET WITH THE GUIDELINES GOLD PLUS- STROKE AND HEART FAILURE, LIFELINE HEART ATTACK REFERRING/RECEIVING CENTER ACCREDITATION AND STEMI (HEART ATTACK) ACCREDITATION. SUMMA HEALTH RECEIVED THE NCDR CHEST PAIN MI GOLD PERFORMANCE ACHIEVEMENT AWARD FOR 2024 FROM THE AMERICAN COLLEGE OF CARDIOLOGY. FOR THE SECOND CONSECUTIVE YEAR, SUMMA HEALTH WAS RECOGNIZED FOR OUR COMMITMENT AND SUCCESS IN SUSTAINING A TOP-LEVEL STANDARD FOR CARE FOR HEART ATTACK PATIENTS. SUMMA HEALTH IS ONE OF ONLY 61 HOSPITALS NATIONWIDE TO RECEIVE THE GOLD HONOR. THE SUMMA HEALTH HEART AND VASCULAR INSTITUTE HAS BEEN DESIGNATED AS A CAROTID CARE QUALITY CHAMPION BY THE SOCIETY FOR VASCULAR SURGERY VASCULAR QUALITY INITIATIVE (SVS VQI). THIS DISTINGUISHED PROGRAM HONORS HEALTHCARE ORGANIZATIONS ACROSS THE COUNTRY DEDICATED TO IMPROVING THE SAFETY AND EFFECTIVENESS OF VASCULAR CARE THROUGH PARTICIPATION AND ENGAGEMENT IN VQI'S CAROTID ARTERY STENTING AND CAROTID ENDARTERECTOMY REGISTRIES. PARTICIPATION IN THE VQI ALLOWS US TO MONITOR PERFORMANCE, BENCHMARK OUTCOMES AND PROVIDE THE BEST POSSIBLE CARE FOR OUR PATIENTS. NEUROSCIENCE: SUMMA HEALTH SYSTEM - AKRON CAMPUS RECEIVED SEVERAL HEALTHGRADES AWARDS FOR NEUROSCIENCES: * RANKED #1 IN THE STATE FOR NEUROSCIENCES. * RANKED #1 IN THE STATE FOR CRANIAL NEUROSURGERY. * RANKED #1 IN THE STATE FOR STROKE CARE. 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 CANCER INSTITUTE WAS REACCREDITED FROM THE NATIONAL ACCREDITATION PROGRAM FOR RECTAL CANCER (NAPRC), A QUALITY PROGRAM OF THE AMERICAN COLLEGE OF SURGEONS. PULMONARY SUMMA HEALTH RECEIVED THE AMERICA'S 100 BEST HOSPITALS FOR PULMONARY CARE AWARD (SIX YEARS IN A ROW) REPRESENTING SUPERIOR CLINICAL OUTCOMES IN TREATING CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) AND PNEUMONIA.
Form 990, Part III, Line 4d Description of other program services	(Expenses $ including grants of $) (CONTINUED) SYSTEM: FOR THE 21ST 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 COUNCIL. SUMMA HEALTH SYSTEM - AKRON AND BARBERTON CAMPUSES WERE RECIPIENTS OF THE HEALTHGRADES 2025 AMERICA'S 50 BEST HOSPITALS AWARD. THIS PLACES SUMMA HEALTH AMONG THE TOP ONE PERCENT OF ALL HOSPITALS FOR CLINICAL CARE AND PATIENT OUTCOMES ACROSS TREATMENT OF THE MOST COMMON CONDITIONS AND PROCEDURES. SUMMA HEALTH WAS SELECTED BY THE WOMEN'S NETWORK LEADERSHIP INSTITUTE, A PROGRAM OF THE GREATER AKRON CHAMBER, AS THE 2024 DOROTHY O. JACKSON AWARD HONOREE. THIS HONOR REFLECTS OUR ORGANIZATION'S EXCELLENCE AND LEADERSHIP IN THE COMMITMENT TO THE EMPOWERMENT OF WOMEN AND THE PROMOTION OF DIVERSITY IN THE WORKPLACE. SUMMARY ALTHOUGH 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 2024, SUMMA HEALTH PROVIDED CHARITY CARE TO THE INDIGENT (INCLUDING UNREIMBURSED MEDICAID) AT THE COST OF OVER $103 MILLION. THIS AMOUNT DOES NOT INCLUDE SERVICES PROVIDED WRITTEN OFF AS BAD DEBT. IN ADDITION TO UNCOMPENSATED MEDICAL CARE, SUMMA HEALTH PROVIDED WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS AND SPECIAL PROGRAMS FOR THE ELDERLY, PERSONS WITH DISABILITIES AND THE MEDICALLY UNDERSERVED. SUMMA HEALTH ALSO OPERATED A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES. THESE PROGRAMS WERE OFFERED AT A REDUCED PRICE OR PROVIDED TO THE COMMUNITY FREE OF CHARGE. SUMMA HEALTH OPERATES ITS FACILITIES IN A MANNER CONSISTENT WITH THE COMMUNITY BENEFIT REQUIREMENTS OF REV. RULE 69-545 AND SUBSEQUENT CASE LAW AND IRS GUIDELINES. SUMMA HEALTH'S HOSPITALS PROVIDE EMERGENCY SERVICES WHICH ARE OPEN AND AVAILABLE TO ALL PERSONS OF THE COMMUNITY, REGARDLESS OF THEIR ABILITY TO PAY. THE BOARD OF DIRECTORS CONSISTS OF PERSONS WHO ARE BROADLY REPRESENTATIVE OF THE COMMUNITY AND MEDICAL STAFF. SUMMA HEALTH MEDICAL GROUP- PROGRAM SERVICE ACCOMPLISHMENTS: SUMMA HEALTH MEDICAL GROUP, A SUMMA HEALTH ENTITY, IS A MULTI-SPECIALTY GROUP OF PHYSICIANS, ADVANCED PRACTICE PROVIDERS AND CARE TEAMS IN MEDICAL PRACTICES LOCATED IN THE COMMUNITIES WE SERVE. IN TOTAL, SUMMA HEALTH MEDICAL GROUP EMPLOYS APPROXIMATELY 370 PHYSICIANS AND 1,400 SUPPORT STAFF IN MORE THAN 40 SPECIALTIES AND SUB-SPECIALTIES. SUMMA HEALTH MEDICAL GROUP PROMOTES STRONG AFFILIATION AND EMPLOYMENT OF PHYSICIANS TO ENSURE COMMUNITY AND HOSPITAL NEEDS FOR PHYSICIAN SERVICES ARE MET. AS MEMBERS OF NEWHEALTH COLLABORATIVE, A CLINICIAN-LED ACCOUNTABLE CARE ORGANIZATION, SUMMA HEALTH MEDICAL GROUP PHYSICIANS ARE LEADING THE WAY TOWARD VALUE-BASED HEALTHCARE WITH INITIATIVES SUCH AS THE PATIENT-CENTERED MEDICAL HOME (PCMH) AND MEANINGFUL USE OF HEALTH INFORMATION TECHNOLOGY. SUMMA FOUNDATION - PROGRAM SERVICE ACCOMPLISHMENTS: SUMMA FOUNDATION SUPPORTS PATIENT CARE, MEDICAL EDUCATION AND RESEARCH THROUGH PHILANTHROPY. GENEROUS CONTRIBUTIONS AVERAGE $10 MILLION A YEAR AND HELP SUMMA HEALTH FULFILL ITS MISSION TO PROVIDE THE HIGHEST QUALITY, COMPASSIONATE CARE AND CONTRIBUTE TO A HEALTHIER COMMUNITY. SUMMA FOUNDATION LINKS COMMUNITY SUPPORTERS WITH PHILANTHROPIC PRIORITIES THAT ENHANCE THE DELIVERY OF PATIENT CARE AND EMPOWER CLINICAL EXCELLENCE ACROSS THE ENTIRE SYSTEM. GIFTS SUPPORT PHYSICIAN RESIDENCY PROGRAMS, ADVANCED CERTIFICATIONS FOR NURSES, BEHAVIORAL HEALTH PROGRAMS, GROUNDBREAKING RESEARCH, THE LATEST TECHNOLOGIES FOR DIAGNOSIS AND TREATMENT, CANCER SUPPORT SERVICES, AND HELP RECRUIT AND RETAIN THE REGION'S BEST PHYSICIANS, ASSURING PATIENTS AND FAMILIES A CONTINUUM OF QUALITY CARE FAR INTO THE FUTURE. SUMMA FOUNDATION ALSO COLLABORATES WITH SYSTEM AND CLINICAL LEADERS TO DOCUMENT THE IMPACT OF PHILANTHROPIC INVESTMENTS AND TO SHARE THAT IMPACT WITH DONORS. COMMUNITY BENEFIT AND DIVERSITY: THIS DEPARTMENT LEADS EFFORTS TO ADDRESS HEALTH DISPARITIES AND OTHER IMPORTANT COMMUNITY NEEDS AND RAISE AWARENESS OF HEALTH AND HEALTHCARE ISSUES AFFECTING THE COMMUNITIES SERVED BY SUMMA HEALTH. COMMUNITY BENEFIT AND DIVERSITY PROVIDE WELLNESS AND EDUCATIONAL TOOLS, FACILITATE ECONOMIC DEVELOPMENT PROGRAMS, DEVELOP COMMUNITY PARTNERSHIPS, COMMUNICATE SUMMA HEALTH'S BENEFIT TO THE COMMUNITY AND ENGAGE THE COMMUNITY AND ITS WORKFORCE WITHIN THE SYSTEM AND THROUGHOUT THE REGION. GOVERNMENT RELATIONS: THIS DEPARTMENT IS DEDICATED TO ELEVATING SUMMA HEALTH AS A CREDIBLE HEALTH SYSTEM EXPERT AND PARTNER IN THE PUBLIC POLICY AND REGULATORY PLANNING PROCESS. THIS DEPARTMENT COLLABORATES WITH INTERNAL AND EXTERNAL STAKEHOLDERS TO BEST PROTECT AND PROMOTE SUMMA'S MISSION, SUMMA BUSINESS AND CLINICAL INNOVATION PRIORITIES WITH PUBLIC OFFICIALS AND STAFF.
Form 990, Part V, Line 2a Form 990, Part V, Line 2a and 2b:	THE PARENT ORGANIZATION, SUMMA HEALTH, EIN 34-1887844, IS THE EMPLOYER OF RECORD FOR EMPLOYEES WORKING FOR GROUP RETURN ENTITIES.
Form 990, Part VI, Line 1a	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") - 12 - 8 SUMMA FOUNDATION ("SF") - 23 - 20 SUMMA PHYSICIANS, INC. DBA SUMMA HEALTH MEDICAL GROUP ("SHMG") - 4 - 3 TOTALS FOR GROUP RETURN - 39 - 31 ALL OF THE ORGANIZATIONS LISTED ABOVE ARE SUBORDINATES UNDER THE CONTROL OF SUMMA HEALTH ("SH"). AS OF DECEMBER 31, 2024, SH HAD 12 VOTING DIRECTORS, 8 OF WHOM WERE INDEPENDENT VOTING DIRECTORS.
Form 990, Part VI, Line 2 Family/business relationships amongst interested persons	THE FOLLOWING INDIVIDUALS HAVE A BUSINESS RELATIONSHIP AS BOARD MEMBERS OF AN ENTITY IN WHICH SUMMA HEALTH SYSTEM HAS AN OWNERSHIP INTEREST: SUMMA REHAB HOSPITAL: KATHLEEN BLAKE, AND BENJAMIN P. SUTTON - Business relationship, MIDDLEBURY ASSURANCE COMPANY: T. CLIFFORD DEVENY, MD, ROBERT A. GERBERRY, VIVEK BHALLA, MD, AND DAWN AHNER; SUMMA ACO DBA NEWHEALTH COLLABORATIVE: T. CLIFFORD DEVENY, MD, DAWN AHNER, ROBERT A. GERBERRY, KATHLEEN BLAKE; SUMMA HEALTH SYSTEM CORP: T. CLIFFORD DEVENY, MD, DAWN AHNER, ROBERT A. GERBERRY - Business relationship, SUMMA MANAGEMENT SERVICES ORG.: DAWN AHNER AND ROBERT A. GERBERRY; SUMMA INTEGRATED SERVICES ORG.: DAWN AHNER AND ROBERT A. GERBERRY; SUMMACARE AND SUMMA INSURANCE COMPANY: T. CLIFFORD DEVENY, MD, BENJAMIN P. SUTTON, GEORGE STRICKLER, ROBERT A. GERBERRY, AND DAWN AHNER - Business relationship, T. CLIFFORD DEVENY, MD, PAUL TESTA - Business relationship
Form 990, Part VI, 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, Line 7a Members or stockholders electing members of governing body	SUMMA HEALTH SYSTEM: THE CODE OF REGULATIONS OF SUMMA HEALTH SYSTEM PROVIDES THAT THOSE DIRECTORS OF SUMMA HEALTH, THE SOLE MEMBER OF SUMMA HEALTH SYSTEM, WOULD BE THE DIRECTORS OF SUMMA HEALTH SYSTEM. SUMMA FOUNDATION: IN ADDITION TO DIRECTORS ELECTED BY THE SUMMA HEALTH BOARD AS THE SOLE MEMBER OF SUMMA FOUNDATION, THE PRESIDENT AND CEO OF SUMMA HEALTH, THE CHAIR OF THE BOARD OF DIRECTORS OF SUMMA HEALTH, THE PRESIDENT OF SUMMA FOUNDATION, THE PRESIDENT OF THE WOMEN'S BOARD OF SUMMA HEALTH SHALL SERVE AS DIRECTORS OF SUMMA FOUNDATION. SUMMA PHYSICIANS, INC. DBA SUMMA HEALTH MEDICAL GROUP: THE SOLE SHAREHOLDER OF SUMMA PHYSICIANS, INC. IS SUBJECT TO A SHARE CONTROL AGREEMENT WHEREIN WHICH THEY MAY ELECT ONLY PERSONS APPROVED BY SUMMA HEALTH AS DIRECTORS OF SUMMA PHYSICIANS, INC. TO ENSURE SUMMA HEALTH SYSTEM MAINTAINS A SIGNIFICANT VOICE IN THE INVESTMENT POLICIES, GRANT-MAKING POLICIES, AND OTHERWISE IN THE USE OF INCOME AND ASSETS OF SUMMA PHYSICIANS, INC., AT LEAST ONE DIRECTOR OF SUMMA PHYSICIANS, INC. MUST ALSO BE A MEMBER OF SUMMA HEALTH SYSTEM'S BOARD OF DIRECTORS.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	SUMMA HEALTH IS THE SOLE MEMBER OF SUMMA HEALTH SYSTEM. AS THE SOLE MEMBER, SUMMA HEALTH HAS THE POWER AND AUTHORITY TO APPROVE OR DISAPPROVE OF EACH OF THE FOLLOWING ON BEHALF OF SUMMA HEALTH SYSTEM: (I) ANY MODIFICATION OF THE ESSENTIAL NATURE, PURPOSE, MISSION OR OPERATIONS OF THE CORPORATION; (II) APPROVAL OF THE CODE OF REGULATIONS, BYLAWS OR OTHER CONSTITUTIVE DOCUMENT OF THE CORPORATION AND ANY AND ALL AMENDMENTS THERETO; (III) ADOPTION OF ANY AMENDMENTS TO THE ARTICLES OF INCORPORATION OR SIMILAR CHARTER OR ORGANIZATIONAL DOCUMENT OR AGREEMENT AND/OR ANY OTHER CHANGE IN THE CORPORATE STRUCTURE OR GOVERNANCE OF THE CORPORATION; (IV) ESTABLISHMENT OF QUALIFICATIONS FOR THE SELECTION OF DIRECTORS, DIRECTORS OR MANAGERS OF THE CORPORATION; (V) APPOINTMENT OR ELECTION AND REMOVAL OF MEMBERS OF THE GOVERNING BODY OF THE CORPORATION; (VI) APPOINTMENT OR ELECTION AND REMOVAL OF THE PRESIDENT AND/OR CHIEF EXECUTIVE OFFICER OR SIMILAR OFFICER(S) OF THE CORPORATION; (VII) ADOPTION OF ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORPORATION; (VIII) ADOPTION OF STRATEGIC PLANS OF THE CORPORATION; (IX) DETERMINATIONS AS TO THE USE AND OCCUPANCY OF ANY BUILDING OWNED OR LEASED BY THE CORPORATION; (X) THE SALE, ENCUMBRANCE, LEASE OR DISPOSITION OF REAL PROPERTY OF THE CORPORATION OTHER THAN IN THE ORDINARY COURSE OF THE OPERATIONS OF THE CORPORATION; AND (XI) THE MERGER, REORGANIZATION, DISSOLUTION OR OTHER CORPORATE ACTION OF A SIMILAR NATURE, INCLUDING PARTICIPATION IN A JOINT VENTURE, PROPOSED BY THE CORPORATION. SUMMA FOUNDATION: SUMMA HEALTH IS THE SOLE MEMBER ("MEMBER") OF SUMMA FOUNDATION. THE FOLLOWING ARE THE MATTERS ("RESERVED POWERS") WHICH MUST BE SUBMITTED TO, AND RECEIVE THE APPROVAL OF BOTH THE BOARD OF DIRECTORS OF SUMMA FOUNDATION AND THE MEMBER: (I) ANY MODIFICATION OF THE ESSENTIAL NATURE, PURPOSE, MISSION OR OPERATIONS OF THE CORPORATION; (II) ADOPTION OF A CODE OF REGULATIONS, BYLAWS OR OTHER CONSTITUTIVE DOCUMENT OF THE CORPORATION AND ANY AND ALL AMENDMENTS THERETO; (III) ADOPTION OF ANY AMENDMENTS TO THE ARTICLES OF INCORPORATION OR SIMILAR CHARTER OR ORGANIZATIONAL DOCUMENT OR AGREEMENT AND/OR ANY OTHER CHANGE IN THE CORPORATE STRUCTURE OR GOVERNANCE OF THE CORPORATION; (IV) ESTABLISHMENT OF QUALIFICATIONS FOR THE SELECTION OF DIRECTORS, DIRECTORS OR MANAGERS OF THE CORPORATION; (V) APPOINTMENT OR ELECTION AND REMOVAL OF MEMBERS OF THE GOVERNING BODY OF THE CORPORATION; (VI) APPOINTMENT OR ELECTION AND REMOVAL OF THE PRESIDENT AND/OR CHIEF EXECUTIVE OFFICER OR SIMILAR OFFICER(S) OF THE CORPORATION; (VII) ADOPTION OF ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORPORATION; (VIII) THE BORROWING OF MONEY OR OTHER INCURRING OR CREATING OF ANY INDEBTEDNESS OF THE CORPORATION, INCLUDING BY WAY OF A GUARANTY OF THE DEBT OF ANOTHER, IN AN AMOUNT GREATER THAN $1,000,000 OR THAT WILL INCREASE THE AMOUNT OF INDEBTEDNESS INCURRED IN THE CURRENT CALENDAR YEAR, IN THE AGGREGATE, TO MORE THAN $3,500,000; (IX) ADOPTION OF THE LONG RANGE PLANS OF THE CORPORATION; (X) DETERMINATIONS AS TO THE USE AND OCCUPANCY OF ANY BUILDING OWNED OR LEASED BY THE CORPORATION; (XI) THE SALE, ENCUMBRANCE, LEASE OR DISPOSITION OF REAL PROPERTY OF THE CORPORATION OTHER THAN IN THE ORDINARY COURSE OF THE OPERATIONS OF THE CORPORATION; AND (XII) THE MERGER, REORGANIZATION, DISSOLUTION OR OTHER CORPORATE ACTION OF A SIMILAR NATURE, INCLUDING PARTICIPATION IN A JOINT VENTURE, PROPOSED BY THE CORPORATION. SUMMA PHYSICIANS, INC. DBA SUMMA HEALTH MEDICAL GROUP: A SHARE CONTROL AGREEMENT AMONG SUMMA HEALTH, SUMMA PHYSICIANS, INC. AND THE SOLE SHAREHOLDER OF SUMMA PHYSICIANS, INC. PROVIDES THAT THE SOLE SHAREHOLDER SHALL VOTE EACH SHARE OF SUMMA PHYSICIANS, INC.'S CAPITAL STOCK NOW OR HEREAFTER OWNED BY THE SHAREHOLDER ON ANY MATTER SUBMITTED FOR A VOTE TO THE SHAREHOLDERS OF SUCH STOCK, ONLY AS APPROVED IN ADVANCE BY SUMMA HEALTH, INCLUDING, BUT NOT LIMITED TO THE MATTERS LISTED BELOW: (A) LEASE, SELL, EXCHANGE, TRANSFER OR OTHERWISE DISPOSE OF ALL OR SUBSTANTIALLY ALL OF THE SUMMA PHYSICIANS, INC.'S ASSETS; (B) BE MERGED, CONSOLIDATED OR OTHERWISE REORGANIZED WITH OR INTO ANY OTHER CORPORATION OR TRADE OR BUSINESS; (C) ISSUE ANY SHARES OF ANY CLASS OF SUMMA PHYSICIANS, INC.'S CAPITAL STOCK (WHETHER FROM TREASURY OR FROM AUTHORIZED BUT UNISSUED SHARES); (D) AMEND OR OTHERWISE MODIFY ITS ARTICLES OF INCORPORATION OR CODE OF REGULATIONS; (E) DISSOLVE (OTHER THAN BY ACTION OF A COURT OF COMPETENT JURISDICTION); OR (F)ENTER INTO ANY AGREEMENT WITH ANY PERSON TO DO ANY OF THE FOREGOING.
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE RETURN WAS REVIEWED IN DETAIL BY AN AD HOC COMMITTEE CONSISTING OF SELECT BOARD MEMBERS WITH FINANCIAL EXPERTISE, EXTERNAL LEGAL COUNSEL, AND EXTERNAL TAX ADVISORS AND CONSULTANTS. THIS DETAILED REVIEW OCCURRED IN OCTOBER AND NOVEMBER 2025. FOLLOWING THIS REVIEW AND INCORPORATION OF CHANGES RECOMMENDED BY THIS 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, Line 12c Conflict of interest policy	A CONFLICT-OF-INTEREST QUESTIONNAIRE IS SENT ANNUALLY TO ALL SUMMA HEALTH ENTITIES BOARDS OF DIRECTORS, KEY EMPLOYEES, EXECUTIVE LEADERSHIP TEAM MEMBERS, MEDICAL DIRECTORS, QUALITY DIRECTORS, EMPLOYED PHYSICIANS, EMPLOYED ADVANCED PRACTICE PROVIDERS, MEMBERS OF THE AUDIT AND COMPLIANCE, INVESTMENT, FINANCE, GOVERNANCE, COMPENSATION, CREDENTIALING, SAFETY AND QUALITY, COMMUNITY ENGAGEMENT, PHARMACY AND THERAPEUTICS, OPERATING AND VALUE ANALYSIS COMMITTEES AND EMPLOYEES WHO ARE DIRECTORS AND ABOVE 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, Line 15a Process to establish compensation of top management official	EXECUTIVE COMPENSATION: THE COMPENSATION REVIEW IS DELEGATED TO SUMMA HEALTH, WHICH SHARES A COMMON BOARD WITH MEMBERS OF THE GROUP RETURN. THE HUMAN RESOURCES COMMITTEE, (FKA 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 HUMAN RESOURCES COMMITTEE IS AN INDEPENDENT DIRECTOR AND IS NOT AFFILIATED WITH MANAGEMENT. THE HUMAN RESOURCES COMMITTEE ENGAGES OUTSIDE CONSULTING SUPPORT TO PROVIDE INDEPENDENT MARKET DATA, ADVICE AND COUNSEL TO THE HUMAN RESOURCES COMMITTEE. THE HUMAN RESOURCES COMMITTEE HAS USED KORN FERRY, A NATIONALLY RECOGNIZED CONSULTING FIRM, TO ASSIST THEIR EFFORTS. KORN FERRY PROVIDES THE FOLLOWING SERVICES TO THE HUMAN RESOURCES 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 HUMAN RESOURCES COMMITTEE ON MATTERS RELATED TO EXECUTIVE COMPENSATION. THE HUMAN RESOURCES 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 EXECUTIVE VP, CHIEF OPERATING OFFICER PROVIDER OPERATIONS SENIOR VICE PRESIDENT, FINANCE AND CFO SENIOR VICE PRESIDENT, CHIEF LEGAL OFFICER & GENERAL COUNSEL SENIOR VP, POST-ACUTE/AT HOME CARE DIVISION & INTEGRATED CARE MANAGEMENT SENIOR VICE PRESIDENT, IT&S & CIO SENIOR VICE PRESIDENT, CHIEF HUMAN RESOURCES OFFICER SENIOR VP, SH POPULATION HEALTH SERVICES/PRESIDENT SUMMA CARE SENIOR VICE PRESIDENT, SYSTEM CHIEF NURSING EXECUTIVE SENIOR VP, MARKETING AND BUSINESS DEVELOPMENT SENIOR VP, CHIEF QUALITY OFFICER PRESIDENT, SUMMA HEALTH SYSTEM HOSPITALS SUMMA FOUNDATION: PRESIDENT, CHIEF DEVELOPMENT OFFICER SUMMA PHYSICIANS, INC. DBA SUMMA HEALTH MEDICAL GROUP: PRESIDENT SUMMA HEALTH MEDICAL GROUP
Form 990, Part VI, 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 VIII, Line 2f Other Program Service Revenue	All Other - Total Revenue: 5317745, Related or Exempt Function Revenue: 5317745, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	All Other - Total Revenue: 8280396, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 8280396;
Form 990, Part XI, Line 8 Prior Period Adjustments	Prior period adjustments are inclusive of change in prior period pledge valuation.
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	PENSION LIABILITY ADJUSTMENT - 4532000; POST RETIREMENT BENEFIT ADJUSTMENT - -56000; NET ASSETS RELEASED FROM(TO) RESTRICTION FOR CAPITAL - 1250000; NET ASSET CONTRIBUTION FROM(TO) AFFILIATED ORGANIZATION - 79511000; OTHER CHANGES IN NET ASSETS - ADJUSTMENTS - -493; CHANGE IN RESTRICTED ACTIVITY - -722428; Total - 84514079;
Form 990, Part XII, Line 2c Change of oversight process or selection process	THE ORGANIZATION HAS NOT CHANGED EITHER ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
MEDINA-SUMMIT AMBULATORY SURGERY CENTER LLC
1077 GORGE BLVD	AKRON	OH	443042408	340714755	SURGERY CENTER	OH	$5,293,000	$3,489,000	SUMMA HEALTH SYSTEM
SUMMA HEALTH OUTPATIENT SERVICES LLC
1077 GORGE BLVD	AKRON	OH	443042408	340714755	INFUSION CENTER	OH	$26,196,645	$1,011,015	SUMMA HEALTH SYSTEM

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	AKRON PHYSICIAN WELLNESS INITIATIVE	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	C/O ONE PERKINS SQUARE	AddressLine1Txt
City	AKRON	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	44308	ZIPCd

Field	Value	IRS element (for citing)
EIN	853039796	EIN
Primary Activities	PHYSICIAN WELLNESS INITIATIVES	PrimaryActivitiesTxt
Legal Domicile State	OH	LegalDomicileStateCd
Exempt Code Section	501(c)(3)	ExemptCodeSectionTxt
Public Charity Status	7	PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Controlled Organization	false	ControlledOrganizationInd

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	44034	271952573	REHAB HOSPITAL	OH	SUMMA HEALTH SYSTEM	Related	$16,566,160	$7,231,640	false	false	0.52
SUMMA HHAH HOLDINGS LLC
C/O 1077 GORGE BLVD	AKRON	OH	44310	823600079	HOME HEALTH AND HOSPICE	OH	SUMMA HEALTH SYSTEM	Related	$26,983,800	$7,387,200	false	false	0.6

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 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 Line2USAddress/AddressLine2Txt	Address Line1ForeignAddress/AddressLine1Txt	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
OHIO HEALTH CHOICE INC
1077 GORGE BLVD	AKRON	OH	443092090	341895396	PPO	OH	SUMMA HEALTH SYSTEM CORP	C Corporation	Yes (true)
SUMMA INSURANCE COMPANY INC
1200 E MARKET ST	AKRON	OH	44305	341809108	PROP/CAS INS	OH	SUMMACARE INC	C Corporation	Yes (true)	400
SUMMA HEALTH SYSTEM CORP
1077 GORGE BLVD	AKRON	OH	443092090	341515252	MGMT SVCS	OH	SUMMA HEALTH	C Corporation	Yes (true)
MIDDLEBURY ASSURANCE COMPANY
				980405096	SELF INSURANCE		SUMMA HEALTH	C Corporation	Yes (true)		PO BOX 1051	GRAND CAYMAN	CJ	KY11102	CJ
SUMMACARE INC
1200 E MARKET ST	AKRON	OH	44305	341726655	PROP/CAS INS	OH	SUMMA HEALTH SYSTEM CORP	C Corporation	Yes (true)	400
SUMMA ACCOUNTABLE CARE ORGANIZATION
1077 GORGE BLVD	AKRON	OH	443092090		CONTRACTING	OH	SUMMA HEALTH	C Corporation	Yes (true)
SUMMA MANAGEMENT SERVICES ORGANIZATION
1200 E MARKET ST	AKRON	OH	44305		MGMT SVCS	OH	SUMMA HEALTH SYSTEM CORP	C Corporation	Yes (true)	400
SUMMA INTEGRATED SERVICES ORGANIZATION
1200 E MARKET ST	AKRON	OH	44305		MGMT SVCS	OH	SUMMA HEALTH SYSTEM CORP	C Corporation	Yes (true)	400

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

Transactions Related Org TransactionsRelatedOrgGrp (11 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Summa Rehab Hospital LLC
A	$2,837,366	FMV
Summacare Inc
L	$60,875,017	FMV
Summacare Inc
L	$10,706,021	FMV
Summa Insurance Company Inc
L	$15,564,487	FMV
Summa Insurance Company Inc
L	$3,165,090	FMV
SummaCare Inc
L	$409,525	FMV
Summa Rehab Hospital LLC
L	$309,470	FMV
Middlebury Assurance Company
M	$10,684,733	FMV
Middlebury Assurance Company
M	$4,529,763	FMV
Summa Integrated Services Organization
M	$2,487,695	FMV
Summa Health
B	$393,242	COST