SUMMA HEALTH GROUP RETURN: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: SUMMA HEALTH GROUP RETURN (EIN 90-0640432)
Tax period: 2014-01-01 to 2014-12-31
Filed: 2015-11-13
IRS object ID: 201533179349310108
Schema version: 2014v5.0
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 B
Schedule C
Schedule D
Schedule F
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule M
Schedule N
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2015-11-13T16:05:11-06:00	ReturnTs
Tax Period End	2014-12-31	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 LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	111 Monument Circle Suite 4000	AddressLine1Txt
City	Indianapolis	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	46204	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2014-01-01	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 PO Box 2090	AddressLine1Txt
City	Akron	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	443092090	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Brian K Derrick	PersonNm
Person Title	CFO	PersonTitleTxt
Signature	2015-11-13	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

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

Field	Value	IRS element (for citing)
Tax	2014	TaxYr
Build TS	2016-04-25 22:37:26Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Thomas Malone MD	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1077 Gorge Blvd PO Box 2090	AddressLine1Txt
City	Akron	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	443092090	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,181,068,470	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 patients and members and contribute to a healthier community.	ActivityOrMissionDesc
Contract Termination	Yes (X)	ContractTerminationInd
Voting Members Governing Body	54	VotingMembersGoverningBodyCnt
Voting Members Independent	33	VotingMembersIndependentCnt
Total Employee	8069	TotalEmployeeCnt
Total Volunteers	1249	TotalVolunteersCnt
Total Gross UBI	$9,977,266	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$3,186,581	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$8,800,411	PYContributionsGrantsAmt
CY Contributions Grants	$8,525,120	CYContributionsGrantsAmt
PY Program Service Revenue	$1,101,296,459	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,002,586,876	CYProgramServiceRevenueAmt
PY Investment Income	$13,934,346	PYInvestmentIncomeAmt
CY Investment Income	$10,685,360	CYInvestmentIncomeAmt
PY Other Revenue	$19,701,542	PYOtherRevenueAmt
CY Other Revenue	$28,711,727	CYOtherRevenueAmt
PY Total Revenue	$1,143,732,758	PYTotalRevenueAmt
CY Total Revenue	$1,050,509,083	CYTotalRevenueAmt
PY Grants And Similar Paid	$260,359	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$354,193	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$488,396,107	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$457,028,302	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$2,518,737	CYTotalFundraisingExpenseAmt
PY Other Expenses	$600,542,226	PYOtherExpensesAmt
CY Other Expenses	$541,818,043	CYOtherExpensesAmt
PY Total Expenses	$1,089,198,692	PYTotalExpensesAmt
CY Total Expenses	$999,200,538	CYTotalExpensesAmt
PY Revenues Less Expenses	$54,534,066	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$51,308,545	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,221,959,811	TotalAssetsBOYAmt
Total Assets EOY	$1,165,798,880	TotalAssetsEOYAmt
Total Liabilities BOY	$636,147,164	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$687,554,548	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$585,812,647	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$478,244,332	NetAssetsOrFundBalancesEOYAmt
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	Yes (true)	SignificantChangeInd
Expense	$431,222,356	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$585,674,801	RevenueAmt
Desc	OUTPATIENT SERVICES - IN 2014, SUMMA HEALTH SYSTEM, SUMMA BARBERTON CITIZENS HOSPITAL, THE WADSWORTH-RITTMAN AREA HOSPITAL ASSOCIATION AND SUMMA PHYSICIANS, INC. PROVIDED MORE THAN 1.5 MILLION OCCASIONS OF SERVICE, INCLUDING 174,502 EMERGENCY ROOM VISITS, 15,740 SURGICAL OPERATIONS, AND MORE THAN 1.3 MILLION OTHER OUTPATIENT VISITS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$292,261,904	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$385,444,800	RevenueAmt
Desc	INPATIENT SERVICES - FOR 2014, SUMMA HEALTH SYSTEM (SHS), SUMMA BARBERTON CITIZENS HOSPITAL (SBH) AND THE WADSWORTH-RITTMAN AREA HOSPITAL ASSOCIATION (WRH) HAD 752 BEDS IN SERVICE, ADMITTED 38,838 ADULT PATIENTS, AND DELIVERED 4,005 NEWBORNS. THE ADULT PATIENTS RECEIVED 173,312 DAYS OF CARE, INPATIENT SURGERIES TOTALED 7,393, EMERGENCY ADMITS TOTALED 27,007 AND THE AVERAGE LENGTH OF STAY WAS 4.46 DAYS.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$44,543,076	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$12,397,313	RevenueAmt
Desc	RESEARCH/EDUCATION - 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 THREE OF SUMMA HEALTH'S HOSPITALS, OVER 200 MEDICAL SCHOOL GRADUATES TRAIN IN 17 ACCREDITED RESIDENCY PROGRAMS. SUMMA HEALTH PROVIDES CLINICAL LEARNING EXPERIENCES TO MORE THAN 250 NURSING AND ALLIED HEALTH STUDENTS.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (3 entries)

ExpenseExpenseAmt	GrantGrantAmt	RevenueRevenueAmt	DescDesc
$11,825,302	$354,193	$16,839,420	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 MORE THAN ONE MILLION PATIENTS EACH YEAR IN COMPREHENSIVE EMERGENCY, ACUTE, CRITICAL, OUTPATIENT AND LONG-TERM/HOMECARE SETTINGS AND REPRESENTS MORE THAN 1,700 REGISTERED, INPATIENT BEDS ON THE CAMPUSES OF SUMMA HEALTH SYSTEM, SUMMA BARBERTON CITIZEN'S HOSPITAL, THE WADSWORTH-RITTMAN AREA HOSPITAL ASSOCIATION, SUMMA REHAB HOSPITAL, WESTERN RESERVE HOSPITAL, AND CRYSTAL CLINIC ORTHOPAEDIC CENTER. IN ADDITION, OUTPATIENT CARE IS PROVIDED IN MORE THAN 16 COMMUNITY HEALTH CENTERS AND EMERGENCY DEPARTMENTS (EDS), SOME INTEGRATED IN THE HEALTHCARE FACILITIES, OTHERS ARE FREE-STANDING. SUMMA REHAB HOSPITAL, * WESTERN RESERVE HOSPITAL AND *CRYSTAL CLINIC ORTHOPAEDIC CENTER ARE JOINT VENTURES IN WHICH SUMMA HEALTH HAS AN INTEREST, AND ARE REFERENCED IN THIS DOCUMENT FOR THE PURPOSE OF IDENTIFYING ALL ENTITIES AFFILIATED WITH SUMMA HEALTH. SUMMA'S PROPORTIONATE INTEREST OF THESE JOINT VENTURES' CHARITY CARE AND OTHER COMMUNITY BENEFITS ARE 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: BARIATRIC SURGERY, CARDIOVASCULAR, EMERGENCY, ONCOLOGY, ORTHOPAEDIC SURGERY, PRIMARY CARE SPORTS MEDICINE, STROKE AND NURSING BY PRESTIGIOUS ORGANIZATIONS SUCH AS: THE SOCIETY OF CHEST PAIN CENTERS AMERICAN COLLEGE OF SURGEONS AMERICAN HEART ASSOCIATION AMERICAN STROKE ASSOCIATION NATIONAL ACCREDITATION PROGRAM OF BREAST CENTERS AMERICAN NURSING CREDENTIALING CENTER PREMIER HEALTHCARE ALLIANCE OHIO PATIENT SAFETY INSTITUTE US NEWS AND WORLD REPORT CONQUER CANCER FOUNDATION AMERICAN SOCIETY OF CLNICAL ONCOLOGY AMERICAN COLLEGE OF RADIATION AMERICAN COLLEGE OF SURGEONS: COMMISSION ON CANCER NURSES IMPROVING CARE FOR HEALTHSYSTEM ELDERS AMERICAN SOCIETY FOR METABOLIC AND BARIATRIC SURGERY: CENTER OF EXCELLENCE CARECHEX METABOLIC AND BARIATRIC SURGERY ACCREDITATION AND QUALITY IMPROVEMENT PROGRAM THE JOINT COMMISSION 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 HOSPITAL CAMPUSES AND SEVERAL OFF-SITE LOCATIONS. SUMMA HEALTH SYSTEM OPERATES BOTH HOSPITAL LOCATIONS AS WELL AS THE HOSPITAL-BASED OFF-SITE LOCATIONS UNDER THE SAME MEDICARE PROVIDER NUMBER. SUMMA HEALTH SYSTEM EMPLOYS MORE THAN 9,000 INDIVIDUALS WITH SUMMA HEALTH SYSTEM ACCOUNTING FOR APPROXIMATELY 7,000 OF THESE EMPLOYEES. SUMMA HEALTH SYSTEM HAS A MEDICAL STAFF OF MORE THAN 1,000 PROFESSIONALS WORKING ON ITS CAMPUSES. SUMMA HEALTH SYTSEM HAS 946 REGISTERED BEDS AND 46 LICENSED BASSINETS. THE BUILDINGS AND FACILITIES ON BOTH CAMPUSES TOTAL APPROXIMATELY 1.7 MILLION SQUARE FEET. SUMMA HEALTH SYSTEM OFFERS GENERAL MEDICAL, SURGICAL, OBSTETRICAL, TRAUMA, AND CRITICAL CARE SERVICES. SUMMA AKRON CITY HOSPITAL PROVIDES ACUTE CARE SERVICES ON A CAMPUS OF APPROXIMATELY 60 ACRES. THE CAMPUS IS HOME TO SPECIALTY HEALTH CENTERS OFFERING A WIDE RANGE OF OUTPATIENT SERVICES. SUMMA HEALTH SYSTEM RECEIVED THE FOLLOWING RECOGNITION IN 2014: SUMMA AKRON CITY & ST. THOMAS HOSPITALS RANKED SIXTH BEST HOSPITAL IN OHIO BY U.S. NEWS & WORLD REPORT. IT IS RANKED NATIONALLY IN 2 SPECIALTIES OF ENDOCRINOLOGY (DIABETES CARE) AND GASTROENTEREOLOGY; AND AS HIGH PERFORMING IN 9 OTHER ADULT SPECIALTIES: CARDIOLOGY & HEART SURGERY; EAR, NOSE & THROAT; GERIATRICS; GYNECOLOGY; NEPHROLOGY; NEUROLOGY & NEUROSURGERY; ORTHOPEDICS; PULMONOLOGY; AND UROLOGY. SUMMA BECAME ONE OF EIGHT COMMUNITY ONCOLOGY PRACTICES IN THE COUNTRYRECOGNIZED BY THE CONQUER CANCER FOUNDATION FOR ITS COMMITMENT TO HIGH-QUALITY CLINICAL TRIALS. SUMMA ST. THOMAS HOSPITAL CAMPUS PROVIDES VARIOUS DIAGNOSTIC SERVICES ALONG WITH BEHAVIORAL HEALTH AND SUBSTANCE ABUSE CARE. SUMMA ST. THOMAS HOSPITAL WAS ONE OF THE FIRST IN THE COUNTRY TO RECOGNIZE THE MEDICAL ASPECTS OF ALCOHOLISM AS A DISEASE AND IS THE FOUNDING LOCATION OF ALCOHOLICS ANONYMOUS. THE HOSPITAL OPENED THE NATION'S FIRST ALCOHOLISM TREATMENT WARD AND CONTINUES ITS LONGSTANDING DEDICATION TO THIS PROGRAM TODAY. SUMMA HEALTH SYSTEM IS A MAJOR TEACHING AFFILIATE FOR NORTHEAST OHIO MEDICAL UNIVERSITY (NEOMED), SPONSORING AND/OR CO-SPONSORING 17 RESIDENCIES AND FELLOWSHIPS ALONG WITH PROVIDING EDUCATIONAL ROTATIONS FOR MEDICAL STUDENTS. SUMMA BARBERTON CITIZEN'S HOSPITAL: SUMMA BARBERTON CITIZEN'S HOSPITAL 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 MORE THAN 1,600 EMPLOYEES AND HAS A MEDICAL STAFF OF MORE THAN 500 PROFESSIONALS. IT HAS 235 REGISTERED ADULT BEDS AND 14 AVAILABLE BASSINETS. SUMMA BARBERTON CITIZEN'S HOPSITAL RECEIVED THE FOLLOWING RECOGNITION IN 2014: MAINTAINED ACCREDITATION FOR CHEST PAIN CENTER BY THE SOCIETY OF CARDIOVASCULAR PATIENT CARE, NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS, BREAST IMAGING CENTER OF EXCELLENCE (ACR), COMMISSION ON CANCER ACCREDITATION, HOSTED "LOVE YOUR LUNGS" IN RECOGNITION OF NATIONAL SMOKE OUT DAY AND WAS AN ACTIVE MEMBER OF ANNUAL MUMFEST AND OTHER COMMUNITY EVENTS. THE WADSWORTH-RITTMAN AREA HOSPITAL ASSOCIATION: THE WADSWORTH-RITTMAN AREA HOSPITAL ASSOCIATION WAS MERGED INTO SUMMA BARBERTON CITIZEN'S HOSPITAL DURING 2014. IT'S CAMPUS HAS APPROXIMATELY 200,000 SQUARE FOOT, ON APPROXIMATELY 38 ACRES. LOCATED APPROXIMATELY 20 MILES WEST OF AKRON, OHIO, THE FACILITY HOUSES A WIDE RANGE OF DIAGNOSTIC SERVICES INCLUDING RADIOLOGY, GENERAL MEDICAL, AMBULATORY SURGERY AND A 24/7 EMERGENCY DEPARTMENT. WADSWORTH-RITTMAN AREA HOSPITAL ASSOCIATION PARTICIPATED IN MANY COMMUNITY EVENTS THROUGHOUT THE YEAR INCLUDING SPONSOR FOR BLUETIP FESTIVAL, "SCARE ON THE SQUARE," "CANDLELIGHT WALK," YEAR-LONG BICENNENTIAL CELEBRATIONS AND HOSTED "LOVE YOUR LUNGS" IN RECOGNITION OF NATIONAL SMOKE OUT DAY. CHARITY CARE IN 2014, SUMMA HEALTH PROVIDED FINANCIAL ASSISTANCE AT AN ESTIMATED NET COST OF NEARLY $14 MILLION. THIS AMOUNT REPRESENTS THE NET COST ASSOCIATED WITH PROVIDING THE CARE AND DOES NOT INCLUDE BAD DEBT. PATIENTS WITH INCOME UP TO 200% OF THE FEDERAL POVERTY INCOME GUIDELINES OR WHO HAVE A HOSPITAL BILL THAT EXCEEDS 25% OF THEIR GROSS ANNUAL FAMILY INCOME ARE ELIGIBLE TO APPLY FOR FULLY DISCOUNTED CHARITY CARE ASSISTANCE. IN ADDITION, THERE IS A SLIDING SCALE DISCOUNT PROGRAM FOR THOSE WITH INCOMES BETWEEN 200% AND 400% OF THE FEDERAL POVERTY INCOME GUIDELINES. IN 2014, THE FINANCIAL ASSISTANCE PROGRAM (INCLUDING HOSPITAL CARE ASSURANCE PROGRAM) BENEFITED APPROXIMATELY 28,000 PATIENT ENCOUNTERS.
$0	$0	$0	Part III Line 4D - Other Program Services - continued: 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 MORE THAN $6.8 MILLION. BAD DEBT SUMMA HEALTH IS COMMITED 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 2014, THE COST FOR PROVIDING CARE WRITTEN OFF AS A BAD DEBT EXPENSE WAS APPROXIMATELY $24 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 2014, SUMMA HEALTH PROVIDED MORE THAN $1.2 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 - CLINICIAL SERVICES THAT MEET AN IDENTIFIED COMMUNITY NEED AND ARE PROVIDED DESPITE FINANCIAL LOSS. VITAL SERVICES SUCH AS THE CENTER FOR SENIOR HEALTH, CARE CENTER FOR PATIENTS WITH HIV OR AIDS, AND DIABETES EDUCATION ARE OFFERED, EVEN THOUGH THEY ARE NOT PROFITABLE. INCOME FROM OTHER SERVICES IS USED TO COVER THESE COSTS. IN 2014, THE COST FOR SUBSIDIZED SERVICES WAS APPROXIMATELY $24 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 THE LOCAL CHAPTERS OF NATIONAL GROUPS SUCH AS UNITED WAY, THE AMERICAN HEART ASSOCIATION AND THE AMERICAN CANCER SOCIETY, TO AKRON COMMUNITY HEALTH RESOURCES (AKRON'S ONLY FEDERALLY-FUNDED HEALTH CENTER) SUMMA HEALTH PARTICIPATES IN NUMEROUS COMMUNITY PROGRAMS AND HELPS OTHER NONPROFITS FULFILL THEIR MISSIONS. IN 2014, THESE CONTRIBUTIONS WERE MORE THAN $1 MILLION. RESEARCH SUMMA HEALTH'S QUALITY MEDICAL CARE IS DERIVED IN PART FROM ITS ABILITY TO TRANSLATE RESULTS FROM CAREFULLY PLANNED AND EXECUTED RESEARCH INTO EFFECTIVE PATIENT CARE STRATEGIES. RESEARCH AND INNOVATION IS AN INTEGRAL FOCUS OF THE ACADEMIC AND CLINICAL ENVIRONMENT AT SUMMA HEALTH AND HELPS SET THE HIGHEST STANDARDS FOR MEDICAL CARE IN THE COMMUNITY. SUMMA HEALTH'S REPUTATION FOR EXCELLENCE IN SUCH CRITICAL SPECIALITIES AS CARDIOLOGY, DIABETES, EMERGENCY SERVICES, ORTHOPAEDICS, ONCOLOGY, SENIOR HEALTH, SURGERY, AND WOMEN'S HEALTH CONTINUES TO GROW THROUGH RESEARCH AND INNOVATION. SUMMA HEALTH INVESTED MORE THAN $6.4 MILLION IN RESEARCH IN 2014. IN ADDITION TO SUPPORT FROM SUMMA FOUNDATION, MAJOR RESEARCH PROGRAMS ARE SUPPORTED BY GRANTS FROM THE NATIONAL INSTITUTES OF HEALTH, THE DEPARTMENT OF DEFENSE AND INDUSTRY SPONSORS. EDUCATION SUMMA HEALTH SUPPORTS THE EDUCATION OF PHYSICIANS AND OTHER HEALTHCARE PROFESSIONALS. SUMMA HEALTH SYSTEM IS THE LARGEST OF THE MAJOR TEACHING AFFILIATES OF THE NORTHEST OHIO MEDICAL UNIVERSITY (NEOMED, A CONSORTIUM OF THE UNIVERSITY OF AKRON, KENT STATE UNIVERSITY AND YOUNGSTOWN STATE UNIVERSITY, AND OFFERS EDUCATION TO NEOMED'S COLLEGES OF MEDICINE AND PHARMACY STUDENTS, AS WELL AS TO MEDICAL STUDENTS FROM SCHOOLS AROUND THE COUNTRY. IN ADDITION, SUMMA HEALTH OFFERS 17 ACCREDITED RESIDENCY TRAINING PROGRAMS IN NUMEROUS SPECIALTIES, TRAINING THE NEXT GENERATION OF PRIMARY CARE AND SPECIALTY PHYSICIANS FOR THE REGION AND BEYOND. NURSING EDUCATION ALSO IS OFFERED IN COLLABORATION WITH OUR LOCAL UNIVERSITY PARTNERS. IN 2014, APPROXIMATELY 230 RESIDENTS AND FELLOWS TRAINED AT SUMMA HEALTH'S THREE MAIN HOSPITALS. ON AVERAGE, APPROXIMATELY 40% OF THESE RESIDENTS REMAIN IN OUR LOCAL AND SURROUNDING COMMUNITIES. SUMMA HEALTH'S 2014 INVESTMENT IN HEALTH PROFESSIONS EDUCATION TOTALED $24 MILLION. SUMMA HEALTH IS ONE OF FIVE FOUNDING MEDICAL AND EDUCATIONAL INSTITUTIONS RESPONSIBLE FOR THE CREATION OF THE AUSTEN BIOINNOVATION INSTITUTE IN AKRON (ABIA), A UNIQUE COLLABORATION THAT EXPANDS UPON THE REGION'S RICH LEGACY IN INDUSTRIAL AND MATERIALS SCIENCE TO PIONEER THE NEXT GENERATION OF LIFE ENHANCING AND LIFE SAVING INNOVATIONS. SUMMA HEALTH SERVICES: FOLLOWING IS A DESCRIPTION OF SUMMA HEALTH'S NOTABLE ACCOMPLISHMENTS BY PRIMARY SERVICE LINES IN 2014: CARDIOVASCULAR - AN UPGRADED HEART RHYTHM SERVICES (HRS) LAB OPENED IN JANUARY ON THE CAMPUS OF SUMMA AKRON CITY HOSPITAL. SUMMA'S CARDIOVASCULAR INSTITUTE APPLIED FOR, AND WAS ACCEPTED TO, THE CENTERS FOR MEDICARE AND MEDICAID INNOVATION'S BUNDLED PAYMENTS FOR CARE INITIATIVE PROGRAM. SUMMIT COUNTY'S FIRST TRANSCATHETER AORTIC VALVE REPLACEMENT (TAVR) PERFORMED IN THE NEW HYBRID OPERATING ROOM SUITE IN DECEMBER 2014. EMERGENCY/TRAUMA SERVICES - EMS DEVELOPED AND IMPLEMENTED EMS DIRECT ACTIVATION OF THE CARDIAC CATHETERIZATION LAB FOR CHEST PAIN PATIENTS, RESULTING IN AN OVERALL DECREASE TIME OF TEN MINUTES. THIS RESULTED IN RECOGNITION BY THE AMERICAN HEART ASSOCIATION'S PLATINUM ACHIEVEMENT AWARD. NEUROSCIENCE - IN ADDITION TO THE JOINT COMMISSION'S STROKE RECERTIFICATION, THE "TARGET STROKE AWARD" AND "GET WITH THE GUIDELINES GOLD PLUS AWARD" WERE RECEIVED FROM AHA. ONCOLOGY - SUMMA HEALTH APPROVED THE VERO LINEAR ACCELERATOR TO EXPAND THE RADIOSURGERY PROGRAM, MAKING SUMMA AKRON CITY HOSPITAL THE FIRST COMMUNITY HOSPITAL IN THE COUNTRY TO HAVE THIS SPECIALIZED TECHNOLOGY. IN 2014, SUMMA BECAME ONE OF EIGHT COMMUNITY ONCOLOGY PRACTICES IN THE COUNTRYRECOGNIZED BY THE CONQUER CANCER FOUNDATION FOR ITS COMMITMENT TO HIGH-QUALITY CLINICAL TRIALS. SUBSTANTIAL INVESTMENT TO PROVIDE ADVANCED CANCER CARE TO PATIENTS IN THE REGION WITH ONCOLOGY ADDED TEN NEW ONCOLOGY SPECIALISTS, FROM SURGEONS TO RADIOLOGISTS, AND APPROVING OVER $4 MILLION TO ADD 3D MAMMOGRAPHY TECHNOLOGY AND A NEW BREAST CENTER IN AKRON. ORTHOPAEDICS - CRYSTAL CLINIC ORTHOPAEDIC CENTER WAS RECOGNIZED BY COMPARION MEDICAL ANALYTICS/CARECHEX FOR BEST QUALITY IN ORTHOPEDIC CARE AND JOINT REPLACEMENT SURGERY. RESPIRATORY - EXPANDED ITS SMOKING CESSATION PROGRAM ACROSS THE SYSTEM, AND IMPLEMENTED A SCREENING CHEST SCAN (CT) PROGRAM FOR LUNG CANCER. SENIORS, POST ACUTE AND TRANSITIONAL CARE - IN ADDITION TO THE PALLATIVE CARE RECOGNITION BY THE JOINT COMMISSION, SUMMA HEALTH'S HOSPITALS ACHIEVED NICHE (NURSES IMPROVING CARE FOR HEALTH SYSTEM ELDERS) DESIGNATION FOR THE UPCOMING YEAR. SENIOR SERVICES LEADER SELECTED AS "PRACTICE CHANGE LEADER" FOR HER WORK IN DEVELOPING NEW MODEL OF PRIMARY CARE FOR FRAIL CHRONICALLY ILL ELDERLY PATIENTS. WOMEN'S SERVICES - MET OR EXCEEDED THE OHIO HOSPITAL AVERAGE IN SIX PERINATAL MEASURES, LEADING TO THE OHA'S PATIENT SAFETY INSTITUTE'S BEST PRACTICE AWARD NOTED ABOVE. ALSO SUCCESSFULLY IMPLEMENTED A LARGE INFORMATICS UPGRADE TO THE OBSTETRICAL ELECTRONIC DOCUMENTATION AND FETAL SURVEILLANCE SYSTEM TO IMPROVE SAFETY AND REPORTING RELIABILITY. INTRODUCED RELAX BIRTH, AN INNOVATIVE BIRTHING OPTION FOR WOMEN. DEVELOPED WOMEN'SHEALTH APP FOR PATIENT EDUCATION. LED OR PARTICIPATED IN SEVERAL OB/GYN RESEARCH EFFORTS.
$0	$0	$0	Part III Line 4D - Other Program Services - Final Section: 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 ITHE CHARITY DISCOUNT FOR WHICH THE PATIENT MAY BE ELIGIBLE. IN 2014, SUMMA HEALTH PROVIDED CHARITY CARE TO THE INDIGENT (INCLUDING UNREIMBURSED MEDICAID) AT THE COST OF APPROXIMATELY $14.2 MILLION. THIS AMOUNT DOES NOT INCLUDE SERVICES PROVIDED WRITTEN OFF AS BAD DEBT. IN ADDITON TO UNCOMPENSATED MEDICAL CARE, SUMMA HEALTH PROVIDED WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS AND SPECIAL PROGRAMS FOR THE ELDERLY, HANDICAPPED, AND 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 CONSISTED OF PERSONS WHO ARE BROADLY REPRESENTATIVE OF THE COMMUNITY AND MEDICAL STAFF. SUMMA PHYSICIANS INC. - PROGRAM SERVICE ACCOMPLISHMENTS SUMMA PHYSICIANS INC. (SPI) IS A SUMMA HEALTH ENTITY COMPRISED OF MULTI-SPECIALTY PHYSICIANS AND PRACTICES. IN TOTAL, SPI EMPLOYS NEARLY 300 PHYSICIANS AND MORE THAN 700 SUPPORT STAFF IN MORE THAN 30 SPECIALTIES AND SUB-SPECIALTIES. SPI PROMOTES STRONG AFFILIATION AND EMPLOYMENT OF PHYSICIANS TO ENSURE COMMUNITY AND HOSPITAL NEEDS FOR PHYSICIAN SERVICES ARE MET. IN 2014, SPI CONTINUED ITS DEVELOPMENT OF PRIMARY CARE PODS AND THE MEDICAL HOME MODEL OF CARE, TO FURTHER ENHANCE THE FOCUSED PATIENT CARE MODEL, BETTER COMMUNICATE QUALITY INITIATIVES AND ENHANCE PHYSICIAN RECRUITMENT. SUMMA FOUNDATION - PROGRAM SERVICE ACCOMPLISHMENTS THROUGH PHILANTHROPY, SUMMA FOUNDATION SUPPORTS MEDICAL EDUCATION, RESEARCH, TECHNOLOGY, AND CLINICAL INNOVATION. ENCOMPASSING FUNDRAISING, RESOURCE DEVELOPMENT, COMMUNITY BENEFIT, DIVERSITY AND GOVERNMENT RELATIONS, SUMMA FOUNDATION WORKS TO DEVELOP NEW, DIVERSIFIED AND INCREASED RESOURCES AND BUILD RELATIONSHIPS THAT INFLUENCE HEALTH POLICY TO ADVANCE THE REGIONAL PRIORITIES OF SUMMA HEALTH. DEVELOPMENT THE FOUNDATION'S DEVELOPMENT DEPARTMENT OFFERS A SPECTRUM OF PHILANTHROPIC OPTIONS FOR DONORS DESIGNED TO CREATE A POSITIVE IMPACT ON SUMMA HEALTH'S OPERATIONS, PROGRAMS, PROJECTS AND PERCEPTIONS AND TO AFFECT POSITIVE CHANGE IN THE COMMUNITIES SUMMA HEALTH SERVES. DEVELOPMENT HOUSES THE GRANT AND PROPOSAL DEVELOPMENT OFFICES CREATED TO IDENTIFY THE RESOURCES AND EXPERTISE OF EXTERNAL AND INTERNAL PARTNERS TO GENERATE FUNDING OR RESEARCH, EDUCATION AND CLINICAL AND SYSTEM PROJECTS. PHILANTHROPIC COMMITMENTS TO THE SUMMA FOUNDATION IN 2014 TOTALED $9.1 MILLION. COMMUNITY BENEFIT AND DIVERSITY THIS DEPARTMENT LEADS EFFORTS TO ADDRESS HEALTH DISPARITIES AND OTHER IMPORTANT COMMUNITY NEEDS AND RAISE AWARENESS OF HEALTH AND HEALTHCARE ISSUES AFFECTING THE COMMUNITIES SERVED BY SUMMA HEALTH. COMMUNITY BENEFIT AND DIVERSITY PROVIDE WELLNESS AND EDUCATIONAL TOOLS, FACILITATE ECONOMIC DEVELOPMENT PROGRAMS, DEVELOP COMMUNITY PARTNERSHIPS, COMMUNICATE SUMMA HEALTH'S BENEFIT TO THE COMMUNITY AND ENGAGE THE COMMUNITY AND ITS WORKFORCE WITHIN THE SYSTEM AND THROUGHOUT THE REGION. GOVERNMENT RELATIONS THIS DEPARTMENT IS DEDICATED TO ELEVATING SUMMA HEALTH AS A CREDIBLE LEADER AND PARTNER IN THE HEALTH POLICY PLANNING PROCESS. THIS DEPARTMENT COLLABORATES WITH THE SYSTEM DEVELOPMENT TEAM TO BEST POSITION SUMMA EDUCATION, RESEARCH AND CLINICAL INNOVATION PRIORITIES WITH PUBLIC SECTOR FUNDING OPPORTUNITIES.

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$11,825,302	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$354,193	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$16,839,420	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$779,852,638	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	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	Yes (true)	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	Yes (true)	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 With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	Yes (true)	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
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	8069	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	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	54	GoverningBodyVotingMembersCnt
Independent Voting Member	33	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	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
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	false	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	OH	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	FL	StatesWhereCopyOfReturnIsFldCd
Own Website	Yes (X)	OwnWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Brian K Derrick	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	2343125867	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1077 Gorge Blvd PO Box 2090	AddressLine1Txt
City	Akron	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	443092090	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (64 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	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
THOMAS CLARK
DIRECTOR/CHAIR SF	4.00	0	Yes (X)	Yes (X)	$0	$0	$0
DANIEL FINELLI MD
DIRECTOR/VICE CHAIR SHS, SBH, WRH	4.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
ROBERT A GERBERRY
DIR SPI, SECTY SHS, SBH, WRH & GENERAL COUNSEL	4.00	46.00	Yes (X)	Yes (X)	$0	$190,386	$5,140
RUSSELL GREGORY
DIRECTOR/VICE CHAIR SHS, SBH, WRH (End 8/14)	2.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
SCOTT HONNOLD
DIRECTOR/TREAS SF	2.00	0	Yes (X)	Yes (X)	$0	$0	$0
THOMAS KNOLL
DIRECTOR/CHAIR SHS, SBH, WRH	4.00	46.00	Yes (X)	Yes (X)	$0	$116,210	$0
WILLIAM A POWEL III
DIR SPI, SECTY SHS, SBH, WRH & GEN COUNSEL (end 11/14)	4.00	46.00	Yes (X)	Yes (X)	$0	$1,199,700	$64,853
MONA SARKAR
DIRECTOR/SECTY SF	2.00	0	Yes (X)	Yes (X)	$0	$0	$0
THOMAS J STRAUSS
DIR SF, SYSTEM PRES/CEO (END 12/14)	4.00	46.00	Yes (X)	Yes (X)	$0	$4,104,922	$122,274
STEPHEN WILT
DIRECTOR/VICE CHAIR SF	2.00	0	Yes (X)	Yes (X)	$0	$0	$0
KEN BABBY
DIRECTOR SF	2.00	0	Yes (X)		$0	$0	$0
SUSAN BAKER
DIRECTOR SHS, SBH, WRH	2.00	0	Yes (X)		$0	$0	$0
DANIELLE BARRAN
DIRECTOR SF	2.00	0	Yes (X)		$0	$0	$0
WILLIAM BAUMAN MD
DIRECTOR SHS, SBH, WRH, SPI	50.00	0	Yes (X)		$657,388	$0	$18,979
JULIA BIANCHI
DIRECTOR SF	2.00	0	Yes (X)		$0	$0	$0
JASON BUTTERWORTH
DIRECTOR SF	2.00	0	Yes (X)		$0	$0	$0
CANDACE CAMPBELL-JACKSON
DIRECTOR SHS, SBH, WRH	2.00	0	Yes (X)		$0	$0	$0
GEORGE DAVERIO JR
DIRECTOR SF	2.00	0	Yes (X)		$0	$0	$0
ROBERT DEBSKI MD
DIRECTOR SHS, SBH, WRH	50.00	0	Yes (X)		$358,870	$0	$9,764
R JAMES DOM DERA MD
DIRECTOR SHS, SBH, WRH	2.00	12.00	Yes (X)		$300	$65,000	$0
C GORDON EWERS
DIRECTOR SF	2.00	0	Yes (X)		$0	$0	$0
STEVEN GAICH MD
DIRECTOR SPI	50.00	0	Yes (X)		$348,135	$0	$10,999
SAMIR GIBARA
DIRECTOR SF	2.00	0	Yes (X)		$0	$0	$0
MARK GOLDFARB
DIRECTOR SF	2.00	0	Yes (X)		$0	$0	$0
IRIS HARVEY
DIRECTOR SF	2.00	0	Yes (X)		$0	$0	$0
ROBERT HEMPHILL MD
DIRECTOR SF	2.00	0	Yes (X)		$0	$0	$0
MARY ANN JACKSON
DIRECTOR SF	2.00	0	Yes (X)		$0	$0	$0
PHILIP KAUFMANN
DIRECTOR SF	2.00	0	Yes (X)		$0	$0	$0
JOSEPH KOENIG MD
DIRECTOR SPI	50.00	0	Yes (X)		$777,028	$0	$18,762
MARK KROHN
DIRECTOR SF	2.00	0	Yes (X)		$0	$0	$0
DAVID LIEBERTH
DIRECTOR SHS, SBH, WRH	2.00	2.00	Yes (X)		$0	$0	$0
HITESH MAKKAR MD
DIRECTOR SHS, SBH, WRH	2.00	0	Yes (X)		$0	$29,585	$0
DALE MURPHY MD
DIRECTOR SPI (END 6/14)	50.00	0	Yes (X)		$337,815	$0	$3,966
VIVIAN CELESTE NEAL
DIRECTOR SHS, SBH, WRH (End 11/14)	2.00	0	Yes (X)		$0	$0	$0
CHARLES PARSONS
DIRECTOR SHS, SBH, WRH	2.00	0	Yes (X)		$0	$0	$0
MARTIN PAUL
DIRECTOR SHS, SBH, WRH (End 1/14)	2.00	1.00	Yes (X)		$0	$0	$0
JONATHON PAVLOFF
DIRECTOR SF	2.00	0	Yes (X)		$0	$0	$0
KATHLEEN RAYNOR
DIRECTOR SF	2.00	0	Yes (X)		$0	$0	$0
ERIK STEELE DO
DIRECTOR SHS, SBH, WRH, SYSTEM CMO	46.00	4.00	Yes (X)		$0	$724,281	$23,472
GEORGE STRICKLER
DIRECTOR SF	2.00	0	Yes (X)		$0	$0	$0
SUSAN TAFT
DIRECTOR SHS, SBH, WRH	2.00	0	Yes (X)		$0	$0	$0
PAUL TESTA
DIRECTOR SF	2.00	0	Yes (X)		$0	$0	$0
SCOTT WEINER MD
DIRECTOR SHS, SBH, WRH	50.00	0	Yes (X)		$792,864	$0	$21,334
CHARLES ALDERSON
CFO, SBH & WRH (END 5/14)	50.00	0		Yes (X)	$277,168	$0	$11,301
THOMAS DEBORD
PRESIDENT SBH & WRH (END 4/14)	50.00	0		Yes (X)	$557,476	$0	$15,041
BRIAN DERRICK
TREAS SHS, SBH, WRH & SYSTEM CFO	4.00	46.00		Yes (X)	$0	$813,681	$61,887
PHYLIS FERRARA
PRESIDENT & CDO, SF	50.00	0		Yes (X)	$395,076	$0	$11,953
THOMAS MALONE MD
PRESIDENT, SHS, SBH, WRH	46.00	4.00		Yes (X)	$0	$766,092	$8,747
JAY WILLIAMSON MD
PRESIDENT, SPI	50.00	0		Yes (X)	$360,745	$0	$12,192
BRYAN FREDERICKS
COO, SPI (END 8/14)	50.00	0			$378,318	$0	$13,221	Yes (X)
KATHLEEN JOBE
CNO, SBH, WRH	46.00	4.00			$241,733	$0	$12,465	Yes (X)
JOSEPH P MYERS MD
CMO, SBH, WRH	50.00	0			$365,131	$0	$14,535	Yes (X)
JASON NIEHAUS
SVP HOSPITAL OPS & SITE ADMINISTRATION	50.00	0			$361,432	$0	$41,006	Yes (X)
THOMAS P O'NEILL
CFO, SHS	46.00	4.00			$0	$496,651	$34,058	Yes (X)
MARY WARD
Senior VP, Chief nursing officer	46.00	4.00			$0	$596,134	$51,032	Yes (X)
JOSEPH ZARCONI MD
SYSTEM VP, MED ED & CHIEF ACADEMIC OFFICER	50.00	0			$590,168	$0	$53,675	Yes (X)
MARK POZSGAY DO
BARIATRIC SURGERY	50.00	0			$1,179,119	$0	$19,182		Yes (X)
JOHN ZOGRAFAKIS MD
BARIATRIC SURGERY	50.00	0			$1,150,041	$0	$20,144		Yes (X)
ADRIAN DAN MD
BARIATRIC SURGERY	50.00	0			$944,537	$0	$22,127		Yes (X)
ERIC MILLER MD
ORTHOPAEDIC SURGERY	50.00	0			$905,152	$0	$6,075		Yes (X)
JOEL PORTER MD
COLORECTAL SURGERY	50.00	0			$577,561	$0	$10,400		Yes (X)
ROBERT D HARRIGAN
FORMER OFFICER	0.00	0.00			$0	$1,172,059	$5,833			Yes (X)
ALFRED G KIOUS MD
FORMER OFFICER	0.00	0			$424,271	$0	$2,091			Yes (X)
STEVE SCHMIDT
FORMER OFFICER	0.00	0			$350,566	$0	$9,040			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$12,330,894	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$10,274,701	TotReportableCompRltdOrgAmt
Total Other Compensation	$735,548	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	433	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	Yes (true)	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Fundraising	$1,094,300	FundraisingAmt
Related Organizations	$212,564	RelatedOrganizationsAmt
Government Grants	$1,030,136	GovernmentGrantsAmt
All Other Contributions	$6,188,120	AllOtherContributionsAmt
Noncash Contributions	$53,042	NoncashContributionsAmt
Total Contributions	$8,525,120	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Net Patient Revenue	621110	$963,085,182	$962,995,673	$89,509
Program Related Investments	900099	$19,696,629	$19,557,600	$139,029
Rental Income from Affiliates	900099	$5,130,396	$5,130,396
Reference Lab	621500	$8,334,419		$8,334,419
ARRA Meaningful Use	900099	$2,786,574	$2,786,574

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,553,676	TotalRevenueColumnAmt
Related Or Exempt Func Income	$3,553,676	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,002,586,876	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,776,554	TotalRevenueColumnAmt
Unrelated Business Revenue	$127,314	UnrelatedBusinessRevenueAmt
Exclusion	$3,649,240	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,585,638	TotalRevenueColumnAmt
Exclusion	$1,585,638	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$7,584,498	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$7,727,512	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$143,014	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$143,014	TotalRevenueColumnAmt
Exclusion	-$143,014	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$127,650,469	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$122,327,301	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$5,323,168	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,323,168	TotalRevenueColumnAmt
Exclusion	$5,323,168	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$126,881	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$1,094,300	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$504,574	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$377,693	TotalRevenueColumnAmt
Exclusion	-$377,693	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
Other Revenue	900099	$21,887,008	$1,030,719	$20,856,289
Cafeteria Sales	721210	$5,607,207	$256,276	$5,350,931
Parking	812930	$1,587,800		$1,587,800

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$150,419	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$150,419	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$29,232,434	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,050,509,083	TotalRevenueColumnAmt
Related Or Exempt Func Income	$994,023,919	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$9,977,266	UnrelatedBusinessRevenueAmt
Exclusion	$37,982,778	ExclusionAmt

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

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$279,773	TotalAmt
Program Services	$279,773	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$74,420	TotalAmt
Program Services	$74,420	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$7,068,840	TotalAmt
Program Services	$5,930,757	ProgramServicesAmt
Management And General	$1,138,083	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$499,082	TotalAmt
Program Services	$499,082	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$378,564,064	TotalAmt
Program Services	$316,083,657	ProgramServicesAmt
Management And General	$60,750,681	ManagementAndGeneralAmt
Fundraising	$1,729,726	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$6,378,480	TotalAmt
Program Services	$5,351,545	ProgramServicesAmt
Management And General	$1,026,935	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$40,353,961	TotalAmt
Program Services	$33,616,673	ProgramServicesAmt
Management And General	$6,450,875	ManagementAndGeneralAmt
Fundraising	$286,413	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$24,163,875	TotalAmt
Program Services	$20,273,491	ProgramServicesAmt
Management And General	$3,890,384	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$2,816,572	TotalAmt
Program Services	$2,363,104	ProgramServicesAmt
Management And General	$453,468	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,744	TotalAmt
Management And General	$1,744	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$260,265	TotalAmt
Management And General	$260,265	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$24,535	TotalAmt
Management And General	$24,535	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$2,597	TotalAmt
Management And General	$2,597	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$263,181,337	TotalAmt
Program Services	$140,429,345	ProgramServicesAmt
Management And General	$122,675,762	ManagementAndGeneralAmt
Fundraising	$76,230	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$487,238	TotalAmt
Program Services	$386,709	ProgramServicesAmt
Management And General	$74,208	ManagementAndGeneralAmt
Fundraising	$26,321	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$15,993,983	TotalAmt
Program Services	$13,141,525	ProgramServicesAmt
Management And General	$2,521,794	ManagementAndGeneralAmt
Fundraising	$330,664	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$5,516,259	TotalAmt
Program Services	$4,611,885	ProgramServicesAmt
Management And General	$884,998	ManagementAndGeneralAmt
Fundraising	$19,376	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$24,255,173	TotalAmt
Program Services	$20,350,090	ProgramServicesAmt
Management And General	$3,905,083	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,413,491	TotalAmt
Program Services	$1,175,376	ProgramServicesAmt
Management And General	$225,549	ManagementAndGeneralAmt
Fundraising	$12,566	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,656,228	TotalAmt
Program Services	$1,389,575	ProgramServicesAmt
Management And General	$266,653	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$17,651,973	TotalAmt
Program Services	$14,810,005	ProgramServicesAmt
Management And General	$2,841,968	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$44,912,203	TotalAmt
Program Services	$37,681,338	ProgramServicesAmt
Management And General	$7,230,865	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$6,639,720	TotalAmt
Program Services	$5,570,725	ProgramServicesAmt
Management And General	$1,068,995	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Supplies	$149,925,542	$149,925,542
Licenses, dues, memberships	$2,915,676	$2,446,252	$469,424
Taxes	$1,552,072	$1,302,188	$249,884
Recruitment	$53,298	$44,717	$8,581

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,558,137	TotalAmt
Program Services	$2,114,864	ProgramServicesAmt
Management And General	$405,832	ManagementAndGeneralAmt
Fundraising	$37,441	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$999,200,538	TotalAmt
Program Services	$779,852,638	ProgramServicesAmt
Management And General	$216,829,163	ManagementAndGeneralAmt
Fundraising	$2,518,737	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$60,183	BOYAmt
EOY	$72,162	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$190,532,021	BOYAmt
EOY	$322,575,306	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$6,995,713	BOYAmt
EOY	$9,308,859	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$175,269,983	BOYAmt
EOY	$159,136,952	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$24,277,038	BOYAmt
EOY	$15,155,310	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$10,793,973	BOYAmt
EOY	$10,757,612	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$9,388,108	BOYAmt
EOY	$6,462,851	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,159,056,120	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$733,013,103	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$426,884,049	BOYAmt
EOY	$426,043,017	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$270,068,608	BOYAmt
EOY	$135,242,113	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$9,386,412	BOYAmt
EOY	$11,806,000	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$30,770,383	BOYAmt
EOY	$34,220,043	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,462,688	BOYAmt
EOY	$2,345,714	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$65,070,652	BOYAmt
EOY	$32,672,941	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,221,959,811	BOYAmt
EOY	$1,165,798,880	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$79,128,980	BOYAmt
EOY	$106,690,047	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$2,374,731	BOYAmt
EOY	$1,762,007	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$343,097,418	BOYAmt
EOY	$348,796,530	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$17,859,615	BOYAmt
EOY	$16,861,900	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$193,686,420	BOYAmt
EOY	$213,444,064	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$636,147,164	BOYAmt
EOY	$687,554,548	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$538,731,106	BOYAmt
EOY	$429,271,710	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$29,111,026	BOYAmt
EOY	$28,611,311	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$17,970,515	BOYAmt
EOY	$20,361,311	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$585,812,647	BOYAmt
EOY	$478,244,332	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,221,959,811	BOYAmt
EOY	$1,165,798,880	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$51,308,545	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$1,694,621	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$157,003,807	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (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 Organizations	3	SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (3 entries)

EINEIN	Organization TypeOrganizationTypeDesc	Governing Document ListedGoverningDocumentListedInd	SupportSupportAmt	Other SupportOtherSupportAmt
Summa Health System
340714755	3	Yes (true)	$0	$0
Summa Barberton Citizens Hospital
261375072	3	false	$0	$0
The Wadsworth-Rittman Area Hospital Association
346549371	3	false	$0	$0

Field	Value	IRS element (for citing)
Supported Organizations Total	3	SupportedOrganizationsTotalCnt
Support Sum	$0	SupportSumAmt

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$6,941,569	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$5,638,036	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$5,122,826	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$7,808,474	CurrentTaxYearMinus1YearAmt
Current Tax Year	$8,525,120	CurrentTaxYearAmt
Total	$34,036,025	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$6,941,569	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$5,638,036	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$5,122,826	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$7,808,474	CurrentTaxYearMinus1YearAmt
Current Tax Year	$8,525,120	CurrentTaxYearAmt
Total	$34,036,025	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$1,251,485	SubstantialContributorsTotAmt
Public Support Total170	$32,784,540	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,494,312	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,752,613	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,814,584	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,047,164	CurrentTaxYearMinus1YearAmt
Current Tax Year	$236,286	CurrentTaxYearAmt
Total	$6,344,959	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	$40,380,984	TotalSupportAmt
Gross Receipts Rltd Activities	$8,069,018	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.8119	PublicSupportCY170Pct
Public Support PY170	0.7774	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	false	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	false	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 (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule A, Part IV, Section A, Line 1 Supported Orgs Listed By Name	Summa Health System is designated as a supported organization by name in the Articles of Incorporation. An historic and continuing relationship of support exists between Summa Physicians, Inc. and the other two supported hospitals listed on Part I Line 11g .
Schedule A, Part IV, Section E, Line 2a Org. Activities Directly Further The Exempt Purposes	Summa Physicians , Inc. (SPI) promotes the stronger affiliation and employment of physicians to ensure the supported hospitals listed in Part I Line 11G meet community and hospital needs for physician services, and also develops physician coverage in new markets. SPI directors and officers serve as directors and officers on the boards of the supported organizations, ensuring responsiveness. SPI's program service accomplishments include hospital-based practices, mission-based practices, and strategic-based practices, all based exclusively in the identified supported hospitals and constituting substantially all of SPI's activities.
Schedule A, Part IV, Section E, Line 2b Activities That One Or More Supp. Org. Engaged In	But for SPI's work to ensure a strong affiliation and employment of physicians to ensure the supported hospitals listed in Part I Line 11G meet community and hospital needs for physician services, the important relationships between the three supported hospitals and their physicians would have to be managed by each hospital individually.

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

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	Yes (true)	GrantsOtherOrganizationsInd
Grants Other Organizations	$24,535	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$24,535	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	Part II-B, Line 1(f) The amount on Line 1(f) represents the portion of annual dues to organizations such as AHA and OHA allocable to lobbying activities.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$16,730,854	BeginningYearBalanceAmt
Contributions	$70,706	ContributionsAmt
Investment Earnings Or Losses	$762,707	InvestmentEarningsOrLossesAmt
End Year Balance	$17,564,267	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$15,896,470	BeginningYearBalanceAmt
Contributions	$347,618	ContributionsAmt
Investment Earnings Or Losses	$486,766	InvestmentEarningsOrLossesAmt
End Year Balance	$16,730,854	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$15,633,841	BeginningYearBalanceAmt
Contributions	$113,108	ContributionsAmt
Investment Earnings Or Losses	$149,521	InvestmentEarningsOrLossesAmt
End Year Balance	$15,896,470	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$13,145,135	BeginningYearBalanceAmt
Contributions	$2,481,326	ContributionsAmt
Investment Earnings Or Losses	$7,380	InvestmentEarningsOrLossesAmt
End Year Balance	$15,633,841	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	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$68,866,660	OtherCostOrOtherBasisAmt
Book Value	$68,866,660	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$619,871,688	OtherCostOrOtherBasisAmt
Depreciation	$386,214,881	DepreciationAmt
Book Value	$233,656,807	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,792,745	OtherCostOrOtherBasisAmt
Depreciation	$2,358,267	DepreciationAmt
Book Value	$1,434,478	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$438,184,166	OtherCostOrOtherBasisAmt
Depreciation	$326,556,370	DepreciationAmt
Book Value	$111,627,796	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$28,340,861	OtherCostOrOtherBasisAmt
Depreciation	$17,883,585	DepreciationAmt
Book Value	$10,457,276	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$426,043,017	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (10 entries)

DescDesc	AmtAmt
Lease Escalation Liability	$267,397
Capital Lease Obligations	$42,201,489
Asset Retirement Obligation FI	$2,496,880
Interest Rate Swap	$13,122,444
Post Retirement Benefits	$1,160,261
Contingent Liabilities	$1,124,370
Malpractice Liability	$13,420,301
Unsecured Payables	$134,952,661
Purchase Option Liability	$4,698,261
Other Obligations	$0

Field	Value	IRS element (for citing)
Total Liability	$213,444,064	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

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

The System and most of its subsidiaries are not-for-profit corporations as described in Section 501(c)(3) of the Internal Revenue Code (Code) and are exempt from federal income taxes pursuant to Section 501(A) of the Code. The System also has certain subsidiaries that are taxable for federal income tax purposes. Summa Insurance Company ("SIC"), together with affiliates of Summa Health System Corporation ("SHSC"), file a consolidated federal income tax return in accordance with a tax sharing agreement dated January 1, 2010. The entities utilize a consolidated approach to the allocation of federal income taxes, whereas SHSC's tax sharing agreement with its subsidiaries allows it to make certain code elections in its consolidated federal tax return. In the event such code elections are made, any benefit or liability is the responsibility of SHSC and is accrued and paid by the participating subsidiaries. SIC is not subject to state income taxes and it is licensed as a health insurance company under Chapter 1751 of the Ohio Revised code. Deferred tax assets and liabilities are recognized for the future tax consequences attributable to differences between the financial statement carrying amounts of existing assets and liabilities and the respective tax basis and operating loss and tax credit carryforwards. Deferred tax assets and liabilities are measured using enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. The effect of deferred tax assets and liabilities of a change in tax rates is recognized in income in the period that includes the enactment date. The system recognizes interest income, interest expense, and penalties related to uncertain tax positions with the provision for income tax.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxt	OfficesOfficesCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
Central America and the Caribbean	1	Program Services	Self Insurance	$11,539,048
Central America and the Caribbean	0	Investments		$273,422

Field	Value	IRS element (for citing)
Subtotal Offices	1	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continutation Total Office	0	ContinutationTotalOfficeCnt
Continutation Total Employee	0	ContinutationTotalEmployeeCnt
Total Office	1	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$11,812,470	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$11,812,470	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	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(f) Expenditures	FormAndLineReferenceDesc
Explanation	Insurance Premiums Paid $11,539,048	ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	Gala	Event1Nm
Gross Receipts Event1	$948,379	GrossReceiptsEvent1Amt
Charitable Contri Event1	$875,088	CharitableContriEvent1Amt
Gross Revenue Event1	$73,291	GrossRevenueEvent1Amt
Rent Facility Costs Event1	$90,446	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$117,002	FoodAndBeverageEvent1Amt
Entertainment Event1	$43,045	EntertainmentEvent1Amt
Other Direct Expenses Event1	$118,073	OtherDirectExpensesEvent1Amt
Event2	Golf Outing	Event2Nm
Gross Receipts Event2	$212,450	GrossReceiptsEvent2Amt
Charitable Contri Event2	$173,750	CharitableContriEvent2Amt
Gross Revenue Event2	$38,700	GrossRevenueEvent2Amt
Non Cash Prizes Event2	$11,393	NonCashPrizesEvent2Amt
Rent Facility Costs Event2	$653	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$25,214	FoodAndBeverageEvent2Amt
Entertainment Event2	$41,269	EntertainmentEvent2Amt
Other Direct Expenses Event2	$15,064	OtherDirectExpensesEvent2Amt
Other Events Total	2	OtherEventsTotalCnt
Gross Receipts Other Events	$60,352	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$45,462	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$14,890	GrossRevenueOtherEventsAmt
Rent Fclty Costs Other Events	$2,440	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$21,290	FoodAndBeverageOtherEventsAmt
Entertainment Other Events	$3,095	EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events	$15,590	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$1,221,181	GrossReceiptsTotalAmt
Charitable Contributions Tot	$1,094,300	CharitableContributionsTotAmt
Gross Revenue Total Events	$126,881	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$11,393	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$93,539	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$163,506	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$87,409	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$148,727	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$504,574	DirectExpenseSummaryEventsAmt
Net Income Summary	-$377,693	NetIncomeSummaryAmt

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
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,164,695	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,101,329	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,063,366	NetCommunityBenefitExpnsAmt
Total Expense	0.0061	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$149,050,198	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$143,675,017	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,375,181	NetCommunityBenefitExpnsAmt
Total Expense	0.0054	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	$159,214,893	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$147,776,346	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,438,547	NetCommunityBenefitExpnsAmt
Total Expense	0.0114	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,217,388	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,470	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,214,918	NetCommunityBenefitExpnsAmt
Total Expense	0.0012	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$34,930,876	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,057,655	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$22,873,221	NetCommunityBenefitExpnsAmt
Total Expense	0.0229	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$24,099,600	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$24,099,600	NetCommunityBenefitExpnsAmt
Total Expense	0.0241	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,209,362	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,742,494	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,466,868	NetCommunityBenefitExpnsAmt
Total Expense	0.0065	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,038,832	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$113,959	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$924,873	NetCommunityBenefitExpnsAmt
Total Expense	0.0009	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$69,496,058	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,916,578	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$55,579,480	NetCommunityBenefitExpnsAmt
Total Expense	0.0556	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$228,710,951	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$161,692,924	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$67,018,027	NetCommunityBenefitExpnsAmt
Total Expense	0.0671	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$24,156,835	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$206,264,692	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$188,718,748	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$17,545,944	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 (5 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
Crystal Clinic Ortho Center LLC
Orthopaedic Service	0.4965	0.0	0.5035
Summa Western Reserve Hospital LLC
General Hospital	0.4	0.0	0.6
Ohio Sleep Disorders LLC
Sleep Medicine	0.6667	0.0	0.3333
Digestive Health Center LLC
Digestive Disease	0.05	0.0	0.44
Medina-Summit ASC LLC
Ambulatory Surgery Center	0.2	0.0	0.7

Field	Value	IRS element (for citing)
Hospital Facilities	6	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (6 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	Facility Reporting GroupFacilityReportingGroupCd	OtherOtherDesc
Summa Health System
1	525 East Market Street	Akron	OH	44304	www.summahealth.org	1275	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	1
Summa Barberton Citizens Hospital
2	155 Fifth Street NE	Akron	OH	44203	www.summahealth.org	1280	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	1
The Wadsworth-Rittman Area Hospital
3	195 Wadsworth Road	Wadsworth	OH	44281	www.summahealth.org		Yes (X)	Yes (X)	Yes (X)		Yes (X)	1
Summa Western Reserve Hospital LLC
4	1900 23rd Street	Cuyahoga Falls	OH	44223	www.westernreservehospital.org	1280	Yes (X)	Yes (X)	Yes (X)		Yes (X)	1
Crystal Clinic Orthopaedic Center LLC
5	444 North Main Street	Akron	OH	44310	www.crystalclinic.com	1484	Yes (X)	Yes (X)	Yes (X)			2
Summa Rehab Hospital LLC
6	29 North Adams Street	Akron	OH	44304	www.summarehabhospital.com	1503	Yes (X)		Yes (X)			3	Rehabilitation

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (3 entries)

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	Information GapsInformationGapsInd	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	Strategy AttachedStrategyAttachedInd	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 Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	FAP Notice DisplayedFAPNoticeDisplayedInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	FAP Notified Upon AdmissionFAPNotifiedUponAdmissionInd	FAP Notified Before DischargeFAPNotifiedBeforeDischargeInd	FAP Notified All PatientsFAPNotifiedAllPatientsInd	Documented Elig DeterminationDocumentedEligDeterminationInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Other Method UsedOtherMethodUsedInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd	FacilityFacilityNum	Permit Report To Credit AgencyPermitReportToCreditAgencyInd	Permit Legal Judicial ProcessPermitLegalJudicialProcessInd	Reporting To Credit AgencyReportingToCreditAgencyInd	Engaged Legal Judicial ProcessEngagedLegalJudicialProcessInd	No Emergency CareNoEmergencyCareInd	Medicare RatesMedicareRatesInd	None MadeNoneMadeInd
1
false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	13	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (X)	http://www.summahealth.org/ABOUT-US/ABOUT-SUMMA/COMMUNITY-BENEFIT-AND-DIVERSITY/COMMUNITYNEEDSASSESS	Yes (X)	Yes (true)	13	Yes (true)	http://www.summahealth.org/ABOUT-US/ABOUT-SUMMA/COMMUNITY-BENEFIT-AND-DIVERSITY/COMMUNITYNEEDSASSESS	false	false	Yes (true)	Yes (X)	2.0	4.0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	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
2
false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	13	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (X)	WWW.SUMMAHEALTH.ORG /about-us/about-summa/community-benefit-and-diversity/communityneedsassessment20	Yes (X)	Yes (true)	13	Yes (true)	WWW.SUMMAHEALTH.ORG /about-us/about-summa/community-benefit-and-diversity/communityneedsassessment20	false	false	Yes (true)	Yes (X)	2.0	4.0		Yes (X)			false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	false					Yes (true)		Yes (true)	Yes (X)			Yes (X)	false		false	false	5	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)
3
false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	13	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (X)	www.summhealth.org/about-us/about-summa/community-benefit-and-diversity/communityneedsassessment2013	Yes (X)	Yes (true)	13	Yes (true)	www.summhealth.org/about-us/about-summa/community-benefit-and-diversity/communityneedsassessment2013	false	false	Yes (true)	Yes (X)	2.0	4.0					false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	false					Yes (true)	Yes (X)	false					false		false	false	6					Yes (X)	Yes (X)	Yes (X)

Supplemental Information SupplementalInformationGrp (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility 1, 1	Facility 1, 1 - Summa Health System, Summa Barberton Citizens Hospital, The Wadsworth-Rittman Area Hospital, Summa Western Reserve Hospital, LLC (Group 1). Interviews were conducted with community leaders in March - April 2013 to gain their insight on what they thought were the significant health needs of children and adults in their communities, the factors that affect those health needs, other existing community health needs assessments, possible collaboration opportunities, and to solicit suggestions on what the hospitals can do to address the prioritized health needs identified in the CHNA. These community leaders represent the broad interests of the communities served by the hospital facility including the medically underserved, low-income persons, minority groups, those with chronic disease needs, and leaders from local public health agencies and departments who have special knowledge and expertise in public health. Leaders from the following community organizations were consulted during this CHNA: Summit County Job and Family Services, Director Akron Public Schools, Executive Director for Business Affairs Portage County Job and Family Services, Administrator Medina City School District, Nursing Director for the Medina County Educational Service Center Medina County Job and Family Services, Medicaid Eligibility Services Administrator Portage County Mental Health and Recovery Board, Executive Director Portage County Health Department, Health Commissioner Robinson Memorial Hospital, Vice President for Business Development Summit County Public Health, Deputy Health Commissioner for Planning Kent City School District, Director of Business Services Medina County Health Department, Health Commissioner County of Summit Alcohol, Drug Addiction, and Mental Health Services Board, Executive Director Focus groups were conducted with community residents in April - May 2013 to get their input on what they thought were the significant health needs of children and adults in their communities, the factors that affect those needs, the solutions they thought would solve those needs, and what the hospitals and other community groups could do to address those needs. Due to the observed information gap in the epidemiologic data on the health of children, adult and child substance abuse issues, and adult and child mental health issues, several questions were asked to probe more deeply on these issues. In addition, a questionnaire was distributed to focus group participants to gather demographic information and basic perceptions of community health. The discussion guide, questionnaire, and protocol were reviewed and approved by the Kent State University Institutional Review Board. A total of 60 people participated in the Community Resident Focus Groups. Additional detail can be found on the Summa Health website at http://www.summahealth.org/about-us/about-Summa/community-benefit-and-diversity/communityneedsassessment2013.
Schedule H, Part V, Section B, Line 6a Facility 1, 1	Facility 1, 1 - Summa Health System, Summa Barberton Citizens Hospital, The Wadsworth-Rittman Area Hospital, Summa Western Reserve Hospital, LLC (Group 1). SUMMA HEALTH CONDUCTED THE CHNA ON BEHALF OF EACH OF ITS SIX HOSPITAL FACILITIES LISTED IN PART V, SECTION A. In addition, Summa Health collaborated with Akron General Health System and Akron Children's Hospital in conducting the CHNA.
Schedule H, Part V, Section B, Line 6b Facility 1, 1	Facility 1, 1 - Summa Health System, Summa Barberton Citizens Hospital, The Wadsworth-Rittman Area Hospital, Summa Western Reserve Hospital, LLC (Group 1). Kent State University College of Public Health
Schedule H, Part V, Section B, Line 11 Facility 1, 1	Facility 1, 1 - Summa Health System, Summa Barberton Hospital, Summa Wadsworth-Rittman Area Hospital, Summa Western Reserve Hospital (Group 1). The adult health needs of asthma, cancer, cardiovascular disease, diabetes, mental health, substance abuse, lifestyle factors, access to care factors, and quality of care factors will be addressed by Summa Health System. The health needs of asthma, cancer and diabetes are being addressed through increasing consumer knowledge base of risk factors, risk behaviors, and genetic considerations which lead to asthma and/or asthma related disease development. Increase knowledge of the signs and symptoms of asthma and asthma related diseases. Another objective is to increase the number of individuals who have access to primary care medical homes. The health need of mental health is being addressed by improving identification, diagnosis, and treatment of depression; improving identification and treatment of patients with suicidal tendencies; and increasing the number of individuals who have access to primary care medical homes. The health need of substance abuse is being addressed by decreasing adult alcohol abuse; decreasing adult prescription drug abuse; and decreasing adult opioid drug abuse. The health need of lifestyle factors is being addressed by decreasing smoking and tobacco use in adults and increasing the number of individuals who have access to primary care medical homes. The health need of access to care factors is being addressed by increasing the number of individuals who have access to primary care medical homes; increasing access to primary care providers; increasing access to dental care providers; and increasing access to mental health providers. The health need of quality of care factors is being addressed by decreasing hospital readmissions; increasing the number of individuals who have access to primary care medical homes; increasing consumer knowledge base of risk factors, risk behaviors, and genetic considerations which lead to increased incidence of diabetes; and informing the community and creating community awareness of the health care needs and issues of seniors. A detailed description of the actions being taken to address the health needs identified above can be found on the Summa Health Implementation Strategy available at http://www.summahealth.org/about-us/about-summa/community-benefit-and-diversity/communityneedsassessment2013. Due to community resources available to assist individuals in obtaining healthy food, including the Akron Canton Regional food Bank, Summa Health hospital facilities chose not to address this environmental factor health need. In addition, the community resources available to assist children, specifically Akron Children's Hospital, in the areas of childhood chronic disease, child development, child lifestyle risk factors, child mental health and substance abuse, child safety, child access to care factors and child environmental risk factors, led to the determination by Summa Health hospital facilities to not address these child health needs.
Schedule H, Part V, Section B, Line 22 Facility 1, 1	Facility 1, 1 - Summa Health System, Summa Barberton Citizens Hospital, the Wadsworth-Rittman Area Hospital, Summa Western Reserve Hospital, LLC. Patients whose income is equal to or less than 200% of the Federal Poverty Guidelines, adjusted for number dependents, receive a 100% discount for charity care. If the patient's income exceeds 200% of the Federal Poverty Guidelines and up to 400% of the Federal Poverty Guidelines a sliding scale charity care discount of either 20%, 60% or 80% of billed charges is applied. This sliding scale charity care discount policy is being reevaluated to be effective January, 2016 whereby the charity care discount percentage would be applied to the average allowed amounts for commercially insured patients
Schedule H, Part V, Section B, Line 5 Facility 2, 1	Facility 2, 1 - Crystal Clinic Orthopaedic Center LLC (Group 2). Interviews were conducted with community leaders in March - April 2013 to gain their insight on what they thought were the significant health needs of children and adults in their communities, the factors that affect those health needs, other existing community health needs assessments, possible collaboration opportunities, and to solicit suggestions on what the hospitals can do to address the prioritized health needs identified in the CHNA. These community leaders represent the broad interests of the communities served by the hospital facility including the medically underserved, low-income persons, minority groups, those with chronic disease needs, and leaders from local public health agencies and departments who have special knowledge and expertise in public health. Leaders from the following community organizations were consulted during this CHNA: Summit County Job and Family Services, Director Akron Public Schools, Executive Director for Business Affairs Portage County Job and Family Services, Administrator Medina City School District, Nursing Director for the Medina County Educational Service Center Medina County Job and Family Services, Medicaid Eligibility Services Administrator Portage County Mental Health and Recovery Board, Executive Director Portage County Health Department, Health Commissioner Robinson Memorial Hospital, Vice President for Business Development Summit County Public Health, Deputy Health Commissioner for Planning Kent City School District, Director of Business Services Medina County Health Department, Health Commissioner County of Summit Alcohol, Drug Addiction, and Mental Health Services Board, Executive Director Focus groups were conducted with community residents in April - May 2013 to get their input on what they thought were the significant health needs of children and adults in their communities, the factors that affect those needs, the solutions they thought would solve those needs, and what the hospitals and other community groups could do to address those needs. Due to the observed information gap in the epidemiologic data on the health of children, adult and child substance abuse issues, and adult and child mental health issues, several questions were asked to probe more deeply on these issues. In addition, a questionnaire was distributed to focus group participants to gather demographic information and basic perceptions of community health. The discussion guide, questionnaire, and protocol were reviewed and approved by the Kent State University Institutional Review Board. A total of 60 people participated in the Community Resident Focus Groups.
Schedule H, Part V, Section B, Line 6a Facility 2, 1	Facility 2, 1 - Crystal Clinic Orthopaedic Center LLC (Group 2). Summa Health conducted the CHNA on behalf of its six hospital facilities listed in Part V, Section A. In addition, Summa Health collaborated with Akron General Health System and Akron Children's Hospital in conducting the CHNA.
Schedule H, Part V, Section B, Line 6b Facility 2, 1	Facility 2, 1 - Crystal Clinic Orthopaedic Center LLC, (Group 2). Kent State University College of Public Health
Schedule H, Part V, Section B, Line 11 Facility 2, 1	Facility 2, 1 - Crystal Clinic Orthopaedic Center LLC (Group 2). Due to the nature of the adult orthopaedic specialty services provided by Crystal Clinic Orthopaedic Center, LLC, the adult identified health need of Quality of Care Factors - Hospital Readmissions will be the only health need addressed by Crystal Clinic Orthopaedic Center, LLC. The health need of quality of care - hospital readmissions is being addressed by providing education and support for patients at risk for poor bone health and decreasing hospital readmissions post bone related procedures. A detailed description of the actions being taken to address the health needs identified above can be found on the Summa Health Implementation Strategy available at http://www.summahealth.org/about-us/about-summa/community-benefit-and-diversity/communityneedsassessment2013. The community resources provided by a variety of institutions and agencies including Akron Children's Hospital and Summa Health System, Summa Barberton Hospital, and Summa Wadsworth-Rittman Hospital led to the determination by Crystal Clinic Orthopaedic Center, LLC to not address any other identified health need.
Schedule H, Part V, Section B, Line 5 Facility 3, 1	Facility 3, 1 - Summa Rehabilitation Hospital (Group 3). Interviews were conducted with community leaders in March - April 2013 to gain their insight on what they thought were the significant health needs of children and adults in their communities, the factors that affect those health needs, other existing community health needs assessments, possible collaboration opportunities, and to solicit suggestions on what the hospitals can do to address the prioritized health needs identified in the CHNA. These community leaders represent the broad interests of the communities served by the hospital facility including the medically underserved, low-income persons, minority groups, those with chronic disease needs, and leaders from local public health agencies and departments who have special knowledge and expertise in public health. Leaders from the following community organizations were consulted during this CHNA: Summit County Job and Family Services, Director Akron Public Schools, Executive Director for Business Affairs Portage County Job and Family Services, Administrator Medina City School District, Nursing Director for the Medina County Educational Service Center Medina County Job and Family Services, Medicaid Eligibility Services Administrator Portage County Mental Health and Recovery Board, Executive Director Portage County Health Department, Health Commissioner Robinson Memorial Hospital, Vice President for Business Development Summit County Public Health, Deputy Health Commissioner for Planning Kent City School District, Director of Business Services Medina County Health Department, Health Commissioner County of Summit Alcohol, Drug Addiction, and Mental Health Services Board, Executive Director Focus groups were conducted with community residents in April - May 2013 to get their input on what they thought were the significant health needs of children and adults in their communities, the factors that affect those needs, the solutions they thought would solve those needs, and what the hospitals and other community groups could do to address those needs. Due to the observed information gap in the epidemiologic data on the health of children, adult and child substance abuse issues, and adult and child mental health issues, several questions were asked to probe more deeply on these issues. In addition, a questionnaire was distributed to focus group participants to gather demographic information and basic perceptions of community health. The discussion guide, questionnaire, and protocol were reviewed and approved by the Kent State University Institutional Review Board. A total of 60 people participated in the Community Resident Focus Groups.
Schedule H, Part V, Section B, Line 6a Facility 3, 1	Facility 3, 1 - Summa Rehabilitation Hospital (Group 3). Summa Health conducted the CHNA on behalf of its six hospital facilities listed in Part V, Section A. IN addition, Summa Health collaborated with Akron General Health System and Akron Children's Hospital in conducting the CHNA.
Schedule H, Part V, Section B, Line 6b Facility 3, 1	Facility 3, 1 - Summa Rehabilitation Hospital (Group 3). Kent State University College of Public Health
Schedule H, Part V, Section B, Line 11 Facility 3, 1	Facility 3, 1 - Summa Rehabilitation Hospital (Group 3). Due to the nature of the adult rehabilitation specialty services provided by Summa Rehab Hospital, LLC, the adult identified health need of Quality of Care Factors - Hospital Readmissions will be the only health need addressed by Summa Rehab Hospital, LLC. The health need of quality of care factors - hospital readmissions is being addressed by decreasing hospital readmissions by improving post-operative outcomes for patients undergoing joint repairs and increasing consumer knowledge of aspects of preoperative care that improves post-operative outcomes and decreasing incidence of hospital readmissions. A detailed description of the actions being taken to address the health needs identified above can be found on the Summa Health Implementation Strategy available at http://www.summahealth.org/about-us/about-summa/community-benefit-and-diversity/communityneedsassessment2013. The community resources provided by a variety of institutions and agencies including Akron Children's Hospital and Summa Health System, Summa Barberton Hospital, and Summa Wadsworth-Rittman Hospital led to the determination by Summa Rehab Hospital, LLC to not address any other identified health needs.

Field	Value	IRS element (for citing)
Facility	20	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (20 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
SUMMA HEALTH CENTER AT LAKE MEDINA
3780 MEDINA ROAD	MEDINA	OH	44256	LAB, IMAGING, THERAPY, SLEEP MEDICINE, RADIATION ONCOLOGY & OUTPATIENT SURGERY
SUMMA HEALTH CENTER AT GREEN
3838 MASSILLION ROAD	GREEN	OH	44685	LAB, IMAGING, REHABILITATION, THERAPY AND OTHER HEALTH SERVICES.
SUMMA HEALTH CENTER AT WHITE POND
1 PARK WEST SUITE 130	AKRON	OH	44320	LAB, IMAGING, AND OTHER SPECIALTY HEALTH PROGRAMS.
SUMMA HEALTH CENTER AT WESTERN RESERVE
5655 HUDSON DRIVE	HUDSON	OH	44236	LAB, IMAGING, REHABILITATION, WOUND CARE & SPORTS MEDICINE
SUMMA HEALTH CENTER AT LAKE ANNA
500 WEST HOPOCAN AVENUE	BARBERTON	OH	44203	THERAPY, REHABILITATION, AND SPORTS MEDICINE
SUMMA HEALTH CENTER AT ANNA DEAN
28 CONSERVATORY DRIVE	BARBERTON	OH	44203	OUTPATIENT REHAB AND THERAPY
SUMMA HEALTH CENTER AT CUYAHOGA FALLS
1860 STATE ROAD	CUYAHOGA FALLS	OH	44223	LAB AND IMAGING SERVICES
SUMMA WELLNESS INSTITUTE
5625 HUDSON DRIVE	HUDSON	OH	44236	MEDICAL-BASED FITNESS PROGRAMS REHABILITATION & THERAPY
SUMMA SERVICES - WADSWORTH COMMUNITY CTR
621 SCHOOL DRIVE	WADSWORTH	OH	44281	IMAGING, REHABILITATION, AND ORTHOPAEDIC SPORTS MEDICINE
SUMMA NEUROSCIENCES AT WHITE POND
750 WHITE POND DRIVE	AKRON	OH	44320	NEUROLOGY SERVICES
SUMMA SLEEP MEDICINE CENTER - GREEN
1700 BOETTLER ROAD STE 215	UNIONTOWN	OH	44685	SLEEP AND NEUROLOGY SERVICES
SUMMA REHABILITATION SVCS AT WHITE POND
750 WHITE POND DRIVE	AKRON	OH	44320	OCCUPATIONAL & REHAB SERVICES
NATATORIUM REHABILITATION AND WELLNESS
2345 4TH STREET	CUYAHOGA FALLS	OH	44223	ORTHOPAEDIC & SPORTS THERAPY
SUMMA REHAB AT TALLMADGE REC CENTER
46 NORTH MUNROE	TALLMADGE	OH	44278	PHYSICAL THERAPY AND SPORTS HEALTH
SUMMA URGENT CARE & CORPORATE HEALTH
2875 WEST MARKET STREET	FAIRLAWN	OH	44333	Urgent Care & Corporate Health
SUMMA URGENT CARE AT STOW
3913 DARROW ROAD STE 100	STOW	OH	44224	URGENT CARE & OCCUPATIONAL HEALTH SERVICES
CEDAR PINES
185 WEST CEDAR STREET STE 100	AKRON	OH	44307	CARDIOLOGY & STRESS TESTS
IGNATIA HALL SOUTH
3730 WHIPPLE AVENUE STE 5	CANTON	OH	44718	OUTPATIENT ADDICTION MEDICINES
SUMMA HOME INFUSION
2743 GILCHRIST ROAD STE 200	AKRON	OH	44305	HOME CARE & INFUSION SERVICES
SUMMA CTR FOR HEALTH EQUITY-NEW SEASONS
1493 S HAWKINS AVENUE	AKRON	OH	44320	CHRONIC DISEASE MANAGEMENT, HEALTH, NUTRITION, EXERCISE & EDUCATION SERVICES

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part VI, Line 7 State Filing of Community Benefit Report	The State of Ohio does not require the filing of the community benefit report. However, information from the community benefit report is shared annually with the Ohio Hospital Association
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. ("SPI") is $14,286,911.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	Cost of financial assistance at cost was calculated with a cost to charge ratio using Worksheet 2. The cost related to Medicaid patients was determined using Summa Health's cost accounting system. For subsidized services Summa Health's cost accounting system is used to determine cost related to specific services excluding traditional Medicaid and Medicaid managed care patients. Costs for charity and bad debt accounts are deducted using a ratio of cost to charge specific to that subsidized service. Costs for other programs reflect the direct and indirect costs of providing those programs.
Schedule H, Part II Community Building Activities	Summa Health addresses various community concerns including health improvement, poverty, workforce development, and access to health care. Summa Health hospitals conduct community health education and support groups, health fairs and screenings for the communities served. Summa Health hospitals work with state and local leadership to address community needs and provide healthcare services to the poor and underserved. Summa Health hospitals provide programs to improve the physical surroundings and housing in the communities served. Inadequate housing has a negative impact on the health of residents in the area by leading to violence in the neighborhoods. A robust economy positively impacts residents covered by health insurance and improves the capacity of the community to support health services.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	A COST-TO-CHARGE RATIO IS USED TO DETERMINE THE AMOUNT REFLECTED ON LINE 2. FOR A DESCRIPTION OF THE ACCOUNTING FOR BAD DEBT, SEE "NET PATIENT SERVICE REVENUE AND PATIENT ACCOUNTS RECEIVABLE" ON PAGE 14 OF THE ATTACHED CONSOLIDATED AUDITED FINANCIAL STATEMENTS UNDER FOOTNOTE 2, "ACCOUNTING POLICIES".
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	Summa Health's financial assistance policy does not permit the cost of patients who are uncooperative or unable to be located to be reclassified from financial assistance to bad debt. Summa Health's financial assistance policy requires an application and supporting documentation. Therefore, zero dollars are reported on Part III, Line 3 as amounts included in bad debt that could be attributable to patients eligible under Summa Health's financial assistance policy.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	Summa Health's audited financial statements contain a footnote that describes bad debt expense. Summa Health has adopted ASU 2011-07 which results in bad debt expense being reflected as a deduction from revenue rather than an operating expense. Notes to consolidated financial statements, B. Accounting Policies, Net Patient Service Revenue and Patient Accounts Receivable (page 14) states Summa Health maintains an allowance for doubtful accounts based on the expected collectibility 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.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	Medicare allowable cost are based on information provided on worksheet B, Part I, Column 26, Line 118 from the various hospitals' Medicare cost reports. Costing method used was total allowable cost less all costs deemed non-allowable by Medicare regulations. Any Medicare shortfall incurred by Summa Health is not reported as a community benefit.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial 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. THE HOSPITAL RESERVES THE RIGHT TO PLACE A LIEN ON THE PATIENT'S (GUARANTOR'S) REAL ESTATE; HOWEVER, THE HOSPITAL WILL NOT EXECUTE FORECLOSURE PROCEEDINGS IF THIS IS THE PATIENT'S (GUARANTOR'S) PRIMARY RESIDENCE.
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, HEALTHY CONNECTIONS NETWORK, CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON, THE UNITED WAY, SOCIAL SERVICES ADVISORY BOARD OF SUMMIT COUNTY, AND AKRON GENERAL MEDICAL CENTER.
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, SUMMA BARBERTON CITIZENS HOSPITAL, THE WADSWORTH-RITTMAN AREA HOSPITAL ASSOCIATION, AND SUMMA WESTERN RESERVE HOSPITAL, LLC HAVE NOTICES POSTED IN THE EMERGENCY ROOM, ADMISSION AREAS, CASHIER'S OFFICE, AND OTHER APPROPRIATE AREAS. THE NOTICES SPECIFY THE RIGHTS OF INDIVIDUALS TO RECEIVE WITHOUT CHARGE, BASIC MEDICALLY NECESSARY HOSPITAL-LEVEL SERVICES. A FINANCIAL COUNSELOR WHO IS ASSIGNED TO PATIENTS AT THE POINT OF ADMISSION REVIEWS THE AVAILABILITY OF FINANCIAL ASSISTANCE PROGRAMS AND ASSISTS WITH THE APPLICATION IF REQUESTED. THE SUMMA WEBSITE PROVIDES INFORMATION REGARDING FINANCIAL ASSISTANCE. CUSTOMER SERVICE REPRESENTATIVES PROVIDE FINANCIAL COUNSELING WITH EXPLANATION OF ASSISTANCE PROGRAMS TO PATIENTS WHO CALL. EACH STATEMENT SENT TO THE PATIENT CONTAINS AN EXPLANATION OF THE FREE CARE PROGRAM AS WELL AS AN APPLICATION ON THE BACK SIDE OF THE STATEMENT.
Schedule H, Part VI, Line 4 Community information	SUMMA HEALTH HAS CARE DELIVERY SITES IN PRIMARILY THREE COUNTIES IN NORTHEAST OHIO: SUMMIT, PORTAGE AND MEDINA. BASED ON THE 2010 CENSUS, THESE COUNTIES CONSTITUTE A POPULATION OF APPROXIMATELY 854,000 INDIVIDUALS. SUMMIT COUNTY HAS THE LARGEST POPULATION (547,000) AND ACCOUNTS FOR MORE THAN 60% OF THE PERSONS SERVED BY SUMMA. MEDINA (150,000) AND PORTAGE (158,000) COUNTIES HAVE SIMILAR POPULATIONS, WITH PORTAGE BEING SLIGHTLY LARGER. EACH ACCOUNTS FOR LESS THAN 20% OF THE PERSONS SERVED BY SUMMA. MORE THAN 50% OF THE HOUSEHOLDS IN SUMMIT AND PORTAGE COUNTIES MAKE LESS THAN $50,000 ANNUALLY AND 15.0% AND 14.5% OF HOUSEHOLDS MAKE LESS THAN $15,000 ANNUALLY RESPECTIVELY. FOR THE CALENDAR YEAR 2014, THE AVERAGE MONTHLY UNEMPLOYMENT RATES FOR MEDINA, PORTAGE, AND SUMMIT COUNTIES WERE 4.1%, 4.8%, AND 4.9% RESPECTIVELY. LOW INCOMES AND AN ESSENTIALLY STAGNANT UNEMPLOYMENT RATE ADD TO SUMMA'S BURDEN FOR CHARITY CARE. DESPITE THESE CHALLENGES, DEMAND FOR SUMMA'S SERVICES IN THESE COMMUNITIES IS PROJECTED TO GROW. WHILE THE TOTAL POPULATION OF SUMMIT COUNTY IS EXPECTED TO DECLINE (BY -1.2%), THE POPULATION IN PORTAGE IS EXPECTED TO REMAIN FLAT, AND MEDINA IS PROJECTED TO SEE GROWTH (1.4%) OVER THE 5-YEAR PERIOD 2013-2018. MORE IMPORTANTLY, THE AGE GROUP THAT DEMAND HEALTHCARE SERVICES THE MOST (AGE 65 AND OLDER) IS EXPECTED TO GROW SIGNIFICANTLY. IN MEDINA COUNTY ALONE, THIS GROUP IS EXPECTED TO INCREASE 18.2%, WHILE PORTAGE AND SUMMIT ARE EXPECTED TO GROW 16.0% AND 11.8% RESPECTIVELY OVER THE FIVE YEAR PERIOD.
Schedule H, Part VI, Line 5 Promotion of community health	AMONG THE WAYS THE HOSPITALS WITHIN SUMMA HEALTH PROMOTE THE HEALTH OF THE COMMUNITY ARE BY MAINTAINING AN OPEN MEDICAL STAFF AND A COMMUNITY BOARD (COMMUNITY BENEFIT COMMITTEE). SUMMA'S HOSPITALS ADDRESS HEALTH DISPARITIES THROUGH PRACTICE, RESEARCH, EDUCATION AND COLLABORATION WITH OTHER COMMUNITY ORGANIZATIONS. CONTRIBUTIONS, BOTH FINANCIAL AND IN-KIND, ARE MADE TO INITIATIVES AND PROGRAMMING (I.E. FEDERALLY QUALIFIED HEALTH CENTER, OPEN M, CENTER FOR COMMUNITY HEALTH IMPROVEMENT) THAT ARE DEEMED TO PROMOTE THE HEALTH, WELLNESS AND IMPROVED QUALITY OF LIFE FOR THE COMMUNITIES SUMMA HEALTH SERVES.
Schedule H, Part VI, Line 6 Affiliated health care system	SUMMA HEALTH IS ONE OF THE LARGEST INTEGRATED DELIVERY SYSTEMS IN OHIO, ENCOMPASSING A NETWORK OF HOSPITALS, COMMUNITY-BASED HEALTH CENTERS, A HEALTH PLAN, A PHYSICIAN-HOSPITAL ORGANIZATION, RESEARCH AND MEDICAL EDUCATION AND A FOUNDATION. SUMMA HEALTH IS RENOWNED FOR EXCELLENCE IN PATIENT CARE AND FOR EXCEPTIONAL APPROACHES TO HEALTHCARE DELIVERY. DURING 2014, SUMMA HEALTH PROVIDED INPATIENT CARE THROUGH FACILITIES LOCATED ON SIX CAMPUSES AND IN ADDITION, OUTPATIENT CARE IS EXTENDED THROUGHOUT THE REGION IN A NUMBER OF OUTPATIENT CENTERS, BOTH HOSPITAL-BASED AND FREESTANDING. BASED ON TWO CAMPUSES, SUMMA HEALTH SYSTEM 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. SUMMA BARBERTON CITIZENS HOSPITAL ("SBH") JOINED SUMMA HEALTH IN DECEMBER, 2007 WHEN SUMMA HEALTH COMPLETED ITS ACQUISTION OF BARBERTON CITIZENS HOSPITAL. SBH IS A 249-BED GENERAL ACUTE CARE COMMUNITY HOSPITAL THAT OFFERS INPATIENT SERVICES, OUTPATIENT SERVICES AND COMMUNITY OUTREACH PROGRAMS. SBH IS LOCATED IN THE TOWN OF BARBERTON IN SOUTHERN SUMMIT COUNTY. THE WADSWORTH-RITTMAN AREA HOSPITAL ASSOCIATION ("WRH") AFFILIATED WITH SUMMA HEALTH IN NOVEMBER 2007, AND THEN MERGED WITH SUMMA HEALTH IN 2008. WRH IS A COMMUNITY-BASED OUTPATIENT FACILITY IN WADSWORTH, MEDINA COUNTY, OHIO, SITUATED TO THE WEST OF SUMMIT COUNTY. WRH SERVES COMMUNITIES IN MEDINA AND WAYNE COUNTIES. WRH'S INPATIENT FACILITIES WERE CLOSED IN JULY 2014 AND WRH WAS MERGED INTO SBH. SUMMA WESTERN RESERVE HOSPITAL, LLC ("SWRH") IS A JOINT VENTURE BETWEEN SUMMA HEALTH SYSTEM AND THE WESTERN RESERVE HOSPITAL PARTNERS AND PROVIDES A FULL RANGE OF ACUTE MEDICAL SERVICES. SWRH PROVIDES ITS HOSPITAL OPERATIONS ON THE CAMPUS OF SUMMA CUYAHOGA FALLS GENERAL HOSPITAL. SWRH PROVIDES A FULL RANGE OF SERVICES, INCLUDING A 24-HOUR EMERGENCY ROOM AND ADHERES TO THE FINANCIAL ASSISTANCE POLICY OF SUMMA HEALTH. THE CRYSTAL CLINIC ORTHOPAEDIC CENTER, LLC ("CCOC"), A JOINT VENTURE BETWEEN SUMMA HEALTH SYSTEM AND THE CRYSTAL CLINIC, INTEGRATES THE INPATIENT AND OUTPATIENT SERVICES AND PHYSICIAN PRACTICES OF THE AKRON-AREA'S LEADING ORTHOPAEDIC PROGRAMS AND OPERATES AS A "HOSPITAL WITHIN A HOSPITAL" AT SUMMA ST. THOMAS HOSPITAL. CCOC ALSO ADHERES TO SUMMA'S FINANCIAL ASSISTANCE POLICY IN PROVIDING BOTH INPATIENT AND OUTPATIENT SERVICES, INCLUDING SURGERY, ORTHOPAEDIC ONCOLOGY, TOTAL JOINT REPLACEMENT AND OTHERS. CCOC OFFERS OUTPATIENT AMBULATORY SURGERY AT THE CRYSTAL CLINIC SURGERY CENTER IN MONTROSE AND PHYSICAN PRACTICE LOCATIONS IN AKRON AND ITS SUBURBS OF BARBERTON, KENT, CUYAHOGA FALLS, MEDINA, GREEN AND STOW. SH's SHARE OF CCOC WAS SOLD IN DECEMBER, 2014. SUMMA REHAB HOSPITAL, LLC, A JOINT VENTURE BETWEEN SUMMA HEALTH SYSTEM AND VIBRA HEALTHCARE, OPENED ON THE CAMPUS OF SUMMA AKRON CITY HOSPITAL IN 2012. THIS 60-BED FACILITY PROVIDES INPATIENT REHABILITATION CARE AND SERVICES AND ADHERES TO SUMMA'S FINANCIAL ASSISTANCE POLICY. ESTABLISHED IN 1993, SUMMACARE OFFERS HEALTH CARE COVERAGE TO MEMBERS THROUGH ITS STATUS AS A MEDICARE ADVANTAGE ORGANIZATION. IT 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 MORE THAN 150,000 MEMBERS. SUMMA FOUNDATION IS A NONPROFIT ORGANIZATION ADVANCING TRANSFORMATIONAL PHILANTHROPY, COMMUNITY UNDERSTANDING AND GOODWILL FOR THE PROGRAMS AND PRIORITIES OF SUMMA HEALTH. THE FOUNDATION CREATES AND IMPLEMENTS INNOVATIVE PARTNERSHIPS, HEALTH POLICY OPPORTUNITIES AND FUNDING STRATEGIES TO SUPPORT SUMMA HEALTH'S EDUCATION, RESEARCH AND PATIENT CARE AGENDA. SUMMA HEALTH NETWORK, LLC IS THE INTEGRATED PHYSICIAN-HOSPITAL ORGANIZATION AFFILIATED WITH SUMMA HEALTH . WITH MORE THAN 1,400 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 HEALTH NETWORK ALSO OFFERS A COMPREHENSIVE PERFORMANCE INCENTIVE AND CLINICAL INTEGRATION NETWORKS THAT PARTNERS WITH PAYORS TO IMPROVE THE QUALITY OF CARE DELIVERED TO PATIENTS AND TO LOWER THE COST OF CARE. SUMMA ACCOUNTABLE CARE ORGANIZATION (D/B/A NEW HEALTH 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. IS OHIO'S OLDEST PREFERRED PROVIDER ORGANIZATION (PPO) NETWORK AND ONE OF THE LARGEST IN THE STATE. CO-OWNED BY SUMMA HEALTH AND MERCY MEDICAL CENTER, OHIO HEALTH CHOICE IS A LEADER IN THE MANAGED HEALTHCARE INDUSTRY AND IS COMPRISED OF 198 HOSPITALS, 8,000 PRIMARY CARE PROVIDERS, 18,000 SPECIALISTS AND CONTRACTS WITH 94 THIRD PARTY ADMINISTRATORS COVERING MEMBERS ACROSS ALL 88 COUNTIES IN OHIO. SUMMA PHYSICIANS INC. ("SP") IS A SUMMA HEALTH ENTITY OF MULTI-SPECIALTY PHYSICIANS AND PRACTICES. CURRENTLY, SP EMPLOYS CLOSE TO 300 PHYSICIANS IN MULTIPLE SPECIALTIES. SP PROMOTES STRONGER AFFILIATION AND EMPLOYMENT OF PHYSICIANS TO ENSURE COMMUNITY AND HOSPITAL NEEDS FOR PHYSICIANS SERVICES ARE MET.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt
Northeast Ohio Medical University Foundation
PO Box 95	Rootstown	OH	44272	341264220	501(C)(3)	$25,000	EDUCATION
JEWISH COMMUNITY CENTER OF AKRON
750 White Pond Dr	Akron	OH	44320	340174521	501(C)(3)	$7,500	COMMUNITY SUPPORT
Stewarts Caring Place
2955 W Market St	Akron	OH	44333	200181338	501(c)(3)	$5,000	CANCER WELLNESS SUPPORT	Ste R
Susan G Komen for the Cure
26210 Emery Rd	Cleveland	OH	44128	751835298	501(C)(3)	$10,000	CANCER RESEARCH	Suite 307

Field	Value	IRS element (for citing)
Total501c3 Org	4	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (3 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt
SummaShares	8	$6,648	$0
Diabetes Progam	10	$6,516	$0
Mammogram Screens	666	$59,256	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule I, Part I, Line 2 Description Of Procedure For Monitoring Use Of Grant Funds	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.
Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	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.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Personal Services	Yes (X)	PersonalServicesInd
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 (31 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
ROBERT A GERBERRY
DIR SPI, SECTY SHS, SBH, WRH & GENERAL COUNSEL	$0	$181,318	$0	$8,468	$0	$600	$0	$4,711	$0	$429	$0	$195,526	$0	$0
WILLIAM A POWEL III
DIR SPI, SECTY SHS, SBH, WRH & GEN COUNSEL (end 11/14)	$0	$346,197	$0	$85,315	$0	$768,188	$0	$55,640	$0	$9,213	$0	$1,264,553	$0	$44,128
THOMAS J STRAUSS
DIR SF, SYSTEM PRES/CEO (END 12/14)	$0	$873,865	$0	$263,899	$0	$2,967,158	$0	$108,876	$0	$13,398	$0	$4,227,196	$0	$94,604
WILLIAM BAUMAN MD
DIRECTOR SHS, SBH, WRH, SPI	$656,488	$0	$0	$0	$900	$0	$7,800	$0	$11,179	$0	$676,367	$0	$0	$0
ROBERT DEBSKI MD
DIRECTOR SHS, SBH, WRH	$293,340	$0	$65,530	$0	$0	$0	$0	$0	$9,764	$0	$368,634	$0	$0	$0
STEVEN GAICH MD
DIRECTOR SPI	$305,797	$0	$42,338	$0	$0	$0	$7,800	$0	$3,199	$0	$359,134	$0	$0	$0
JOSEPH KOENIG MD
DIRECTOR SPI	$681,756	$0	$94,372	$0	$900	$0	$9,100	$0	$9,662	$0	$795,790	$0	$0	$0
DALE MURPHY MD
DIRECTOR SPI (END 6/14)	$6,013	$0	$42,710	$0	$289,092	$0	$248	$0	$3,718	$0	$341,781	$0	$48,757	$0
ERIK STEELE DO
DIRECTOR SHS, SBH, WRH, SYSTEM CMO	$0	$518,580	$0	$72,815	$0	$132,886	$0	$17,680	$0	$5,792	$0	$747,753	$0	$0
SCOTT WEINER MD
DIRECTOR SHS, SBH, WRH	$791,964	$0	$0	$0	$900	$0	$9,100	$0	$12,234	$0	$814,198	$0	$0	$0
CHARLES ALDERSON
CFO, SBH & WRH (END 5/14)	$67,806	$0	$26,787	$0	$182,575	$0	$4,490	$0	$6,811	$0	$288,469	$0	$0	$0
THOMAS DEBORD
PRESIDENT SBH & WRH (END 4/14)	$159,873	$0	$55,024	$0	$342,579	$0	$7,553	$0	$7,488	$0	$572,517	$0	$37,154	$0
BRIAN DERRICK
TREAS SHS, SBH, WRH & SYSTEM CFO	$0	$509,110	$0	$133,187	$0	$171,384	$0	$51,969	$0	$9,918	$0	$875,568	$0	$11,703
PHYLIS FERRARA
PRESIDENT & CDO, SF	$293,915	$0	$27,115	$0	$74,046	$0	$8,007	$0	$3,946	$0	$407,029	$0	$0	$0
THOMAS MALONE MD
PRESIDENT, SHS, SBH, WRH	$0	$544,769	$0	$0	$0	$221,323	$0	$3,056	$0	$5,691	$0	$774,839	$0	$0
JAY WILLIAMSON MD
PRESIDENT, SPI	$274,155	$0	$31,173	$0	$55,417	$0	$7,318	$0	$4,874	$0	$372,937	$0	$0	$0
BRYAN FREDERICKS
COO, SPI (END 8/14)	$157,118	$0	$39,376	$0	$181,824	$0	$7,154	$0	$6,067	$0	$391,539	$0	$0	$0
KATHLEEN JOBE
CNO, SBH, WRH	$176,796	$0	$25,371	$0	$39,566	$0	$7,144	$0	$5,321	$0	$254,198	$0	$0	$0
JOSEPH P MYERS MD
CMO, SBH, WRH	$280,533	$0	$40,820	$0	$43,778	$0	$6,900	$0	$7,635	$0	$379,666	$0	$0	$0
JASON NIEHAUS
SVP HOSPITAL OPS & SITE ADMINISTRATION	$297,610	$0	$62,260	$0	$1,562	$0	$16,185	$0	$24,821	$0	$402,438	$0	$0	$0
THOMAS P O'NEILL
CFO, SHS	$0	$289,459	$0	$60,026	$0	$147,166	$0	$31,161	$0	$2,897	$0	$530,709	$0	$28,354
MARY WARD
Senior VP, Chief nursing officer	$0	$362,389	$0	$79,838	$0	$153,907	$0	$48,477	$0	$2,555	$0	$647,166	$0	$45,359
JOSEPH ZARCONI MD
SYSTEM VP, MED ED & CHIEF ACADEMIC OFFICER	$323,843	$0	$77,933	$0	$188,392	$0	$48,806	$0	$4,869	$0	$643,843	$0	$43,348	$0
MARK POZSGAY DO
BARIATRIC SURGERY	$825,302	$0	$353,517	$0	$300	$0	$6,562	$0	$12,620	$0	$1,198,301	$0	$0	$0
JOHN ZOGRAFAKIS MD
BARIATRIC SURGERY	$823,137	$0	$326,004	$0	$900	$0	$9,100	$0	$11,044	$0	$1,170,185	$0	$0	$0
ADRIAN DAN MD
BARIATRIC SURGERY	$744,997	$0	$198,640	$0	$900	$0	$7,656	$0	$14,471	$0	$966,664	$0	$0	$0
ERIC MILLER MD
ORTHOPAEDIC SURGERY	$779,830	$0	$124,422	$0	$900	$0	$2,600	$0	$3,475	$0	$911,227	$0	$0	$0
JOEL PORTER MD
COLORECTAL SURGERY	$575,313	$0	$1,348	$0	$900	$0	$9,100	$0	$1,300	$0	$587,961	$0	$0	$0
ROBERT D HARRIGAN
FORMER OFFICER	$0	$15,007	$0	$148,055	$0	$1,008,997	$0	$0	$0	$5,833	$0	$1,177,892	$0	$0
ALFRED G KIOUS MD
FORMER OFFICER	$16,497	$0	$48,948	$0	$358,826	$0	$119	$0	$1,972	$0	$426,362	$0	$12,791	$0
STEVE SCHMIDT
FORMER OFFICER	$203,855	$0	$31,949	$0	$114,762	$0	$6,108	$0	$2,932	$0	$359,606	$0	$42,180	$0

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a Tax indemnification and gross-up payments	Summa Health System grossed up taxes for supplemental executive retirement programs paid to one director, seven officers, eight key employees, and three former employees. 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. The personal use is recognized as additional taxable compensation.
Schedule J, Part I, Line 1a Personal services	Legal services were paid on behalf of one officer. The personal use is recognized as additional taxable compensation.
Schedule J, Part I, Line 3 Arrangement 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 2014, the following listed persons received severance payments and benefits from the organization or from a related organization: William Powel, III $418,813; Bryan Fredericks $94,615; Robert D. Harrigan $638,238; Thomas J. Strauss $1,787,410; Thomas DeBord $134,820; Charles Alderson $114,772; Dale Murphy, MD $186,300; Alfred G. Kious, MD $255,028.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	Summa Health has a 457(f) program which rewards certain officers, directors, key and highest compensated employees for meeting long term strategic objectives of the organization. Amounts includible as taxable compensation for listed individuals due to plan participation in the reporting year were as follows: Thomas Debord $83,728; Brian Derrick $33,787; Phylis Ferrara $2,365; Robert D. Harrigan $110,849; Alfred G. Kios, MD $49,366; Dale Murphy, MD $48,757; Thomas O'Neill $39,385; William Powel, III $67,398; Steve Schmidt $70,665; Erik Steele, DO $5,690; Thomas J. Strauss $144,492; Mary Ward $65,698; Joseph Zarconi, MD $63,201.
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 include clinical quality, patient satisfaction, employee/physician satisfaction, net operating income, 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 (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
Ohio Higher Educational Facility Commission
A	346849674	67756AY89	2010-05-11	$180,125,341	See Part VI	false	false	false
Akron Bath and Copley Joint Township Hospital District
B	341448680		2012-07-25	$32,509,635	See Part VI	false	false	false
See Schedule K Part VI
C	341448680		2014-10-02	$145,250,000	See Part VI	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$0	$0	$180,162,106	$18,196,607	$3,004,911	$0	$0	$4,929,857	$0	$154,030,731	$0	$0	2012	Yes (true)	false	Yes (true)	Yes (true)
B	$6,911,665	$0	$32,509,635	$0	$0	$0	$0	$0	$0	$0	$32,509,635	$0	2012	Yes (true)	false	Yes (true)	Yes (true)
C	$2,435,000	$0	$145,250,000	$0	$795,890	$0	$0	$0	$0	$0	$144,454,110	$0	2008	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 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	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.0116	0.0045	0.0161	false	false	Yes (true)
B							0.0	0.0	0.0	false	false	Yes (true)
C	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.1122	0.0023	0.1145	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Term Of GICTermOfGICPct	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Exception To RebateExceptionToRebateInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd
Morgan Stanley & Company Incorporated
A	false	Yes (true)	false	false	Yes (true)	2.2	Yes (true)	false	Yes (true)
RBS Citizens Bank
B	false		Yes (true)	Yes (true)	false				Yes (true)	Yes (true)	12.0	false	false
See Schedule K Part VI for Explanation
C	false		Yes (true)	Yes (true)	false				Yes (true)	Yes (true)	20.0	false	false

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

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

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part I, Column (a), Line C Issuer Name	The 2014 Bonds consist of the following three Series of Bonds, which are treated as a single issue of bonds for federal income tax purposes: (1) Akron, Bath and Copley Joint Township Hospital District, Ohio Hospital Facilities Refunding Revenue Bonds, Series 2014A (Summa Health System Obligated Group) issued in the original principal amount of $93,685,000, (2) Akron, Bath and Copley Joint Township Hospital District, Ohio Hospital Facilities Refunding Revenue Bonds, Series 2014B (Summa Health System Obligated Group) issued in the original principal amount of $37,890,000, and (3) Development Finance Authority of Summit County Port Facilities Revenue Refunding Bonds, Series 2014 (Summa Health System Obligated Group Project) issued in the original principal amount of $13,675,000. The Series 2014A Bonds and the Development Finance Authority Bonds were each issued on October 2, 2014, and the Series 2014B Bonds were issued on November 18, 2014. The Akron, Bath and Copley Joint Township Hospital District's EIN is 34-1448680, and the Development Finance Authority's EIN is 34-1765940.
Schedule K, Part IV, Line 4c Term of Hedge - Column C	The term of the hedge with Goldman Sachs Bank USA is 20 years. The term of the hedge with PNC Bank, National Association is 30 years.
Schedule K, Part II, Line 3 Total Proceeds of Issue - Column A	The difference between the total proceeds of the issue and the issue price provided in Part I, Line A, Col. (e) is due to investment proceeds of the issue.
Schedule K, Part III, Line 6 Total Private Use Percentage - Column C	This number is projected to be less than 5% over the life of the Series 2014 Bonds due to the expected termination of certain lease arrangements.
Schedule K, Part IV, Line 4b Name of Hedge Provider - Column C	Series 2014A Bonds: Goldman Sachs Bank USA Series 2014B Bonds: there is no hedge with respect to the Series 2014B bonds Development Finance Authority Series 2014 Bonds: PNC Bank, National Association
Schedule K, Part III, Line 4 Private Business Usage - Bond Issue C	The private business usage is projected to be less than 5 percent over the life of the Series 2014 Bonds due to the expected termination of certain lease arrangements.
Schedule K, Part I, Column (f) Ohio Higher Educational Facility Commission Series 2010 Bonds	The purposes of the Series 2010 Bonds were to (1) currently refund a taxable loan to Summa Barberton Citizens Hospital under a line of credit, the proceeds of which were used to acquire hospital facilities, (2) currently refund a taxable loan to Summa Akron City and St. Thomas hospitals, the proceeds of which were used for certain capital expenditures, (3) construct and equip hospital facilities, (4) acquire, construct, and equip parking facilities, nursing facilities, administrative facilities, ambulatory care facilities, and medical equipment, and (5) pay issuance costs.
Schedule K, Part I, Column (f) Akron, Bath and Copley Joint Township Hospital District Bonds	The purposes of the Series 2012 bonds were to (1) currently refund the hospital facilities revenue bonds, series 1998A issued on December 23, 1998 in the original amount of $50,000,000, and (2) pay the costs of issuance of the series 2012 bonds.
Schedule K, Part I, Column (f) Series 2014A, Series 2014B, and Series 2014 Bonds	The purpose of the Series 2014A Bonds was to currently refund the series 2004B bonds, which were issued to (1) construct and equip a critical care pavilion, (2) construct and equip other hospital facilities, (3) refund prior issues with the following issue dates (A) December 22, 1992 and (b) June 10, 1993, (4) Pay the initial costs of a liquidity facility, and (5) pay issuance costs. The purposes of the series 2014B bonds were to (1) currently refund the series 2004A bonds, which were issued to (A) construct and equip a critical care pavilion, (B) construct and equip other hospital facilities, (C) refund prior issues with the following issue dates (I) July 1, 1999, (II) July 28, 2000, and (III) March 12, 2002, (D) fund a debt service reserve for series 2004A bonds, and (E) pay issuance costs, and (2) fund capitalized interest on the series 2014B bonds. The purpose of the development finance authority series 2014 bonds was to currently refund the series 2006 bonds, which were issued to (1) acquire a project site for and construct and equip a wellness institute, and (2) to pay issuance costs.
Schedule K, Part IV, Line 2c Rebate Calculation	Issuer name: Ohio Higher Educational Facility Commission The calculation for computing no rebate due was performed on 05/11/2013

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Brian Bauman
Family member of William Bauman (Director SHS, SBH, WRH, SPI)	$499,082	Employment	false
M&M Properties
Dale Murphy, SPI Director, has a reportable ownership interest in M&M Properties	$593,497	Independent Contractor	false

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$1,440	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Market value	MethodOfDeterminingRevenuesTxt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	7	ContributionCnt
Noncash Contributions Rpt F990	$19,351	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Market value	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	Events	Desc
Contribution	3	ContributionCnt
Noncash Contributions Rpt F990	$32,251	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Market value	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule M, Part I Explanations of reporting method for number on contributions	Securities - Publicly traded: Number of contributions Clothing and household goods: Number of contributions Other: Number of contributions
Schedule M, Part I, Line 9 Number of contributions or items contributed	Number of contributions
Schedule M, Part I, Line 5 Number of contributions or items contributed	Number of contributions
Schedule M, Part I Number of contributions or items contributed	Number of contributions

Schedule N IRS990ScheduleN

Liquidation Of Assets Table LiquidationOfAssetsTableGrp

Liquidation Of Assets Detail LiquidationOfAssetsDetail

Field	Value	IRS element (for citing)
Assets Distri Or Expnss Paid	SWR Fixed Assets (Net), A/R and Other	AssetsDistriOrExpnssPaidDesc
Distribution	2014-07-13	DistributionDt
Fair Market Value Of Asset	$25,018,234	FairMarketValueOfAssetAmt
Method Of FMV Determination	Book Value	MethodOfFMVDeterminationTxt
EIN	261375072	EIN
Person	Summa Barberton Citizens Hospital	PersonNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	155 Fifth Street	AddressLine1Txt
City	Barberton	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	44203	ZIPCd

Field	Value	IRS element (for citing)
IRC Section	501(c)(3)	IRCSectionTxt

Field	Value	IRS element (for citing)
Director Of Successor	false	DirectorOfSuccessorInd
Employee Of Successor	false	EmployeeOfSuccessorInd
Owner Of Successor	false	OwnerOfSuccessorInd
Receive Compensation	false	ReceiveCompensationInd
Assets Distributed	Yes (true)	AssetsDistributedInd
Required To Notify AG	Yes (true)	RequiredToNotifyAGInd
Attorney General Notified	Yes (true)	AttorneyGeneralNotifiedInd
Liabilities Paid	Yes (true)	LiabilitiesPaidInd
Bonds Outstanding	false	BondsOutstandingInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (21 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 3 Significant changes in program services	Summa Wadsworth Hospital was merged into Summa Barberton Citizens Hospital on July 13, 2014.
CoreFormPartIII_PartIIILine4d Description of other program services	(Expenses $ 11,825,302 including grants of $ 354,193)(Revenue $ 16,839,420) 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 MORE THAN ONE MILLION PATIENTS EACH YEAR IN COMPREHENSIVE EMERGENCY, ACUTE, CRITICAL, OUTPATIENT AND LONG-TERM/HOMECARE SETTINGS AND REPRESENTS MORE THAN 1,700 REGISTERED, INPATIENT BEDS ON THE CAMPUSES OF SUMMA HEALTH SYSTEM, SUMMA BARBERTON CITIZEN'S HOSPITAL, THE WADSWORTH-RITTMAN AREA HOSPITAL ASSOCIATION, SUMMA REHAB HOSPITAL, WESTERN RESERVE HOSPITAL, AND CRYSTAL CLINIC ORTHOPAEDIC CENTER. IN ADDITION, OUTPATIENT CARE IS PROVIDED IN MORE THAN 16 COMMUNITY HEALTH CENTERS AND EMERGENCY DEPARTMENTS (EDS), SOME INTEGRATED IN THE HEALTHCARE FACILITIES, OTHERS ARE FREE-STANDING. SUMMA REHAB HOSPITAL, * WESTERN RESERVE HOSPITAL AND *CRYSTAL CLINIC ORTHOPAEDIC CENTER ARE JOINT VENTURES IN WHICH SUMMA HEALTH HAS AN INTEREST, AND ARE REFERENCED IN THIS DOCUMENT FOR THE PURPOSE OF IDENTIFYING ALL ENTITIES AFFILIATED WITH SUMMA HEALTH. SUMMA'S PROPORTIONATE INTEREST OF THESE JOINT VENTURES' CHARITY CARE AND OTHER COMMUNITY BENEFITS ARE 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: BARIATRIC SURGERY, CARDIOVASCULAR, EMERGENCY, ONCOLOGY, ORTHOPAEDIC SURGERY, PRIMARY CARE SPORTS MEDICINE, STROKE AND NURSING BY PRESTIGIOUS ORGANIZATIONS SUCH AS: THE SOCIETY OF CHEST PAIN CENTERS AMERICAN COLLEGE OF SURGEONS AMERICAN HEART ASSOCIATION AMERICAN STROKE ASSOCIATION NATIONAL ACCREDITATION PROGRAM OF BREAST CENTERS AMERICAN NURSING CREDENTIALING CENTER PREMIER HEALTHCARE ALLIANCE OHIO PATIENT SAFETY INSTITUTE US NEWS AND WORLD REPORT CONQUER CANCER FOUNDATION AMERICAN SOCIETY OF CLNICAL ONCOLOGY AMERICAN COLLEGE OF RADIATION AMERICAN COLLEGE OF SURGEONS: COMMISSION ON CANCER NURSES IMPROVING CARE FOR HEALTHSYSTEM ELDERS AMERICAN SOCIETY FOR METABOLIC AND BARIATRIC SURGERY: CENTER OF EXCELLENCE CARECHEX METABOLIC AND BARIATRIC SURGERY ACCREDITATION AND QUALITY IMPROVEMENT PROGRAM THE JOINT COMMISSION 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 HOSPITAL CAMPUSES AND SEVERAL OFF-SITE LOCATIONS. SUMMA HEALTH SYSTEM OPERATES BOTH HOSPITAL LOCATIONS AS WELL AS THE HOSPITAL-BASED OFF-SITE LOCATIONS UNDER THE SAME MEDICARE PROVIDER NUMBER. SUMMA HEALTH SYSTEM EMPLOYS MORE THAN 9,000 INDIVIDUALS WITH SUMMA HEALTH SYSTEM ACCOUNTING FOR APPROXIMATELY 7,000 OF THESE EMPLOYEES. SUMMA HEALTH SYSTEM HAS A MEDICAL STAFF OF MORE THAN 1,000 PROFESSIONALS WORKING ON ITS CAMPUSES. SUMMA HEALTH SYTSEM HAS 946 REGISTERED BEDS AND 46 LICENSED BASSINETS. THE BUILDINGS AND FACILITIES ON BOTH CAMPUSES TOTAL APPROXIMATELY 1.7 MILLION SQUARE FEET. SUMMA HEALTH SYSTEM OFFERS GENERAL MEDICAL, SURGICAL, OBSTETRICAL, TRAUMA, AND CRITICAL CARE SERVICES. SUMMA AKRON CITY HOSPITAL PROVIDES ACUTE CARE SERVICES ON A CAMPUS OF APPROXIMATELY 60 ACRES. THE CAMPUS IS HOME TO SPECIALTY HEALTH CENTERS OFFERING A WIDE RANGE OF OUTPATIENT SERVICES. SUMMA HEALTH SYSTEM RECEIVED THE FOLLOWING RECOGNITION IN 2014: SUMMA AKRON CITY & ST. THOMAS HOSPITALS RANKED SIXTH BEST HOSPITAL IN OHIO BY U.S. NEWS & WORLD REPORT. IT IS RANKED NATIONALLY IN 2 SPECIALTIES OF ENDOCRINOLOGY (DIABETES CARE) AND GASTROENTEREOLOGY; AND AS HIGH PERFORMING IN 9 OTHER ADULT SPECIALTIES: CARDIOLOGY & HEART SURGERY; EAR, NOSE & THROAT; GERIATRICS; GYNECOLOGY; NEPHROLOGY; NEUROLOGY & NEUROSURGERY; ORTHOPEDICS; PULMONOLOGY; AND UROLOGY. SUMMA BECAME ONE OF EIGHT COMMUNITY ONCOLOGY PRACTICES IN THE COUNTRYRECOGNIZED BY THE CONQUER CANCER FOUNDATION FOR ITS COMMITMENT TO HIGH-QUALITY CLINICAL TRIALS. SUMMA ST. THOMAS HOSPITAL CAMPUS PROVIDES VARIOUS DIAGNOSTIC SERVICES ALONG WITH BEHAVIORAL HEALTH AND SUBSTANCE ABUSE CARE. SUMMA ST. THOMAS HOSPITAL WAS ONE OF THE FIRST IN THE COUNTRY TO RECOGNIZE THE MEDICAL ASPECTS OF ALCOHOLISM AS A DISEASE AND IS THE FOUNDING LOCATION OF ALCOHOLICS ANONYMOUS. THE HOSPITAL OPENED THE NATION'S FIRST ALCOHOLISM TREATMENT WARD AND CONTINUES ITS LONGSTANDING DEDICATION TO THIS PROGRAM TODAY. SUMMA HEALTH SYSTEM IS A MAJOR TEACHING AFFILIATE FOR NORTHEAST OHIO MEDICAL UNIVERSITY (NEOMED), SPONSORING AND/OR CO-SPONSORING 17 RESIDENCIES AND FELLOWSHIPS ALONG WITH PROVIDING EDUCATIONAL ROTATIONS FOR MEDICAL STUDENTS. SUMMA BARBERTON CITIZEN'S HOSPITAL: SUMMA BARBERTON CITIZEN'S HOSPITAL 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 MORE THAN 1,600 EMPLOYEES AND HAS A MEDICAL STAFF OF MORE THAN 500 PROFESSIONALS. IT HAS 235 REGISTERED ADULT BEDS AND 14 AVAILABLE BASSINETS. SUMMA BARBERTON CITIZEN'S HOPSITAL RECEIVED THE FOLLOWING RECOGNITION IN 2014: MAINTAINED ACCREDITATION FOR CHEST PAIN CENTER BY THE SOCIETY OF CARDIOVASCULAR PATIENT CARE, NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS, BREAST IMAGING CENTER OF EXCELLENCE (ACR), COMMISSION ON CANCER ACCREDITATION, HOSTED "LOVE YOUR LUNGS" IN RECOGNITION OF NATIONAL SMOKE OUT DAY AND WAS AN ACTIVE MEMBER OF ANNUAL MUMFEST AND OTHER COMMUNITY EVENTS. THE WADSWORTH-RITTMAN AREA HOSPITAL ASSOCIATION: THE WADSWORTH-RITTMAN AREA HOSPITAL ASSOCIATION WAS MERGED INTO SUMMA BARBERTON CITIZEN'S HOSPITAL DURING 2014. IT'S CAMPUS HAS APPROXIMATELY 200,000 SQUARE FOOT, ON APPROXIMATELY 38 ACRES. LOCATED APPROXIMATELY 20 MILES WEST OF AKRON, OHIO, THE FACILITY HOUSES A WIDE RANGE OF DIAGNOSTIC SERVICES INCLUDING RADIOLOGY, GENERAL MEDICAL, AMBULATORY SURGERY AND A 24/7 EMERGENCY DEPARTMENT. WADSWORTH-RITTMAN AREA HOSPITAL ASSOCIATION PARTICIPATED IN MANY COMMUNITY EVENTS THROUGHOUT THE YEAR INCLUDING SPONSOR FOR BLUETIP FESTIVAL, "SCARE ON THE SQUARE," "CANDLELIGHT WALK," YEAR-LONG BICENNENTIAL CELEBRATIONS AND HOSTED "LOVE YOUR LUNGS" IN RECOGNITION OF NATIONAL SMOKE OUT DAY. CHARITY CARE IN 2014, SUMMA HEALTH PROVIDED FINANCIAL ASSISTANCE AT AN ESTIMATED NET COST OF NEARLY $14 MILLION. THIS AMOUNT REPRESENTS THE NET COST ASSOCIATED WITH PROVIDING THE CARE AND DOES NOT INCLUDE BAD DEBT. PATIENTS WITH INCOME UP TO 200% OF THE FEDERAL POVERTY INCOME GUIDELINES OR WHO HAVE A HOSPITAL BILL THAT EXCEEDS 25% OF THEIR GROSS ANNUAL FAMILY INCOME ARE ELIGIBLE TO APPLY FOR FULLY DISCOUNTED CHARITY CARE ASSISTANCE. IN ADDITION, THERE IS A SLIDING SCALE DISCOUNT PROGRAM FOR THOSE WITH INCOMES BETWEEN 200% AND 400% OF THE FEDERAL POVERTY INCOME GUIDELINES. IN 2014, THE FINANCIAL ASSISTANCE PROGRAM (INCLUDING HOSPITAL CARE ASSURANCE PROGRAM) BENEFITED APPROXIMATELY 28,000 PATIENT ENCOUNTERS.
CoreFormPartIII_PartIIILine4d Description of other program services	(Expenses $ 0 including grants of $ 0)(Revenue $ 0) Part III Line 4D - Other Program Services - continued: 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 MORE THAN $6.8 MILLION. BAD DEBT SUMMA HEALTH IS COMMITED 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 2014, THE COST FOR PROVIDING CARE WRITTEN OFF AS A BAD DEBT EXPENSE WAS APPROXIMATELY $24 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 2014, SUMMA HEALTH PROVIDED MORE THAN $1.2 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 - CLINICIAL SERVICES THAT MEET AN IDENTIFIED COMMUNITY NEED AND ARE PROVIDED DESPITE FINANCIAL LOSS. VITAL SERVICES SUCH AS THE CENTER FOR SENIOR HEALTH, CARE CENTER FOR PATIENTS WITH HIV OR AIDS, AND DIABETES EDUCATION ARE OFFERED, EVEN THOUGH THEY ARE NOT PROFITABLE. INCOME FROM OTHER SERVICES IS USED TO COVER THESE COSTS. IN 2014, THE COST FOR SUBSIDIZED SERVICES WAS APPROXIMATELY $24 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 THE LOCAL CHAPTERS OF NATIONAL GROUPS SUCH AS UNITED WAY, THE AMERICAN HEART ASSOCIATION AND THE AMERICAN CANCER SOCIETY, TO AKRON COMMUNITY HEALTH RESOURCES (AKRON'S ONLY FEDERALLY-FUNDED HEALTH CENTER) SUMMA HEALTH PARTICIPATES IN NUMEROUS COMMUNITY PROGRAMS AND HELPS OTHER NONPROFITS FULFILL THEIR MISSIONS. IN 2014, THESE CONTRIBUTIONS WERE MORE THAN $1 MILLION. RESEARCH SUMMA HEALTH'S QUALITY MEDICAL CARE IS DERIVED IN PART FROM ITS ABILITY TO TRANSLATE RESULTS FROM CAREFULLY PLANNED AND EXECUTED RESEARCH INTO EFFECTIVE PATIENT CARE STRATEGIES. RESEARCH AND INNOVATION IS AN INTEGRAL FOCUS OF THE ACADEMIC AND CLINICAL ENVIRONMENT AT SUMMA HEALTH AND HELPS SET THE HIGHEST STANDARDS FOR MEDICAL CARE IN THE COMMUNITY. SUMMA HEALTH'S REPUTATION FOR EXCELLENCE IN SUCH CRITICAL SPECIALITIES AS CARDIOLOGY, DIABETES, EMERGENCY SERVICES, ORTHOPAEDICS, ONCOLOGY, SENIOR HEALTH, SURGERY, AND WOMEN'S HEALTH CONTINUES TO GROW THROUGH RESEARCH AND INNOVATION. SUMMA HEALTH INVESTED MORE THAN $6.4 MILLION IN RESEARCH IN 2014. IN ADDITION TO SUPPORT FROM SUMMA FOUNDATION, MAJOR RESEARCH PROGRAMS ARE SUPPORTED BY GRANTS FROM THE NATIONAL INSTITUTES OF HEALTH, THE DEPARTMENT OF DEFENSE AND INDUSTRY SPONSORS. EDUCATION SUMMA HEALTH SUPPORTS THE EDUCATION OF PHYSICIANS AND OTHER HEALTHCARE PROFESSIONALS. SUMMA HEALTH SYSTEM IS THE LARGEST OF THE MAJOR TEACHING AFFILIATES OF THE NORTHEST OHIO MEDICAL UNIVERSITY (NEOMED, A CONSORTIUM OF THE UNIVERSITY OF AKRON, KENT STATE UNIVERSITY AND YOUNGSTOWN STATE UNIVERSITY, AND OFFERS EDUCATION TO NEOMED'S COLLEGES OF MEDICINE AND PHARMACY STUDENTS, AS WELL AS TO MEDICAL STUDENTS FROM SCHOOLS AROUND THE COUNTRY. IN ADDITION, SUMMA HEALTH OFFERS 17 ACCREDITED RESIDENCY TRAINING PROGRAMS IN NUMEROUS SPECIALTIES, TRAINING THE NEXT GENERATION OF PRIMARY CARE AND SPECIALTY PHYSICIANS FOR THE REGION AND BEYOND. NURSING EDUCATION ALSO IS OFFERED IN COLLABORATION WITH OUR LOCAL UNIVERSITY PARTNERS. IN 2014, APPROXIMATELY 230 RESIDENTS AND FELLOWS TRAINED AT SUMMA HEALTH'S THREE MAIN HOSPITALS. ON AVERAGE, APPROXIMATELY 40% OF THESE RESIDENTS REMAIN IN OUR LOCAL AND SURROUNDING COMMUNITIES. SUMMA HEALTH'S 2014 INVESTMENT IN HEALTH PROFESSIONS EDUCATION TOTALED $24 MILLION. SUMMA HEALTH IS ONE OF FIVE FOUNDING MEDICAL AND EDUCATIONAL INSTITUTIONS RESPONSIBLE FOR THE CREATION OF THE AUSTEN BIOINNOVATION INSTITUTE IN AKRON (ABIA), A UNIQUE COLLABORATION THAT EXPANDS UPON THE REGION'S RICH LEGACY IN INDUSTRIAL AND MATERIALS SCIENCE TO PIONEER THE NEXT GENERATION OF LIFE ENHANCING AND LIFE SAVING INNOVATIONS. SUMMA HEALTH SERVICES: FOLLOWING IS A DESCRIPTION OF SUMMA HEALTH'S NOTABLE ACCOMPLISHMENTS BY PRIMARY SERVICE LINES IN 2014: CARDIOVASCULAR - AN UPGRADED HEART RHYTHM SERVICES (HRS) LAB OPENED IN JANUARY ON THE CAMPUS OF SUMMA AKRON CITY HOSPITAL. SUMMA'S CARDIOVASCULAR INSTITUTE APPLIED FOR, AND WAS ACCEPTED TO, THE CENTERS FOR MEDICARE AND MEDICAID INNOVATION'S BUNDLED PAYMENTS FOR CARE INITIATIVE PROGRAM. SUMMIT COUNTY'S FIRST TRANSCATHETER AORTIC VALVE REPLACEMENT (TAVR) PERFORMED IN THE NEW HYBRID OPERATING ROOM SUITE IN DECEMBER 2014. EMERGENCY/TRAUMA SERVICES - EMS DEVELOPED AND IMPLEMENTED EMS DIRECT ACTIVATION OF THE CARDIAC CATHETERIZATION LAB FOR CHEST PAIN PATIENTS, RESULTING IN AN OVERALL DECREASE TIME OF TEN MINUTES. THIS RESULTED IN RECOGNITION BY THE AMERICAN HEART ASSOCIATION'S PLATINUM ACHIEVEMENT AWARD. NEUROSCIENCE - IN ADDITION TO THE JOINT COMMISSION'S STROKE RECERTIFICATION, THE "TARGET STROKE AWARD" AND "GET WITH THE GUIDELINES GOLD PLUS AWARD" WERE RECEIVED FROM AHA. ONCOLOGY - SUMMA HEALTH APPROVED THE VERO LINEAR ACCELERATOR TO EXPAND THE RADIOSURGERY PROGRAM, MAKING SUMMA AKRON CITY HOSPITAL THE FIRST COMMUNITY HOSPITAL IN THE COUNTRY TO HAVE THIS SPECIALIZED TECHNOLOGY. IN 2014, SUMMA BECAME ONE OF EIGHT COMMUNITY ONCOLOGY PRACTICES IN THE COUNTRYRECOGNIZED BY THE CONQUER CANCER FOUNDATION FOR ITS COMMITMENT TO HIGH-QUALITY CLINICAL TRIALS. SUBSTANTIAL INVESTMENT TO PROVIDE ADVANCED CANCER CARE TO PATIENTS IN THE REGION WITH ONCOLOGY ADDED TEN NEW ONCOLOGY SPECIALISTS, FROM SURGEONS TO RADIOLOGISTS, AND APPROVING OVER $4 MILLION TO ADD 3D MAMMOGRAPHY TECHNOLOGY AND A NEW BREAST CENTER IN AKRON. ORTHOPAEDICS - CRYSTAL CLINIC ORTHOPAEDIC CENTER WAS RECOGNIZED BY COMPARION MEDICAL ANALYTICS/CARECHEX FOR BEST QUALITY IN ORTHOPEDIC CARE AND JOINT REPLACEMENT SURGERY. RESPIRATORY - EXPANDED ITS SMOKING CESSATION PROGRAM ACROSS THE SYSTEM, AND IMPLEMENTED A SCREENING CHEST SCAN (CT) PROGRAM FOR LUNG CANCER. SENIORS, POST ACUTE AND TRANSITIONAL CARE - IN ADDITION TO THE PALLATIVE CARE RECOGNITION BY THE JOINT COMMISSION, SUMMA HEALTH'S HOSPITALS ACHIEVED NICHE (NURSES IMPROVING CARE FOR HEALTH SYSTEM ELDERS) DESIGNATION FOR THE UPCOMING YEAR. SENIOR SERVICES LEADER SELECTED AS "PRACTICE CHANGE LEADER" FOR HER WORK IN DEVELOPING NEW MODEL OF PRIMARY CARE FOR FRAIL CHRONICALLY ILL ELDERLY PATIENTS. WOMEN'S SERVICES - MET OR EXCEEDED THE OHIO HOSPITAL AVERAGE IN SIX PERINATAL MEASURES, LEADING TO THE OHA'S PATIENT SAFETY INSTITUTE'S BEST PRACTICE AWARD NOTED ABOVE. ALSO SUCCESSFULLY IMPLEMENTED A LARGE INFORMATICS UPGRADE TO THE OBSTETRICAL ELECTRONIC DOCUMENTATION AND FETAL SURVEILLANCE SYSTEM TO IMPROVE SAFETY AND REPORTING RELIABILITY. INTRODUCED RELAX BIRTH, AN INNOVATIVE BIRTHING OPTION FOR WOMEN. DEVELOPED WOMEN'SHEALTH APP FOR PATIENT EDUCATION. LED OR PARTICIPATED IN SEVERAL OB/GYN RESEARCH EFFORTS.
CoreFormPartIII_PartIIILine4d Description of other program services	(Expenses $ 0 including grants of $ 0)(Revenue $ 0) Part III Line 4D - Other Program Services - Final Section: 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 ITHE CHARITY DISCOUNT FOR WHICH THE PATIENT MAY BE ELIGIBLE. IN 2014, SUMMA HEALTH PROVIDED CHARITY CARE TO THE INDIGENT (INCLUDING UNREIMBURSED MEDICAID) AT THE COST OF APPROXIMATELY $14.2 MILLION. THIS AMOUNT DOES NOT INCLUDE SERVICES PROVIDED WRITTEN OFF AS BAD DEBT. IN ADDITON TO UNCOMPENSATED MEDICAL CARE, SUMMA HEALTH PROVIDED WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS AND SPECIAL PROGRAMS FOR THE ELDERLY, HANDICAPPED, AND 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 CONSISTED OF PERSONS WHO ARE BROADLY REPRESENTATIVE OF THE COMMUNITY AND MEDICAL STAFF. SUMMA PHYSICIANS INC. - PROGRAM SERVICE ACCOMPLISHMENTS SUMMA PHYSICIANS INC. (SPI) IS A SUMMA HEALTH ENTITY COMPRISED OF MULTI-SPECIALTY PHYSICIANS AND PRACTICES. IN TOTAL, SPI EMPLOYS NEARLY 300 PHYSICIANS AND MORE THAN 700 SUPPORT STAFF IN MORE THAN 30 SPECIALTIES AND SUB-SPECIALTIES. SPI PROMOTES STRONG AFFILIATION AND EMPLOYMENT OF PHYSICIANS TO ENSURE COMMUNITY AND HOSPITAL NEEDS FOR PHYSICIAN SERVICES ARE MET. IN 2014, SPI CONTINUED ITS DEVELOPMENT OF PRIMARY CARE PODS AND THE MEDICAL HOME MODEL OF CARE, TO FURTHER ENHANCE THE FOCUSED PATIENT CARE MODEL, BETTER COMMUNICATE QUALITY INITIATIVES AND ENHANCE PHYSICIAN RECRUITMENT. SUMMA FOUNDATION - PROGRAM SERVICE ACCOMPLISHMENTS THROUGH PHILANTHROPY, SUMMA FOUNDATION SUPPORTS MEDICAL EDUCATION, RESEARCH, TECHNOLOGY, AND CLINICAL INNOVATION. ENCOMPASSING FUNDRAISING, RESOURCE DEVELOPMENT, COMMUNITY BENEFIT, DIVERSITY AND GOVERNMENT RELATIONS, SUMMA FOUNDATION WORKS TO DEVELOP NEW, DIVERSIFIED AND INCREASED RESOURCES AND BUILD RELATIONSHIPS THAT INFLUENCE HEALTH POLICY TO ADVANCE THE REGIONAL PRIORITIES OF SUMMA HEALTH. DEVELOPMENT THE FOUNDATION'S DEVELOPMENT DEPARTMENT OFFERS A SPECTRUM OF PHILANTHROPIC OPTIONS FOR DONORS DESIGNED TO CREATE A POSITIVE IMPACT ON SUMMA HEALTH'S OPERATIONS, PROGRAMS, PROJECTS AND PERCEPTIONS AND TO AFFECT POSITIVE CHANGE IN THE COMMUNITIES SUMMA HEALTH SERVES. DEVELOPMENT HOUSES THE GRANT AND PROPOSAL DEVELOPMENT OFFICES CREATED TO IDENTIFY THE RESOURCES AND EXPERTISE OF EXTERNAL AND INTERNAL PARTNERS TO GENERATE FUNDING OR RESEARCH, EDUCATION AND CLINICAL AND SYSTEM PROJECTS. PHILANTHROPIC COMMITMENTS TO THE SUMMA FOUNDATION IN 2014 TOTALED $9.1 MILLION. COMMUNITY BENEFIT AND DIVERSITY THIS DEPARTMENT LEADS EFFORTS TO ADDRESS HEALTH DISPARITIES AND OTHER IMPORTANT COMMUNITY NEEDS AND RAISE AWARENESS OF HEALTH AND HEALTHCARE ISSUES AFFECTING THE COMMUNITIES SERVED BY SUMMA HEALTH. COMMUNITY BENEFIT AND DIVERSITY PROVIDE WELLNESS AND EDUCATIONAL TOOLS, FACILITATE ECONOMIC DEVELOPMENT PROGRAMS, DEVELOP COMMUNITY PARTNERSHIPS, COMMUNICATE SUMMA HEALTH'S BENEFIT TO THE COMMUNITY AND ENGAGE THE COMMUNITY AND ITS WORKFORCE WITHIN THE SYSTEM AND THROUGHOUT THE REGION. GOVERNMENT RELATIONS THIS DEPARTMENT IS DEDICATED TO ELEVATING SUMMA HEALTH AS A CREDIBLE LEADER AND PARTNER IN THE HEALTH POLICY PLANNING PROCESS. THIS DEPARTMENT COLLABORATES WITH THE SYSTEM DEVELOPMENT TEAM TO BEST POSITION SUMMA EDUCATION, RESEARCH AND CLINICAL INNOVATION PRIORITIES WITH PUBLIC SECTOR FUNDING OPPORTUNITIES.
Form 990, Part VI, Line 1a Material differences in voting rights	Summa Health System (fka Summa Akron City and St. Thomas Hospitals): N/A Summa Foundation : Summa Foundation has an Executive Committee comprised of the Chair, Vice Chair, Secretary, Treasurer, and one additional Director of the Summa Foundation. All members of the Executive Committee are Directors of Summa Foundation. The Executive Committee is authorized to exercise the powers of the Board at such time as the Board is not in session, subject to restrictions imposed by previous decisions of the Board and to the provisions of the Summa Foundation Code of Regulations. All interim actions by the Executive Committee are reported at the Board's next meeting succeeding such action. The Executive Committee prepares and makes such recommendations to the Board as are pertinent to the welfare of the Summa Foundation. Summa Physicians, Inc.: The Code of Regulations provides for an Executive Committee to be comprised of three (3) directors. The Executive Committee may make governance decisions between Board meetings. Summa Barberton Citizens Hospital: N/A Summa Wadsworth-Rittman Hospital (merged July 1, 2014): N/A
Form 990, Part VI, Line 2 Family/business relationships amongst interested persons	Thomas J. Strauss, Brian Derrick and William A. Powel, III - Business relationship, Thomas J. Strauss and Thomas Malone, M.D. - Business relationship, William Bauman, M.D., Robert Debski, M.D., Scott Weiner, M.D., Thomas P. O'Neill, Robert A. Gerberry, and William A. Powel, III - Business relationship, Erik Steele, D.O. and Thomas P. O'Neill - Business relationship, Thomas Knoll, William A. Powel, III, Brian Derrick, Erik Steele, D.O., and Thomas J. Strauss - Business relationship, Samir Gibara and Scott Honnold - Business relationship, George Daverio, Jr. and C. Gordon Ewers - Business relationship, Jason Butterworth and Mark Krohn - Business relationship, Dale Murphy, M.D. and William A. Powel, III - Business relationship
Form 990, Part VI, Line 4 Significant changes to organizational documents	Summa Wadsworth-Rittman Hospital merged with Summa Barberton Citizens Hospital effective as of July 1, 2014. Summa Barberton Citizens Hospital was the surviving entity. Additionally, Summa Akron City and St. Thomas Hospitals changed its name to Summa Health System.
Form 990, Part VI, Line 6 Classes of members or stockholders	Summa Health System (fka Summa Akron City and St. Thomas Hospitals) Summa Health is the sole member of Summa Health System. Summa Foundation Summa Health is the sole member of Summa Foundation Summa Barberton Citizens Hospital Summa Health is the sole member of Summa Barberton Citizens Hospital. Summa Wadsworth-Rittman Hospital Prior to the merger of Summa Wadsworth-Rittman Hospital, effective as of July 1, 2014, Summa Health was the sole member of Summa Wadsworth-Rittman Hospital. Summa Physicians, Inc. 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 (fka Summa Akron City and St. Thomas Hospitals) The Directors of the Corporation are elected as set forth below: * Nine (9) non-physician Directors are elected by Summa Health as the sole member of the Corporation. * Six (6) physician Directors are elected from a slate of nominees nominated through a process to be developed by the Medical Staffs of the Summa Hospitals * The Chief Medical Officer of Summa Health is a Special Voting Director Summa Barberton Citizens Hospital The Directors of the Corporation are elected as set forth below: * Nine (9) non-physician Directors are elected by Summa Health as the sole member of the Corporation. * Six (6) physician Directors are elected from a slate of nominees nominated through a process to be developed by the Medical Staffs of the Summa Hospitals * The Chief Medical Officer of Summa Health System is a Special Voting Director 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 serves as a director of Summa Foundation. Summa Physicians, Inc. Summa Physicians, Inc. is affiliated with Summa Health System and only persons approved by Summa Health System or employed by Summa Health system or an affiliated entity may serve as a director of Summa Physicians, Inc.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	Summa Health System (fka Summa Akron City and St. Thomas Hospitals) Summa Barberton Citizens Hospital Summa Wadsworth-Rittman Hospital Summa Health is the sole member of each of Summa Health System, Summa Barberton Citizens Hospital, and Summa Wadsworth-Rittman Hospital. As the sole member, Summa Health has the power and authority to approve or disapprove of each of the following on behalf of each of Summa Health System, Summa Barberton Citizens Hospital, and Summa Wadsworth-Rittman Hospital: (i) Any modification of the essential nature, purpose, mission or operations of the Corporation; (ii) Adoption of a Code of Regulations, Bylaws or other constitutive document of the Corporation and any and all amendments thereto; (iii) Adoption of any amendments to the Articles of Incorporation or similar charter or organizational document or agreement and/or any other change in the corporate structure or governance of the Corporation; (iv) Establishment of qualifications for the selection of Directors, Directors or Managers of the Corporation; (v) Appointment or election and removal of members of the governing body of the Corporation; (vi) Appointment or election and removal of the President and/or Chief Executive Officer or similar officer(s) of the Corporation; (vii) Adoption of annual operating and capital budgets of the Corporation; (viii) The borrowing of money or other incurring or creating of any indebtedness of the Corporation, including by way of a guaranty of the debt of another, in an amount greater than $1,000,000 or that will increase the amount of indebtedness incurred in the current calendar year, in the aggregate, to more than $3,500,000; (ix) Adoption of the long range plans of the Corporation; (x) Determinations as to the use and occupancy of any building owned or leased by the Corporation; (xi) The sale, encumbrance, lease or disposition of real property of the Corporation other than in the ordinary course of the operations of the Corporation; and (xii) The merger, reorganization, dissolution or other corporate action of a similar nature, including participation in a joint venture, proposed by the Corporation. Summa Foundation Summa Health is the sole member ("Member") of Summa Foundation. The following are the matters ("Reserved Powers") which must be submitted to, and receive the approval of both the Board of Directors of Summa Foundation and the Member: (i) Adoption of the Foundation's annual operating and capital budgets; (ii) Expenditures for (a) non budgeted items in excess of certain dollar limits set from time to time by the Member and (b) items which are included in the Foundation's annual budgets but which exceed the budgeted amount by an amount in excess of certain dollar limits set from time to time by the Member; (iii) Incurrence, assumption or guarantee of any indebtedness if following the incurrence, assumption, or guarantee of such indebtedness the aggregate amount of all outstanding indebtedness incurred, assumed or guaranteed by the Foundation which has not been previously approved by the Member exceeds certain dollar limits set from time to time by the Member; (iv) Submission of any certificate of need application with any State or Federal Regulatory Agency; (v) Execution of any contract that calls for the Foundation to expand a sum in excess of certain dollar limits set from time to time by the Member or to provide services with a value in excess of certain dollar limits set from time to time by the Member; (vi) Election of such officers as are required to be elected under this Code of Regulations; (vii) Appointment of the Foundation's auditors and/or accountants; (viii) Adoption of the Foundation's long range plans and management objective, including the execution of any agreement with consortiums, alliances, etc; (ix) Sale, lease or other disposition of any real or personal property of the Foundation with a value in excess of certain dollar limits to be set from time to time by the Member; (x) Sale, release, dissolution, transfer, exchange, or other disposition of any organization (or of all or substantially all of the assets of such organization) controlled by the Foundation if after such sale, release, dissolution, transfer, exchange or other disposition, such organization (or all or substantially all of the assets of such organization) would no longer be controlled by the Foundation; (xi) Adoption or amendment of the Foundation's Code of Regulations or Articles of Incorporation; (xii) Any other matter which may be specified by the Member or by the Board or required by law. Summa Physicians, Inc.: N/A
Form 990, Part VI, Line 11b Review of form 990 by governing body	The return was reviewed in detail by a committee consisting of internal legal counsel, financial management, and an external auditor. The review committee included the Senior Vice President, Finance & CFO and the Senior Vice President, Legal Services & General Counsel. This detailed review occurred in October 2015. Following this review and incorporation of changes recommended by this committee, the return was provided to the Summa Health Committee on Governance prior to its October 2015 meeting for further review. The Committee on Governance is a standing committee appointed by the Summa Health Board of Directors and includes members of the Board of Directors. Schedule H of the return was also reviewed by the Summa Health Community Benefits Committee. After these reviews by the Committee on Governance and the Community Benefits Committee, and prior to filing with the IRS, an email was sent to each voting member of the Boards of Directors. This email included instructions and a link to a password-protected web site on which the entire Form 990 was available for viewing.
Form 990, Part VI, Line 12c Conflict of interest policy	A conflict of interest questionnaire is sent annually to all Summa Health entities' boards of directors, key employees, senior managers, medical directors, employed physicians, contracted physicians, administrative directors, executive directors, department heads, managers, supervisors, and members of purchasing committees for completion. Responses are individually reviewed for determination of potential conflicts. Those responses deemed to present potential conflicts are then presented to the governance committee (sub-committee of the Summa Health board of directors). The governance committee reviews each response that presents a potential conflict and determines whether additional action is required to eliminate or mitigate the potential conflict. This annual conflict of interest questionnaire process is managed by the corporate compliance department pursuant to the Summa Health policy on conflict of interest as approved by the Summa Health Board of Directors. In addition to the annual conflict of interest questionnaire, the conflict of interest policy imposes a duty to disclose conflicting interests on an ongoing basis. Disclosure Procedure: any person with a conflicting interest in a transaction or arrangement is required to disclose the conflicting interest to the board or committee considering such transaction or arrangement prior to or at the beginning of any meeting at which such transaction or arrangement is under consideration. The person with a conflicting interest is prohibited from using his/her personal influence on the matter but may briefly state his/her position on the transaction or arrangement and answer questions raised by members of the board or committee. The person with a conflicting interest is prohibited from otherwise participating in the decision and may be required to leave the meeting during the discussion and vote on the transaction or arrangement. In addition, if appropriate, a non-interested person or committee may be appointed to investigate alternatives to the proposed transaction or arrangement. the minutes of board meetings and committee meetings reflect whether any conflicting interests were disclosed. the nature of the conflicting interests, and the names of persons who were present for discussion and votes relating to the transaction or arrangement.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	Executive Compensation: The Compensation Committee of the Summa Health Board of Directors meets at least twice each year to review and approve base compensation and total remuneration for executive staff. Each voting member of the Compensation Committee is an independent director and is not affiliated with management with the exception of one board member who is an independent contractor who recuses himself on voting regarding the CEO evaluation and compensation package. The Compensation Committee engages outside consulting support to provide independent market data, advice and counsel to the Compensation Committee. For the past five years, the Compensation Committee has used Hay Group, a nationally recognized consulting firm, to assist their efforts. The Hay Group provides the following services to the Compensation Committee: (a) education of Committee members regarding executive compensation trends and best practices in healthcare organizations; (b) assessment of the market competitiveness and reasonableness of Summa's executive compensation programs including base salary, incentive compensation, core and executive benefits, as well as their alignment with the mission and future performance expectations; (c) written, detailed evaluation of the market reasonableness of Summa's executive compensation and benefits program; and (d) ongoing support and independent advice to the Compensation Committee on matters related to executive compensation. Each year the Compensation Committee reviews and approves the compensation for the following positions: Summa Health * President & CEO * Senior Vice President, Finance & CFO * Senior Vice President, Legal Services & General Counsel * Senior Vice President, IT&S & CIO * Senior Vice President, Service Lines, Ambulatory & Ancillary * Senior Vice President, Planning & Marketing * Senior Vice President & Chief Nursing Officer * Senior Vice President, Human Resources * Senior Vice President, Chief Medical Officer * Chief Operating Officer Summa Health System (fka Summa Akron City and St. Thomas Hospitals) * President Summa Foundation * President Summa Barberton Citizens Hospital & Summa Wadsworth-Rittman Hospital * Sr. Vice President, Hospital Operations/Site Administrator Summa Physicians, Inc. * President
Form 990, Part VI, Line 15b Process to establish compensation of other employees	See response to Part VI, Line 15a
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 Independent Contractor Reporting	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	Registration Fees - Total Revenue: 1593021, Related or Exempt Function Revenue: 1593021, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Research Grants - Total Revenue: 1202041, Related or Exempt Function Revenue: 1202041, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Medical Education - Total Revenue: 758614, Related or Exempt Function Revenue: 758614, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	Gift/Flower Shop - Total Revenue: 150419, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 150419;
Form 990, Part IX, Line 11g Other Fees	Purchased Medical Services - Total Expense: 41246618, Program Service Expense: 41246618, Management and General Expenses: , Fundraising Expenses: ; Purchased Non-Medical Services - Total Expense: XXX-XX-XXXX, Program Service Expense: , Management and General Expenses: XXX-XX-XXXX, Fundraising Expenses: 76230; Perfusion/Blood - Total Expense: 3330728, Program Service Expense: 3330728, Management and General Expenses: , Fundraising Expenses: ; Ambulance Services - Total Expense: 313155, Program Service Expense: 313155, Management and General Expenses: , Fundraising Expenses: ; Hospice Services - Total Expense: 3459000, Program Service Expense: 3459000, Management and General Expenses: , Fundraising Expenses: ; Physician Practice Support - Total Expense: 21797987, Program Service Expense: 21797987, Management and General Expenses: , Fundraising Expenses: ; Physician Services - Affiliates - Total Expense: 53691482, Program Service Expense: 53691482, Management and General Expenses: , Fundraising Expenses: ; Collections - Total Expense: 6324710, Program Service Expense: 5306432, Management and General Expenses: 1018278, Fundraising Expenses: ; Repair/Maintenance - Total Expense: 13449277, Program Service Expense: 11283943, Management and General Expenses: 2165334, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	Net Assets Released from Restrictions - 2714000; Change in Net Assets - 7318893; Pension Liability Adjustment - -39362000; Post Retirement Benefit Adjustment - -300000; Transfers Between Affiliates - -XXX-XX-XXXX; Other Changes in Net Assets - -3790700;
Form 990 Part VI Lines 1a and 1b Aggregated director count for this group return	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") - 13 - 6 Summa Foundation ("SF") - 22 -21 Summa Barberton Citizens Hospital ("SBH") - 13 - 6 Summa Physicians, Inc. ("SPI") - 6 - 0 Totals for Group return - 54 - 33 All of the organizations listed above are subordinates under the control of Summa Health ("SH"). As of December 31, 2014, SH had 15 voting directors, 10 of whom were independent voting directors.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 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
Summa Enterprise Group LLC
525 East Market Street	Akron	OH	44304	030507853	Investments/Real Estate	OH	$141,000	$16,743,000	Summa Health System
Summa Enterprise Group Properties LLC
525 East Market Street	Akron	OH	44304	550837372	Real Estate	OH	$0	$0	Summa Health System
Akron Endoscopy ASC LLC
525 East Market Street	Akron	OH	44304	621865245	Professional Medical Services	OH	$0	$0	Summa Health System

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
St Thomas Medical Center Women's Board
444 North Main Street	Akron	OH	44310	346576575	Support	OH	501(c)(3	Type I	Summa Health System	false
Summa Health System Community
525 East Market Street	Akron	OH	44304	463018310	Support Org	OH	501(c)(3	Type II	Summa Health	Yes (true)

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	UBI Code VUBICodeVAmt	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
Ohio Sleep Disorders Center
130 West Exchange Street	Akron	OH	44309	341872278	Neurology	OH	Summa Health System	Related	$0	$0	false	$0	false	0.67
Summa Rehab Hospital LLC
29 North Adams Street	Akron	OH	44304	271952573	Rehab Hospital	OH	Summa Health System	Related	$14,808,244	$3,916,718	false	$0	Yes (true)	0.52

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (11 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	Address Line2ForeignAddress/AddressLine2Txt	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Address Line2USAddress/AddressLine2Txt
Ohio Health Choice Inc
525 East Market Street	Akron	OH	44304	341895396	PPO	OH	SHS Corp	C Corporation	$2,676,800	$4,081,600	0.8	Yes (true)
Summa Insurance Company Inc
10 North Main Street	Akron	OH	44308	341809108	Prop/Cas Ins	OH	SHS Corp	C Corporation	$235,010,709	$72,396,586	1	Yes (true)
Summa Health System Corp
525 East Market Street	Akron	OH	44304	341515252	Mgmt Svcs	OH	SHS	C Corporation	$612,093	$6,211,355	1	Yes (true)
Wadsworth Rittman Hos Prof Svc Corp
195 Wadsworth Rd	Wadsworth	OH	44281	010842997	Prof Med Svcs	OH	SHS Corp	C Corporation	$0	$0	1	Yes (true)
Middlebury Assurance Company
				980405096	Self Insurance		SHS	C Corporation	$12,186,668	$65,678,000	1	Yes (true)	PO Box 1051	KY1-1102	Grand Cayman	CJ	CJ
Summacare Inc
10 North Main Street	Akron	OH	44308	341726655	Prop/Cas Ins	OH	SIC	C Corporation	$283,915,318	$82,292,518	1	Yes (true)
Aris Teleradiology Holdings Inc
5655 Hudson Drive	Hudson	OH	44236	453697866	Radiology Svc	OH	SACSTH	C Corporation	$9,312,557	$6,896,927	0.579	Yes (true)						Suite 210
Summa Accountable Care Organization
525 East Market Street	Akron	OH	44304	273857055	Contracting	OH	SHS	C Corporation	$12,776,023	$3,526,018	1	Yes (true)
Health Care Centers Physicians Inc
1900 23rd Street	Cuyahoga Falls	OH	44223	341692767	Inactive	OH	SHS Corp	C Corporation	$0	$0	1	Yes (true)
Summa Management Services Organization
10 North Main Street	Akron	OH	44308	461145832	Mgmt Svcs	OH	SHS Corp	C Corporation	$37,513,555	$9,046,000	1	Yes (true)
Summa Integrated Services Organization
10 North Main Street	Akron	OH	44308	461159251	Mgmt Svcs	OH	SHS Corp	C Corporation	$20,525,030	$22,951,000	1	Yes (true)

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	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	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	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (34 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Summa Rehab Hospital LLC
A	$2,310,397	FMV
Summa Health System
B	$212,564	FMV
Summa Foundation
B	$2,689,623	FMV
Summa Foundation
C	$212,564	FMV
Summa Health System
C	$2,689,623	FMV
Summa Physicians Inc
J	$2,675,845	FMV
Summa Physicians Inc
J	$201,488	FMV
Summa Physicians Inc
J	$107,642	FMV
Summa Health System
K	$2,675,845	FMV
Summa Barberton Citizens Hospital
K	$201,488	FMV
The Wadsworth-Rittman Area Hospital Assn
K	$107,642	FMV
Summa Health System
L	$40,934,663	Cost
Summa Barberton Citizens Hospital
L	$6,937,367	Cost
The Wadsworth-Rittman Area Hospital Assn
L	$1,504,987	Cost
Summa Insurance Company Inc
L	$79,796,561	FMV
Summa Insurance Company Inc
L	$12,386,245	FMV
Summa Insurance Company Inc
L	$14,011,355	FMV
Summa Insurance Company Inc
L	$1,825,410	FMV
Summa Rehab Hospital LLC
L	$605,371	FMV
Summa Health
M	$1,032,648	FMV
Summa Health
M	$138,662	FMV
Summa Health
M	$1,312,598	FMV
Summa Physicians Inc
M	$40,934,663	Cost
Summa Physicians Inc
M	$6,937,367	Cost
Summa Physicians Inc
M	$1,504,987	Cost
Middlebury Assurance Company
M	$10,348,467	FMV
Middlebury Assurance Company
M	$2,413,628	FMV
Summa Integrated Services Organization
M	$1,491,439	FMV
Summacare Inc
M	$1,833,801	FMV
Summa Health
P	$77,718,646	Cost
Summa Health
P	$9,166,804	Cost
Summa Health
P	$3,007,606	Cost
Summa Health
P	$1,619,217	Cost
Summa Health
S	$101,840	Cost