SUMMA HEALTH GROUP RETURN: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: SUMMA HEALTH GROUP RETURN (EIN 90-0640432)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-11-12
IRS object ID: 201303169349302960
Schema version: 2012v2.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule 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)
Timestamp	2013-11-12T08:32:17-06:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	111 MONUMENT CIRCLE SUITE 2600	AddressLine1
City	INDIANAPOLIS	City
State	IN	State
ZIP Code	46204	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	900640432	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Summa Health System Group Return	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of Name	% BRIAN K DERRICK	InCareOfName
Name Control	SUMM	NameControl
Phone	3303753196	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	525 East Market Street	AddressLine1
Address Line2	Suite	AddressLine2
City	Akron	City
State	OH	State
ZIP Code	44309	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Brian K Derrick	Name
Title	CFO	Title
Phone	3303753196	Phone
Date Signed	2013-11-07	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	3176817000	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Thomas J Strauss	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	525 East Market Street	AddressLine1
City	Akron	City
State	OH	State
ZIP Code	44309	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	1332555000	GrossReceipts
Group Return For Affiliates	true	GroupReturnForAffiliates
All Affiliates Included	true	AllAffiliatesIncluded
Group Exemption Number	5864	GroupExemptionNumber
Organization501c3	X	Organization501c3
Web Site	www.summahealth.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Activity Or Mission Description	Summa Health System and its related organizations' mission is to provide the highest quality, compassionate care to patients and members and contribute to a healthier community.	ActivityOrMissionDescription
Termination Or Contraction	X	TerminationOrContraction
Nbr Voting Members Governing Body	87	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	58	NbrIndependentVotingMembers
Total Nbr Employees	9022	TotalNbrEmployees
Total Nbr Volunteers	750	TotalNbrVolunteers
Total Gross UBI	13216703	TotalGrossUBI
Net Unrelated Business Txbl Income	4988405	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	6053617	ContributionsGrantsPriorYear
Contributions Grants Current Year	6541029	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	1061546122	ProgramServiceRevenuePriorYear
Program Service Revenue CY	1107704787	ProgramServiceRevenueCY
Investment Income Prior Year	21938379	InvestmentIncomePriorYear
Investment Income Current Year	21233432	InvestmentIncomeCurrentYear
Other Revenue Prior Year	18099365	OtherRevenuePriorYear
Other Revenue Current Year	14763435	OtherRevenueCurrentYear
Total Revenue Prior Year	1107637483	TotalRevenuePriorYear
Total Revenue Current Year	1150242683	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	1448421	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	286406	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	495891252	SalariesEtcPriorYear
Salaries Etc Current Year	513798749	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	1488546	TotalFundrsngExpCurrentYear
Other Expense Prior Year	566499307	OtherExpensePriorYear
Other Expenses Current Year	593269146	OtherExpensesCurrentYear
Total Expenses Prior Year	1063838980	TotalExpensesPriorYear
Total Expenses Current Year	1107354301	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	43798503	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	42888382	RevenuesLessExpensesCY
Total Assets BOY	1136021642	TotalAssetsBOY
Total Assets EOY	1193991987	TotalAssetsEOY
Total Liabilities BOY	718039774	TotalLiabilitiesBOY
Total Liabilities EOY	727643905	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	417981868	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	466348082	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	SUMMA HEALTH SYSTEM'S MISSION IS TO PROVIDE THE HIGHEST QUALITY, COMPASSIONATE CARE TO PATIENTS AND MEMBERS AND CONTRIBUTE TO A HEALTHIER COMMUNITY.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	385379392	Expense
Revenue	448286476	Revenue
Description	Inpatient Services - For 2012, Summa Akron City & St. Thomas Hospitals (SACSTH), Summa Barberton Citizens Hospital (SBH) and The Wadsworth-Rittman Area Hospital Association (WRH) had 816 beds in service, admitted 44,055 adult patients and delivered 3,589 newborns. The adult patients received 212,771 days of care, inpatient surgeries total 7,031, emergency admits totaled 31,492 and the average length of stay was 4.83 days.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	493852862	Expense
Revenue	574466522	Revenue
Description	Outpatient Services - In 2012, Summa Akron City & St. Thomas Hospitals, Summa Barberton Citizens Hospital, The Wadsworth-Rittman Area Hospital Association and Summa Physicians, Inc. provided 1,676,485 occasions of service, including 138,952 emergency room visits, 15,887 surgical operations, and 1,521,646 other outpatient visits.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	37531241	Expense
Revenue	13022632	Revenue
Description	Research/Education - Summa Health System 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 System fosters a learning environment for the next generation of caregivers. At three of Summa Health System's hospitals, over 200 medical schools graduates train in 17 accredited residency training programs. Summa Health System provides clinical learning experiences to more than 2,600 nursing and allied health students.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	61835492	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	286406	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	71929157	TotalOfOtherProgramServiceRev
Total Program Service Expense	978598987	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	true	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	true	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	true	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	true	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	true	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	true	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	true	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	true	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	true	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	true	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	979	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	9022	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	true	QuidProQuoContributions
Quid Pro Quo Disclosure	true	QuidProQuoDisclosure
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Form8899 Filed	false	Form8899Filed
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	87	NbrVotingGoverningBodyMembers
Number Independent Voting Members	58	NumberIndependentVotingMembers
Family Or Business Relationship	true	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	true	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	false	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	true	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	FL	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	OH	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	BRIAN K DERRICK	NamePerson
Telephone Number	3303753196	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	525 EAST MARKET STREET	AddressLine1
City	Akron	City
State	OH	State
ZIP Code	44309	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (113 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
John Adams
Director SF	2.0	0.0	X	0	0	0
Karen Ayers DO
Director SBH	2.0	0.0	X	0	0	0
Michael Bage MD
Director SACSTH	48.0	2.0	X	501608	0	11162
Susan Baker
Director WRH	2.0	0.0	X	0	0	0
William Bauman MD
Director SPI	50.0	0.0	X	602900	0	11505
Julia Bianchi
Director SF	2.0	0.0	X	0	0	0
Michael Bianco MD
Director WRH	10.0	0.0	X	61257	0	0
James Biggar
Dir/Treas SACSTH, Director SF	4.0	0.0	X	0	0	0	X
Michelle Blanda MD
Director SACSTH	2.0	0.0	X	0	0	0
Nick Browning
Director SACSTH	2.0	0.0	X	0	0	0
Jason Butterworth
Director SF	2.0	0.0	X	0	0	0
Candace Campbell-Jackson
Director CFGH	2.0	0.0	X	0	0	0
Dennis Chack
Director SACSTH	2.0	0.0	X	0	0	0
Douglas Chonko DO
Director CFGH	2.0	0.0	X	0	0	0
Thomas Clark
Dir SACSTH & Dir/Chair SF	2.0	0.0	X	0	0	0	X
Jacob Cohen MD
Director SACSTH	2.0	0.0	X	0	0	0
Norman Crocker MD
Director WRH	2.0	0.0	X	3000	0	0
George Daverio
Director SF	2.0	0.0	X	0	0	0
David Dellinger DO
Director CFGH	2.0	0.0	X	0	0	0
Dennis Dick
Director/Treas CFGH	2.0	0.0	X	0	0	0	X
Vince DiGirolamo
Dir SACSTH & Dir/Treas SF	4.0	2.0	X	0	0	0	X
CGordon Ewers
Director SF	2.0	0.0	X	0	0	0
Edward Ferris MD
Director SACSTH	2.0	0.0	X	0	0	0
Daniel Figliola
Director CFGH	2.0	0.0	X	0	0	0
Jason Fried DO
Director CFGH	2.0	0.0	X	0	0	0
Steven Gaich MD
Director SPI	50.0	0.0	X	363435	0	9131
Samir Gibara
Director SF	2.0	0.0	X	0	0	0
Mark Goldfarb
Director SF	2.0	0.0	X	0	0	0
Eric Graf
Director, Secty/Treas WRH	2.0	0.0	X	0	0	0	X
Russell Gregory
Director, Chair WRH	4.0	2.0	X	0	0	0	X
Stephen Hailer
Director, Chair CFGH	4.0	2.0	X	0	0	0	X
Thomas Harnden
Director, Chair SBH	4.0	2.0	X	0	0	0	X
Robert Harrigan
Director SACSTH & System COO	46.0	4.0	X	993301	0	86844	X
Robert Hemphill MD
Director SF	2.0	0.0	X	0	0	0
Scott Honnold
Director SF	2.0	0.0	X	0	0	0
Thomas Hudson
Director WRH	2.0	0.0	X	0	0	0
Rodney Ison MD
Director SBH	2.0	10.0	X	27585	0	0
Mary Ann Jackson
Director SF	2.0	0.0	X	0	0	0
Tracy Jensen
Director SF	2.0	0.0	X	0	0	0
Phil Kaufmann
Director SF	2.0	0.0	X	0	0	0
James Kennedy MD
Director SBH	2.0	0.0	X	0	0	0
Phillp Khalil DO
Director CFGH	2.0	0.0	X	0	0	0
A Gus Kious MD
Director, President SPI	46.0	4.0	X	324308	0	339	X
Thomas Knoll
Director WRH	48.0	2.0	X	214908	0	0
Joseph Koenig MD
Director SPI	50.0	0.0	X	709616	0	15872
James Kraynak
Director, Vice Chr CFGH	2.0	0.0	X	0	0	0	X
Randall Langenderfer
Director SACSTH (term 12/2012)	2.0	0.0	X	0	0	0
Dennis Liddle
Director, Secty/Treas SBH	2.0	0.0	X	0	0	0	X
Dina Lloyd
Director, Vice Chr SBH	2.0	0.0	X	0	0	0	X
Anthony Lockhart
Director/Chair SACSTH	4.0	2.0	X	0	0	0	X
Richard Marsh
Dir CFGH & SF (term 06/2012)	2.0	2.0	X	0	0	0
Joseph McShannic MD
Director SACSTH	50.0	0.0	X	497836	0	23473
Dale Murphy MD
Director SPI	48.0	2.0	X	572275	0	47495
Randy Myeroff
Director SF	2.0	0.0	X	0	0	0
Vivian Celeste Neal
Director SF	2.0	0.0	X	0	0	0
Joseph Nienaltowski DO
Director CFGH	2.0	2.0	X	0	0	0
Thomas O'Neill
Director SPI, CFO SACSTH	46.0	4.0	X	468430	0	57141	X
Charles Parsons
Director WRH	2.0	0.0	X	0	0	0
Jonathon Pavloff
Director SF	2.0	0.0	X	0	0	0
Mark Pluskota MD
Director SBH	2.0	0.0	X	0	0	0
William Powel III
Director SPI, System Secty	46.0	4.0	X	616537	0	67761	X
Dwight Powers
Director WRH	2.0	0.0	X	0	0	0
Ernest Preston
Director SF	2.0	0.0	X	0	0	0
Margaret Ralston Payne
Director SF	2.0	0.0	X	0	0	0
Kathleen Raynor
Director SF	2.0	0.0	X	0	0	0
Froncie Repetti
Director SACSTH	2.0	0.0	X	0	0	0
Harriett Richman
Director SACSTH (term 06/2012)	2.0	0.0	X	0	0	0
Ronald Russ DO
Director CFGH	2.0	0.0	X	0	0	0
Mona Sarkar
Director/Secty SF	2.0	0.0	X	0	0	0	X
Robert Schaal MD
Director SACSTH	10.0	2.0	X	75000	0	0
Diane Schnee
Director SBH (term 01/2012)	2.0	0.0	X	0	0	0
Helen Scott
Director SBH (term 02/2012)	2.0	0.0	X	0	0	0
Anthony Solaro
Director WRH	2.0	0.0	X	0	0	0
Martin Spector
Director SF	2.0	4.0	X	0	0	0
Thomas Strauss
Director, System Pres/CEO	46.0	4.0	X	1434283	0	114053	X
Vicki Sussman
Director WRH	2.0	0.0	X	0	0	0
Susan Taft
Director SACSTH	2.0	0.0	X	0	0	0
Terry Taylor
Director SBH	2.0	0.0	X	0	0	0
Paul Testa
Director SF	2.0	0.0	X	0	0	0
Douglas Trochelman MD
Director SACSTH	50.0	0.0	X	698837	0	11162
Susan Ullman
Director, Vice Chr WRH	2.0	0.0	X	0	0	0	X
Sharon VanNostran MD
Director SACSTH	2.0	0.0	X	0	0	0
Joseph Varley MD
Director SACSTH	50.0	0.0	X	358631	0	19633
Norman Wells
Director CFGH	4.0	2.0	X	0	0	0
Darrell Widmer MD
Director WRH	50.0	0.0	X	167767	0	654
Stephen Wilt
Director/Vice Chr SF	2.0	0.0	X	0	0	0	X
Joseph Zarconi MD
Director SF (term 06/2012)	48.0	2.0	X	517890	0	57992
Brian Derrick
System CFO	46.0	4.0		691767	0	17206	X
Charles Alderson
CFO, SBH & WRH	50.0	0.0		228220	0	11720	X
Thomas DeBord
President SBH & WRH	46.0	4.0		355337	0	38386	X
Bryan Fredericks
COO, SPI	50.0	0.0		311295	0	14547	X
Steve Schmidt
COO, SF	50.0	0.0		375183	0	39743	X
Shane Seymour
Chief Devel. Officer, SF	50.0	0.0		208559	0	18602	X
Jeffrey Morris MD
Chief Medical Officer, SBH	50.0	0.0		171654	0	2308		X
Kathleen Jobe
Chief Nursing Officer, SBH	50.0	0.0		217223	0	11695		X
Michael Hillman MD
VP, Chief Med/Qual Offcr	46.0	4.0		786414	0	2033		X
Gregory Kall
VP, CIO	46.0	4.0		433827	0	52595		X
Unhee Kim
VP, Clinical Services	46.0	4.0		565965	0	61983		X
Kyle Klawitter
VP, System HR	46.0	4.0		433025	0	44285		X
Patrice Lange
VP, System Marketing	46.0	4.0		423364	0	43871		X
Charles Ross MD
Chief Medical Officer	46.0	4.0		431078	0	37722		X
James Stonkus
VP, Bus. Devel SW Region	50.0	0.0		206038	0	9960		X
Kevin Theiss
VP, Revenue Cycle	46.0	4.0		290205	0	29994		X
Mary Ward
VP, Chief Nursing Officer	46.0	4.0		512094	0	50340		X
Martin Hauser
President, SummaCare	4.0	46.0		0	635064	44285		X
John Zografakis MD
Highest Compensated	50.0	0.0		1040419	0	19974			X
Scott Weiner MD
Highest Compensated	50.0	0.0		976533	0	20733			X
Adrian Dan MD
Highest Compensated	50.0	0.0		787303	0	12874			X
Ramakrishna Bandi MD
Highest Compensated	50.0	0.0		750074	0	11162			X
Eric Espinal MD
Highest Compensated	50.0	0.0		694702	0	21711			X
Kathleen Rice
Former Officer	0.0	0.0		148439	0	90				X
Stephen Kaiser DO
Former Officer	50.0	0.0		114422	0	9683				X
Jay Williamson MD
Former Officer	50.0	0.0		288897	0	536				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	20651441	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	635064	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1162255	TotalOtherCompensation
Number Individuals GT100 K	451	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Hammond Construction Inc
1278 Park Avenue	CANTON	OH	44706	Construction	10098545
Professional Anesthesia Services
190 North Union Street	AKRON	OH	44304	Medical services	9095152
Siemens Medical Solutions
51 Valley Stream Parkway	MALVERN	PA	19355	Contract Services	4597200
Sodexo Inc Affiliates
10 Earhart Drive	WILLIAMSVILLE	NY	14221	Catering services	4237094
Allscripts Healthcare LLC
Three Ravinia Drive	ATLANTA	GA	30346	IT & EMR services	3927714

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	74	NumberOfContractorsGT100K
Fundraising Events	628206	FundraisingEvents
Related Organizations	166654	RelatedOrganizations
Government Grants	2377208	GovernmentGrants
All Other Contributions	3368961	AllOtherContributions
Noncash Contributions	552071	NoncashContributions
Total Contributions	6541029	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT REVENUE	621110	1033570041	1033317896	252145
PROGRAM RELATED INVESTMENTS	900099	41284790	41251316	33474
MEDICAL EDUCATION	611600	11739501	11739501
REFERENCE LAB	621500	9894253		9894253
ARRA MEANINGFUL USE	900099	8592726	8592726	0

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2623476	TotalRevenueColumn
Related Or Exempt Function Income	2623476	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	1107704787	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	16956579	TotalRevenueColumn
Unrelated Business Revenue	1122257	UnrelatedBusinessRevenue
Exclusion	$15,834,322	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	1361976	TotalRevenueColumn
Exclusion	$1,361,976	ExclusionAmount

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	11487297	Real
Personal	1478892	Personal

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	8654976	Real
Personal	362281	Personal

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	2832321	Real
Personal	1116611	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	3948932	TotalRevenueColumn
Unrelated Business Revenue	1116611	UnrelatedBusinessRevenue
Exclusion	$2,832,321	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	175410103	Securities
Other	359381	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	172854607	Securities
Other	0	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	2555496	Securities
Other	359381	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	2914877	TotalRevenueColumn
Exclusion	$2,914,877	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	139083	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	628206	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	440453	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	-301370	TotalRevenueColumn
Exclusion	-$301,370	ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
CAFETERIA SALES	721210	5425201	495873	$4,929,328
PARKING	812930	1583991		$1,583,991
GIFT/FLOWER SHOP	453220	1046454		$1,046,454

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	3060227	TotalRevenueColumn
Unrelated Business Revenue	302090	UnrelatedBusinessRevenue
Exclusion	$2,758,137	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	11115873	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1150242683	TotalRevenueColumn
Related Or Exempt Function Income	1097524915	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	13216703	UnrelatedBusinessRevenue
Exclusion	$32,960,036	ExclusionAmount

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

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	219220	Total
Program Services	219220	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	67186	Total
Program Services	67186	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	16705017	Total
Program Services	11118525	ProgramServices
Management And General	5586492	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	1158456	Total
Program Services	1009927	ProgramServices
Management And General	148529	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	392606657	Total
Program Services	347132604	ProgramServices
Management And General	44588752	ManagementAndGeneral
Fundraising	885301	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	9196922	Total
Program Services	8093291	ProgramServices
Management And General	1103631	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	66839038	Total
Program Services	58593518	ProgramServices
Management And General	7990025	ManagementAndGeneral
Fundraising	255495	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	27292659	Total
Program Services	24017540	ProgramServices
Management And General	3275119	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	10978836	Total
Program Services	3102353	ProgramServices
Management And General	7876483	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1495680	Total
Program Services	3743	ProgramServices
Management And General	1491937	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	613429	Total
Program Services	185015	ProgramServices
Management And General	428414	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	191124	Total
Management And General	191124	ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	38597	Total
Management And General	38597	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	178053041	Total
Program Services	160720181	ProgramServices
Management And General	17203570	ManagementAndGeneral
Fundraising	129290	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	2774142	Total
Program Services	2040150	ProgramServices
Management And General	683037	ManagementAndGeneral
Fundraising	50955	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	22433840	Total
Program Services	14382052	ProgramServices
Management And General	7986387	ManagementAndGeneral
Fundraising	65401	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	17796909	Total
Program Services	13322115	ProgramServices
Management And General	4440705	ManagementAndGeneral
Fundraising	34089	Fundraising

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	23727079	Total
Program Services	19703533	ProgramServices
Management And General	4023426	ManagementAndGeneral
Fundraising	120	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	1545332	Total
Program Services	1260807	ProgramServices
Management And General	269091	ManagementAndGeneral
Fundraising	15434	Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	2340967	Total
Program Services	1582683	ProgramServices
Management And General	750864	ManagementAndGeneral
Fundraising	7420	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	19297947	Total
Program Services	15438358	ProgramServices
Management And General	3859589	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	39783410	Total
Program Services	35407569	ProgramServices
Management And General	4375841	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	7763631	Total
Program Services	5822723	ProgramServices
Management And General	1940908	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	143249296	141658257	1591039
BAD DEBT PROVISION	97547612	97547612
STATE FRANCHISE FEE	11629951	11629951
UNRELATED BUSINESS INC. TAX	476364		476364

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	11531959	Total
Program Services	4540074	ProgramServices
Management And General	6946844	ManagementAndGeneral
Fundraising	45041	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	1107354301	Total
Program Services	978598987	ProgramServices
Management And General	127266768	ManagementAndGeneral
Fundraising	1488546	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	1450134	BOY
EOY	1802242	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	137063192	BOY
EOY	170463959	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	4886801	BOY
EOY	5664789	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	157350663	BOY
EOY	162255507	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	3952	BOY
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	21027546	BOY
EOY	23595042	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	12031830	BOY
EOY	13552762	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	9000945	BOY
EOY	10389016	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	1093180405	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	637265714	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	436400578	BOY
EOY	455914691	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	217906778	BOY
EOY	203858864	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	4675205	BOY
EOY	5214254	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	24403441	BOY
EOY	20436783	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	2696636	BOY
EOY	2579662	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	107123941	BOY
EOY	118264416	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	1136021642	BOY
EOY	1193991987	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	157668147	BOY
EOY	171468917	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	1915588	BOY
EOY	919847	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	3543430	BOY
EOY	2615753	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	356342139	BOY
EOY	350982844	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	1164886	BOY
EOY	4614	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	20536469	BOY
EOY	18985571	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	176869115	BOY
EOY	182666359	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	718039774	BOY
EOY	727643905	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	379626550	BOY
EOY	426876312	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	22097706	BOY
EOY	22365155	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	16257612	BOY
EOY	17106615	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	417981868	BOY
EOY	466348082	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1136021642	BOY
EOY	1193991987	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	42888382	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	10631957	ReconciliationUnrealizedInvest
Reconcilation Other Changes	-5154125	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii
Certification Checkbox	X	CertificationCheckbox
Contrib By Controlling Individual	false	ContribByControllingIndividual
Contribution By Related Party	false	ContributionByRelatedParty
Contrib By35 Controlled Entity	false	ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (4 entries)

EINEIN	Type Of OrganizationTypeOfOrganization	Listed In Governing DocListedInGoverningDoc	AmountAmount
SUMMA AKRON CITY AND ST THOMAS HOSPITALS
340714755	03	true	$2,043,958
SUMMA BARBERTON CITIZENS HOSPITAL
261375072	03	true	$137,500
CUYAHOGA FALLS GENERAL HOSPITAL
340718383	04	true	$0
THE WADSWORTH-RITTMAN AREA HOSPITAL ASSN
346549371	03	true	$0

Field	Value	IRS element (for citing)
Total Number Of Supported Orgs	4	TotalNumberOfSupportedOrgs
Sum Of Amounts	2181458	SumOfAmounts

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	6323558	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	4540510	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	6941569	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	5638036	CurrentTaxYearMinus1Year
Current Tax Year	5122826	CurrentTaxYear
Total	28566499	Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

Field	Value	IRS element (for citing)
Total	0	Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

Field	Value	IRS element (for citing)
Total	0	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	6323558	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	4540510	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	6941569	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	5638036	CurrentTaxYearMinus1Year
Current Tax Year	5122826	CurrentTaxYear
Total	28566499	Total

Field	Value	IRS element (for citing)
Amounts Subst Contributors Total	176266	AmountsSubstContributorsTotal
Public Support Total170	28390233	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	2479286	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1527282	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1494312	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1752613	CurrentTaxYearMinus1Year
Current Tax Year	1814584	CurrentTaxYear
Total	9068077	Total

Net UBI NetUBI

Field	Value	IRS element (for citing)
Total	0	Total

Other Income170 OtherIncome170

Field	Value	IRS element (for citing)
Total	0	Total

Field	Value	IRS element (for citing)
Total Support	37634576	TotalSupport
Gross Receipts From Admissions Etc	6560828	GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage170	0.75437	PublicSupportPertcentage170
Public Support Pertcent Prior Year	0.69849	PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170	X	ThirtyThreePercntTestsCY170
General Explanation	Cuyahoga Falls General Hospital ("CFGH") is a public charity organization under section 509(A)(2). Due to software limitations, Schedule A Part III for CFGH could not be completed. (Schedule A Part II is completed for Summa Foundation). Based on the Public Support Test under Part III, the public support percentage for 2012 for CFGH which should be shown in Section C, Line 15, is 88.76%.	GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	true	Volunteers
Paid Staff Or Management	true	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	true	GrantsOtherOrganizations
Grants Other Organizations	$26,677	GrantsOtherOrganizationsAmount
Direct Contact Legislators	true	DirectContactLegislators
Direct Contact Legislators	$160,645	DirectContactLegislatorsAmount
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$3,802	OtherActivitiesAmount
Total Lobbying Expenditures IIB	191124	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV (2 entries)

IdentifierIdentifier

ExplanationExplanation

Part II-B, Line 1

In 2012, Summa Health System volunteers and management interacted with Federal and state leaders to discuss the Affordable Care Act and its impact on local healthcare operations and finances. Summa leaders also discussed issues and opportunities relative to accountable care models, the sustainable growth rate, graduate medical education, hospital outpatient department reimbursement, and insurance reform with members, staff, and agency leadership at Federal, state and regional levels. Summa leadership also discussed sequestration and its impact on jobs and healthcare services with members and staff.

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.

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts
Agent Trustee Etc	false	AgentTrusteeEtc
Included On FS	true	IncludedOnFS

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	15896470	BeginningOfYearBalance
Contributions	347618	Contributions
Investment Earnings Or Losses	486766	InvestmentEarningsOrLosses
End Of Year Balance	16730854	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	15633841	BeginningOfYearBalance
Contributions	113108	Contributions
Investment Earnings Or Losses	149521	InvestmentEarningsOrLosses
End Of Year Balance	15896470	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	13145135	BeginningOfYearBalance
Contributions	2481325	Contributions
Investment Earnings Or Losses	7380	InvestmentEarningsOrLosses
End Of Year Balance	15633840	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	13311624	BeginningOfYearBalance
Contributions	-183166	Contributions
Investment Earnings Or Losses	16677	InvestmentEarningsOrLosses
End Of Year Balance	13145135	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	9445067	BeginningOfYearBalance
Contributions	3890076	Contributions
Investment Earnings Or Losses	-23519	InvestmentEarningsOrLosses
End Of Year Balance	13311624	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	1.00000	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	true	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	69130964	OtherCostOrOtherBasis
Book Value	69130964	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	595297192	OtherCostOrOtherBasis
Depreciation	352014846	Depreciation
Book Value	243282346	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3350804	OtherCostOrOtherBasis
Depreciation	781167	Depreciation
Book Value	2569637	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	380296179	OtherCostOrOtherBasis
Depreciation	267262350	Depreciation
Book Value	113033829	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	45105266	OtherCostOrOtherBasis
Depreciation	17207351	Depreciation
Book Value	27897915	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	455914691	TotalOfBookValueLandBuildings

Other Assets OtherAssets (10 entries)

DescriptionDescription	Book ValueBookValue
MALPRACTICE FUND	13999671
BONDS ASSURED GUARANTY	4496332
BOND ISSUE COSTS	1947540
BENEFICAL INTEREST IN WRHF	934010
DEFERRED PENSION & COMP	265196
NON-PERF ASSET AIR RIGHTS	1124370
BENEFICAL INTEREST IN PERP. TR	4251551
DUE FROM RELATED ORGANIZATIONS	88315798
OTHER ACCOUNTS RECEIVABLE	73953
BENEFICAL INTEREST IN PROPERTY	2855995

Field	Value	IRS element (for citing)
Total Book Value Other Assets	118264416	TotalBookValueOtherAssets
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (10 entries)

DescriptionDescription	AmountAmount
LEASE ESCALATION LIABILITY	$657,910
CAPITAL LEASE OBILIGATIONS	$60,067,302
ASSET RETIREMENT OBLIGATION FI	$2,312,097
INTEREST RATE SWAP	$12,413,076
POST RETIREMENT BENEFITS	$1,548,275
CONTINGENT LIABILITIES	$4,775,572
MALPRACTICE LIABILITY	$13,765,589
UNSECURED PAYABLES	$80,684,682
PURCHASE OPTION LIABILITY	$4,674,912
OTHER OBLIGATIONS	$1,766,944

Field	Value	IRS element (for citing)
Total Of Amounts	182666359	TotalOfAmounts

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifier	ExplanationExplanation
Part IV, Line 2b	Custodial funds held by Summa Foundation on behalf of Cuyahoga Falls General Hospital Foundation.
Part V, Line 4	Endowment funds provide income to be used to fulfill the tax-exempt purposes of Summa Foundation.
Part X, Line 2, FIN 48 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, Inc. ("SIC"), together with affiliates of Summa Health System Corp ("SHSC"), file a consolidated federal income tax return in accordance with a tax sharing agreement dated January 1, 2010. The entities utilize a consolidated approach to the allocation of federal income taxes, whereas SHSC's tax sharing agreement with its subsidiaries allows it to make certain code elections in its consolidated federal income 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 subsidiaries. SIC is not subject to state income taxes as it is licensed as a health insurance company under Chapter 1751 of the Ohio Revised Code. Deferred tax assets and liabilities are recognized for the future tax consequences attributable to differences between the financial statement carrying amounts of existing assets and liabilities and the respective tax basis and operating loss and tax credit carryforwards. Deferred tax assets and liabilities are measured using enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. The effect of deferred tax assets and liabilities of a change in tax rates is recognized in income in the period that includes the enactment date.

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	Region
Number Of Offices	0	NumberOfOffices
Number Of Employees	0	NumberOfEmployees
Type Of Activities Conducted	Program Services	TypeOfActivitiesConducted
Specific Services Provided	Self Insurance	SpecificServicesProvided
Total Expenditures	10936484	TotalExpenditures

Field	Value	IRS element (for citing)
Subtotal Number Of Offices	0	SubtotalNumberOfOffices
Subtotal Number Of Employees	0	SubtotalNumberOfEmployees
Total Number Of Offices	0	TotalNumberOfOffices
Total Number Of Employees	0	TotalNumberOfEmployees
Subtotal Amount Spent	10936484	SubtotalAmountSpent
Total Amount Spent	10936484	TotalAmountSpent
Transfer To Foreign Corp	true	TransferToForeignCorp
Interest In Foreign Trust	false	InterestInForeignTrust
Own Foreign Corp	true	OwnForeignCorp
Passive Foreign Invest Co	false	PassiveForeignInvestCo
Foreign Partnership	false	ForeignPartnership
Boycott Countries	false	BoycottCountries

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	Gala	NameOfEvent1
Gross Receipts Event1	480860	GrossReceiptsEvent1
Charitable Contributions Event1	405936	CharitableContributionsEvent1
Gross Revenue Event1	74924	GrossRevenueEvent1
Non Cash Prizes Event1	27759	NonCashPrizesEvent1
Rent Facility Costs Event1	53535	RentFacilityCostsEvent1
Food And Beverage Event1	116312	FoodAndBeverageEvent1
Entertainment Event1	43329	EntertainmentEvent1
Other Direct Expenses Event1	71367	OtherDirectExpensesEvent1
Name Of Event2	Golf Outing	NameOfEvent2
Gross Receipts Event2	198000	GrossReceiptsEvent2
Charitable Contributions Event2	148500	CharitableContributionsEvent2
Gross Revenue Event2	49500	GrossRevenueEvent2
Non Cash Prizes Event2	11554	NonCashPrizesEvent2
Rent Facility Costs Event2	3000	RentFacilityCostsEvent2
Food And Beverage Event2	22995	FoodAndBeverageEvent2
Entertainment Event2	43168	EntertainmentEvent2
Other Direct Expenses Event2	11367	OtherDirectExpensesEvent2
Total Number Of Other Events	1	TotalNumberOfOtherEvents
Gross Receipts Other Events	88429	GrossReceiptsOtherEvents
Charitable Contrib Other Events	73770	CharitableContribOtherEvents
Gross Revenue Other Events	14659	GrossRevenueOtherEvents
Non Cash Prizes Other Events	3040	NonCashPrizesOtherEvents
Rent Facility Costs Other Events	7075	RentFacilityCostsOtherEvents
Food And Beverage Other Events	17195	FoodAndBeverageOtherEvents
Other Direct Expenses Other Events	8757	OtherDirectExpensesOtherEvents
Gross Receipts Total	767289	GrossReceiptsTotal
Charitable Contributions Total	628206	CharitableContributionsTotal
Gross Revenue Total Events	139083	GrossRevenueTotalEvents
Non Cash Prizes Total Events	42353	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	63610	RentFacilityCostsTotalEvents
Food And Beverage Total Events	156502	FoodAndBeverageTotalEvents
Entertainment Total Events	86497	EntertainmentTotalEvents
Other Direct Expenses Total Events	91491	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	440453	DirectExpenseSummaryEvents
Net Income Summary	-301370	NetIncomeSummary

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	18074095	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4749697	DirectOffsettingRevenue
Net Community Benefit Expense	13324398	NetCommunityBenefitExpense
Percent Of Total Expense	0.01220	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	133010715	TotalCommunityBenefitExpense
Direct Offsetting Revenue	110347546	DirectOffsettingRevenue
Net Community Benefit Expense	22663169	NetCommunityBenefitExpense
Percent Of Total Expense	0.02070	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	151084810	TotalCommunityBenefitExpense
Direct Offsetting Revenue	115097243	DirectOffsettingRevenue
Net Community Benefit Expense	35987567	NetCommunityBenefitExpense
Percent Of Total Expense	0.03290	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1377836	TotalCommunityBenefitExpense
Net Community Benefit Expense	1377836	NetCommunityBenefitExpense
Percent Of Total Expense	0.00120	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	33755228	TotalCommunityBenefitExpense
Direct Offsetting Revenue	11476669	DirectOffsettingRevenue
Net Community Benefit Expense	22278559	NetCommunityBenefitExpense
Percent Of Total Expense	0.02040	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	28055148	TotalCommunityBenefitExpense
Net Community Benefit Expense	28055148	NetCommunityBenefitExpense
Percent Of Total Expense	0.02560	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	6023815	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1313392	DirectOffsettingRevenue
Net Community Benefit Expense	4710423	NetCommunityBenefitExpense
Percent Of Total Expense	0.00430	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2360397	TotalCommunityBenefitExpense
Direct Offsetting Revenue	247640	DirectOffsettingRevenue
Net Community Benefit Expense	2112757	NetCommunityBenefitExpense
Percent Of Total Expense	0.00190	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	71572424	TotalCommunityBenefitExpense
Direct Offsetting Revenue	13037701	DirectOffsettingRevenue
Net Community Benefit Expense	58534723	NetCommunityBenefitExpense
Percent Of Total Expense	0.05340	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	222657234	TotalCommunityBenefitExpense
Direct Offsetting Revenue	128134944	DirectOffsettingRevenue
Net Community Benefit Expense	94522290	NetCommunityBenefitExpense
Percent Of Total Expense	0.08630	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Total Community Building Expense	9547	TotalCommunityBuildingExpense
Net Community Building Expense	9547	NetCommunityBuildingExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	1720	TotalCommunityBuildingExpense
Net Community Building Expense	1720	NetCommunityBuildingExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	9611	TotalCommunityBuildingExpense
Net Community Building Expense	9611	NetCommunityBuildingExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	32303	TotalCommunityBuildingExpense
Net Community Building Expense	32303	NetCommunityBuildingExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	53461	TotalCommunityBuildingExpense
Net Community Building Expense	53461	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	106642	TotalCommunityBuildingExpense
Net Community Building Expense	106642	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$25,800,420	BadDebtExpenseAmount
Amount Reimbursed By Medicare	314867328	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	328881816	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-14014488	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (5 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership
Crystal Clinic Ortho
Orthopaedic Service	0.49650	0.50350
Summa Western Reserv
General Hospital	0.40000	0.60000
Ohio Sleep Disorders
Sleep Medicine	0.66670	0.33330
Digestive Health Ctr
Digestive Disease	0.05000	0.44000
Medina-Summit ASC
Ambulatory Surgery Center	0.20000	0.70000

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	6	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (6 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Website AddressWebsiteAddress	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Teaching HospitalTeachingHospital	Research FacilityResearchFacility	Er24 HoursEr24Hours	Facility Reporting GroupFacilityReportingGroup	OtherOther
Summa Akron City & St Thomas Hospital
1	525 East Market Street	Akron	OH	44304	www.summahealth.org	X	X	X	X	X	1
Summa Barberton Citizens Hospital
2	155 Fifth Street NE	Barberton	OH	44203	www.summahealth.org	X	X	X	X	X	1
The Wadsworth-Rittman Area Hospital
3	195 Wadsworth Road	Wadsworth	OH	44281	www.summahealth.org	X	X	X		X	1
Summa Western Reserve Hospital LLC
4	1900 23rd Street	Cuyahoga Falls	OH	44223	www.westernreservehospital.org	X	X	X		X	1
Crystal Clinic Orthopaedic Center LLC
5	444 North Main Street	Akron	OH	44310	www.crystalclinic.com	X	X	X			2
Summa Rehab Hospital LLC
6	29 North Adams Street	Akron	OH	44304	www.summarehabhospital.com	X		X			2	Rehabilitation

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Eligibility Criteria ExplainedEligibilityCriteriaExplained	Uses FPG FreeUsesFPGFree	FPG Free PercentFPGFreePercent	Uses FPG DiscountedUsesFPGDiscounted	FPG Discount PercentFPGDiscountPercent	Explains BasisExplainsBasis	Income LevelIncomeLevel	Medical IndigencyMedicalIndigency	Insurance StatusInsuranceStatus	Uninsured DiscountUninsuredDiscount	Medicaid MedicareMedicaidMedicare	State RegulationStateRegulation	Explains Application MethodExplainsApplicationMethod	Includes Publicity MeasuresIncludesPublicityMeasures	Posted On WebsitePostedOnWebsite	Attached To InvoicesAttachedToInvoices	Posted In Emergency RoomPostedInEmergencyRoom	Posted In Admission OfficePostedInAdmissionOffice	Available On RequestAvailableOnRequest	Other PublicityOtherPublicity	Actions On NonpaymentActionsOnNonpayment	Collection ActivitiesCollectionActivities	Notify Upon AdmissionNotifyUponAdmission	Notify Before DischargeNotifyBeforeDischarge	Notified All PatientsNotifiedAllPatients	Documented DeterminationDocumentedDetermination	Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy	Medicare RateMedicareRate	Amounts Generally BilledAmountsGenerallyBilled	Gross ChargesGrossCharges	Provided On AdmissionProvidedOnAdmission	No Emergency CareNoEmergencyCare
Group 1
true	true	200.	true	400.	true	X	X	X	X	X	X	false	true	X	X	X	X	X	X	true	false	X	X	X	X	true	X	false	false
Group 2
true	true	200.	true	400.	true	X	X	X	X	X	X	false	true		X		X	X		true	false	X	X	X	X	false	X	false	false	X	X

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	20	NumberOfOtherFacilities

Other Facilities OtherFacilities (20 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
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 Massillon Road	Green	OH	44685	Lab, imaging, rehabilitation, therapy & other health service
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 Neurosciences at White Pond
750 White Pond Drive	Akron	OH	44320	Neurology services
Summa Sleep Medicine Center
3985 Medina Road Ste 210	Medina	OH	44256	Sleep and 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 medicine
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

Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)

IdentifierIdentifier	ExplanationExplanation
Part I, Line 7, Column (f)	Total bad debt expense included on Form 990, Part IX, line 25, column (a) but subtracted for purposes of calculating the percentage on Part I, Line 7, Column (f) is $97,547,612.
Part I, Line 7(g)	The amount of subsidized health services reported on Line 7(g) attributable to Summa Physicians, Inc. ("SPI") is $14,304,904.
Part III, Line 4	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 pages 14-15 of the attached consolidated Audited Financial Statements under footnote 2, "Accounting Policies".
Part III, Line 8	Medicare allowable costs 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 System is not reported as a community benefit.
Part III, Line 9(b)	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.
Part V, Line 14(g)	In addition to the measures indicated, Summa's hospitals also provide a description of the Financial Assistance Policy in the Patient Handbook, which is provided to all patients upon admission into the hospital facility.
Part VI, Line 2	The health care needs of the community are collaboratively assessed by survey processes conducted by Summa Health System, 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.
Part VI, Line 3	In accordance with the rules set forth by Ohio Administrative Code Section 5101:3-2-07.17 Notices, Summa Akron City and St. Thomas Hospitals, 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 availablity 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.
Part VI, Line 4	Summa Health System has care delivery sites 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 (546,000) and accounts for more than 60% of the persons served by Summa. Medina and Portage Counties have similar populations, with Medina being slightly larger. Each accounts for less than 20% of the persons served by Summa. More than 50% of households in Summit and Portage Counties make less than $50,000 dollars annually and 13.2% and 11.6% of households make less than $15,000 dollars annually respectively. For the calendar year 2012, the average monthly unemployment rates for Medina, Portage, and Summit Counties were 6.0%, 6.7%, and 6.8% 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 in Summit County is expected to remain flat, Portage and Medina Counties are projected to see growth (2.2% and 4.7% respectively) from the 5-year period 2012 to 2017. More importantly, the age groups that demand healthcare services the most (45-64 year olds and age 65 and older) are expected to grow significantly. In Medina County alone, these two groups are expected to increase 8.2% and 23.4% respectively over the five year period. The growth in population for those aged 65 and older is similarly dramatic in Summit and Portage Counties where this age group will grow 10.8% and 18.0% respectively.
Part VI, Line 5	Among the ways the hospitals within Summa Health System 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 System serves.
Part VI, Line 6	Summa Health System 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 System is renowned for excellence in patient care and for exceptional approaches to healthcare delivery. Summa Health System represents more than 2,100 registered inpatient beds. 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 Akron City and St. Thomas Hospitals is located in downtown Akron, Ohio and has served, together with Summa Health System, as the largest safety-net hospital in the community for many years. Summa Barberton Citizens Hospital ("SBH") joined Summa Health System in December, 2007 when Summa Health System completed its acquisition of Barberton Citizens Hospital. SBH is a 311-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 System in November 2007, and then merged with Summa Health System in 2008. WRH is a community-based acute care facility in Wadsworth, Medina County, Ohio, situated to the west of Summit County. WRH serves communities in Medina and Wayne counties. 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 charity care policy of Summa Health System. The Crystal Clinic Orthopaedic Center, LLC ("CCOC"), a joint venture between Summa Akron City and St. Thomas Hospitals 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 charity care 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 physician practice locations in Akron and its suburbs of Barberton, Kent, Cuyahoga Falls, Medina, Green and Stow. Summma Rehab Hospital, LLC, a joint venture between Summa Akron City and St. Thomas Hospitals and Vibra Healthcare, opened on the campus of Summa Akron City Hospital in 2012. This 60-bed facility provides inpatient rehabilitation care and services and adheres to Summa's charity care policy. Robinson Memorial Hospital, an affiliate of Summa Health System, is the largest provider of acute medical care in Portage County. This affiliation is charged with the responsibility of providing greater access to healthcare services for the residents of Portage County and the surrounding communities through joint ventures and physician strategies. 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 now 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 System. Incorporating fund development, government relations, community benefit and diversity, the Foundation creates and implements innovative partnerships, health policy opportunities and funding strategies to support Summa Health System's education, research and patient care agenda. Summa Health Network, LLC is the integrated physician-hospital organization affiliated with Summa Akron City and St. Thomas Hospitals, Summa Barberton Hospital, The Wadsworth-Rittman Area Hospital Assn, Summa Western Reserve Hospital, LLC and Robinson Memorial Hospital (through an affiliation agreement with Summa Health System). 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 partner 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 NewHealth Collaborative ("NHC")) is a clinician-led collaborative that partners with communities 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 lower the growth in health care costs while meeting performance standards on 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 System 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. ("SPI") is a Summa Health System entity of multi-specialty physicians and practices. Currently, SPI employs more than 275 physicians in multiple specialties. SPI promotes stronger affiliation and employment of physicians to ensure community and hospital needs for physician services are met.
Part VI, Line 7	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 I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (9 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance	Purpose Of GrantPurposeOfGrant
Austen BioInnovation Institute in Akron
47 North Main Street	Akron	OH	44308	346002924	501(c)(3)	724112	300139	Cost	In-Kind	Healthcare research
American Heart Association
5455 N High Street	Columbus	OH	43214	135613797	501(c)(3)	95000				Research/education
Open M Summit County Free Clinic
941 Princeton Street	Akron	OH	44311	341046107	501(c)(3)	15100				Health & Wellness
Habitat for Humanity of Summit County
2301 Romig Road	Akron	OH	44320	341518873	501(c)(3)	10170				Community support
Business Volunteers Unlimited
1300 East Ninth Streeet	Cleveland	OH	44114	341724581	501(c)(3)	7500				Community Support
Methodist Healthcare Foundation
1211 Union Avenue	Memphis	TN	38104	237320638	501(c)(3)	10000				Healthcare research
Susan G Komen Northeast Ohio
26210 Emery Rd Ste 307	Cleveland	OH	44128	751835298	501(c)(3)	10000				Cancer research
Akron Urban League
440 Vernon Odom Blvd	Akron	OH	44307	340714520	501(c)(3)	14340				Community Support
American Cancer Society
525 North Broad St	Canfield	OH	444069274	251798733	501(c)(3)	20000				Cancer research

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	9	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (3 entries)

Type Of GrantTypeOfGrant	Number Of RecipientsNumberOfRecipients	Amount Of Cash GrantAmountOfCashGrant	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance
Dental Clinic Fund	26	6462	Book	NA
Ophthalmology Cataract Surgery	57	52096	Book	NA
SummaShares	12	8628	Book	NA

Form990 Schedule I Part IV Form990ScheduleIPartIV (2 entries)

IdentifierIdentifier	ExplanationExplanation
Part I, Line 2, General Information on Grants and Assistance	The procedures for monitoring the use of grant funds is based on the criterYa established prior to awarding the grant or assistance. Once the criteria is met a payment will be made to the University or agency utilizing the funds.
Part II, Line 1(2)	For furtherance of Summa Akron City and St. Thomas Hospitals charitable purposes including providing medical education and healthcare services to the surrounding community.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Housing Allowance Or Residence	X	HousingAllowanceOrResidence
Club Dues Or Fees	X	ClubDuesOrFees
Personal Services	X	PersonalServices
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	true	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	true	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (42 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Michael Bage MD
Director SACSTH	404384	0	96624	0	600	0	0	0	11162	0	512770	0	0	0
William Bauman MD
Director SPI	572197	0	29323	0	1380	0	0	0	11505	0	614405	0	0	0
Brian Derrick
System CFO	473268	0	98515	0	119984	0	0	0	17206	0	708973	0	0	0
Steven Gaich MD
Director SPI	287599	0	71772	0	4064	0	7500	0	1631	0	372566	0	0	0
Robert Harrigan
Director SACSTH & System COO	541403	0	242971	0	208927	0	76009	0	10835	0	1080145	0	57726	0
A Gus Kious MD
Director, President SPI	258097	0	0	0	66211	0	0	0	339	0	324647	0	0	0
Thomas Knoll
Director WRH	214908	0	0	0	0	0	0	0	0	0	214908	0	0	0
Joseph Koenig MD
Director SPI	547603	0	162013	0	0	0	0	0	15872	0	725488	0	0	0
Joseph McShannic MD
Director SACSTH	454327	0	43509	0	0	0	0	0	23473	0	521309	0	0	0
Dale Murphy MD
Director SPI	360038	0	127945	0	84292	0	36383	0	11112	0	619770	0	28865	0
Thomas O'Neill
Director SPI, CFO SACSTH	250613	0	120346	0	97471	0	46357	0	10784	0	525571	0	18784	0
William Powel III
Director SPI, System Secty	351398	0	143770	0	121369	0	54022	0	13739	0	684298	0	38653	0
Thomas Strauss
Director, System Pres/CEO	764126	0	379050	0	291107	0	102923	0	11130	0	1548336	0	81772	0
Douglas Trochelman MD
Director SACSTH	606165	0	91947	0	725	0	0	0	11162	0	709999	0	0	0
Joseph Varley MD
Director SACSTH	345568	0	11683	0	1380	0	0	0	19633	0	378264	0	0	0
Darrell Widmer MD
Director WRH	153331	0	14436	0	0	0	0	0	654	0	168421	0	0	0
Joseph Zarconi MD
Director SF (term 06/2012)	301596	0	126451	0	89843	0	47612	0	10380	0	575882	0	36586	0
Jeffrey Morris MD
Chief Medical Officer, SBH	128055	0	30046	0	13553	0	0	0	2308	0	173962	0	0	0
Charles Alderson
CFO, SBH & WRH	166501	0	22482	0	39237	0	0	0	11720	0	239940	0	0	0
Thomas DeBord
President SBH & WRH	232757	0	61241	0	61339	0	24132	0	14254	0	393723	0	2114	0
Bryan Fredericks
COO, SPI	236527	0	34603	0	40165	0	0	0	14547	0	325842	0	0	0
Kathleen Jobe
Chief Nursing Officer, SBH	158211	0	21294	0	37718	0	0	0	11695	0	228918	0	0	0
Steve Schmidt
COO, SF	253298	0	67418	0	54467	0	34797	0	4946	0	414926	0	0	0
Shane Seymour
Chief Devel. Officer, SF	126678	0	0	0	81881	0	0	0	18602	0	227161	0	0	0
Michael Hillman MD
VP, Chief Med/Qual Offcr	305730	0	160370	0	320314	0	0	0	2033	0	788447	0	0	0
Gregory Kall
VP, CIO	260569	0	106446	0	66812	0	42327	0	10268	0	486422	0	28546	0
Unhee Kim
VP, Clinical Services	332183	0	133797	0	99985	0	49797	0	12186	0	627948	0	34198	0
Kyle Klawitter
VP, System HR	239730	0	97180	0	96115	0	38723	0	5562	0	477310	0	25732	0
Patrice Lange
VP, System Marketing	239086	0	98814	0	85464	0	38835	0	5036	0	467235	0	28012	0
Charles Ross MD
Chief Medical Officer	248304	0	86468	0	96306	0	27494	0	10228	0	468800	0	17758	0
James Stonkus
VP, Bus. Devel SW Region	150813	0	20513	0	34712	0	0	0	9960	0	215998	0	0	0
Kevin Theiss
VP, Revenue Cycle	175577	0	60904	0	53724	0	15900	0	14094	0	320199	0	11084	0
Mary Ward
VP, Chief Nursing Officer	313291	0	122047	0	76756	0	44944	0	5396	0	562434	0	30136	0
John Zografakis MD
Highest Compensated	586683	0	451996	0	1740	0	0	0	19974	0	1060393	0	0	0
Scott Weiner MD
Highest Compensated	781508	0	193405	0	1620	0	0	0	20733	0	997266	0	0	0
Adrian Dan MD
Highest Compensated	471564	0	314779	0	960	0	0	0	12874	0	800177	0	0	0
Ramakrishna Bandi MD
Highest Compensated	519205	0	229909	0	960	0	0	0	11162	0	761236	0	0	0
Eric Espinal MD
Highest Compensated	453175	0	240147	0	1380	0	0	0	21711	0	716413	0	0	0
Kathleen Rice
Former Officer	936	0	0	0	147503	0	0	0	90	0	148529	0	0	0
Stephen Kaiser DO
Former Officer	114422	0	0	0	0	0	0	0	9683	0	124105	0	0	0
Jay Williamson MD
Former Officer	192738	0	55915	0	40244	0	0	0	536	0	289433	0	0	0
Martin Hauser
President, SummaCare	0	344302	0	140752	0	150010	0	38723	0	5562	0	679349	0	28732

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifier	ExplanationExplanation
Part I, Line 1a	Summa Health System grossed-up taxes for supplemental executive retirement programs paid to certain officers, key employees and the highly compensated. Health and social club dues, and tax preparation services were paid on behalf of certain officers. The personal use is reflected as wages. One officer received a housing allowance reflect as wages in 2012.
Part I, Line 4a	In 2012, Kathleen Rice received $148,529 in severance and benefits.
Part I, Line 4b	Summa Health System has a 457(f) program for the executive staff which rewards certain officers, directors and key employees for meeting key long-term strategic objectives of the organization. Amounts paid in 2012: Thomas J. Strauss $91,848, Robert Harrigan $64,838, Mary Ward $37,444, Kyle Klawitter $29,120, Greg Kall $31,749, William A. Powel, III $42,842, Joseph Zarconi, MD $36,551, Patrice Lange $28,857, Unhee Kim $40,593, Thomas P. O'Neill $35,181, Charles Ross, MD $20,030, Dale Murphy, MD $28,883, Martin Hauser $42,084, Steve Schmidt $27,297, Kevin Theiss $14,523 and Thomas DeBord $14,291.
Part I, Line 7	Summa Health System management incentive program was designed to reward employees for meeting quality performance and financial targets. These include clinical quality, patient satisfaction, employee/physician satisfaction, net operating income, and 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

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
Akron Bath Copley Jt Twp Hosp Dist
A	341448680	009730LT7	2004-06-10	160904918	See Schedule K, Part VI, Rider 2	false	false	false
Summit County Port Authority
B	341765940	86605VAE9	2006-10-31	15405000	See Schedule K, Part VI, Rider 6	false	false	false
Ohio Higher Educational Facility Comm
C	346849674	67756AY89	2010-05-11	180125341	See Schedule K, Part VI, Rider 8	false	false	false
Akron Bath Copley JT TWP Hosp Dist
D	341448680		2012-07-01	32509635	See Schedule K, Part VI, Rider 11	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Bond ReferenceBondReferenceCd	Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Capitalized InterestCapitalizedInterest	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Credit EnhancementCreditEnhancement	Capital ExpendituresCapitalExpenditures	Other Spent ProceedsOtherSpentProceeds	Amount UnspentAmountUnspent	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A	15055000	164278376	3107915	2238718	2285007	3930806	89411463	59931009	0	2006	true	true	true	true
B	620000	15405000	0	867000	308100	153159	14076741	0	0	2008	false	false	true	true
C	0	180125341	18190573	3004911	0	4929857	132254843	0	21745157	2012	true	false	false	true
D	2454507	32509635	1316021	0	0	0	0	32509635	0		true	false	true	true

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Engage Bond Counsel ContractsEngageBondCounselContracts	Any Research AgreementsAnyResearchAgreements	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest	Change In Use Bond Financed PropChangeInUseBondFinancedProp	Remedial Action TakenRemedialActionTaken	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A	false	true	true	true	false	0.18390	0.00050	0.18440	false	false	false	true
B	true	true	false		false	0.01340	0.02870	0.04210	false	false	false	true
C	false	true	true	true	false	0.01430	0.00300	0.01730	false	false	false	true
D						0			false	false	false	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	No Rebate DueNoRebateDue	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Business Name Line1NameOfGICProvider/BusinessNameLine1	Term Of GICTermOfGIC	Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied	Gross Proceeds InvestedGrossProceedsInvested	Written Proc To Monitor ReqsWrittenProcToMonitorReqs	Exception To RebateExceptionToRebate	Term Of HedgeTermOfHedge	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated
0
A	false	true	true	false	true	see rider 5	3.1	true	false	true
see Rider 7
B	false		true	true	false	0			false	true	true	30.	false	false
0
C	false	true	false	false	true	see rider 10	2.2	true	false	true
see Rider 13
D	false	true	true	true	false	0				true		12.	false	false

Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)

Bond ReferenceBondReferenceCd	Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A	true
B	true
C	true
D	true

Form990 Schedule K Part VI Form990ScheduleKPartVI (13 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Rider 1 (for Series 2004 Bonds)	Form 990, Schedule K, Part I, Line A, Col.(c)	The CUSIP number assigned to the final maturity of the Series 2004A Bonds is 009730LT7. The CUSIP number assigned to the final maturity of the Series 2004B Bonds is 009730LU4. (Note: The Series 2004A Bonds and the Series 2004B Bonds are treated as a single issue of bonds for federal tax purposes).
Rider 2 (for Series 2004 Bonds)	Form 990, Schedule K, Part I, Line A, Col.(f)	The purposes of the Series 2004A Bonds were 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) July 1, 1999, (b) July 28, 2004 and (c) March 12, 2002, (4)fund a debt service reserve for the issue, and (5) pay issuance costs. The purposes of the Series 2004B Bonds were to (1) construct and equip a critical care pavilion, (2) contruct 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. (Note: The Series 2004A Bonds and the Series 2004B Bonds are treated as a single bond issue for federal tax purposes).
Rider 3 (for Series 2004 Bonds)	Form 990, Schedule K, Part III, Col. A, Line 6	The private business use percentage on Schedule K, Part III, Col. A, Line 6 is projected to be less than 5% over the life of the bonds due to the expected termination of certain lease arrangements.
Rider 4 (for Series 2004 Bonds)	Form 990, Schedule K, Part IV, Col. A, Line 2c	Series 2004A Bonds Date arbitrage rebate computation performed was June 10, 2013. Series 2004B Bonds Date arbitrage rebate computation performed was June 10, 2013.
Rider 5 (for Series 2004 Bonds)	Form 990, Schedule K, Part IV, Col. A, Line 5b	Series 2004A Bonds Project Fund GIC - Financial Security Assurance Debt Service Reserve Fund GIC - Merrill Lynch Capital Services, Inc. Series 2004B Bonds Aegon/Transamerica
Rider 6 (for Series 2006 Bonds)	Form 990, Schedule K, Part I, Line B, Col.(f)	The purposes of the Series 2006 Bonds were to (1) acquire a project site for and construct and equip a wellness institute, and (2) pay issuance costs.
Rider 7 (for Series 2006 Bonds)	Form 990, Schedule K, Part IV, Col. B, Line 4b	Huntington National Bank
Rider 8 (for Series 2010 Bonds)	Form 990, Schedule K, Part I, Line C, Col.(f)	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.
Rider 9 (for Series 2010 Bonds)	Form 990, Schedule K, Part IV, Col. C, Line 2c	Date arbitrage rebate computation performed was May 11, 2013.
Rider 10 (for Series 2010 Bonds)	Form 990, Schedule K, Part IV, Col. C, Line 5b	Morgan Stanley & Company Incorporated
Rider 11 (for Series 2012 Bonds)	Form 990, Schedule K, Part I, Line D, Col. (f)	The purposes of the Series 2012 Bonds were to (1) refund the Hospital Facilities Revenue Bonds, Series 1998A issued in the original amount of $50,000,000, and (2) to pay the costs of issuance of the Bonds.
Rider 12 (for Series 2012 Bonds)	Form 990, Schedule K, Part IV, Col. D, Line 2c	Date arbitrage rebate computation performed was July 25, 2013.
Rider 13 (for Series 2012 Bonds)	Form 990, Schedule K, Part IV, Col. D, Line 4b	RBS Citizens Bank

Schedule L IRS990ScheduleL

Field	Value	IRS element (for citing)
Total Balance Due	0	TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (11 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
Kelly Bianco
Family Member	24146	See Part V	false
Brian Bauman MD
Family Member	409030	See Part V	false
Denise Angerstien
Family Member	30266	See Part V	false
Deanne Kvach
Family Member	56143	See Part V	false
Vincent Allen
Family Member	23566	See Part V	false
Professional Anesthesia Service In
See Part V	9095153	See Part V	false
Summa Emergency Associates
See Part V	1659961	See Part V	false
Inpatient Medical Services Inc
See Part V	429705	See Part V	false
Primary Care Physicians
See Part V	2383784	See Part V	false
Ritzman Pharmacies Inc
See Part V	2146400	See Part V	false
Paragon Health Associates LLC
See Part V	938773	See Part V	false

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Identifier	Schedule L, Part IV	Identifier
Return Reference	Business Transactions Involving Interested Persons	ReturnReference
Explanation	Kelly Bianco is a family member of Michael Bianco, M.D., director of WRH. Kelly Bianco was paid reasonable compensation as an employee of WRH. Brian Bauman, M.D. is a family member of William Bauman, M.D., director of Summa Physicians Inc. Brian Bauman was paid reasonable compensation as an employee of Summa Physicians Inc. Denise Angerstien is a family member of Dennis Chack, director of SACSTH. Denise Angerstien was paid reasonable compensation as an employee of SACSTH. Deanne Kvach is a family member of Kyle Klawitter, System VP of Human Resources. Deanne Kvach was paid reasonable compensation as an employee of SACSTH. Vincent Allen is a family member of Unhee Kim, VP of Clinical Services. Vincent Allen was paid reasonable compensation as an employee of SACSTH. Jacob Cohen, M.D., Director of SACSTH, is an officer of Professional Anesthesia Services, Inc. Compensation represents fees paid for services performed by Professional Anesthesia Services, Inc. Michelle Blanda, M.D., director of SACSTH, is an officer of Summa Emergency Associates, Inc. Compensation represents fees paid for services performed by Summa Emergency Services, Inc. Robert Schaal, M.D., director of SACSTH, is an officer of Inpatient Medical Services, Inc. Compensation represents fees paid for services performed by Inpatient Medical Services, Inc. Sharon VanNostran, D.O., director of SACSTH, is an officer of Primary Care Physicians. Compensation represents fees paid for services performed by Primary Care Physicians. Eric Graf, Director of WRH, is part owner of Ritzman Pharmacies, Inc. Thomas Knoll, Director of WRH, is on the board of Ritzman Pharmacies, Inc. Compensation represents fees for goods & services to Ritzman Pharmacies, Inc. Edward Ferris, M.D., director of SACSTH, is part owner of Paragon Health Associates, LLC. Compensation represents fees paid for services performed by Paragon Health Associates, LLC.	Explanation

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArt
Art Historical Treasures		ArtHistoricalTreasures
Art Fractional Interest		ArtFractionalInterest

Books And Publications BooksAndPublications

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Noncash Contribs Rptd F990	632	NoncashContribsRptdF990
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenues

Clothing And Household Goods ClothingAndHouseholdGoods

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Noncash Contribs Rptd F990	1269	NoncashContribsRptdF990
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Cars And Other Vehicles		CarsAndOtherVehicles
Boats And Planes		BoatsAndPlanes
Intellectual Property		IntellectualProperty

Securities Publicly Traded SecuritiesPubliclyTraded

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	13	NumberOfContributions
Noncash Contribs Rptd F990	372666	NoncashContribsRptdF990
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Securities Closely Held Stock		SecuritiesCloselyHeldStock
Securities Prtnrshp Trust Intrsts		SecuritiesPrtnrshpTrustIntrsts
Securities Miscellaneous		SecuritiesMiscellaneous
Qualified Contrib Hist Struct		QualifiedContribHistStruct
Qualified Contrib Other		QualifiedContribOther
Real Estate Residential		RealEstateResidential
Real Estate Commercial		RealEstateCommercial
Real Estate Other		RealEstateOther
Collectibles		Collectibles
Food Inventory		FoodInventory

Drugs And Medical Supplies DrugsAndMedicalSupplies

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	7	NumberOfContributions
Noncash Contribs Rptd F990	125486	NoncashContribsRptdF990
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Taxidermy		Taxidermy
Historical Artifacts		HistoricalArtifacts

Scientific Specimens ScientificSpecimens

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	1	NumberOfContributions
Noncash Contribs Rptd F990	2000	NoncashContribsRptdF990
Method Of Determining Revenues	Comparable Prices	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Archaeological Artifacts		ArchaeologicalArtifacts

Other Non Cash Contributions Table OtherNonCashContributionsTable (2 entries)

Non Cash CheckboxNonCashCheckbox	DescriptionDescription	Number Of ContributionsNumberOfContributions	Noncash Contribs Rptd F990NoncashContribsRptdF990	Method Of Determining RevenuesMethodOfDeterminingRevenues
X	Events	66	49865	Comparable Prices
X	GIFT CARDS	3	153	FMV

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	true	ReviewProcessUnusualNCGifts
Third Parties Used	false	ThirdPartiesUsed

Schedule N IRS990ScheduleN

Liquidation Table LiquidationTable

Liquidation Detail LiquidationDetail

Field	Value	IRS element (for citing)
Description Of Asset	SUMMA FOUNDATION	DescriptionOfAsset
Date Of Distribution	2012-05-31	DateOfDistribution
EIN	341219001	EIN
Name Person	SUMMA FOUNDATION FKA SACSTH FOUNDA	NamePerson

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	525 EAST MARKET STREET	AddressLine1
City	AKRON	City
State	OH	State
ZIP Code	44309	ZIPCode

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

Field	Value	IRS element (for citing)
Director Of Successor	true	DirectorOfSuccessor
Employee Of Successor	false	EmployeeOfSuccessor
Owner Of Successor	false	OwnerOfSuccessor
Receive Compensation	false	ReceiveCompensation
Assets Distributed	true	AssetsDistributed
Required To Notify AG	true	RequiredToNotifyAG
AG Notified	true	AGNotified
Liabilities Paid	true	LiabilitiesPaid
Bonds Outstanding	false	BondsOutstanding

Form990 Schedule N Part III Form990ScheduleNPartIII (2 entries)

IdentifierIdentifier

ExplanationExplanation

Form 990, Schedule N, Part I, Line 1, Col. C

Summa Foundation held no assets and incurred no expenses at the time of the merger.

Form 990, Schedule N, Part I, Line 2e

The following individuals were officers and/or directors of both Summa Foundation and Summa Akron City and St Thomas Hospitals Foundation at the time of the merger, and remained officers and/or directors of the surviving Summa Foundation: John Adams, director; Julia Bianchi, director; James Biggar, director; Jason Butterworth, director; Thomas Clark, director & Chairman; George Daverio Jr, director; Brian Derrick, Asst Treasurer; Vince DiGirolamo, director & Treasurer; C. Gordon Ewers, director; Samir Gibara, director; Mark Goldfarb, director; Robert Hemphill MD, director; Scott Honnold, director; Mary Ann Jackson, director; Tracy Jensen, director; Philip Kaufmann, director; Randy Myeroff, director; Vivian Celeste Neal, director; Jonathan Pavloff, director; Willam Powel III, Asst Secretary; Ernest Preston III, director; Margaret Ralston Payne, director; Kathleen Raynor, director; Mona Sarkar, director; Shane Seymour, Chief Development Officer; Martin Spector, director; Thomas Strauss, director & President; Paul Testa, director; Stephen Wilt, director & Vice Chair.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (27 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Form 990, Page 1, Part I, Lines 3 & 4	Form 990, Page 6, Part VI, Lines 1a & 1b	Entity Name Number of Voting Number of Independent Directors Voting Directors Summa Akron City & St. Thomas 19 7 Hospitals (SACSTH) Summa Foundation (SF) 26 24 Summa Physicians, Inc. (SPI) 7 0 Summa Barberton Citizens 9 7 Hospital (SBH) The Wadsworth-Rittman Area 13 9 Hospital Assn (WRH) Cuyahoga Falls General 13 11 Hospital (CFGH)
Form 990, Page 2, Part III, Line 4d		Other Programs Services included: (a) Program-related investments in the following joint venture hospitals: Summa Western Reserve Hospital, LLC, Crystal Clinic Orthopaedic Center, LLC, and Summa Rehab Hospital, LLC. (b) Payments received under the American Reinvestment and Recovery Act for "Meaningful Use" due to successful implementation of electronic medical records. (c) Physician House Calls program, which helps meet the needs of those patients in our community who have difficulty going to their physician's office for the care of their acute and chronic health problems. office for the care of their acute and chronic health problems. program is designed to provide ongoing access to care in the patient's home and is one more step in Summa Health System's mission to provide the highest quality care to our patients and members and contribute to a healthier community.
Form 990, Page 6, Part VI, Line 1a		Summa Akron City and St. Thomas Hospitals: N/A Summa Foundation f/k/a Summa Akron City and St. Thomas Hospitals 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 Foundation (dissolved through merger June 1, 2012): Summa Foundation had an Executive Committee. The Executive Committee was appointed by the Board of Directors and may have included up to eleven (11) Directors including the Chair, President, Secretary, Treasurer, and the Special Voting Directors. The Special Voting Directors were (i) Chair, Summa Health System Board of Directors; (ii) President & CEO, Summa Health System; (iii) System Vice President, Medical Education & Research, (iv) System Director, Research; and (v) President, Summa Foundation. All members of the Executive Committee were Directors of Summa Foundation. The Executive Committee was authorized to exercise the powers of the Board at such time as the Board was 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 were reported at the Board's next meeting succeeding such action. The Executive Committee prepared and made 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 The Wadsworth-Rittman Area Hospital Association: The Wadsworth-Rittman Area Hospital Assn has an Executive Committee comprised of the Board Chair, President, Vice Chair, Treasurer, Secretary, and others as elected by the Board of Directors. All members of the Executive Committee are members of the Board of Directors. 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 Wadsworth-Rittman Area Hospital Assn 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 Wadsworth-Rittman Area Hospital Assn. Cuyahoga Falls General Hospital: Cuyahoga Falls General Hospital has an Executive Committee comprised of three (3) physician directors, three (3) community directors, and (1) director selected by Summa Health System, the sole member of Cuyahoga Falls General Hospital. All members of the Executive Committee are Directors of Cuyahoga Falls General Hospital. The Executive Committee nominates the Community Directors to the Board of Directors and serves an advisory function to bring issues of importance to the board of directors of the Member, Summa Health System. Additionally, the Executive Committee has the power to transact all regular business of Cuyahoga Falls General Hospital between meetings of the Board of Directors, subject only to prior limitations established by the Board of Directors and the Member's Reserved Powers.
Form 990, Page 6, Part VI, Line 2		Summa Akron City and St. Thomas Hospitals: Dennis Chack and Anthony Lockhart have a business relationship through First Energy: Dennis Chack is employed as an officer of First Energy and Anthony Lockhart is a retired officer of First Energy. Thomas Strauss and William A. Powel, III have a business relationship through Summa Western Reserve Hospital: both are Directors of Summa Western Reserve Hospital. Thomas O'Neill, and Unhee Kim have a business relationship through ARIS Teleradiology Holdings, Inc. and through ARIS Teleradiology Professional Corporation: each is a Director of both entities. Thomas O'Neill and Mary Ward have a business relationship through Crystal Clinic Orthopaedic Center, LLC: both are Directors of Crystal Clinic Orthopaedic Center, LLC. Robert Harrigan and Thomas Strauss have a business relationship through Summa Accountable Care Organization: both are Directors of Summa Accountable Care Organization Summa Foundation f/k/a Summa Akron City and St. Thomas Hospitals Foundation: Thomas Clark, Anthony Lockhart and Richard Marsh have a business relationship through First Energy: all are retired officers of First Energy. Samir Gibara and Scott Honnold have a business relationship through Goodyear Tire and Rubber Company: Samir Gibara is a retired officer of Goodyear and Scott Honnold is a current officer of Goodyear. George Daverio, Jr. and C. Gordon Ewers have a business relationship through Merrill Lynch: George Daverio, Jr. is retired from Merrill Lynch and C. Gordon Ewers is an officer at Merrill Lynch. Summa Foundation (dissolved through merger June 1, 2012): Samir Gibara and Scott Honnold have a business relationship through Goodyear Tire and Rubber Company: Samir Gibara is a retired officer of Goodyear and Scott Honnold is a current officer of Goodyear. George Daverio, Jr. and C. Gordon Ewers have a business relationship through Merrill Lynch: George Daverio, Jr. is retired from Merrill Lynch and C. Gordon Ewers is an officer at Merrill Lynch. Summa Physicians, Inc.: Brian Derrick, Dale Murphy, M.D., William A. Powel, III, and Thomas Strauss have a business relationship through Middlebury Assurance Corporation: all are Directors of Middlebury Assurance Corporation Summa Barberton Citizens Hospital: N/A The Wadsworth-Rittman Area Hospital Assn: Eric Graf and Thomas Knoll have a business relationship through Ritzman Pharmacies: Eric Graf is the CEO of Ritzman Pharmacies and Thomas Knoll is a Director of Ritzman Pharmacies. Cuyahoga Falls General Hospital: Stephen Hailer, Thomas Strauss, Joseph Nienaltowksi, D.O., and William A. Powel, III have a business relationship through Summa Western Reserve Hospital: Stephen Hailer, Thomas Strauss, and William A. Powel, III are Directors of Summa Western Reserve Hospital and Joseph Nienaltowski, D.O. is Director, Patient Experience at Summa Western Reserve Hospital, LLC. Douglas Chonko, D.O. and Ronald Russ, D.O. have a business relationship through Kent Management Group: each is employed by Kent Management Group.
Form 990, Page 6, Part VI, Line 4		Summa Foundation (dissolved through merger June 1, 2012): Summa Foundation merged with Summa Akron City and St. Thomas Hospitals Foundation effective June 1, 2012. Summa Akron City and St. Thomas Hospitals Foundation was the surviving corporation and effective on the merger date, the surviving corporation changed its name to Summa Foundation. Summa Foundation f/k/a Summa Akron City and St. Thomas Hospitals Foundation: Summa Akron City and St. Thomas Hospitals Foundation merged with Summa Foundation effective June 1, 2012. Summa Akron City and St. Thomas Hospitals Foundation was the surviving corporation and effective on the merger date, the surviving corporation changed its name to Summa Foundation. The following changes were made to the Code of Regulations during the 2012 tax year: (i) Changed the name of the corporation from "Summa Akron City and St. Thomas Hospitals Foundation" to "Summa Foundation" (ii) Changed the Member from Summa Akron City and St. Thomas Hospitals to Summa Health System (iii) Changed the voting requirements for the sole Member to reject an elected director from 60% of Member's Board of Directors to a simple majority (iv) Changed the maximum number of Directors from 49 to 30 with not less than 25 (v) Changed the quorum definition from 40% to 50% (vi) Added a requirement that a majority of the Directors be independent (vii) Reduced the number of Special Voting Directors from 5 to 1; only the President & CEO of Summa Health System will be a Special Voting Director. The following Special Voting Directors were deleted: (1) Chair, Summa Akron City and St. Thomas Hospitals; (2) Chair, Summa Health System; (3) President, Medical Staff, Summa Akron City and St. Thomas Hospitals; and (4) System Vice President, Medical Education and Research (viii) Reduced the size of the Executive Committee from up to 11 to 5 (ix) Specified that the Executive Committee is to be appointed at the annual meeting; members will consist of the Chair, Vice Chair, Secretary, Treasurer and one director named by the Chair (x) Specified that the Executive and Finance Committees shall be the standing committees; the Development Committee was deleted as a standing committee (xi) Added a Vice Chair and a Chief Development Officer to the list of officers (xii) Changed the single President & COO position to two individual positions
Form 990, Page 6, Part VI, Line 6		Summa Akron City and St. Thomas Hospitals: Summa Health System is the sole member of Summa Akron City and St. Thomas Hospitals. Summa Foundation f/k/a Summa Akron City and St. Thomas Hospitals Foundation: Summa Akron City and St. Thomas Hospitals is the sole member of Summa Foundation f/k/a Summa Akron City and St. Thomas Hospitals Foundation. Summa Foundation (dissolved through merger June 1, 2012): Summa Health System was the sole member of Summa Foundation. Summa Barberton Citizens Hospital: The sole member of Summa Barberton Citizens Hospital is Summa Barberton Wadworth-Rittman Hospitals, LLC, an Ohio non-profit limited liability company whose sole member is Summa Health System. The Wadsworth-Rittman Area Hospital Assn: The sole member of The Wadsworth-Rittman Area Hospital Assn is Summa Barberton Wadsworth-Rittman Hospitals, LLC, an Ohio non-profit limited liability company whose sole member is Summa Health System. Summa Physicians, Inc.: Summa Physicians, Inc. has stockholders; the stock is held in trust for the benefit of Summa Health System. Cuyahoga Falls General Hospital: Summa Health System is the sole member of Cuyahoga Falls General Hospital.
Form 990, Page 6, Part VI, Line 7a		Summa Akron City and St. Thomas Hospitals: (i) The medical staff of Summa Akron City and St. Thomas Hospitals elects two (2) directors: the President of the Medical Staff and the President-Elect of the Medical Staff. (ii) The Chairs of the medical staff departments elect two (2) department chairs to be directors (iii) The following individuals are directors by designation: (a) President & CEO of Summa Health System; (b) President & COO of Summa Akron City and St. Thomas Hospitals; (c) Chair of Summa Akron City and St. Thomas Hospitals Foundation; and (d) The Presidents of The Women's Board of St. Thomas Hospital and the Women's Board of Summa Health System shall rotate annually to provide a single representative. (iv) Other than as set forth above, Summa Health System is the sole member of Summa Akron City and St. Thomas Hospitals and has the right to elect the Board of Directors of Summa Akron City and St. Thomas Hospitals. Summa Foundation f/k/a Summa Akron City and St. Thomas Hospitals Foundation: In addition to directors elected by the Summa Health System Board as the sole member of Summa Foundation, the President and CEO of Summa Health System serves as a director of Summa Foundation. Summa Foundation (dissolved through merger June 1, 2012): In addition to directors elected by the Summa Health System Board as the sole member of Summa Foundation, the individuals holding the following offices serve as directors of Summa Foundation for so long as they serve in their respective capacities: (i) Chair, Summa Health System Board of Directors; (ii) President & CEO, Summa Health System; (iii) System Vice President, Medical Education & Research, (iv) System Director, Research; and (v) President, Summa Foundation. Summa Physicians, Inc.: Summa Physicians, Inc. is affiliated with Summa Akron City and St. Thomas Hospitals and only persons approved by Summa Akron City and St. Thomas Hospitals or employed by Summa Akron City and St. Thomas Hospitals or an affiliated entity may serve as a director of Summa Physicians, Inc. Summa Barberton Citizens Hospital: The sole member of Summa Barberton Citizens Hospital is Summa Barberton Wadsworth-Rittman Hospitals, LLC, an Ohio non-profit limited liability company whose sole member is Summa Health System. The sole member elects the Board of Directors of Summa Barberton Citizens Hospital subject to the approval of Summa Health System. The Wadsworth-Rittman Area Hospital Assn: The sole member of The Wadsworth-Rittman Area Hospital Assn is Summa Barberton Wadsworth-Rittman Hospitals, LLC, an Ohio non-profit limited liability company whose sole member is Summa Health System. The sole member elects the Board of Directors of The Wadsworth-Rittman Area Hospital Assn subject to the approval of Summa Health System. Cuyahoga Falls General Hospital: Summa Health System is the sole member of Cuyahoga Falls General Hospital and has the right to elect the Board of Directors of Cuyahoga Falls General Hospital.
Form 990, Page 6, Part VI, Line 7b		Summa Akron City and St. Thomas Hospitals: Summa Health System is the sole member of Summa Akron City and St. Thomas Hospitals. As the sole member, Summa Health System has the power and authority to approve or disapprove of each of the following on behalf of Summa Akron City and St. Thomas Hospitals: (i) Any modification of the essential nature, purpose, mission or operations of Summa Akron City and St. Thomas Hospitals; (ii) Approval of the Codes of Regulations, Bylaws or other constitutive document of Summa Akron City and St. Thomas Hospitals and any corporation or entity controlled by, related to or affiliated with Summa Akron City and St. Thomas Hospitals (an "Affiliated Corporation") and any and all amendments thereto; (iii) The 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 Summa Akron City and St. Thomas Hospitals or any Affiliated Corporation; (iv) The establishment of qualifications for the selection of Directors, Directors or Managers of Summa Akron City and St. Thomas Hospitals; (v) The appointment or election and removal of members of the governing body of Summa Akron City and St. Thomas Hospitals; (vi) The appointment or election and removal of the President and/or Chief Executive Officer or similar officer of Summa Akron City and St. Thomas Hospitals; (vii) The adoption of annual operating and capital budgets of Summa Akron City and St. Thomas Hospitals; (viii) The adoption of the long range plans of Summa Akron City and St. Thomas Hospitals; (ix) Determinations as to the use and occupancy of any building owned or leased by Summa Akron City and St. Thomas Hospitals; (x) The sale, encumbrance, lease or disposition of real property of Summa Akron City and St. Thomas Hospitals other than in the ordinary course of the operations of Summa Akron City and St. Thomas Hospitals; and (xi) The merger, reorganization, dissolution or other corporate action of a similar nature, including participation in a joint venture, undertaken by Summa Akron City and St. Thomas Hospitals. Summa Foundation f/k/a Summa Akron City and St. Thomas Hospitals Foundation: Summa Health System 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.
Form 990, Page 6, Part VI, Line 7b cont.		Summa Foundation (dissolved through merger June 1, 2012): Summa Health System 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 and the Member: (i) Any modification of the essential nature, purpose, mission or operations of the Corporation; (ii) Adoption of a Code of Regulations 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 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 Chief Operating Officer ("President & COO") or similar officer(s) of the Corporation; (vii) Adoption of annual operating and capital budgets of the Corporation; (viii) 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 Corporation'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; (ix) 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 Corporation which has not been previously approved by the Member exceeds certain dollar limits set from time to time by the Member; (x) Execution of any contract that calls for the Corporation to expend 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; (xi) Adoption of the long range plans of the Corporation; (xii) Determinations as to the use and occupancy of any building owned or leased by the Corporation; (xiii) The purchase, sale, encumbrance, lease or disposition of real property of the Corporation other than in the ordinary course of the operations of the Corporation; and (xiv) The merger, reorganization, dissolution or other corporate action of a similar nature proposed by the Corporation. Summa Physicians, Inc.: N/A Summa Barberton Citizens Hospital: Summa Health System is the sole member of Summa Barberton Wadsworth-Rittman Hospitals, LLC which, in turn, is the sole member of Summa Barberton Citizens Hospital. Summa Health System has the power and authority to approve or disapprove of each of the following on behalf of Summa Barberton Citizens Hospital: (i) Any modification of the essential nature, purpose, mission or operations of Summa Barberton Citizens Hospital; (ii) Approval of the Codes of Regulations, Bylaws or other constitutive document of Summa Barberton Citizens Hospital and any corporation or entity controlled by, related to or affiliated with Summa Barberton Citizens Hospital (an "Affiliated Corporation") and any and all amendments thereto; (iii) The 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 Summa Barberton Citizens Hospital or any Affiliated Corporation; (iv) The establishment of qualifications for the selection of Directors, Directors or Managers of Summa Barberton Citizens Hospital; (v) The appointment or election and removal of members of the governing body of Summa Barberton Citizens Hospital; (vi) The appointment or election and removal of the President and/or Chief Executive Officer or similar officer of Summa Barberton Citizens Hospital; (vii) The adoption of annual operating and capital budgets of Summa Barberton Citizens Hospital; (viii) The adoption of the long range plans of Summa Barberton Citizens Hospital; (ix) Determinations as to the use and occupancy of any building owned or leased by Summa Barberton Citizens Hospital; (x) The sale, encumbrance, lease or disposition of real property of Summa Barberton Citizens Hospital other than in the ordinary course of the operations of Summa Barberton Citizens Hospital; and (xi) The merger, reorganization, dissolution or other corporate action of a similar nature undertaken by Summa Barberton Citizens Hospital. The Wadsworth-Rittman Area Hospital Assn: Summa Health System is the sole member of Summa Barberton Wadsworth-Rittman Hospitals, LLC which, in turn, is the sole member of The Wadsworth-Rittman Area Hospital Assn. Summa Health System has the power and authority to approve or disapprove of each of the following on behalf of The Wadsworth-Rittman Area Hospital Assn: (i) Any modification of the essential nature, purpose, mission or operations of The Wadsworth-Rittman Area Hospital Assn; (ii) Approval of the Codes of Regulations, Bylaws or other constitutive document of The Wadsworth-Rittman Area Hospital Assn and any corporation or entity controlled by, related to or affiliated with The Wadsworth-Rittman Area Hospital Assn (an "Affiliated Corporation") and any and all amendments thereto; (iii) The 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 Wadsworth-Rittman Area Hospital Assn or any Affiliated Corporation; (iv) The establishment of qualifications for the selection of Directors, Directors or Managers of The Wadsworth-Rittman Area Hospital Assn; (v) The appointment or election and removal of members of the governing body of The Wadsworth-Rittman Area Hospital Assn; (vi) The appointment or election and removal of the President and/or Chief Executive Officer or similar officer of The Wadsworth-Rittman Area Hospital Assn; (vii) The adoption of annual operating and capital budgets of The Wadsworth-Rittman Area Hospital Assn; (viii) The adoption of the long range plans of The Wadsworth-Rittman Area Hospital Assn; (ix) Determinations as to the use and occupancy of any building owned or leased by The Wadsworth-Rittman Area Hospital Assn; (x) The sale, encumbrance, lease or disposition of real property of The Wadsworth-Rittman Area Hospital Assn other than in the ordinary course of the operations of The Wadsworth-Rittman Area Hospital Assn; and (xi) The merger, reorganization, dissolution or other corporate action of a similar nature undertaken by The Wadsworth-Rittman Area Hospital Assn. Cuyahoga Falls General Hospital: Summa Health System is the sole member of Cuyahoga Falls General Hospital. As the sole member, Summa Health System has the power and authority to approve or disapprove of each of the following on behalf of Cuyahoga Falls General Hospital: (i) Any modification of the essential nature, purpose, mission or operations of Cuyahoga Falls General Hospital; (ii) Approval of the Codes of Regulations, Bylaws or other constitutive document of Cuyahoga Falls General Hospital and any corporation or entity controlled by, related to or affiliated with Cuyahoga Falls General Hospital (an "Affiliated Corporation") and any and all amendments thereto; (iii) The 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 Cuyahoga Falls General Hospital or any Affiliated Corporation; (iv) The establishment of qualifications for the selection of Directors, Directors or Managers of Cuyahoga Falls General Hospital; (v) The appointment or election and removal of members of the governing body of Cuyahoga Falls General Hospital; (vi) The appointment or election and removal of the President and/or Chief Executive Officer or similar officer of Cuyahoga Falls General Hospital; (vii) The adoption of annual operating and capital budgets of Cuyahoga Falls General Hospital; (viii) The adoption of the long range plans of Cuyahoga Falls General Hospital; (ix) Determinations as to the use and occupancy of any building owned or leased by Cuyahoga Falls General Hospital; (x) The sale, encumbrance, lease or disposition of real property of Cuyahoga Falls General Hospital other than in the ordinary course of the operations of Cuyahoga Falls General Hospital; and (xi) The merger, reorganization, dissolution or other corporate action of a similar nature undertaken by Cuyahoga Falls General Hospital.
Form 990, Page 6, Part VI, Line 11b		The return was reviewed in detail by a committee consisting of internal and external legal counsel, financial management, and an external auditor. The review committee included the System Vice President, Finance and CFO and the System Vice President, Legal Services and General Counsel. This detailed review occurred in early October 2013. Following this review and incorporation of changes recommended by this committee, the return was provided to the Summa Health System Committee on Governance prior to its mid-October 2013 meeting for further review. The Committee on Governance is a standing committee appointed by the Summa Health System Board of Directors and includes members of the Board of Directors. Schedule H of the return was also reviewed by the Summa Health System 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, Page 6, Part VI, Line 12c		Conflict of Interest Process Summary: A Conflict of Interest Questionnaire is sent annually to all Summa Health System 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 System 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 System Policy on Conflict of Interest as approved by the Summa Health System 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 any 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, Page 6, Part VI, Line 15		Executive Compensation: The Compensation Committee of the Summa Health System Board of Directors meets at least twice each year to review and approve base compensation and total remuneration for executive staff. Each voting member of the Compensation Committee is an independent director and is not affiliated with management. The Compensation Committee engages outside consulting support to provide independent market data, advice and counsel to the Compensation Committee. For the past three years, the Compensation Committee has used The 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 System: President & CEO; System Vice President; Finance & CFO; System Vice President, Legal Services & General Counsel; System Vice President, IT&S & CIO; System Vice President, Service Lines, Ambulatory & Ancillary; System Vice President, Planning & Marketing; System Vice President & Chief Nursing Officer; System Vice President, Human Resources; System Vices President, Quality & Medical Affairs; Summa Akron City and St. Thomas Hospitals: President & COO Summa Foundation: President Summa Barberton Citizens Hospital & The Wadsworth-Rittman Area Hospital Assn: President & COO Summa Physicians, Inc: President SummaCare: President Cuyahoga Falls General Hospital: Note: Cuyahoga Falls General Hospital did not employ a President & COO during 2012
Form 990, Page 6, Part VI, Line 18		The Forms 990 are available on Summa Health System's website: www.summahealth.org. The Forms 990-T and group exemption application are available upon request.
Form 990, Page 6, Part VI, Line 19		Summa Health System makes its Conflicts of Interest policy available on its website (www.summahealth.org). The Articles of Incorporation of Summa Health System and its related entities are available on the website of the Ohio Secretary of State (www.sos.state.oh.us). Summa Health System 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).
Form 990, Page 12, Part XI, Line 9	Other Changes in Net Assets or Fund Balances:	FASB 106 Post Retirement (174,000) Net Assets released from restriction 1,816,333 Minimum Pension Liability (8,236,570) Transfers between affiliated organizations 960,964 Change in Trust Value 479,148 ----------- Total Changes in Net Assets (5,154,125)
Form 990, Page 2, Part III Program Service Accomplishments		Summa Health System 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 System serves more than one million patients each year in comprehensive emergency, acute, critical, outpatient and long-term/homecare settings and represents more than 2,000 registered, inpatient beds on the campuses of Summa Akron City and St. Thomas Hospitals, Summa Barberton Citizen's Hospital, The Wadsworth-Rittman Area Hospital Association, Summa Rehab Hospital, Summa Western Reserve Hospital, Crystal Clinic Orthopaedic Center, and Robinson Memorial Hospital, an affiliate of Summa Health System.* In addition, outpatient care is provided in more than 16 community health centers and Emergency Departments (EDs), some integrated in the healthcare facilities, others free-standing. Summa Rehab Hospital, Summa Western Reserve Hospital and Crystal Clinic Orthopaedic Center are joint ventures in which Summa Health System has an interest, and are referenced in this document for the purpose of indentifying all entities affiliated with Summa Health System. Summa's proportionate interest of these joint ventures' charity care and other community benefits are included below. * Robinson Memorial Hospital, an affiliate of Summa Health System, is a county hospital. It is referenced in this document only for the purpose of identifying all entities affiliated with Summa Health System. Providing superior, multi-specialty patient care, medical research and continuing medical education, Summa Health System ranks as a highly recognized healthcare provider in several disciplines including: cardiovascular, emergency, oncology, 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 Nurses Credentialing Center Premier Healthcare Alliance The Joint Commission Summa Health System is Summit County's largest employer and a leading economic engine for the region. Summa Health System includes the following: Summa Akron City and St. Thomas Hospitals: Summa Akron City and St. Thomas Hospitals is a single legal entity that includes two hospital campuses and several off-site locations. Summa Akron City and St. Thomas Hospitals operates both hospital locations as well as the hospital-based off-site locations under the same Medicare provider number. Summa Akron City and St. Thomas Hospitals employs more than 5,300 individuals and has a medical staff of more than 1,000 professionals. Summa Akron City and St. Thomas Hospitals has over 1,000 registered beds and 46 licensed bassinets. The buildings and facilities on both campuses total 1.7 million square feet. Summa Akron City Hospital 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. In 2012, Summa Akron City Hospital completed a $45 million renovation and expansion of its emergency department, which now includes 44 patient treatment rooms, radiology rooms, triage area, an auditorium and offices to accommodate EMS, residency training, research, quality, informatics and disaster preparedness. The emergency department also offers the only dedicated emergency department program for patients aged 65+ in the area. Summa St. Thomas Hospital provides acute care 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 Akron City and St. Thomas Hospitals serves as 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 employs more than 1,300 employees and has approximately 400 medical staff. It has 257 registered adult beds and 14 available bassinets. A new Acute Palliative Care Unit (APCU) and an Acute Care for Elders (ACE) unit opened at Summa Barberton Citizen's Hospital in 2012. Also, the hospital implemented electronic medical records (EMR), which enabled it to meet all criteria for Phase 1 Meaningful Use designation. The hospital's Parkview Center oncology program received reaccreditation with commendation in 2012 from the Commission on Cancer, placing the center in the top 10 percent of cancer programs nationally. The Wadsworth-Rittman Area Hospital Association The Wadsworth-Rittman Area Hospital Association is a 200,000 square foot acute care community hospital located on approximately 38 acres. Located approximately 20 miles west of Akron, Ohio, the Wadsworth-Rittman Area Hospital Association has 99 registered beds, employs more than 450 employees, and has a medical staff of more than 320 professionals. The hospital was recognized by The Joint Commission in 2012 as a Top Performer on Key Quality Measures for outstanding quality care in pneumonia and surgical services. A new outpatient center for senior services opened at the hospital in 2012. During the year, electronic medical records (EMR) were implemented, enabling the hospital to meet all criteria for Phase 1 Meaningful Use designation. Charity Care: In 2012, Summa Health System provided charity care at an estimated net cost of more than $13.3 million. This amount represented the net cost associated with providing the care and does not include bad debt. Patients with incomes 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 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 2012, the charity care program (including Hospital Care Assurance Program) benefitted approximately 61,000 patient encounters. Medicaid Shortfall Historically, Ohio Medicaid reimbursements have not covered the cost of providing the care to program beneficiaries, creating a budgetary shortfall. As one of northeast Ohio's top providers of hospital care for Medicaid patients, Summa Health System's unpaid costs for Medicaid totaled more than $22.7 million. Bad Debt Summa Health System is committed to providing quality and accessible healthcare. This includes covering the expenses of payments that were expected but not received. While Summa Health System recognizes bad debt is part of the cost 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 System provides to the community without full reimbursement. In 2012, the cost for providing care written off as bad debt was approximately $25.8 million. Community Health Improvement Services An important part of Summa Health System's mission is offering a prevention and wellness program to build a healthier community. In 2012, Summa Health System provided approximately $1.4 million to help fund health improvement activities such as free and low-cost health screenings, health education services and wellness programming. Subsidized Health Services Summa Health System is committed to providing subsidized health services - clinical services that meet an identified community need and are provided despite financial loss. Vital services such as The Center for Senior Health, Care Center for patients with HIV or AIDS, Developing Options for Violent Emergencies (DOVE) program for crisis services and diabetes education are offered, even though they are not profitable. Income from other services is used to cover these costs. In 2012, the cost for subsidized services was approximately $28.1 million.
Form 990, Page 2, Part III, continued		Financial and In-kind Donations Annually, Summa Health System 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 System participates in numerous community programs and helps other nonprofits fulfill their missions. In 2012, these contributions exceeded $2.1 million. Research Summa Health System'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 System and helps set the highest standards for medical care in the community. Summa Health System's reputation for excellence in such critical specialties as cardiology, diabetes, emergency services, orthopaedics, oncology, senior health, surgery, and women's health continues to grow through research and innovation. Summa Health System invested more than $4.7 million in research in 2012. 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 System supports the education of physicians and other healthcare professionals. Summa Akron City and St. Thomas Hospitals is the largest of the major teaching affiliates of the Northeast Ohio Medical University (NEOMED), a consortium of The University of Akron, Kent State University and Youngstown State University, and offers education to NEOMED's colleges of medicine and pharmacy students, as well as to medical students from schools around the country. In addition, Summa 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 2012, 246 residents and fellows trained at Summa's three main hospitals. On average, more than 40% of these residents remain in our local and surrounding communities. Summa's 2012 investment in health professions education totaled nearly $22.3 million. The work of Summa's internal medicine residency program, directed at improving the quality and safety of patient care as part of the ACGME's Educational Innovation Project, was presented at two national meetings and published in the Journal of Graduate Medical Education. In addition, Summa has expanded the size and scope of the medical simulation center in support of Summa's commitment to quality and safety, and approved the development of two new fellowship training programs, one in medical simulation and one in emergency medical services. Summa Health System 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 System Services: Following is a description of Summa Health System's notable accomplishments by primary service lines in 2012: Behavioral Health - Summa Akron City and St. Thomas Hospitals together with Coleman Professional Services received a $400,000 grant from the Margaret Clark Morgan Foundation to develop integrated behavioral health services in the internal medicine and family practice centers. The purpose of the grant is to demonstrate improved health outcomes when behavioral health services are provided along with medical care. Cardiovascular - Completed a $2 million upgrade to the Heart Rhythm Services (HRS) Lab on the campus of Summa Akron City Hospital. The Cardiovascular Institute received the American Heart Association Mission Lifeline Accreditation and Silver level award. Emergency/Trauma Services - In addition to completing the renovation and expansion of the emergency department at Summa Akron City Hospital, the free-standing emergency department in Green was successfully completed and opened in July, 2012. The emergency departments at Summa Akron City and St. Thomas Hospitals and Summa Health Center at Lake Medina demonstrated continued excellence in patient satisfaction, rating in the 75th percentile. Neuroscience - Completed construction of second bi-plane suite to perform complex neuro-interventional procedures. Attained 45% growth in neuro-surgical procedures compared to 2011. Oncology - Summa Health System successfully attained three-year American Radiology Radiation Oncology Accreditation. Respiratory - Implemented the following programs in 2012: low-dose CT screening for early identification of lung cancer, and an inpatient smoking cessation program. Obtained a computerized lung simulator for use in training, research and simulation, and trained and certified more than 15 tobacco cessation specialists to provide community-based tobacco cessation programs. Seniors, Post Acute and Transitional Care - In addition to expanded services at Summa Barberton Citizens Hospital and Summa Wadsworth-Rittman Hospital noted above, Summa's Bridge-to-Home transitional care program expanded to include behavioral health support. The palliative care fellowship program received a five-year accreditation from ACGME, and the geriatric fellowship program received approval to add two spots for the 2014-15 year. Surgical Services - Summa Akron City Hospital developed and implemented a surgical services optimization plan led by nursing, physician and anesthesia leadership teams to improve efficiency and enhance access throughout the peri-operative environment. Summary Although reimbursement for services rendered is critical to the operations and stability of Summa Health System, not all individuals possess the ability to purchase essential medical services. Summa Health System 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 program. Patients were encouraged to apply for uncompensated care and, depending on their level of income and number of dependents, all (or a portion) of their bill was reduced. Gross annual family income was compared using a sliding scale based on the federal poverty income guidelines to determine the charity discount for which the patient may be eligible. In 2012, Summa Health System provided charity care to the indigent (including unreimbursed Medicaid) at the net cost of nearly $36 million. This amount does not include services provided and written off as bad debt. In addition to uncompensated medical care, Summa Health System provided wellness programs, community education programs and special programs for the elderly, handicapped, and medically underserved. Summa Health System also operated a variety of broad community support activities. Many of these programs were offered at a reduced price or provided to the community free of charge. Summa Health System 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 System'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.
Form 990, Page 2, Part III continued		Summa Physicians Inc. (SPI) - Program Service Accomplishments: Summa Physicians Inc. (SPI) is a Summa Health System entity comprised of multi-specialty physicians and practices. In 2012, SPI added 28 physicians in various specialties including cardiology and oncology. In total, SPI employs more than 275 physicians and 730 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 2012, SPI developed standardized contracts for providers to achieve efficiency and savings. 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 System. Development The Foundation's development department offers a spectrum of philanthropic options for donors designed to create a positive impact on Summa Health System's operations, programs, projects and perceptions and to affect positive change in the communities Summa Health System serves. Development houses the grant and proposal development offices created to identify the resources and expertise of external and internal partners to generate funding for research, education and clinical and system projects. Contributions to the Summa Foundation in 2012 exceeded $4.1 million, including private and public sector support and the value of partnerships and collaborative efforts. 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 System. Community benefit and diversity provide wellness and educational tools, facilitate economic development programs, develop community partnerships, communicate Summa Health System'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 System 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.
OTHER FEES FOR SERVICES FOR NON-EMPLOYEES	FORM 990 PART IX LINE 11G	DESCRIPTION:PURCHASED MEDICAL SERVICES TOTAL FEES:34054620
OTHER FEES FOR SERVICES FOR NON-EMPLOYEES	FORM 990 PART IX LINE 11G	DESCRIPTION:PHYSICIAN SERVICES-AFFILIATE TOTAL FEES:50891728
OTHER FEES FOR SERVICES FOR NON-EMPLOYEES	FORM 990 PART IX LINE 11G	DESCRIPTION:PHYSICIAN PRACTICE SUPPORT TOTAL FEES:26416847
OTHER FEES FOR SERVICES FOR NON-EMPLOYEES	FORM 990 PART IX LINE 11G	DESCRIPTION:COLLECTION SERVICES TOTAL FEES:6877063
OTHER FEES FOR SERVICES FOR NON-EMPLOYEES	FORM 990 PART IX LINE 11G	DESCRIPTION:NON-MEDICAL PURCHASED SERVICES TOTAL FEES:38607366
OTHER FEES FOR SERVICES FOR NON-EMPLOYEES	FORM 990 PART IX LINE 11G	DESCRIPTION:PERFUSION/BLOOD PROCESSING TOTAL FEES:4281939
OTHER FEES FOR SERVICES FOR NON-EMPLOYEES	FORM 990 PART IX LINE 11G	DESCRIPTION:AMBULANCE SERVICE TOTAL FEES:532613
OTHER FEES FOR SERVICES FOR NON-EMPLOYEES	FORM 990 PART IX LINE 11G	DESCRIPTION:HOSPICE SERVICES TOTAL FEES:3772130
OTHER FEES FOR SERVICES FOR NON-EMPLOYEES	FORM 990 PART IX LINE 11G	DESCRIPTION:REPAIR & MAINTENANCE TOTAL FEES:12618735

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Total IncomeTotalIncome	EOY AssetsEOYAssets	Business Name Line1DirectControllingEntityName/BusinessNameLine1
Summa Enterprise Group LLC
525 East Market Street	Akron	OH	44304	030507853	Consulting	OH	2405075	12548583	SACSTH
Summa Enterprise Group Properties LLC
525 East Market Street	Akron	OH	44304	550837372	Real Estate	OH	445782	122495	SEG
Akron Endoscopy ASC LLC
525 East Market Street	Akron	OH	44309	621865245	prof.med.svcs	OH	0	20000	sacsth

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	St Thomas Medical Center Women's Board	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	444 North Main Street	AddressLine1
City	Akron	City
State	OH	State
ZIP Code	44310	ZIPCode

Field	Value	IRS element (for citing)
EIN	346576575	EIN
Primary Activities	Support	PrimaryActivities
Legal Domicile State	OH	LegalDomicileState
Exempt Code Section	3	ExemptCodeSection
Public Charity Status	11-I	PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Controlled Org	false	ControlledOrg

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	Code VCodeVAmount	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership
Ohio Sleep Disorders Center
130 West Exchange Street	Akron	OH	44302	341872278	Office Physic	OH	SACSTH & SBH	Related	0	0	false	$0	true	0.66670
Summa Rehab Hospital LLC
4550 Lena Drive	Mechanicsburg	PA	17055	271952573	Rehab Hospita	OH	SACSTH	Related	7915911	2999783	false	$0	true	0.52000

Form990 Schedule R Part IV Form990ScheduleRPartIV (11 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Controlled OrgControlledOrg	Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	Province Or StateAddressForeign/ProvinceOrState	CountryAddressForeign/Country	Legal Domicile Foreign CountryLegalDomicileForeignCountry
Ohio Health Choice Inc
525 East Market Street	Akron	OH	443041619	341895396	PPO	OH	NA	C Corp	2466445	1726637	0.80000	true
Summa Insurance Company Inc
10 North Main Street	Akron	OH	44308	341809108	Prop/Cas. Ins	OH	NA	C Corp	203193552	100602102	0.99000	true
Summa Health System Corp
525 East Market Street	Akron	OH	443041619	341515252	Mgmt Services	OH	NA	C Corp	1793000	6299558	1.00000	true
Wadsworth-Rittman Prof Services Corp
195 Wadsworth Road	Wadsworth	OH	442819504	010842997	Prof. Med. Sv	OH	NA	C Corp	0	14319	1.00000	true
Middlebury Assurance Company
				980405096	Self Insuranc		NA	Foreign Corp	13520911	63349154	1.00000	true	PO Box 1051 KY1-1102	Grand Cayman	Cayman Islands	CJ	CJ
SummaCare Inc
525 East Market Street	Akron	OH	44309	341726655	Insurance	OH	NA	C Corp	283292947	95086721	1.00000	true
Health Care Center Physicians Inc
525 East Market Street	Akron	OH	443041619	341692767	Inactive	OH	NA	C Corp	0	0	1.00000	true
Summa Accountable Care Organization
525 East Market Street	Akron	OH	44304	273857055	Contracting	OH	NA	C Corp	1571851	809665	1.00000	true
Aris Teleradiology Holdings Inc
5655 Hudson Drive	Hudson	OH	44236	453697866	Radiology Svc	DE	SACSTH	C Corp	7839849	5172689	0.57900	false
Summa Management Services Organization
10 North Main Street	Akron	OH	44308	461145832	Mgmt Services	OH	SHS Corp	C Corp	0	0	1.00000	true
Summa Integrated Services Organization
10 North Main Street	Akron	OH	44308	461159251	Mgmt Services	OH	SHS Corp	C Corp	4174077	11688806	1.00000	true

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	true	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	true	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	false	DividendsRelatedOrganization
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	true	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	true	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	true	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	false	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (37 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
Summa Rehab Hospital LLC
a	1950772	FMV
Summa Akron City and St Thomas Hospital
b	166654	FMV
Summa Foundation
b	2043958	FMV
Summa Foundation
b	137500	FMV
Summa Foundation
c	166654	FMV
Summa Akron City and St Thomas Hospital
c	2043958	FMV
Summa Barberton Citizens Hospital
c	137500	FMV
Summa Physicians Inc
j	2943261	FMV
Summa Physicians Inc
j	219754	FMV
Summa Physicians Inc
j	135241	FMV
Summa Akron City and St Thomas Hospital
k	2943261	FMV
Summa Barberton Citizens Hospital
k	219754	FMV
The Wadsworth-Rittman Area Hospital Assn
k	135241	FMV
Summa Akron City and St Thomas Hospital
l	43255651	FMV
Summa Barberton Citizens Hospital
l	6984824	FMV
The Wadsworth-Rittman Area Hospital Assn
l	1556716	FMV
Summa Insurance Company Inc
l	69394174	FMV
Summa Insurance Company Inc
l	10655542	FMV
Summa Insurance Company Inc
l	11767675	FMV
Summa Insurance Company Inc
l	4017147	FMV
Summa Health System
m	532644	FMV
Summa Health System
m	103992	FMV
Summa Health System
m	83211	FMV
Summa Health System
m	1078230	FMV
Summa Physicians Inc
m	43255651	FMV
Summa Physicians Inc
m	6984824	FMV
Summa Physicians Inc
m	1556716	FMV
Middlebury Assurance Company
m	7614552	FMV
Middlebury Assurance Company
m	1900318	FMV
Middlebury Assurance Company
m	1117119	FMV
Middlebury Assurance Company
m	304495	FMV
Summa Insurance Company Inc
m	1236026	FMV
Summa Insurance Company Inc
m	255912	FMV
Summa Insurance Company Inc
m	125877	FMV
SummaCare Inc
m	1826492	FMV
Summa Akron City and St Thomas Hospital
p	6765955	FMV
Summa Foundation
q	6765955	FMV

Form990 Schedule R Part VI Form990ScheduleRPartVI (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Predominate IncomePredominateIncomeDesc	All Partners C3 SAllPartnersC3S	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	Code VCodeVAmount	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership
Crystal Clinic Orthopaedic Center LLC
3925 Embassy Parkway 250	Akron	OH	44333	261130649	Ortho Hospital	OH	Related	false	54657515	21004751	false	$0	false	0.49650
Summa Western Reserve Hospital LLC
1900 23rd Street	Cuyahoga Falls	OH	44223	263536780	Hospital	OH	Related	false	46889200	9742292	false	$0	false	0.40000