SUMMA HEALTH GROUP RETURN: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: SUMMA HEALTH GROUP RETURN (EIN 90-0640432)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-11-13
IRS object ID: 201233189349301673
Schema version: 2011v1.3
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 O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-11-13T10:00:12-06:00	Timestamp
Tax Period End Date	2011-12-31	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	2011-01-01	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
City	Akron	City
State	OH	State
ZIP Code	44309	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Brian K Derrick	Name
Title	Chief Financial Officer	Title
Date Signed	2012-11-12	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	2011	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	1154617292	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
Nbr Voting Members Governing Body	124	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	90	NbrIndependentVotingMembers
Total Nbr Employees	8802	TotalNbrEmployees
Total Nbr Volunteers	898	TotalNbrVolunteers
Total Gross UBI	12826425	TotalGrossUBI
Net Unrelated Business Txbl Income	4349842	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	17452932	ContributionsGrantsPriorYear
Contributions Grants Current Year	6053617	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	1026551028	ProgramServiceRevenuePriorYear
Program Service Revenue CY	1061546122	ProgramServiceRevenueCY
Investment Income Prior Year	14431945	InvestmentIncomePriorYear
Investment Income Current Year	21938379	InvestmentIncomeCurrentYear
Other Revenue Prior Year	10682616	OtherRevenuePriorYear
Other Revenue Current Year	18099365	OtherRevenueCurrentYear
Total Revenue Prior Year	1069118521	TotalRevenuePriorYear
Total Revenue Current Year	1107637483	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	9291949	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	1448421	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	485919403	SalariesEtcPriorYear
Salaries Etc Current Year	495891252	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	1103524	TotalFundrsngExpCurrentYear
Other Expense Prior Year	542186906	OtherExpensePriorYear
Other Expenses Current Year	566499307	OtherExpensesCurrentYear
Total Expenses Prior Year	1037398258	TotalExpensesPriorYear
Total Expenses Current Year	1063838980	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	31720263	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	43798503	RevenuesLessExpensesCY
Total Assets BOY	1065416547	TotalAssetsBOY
Total Assets EOY	1136021642	TotalAssetsEOY
Total Liabilities BOY	674722922	TotalLiabilitiesBOY
Total Liabilities EOY	718039774	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	390693625	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	417981868	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	396132115	Expense
Revenue	458901445	Revenue
Description	Inpatient Services - For 2011, Summa Akron City & St. Thomas Hospitals (SACSTH), Summa Barberton Citizens Hospital (SBH) and The Wadsworth-Rittman Area Hospital Association (WRH) had 856 beds in service, admitted 44,874 adult patients and delivered 3,581 newborns. The adult patients received 213,475 days of care, inpatient surgeries total 7,064, emergency admits totaled 30,856 and the average length of stay was 4.76 days.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	478360840	Expense
Revenue	554159768	Revenue
Description	Outpatient Services - In 2011, Summa Akron City & St. Thomas Hospitals, Summa Barberton Citizens Hospital, The Wadsworth-Rittman Area Hospital Association and Summa Physicians, Inc. provided 1,681,643 occasions of service, including 134,763 emergency room visits, 15,948 surgical operations, and 1,530,932 other outpatient visits.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	35267666	Expense
Revenue	12452164	Revenue
Description	Research/Education Summa Health System has a long, successful 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 graduates from U.S. and international medical schools train in 17 accredited residency training programs. Summa Health System provides clinical learning experiences to more than 2,600 nursing and allied health students. Summa Health System established partnerships with Northeast Ohio Medical University, The University of Akron, Kent State University, Case Western Reserve University, Youngstown State University and a variety of industries in the northeast Ohio region. In addition, Summa Health System is an active partner in the Austen BioInnovation Institute in Akron.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	29729752	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	1495624	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	36032745	TotalOfOtherProgramServiceRev
Total Program Service Expense	939490373	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	true	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	false	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	927	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	8802	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	124	NbrVotingGoverningBodyMembers
Number Independent Voting Members	90	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	true	LocalChapters
Policies Reference Chapters	true	PoliciesReferenceChapters
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

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

Form990 Part VII Section A Form990PartVIISectionA (118 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	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 SACSTHF, SF	2.0	X	0	0	0
Kyle Allen DO
Director SACSTH (term 06/2011)	48.0	X	238598	0	41923
Karen Ayers DO
Director SBH	2.0	X	0	0	0
Michael Bage MD
Director SACSTH	48.0	X	504510	0	10204
Susan Baker
Director WRH	2.0	X	0	0	0
William Bauman MD
Director SPI	48.0	X	594383	0	17581
Julia Bianchi
Director SACSTHF, SF	2.0	X	0	0	0
Michael Bianco MD
Director WRH	2.0	X	56850	0	0
James Biggar
Director SACSTH, SACSTHF, SF	2.0	X	0	0	0
Michelle Blanda MD
Director SACSTH	2.0	X	0	0	0
Nick Browning
Director SACSTH	2.0	X	0	0	0
Candace Campbell-Jackson
Director CFGH	2.0	X	0	0	0
Cynthia Capers
Director SACSTH	2.0	X	0	0	0
Dennis Chack
Director SACSTH	2.0	X	0	0	0
Douglas Chonko DO
Director CFGH	2.0	X	0	0	0
Thomas Clark
Director SACSTHF, SF	2.0	X	0	0	0
Jacob Cohen MD
Director SACSTH	2.0	X	0	0	0
Norman Crocker MD
Director WRH	2.0	X	0	0	0
George Daverio
Director SACSTHF, SF	2.0	X	0	0	0
David Dellinger DO
Director CFGH	2.0	X	0	0	0
T Clifford Deveny MD
President, SPI (term 04/2011)	48.0	X	273090	0	36532	X
Dennis Dick
Director CFGH	2.0	X	0	0	0	X
Vince DiGirolamo
Director SACSTH, SACSTHF, SF	3.0	X	0	0	0	X
C Gordon Ewers
Director SACSTHF, SF	2.0	X	0	0	0
Edward Ferris MD
Director SACSTH	2.0	X	0	0	0
Daniel Figliola
Director CFGH	2.0	X	0	0	0
Michael Frank MD
Director, Chair SBH	3.0	X	0	0	0	X
Jason Fried DO
Director CFGH	2.0	X	0	0	0
Steven Gaich MD
Director SPI	48.0	X	327774	0	25474
Mark Goldfarb
Director SACSTHF, SF	2.0	X	0	0	0
Eric Graf
Director WRH	2.0	X	0	0	0
Russell Gregory
Director, Vice Chr WRH	2.0	X	0	0	0
Stephen Hailer
Director CFGH	2.0	X	0	0	0
Thomas Harnden
Director, Secty/Treas SBH	3.0	X	0	0	0	X
Robert Harrigan
Director SACSTH, System COO	48.0	X	1002992	0	74559	X
Robert Hemphill MD
Director SACSTHF, SF	2.0	X	0	0	0
Thomas Hudson
Director WRH	2.0	X	0	0	0
Rodney Ison MD
Director SBH	2.0	X	28390	16500	0
Mary Ann Jackson
Director SACSTHF, SF	2.0	X	0	0	0
Tracy Jensen
Director SACSTHF, SF	2.0	X	0	0	0
Phil Kaufmann
Director SACSTHF, SF	2.0	X	0	0	0
James Kennedy MD
Director SBH	2.0	X	0	0	0
Phillp Khalil DO
Director CFGH	2.0	X	0	0	0
A Gus Kious MD
Director, President SPI	48.0	X	36704	0	46	X
Thomas Knoll
Director WRH	40.0	X	222408	0	0
Joseph Koenig MD
Director SPI	48.0	X	653840	0	73258
Rich Kramer
Director SACSTHF, SF	2.0	X	0	0	0
James Kraynak
Director, Vice Chr CFGH	2.0	X	0	0	0
Dennis Liddle
Director SBH	2.0	X	0	0	0
Dina Lloyd
Director SBH	2.0	X	0	0	0
Anthony Lockhart
Director SACSTH, SACSTHF	2.0	X	0	0	0
Ann Loftus
Director, SACSTH (term 06/2011	2.0	X	0	0	0
Anthony Manna
Director SACSTHF, SF	2.0	X	0	0	0
Richard Marsh
Director CFGH, SACSTHF, SF	3.0	X	0	0	0	X
Joseph McShannic MD
Director SACSTH	48.0	X	436940	0	22188
Walter Mirapaul
Director, SACSTH (term 11/2011	2.0	X	0	0	0
Dale Murphy MD
Director SPI	48.0	X	568923	0	42768
Randy Myeroff
Director SACSTHF, SF	2.0	X	0	0	0
Vivian Celeste Neal
Director SACSTHF, SF	2.0	X	0	0	0
Joseph Nienaltowski DO
Director CFGH	2.0	X	0	0	0
Thomas O'Neill
Director SPI, CFO SACSTH	48.0	X	488174	0	67174	X
Elwood Palmer
Director SBH (term 11/2011)	2.0	X	0	0	0
Charles Parsons
Director WRH	2.0	X	0	0	0
Jonathon Pavloff
Director SACSTHF, SF	2.0	X	0	0	0
Mark Pluskota MD
Director SBH	2.0	X	0	0	0
William Powel III
Director SPI, System Secty	48.0	X	615406	0	89577	X
Dwight Powers
Director WRH	2.0	X	0	0	0
Ernest Preston
Director SACSTHF, SF	2.0	X	0	0	0
Theresa Proenza
Director SACSTH (term 06/2011)	2.0	X	0	0	0
Margaret Ralston Payne
Director SACSTH, SACSTHF, SF	3.0	X	0	0	0	X
Kathleen Raynor
Director SACSTHF, SF	2.0	X	0	0	0
Froncie Repetti
Director SACSTH	2.0	X	0	0	0
Harriett Richman
Director SACSTH	2.0	X	0	0	0
Ronald Russ DO
Director CFGH	2.0	X	0	0	0
Mona Sarkar
Director SACSTHF, SF	2.0	X	0	0	0
Robert Schaal MD
Director SACSTH, SACSTHF	2.0	X	75000	0	0
Steve Schmidt
Director & COO, SF	48.0	X	320368	0	12539	X
Diane Schnee
Director SBH	2.0	X	0	0	0
Helen Scott
Director SBH	2.0	X	0	0	0
Anthony Solaro
Director WRH	2.0	X	0	0	0
Martin Spector
Director SACSTHF, SF	2.0	X	0	0	0
Thomas Strauss
Director, System Pres. & CEO	48.0	X	1714943	0	97692	X
Vicki Sussman
Director WRH	2.0	X	0	0	0
Susan Taft
Director SACSTH	2.0	X	0	0	0
Terry Taylor
Director SBH	2.0	X	0	0	0
Douglas Trochelman MD
Director SACSTH	48.0	X	654341	0	17581
Susan Ullman
Director WRH	2.0	X	0	0	0
Sharon VanNostran MD
Director SACSTH	2.0	X	0	0	0
Joseph Varley MD
Director SACSTH	48.0	X	327802	0	8492
Norman Wells
Director SACSTH, SACSTHF, SF	2.0	X	0	0	0
Darrell Widmer MD
Director WRH	48.0	X	163848	0	5169
Jay Williamson MD
Dir&Int Pres, SPI (4/11-11/11)	48.0	X	277318	0	9596	X
Stephen Wilt
Director SACSTHF, SF	2.0	X	0	0	0
Joseph Zarconi MD
Director SACSTHF, SF	48.0	X	519285	0	49246
Thomas DeBord
President SBH & WRH	48.0		325407	0	24638	X
Brian Derrick
System CFO	48.0		142749	0	13023	X
C Michael Rutherford
Dir, System CFO (term 01/2011)	48.0		175364	0	144	X
Jeffrey Morris MD
Chief Medical Officer, SBH	48.0		313646	0	32887	X
Charles Alderson
CFO, SBH & WRH	48.0		230557	0	17663	X
Bryan Fredericks
COO, SPI	48.0		313718	0	21897	X
Kathleen Jobe
Chief Nursing Officer, SBH	48.0		211945	0	17849	X
Michael Hillman MD
VP Chief Med/Qual Offcr	48.0		551561	0	54514		X
Gregory Kall
VP, CIO	48.0		432141	0	45456		X
Unhee Kim
VP, Clinical Services	48.0		546394	0	51157		X
Kyle Klawitter
VP, System HR	48.0		431997	0	85029		X
Patrice Lange
VP, System Marketing	48.0		423614	0	39657		X
Charles Ross MD
Chief Medical Officer	48.0		435938	0	34480		X
James Stonkus
VP, Bus. Devel SW Region	48.0		209631	0	41551		X
Kevin Theiss
VP, Revenue Cycle	48.0		291432	0	26128		X
Mary Ward
VP, Chief Nursing Officer	48.0		545282	0	45390		X
John Zografakis MD
Highest Compensated	48.0		886987	0	25810			X
Scott Weiner MD
Highest Compensated	48.0		657932	0	24662			X
Mehool Patel MD
Highest Compensated	48.0		656476	0	6651			X
Eric Espinal MD
Highest Compensated	48.0		643840	0	20288			X
Jennifer Restivo MD
Highest Compensated	48.0		646561	0	24566			X
Kathleen Rice
Former Officer	0.0		480992	0	622				X
Stephen Kaiser DO
Former Officer	0.0		120141	0	13009				X
John Brocketti
Former Officer	0.0		104685	0	1394				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	19880877	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	16500	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1370064	TotalOtherCompensation
Number Individuals GT100 K	436	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	12690000
Professional Anesthesia Services
190 North Union Street	AKRON	OH	44304	Medical services	7925960
Matrix Management Solutions
5200 Stoneham Road	NORTH CANTON	OH	44720	Billing Services	4454241
Eclipsys Corporation
Three Ravinia Drive	ATLANTA	GA	30346	IT & EMR Services	4434835
Sodexo Inc
10 Earhart Drive	WILLIAMSVILLE	NY	14221	Catering Services	4121336

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	139	NumberOfContractorsGT100K
Fundraising Events	245931	FundraisingEvents
Related Organizations	479870	RelatedOrganizations
Government Grants	1667350	GovernmentGrants
All Other Contributions	3660466	AllOtherContributions
Noncash Contributions	411228	NoncashContributions
Total Contributions	6053617	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
NET PATIENT REVENUE	621110	1036605859	1036345013	260846
PROGRAM RELATED INVESTMENTS	900099	11552475	8572245	-97094	$3,077,324
REFERENCE LAB	621500	11266138		11266138
HOUSE CALL PROGRAM	900099	1051482	1051482
RESEARCH REVENUE	541700	946986	946986

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	123182	TotalRevenueColumn
Related Or Exempt Function Income	123182	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	1061546122	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	17362933	TotalRevenueColumn
Exclusion	$17,362,933	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	3063605	TotalRevenueColumn
Exclusion	$3,063,605	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	10150846	Real
Personal	1478892	Personal

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	4129721	Real
Personal	815091	Personal

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	6021125	Real
Personal	663801	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	6684926	TotalRevenueColumn
Unrelated Business Revenue	663801	UnrelatedBusinessRevenue
Exclusion	$6,021,125	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	43413650	Securities
Other	9845	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	41902189	Securities
Other	9466	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	1511461	Securities
Other	379	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	1511841	TotalRevenueColumn
Exclusion	$1,511,841	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	72600	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	245931	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	123342	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	-50742	TotalRevenueColumn
Exclusion	-$50,742	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	722210	5034577	487158	$4,547,419
PARKING	812930	1524898		$1,524,898
GIFT/FLOWER SHOP	453220	1007934		$1,007,934

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	3897772	TotalRevenueColumn
Unrelated Business Revenue	245576	UnrelatedBusinessRevenue
Exclusion	$3,652,196	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	11465181	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1107637483	TotalRevenueColumn
Related Or Exempt Function Income	1047038908	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	12826425	UnrelatedBusinessRevenue
Exclusion	$41,718,533	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	1367325	Total
Program Services	1367325	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	81096	Total
Program Services	81096	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	16739332	Total
Program Services	10737463	ProgramServices
Management And General	6001869	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	1364125	Total
Program Services	778448	ProgramServices
Management And General	585677	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	385409752	Total
Program Services	342770254	ProgramServices
Management And General	42102986	ManagementAndGeneral
Fundraising	536512	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	8642540	Total
Program Services	7762937	ProgramServices
Management And General	879603	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	56865178	Total
Program Services	50057270	ProgramServices
Management And General	6661252	ManagementAndGeneral
Fundraising	146656	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	26870325	Total
Program Services	23645886	ProgramServices
Management And General	3224439	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	9020758	Total
Program Services	3006093	ProgramServices
Management And General	6014665	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1504486	Total
Program Services	2614	ProgramServices
Management And General	1501872	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	670995	Total
Program Services	221196	ProgramServices
Management And General	449799	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	145402	Total
Management And General	145402	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	54151	Total
Management And General	54151	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	126132151	Total
Program Services	108198767	ProgramServices
Management And General	17848349	ManagementAndGeneral
Fundraising	85035	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	4370518	Total
Program Services	1034649	ProgramServices
Management And General	3316479	ManagementAndGeneral
Fundraising	19390	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	23001669	Total
Program Services	15314192	ProgramServices
Management And General	7599192	ManagementAndGeneral
Fundraising	88285	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	14541806	Total
Program Services	12338971	ProgramServices
Management And General	2177466	ManagementAndGeneral
Fundraising	25369	Fundraising

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	21024915	Total
Program Services	18140936	ProgramServices
Management And General	2883979	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	1031884	Total
Program Services	789801	ProgramServices
Management And General	229547	ManagementAndGeneral
Fundraising	12536	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	2123856	Total
Program Services	1623819	ProgramServices
Management And General	498658	ManagementAndGeneral
Fundraising	1379	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	29246066	Total
Program Services	24859156	ProgramServices
Management And General	4386910	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	52293398	Total
Program Services	51082445	ProgramServices
Management And General	1192261	ManagementAndGeneral
Fundraising	18692	Fundraising

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	42179654	Total
Program Services	35852706	ProgramServices
Management And General	6326948	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	4880625	Total
Program Services	3777604	ProgramServices
Management And General	1103021	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	133278887	132141293	1137594
BAD DEBT PROVISION	81393136	81393136	0
STATE FRANCHISE FEE	8644803	8644803	0
UNRELATED BUSINESS INC. TAX	2596862	0	2596862

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	8363285	Total
Program Services	3867513	ProgramServices
Management And General	4326102	ManagementAndGeneral
Fundraising	169670	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	1063838980	Total
Program Services	939490373	ProgramServices
Management And General	123245083	ManagementAndGeneral
Fundraising	1103524	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	1896696	BOY
EOY	1450134	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	123566622	BOY
EOY	137063192	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	7068394	BOY
EOY	4886801	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	142807314	BOY
EOY	157350663	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	9522	BOY
EOY	3952	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	16878270	BOY
EOY	21027546	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	10521760	BOY
EOY	12031830	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	8678367	BOY
EOY	9000945	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	1062544036	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	626143458	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	390001352	BOY
EOY	436400578	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	247510295	BOY
EOY	217906778	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	3843888	BOY
EOY	4675205	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	12420773	BOY
EOY	24403441	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	2854654	BOY
EOY	2696636	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	97358640	BOY
EOY	107123941	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	1065416547	BOY
EOY	1136021642	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	123988157	BOY
EOY	157668147	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	2560350	BOY
EOY	1915588	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	2380384	BOY
EOY	3543430	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	358138764	BOY
EOY	356342139	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	1298070	BOY
EOY	1164886	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	34897978	BOY
EOY	20536469	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	151459219	BOY
EOY	176869115	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	674722922	BOY
EOY	718039774	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	353905299	BOY
EOY	379626550	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	20748468	BOY
EOY	22097706	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	16039858	BOY
EOY	16257612	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	390693625	BOY
EOY	417981868	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1065416547	BOY
EOY	1136021642	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	43798503	ReconcilationRevenueExpenses
Reconcilation Other Changes	-16510260	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
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
Contrib By Controlling Individual	false	ContribByControllingIndividual
Contribution By Related Party	false	ContributionByRelatedParty
Contrib By35 Controlled Entity	false	ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (6 entries)

EINEIN	Type Of OrganizationTypeOfOrganization	Listed In Governing DocListedInGoverningDoc	AmountAmount
SUMMA AKRON CITY & ST THOMAS HOSPITALS
340714755	03	true	$363,361
SUMMA BARBERTON CITIZENS HOSPITAL
261375072	03	true	$0
CUYAHOGA FALLS GENERAL HOSPITAL
340718383	09	true	$0
THE WADSWORTH-RITTMAN AREA HOSPITAL ASSN
346549371	03	true	$0
SUMMA AKRON CITY & ST THOMAS HOSPITALS FOUNDATION
341219001	07	true	$0
SUMMA FOUNDATION
320323002	07	true	$0

Field	Value	IRS element (for citing)
Total Number Of Supported Orgs	6	TotalNumberOfSupportedOrgs
Sum Of Amounts	363361	SumOfAmounts

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	6660819	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	6323558	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	4540510	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	6941569	CurrentTaxYearMinus1Year
Current Tax Year	5638036	CurrentTaxYear
Total	30104492	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	6660819	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	6323558	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	4540510	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	6941569	CurrentTaxYearMinus1Year
Current Tax Year	5638036	CurrentTaxYear
Total	30104492	Total

Field	Value	IRS element (for citing)
Amounts Subst Contributors Total	1416886	AmountsSubstContributorsTotal
Public Support Total170	28687606	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	3713044	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2479286	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1527282	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1494312	CurrentTaxYearMinus1Year
Current Tax Year	1752613	CurrentTaxYear
Total	10966537	Total

Field	Value	IRS element (for citing)
Total Support	41071029	TotalSupport
Gross Receipts From Admissions Etc	3984878	GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage170	0.69849	PublicSupportPertcentage170
Public Support Pertcent Prior Year	0.63443	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 Akron City & St Thomas Hospitals Foundation.) Based on the public support test under Part III, the public support percentage for 2011 for CFGH which should be shown in Section C, Line 15, is 94.12%.	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	true	MailingsMembers
Mailings Members	$700	MailingsMembersAmount
Publications Or Broadcast	true	PublicationsOrBroadcast
Publications Or Broadcast	$19,800	PublicationsOrBroadcastAmount
Grants Other Organizations	true	GrantsOtherOrganizations
Grants Other Organizations	$36,670	GrantsOtherOrganizationsAmount
Direct Contact Legislators	true	DirectContactLegislators
Direct Contact Legislators	$85,232	DirectContactLegislatorsAmount
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$3,000	OtherActivitiesAmount
Total Lobbying Expenditures IIB	145402	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV (2 entries)

IdentifierIdentifier

ExplanationExplanation

Part II-B, Line 1

In 2011, Summa Health System volunteers and management interacted with Federal and state leaders to discuss the impact of the Affordable Care Act on local operations and finances. Summa leaders shared their perspective relative to Accountable Care, Sustainable Growth Rate, Graduate Medical Education, Medicare, Medicaid and Insurance Reform with members, staff, and agency leadership at Federal, state and regional levels. Summa leaders also provided education to members and staff to help them understand how deficit and debt decisions impact safety net providers like Summa.

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	15633841	BeginningOfYearBalance
Contributions	113108	Contributions
Investment Earnings Or Losses	149521	InvestmentEarningsOrLosses
End Of Year Balance	15896470	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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 Minus2 Years CurrentYearMinus2Years

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 Minus3 Years CurrentYearMinus3Years

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	65111627	OtherCostOrOtherBasis
Book Value	65111627	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	596888858	OtherCostOrOtherBasis
Depreciation	266268414	Depreciation
Book Value	330620444	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2926994	OtherCostOrOtherBasis
Depreciation	2385773	Depreciation
Book Value	541221	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	366012820	OtherCostOrOtherBasis
Depreciation	343669378	Depreciation
Book Value	22343442	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	31603737	OtherCostOrOtherBasis
Depreciation	13819893	Depreciation
Book Value	17783844	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	436400578	TotalOfBookValueLandBuildings

Other Assets OtherAssets (12 entries)

DescriptionDescription	Book ValueBookValue
MALPRACTICE FUND	12793819
BONDS ASSURED GUARANTY	4660690
BOND ISSUE COSTS	1713838
BENEFICAL INTEREST IN WRHF	934010
DEFERRED PENSION & COMP	239920
PURCHASE OPTION ASSET	1694014
NON-PERF ASSET AIR RIGHTS	1124370
BENEFICAL INTEREST IN PERP. TR	3772403
DUE FROM RELATED ORGANIZATIONS	75988419
OTHER ACCOUNTS RECEIVABLE	261917
BENEFICAL INTEREST IN PROPERTY	2813463
INVESTMENTS - OTHER	1127078

Field	Value	IRS element (for citing)
Total Book Value Other Assets	107123941	TotalBookValueOtherAssets
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (10 entries)

DescriptionDescription	AmountAmount
LEASE ESCALATION LIABILITY	$649,205
CAPITAL LEASE OBILIGATIONS	$45,096,041
ASSET RETIREMENT OBLIGATION FI	$2,218,218
INTEREST RATE SWAP	$13,391,519
POST RETIREMENT BENEFITS	$1,652,211
CONTINGENT LIABILITIES	$4,733,692
MALPRACTICE LIABILITY	$12,301,079
UNSECURED PAYABLES	$67,498,785
PURCHASE OPTION LIABILITY	$27,469,643
OTHER OBLIGATIONS	$1,858,722

Field	Value	IRS element (for citing)
Total Of Amounts	176869115	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifier	ExplanationExplanation
Part IV, Line 2b	Custodial funds held by Summa Akron City & St. Thomas Hospitals 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 Akron City & St. Thomas Hospitals 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 SHS Corporation ("SHSC"), file a consolidated federal income tax return in accordance with a tax sharing agreement dated January 1, 2010. The entities utilize a consolidated approach to the allocation of federal income taxes, whereas SHSC's tax sharing agreement with its subsidiaries allows it to make certain code elections in its consolidated federal 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

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

Accts Actvs Out US Table AcctsActvsOutUSTable (2 entries)

RegionRegion	Number Of OfficesNumberOfOffices	Number Of EmployeesNumberOfEmployees	Type Of Activities ConductedTypeOfActivitiesConducted	Total ExpendituresTotalExpenditures	Specific Services ProvidedSpecificServicesProvided
South Asia	0	0	Investments	63297
Central America and the Caribbean	0	0	Program Services	4702729	Self insurance

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	4766026	SubtotalAmountSpent
Total Amount Spent	4766026	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	Golf Outing	NameOfEvent1
Gross Receipts Event1	236200	GrossReceiptsEvent1
Charitable Contributions Event1	175772	CharitableContributionsEvent1
Gross Revenue Event1	60428	GrossRevenueEvent1
Cash Prizes Event1	0	CashPrizesEvent1
Non Cash Prizes Event1	505	NonCashPrizesEvent1
Rent Facility Costs Event1	0	RentFacilityCostsEvent1
Food And Beverage Event1	43533	FoodAndBeverageEvent1
Entertainment Event1	23182	EntertainmentEvent1
Other Direct Expenses Event1	19251	OtherDirectExpensesEvent1
Name Of Event2	Men Who Cook	NameOfEvent2
Gross Receipts Event2	82331	GrossReceiptsEvent2
Charitable Contributions Event2	70159	CharitableContributionsEvent2
Gross Revenue Event2	12172	GrossRevenueEvent2
Cash Prizes Event2	0	CashPrizesEvent2
Non Cash Prizes Event2	4093	NonCashPrizesEvent2
Rent Facility Costs Event2	6138	RentFacilityCostsEvent2
Food And Beverage Event2	13444	FoodAndBeverageEvent2
Entertainment Event2	0	EntertainmentEvent2
Other Direct Expenses Event2	13196	OtherDirectExpensesEvent2
Total Number Of Other Events	0	TotalNumberOfOtherEvents
Gross Receipts Other Events	0	GrossReceiptsOtherEvents
Charitable Contrib Other Events	0	CharitableContribOtherEvents
Gross Revenue Other Events	0	GrossRevenueOtherEvents
Cash Prizes Other Events	0	CashPrizesOtherEvents
Non Cash Prizes Other Events	0	NonCashPrizesOtherEvents
Rent Facility Costs Other Events	0	RentFacilityCostsOtherEvents
Food And Beverage Other Events	0	FoodAndBeverageOtherEvents
Entertainment Other Events	0	EntertainmentOtherEvents
Other Direct Expenses Other Events	0	OtherDirectExpensesOtherEvents
Gross Receipts Total	318531	GrossReceiptsTotal
Charitable Contributions Total	245931	CharitableContributionsTotal
Gross Revenue Total Events	72600	GrossRevenueTotalEvents
Cash Prizes Total Events	0	CashPrizesTotalEvents
Non Cash Prizes Total Events	4598	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	6138	RentFacilityCostsTotalEvents
Food And Beverage Total Events	56977	FoodAndBeverageTotalEvents
Entertainment Total Events	23182	EntertainmentTotalEvents
Other Direct Expenses Total Events	32447	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	123342	DirectExpenseSummaryEvents
Net Income Summary	-50742	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	16590777	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4903628	DirectOffsettingRevenue
Net Community Benefit Expense	11687149	NetCommunityBenefitExpense
Percent Of Total Expense	0.01100	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	148466581	TotalCommunityBenefitExpense
Direct Offsetting Revenue	120897216	DirectOffsettingRevenue
Net Community Benefit Expense	27569365	NetCommunityBenefitExpense
Percent Of Total Expense	0.02590	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	0	NetCommunityBenefitExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	165057358	TotalCommunityBenefitExpense
Direct Offsetting Revenue	125800844	DirectOffsettingRevenue
Net Community Benefit Expense	39256514	NetCommunityBenefitExpense
Percent Of Total Expense	0.03690	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1102455	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	1102455	NetCommunityBenefitExpense
Percent Of Total Expense	0.00100	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	30346009	TotalCommunityBenefitExpense
Direct Offsetting Revenue	11510458	DirectOffsettingRevenue
Net Community Benefit Expense	18835551	NetCommunityBenefitExpense
Percent Of Total Expense	0.01770	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	24984044	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	24984044	NetCommunityBenefitExpense
Percent Of Total Expense	0.02340	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	6421433	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1304589	DirectOffsettingRevenue
Net Community Benefit Expense	5116844	NetCommunityBenefitExpense
Percent Of Total Expense	0.00480	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1946473	TotalCommunityBenefitExpense
Direct Offsetting Revenue	151028	DirectOffsettingRevenue
Net Community Benefit Expense	1795445	NetCommunityBenefitExpense
Percent Of Total Expense	0.00170	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	64800414	TotalCommunityBenefitExpense
Direct Offsetting Revenue	12966075	DirectOffsettingRevenue
Net Community Benefit Expense	51834339	NetCommunityBenefitExpense
Percent Of Total Expense	0.04860	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	229857772	TotalCommunityBenefitExpense
Direct Offsetting Revenue	138766919	DirectOffsettingRevenue
Net Community Benefit Expense	91090853	NetCommunityBenefitExpense
Percent Of Total Expense	0.08550	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Total Community Building Expense	21062	TotalCommunityBuildingExpense
Net Community Building Expense	21062	NetCommunityBuildingExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	10486	TotalCommunityBuildingExpense
Net Community Building Expense	10486	NetCommunityBuildingExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	15369	TotalCommunityBuildingExpense
Net Community Building Expense	15369	NetCommunityBuildingExpense

Environmental Improvements EnvironmentalImprovements

Field	Value	IRS element (for citing)
Total Community Building Expense	4200	TotalCommunityBuildingExpense
Net Community Building Expense	4200	NetCommunityBuildingExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	262	TotalCommunityBuildingExpense
Net Community Building Expense	262	NetCommunityBuildingExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	1278	TotalCommunityBuildingExpense
Net Community Building Expense	1278	NetCommunityBuildingExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	118733	TotalCommunityBuildingExpense
Net Community Building Expense	118733	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	87601	TotalCommunityBuildingExpense
Net Community Building Expense	87601	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	258991	TotalCommunityBuildingExpense
Net Community Building Expense	258991	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$22,185,613	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	362933784	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	379535818	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-16602034	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 (6 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
Aris Teleradiology
Radiology Service	0.65000	0.35000
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	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Teaching HospitalTeachingHospital	Research FacilityResearchFacility	Er24 HoursEr24Hours
Summa Akron City Hospital
1	525 East Market Street	Akron	OH	44304	X	X	X	X	X
Summa St Thomas Hospital
2	444 North Main Street	Akron	OH	44310	X	X	X	X	X
Summa Barberton Hospital
3	155 Fifth Street NE	Barberton	OH	44203	X	X	X		X
The Wadsworth-Rittman Area Hospital Assn
4	195 Wadsworth Road	Wadsworth	OH	44281	X	X			X
Crystal Clinic Orthopaedic Center LLC
5	3925 Embassy Parkway 250	Akron	OH	44333	X	X	X
Summa Western Reserve Hospital LLC
6	1900 23rd Street	Cuyahoga Falls	OH	44223	X	X	X		X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (6 entries)

Hospital Facility NumberHospitalFacilityNumber	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	Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy	Medicare RateMedicareRate	Amounts Generally BilledAmountsGenerallyBilled	Gross ChargesGrossCharges	Provided On AdmissionProvidedOnAdmission	No Emergency CareNoEmergencyCare
Summa Akron City Hospital
1	true	true	200.	true	400.	true	X	X	X	X	X	X	false	true	X	X	X	X	X	X	true	false	true	X	false	false
Summa St Thomas Hospital
2	true	true	200.	true	400.	true	X	X	X	X	X	X	false	true	X	X	X	X	X	X	true	false	true	X	false	false
Summa Barberton Hospital
3	true	true	200.	true	400.	true	X	X	X	X	X	X	false	true	X	X	X	X	X	X	true	false	true	X	false	false
The Wadsworth-Rittman Area Hospital Assn
4	true	true	200.	true	400.	true	X	X	X	X	X	X	false	true	X	X	X	X	X	X	true	false	true	X	false	false
Crystal Clinic Orthopaedic Center LLC
5	true	true	200.	true	400.	true	X	X	X	X	X	X	false	true		X		X	X		true	false	false	X	false	false	X	X
Summa Western Reserve Hospital LLC
6	true	true	200.	true	400.	true	X	X	X	X	X	X	false	true		X	X	X	X		true	false	true	X	false	false

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	19	NumberOfOtherFacilities

Other Facilities OtherFacilities (19 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

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 $81,393,136.
Part I, Line 7(g)	The amount of subsidized health services reported on Line 7(g) attributable to Summa Physicians, Inc. ("SPI") is $21,248,939.
Part III, Line 4	A cost-to-charge ratio is used to determine the amount reflected on Line 2. Text of the Audited Financial Statement Footnote: "Summa Health System grants equal access for health services to all members of the community regardless of financial status. Net patient service revenue is reported at the estimated net realizable amounts from patients, third-party payors, public programs or others. It is Summa Health System's policy to bill for, and pursue collection of all services rendered. An estimated provision for doubtful accounts is recorded that results in net patient service revenue being reported at the net amount expected to be received. Summa Health System has determined, based on an assessment at the consolidated level, that patient service revenue is primarily recorded prior to assessing the patient's ability to pay and as such, the entire provision for doubtful accounts related to patient revenue is recorded as a deduction from patient service revenue in the accompanying consolidated statements of operations and changes in net assets. At the point in time that a charge is believed to be uncollectible, the related receivable is written-off as a doubtful account. Allowances are made for estimated doubtful accounts. Estimates of retroactive adjustments under reimbursement agreements with third-party payors are accrued in the period the related services are rendered and adjusted in future periods as adjustments become known or as years are no longer subject to audits, reviews and investigations." An important part of Summa Health System's commitment to providing quality and accessible healthcare includes covering the expense of payments that were expected but not received. While Summa Health System recognizes that the cost of bad debt is part of the cost of doing business, we agree with the Ohio Hospital Association that it is important to report these costs to show the total picture of how much care Summa Health System provides to the community without full reimbursement.
Part III, Line 8	Medicare allowable costs are based on information provided on worksheet B, part I, column 26, line 118 from the various hospital's 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 13(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 assessed by a survey conducted collaboratively by Summa Health System, Summit County Health District, Healthy Connections Network, Akron City Health Department, Children's Hospital 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 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. The region and its people are continuing to recover economically. More than 50% of households in Summit and Portage Counties make less than $50,000 dollars annually and 13.2% and 11.9% of households make less than $15,000 dollars annually respectively. Similarly, for the calendar year 2009, the monthly unemployment rates for Medina, Portage, and Summit Counties were 8.2%, 10.7%, and 10.8% 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 Portage and Summit Counties is expected to remain flat, Medina County is projected to see considerable growth: 7% from the 5-year period 2008 to 2013. 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 Summit County alone, these two groups are expected to increase 3.6% and 7.8% respectively over the five year period. The growth in population for those aged 65 and older is more dramatic in Portage and Medina Counties where this age group will grow 13.4% and 20.1% respectively. These growth rates indicate increasing demand for Summa's services in a concurrently challenging market where citizens are progressively more dependent on Summa's charitable services.
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 (Federally Qualified Health Center, OPEN M, Access to Care Program) 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 are located near downtown Akron, Ohio and have 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 ("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 ("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. 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 a full line of health plans including PPO plans, HMO plans and Point-of-Service plans and Medicare POS plans plus life, dental and vision plans. 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 and Summa Akron City & St. Thomas Hospitals Foundation are nonprofit organizations 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, these Foundations create and implement innovative partnerships, health policy opportunities and funding strategies to support Summa Health System's education, research and patient care agenda. Summa Health Network 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 (through a joint venture with Summa Health System) 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. Ohio Health Choice 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 with the Ohio Hospital Association annually.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (15 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
Austen BioInnovation Institute in Akron
302 Buchtel Common	Akron	OH	443256220	346002924	501(c)(3)	567867	Founding member contribution
American Heart Association
5455 N High Street	Columbus	OH	43214	135613797	501(c)(3)	94255	Healtcare research & education
Open M Summit County Free Clinic
941 Princeton Street	Akron	OH	44311	341046107	501(c)(3)	21870	Health & Wellness
Habitat for Humanity of Summit County
2301 Romig Road	Akron	OH	44320	341518873	501(c)(3)	5580	Community support
University of Akron
198 Fir Hill	Akron	OH	44325	346002924	501(c)(3)	25500	Research & education
Valor HomeFamily And Community Services
705 Oakwood Street Ste 106	Ravenna	OH	44266	341902451	501(c)(3)	8000	Social Services
The Ohio University Foundation
PO Box 869	Athens	OH	45701	316402113	501(c)(3)	6000	Academic & Research
Wick Poetry Center Kent State University
301C Satterfield Hall	Kent	OH	44242	316402079	501(c)(3)	9000	Education
Susan G Komen Northeast Ohio
26210 Emery Rd Ste 307	Cleveland	OH	44128	751835298	501(c)(3)	7500	Cancer research
Akron Urban League
440 Vernon Odom Blvd	Akron	OH	44307	340714520	501(c)(3)	11180	Education
American Cancer Society
525 North Broad St	Canfield	OH	444069274	251798733	501(c)(3)	20000	Healthcare research & education
Friends of 913
65 Steiner Ave	Akron	OH	44301	264312124	501(c)(3)	9000	Community support
Akron Symphony
17 N Broadway	Akron	OH	44308	346003828	501(c)(3)	10000	Funds & Inkind Svcs
Conservancy for CVNP
403 W Hines Rd	Peninsula	OH	44264	341917257	501(c)(3)	5400	Economic Development
Greater Akron Chamber
1 Cascade Plaza 17th Floor	Akron	OH	44308	341156576	501(c)(6)	6640	Education WD

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	15	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	1	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	48	15084	Book	NA
Ophthalmology Cataract Surgery	65	47996	Book	NA
SummaShares	17	12699	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 criteria established prior to awarding the grant or assistance. Once the criteria is met a payment will be made to the University or agency providing the services.
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
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	true	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	true	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (43 entries)

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
Kyle Allen DO
237003	0	0	0	1595	0	7060	0	34863	0	280521	0	0	0
Michael Bage MD
400876	0	103034	0	600	0	0	0	10204	0	514714	0	0	0
William Bauman MD
558175	0	34828	0	1380	0	7350	0	10231	0	611964	0	0	0
Thomas DeBord
232748	0	81279	0	11380	0	10818	0	13820	0	350045	0	0	0
Brian Derrick
52292	0	90167	0	290	0	0	0	13023	0	155772	0	0	0
T Clifford Deveny MD
123150	0	85236	0	64704	0	5589	0	30943	0	309622	0	0	0
Steven Gaich MD
279745	0	48029	0	0	0	7350	0	18124	0	353248	0	0	0
Robert Harrigan
555736	0	445636	0	1620	0	63374	0	11185	0	1077551	0	59456	0
Thomas Knoll
222408	0	0	0	0	0	0	0	0	0	222408	0	0	0
Joseph Koenig MD
540159	0	113681	0	0	0	27476	0	45782	0	727098	0	25061	0
Joseph McShannic MD
436840	0	100	0	0	0	0	0	22188	0	459128	0	0	0
Dale Murphy MD
361977	0	198066	0	8880	0	32298	0	10470	0	611691	0	31632	0
Thomas O'Neill
250502	0	228792	0	8880	0	25002	0	42172	0	555348	0	18072	0
William Powel III
347908	0	256118	0	11380	0	44368	0	45209	0	704983	0	39594	0
C Michael Rutherford
18301	0	129714	0	27349	0	0	0	144	0	175508	0	0	0
Steve Schmidt
226812	0	87776	0	5780	0	7350	0	5189	0	332907	0	0	0
Thomas Strauss
773567	0	940536	0	840	0	86712	0	10980	0	1812635	0	84223	0
Douglas Trochelman MD
585669	0	68672	0	0	0	7350	0	10231	0	671922	0	0	0
Joseph Varley MD
269869	0	57153	0	780	0	7350	0	1142	0	336294	0	0	0
Darrell Widmer MD
147916	0	15932	0	0	0	4515	0	654	0	169017	0	0	0
Jay Williamson MD
190184	0	85394	0	1740	0	0	0	9596	0	286914	0	0	0
Joseph Zarconi MD
302519	0	206766	0	10000	0	38932	0	10314	0	568531	0	36106	0
Jeffrey Morris MD
227635	0	79391	0	6620	0	7783	0	25104	0	346533	0	0	0
Charles Alderson
166189	0	57748	0	6620	0	6301	0	11362	0	248220	0	0	0
Bryan Fredericks
236415	0	70923	0	6380	0	7800	0	14097	0	335615	0	0	0
Kathleen Jobe
152308	0	53257	0	6380	0	6525	0	11324	0	229794	0	0	0
Michael Hillman MD
369424	0	180757	0	1380	0	24736	0	29778	0	606075	0	0	0
Gregory Kall
260439	0	160285	0	11417	0	35307	0	10149	0	477597	0	25902	0
Unhee Kim
324132	0	210808	0	11454	0	39112	0	12045	0	597551	0	31053	0
Kyle Klawitter
239729	0	96153	0	96115	0	32983	0	52046	0	517026	0	23741	0
Patrice Lange
238859	0	172913	0	11842	0	34414	0	5243	0	463271	0	27071	0
Charles Ross MD
251026	0	176032	0	8880	0	24652	0	9828	0	470418	0	18224	0
James Stonkus
150162	0	53089	0	6380	0	5495	0	36056	0	251182	0	0	0
Kevin Theiss
175527	0	105885	0	10020	0	12544	0	13584	0	317560	0	7309	0
Mary Ward
312149	0	221753	0	11380	0	39704	0	5686	0	590672	0	23263	0
John Zografakis MD
462219	0	423028	0	1740	0	7350	0	18460	0	912797	0	0	0
Scott Weiner MD
477514	0	178798	0	1620	0	7350	0	17312	0	682594	0	0	0
Mehool Patel MD
538191	0	118254	0	31	0	1226	0	5425	0	663127	0	0	0
Eric Espinal MD
379844	0	262616	0	1380	0	0	0	20288	0	664128	0	0	0
Jennifer Restivo MD
534061	0	112469	0	31	0	8367	0	16199	0	671127	0	0	0
Kathleen Rice
6989	0	410156	0	63847	0	125	0	497	0	481614	0	0	0
Stephen Kaiser DO
114311	0	5830	0	0	0	3751	0	9258	0	133150	0	0	0
John Brocketti
1409	0	34431	0	68845	0	1137	0	257	0	106079	0	0	0

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.
Part I, Line 4a	In 2011, Kathleen Rice received $481,614 in severance and benefits. John Brocketti received $106,079 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 2011: Thomas J. Strauss $79,632, Robert Harrigan $56,024, Mary Ward $32,354, Kyle Klawitter $25,160, Greg Kall $27,434, William A. Powel, III $37,018, Joseph Zarconi, MD $31,582, Patrice Lange $24,934, Unhee Kim $33,404, Thomas P. O'Neill $17,532, Charles Ross, MD $17,302, Dale Murphy, MD $24,948, Joseph Koenig, MD $20,126, Michael Hillman, MD $17,386, Kevin Theiss $12,544 and Thomas DeBord $4,116.
Part I, Line 6	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.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

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
341448680	009730LT7	2004-06-10	160904918	See Schedule O, Rider 2	false	false	false
Summit County Port Authority
341765940	86605VAE9	2006-10-31	15405000	See Schedule 0, Rider 6	false	false	false
Ohio Higher Educational Facility Comm
346849674	67756AY89	2010-05-11	180125341	See Schedule O, Rider 10	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

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
15055000	164278376	3107915	2238718	2285007	3930806	89411463	59931009	0	2006	true	true	true	true
620000	15405000	0	867000	308100	153159	14076741	0	0	2008	false	false	true	true
0	180125341	18190573	3004911	0	4929857	99408811	0	54591189		true	false	false	true

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

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	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
false	true	true	false	false	0.18370	0.00090	0.18460	true
true	true	false		false	0.03000	0.02500	0.05500	true
false	true	true	true	false	0.04100	0.00380	0.04480	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Form8038 T FiledForm8038TFiled	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	Exception To RebateExceptionToRebate	Term Of HedgeTermOfHedge	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated
0
false	true	false	true	See Rider 3	3.1	true	false	false
See Rider 7
false	true	true	false	0			false	true	30.	false	false
0
false	false	false	true	See Rider 11	2.2	true	false	true

Schedule L IRS990ScheduleL

Loan Table LoanTable

Field	Value	IRS element (for citing)
Name Person	Steven Gaich MD	NamePerson
Purpose Of Loan	Salary advance	PurposeOfLoan
Loan From Organization	X	LoanFromOrganization
Original Principal	$25,000	OriginalPrincipalAmount
Balance Due	3952	BalanceDue
Default	false	Default
Approved By Board	true	ApprovedByBoard
Written Agreement	true	WrittenAgreement

Field	Value	IRS element (for citing)
Total Balance Due	3952	TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (13 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
Kelly Bianco
Family Member	24048	See Part V	false
Brian Bauman MD
Family Member	434704	See Part V	false
Denise Angerstien
Family Member	48646	See Part V	false
Deanne Kvach
Family Member	56109	See Part V	false
Vincent Allen
Family Member	46893	See Part V	false
Deborah Rutherford
Family Member	34277	See Part V	false
Professional Anesthesia Service In
See Part V	7925960	See Part V	false
Summa Emergency Associates
See Part V	1543378	See Part V	false
Inpatient Medical Services Inc
See Part V	173850	See Part V	false
Primary Care Physicians
See Part V	2378025	See Part V	false
Ritzman Pharmacies Inc
See Part V	2195345	See Part V	false
Predevelopment Limited
See Part V	109770	See Part V	false
Park West One LLC
See Part V	294603	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. Deborah Rutherford is a family member of C. Michael Rutherford, Director & System CFO. Deborah Rutherford was paid reasonable compensation as an employee of SBH. 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. T. Clifford Deveny, M.D., director & President of SPI, is part owner Predevelopment Limited and Park West One, LLC. Compensation represents lease payments to Predevelopment Limited and Park West One, 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
Clothing And Household Goods		ClothingAndHouseholdGoods
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	9	NumberOfContributions
Noncash Contribs Rptd F990	113056	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	5	NumberOfContributions
Noncash Contribs Rptd F990	279947	NoncashContribsRptdF990
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Taxidermy		Taxidermy
Historical Artifacts		HistoricalArtifacts
Scientific Specimens		ScientificSpecimens
Archaeological Artifacts		ArchaeologicalArtifacts

Other Non Cash Contributions Table OtherNonCashContributionsTable

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Description	Events	Description
Number Of Contributions	53	NumberOfContributions
Noncash Contribs Rptd F990	18225	NoncashContribsRptdF990
Method Of Determining Revenues	Comparable Prices	MethodOfDeterminingRevenues

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 O IRS990ScheduleO

General Explanation GeneralExplanation (19 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 22 11 Hospitals (SACSTH) Summa Akron City & St. Thomas 29 25 Hospitals Foundation (SACSTHF) Summa Foundation (SF) 28 24 Summa Physicians, Inc. (SPI) 7 0 Summa Barberton Citizens 12 10 Hospital (SBH) The Wadsworth-Rittman Area 13 9 Hospital Assn (WRH) Cuyahoga Falls General 13 11 Hospital (CFGH)
Form 990, Page 6, Part III, Line 4d		Other Programs Services included the Physician House Calls program, a collaboration between Summa Health System and SummaCare. This program 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. This 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 Akron City and St. Thomas Hospitals Foundation: Summa Akron City and St. Thomas Hospitals Foundation has an Executive Committee comprised of the Chair, President, Secretary, Treasurer, and the Special Voting Directors of the Summa Akron City and St. Thomas Hospitals Foundation. The Special Voting Directors are the Chair, Summa Akron City and St. Thomas Hospitals Board of Directors; Chair, Summa System Board of Directors; President of Summa Health System; President, Medical Staff, Summa Akron City and St. Thomas Hospitals; and the Vice President, Medical Education and Research, Summa Akron City and St. Thomas Hospitals. All members of the Executive Committee are Directors of Summa Akron City and St. Thomas Hospitals 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 Akron City and St. Thomas Hospitals 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 Akron City and St. Thomas Hospitals Foundation. Summa Foundation: Summa Foundation has an Executive Committee. The Executive Committee is appointed by the Board of Directors and may include up to eleven (11) Directors including the Chair, President, Secretary, Treasurer, and the Special Voting Directors. The Special Voting Directors are (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 are Directors of Summa Akron City and St. Thomas Hospitals Foundation. The Executive Committee is authorized to exercise the powers of the Board at such time as the Board is not in session, subject to restrictions imposed by previous decisions of the Board and to the provisions of the Summa Foundation Code of Regulations. All interim actions by the Executive Committee are reported at the Board's next meeting succeeding such action. The Executive Committee prepares and makes such recommendations to the Board as are pertinent to the welfare of the Summa Foundation. Summa Physicians, Inc.: The Code of Regulations provides for an Executive Committee to be comprised of three (3) directors. The Executive Committee may make governance decisions between Board meetings. Summa Barberton Citizens Hospital: N/A The Wadsworth-Rittman Area Hospital Assn: 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: Michael Bage, M.D., Douglas Trochelman, M.D., and Willam A. Powel, III have business relationships through Summa Physicians, Inc.: Michael Bage, M.D. and Douglas Trochelman, M.D. are employed by Summa Physicans, Inc.; William A. Powel, III is a Director of Summa Physicians, Inc. 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. Greg Kall, Thomas O'Neill, and Unhee Kim have a business relationship through ARIS Teleradiology, LLC: all are Directors of ARIS Teleradiology, LLC. Summa Akron City and St. Thomas Hospitals Foundation: Anthony Lockhart and Richard Marsh have a business relationship through First Energy: both are retired officers of First Energy. Summa Foundation: Anthony Lockhart and Richard Marsh have a business relationship through First Energy: both are retired officers of First Energy. Summa Physicians, Inc.: Joseph Koenig, M.D., William Bauman, M.D., Dale Murphy, M.D., and Steven Gaich, M.D. are employed by Summa Physicians, Inc. and A. Gus Kious, M.D. is the President and a Director of Summa Physicians, Inc. William A. Powel, III and Thomas O'Neill are all employed by Summa Akron City and St. Thomas Hospitals. Summa Barberton Citizens Hospital: N/A The Wadsworth-Rittman Area Hospital Association: 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. Thomas Strauss and Thomas Knoll have a business relationship through Summa Western Reserve Hospital: both are Directors of Summa Western Reserve Hospital. Cuyahoga Falls General Hospital: Stephen Hailer and C. Michael Rutherford have a business relationship through North Akron Savings Bank. Stephen Hailer is President of North Akron Savings Bank and C. Michael Rutherford is a Director of North Akron Savings Bank. Stephen Hailer, Thomas Strauss and William A. Powel, III have a business relationship through Summa Western Reserve Hospital: all are Directors of Summa Western Reserve Hospital. 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 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 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 have been made to the Code of Regulations since the filing of the 2010 990: (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. (viii) 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; (ix) Reduced the size of the Executive Committee from up to 11 to 5; (x) 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; (xi) Specified that the Executive and Finance Committees shall be the standing committees; the Development Committee was deleted as a standing committee; (xii) Added a Vice Chair and a Chief Development Officer to the list of officers; (xiii) 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 Akron City and St. Thomas Hospitals Foundation: Summa Akron City and St. Thomas Hospitals is the sole member of Summa Akron City and St. Thomas Hospitals Foundation. Summa Foundation: Summa Health System is 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 Association: 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 Akron City and St. Thomas Hospitals Foundation: In addition to directors elected by the Summa Akron City and St. Thomas Hospitals Foundation Board as the sole member of Summa Akron City and St. Thomas Hospitals Foundation, subject to approval by Summa Health System, the individuals holding the following offices serve as directors of Summa Akron City and St. Thomas Hospitals Foundation for so long as they serve in their respective capacities: (i) Chair, Summa Akron City and St. Thomas Hospitals Board of Directors; (ii) Chair, Summa Health System Board of Directors; (iii) President of Summa Health System; (iv) President, Medical Staff, Summa Akron City and St. Thomas Hospitals; and (v) Vice President, Medical Education and Research, Summa Akron City and St. Thomas Hospitals. Summa Foundation: 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 modifications of the essential nature, purpose, mission or operations of Summa Akron City and St. Thomas Hospitals; (ii) Approval of the Code of Regulations, Bylaws or other constitutive document of Summa Akron City and St. Thomas Hospitals and any corporation or entity controlled by, related 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 Akron City and St. Thomas Hospitals Foundation: Summa Akron City and St. Thomas Hospitals is the sole member ("Member") of Summa Akron City and St. Thomas Hospitals 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 Akron City and St. Thomas Hospitals 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 inclurred, 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: 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 admendments 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 ordinanry 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 Association: 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 admendments 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 October 2012. 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 October 2012 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 two 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 Akron City and St. Thomas Hospitals Foundation: President Summa Barberton Citizens Hospital & The Wadsworth-Rittman Area Hospital Assn: President & COO Summa Physicians, Inc: President SummaCare: President
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). The financial statements are available through Electronic Municipal Market Access (www.emma.msrb.org).
Form 990, Page 12, Part XI, Line 5	Other Changes in Net Assets or Fund Balances	Accrued Interest 310,232 Prior Year Net Asset Transfer 13,839,077 FASB 106 Post Retirement ( 227,540) Affiliate Liabilities (2,545,000) Write-down on sale of ARIS LLC (3,150,201) Unrealized Losses (5,483,336) Minimum Pension Liability (19,206,878) Other change in Net Assets ( 46,614) ----------- Total change in Net Assets (16,510,260)
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 2,100 registered, inpatient beds on the campuses of Summa Akron City and St. Thomas Hospitals, Summa Barberton Hospital, Summa Wadsworth-Rittman 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 and some are free standing. 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. In 2011, Summa Akron City and St. Thomas Hospitals successfully met all requirements outlined by the Joint Commission, resulting in a three-year accreditation. Summa Akron City and St. Thomas Hospitals was also named #1 hospital in the Akron, Ohio, metropolitan area, and considered "high-performing" in eight specialties by U.S. News and World Report. During this period, patient satisfaction improved to the highest level in the history of both hospitals. Combined, Summa Akron City and St. Thomas Hospitals employs more than 5,300 individuals and has a medical staff of more than 1,000 professionals. Together, Summa Akron City and St. Thomas Hospitals has 1,027 registered beds and 69 licensed bassinets. All told, the buildings and facilities on both campuses total 1.7 million square feet. Summa Akron City Hospital: Summa Akron City Hospital offers general medical, surgical, cancer, 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, including the Heart & Lung Center/Specialty Health Center, the Jean and Milton Cooper Cancer Center and the Ann and David Brennan Critical Care Center. In 2011, in collaboration with the Akron Area YMCA, Summa successfully opened the University Park YMCA on the campus of Summa Akron City Hospital. Summa St. Thomas Hospital: Summa St. Thomas Hospital offers general medical, surgical, and critical care services. 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 Barberton Hospital: Summa Barberton Hospital is a 500,000 square foot acute care teaching hospital located on nearly 16 acres. The Summa Barberton Hospital campus is located approximately 10 miles southwest of Akron, Ohio. Summa Barberton Hospital employs more than 1,300 employees and approximately 400 medical staff. It has 311 registered adult beds and 16 available bassinets and in 2011, successfully completed triennial accreditation activities with the Joint Commission Survey, resulting in three-year accreditation. Summa Barberton Hospital also broke ground on a new $17.3 million expansion that involves a new emergency department, new dining area and a conference center. 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. An acute care facility and winner of The Joint Commission's Gold Seal of Approval, The Wadsworth-Rittman Area Hospital Association is located approximately 20 miles west of Akron, Ohio. The Wadsworth-Rittman Area Hospital Association has 98 registered beds, employs more than 450 employees, and has a medical staff of more than 320 professionals. In 2011, it successfully completed triennial accreditation activities with the Joint Commission Survey, resulting in three-year accreditation. The Wadsworth-Rittman Area Hospital Association doubled the size of their ICU to eight beds and moved the unit to a new, larger location. In surgical services they have added three new operating room suites, which became operational in November 2011. CHARITY CARE: In 2011, Summa Health System provided charity care at an estimated net cost of nearly $11.7 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 2011, the charity care program (including Hospital Care Assurance Program) benefitted nearly 83,000 patient encounters. Medicaid Shortfall: Ohio Medicaid reimbursements historically 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 $27.5 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 2011, the cost for providing care written off as bad debt was nearly $22.2 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 2011, Summa Health System provided approximately $1.1 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 2011, the cost for subsidized services was more than $24.9 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, Alzheimer's Association, the American Heart Association and Relay for Life, 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 2011, these contributions exceeded $1.7 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 $5.1 million in research in 2011. 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. Approximately $3.9 million in research funding was awarded during the year. In 2011, 400 clinical research protocols were conducted at Summa Health System, with a growing research agenda in patient-centered outcomes research. Inventions by Summa employees have led to six provisional patents being processed for filing, and three pending utility patents. 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 our region and beyond. Nursing education is also offered in collaboration with our local university partners. In 2011, 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 2011 investment in health professions education totaled more than $18.8 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. Health System Services: Following is a description of Summa Health System's notable accomplishments by primary service lines in 2011: Behavioral Health: The Summa Center for Behavioral Health offers a wide range of psychiatric and medical treatment services and provides a full continuum of care for patients with behavioral health needs. In 2011, Summa Akron City and St. Thomas Hospitals became a community Medicaid provider for ambulatory chemical dependency services to retain patients within Summa Health System for treatment. Behavioral Health established an on-call psychiatrist at Summa Barberton Hospital. Ambulatory chemical dependency services were relocated to Stark County to work more collaboratively with Aultman Hospital and AultCare as a provider of chemical dependency services for their patients. Cancer Care: Summa Health System holds one of the highest ratings by the American College of Surgeons Commission on Cancer, having received in 2011 a three-year accreditation with "Commendation". The Cancer Center has successfully coordinated a non-insured patient drug replacement program, eRecovery, between pharmacy and oncology services and has yielded System drug savings of more than $400,000 and a patient savings of more than $1.4 million (at hospital charges) in 2011. Cardiovascular: Summa Cardiovascular Institute at Summa Health System provides testing and treatment for cardiovascular issues affecting the heart and vascular systems. In 2011, Summa opened the Heart Failure Clinic on the campus of Summa Akron City Hospital and Summa Anticoagulation Management Services (SAMS), in collaboration with the pharmacy. Emergency Services: Summa Akron City Hospital has been verified a Level I trauma center since 1998 and Robinson Memorial Hospital, an affiliate of Summa Health System, has been verified a Level III trauma center since 2003. During 2011, the services available were expanded with the addition of the new emergency department at Summa Health Center at Lake Medina. Further progress was attained in the construction of the new emergency departments at Summa Akron City Hospital and Summa Health Center at Green (both opening in 2012.) Orthopaedics: In 2011, Summa Health System, through its joint venture Crystal Clinic Orthopaedic Center, increased its market share to 48.1 percent from 46.6 percent in nine regional market areas. Financial performance was improved through system-wide implant cost containment, uniform vendor contracts, and system-wide uniform payer contract renewals. Post Acute and Senior Services: Summa Health System's The Bridge to Home transitional RN model expanded in 2011 to cover six System hospitals and Mercy Medical Center. "It's My Health", a nursing model combining patient centered care and transitional care, received the Magnet "Best New Knowledge Innovations Award" at the ANCC National Magnet Conference in 2011. Women's Health: Summa Health System provides patient-centered care for women through unique programs include the Pelvic Pain Specialty Center and urogynecological/ incontinence care from the Institute for Minimally Invasive Therapeutics. During 2011, Women's Health achieved or exceeded the benchmarks set in the Ohio Hospital Compare core measures. 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 2011, Summa Health System provided charity care to the indigent (including unreimbursed Medicaid) at the net cost of more than $39.2 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): Summa Physicians Inc. (SPI) is a Summa Health System entity comprised of multi-specialty physicians and practices. 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 2011, Summa Physicians Inc. hired 32 physicians. SPI has made significant improvement in health risk assessments, and a total of 1,262 have been completed in 2011, leading to better documentation of care provided to Medicare patients and enhanced reimbursement. SPI implemented the electronic medical record system across 132 providers and 51 practice sites. A total of 63 physicians attested for "Meaningful Use" achieving an average incentive of $14,444 each, which aids in care coordination and integration. Summa Akron City & St. Thomas Hospitals Foundation and Summa Foundation: Through philanthropy, Summa Akron City & St. Thomas Hospitals Foundation and Summa Foundation support medical education, research, technology, and clinical innovation. Encompassing fundraising, resource development, community benefit, diversity and government relations, Summa Akron City & Summa St. Thomas Hospitals Foundation and Summa Foundation work 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 Foundations' 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 Akron City & St. Thomas Hospitals Foundation in 2011 exceeded $4.2M, 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. The Office of Government Relations worked with the Ohio Hospital Association to advocate for a revised Franchise Fee formula. As a result, Summa gained $4.5 million over the next biennium period.
Form 990, Schedule K, Part V		Rider 1 (for Series 2004 Bonds): Part I, Line A(c)-CUSIP number of Series 2004 Bonds The CUSIP number assigned to the final maturity of the Series 2004A Bonds is 009730 LT7. The CUSIP number assigned to the final maturity of the Series 2004B Bonds is 009730 LU4. 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): Part I, Line A(f)-Description of purpose of Series 2004 Bonds 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, 1994, 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) construct and equip other hospital facilities, (3) refund prior issues with the following issue dates: (a) December 22, 1992 and (b) June 10, 1993, (4) pay the initial costs of a liquidity facility, and (5) pay issuance costs. Note: The Series 2004A Bonds and the Series 2004B Bonds are treated as a single issue of bonds for federal tax purposes. Rider 3 (for Series 2004 Bonds): Part IV, Column A, Line 4b-Name of Provider of GIC for the Series 2004 Bonds 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 4 (for Series 2004 Bonds): Part IV, Column A, Line 4c-Term of GIC for the Series 2004 Bonds Series 2004A Bonds Project Fund GIC - 3.1 years Debt Service Reserve Fund GIC - 30.4 years Series 2004B Bonds 3.1 years Rider 5 (for Series 2006 Bonds): Part I, Line B(c)-CUSIP number of the Series 2006 Bonds The CUSIP number assigned to the final maturity of the Series 2006 Bonds is 86605 VAE9. Rider 6 (for Series 2006 Bonds): Part I, Line B(f)-Description of purpose of the Series 2006 Bonds 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): Part IV, Column B, Line 3b-Name of Provider of Hedge for the Series 2006 Bonds Huntington National Bank Rider 8 (for Series 2006 Bonds): Part IV, Column B, Line 3c-Term of Hedge for the Series 2006 Bonds 30 years Rider 9 (for Series 2010 Bonds): Part I, Line C(c)-CUSIP number of the Series 2010 Bonds The CUSIP number assigned to the final maturity of the Series 2010 Bonds is 67756A Y89. Rider 10 (for Series 2010 Bonds): Part I, Line C(f)-Description of purpose of the Series 2010 Bonds The purposes of the Series 2010 Bonds were to (1) currently refund a taxable loan to Summa Barberton citizens Hospital under a line of credit, the proceeds of which were used to acquire hospital facilities, (2) currently refund a taxable loan to Summa Akron City and St. Thomas Hospitals, the proceeds of which were used for certain capital expenditures, (3) construct and equip hospital facilities, (4) acquire, construct, and equip parking facilities, nursing facilities, administrative facilities, ambulatory care facilities, and medical equipment, and (5) pay issuance costs. Rider 11 (for Series 2010 Bonds): Part IV, Column C, Line 4b-Name of Provider of GIC for the Series 2010 Bonds Morgan Stanley & Company Incorporated Rider 12 (for Series 2010 Bonds): Part IV, Column C, Line 4c-Term of GIC for the Series 2010 Bonds 2.2 years

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 (3 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	25000	false	$0	true	0.66670
Summa Rehab Hospital LLC
4550 Lena Drive	Mechanicsburg	PA	17055	271952573	Rehab Hospita	OH	SACSTH	Related	0	0	false	$0	true	0.52000
Aris Teleradiology LLC
5655 Hudson Drive	Hudson	OH	44236	412233156	Radiology Svcs	OH	SACSTH	Unrelated	8920259	0	false	$49,521	true	0.65000

Form990 Schedule R Part IV Form990ScheduleRPartIV (9 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	Province Or StateAddressForeign/ProvinceOrState	CountryAddressForeign/Country	Legal Domicile Foreign CountryLegalDomicileForeignCountry	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership
Ohio Health Choice Inc
525 East Market Street	Akron	OH	443041619	341895396	PPO	OH	NA	C Corp
Summa Insurance Company Inc
10 North Main Street	Akron	OH	44308	341809108	Prop/Cas. Ins	OH	NA	C Corp
SHS Corp
525 East Market Street	Akron	OH	443041619	341515252	Mgmt Services	OH	NA	C Corp
Wadsworth-Rittman Hosp PSC
195 Wadsworth Road	Wadsworth	OH	442819504	010842997	Prof. Med. Sv	OH	NA	C Corp
Middlebury Assurance Company
				980405096	Self Insuranc		NA	Foreign Corp	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
Health Care Center Physicians Inc
525 East Market Street	Akron	OH	443041619	341692767	Inactive	OH	NA	C Corp
Summa Accountable Care Organization
525 East Market Street	Akron	OH	44304	273857055	Contracting	OH	NA	C Corp
Aris Teleradiology Holdings Inc
5655 Hudson Drive	Hudson	OH	44236	453697866	Radiology Svcs	DE	SACSTH	C Corp						640703	5324366	0.57900

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
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 (45 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
ARIS Teleradiology LLC
a	152546	FMV
Summa Akron City & St Thomas Hospital
b	363361	FMV
Summa Akron City & St Thomas Hosp Foundation
c	363361	FMV
Summa Physicians Inc
i	169583	FMV
Summa Physicians Inc
i	131058	FMV
Summa Health System
j	722582	FMV
Summa Barberton Citizens Hospital
j	169583	FMV
The Wadsworth-Rittman Area Hospital Assn
j	131058	FMV
Summa Akron City & St Thomas Hospital
k	43354417	FMV
Summa Barberton Citizens Hospital
k	7237055	FMV
The Wadsworth-Rittman Area Hospital Assn
k	2158993	FMV
Summa Health System
l	866690	FMV
Summa Health System
l	103992	FMV
Summa Health System
l	83208	FMV
Summa Health System
l	532644	FMV
Summa Physicians Inc
l	43354417	FMV
Summa Physicians Inc
l	7237055	FMV
Summa Physicians Inc
l	2158993	FMV
Summa Akron City & St Thomas Hospital
o	6574899	FMV
Summa Insurance Company Inc
o	71346904	FMV
Summa Insurance Company Inc
o	9737438	FMV
Summa Insurance Company Inc
o	12247456	FMV
Summa Insurance Company Inc
o	4292883	FMV
Middlebury Assurance Company
o	4702729	FMV
Summa Akron City & St Thomas Hospital
o	2768791	FMV
Summa Barberton Citizens Hospital
o	716023	FMV
The Wadsworth-Rittman Area Hospital Assn
o	317500	FMV
Summa Physicians Inc
o	1017759	FMV
Summa Akron City & St Thomas Hospital
o	687807	FMV
Summa Physicians Inc
o	216474	FMV
The Wadsworth-Rittman Area Hospital Assn
o	139697	FMV
Summa Barberton Citizens Hospital
o	82568	FMV
Summa Akron City & St Thomas Hospital
o	616799	FMV
Summa Physicians Inc
o	122542	FMV
Summa Akron City & St Thomas Hosp Foundation
p	6574899	FMV
Summa Physicians Inc
p	2768791	FMV
Summa Akron City & St Thomas Hospital
p	716023	FMV
Summa Akron City & St Thomas Hospital
p	317500	FMV
Summa Akron City & St Thomas Hospital
p	1017759	FMV
Summa Barberton Citizens Hospital
p	687807	FMV
Summa Barberton Citizens Hospital
p	216474	FMV
Summa Barberton Citizens Hospital
p	139697	FMV
The Wadsworth-Rittman Area Hospital Assn
p	82568	FMV
The Wadsworth-Rittman Area Hospital Assn
p	616799	FMV
The Wadsworth-Rittman Area Hospital Assn
p	122542	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	47931829	19040136	false	$0	false	0.49500
Summa Western Reserve Hospital LLC
1900 23rd Street	Cuyahoga Falls	OH	44223	263536780	Hospital	OH	Related	false	38820800	9823746	false	$0	false	0.40000