Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
MediumBullet Do not enter Social Security numbers on this form as it may be made public. By law, the IRS
generally cannot redact the information on the form.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
A For the 2013 calendar year, or tax year beginning 01-01-2013 , 2013, and ending 12-31-2013
BCheck if applicable:
CName of organization
Summa Health System
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
525 East Market Street
Suite
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Akron, OH443041619
D Employer identification number

34-1887844
E Telephone number

G Gross receipts $ 50,393,703
F Name and address of principal officer:
THOMAS J STRAUSS
525 EAST MARKET STREET
AKRON,OH44304
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
www.summahealth.org
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1999
M State of legal domicile: OH
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: The mission of Summa Health System is to provide the highest quality, compassionate care to patients and members and contribute to a healthier community.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 15
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 9
5 Total number of individuals employed in calendar year 2013 (Part V, line 2a) ...... 5 330
6 Total number of volunteers (estimate if necessary) ............. 6 0
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 1,472,262
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b -754,601
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 0 0
9 Program service revenue (Part VIII, line 2g) ......... 11,443,688 47,569,109
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 231,872 147,202
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 182,792 -346,002
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 11,858,352 47,370,309
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 15,000 535,100
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 2,273,882 28,122,497
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 2,044,308 17,025,782
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 4,333,190 45,683,379
19 Revenue less expenses. Subtract line 18 from line 12....... 7,525,162 1,686,930
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 109,314,398 374,672,189
21 Total liabilities (Part X, line 26)............. 19,319,238 70,816,500
22 Net assets or fund balances. Subtract line 21 from line 20..... 89,995,160 303,855,689
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2013)
Form 990 (2013)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III ..............
1
Briefly describe the organization’s mission: THE MISSION OF SUMMA HEALTH SYSTEM IS TO PROVIDE THE HIGHEST QUALITY, COMPASSIONATE CARE TO PATIENTS AND MEMBERS AND CONTRIBUTE TO A HEALTHIER COMMUNITY.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 29,944,715 including grants of $ 535,100 ) (Revenue $ 43,018,900 )
Summa Health System directs the activities of the System so that all System resources and assets are best allocated and utilized for the benefit of the community. Summa Health System represents the collaborative efforts of health care providers to better administer, manage, provide and plan for the delivery of a full-range of health care services to all persons within the communities served by Summa Health System without regard to the race, creed, color, national origin or economic status of such persons. See Summa Health System Group Return (EIN 90-0640432) for further details.
4b (Code:   ) (Expenses $ 3,342,031 including grants of $ 0 ) (Revenue $ 4,873,753 )
Summa Health Network, LLC, a disregarded entity of Summa Health System, partners with community physicians, regional and national payers to improve the clinical quality and efficiency of care, lower the cost of care to patients and employers and assist physicians with technology and resources necessary to achieve these goals.
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet33,286,746
Form 990 (2013)
Form 990 (2013)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment........................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? ...
2
 
No
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II........
4
 
No
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C,
Part III............................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
Yes
 
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
 
No
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment.........................
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII Click to see attachment.................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV......... Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IVClick to see attachment
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV... Click to see attachment
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I (see instructions)....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....
20a
 
No
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
Form 990 (2013)
Form 990 (2013)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II... Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants or other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........ Click to see attachment
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I........
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I...................
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If so, complete Schedule L, Part II....................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III.........
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV ..........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes,"
complete Schedule L, Part IV.....................
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV...
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M.............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I........ Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2... Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2013)
Form 990 (2013)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V ..............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
56
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
330
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
Yes
 
b
If "Yes," enter the name of the foreign country: MediumBulletCJ
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?............
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?..........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?.......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
Form 990 (2013)
Form 990 (2013)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI ..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
15
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
9
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
Yes
 
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
 
No
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
OH
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBulletBRIAN K DERRICK525 EAST MARKET STREETAKRONOH44304 (330) 375-3196
Form 990 (2013)
Form 990 (2013)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII ..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) Michael Bage MD........................................................................
Director (end 9/2013)
 2.0
.......................48.0 		X           0 502,517 15,755
(2) Nicholas Browning........................................................................
Director & Treasurer
 2.0
.......................2.0 		X   X       0 0 0
(3) Daryl Cameron........................................................................
Director
 2.0
.......................0.0 		X           0 0 0
(4) Vincent DiGirolamo........................................................................
Director (end 9/2013)
 2.0
.......................4.0 		X           0 0 0
(5) Daniel Finelli MD........................................................................
Director (end 9/2013)
 2.0
.......................4.0 		X           0 0 0
(6) Robert Flora MD........................................................................
Director (end 9/2013)
 2.0
.......................48.0 		X           0 293,911 14,924
(7) James Gravell........................................................................
Director
 2.0
.......................0.0 		X           0 0 0
(8) Russell Gregory........................................................................
Director (end 9/2013)
 2.0
.......................2.0 		X           0 0 0
(9) Stephen Hailer........................................................................
Director (end 9/2013)
 2.0
.......................4.0 		X           0 0 0
(10) Thomas Harnden........................................................................
Director (end 9/2013)
 2.0
.......................4.0 		X           0 0 0
(11) Michael Hughes MD........................................................................
Director
 2.0
.......................48.0 		X           0 603,028 15,000
(12) Thomas Knoll........................................................................
Director (end 9/2013)
 2.0
.......................4.0 		X           123,662 0 0
(13) James Kravec MD........................................................................
Director
 2.0
.......................0.0 		X           0 0 0
(14) David Lieberth........................................................................
Director (end 9/2013)
 2.0
.......................2.0 		X           0 0 0
(15) Anthony Lockhart........................................................................
Director
 2.0
.......................4.0 		X           0 0 0
(16) Michael Maggio MD........................................................................
Director (end 9/2013)
 2.0
.......................48.0 		X           0 217,128 12,800
(17) Richard Marsh........................................................................
Director
 2.0
.......................2.0 		X           0 0 0
Form 990 (2013)
Form 990 (2013)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) James McIlvaine........................................................................
Director & Vice Chairman
 2.0
.......................2.0 		X   X       0 0 0
(19) Dale Murphy MD........................................................................
Director (end 9/2013)
 2.0
.......................48.0 		X           478,498 0 40,145
(20) Joseph Myers MD........................................................................
Director (end 9/2013)
 2.0
.......................48.0 		X           0 369,433 13,247
(21) Joseph Nienaltowski DO........................................................................
Director (end 9/2013)
 2.0
.......................2.0 		X           0 0 0
(22) Gordon Ober........................................................................
Director (end 9/2013)
 2.0
.......................0.0 		X           0 0 0
(23) Theresa Proenza........................................................................
Director
 2.0
.......................2.0 		X           0 0 0
(24) Robert Schaal MD........................................................................
Director (end 9/2013)
 2.0
.......................2.0 		X           0 0 0
(25) Brian Smith........................................................................
Director
 2.0
.......................0.0 		X           0 0 0
(26) Martin Spector........................................................................
Director/Treas (end 9/2013)
 2.0
.......................0.0 		X   X       0 0 0
(27) Thomas Strauss........................................................................
Director, System Pres & CEO
 46.0
.......................4.0 		X   X       1,273,746 0 108,510
(28) R Douglas Trochelman MD........................................................................
Director
 2.0
.......................48.0 		X           0 766,450 16,124
(29) Leila Vespoli........................................................................
Director
 2.0
.......................2.0 		X           0 0 0
(30) Vivian Von Gruenigen MD........................................................................
Director
 2.0
.......................48.0 		X           0 461,759 12,538
(31) Norman Wells........................................................................
Director & Chairman
 4.0
.......................2.0 		X   X       0 0 0
(32) Jeffrey Wright MD........................................................................
Director (end 9/2013)
 2.0
.......................0.0 		X           0 0 0
(33) Joseph Zarconi MD........................................................................
Director (end 9/2013)
 2.0
.......................48.0 		X           447,725 0 52,318
(34) William Powel III........................................................................
Secretary & General Counsel
 46.0
.......................4.0 		    X       575,932 0 61,741
(35) Brian Derrick........................................................................
System CFO
 46.0
.......................4.0 		    X       797,298 0 40,264
(36) Robert Harrigan........................................................................
COO,Summa Hospitals(end 9/13)
 4.0
.......................46.0 		    X       1,050,809 0 83,645
(37) Martin Hauser........................................................................
CEO, SummaCare
 4.0
.......................46.0 		      X     0 559,713 63,329
(38) Greg Kall........................................................................
Sr VP, CIO
 50.0
.......................0.0 		      X     374,593 0 46,992
(39) Unhee Kim........................................................................
Sr VP, Clinical Services
 4.0
.......................46.0 		      X     490,130 0 55,550
(40) Kyle Klawitter Barr........................................................................
Sr VP, System HR
 50.0
.......................0.0 		      X     377,912 0 43,768
(41) Patrice Lange........................................................................
Sr VP, Planning & Support
 50.0
.......................0.0 		      X     388,651 0 43,223
(42) Thomas Malone MD........................................................................
President, SACSTH
 4.0
.......................46.0 		      X     166,020 0 812
(43) Thomas ONeill........................................................................
VP, CFO Summa SACSTH
 4.0
.......................46.0 		      X     409,249 0 34,443
(44) Erik Steele DO........................................................................
CMO, Summa Hospitals
 4.0
.......................46.0 		      X     349,981 0 2,606
(45) Mark Terpylak DO........................................................................
President, Summa ACO
 4.0
.......................46.0 		      X     0 222,362 498
(46) Kevin Theiss........................................................................
VP, System Revenue Cycle
 50.0
.......................0.0 		      X     249,140 0 20,880
(47) Charles Vignos........................................................................
Pres, Summa Health Network
 50.0
.......................0.0 		      X     309,479 0 36,299
(48) Claude Vincenti........................................................................
President, SummaCare
 4.0
.......................46.0 		      X     0 528,388 37,375
(49) Mary Ward........................................................................
Sr VP, Chief Nursing Officer
 4.0
.......................46.0 		      X     446,111 0 48,356
(50) Ed Friedl........................................................................
VP, Construction
 50.0
.......................0.0 		        X   256,534 0 11,344
(51) Roxia Boykin........................................................................
VP, Comm. Benefit & Diversity
 50.0
.......................0.0 		        X   230,382 0 8,271
(52) Brenda Spear........................................................................
Admin Dir, Patient Care
 50.0
.......................0.0 		        X   193,447 0 8,297
(53) Jay Mitzel........................................................................
VP, Supply Chain
 50.0
.......................0.0 		        X   182,268 0 9,282
(54) Carl Aquila........................................................................
VP, Marketing
 50.0
.......................0.0 		        X   176,993 0 6,309
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 9,348,560 4,524,689 964,645
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet59
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet0
Form 990 (2013)
Form 990 (2013)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and
similar amounts not included above1f 		 
g Noncash contributions included in lines
1a-1f:$ 		 
h Total. Add lines 1a-1f.......MediumBullet 0
Program Service RevenueAmt Business Code
2a CORPORATE ALLOCATION FEES 900099 35,268,005 35,268,005    
b PROGRAM RELATED INVESTMENTS 900099 7,427,351 5,907,568 1,519,783  
c HEALTHCARE REVENUE 524298 4,873,753 4,873,753    
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 47,569,109
OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 250,976     250,976
4 Income from investment of tax-exempt bond proceeds..MediumBullet 0      
5 Royalties...........MediumBullet 0      
(i) Real (ii) Personal
6a Gross rents 2,250,075  
b Less: rental expenses 2,919,620  
c Rental income or (loss) -669,545 0
d Net rental income or (loss).......MediumBullet -669,545   -47,521 -622,024
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory    
b Less: cost or other basis and sales expenses   103,774
c Gain or (loss)   -103,774
d Net gain or (loss)..........MediumBullet -103,774     -103,774
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ..
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet 0    
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet 0      
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet 0      
Miscellaneous Revenue Business Code
11a PURCHASE DISCOUNTS/FEES EARNED 900099 323,543 323,543    
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet 323,543
12 Total revenue. See Instructions......MediumBullet 47,370,309 46,372,869 1,472,262 -474,822
Form 990 (2013)
Form 990 (2013)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX ...............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the United States. See Part IV, line 21 535,100 535,100
2 Grants and other assistance to individuals in the United States. See Part IV, line 22 0  
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16 0  
4 Benefits paid to or for members 0  
5 Compensation of current officers, directors, trustees, and key employees .... 8,904,823 4,625,300 4,279,523  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 0 0 0  
7 Other salaries and wages 15,279,893 12,835,110 2,444,783  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 390,951 328,399 62,552  
9 Other employee benefits ....... 2,503,393 2,102,850 400,543  
10 Payroll taxes ........... 1,043,437 876,487 166,950  
11 Fees for services (non-employees):        
a Management ...... 0      
b Legal ......... 1,735,603 0 1,735,603  
c Accounting ........... 517,536 0 517,536  
d Lobbying ........... 0      
e Professional fundraising services. See Part IV, line 17 0  
f Investment management fees ...... 8,666 0 8,666  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........ 8,491,656 6,725,895 1,765,761 0
12 Advertising and promotion .... 1,565,315 1,314,864 250,451  
13 Office expenses ....... 1,066,223 895,627 170,596  
14 Information technology ...... 409,546 344,018 65,528  
15 Royalties .. 0      
16 Occupancy ........... 970,032 814,827 155,205  
17 Travel ............ 141,505 118,864 22,641  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0      
19 Conferences, conventions, and meetings .... 125,062 105,052 20,010  
20 Interest ........... 24 0 24  
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization ..... 1,234,266 1,036,784 197,482  
23 Insurance .............. 6,982 5,865 1,117  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a DUES & LICENSES 562,803 472,755 90,048  
b MEDICAL SUPPLIES 91,500 91,500 0  
c RECRUITMENT 68,392 57,449 10,943  
d TAX EXPENSE 15,135 0 15,135  
e All other expenses 15,536   15,536  
25 Total functional expenses. Add lines 1 through 24e 45,683,379 33,286,746 12,396,633 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2013)
Form 990 (2013)
Page 11
Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ............. 200 1 0
2 Savings and temporary cash investments ......... 8,627,106 2 2,095,775
3 Pledges and grants receivable, net ........... 0 3 0
4 Accounts receivable, net ............. 11,329,458 4 436,319
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
0 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
0 6 0
7 Notes and loans receivable, net ............. 0 7 0
8 Inventories for sale or use .............. 0 8 2,996,776
9 Prepaid expenses and deferred charges .......... 0 9 259,817
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 51,402,160
b Less: accumulated depreciation ..... 10b 22,103,151 11,837,513 10c 29,299,009
11 Investments—publicly traded securities .......... 12,316,159 11 184,724,085
12 Investments—other securities. See Part IV, line 11 ..... 0 12 0
13 Investments—program-related. See Part IV, line 11 ..... 62,224,758 13 80,897,170
14 Intangible assets ............... 0 14 0
15 Other assets. See Part IV, line 11 ........... 2,979,204 15 73,963,238
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 109,314,398 16 374,672,189
Liabilities 17 Accounts payable and accrued expenses ......... 3,373,479 17 60,643,112
18 Grants payable ................. 2,975,315 18 2,459,204
19 Deferred revenue ................ 439,167 19 477,155
20 Tax-exempt bond liabilities ............. 0 20 0
21 Escrow or custodial account liability. Complete Part IV of Schedule D.. 0 21 0
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L.......... 0 22 0
23 Secured mortgages and notes payable to unrelated third parties .. 0 23 0
24 Unsecured notes and loans payable to unrelated third parties .... 12,531,277 24 7,237,029
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.................... 0 25 0
26 Total liabilities. Add lines 17 through 25......... 19,319,238 26 70,816,500
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 89,995,160 27 303,855,689
28 Temporarily restricted net assets ........... 0 28 0
29 Permanently restricted net assets ........... 0 29 0
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds ........   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 89,995,160 33 303,855,689
34 Total liabilities and net assets/fund balances ........ 109,314,398 34 374,672,189
Form 990 (2013)
Form 990 (2013)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI ..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
47,370,309
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
45,683,379
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
1,686,930
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
89,995,160
5
Net unrealized gains (losses) on investments ...............
5
-231,826
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
212,405,425
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
303,855,689
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII .............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2013)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID:  
Software Version:  
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
right arrow Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
Summa Health System
 
Employer identification number

34-1887844
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization? ................
11g(i)
 
No
(ii) A family member of a person described in (i) above? ......................
11g(ii)
 
No
(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
No
h
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) (iv) Is the organization in col. (i) listed in your governing document? (v) Did you notify the organization in col. (i) of your support? (vi) Is the organization in col. (i) organized in the U.S.? (vii) Amount of monetary support
Yes No Yes No Yes No
(A) SUMMA AKRON CITY AND ST THOMAS HOSPITALS
  		340714755 03 Yes           0
(B) THE WADSWORTH-RITTMAN AREA HOSPITAL ASSOCIATION
  		346549371 03 Yes           0
(C) SUMMA BARBERTON CITIZENS HOSPITAL
  		261375072 03 Yes           0
(D) SUMMA FOUNDATION
  		341219001 07 Yes           0
(E) CUYAHOGA FALLS GENERAL HOSPITAL
  		340718383 09 Yes           0
Total  

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..  
6 Public support. Subtract line 5 from line 4.  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..            
11 Total support (Add lines 7 through 10).  
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here.................................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public support (Subtract line 7c from line 6.)  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2013

Additional Data


Software ID:  
Software Version:  
SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions. SchDMd Bullet Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
Summa Health System
 
Employer identification number

34-1887844
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) .....    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance .... 16,730,854 15,896,470 15,633,841 13,145,135 13,311,624
b Contributions ........ 70,706 347,618 113,108 2,481,325 -183,166
c Net investment earnings, gains, and losses 762,707 486,766 149,521 7,380 16,677
d Grants or scholarships .....          
e Other expenditures for facilities
and programs ........ 		         
f Administrative expenses ....          
g End of year balance ...... 17,564,267 16,730,854 15,896,470 15,633,840 13,145,135
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet100.000 %
c
Temporarily restricted endowment SchDMd Bullet  
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
 
No
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   1,081,433 1,081,433
b Buildings ................   35,964,392 21,214,658 14,749,734
c Leasehold improvements ............   0 0 0
d Equipment ................   7,515,437 888,493 6,626,944
e Other .................   6,840,898 0 6,840,898
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 29,299,009
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1) OHIO HEALTH CHOICE, INC 2,244,124 F
(2) MIDDLEBURY ASSURANCE COMPANY 43,480,875 F
(3) SUMMACARE, INC 1,000,000 C
(4) SUMMA INSURANCE COMPANY 25,226,327 C
(5) SUMMA INTEGRATED SERVICES ORG 8,086,075 F
(6) PCCN, LLC 859,769 F



Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet 80,897,170
Part IX
Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) RECEIVABLES FROM AFFILIATES 71,254,034
(2) UNIVERSITY OF AKRON PLEDGE 2,709,204







Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 73,963,238
Part X
Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes 0








Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 0
2. Liability for uncertain tax positions In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII ..................................................
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
Part X, Line 2, FIN 48 (ASC 740) Footnote The System and most of its subsidiaries are not-for-profit corporations as described in Section 501(c)(3) of the Internal Revenue Code (Code) and are exempt from federal income taxes pursuant to Section 501(a) of the Code. The System also has certain subsidiaries that are taxable for federal income tax purposes. Summa Insurance Company ("SIC"), together with affiliates of Summa Health System Corporation ("SHSC"), file a consolidated federal income tax return in accordance with a tax sharing agreement dated January 1, 2010. The entities utilize a consolidated approach to the allocation of federal income taxes, whereas SHSC's tax sharing agreement with its subsidiaries allows it to make certain code elections in its consolidated federal tax return. In the event such code elections are made, any benefit or liability is the responsibility of SHSC and is accrued and paid by the participating subsidiaries. SIC is not subject to state income taxes 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. The System recognizes interest income, interest expense, and penalties related to uncertain tax positions within the provision for income tax.
Part V, Line 4 Endowment funds provide income to be used to fulfill the tax-exempt purposes of Summa Foundation.
Schedule D (Form 990) 2013

Additional Data


Software ID:  
Software Version:  




SCHEDULE F(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16.Right pointing arrow large image Attach to Form 990. Right pointing arrow large image See separate instructions.Right pointing arrow large image Information about Schedule F (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
Summa Health System
 
Employer identification number

34-1887844
Part I
General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.
1
For grantmakers.Does the organization maintain records to substantiate the amount of its grants and
other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used
to award the grants or assistance? ...............................
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.
3
Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees, agents, and independent contractors in region (d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in region		 (f) Total expenditures
for and investments
in region
Central America and the Caribbean     Program Services Self Insurance 56,718,857
Central America and the Caribbean     Unrelated Trade or Business   72,305
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total .....     56,791,162
b Total from continuation sheets to Part I ...      
c Totals (add lines 3a and 3b)     56,791,162
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2013
Schedule F (Form 990) 2013
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)		 (c) Region (d) Purpose of
grant 		(e) Amount of
cash grant 		(f) Manner of
cash
disbursement 		(g) Amount
of non-cash
assistance 		(h) Description
of non-cash
assistance 		(i) Method of
valuation
(book, FMV,
appraisal, other)
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2 Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter ....MediumBullet
 
3
Enter total number of other organizations or entities .......................MediumBullet
 
Schedule F (Form 990) 2013
Schedule F (Form 990) 2013Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant 		(e) Manner of cash
disbursement 		(f) Amount of
non-cash
assistance 		(g) Description
of non-cash
assistance 		(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2013
Schedule F (Form 990) 2013
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926)......................................
2 Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A).......................................
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471)..............................
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621)...............................................
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships. (see Instructions for Form 8865)....................................
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see Instructions for Form 5713)................................................
Schedule F (Form 990) 2013
Schedule F (Form 990) 2013
Page 5
Part V
Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).
ReturnReference Explanation
Part I, Line 3 (1), Col f Investment $56,076,980 Expenses $ 641,877
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule F (Form 990) 2013
Additional Data


Software ID:  
Software Version:  



Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
lBullet Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
Summa Health System
 
Employer identification number
34-1887844
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC Code section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) University of Akron
302 Buchtel Common
Akron,OH44301 		34-6002924 Governmental 15,000       Educational
(2) Austen Bioinnovation Institute of Akron
47 north main street
akron,OH44308 		38-3793003 501(c)(3) 520,000       healthcare research




















2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
2
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2013

Schedule I (Form 990) 2013
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance












Part IV
Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Return Reference Explanation
Part I, Line 2 The procedure for monitoring grant funds is based on the criteria established prior to awarding the grant or assistance. Once the criteria is met, a payment will be made to the University or agency utilizing the funds.
Schedule I (Form 990) 2013


Additional Data


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Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
Summa Health System
 
Employer identification number

34-1887844
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
Yes
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2013

Schedule J (Form 990) 2013
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported as deferred
in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1)Michael Bage MDDirector (end 9/2013) (i)
(ii)		 0
410,711 		0
91,156 		0
650 		0
7,650 		0
8,105 		0
518,272 		0
0
(2)Robert Flora MDDirector (end 9/2013) (i)
(ii)		 0
292,561 		0
0 		0
1,350 		0
8,925 		0
5,999 		0
308,835 		0
0
(3)Michael Hughes MDDirector (i)
(ii)		 0
594,975 		0
7,203 		0
850 		0
7,650 		0
7,350 		0
618,028 		0
0
(4)Michael Maggio MDDirector (end 9/2013) (i)
(ii)		 0
209,381 		0
6,867 		0
880 		0
5,308 		0
7,492 		0
229,928 		0
0
(5)Dale Murphy MDDirector (end 9/2013) (i)
(ii)		 183,477
0 		45,629
0 		249,392
0 		36,014
0 		4,131
0 		518,643
0 		30,317
0
(6)Joseph Myers MDDirector (end 9/2013) (i)
(ii)		 0
269,685 		0
58,522 		0
41,226 		0
6,900 		0
6,347 		0
382,680 		0
0
(7)Thomas StraussDirector, System Pres & CEO (i)
(ii)		 763,884
0 		194,287
0 		315,575
0 		102,035
0 		6,475
0 		1,382,256
0 		85,619
0
(8)R Douglas Trochelman MDDirector (i)
(ii)		 0
626,005 		0
138,845 		0
1,600 		0
8,925 		0
7,199 		0
782,574 		0
0
(9)Vivian Von Gruenigen MDDirector (i)
(ii)		 0
455,587 		0
5,522 		0
650 		0
3,000 		0
9,538 		0
474,297 		0
0
(10)Joseph Zarconi MDDirector (end 9/2013) (i)
(ii)		 302,009
0 		57,267
0 		88,449
0 		47,660
0 		4,658
0 		500,043
0 		37,900
0
(11)William Powel IIISecretary & General Counsel (i)
(ii)		 350,982
0 		102,721
0 		122,229
0 		54,327
0 		7,414
0 		637,673
0 		39,937
0
(12)Brian DerrickSystem CFO (i)
(ii)		 464,776
0 		202,792
0 		129,730
0 		31,054
0 		9,210
0 		837,562
0 		0
0
(13)Robert HarriganCOO,Summa Hospitals(end 9/13) (i)
(ii)		 438,797
0 		195,934
0 		416,078
0 		77,637
0 		6,008
0 		1,134,454
0 		60,441
0
(14)Martin HauserCEO, SummaCare (i)
(ii)		 0
346,803 		0
62,900 		0
150,010 		0
62,098 		0
1,231 		0
623,042 		0
40,601
(15)Greg KallSr VP, CIO (i)
(ii)		 260,587
0 		48,241
0 		65,765
0 		42,495
0 		4,497
0 		421,585
0 		31,418
0
(16)Unhee KimSr VP, Clinical Services (i)
(ii)		 331,016
0 		60,338
0 		98,776
0 		49,824
0 		5,726
0 		545,680
0 		38,829
0
(17)Kyle Klawitter BarrSr VP, System HR (i)
(ii)		 238,327
0 		45,002
0 		94,583
0 		38,976
0 		4,792
0 		421,680
0 		29,572
0
(18)Patrice LangeSr VP, Planning & Support (i)
(ii)		 238,666
0 		64,019
0 		85,966
0 		40,206
0 		3,017
0 		431,874
0 		28,729
0
(19)Thomas Malone MDPresident, SACSTH (i)
(ii)		 80,705
0 		50,000
0 		35,315
0 		0
0 		812
0 		166,832
0 		0
0
(20)Thomas ONeillVP, CFO Summa SACSTH (i)
(ii)		 250,655
0 		62,719
0 		95,875
0 		30,445
0 		3,998
0 		443,692
0 		26,959
0
(21)Erik Steele DOCMO, Summa Hospitals (i)
(ii)		 228,256
0 		50,000
0 		71,725
0 		0
0 		2,606
0 		352,587
0 		0
0
(22)Mark Terpylak DOPresident, Summa ACO (i)
(ii)		 0
190,800 		0
0 		0
31,562 		0
0 		0
498 		0
222,860 		0
0
(23)Kevin TheissVP, System Revenue Cycle (i)
(ii)		 175,461
0 		21,235
0 		52,444
0 		15,399
0 		5,481
0 		270,020
0 		13,536
0
(24)Charles VignosPres, Summa Health Network (i)
(ii)		 227,904
0 		26,603
0 		54,972
0 		27,966
0 		8,333
0 		345,778
0 		16,575
0
(25)Claude VincentiPresident, SummaCare (i)
(ii)		 0
394,700 		0
43,738 		0
89,950 		0
37,375 		0
0 		0
565,763 		0
0
(26)Mary WardSr VP, Chief Nursing Officer (i)
(ii)		 313,069
0 		57,498
0 		75,544
0 		45,607
0 		2,749
0 		494,467
0 		37,658
0
(27)Ed FriedlVP, Construction (i)
(ii)		 199,240
0 		30,844
0 		26,450
0 		5,500
0 		5,844
0 		267,878
0 		0
0
(28)Roxia BoykinVP, Comm. Benefit & Diversity (i)
(ii)		 168,666
0 		21,588
0 		40,128
0 		5,082
0 		3,189
0 		238,653
0 		0
0
(29)Brenda SpearAdmin Dir, Patient Care (i)
(ii)		 48,563
0 		0
0 		144,884
0 		2,868
0 		5,429
0 		201,744
0 		0
0
(30)Jay MitzelVP, Supply Chain (i)
(ii)		 146,024
0 		0
0 		36,244
0 		5,208
0 		4,074
0 		191,550
0 		0
0
(31)Carl AquilaVP, Marketing (i)
(ii)		 151,694
0 		41
0 		25,258
0 		5,320
0 		989
0 		183,302
0 		0
0
Schedule J (Form 990) 2013

Schedule J (Form 990) 2013
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Return Reference Explanation
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, tax preparation services and housing allowances were paid on behalf of certain officers. The personal use is reflected as wages.
Part I, Line 4a In 2013, Brenda Spear received $80,988 in severance and benefits from the organization. Robert Harrigan received $148,922 in severance and benefits from the organization.
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 2013: Thomas J. Strauss $98,336, Joseph Zarconi, MD $38,735, William A. Powel, III $45,402, Brian K. Derrick $23,404, Robert Harrigan $68,712, Martin Hauser $44,598, Dale P. Murphy, MD $30,624, Greg Kall $33,646, Unhee Kim $43,018, Kyle Klawitter Barr $30,860, Patrice Lange $30,581, Thomas O'Neill $21,520, Kevin Theiss $15,399, Charles Vignos $20,058, Claude Vincenti $19,875 and Mary Ward $39,682.
Part I, Part 7 Summa Health System management incentive program is designed to reward employees for meeting quality performance and financial targets. These include clinical quality, patient satisfaction, employee/physician satisfaction, net operating income and the strengthening of the balance sheet. Payment is based on a factor of base compensation and is subject to review and approval by Summa's compensation committee.
Schedule J (Form 990) 2013

Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
Summa Health System
 
Employer identification number

34-1887844
Return Reference Explanation
Form 990, Page 2, Part III, Line 3 In 2013, Summa Health System acted as the corporate services operating entity for the System. Corporate services include the Systems Executive Office, Human Resources Administrative Services, Employee Benefits Management, Treasury Services (including payroll and accounts payable), Finance, Legal Services, Risk Management, Supply Chain, Marketing and Corporate Communications, Planning, Corporate Compliance, Internal Audit and Operations Improvement. The cost of these corporate services are funded by the Systems benefitting subsidiary entities with the funding recognized as Other Revenue within the Parents statement of operations. Operational changes implemented for the System include the centralized payroll management, accounts payable disbursements, and supply chain services now transacted by the Parent and funded through a single concentration cash account by the subsidiary entities that utilize Lawsons ERP functionality. The associated obligations and liabilities to various third parties now reside on the Parents Statement of Financial Position with such obligations at the subsidiary entities relieved as evidenced by the Parents increase in current liabilities and a corresponding reduction in net assets. All operating cash flow needs of the Parent are funded by the subsidiary entities.
Form 990, Page 6, Part VI, Line 1a HealthSpan Partners is a member of the Corporation and has the right to elect five (5) of the sixteen (16) Directors of the Corporation. The Corporation's Code of Regulations provides that an affirmative vote of a majority of the HealthSpan Partners Designated Directors is required for the following actions: (1) Actions that would adversely impact the tax-exempt status of the Corporation or MercyHealth (f/k/a Catholic Health Partners); (2) Appointment of a new CEO; (3) Dissolution, merger, conversion, or consolidation of the Corporation, or sale/lease/disposition of substantially all of the Corporation's assets; (4) Sale, lease, disposition of Corporation's core operating assets as defined in Definitive Agreement; (5) Addition of a new corporate member of the Corporation; (6) Any amendment to the Corporation's organization documents that would impair the rights of Community Member; (7) The addition of any service or change in operations that would violate the Statement of Common Values.
Form 990, Page 6, Part VI, Line 2 Nicholas Browning, Michael Hughes, M.D., Anthony Lockhart, Richard Marsh, James McIlvaine, Theresa Proenza, Thomas Strauss, R. Douglas Trochelman, M.D., Leila Vespoli, Vivian Von Gruenigen, M.D., Norman Wells, Brian Derrick and William A. Powel, III have business relationships through Summa Health System Community: Nicholas Browning, Michael Hughes, M.D., Anthony Lockhart, Richard Marsh, James McIlvaine, Theresa Proenza, Thomas Strauss, R. Douglas Trochelman, M.D., Leila Vespoli, Vivian Von Gruenigen, M.D., and Norman Wells are Directors of Summa Health System Community; Brian Derrick and William A. Powel, III are Officers of Summa Health System Community. Michael Bage, M.D., Robert Flora, M.D., Michael Hughes, M.D., Michael Maggio, M.D., Dale P. Murphy, M.D., Joseph Myers, M.D., Douglas Trochelman, M.D., Vivian Von Gruenigen, M.D., Thomas O'Neill and William A. Powel, III have business relationships through Summa Physicians, Inc.: Michael Bage, M.D., Robert Flora, M.D., Michael Hughes, M.D., Michael Maggio, M.D., Douglas Trochelman, M.D. and Vivian Von Gruenigen, M.D. are employed by Summa Physicians, Inc.; Dale P. Murphy, M.D. is employed by Summa Physicians, Inc. and is a Director of Summa Physicians, Inc.; and Thomas O'Neill and William A. Powel, III are Directors of Summa Physicians, Inc. Richard Marsh, Leila Vespoli, and Anthony Lockhart have a business relationship through First Energy: Leila Vespoli is employed as an officer at First Energy and Richard Marsh and Anthony Lockhart are retired officers of First Energy. Stephen Hailer, Thomas Knoll, Thomas Strauss, William A. Powel, III, have a business relationship through Summa Western Reserve Hospital, LLC: all are on the Board of Managers of Summa Western Reserve Hospital, LLC. Robert Harrigan, Thomas O'Neill, and Erik Steele, D.O. have a business relationship through Crystal Clinic Orthopaedic Center, LLC: Robert Harrigan, Thomas O'Neill and Erik Steele, D.O. all were on the Board of Managers of Crystal Clinic Orthopaedic Center, LLC during the year. Thomas Knoll, William A. Powel, III, Brian Derrick and Thomas Strauss have a business relationship through Middlebury Assurance Corporation: all are Directors of Middlebury Assurance Corporation. all are Directors of Middlebury Assurance Corporation. all are Directors of Middlebury Assurance Corporation.
Form 990, Page 6, Part VI, Line 4 The Code of Regulations was amended in July 2013. The significant changes were: Members - Specified that the Members are Summa Health System Community ("Summa Member") and HealthSpan Partners ("Community Member") Specified Membership Interests: 1. Summa Member - 70% 2. Community Member - 30% Described the Definitive Agreement between Corporation and MercyHealth. (Note: In September 2013, MercyHealth assigned its interest in the Definitive Agreement to HealthSpan Partners). Added reserved powers for Members: 1. Actions that would adversely impact the tax-exempt status of the Corporation or MercyHealth 2. Appointment of a new CEO 3. Dissolution, merger, conversion, or consolidation of the Corporation, or sale/lease/disposition of substantially all of the Corporation's assets 4. Sale, lease, disposition of Corporation's core operating assets as defined in Definitive Agreement 5. Addition of a new corporate member of the Corporation 6. Amendment to the Statement of Common Values 7. Amendment to the Articles of Incorporation or Code of Regulations Reserved Powers 1, 3, 4, 5, 6, and 7 require the approval of each of the Members Board of Directors 1. Reduced the number of directors from a maximum of 33 to 16 2. The 16 directors will include 12 Elected Lay Directors, 3 Physician Directors, and the President & CEO as a Special Voting Director 3. The 3 Physician Directors will be nominated by a process to be developed by the Medical Staffs of the Summa Hospitals 4. Deleted the following designated directors: 3 Medical Officer directors; 2 SHN/SummaCare Directors; 5 At-Large Physician Directors; 2 directors appointed by CFGH; 1 SBH Director; 1 WRH Director; and the RMH ex-officio non-voting representative 5. Community Member to elect 5 Directors (at least 1 to be a resident or community leader active in Summa's market area and at least 1 to be a physician; these may be same individual) 6. Summa Member to elect 10 Directors (7 Elected Lay Directors and 3 Physician Directors) 7. Changed the definition of quorum from 40% to twelve (12) Directors 8. Added provision that an affirmative vote of a majority of the Community Member Designated Directors is required for the following actions: a. Actions that would adversely impact the tax-exempt status of the Corporation or MercyHealth b. Appointment of a new CEO c. Dissolution, merger, conversion, or consolidation of the Corporation, or sale/lease/disposition of substantially all of the Corporation's assets d. Sale, lease, disposition of Corporation's core operating assets as defined in Definitive Agreement e. Addition of a new corporate member of the Corporation f. Any amendment to the Corporation's organization documents that would impair the rights of Community Member g. The addition of any service or change in operations that would violate the Statement of Common Values 9. Specified that a Director may only be removed by the Member which elected such Director 10. Included a requirement that following that removed Director(s) be replaced by the respective Member who caused the vacancy Officers 1. Officers shall be Chair, Vice Chair (new), President & CEO, Treasurer, and Secretary. Deleted the Chair Elect and Past Chair 2. Changed the term of office from 3 years to 2 years with an additional year at the discretion of the Board 3. Specified that removal of an officer requires the affirmative vote of 12 Directors Statement of Common Values Corporation has adopted a Statement of Common Values; amendment of the Statement of Common Values requires the approval of each of the Members Fiscal Matters - Liquidation Preference Added a new section specifying that upon a complete liquidation of the Corporation, Community Member would get a preferential distribution following the distribution of indebtedness and other priority obligations.
Form 990, Page 6, Part VI, Line 6 The Members of Summa Health System are Summa Health System Community ("Summa Member") and Healthspan Partners ("Community Member"). Summa Member's interest is 70%; Community Member's interest is 30%.
Form 990, Page 6, Part VI, Line 7a The Members of the Corporation are Summa Health System Community ("Summa Member") and HealthSpan Partners ("Community Member"). The Members have the following powers: 1. Community Member to elect 5 Directors (at least 1 to be a resident or community leader active in Summa's market area and at least 1 to be a physician; these may be same individual) 2. Summa Member to elect 10 Directors (7 Elected Lay Directors and 3 Physician Directors) A Director may only be removed by the Member which elected such Director, and if a Member removes a Director elected by such Member, then that Member may replace elect a Director to fill the vacancy.
Form 990, Page 6, Part VI, Line 7b The following are reserved powers for the Members of the Corporation: 1. Actions that would adversely impact the tax-exempt status of the Corporation or MercyHealth 2. Appointment of a new CEO 3. Dissolution, merger, conversion, or consolidation of the Corporation, or sale/lease/disposition of substantially all of the Corporation's assets 4. Sale, lease, disposition of Corporation's core operating assets as defined in Definitive Agreement 5. Addition of a new corporate member of the Corporation 6. Amendment to the Statement of Common Values 7. Amendment to the Articles of Incorporation or Code of Regulations Reserved Powers 1, 3, 4, 5, 6, and 7 require the approval of each of the Members.
Form 990, 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 Senior Vice President, Finance & CFO and the Senior Vice President, Legal Services & General Counsel. This detailed review occurred in September 2014. 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 September 2014 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. After the review by the Committee on Governance, and prior to filing with the IRS, an email was sent to each voting member of the Board of Directors. This email included instructions and a link to a password-protected web site on which the entire Form 990 was available for viewing.
Form 990, 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 four years, the Compensation Committee has used Hay Group, a nationally recognized consulting firm, to assist their efforts. The Hay Group provides the following services to the Compensation Committee: (a) education of Committee members regarding executive compensation trends and best practices in healthcare organizations; (b) assessment of the market competitiveness and reasonableness of Summa's executive compensation programs including base salary, incentive compensation, core and executive benefits, as well as their alignment with the mission and future performance expectations; (c) written, detailed evaluation of the market reasonableness of Summa's executive compensation and benefits program; and (d) ongoing support and independent advice to the Compensation Committee on matters related to executive compensation. Each year the Compensation Committee reviews and approves the compensation for the following positions: 1. System President & CEO 2. Senior Vice President, Finance & CFO 3. Senior Vice President, Legal Services & General Counsel 4. Senior Vice President, IT&S & CIO 5. Senior Vice President, Service Lines, Ambulatory & Ancillary 6. Senior Vice President, Planning & Marketing 7. Senior Vice President & Chief Nursing Officer 8. Senior Vice President, Human Resources 9. Senior Vice President, Chief Medical Officer 10. President, SummaCare
Form 990, Page 6, Part VI, Line 19 Summa Health System makes its Conflicts of Interest policy available upon request. The Articles of Incorporation of Summa Health System and its related entities are available on the website of the Ohio Secretary of State (www.sos.state.oh.us). Summa Health System makes its financial statements available on its website (www.summahealth.org). The financial statements are also available through the Electronic Municipal Market Access (www.emma.msrb.org).
Form 990, Page 12, Part XI, Line 9 Other changes in Net Assets or Fund Balances: Investment by HealthSpan Partners $250,000,000 Transfers to/from Affiliates (24,251,362) Elimination of SHN liability (13,343,213) ------------- Total change in Net Assets $212,405,425
FORM 990 PART IX LINE 11G DESCRIPTION:NON-BILLABLE PURCHASED SERVICE TOTAL FEES:3339115
FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTANT FEES TOTAL FEES:4335864
FORM 990 PART IX LINE 11G DESCRIPTION:CORPORATE SPONSORSHIPS TOTAL FEES:522612
FORM 990 PART IX LINE 11G DESCRIPTION:HEALTH SCREENING TOTAL FEES:199358
FORM 990 PART IX LINE 11G DESCRIPTION:REPAIR & MAINTENANCE TOTAL FEES:94707
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2013

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.
MediumBullet Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
Summa Health System
 
Employer identification number

34-1887844
Part I
Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity
(1) Summa Health Network LLC
525 East Market Street
Akron,OH44304
34-1887844 		Contracting OH 4,873,753 10,718,064 SHS
 










Part II
Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1) Summa Health System Community

525 East Market Street

Akron,OH44304
46-3018310 		Support Org OH applied for 11  
Yes
 












For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) Ohio Sleep Disorders Centers LLC

130 W Exchange
Akron,OH44302
34-1872278 		Phys. offices OH NA
  		related                
(2) Summa Rehab Hospital LLC

29 North Adams Street
Akron,OH44304
27-1952573 		Rehab Hospita OH SACSTH
  		related                










Part IV
Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) Ohio Health Choice Inc

525 East Market Street
Akron,OH44304
34-1895396 		PPO OH SHS Corp
  		C Corp          
(2) Summa Insurance Company Inc

10 North Main Street
Akron,OH44308
34-1809108 		Prop/Cas Ins OH SHS Corp
  		C Corp          
(3) Summa Health System Corp

525 East Market Street
Akron,OH44304
34-1515252 		Mgmt Svcs OH SHS
  		C Corp          
(4) Wadsworth Rittman Hosp Prof Svc Corp

195 Wadsworth Rd
Wadsworth,OH44281
01-0842997 		Prof Med Svcs OH SHS Corp
  		C Corp          
(5) Middlebury Assurance Company

PO Box 1051 KY1-1102
Grand Cayman,Cayman Islands  
CJ
98-0405096 		Self Insuranc CJ SHS
  		Foreign Co          
(6) SummaCare Inc

10 North Main Street
Akron,OH44308
34-1726655 		Prop/Cas Ins OH SIC
  		C Corp          
(7) Aris Teleradiology Holdings Inc

5655 Hudson Drive Suite 210
Hudson,OH44236
45-3697866 		Radiology Svc OH SACSTH
  		C Corp          
(8) Summa Accountable Care Organization

525 East Market Street
Akron,OH44304
27-3857055 		Contracting OH SHS
  		C Corp          
(9) Health Care Centers Physicians Inc

1900 23rd Street
Cuyahoga Falls,OH44223
34-1692767 		Inactive OH SHS Corp
  		C Corp          
(10) Summa Management Services Organization

10 North Main Street
Akron,OH44308
46-1145832 		Mgmt services OH SHS Corp
  		C Corp          
(11) Summa Integrated Services Organization

10 North Main Street
Akron,OH44308
46-1159251 		Mgmt services OH SHS Corp
  		C Corp          
Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
Yes
 
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
 
No
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
Yes
 
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
Yes
 
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
 
No
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) SummaCare Inc

 a 2,233,582 FMV
(2) Ohio Health Choice Inc

 a 74,250 FMV
(3) Middlebury Assurance Company

 f 3,092,111 FMV
(4) Summa Integrated Services Organization

 h 263,652 FMV
(5) Summa Physicians Inc

 l 1,305,530 FMV
(6) Summa Akron City and St Thomas Hospitals

 l 1,032,648 FMV
(7) Summa Barberton Citizens Hospital

 l 103,992 FMV
(8) The Wadsworth-Rittman Area Hospital Assn

 l 80,208 FMV
(9) SummaCare Inc

 l 272,041 FMV
(10) Middlebury Assurance Company

 p 641,877 FMV
(11) Summa Rehab Hospital LLC

 q 148,250 FMV
(12) Summa Accountable Care Organization

 q 120,500 FMV
(13) Summa Akron City and St Thomas Hospitals

 q 26,579,941 cost
(14) Summa Barberton Citizens Hospital

 q 5,782,043 cost
(15) The Wadsworth-Rittman Area Hospital Assn

 q 2,142,996 cost
(16) Summa Physicians Inc

 q 1,417,884 cost
(17) Summa Insurance Company

 q 3,525,041 FMV
(18) Summa Foundation

 r 5,199,999 cost
(19) Middlebury Assurance Company

 s 6,031,002 cost
Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V?UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2013
Additional Data


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