Summa Health Group Return

“Summa Akron City and St. Thomas Hospitals: N/A Summa Barberton Citizens Hospital: N/A Summa Wadsworth-Rittman Hospital: Prior to adopting an Amended and Restated Code of Regulations in October 2013, Summa Wadsworth-Rittman Hospital had an Executive Committee comprised of the Board Chair, President, Vice Chair, Treasurer, Secretary, and others as elected by the Board of Directors. All members of the Executive Committee are members of the Board of Directors. The Executive Committee was authorized to exercise the powers of the Board at such time as the Board is not in session, subject to restrictions imposed by previous decisions of the Board and to the provisions of the Summa Wadsworth-Rittman Hospital Code of Regulations. All interim actions by the Executive Committee were reported at the Board's next meeting succeeding such action. The Executive Committee prepared and made such recommendations to the Board as are pertinent to the welfare of the Summa Wadsworth-Rittman Hospital. The Amended and Restated Code of Regulations for Summa Wadsworth-Rittman Hospital, adopted in October 2013, did not include a provision for an Executive Committee. Summa Foundation: Summa Foundation has an Executive Committee comprised of the Chair, Vice Chair, Secretary, Treasurer, and one additional Director of the Summa Foundation. All members of the Executive Committee are Directors of Summa Foundation. The Executive Committee is authorized to exercise the powers of the Board at such time as the Board is not in session, subject to restrictions imposed by previous decisions of the Board and to the provisions of the Summa Foundation Code of Regulations. All interim actions by the Executive Committee are reported at the Board's next meeting succeeding such action. The Executive Committee prepares and makes such recommendations to the Board as are pertinent to the welfare of the Summa Foundation. Summa Physicians, Inc.: The Code of Regulations provides for an Executive Committee to be comprised of three (3) directors. The Executive Committee may make governance decisions between Board meetings. Cuyahoga Falls General Hospital (merged December 31, 2013): Prior to its merger into Summa Akron City and St. Thomas Hospitals, Cuyahoga Falls General Hospital had an Executive Committee comprised of the Board Chair and two (2) other directors named by the Chair. All members of the Executive Committee are Directors of Cuyahoga Falls General Hospital. The Executive Committee had the power to transact all regular business of Cuyahoga Falls General Hospital between meetings of the Board of Directors, subject only to prior limitations established by the Board of Directors and the Member's Reserved Powers.”

“Summa Akron City and St. Thomas Hospitals: Nicholas Browning, Anthony Lockhart, Thomas Strauss, R. Douglas Trochelman, M.D., Brian Derrick and William A. Powel, III have business relationships through Summa Health System Community: Nicholas Browning, Anthony Lockhart, Thomas Strauss, and R. Douglas Trochelman, M.D., are Directors of Summa Health System Community; Brian Derrick and William A. Powel, III are Officers of Summa Health System Community. Dennis Chack, Anthony Lockhart, and Thomas Clark have a business relationship through First Energy: Dennis Chack is employed as an officer of First Energy and Anthony Lockhart and Thomas Clark are retired officers of First Energy. Thomas Knoll, Thomas Strauss, and William A. Powel, III have a business relationship through Summa Western Reserve Hospital: all are on the Board of Managers of Summa Western Reserve Hospital. 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. Robert Harrigan and Thomas Strauss have a business relationship through Summa Accountable Care Organization: both are Directors of Summa Accountable Care Organization. Michael Bage, M.D. and Hitesh Makkar, M.D have a business relationship through Continuity Medical, LLC. Thomas Knoll, Brian Derrick, William A. Powel, III, and Thomas Strauss have a business relationship through Middlebury Assurance Corporation: all are Directors of Middlebury Assurance Corporation. Summa Barberton Citizens Hospital: Thomas Strauss, Brian Derrick and William A. Powel, III have business relationships through Summa Health System Community: Thomas Strauss is a Director of Summa Health System Community; Brian Derrick and William A. Powel, III are Officers of Summa Health System Community. Thomas Knoll, Thomas Strauss, and William A. Powel, III have a business relationship through Summa Western Reserve Hospital: all are on the Board of Managers of Summa Western Reserve Hospital. Thomas Knoll, Brian Derrick, William A. Powel, III, and Thomas Strauss have a business relationship through Middlebury Assurance Corporation: all are Directors of Middlebury Assurance Corporation. Summa Wadsworth-Rittman Hospital: Thomas Strauss, Brian Derrick and William A. Powel, III have business relationships through Summa Health System Community: Thomas Strauss is a Director of Summa Health System Community; Brian Derrick and William A. Powel, III are Officers of Summa Health System Community. Eric Graf and Thomas Knoll have a business relationship through Ritzman Pharmacies: Eric Graf is the CEO of Ritzman Pharmacies and Thomas Knoll is a Director of Ritzman Pharmacies. Thomas Knoll, Thomas Strauss, and William A. Powel, III have a business relationship through Summa Western Reserve Hospital: all are on the Board of Managers of Summa Western Reserve Hospital. Thomas Knoll, Brian Derrick, William A. Powel, III, and Thomas Strauss have a business relationship through Middlebury Assurance Corporation: all are Directors of Middlebury Assurance Corporation. Summa Foundation: Thomas Strauss, Brian Derrick and William A. Powel, III have business relationships through Summa Health System Community: Thomas Strauss is a Director of Summa Health System Community; Brian Derrick and William A. Powel, III are Officers of Summa Health System Community. Samir Gibara and Scott Honnold have a business relationship through Goodyear Tire and Rubber Company: Samir Gibara is a retired officer of Goodyear and Scott Honnold is a current officer of Goodyear. George Daverio, Jr. and C. Gordon Ewers have a business relationship through Merrill Lynch: George Daverio, Jr. is retired from Merrill Lynch and C. Gordon Ewers is an officer at Merrill Lynch. Jason Butterworth and Mark Krohn have a business relationship through Brennan, Manna & Diamond: both are partners”

“Summa Akron City and St. Thomas Hospitals: The following material changes were made to the Code of Regulations during the 2013 tax year: (i)Reduced the number of Directors from 23 to 16; specified that one of the Directors must be on the Medical Staff of the Corporation (ii) Specified that the Chief Medical Officer of Summa Health System is a Special Voting Director (iii) Redefined quorum to be number of current Directors multiplied by 50% (rounded up to whole number). Previously, quorum defined as 40%. (iv) Defined the reserved powers to be the same reserved powers that Summa Health System has over all of its subsidiaries (v) Changed title of Corporation's President from "President & COO" to "President" (vi) Deleted the requirement that the Code of Regulations be reviewed biennially Summa Barberton Citizens Hospital: The following material changes were made to the Code of Regulations during the 2013 tax year: (i) Changed the sole member of the Corporation from Summa Barberton Wadsworth Rittman Hospitals, LLC to Summa Health System. (ii) Increased the number of Directors from 14 to 16; specified that one of the Directors must be on the Medical Staff of the Corporation (iii) Specified that the Chief Medical Officer of Summa Health System is a Special Voting Director (iv) Redefined quorum to be number of current Directors multiplied by 50% (rounded up to whole number). Previously, quorum defined as a majority of the current Directors. (v) Defined the reserved powers to be the same reserved powers that Summa Health System has over all of its subsidiaries Summa Wadsworth-Rittman Hospital: The following material changes were made to the Code of Regulations during the 2013 tax year: (i) Changed the sole member of the Corporation from Summa Barberton Wadsworth Rittman Hospitals, LLC to Summa Health System. (ii) Increased the number of Directors from 14 to 16; specified that one of the Directors must be on the Medical Staff of the Corporation (iii) Specified that the Chief Medical Officer of Summa Health System is a Special Voting Director (iv) Redefined quorum to be number of current Directors multiplied by 50% (rounded up to whole number). Previously, quorum defined as a majority of the current Directors. (v) Defined the reserved powers to be the same reserved powers that Summa Health System has over all of its subsidiaries (vi) Deleted a provision delineating specific charitable organizations for the distribution of assets upon a dissolution of the Corporation Summa Foundation: N/A Summa Physicians, Inc.: N/A Cuyahoga Falls General Hospital (merged December 31, 2013): Cuyahoga Falls General Hospital merged with Summa Akron City and St. Thomas Hospitals effective as of December 31, 2013. Summa Akron City and St. Thomas Hospitals was the surviving entity. Prior to the merger, the following changes were made to the Code of Regulations during the 2013 tax year: (i) Re-defined the Reserved Powers to be the same Reserved Powers that Summa Health System has over each subsidiary corporation (ii) Reduced the number of Directors on the Board of Directors from 15 to 6 (iii) Specified that at least 3 of the 6 Directors are to be Community Directors (iv) Specified that President & CEO of Summa Health System is a Director (v) Deleted all defined committees except for the Executive Committee; specified that the Executive Committee is comprised of the Board Chair and 2 other Directors named by the Chair (vi) Changed the title of the President & COO to President; specified that the President & CEO of Summa Health System shall be the President of the Corporation”

“Summa Akron City and St. Thomas Hospitals: Summa Health System is the sole member of Summa Akron City and St. Thomas Hospitals. Summa Barberton Citizens Hospital: Prior to adopting an Amended and Restated Code of Regulations in October 2013, the sole member of Summa Barberton Citizens Hospital was Summa Barberton Wadsworth-Rittman Hospitals, LLC, an Ohio non-profit limited liability company whose sole member is Summa Health System. Following the adoption of an Amended and Restated Code of Regulations in October 2013, the sole member of Summa Barberton Citizens Hospital is Summa Health System. Summa Wadsworth-Rittman Hospital: Prior to adopting an Amended and Restated Code of Regulations in October 2013, the sole member of Summa Wadsworth-Rittman Hospital was Summa Barberton Wadsworth-Rittman Hospitals, LLC, an Ohio non-profit limited liability company whose sole member is Summa Health System. Following the adoption of an Amended and Restated Code of Regulations in October 2013, the sole member of Summa Wadsworth-Rittman Hospital is Summa Health System. Summa Foundation: Summa Health System is the sole member of Summa Foundation. Summa Physicians, Inc.: Summa Physicians, Inc. has stockholders; the stock is held in trust for the benefit of Summa Health System. Cuyahoga Falls General Hospital (merged December 31, 2013): Summa Health System was the sole member of Cuyahoga Falls General Hospital.”

“Summa Akron City and St. Thomas Hospitals: Prior to the adoption of Amended and Restated Code of Regulations in October 2013, the Directors of the Corporation were elected as set forth below: (i) The medical staff of Summa Akron City and St. Thomas Hospitals elects two (2) directors: the President of the Medical Staff and the President-Elect of the Medical Staff. (ii) The Chairs of the medical staff departments elect two (2) department chairs to be directors (iii) The following individuals are directors by designation: (a) President & CEO of Summa Health System; (b) President & COO of Summa Akron City and St. Thomas Hospitals; (c) Chair of Summa Akron City and St. Thomas Hospitals Foundation; and (d) The Presidents of The Women's Board of St. Thomas Hospital and the Women's Board of Summa Health System shall rotate annually to provide a single representative. (iv) Other than as set forth above, Summa Health System is the sole member of Summa Akron City and St. Thomas Hospitals and has the right to elect the Board of Directors of Summa Akron City and St. Thomas Hospitals. Following the adoption of the Amended and Restated Code of Regulations in October 2013, the Directors of the Corporation are to be elected as set forth below: (i) Nine (9) non-physician Directors are to be elected by Summa Health System as the sole member of the Corporation. (ii) Six (6) physician Directors are to be elected from a slate of nominees nominated through a process to be developed by the Medical Staffs of the Summa Hospitals (iii) The Chief Medical Officer of Summa Health System is to be a Special Voting Director Summa Barberton Citizens Hospital: Prior to the adoption of Amended and Restated Code of Regulations in October 2013, the Directors of the Corporation were elected as set forth below: The sole member of Summa Barberton Citizens Hospital is Summa Barberton Wadsworth-Rittman Hospitals, LLC, an Ohio non-profit limited liability company whose sole member is Summa Health System. The sole member elects the Board of Directors of Summa Barberton Citizens Hospital subject to the approval of Summa Health System. Following the adoption of the Amended and Restated Code of Regulations in October 2013, the Directors of the Corporation are to be elected as set forth below: (i) Nine (9) non-physician Directors are to be elected by Summa Health System as the sole member of the Corporation. (ii) Six (6) physician Directors are to be elected from a slate of nominees nominated through a process to be developed by the Medical Staffs of the Summa Hospitals (iii) The Chief Medical Officer of Summa Health System is to be a Special Voting Director Summa Wadsworth-Rittman Hospital: Prior to the adoption of Amended and Restated Code of Regulations in October 2013, the Directors of the Corporation were elected as set forth below: The sole member of Summa Wadsworth-Rittman Hospital is Summa Barberton Wadsworth-Rittman Hospitals, LLC, an Ohio non-profit limited liability company whose sole member is Summa Health System. The sole member elects the Board of Directors of Summa Wadsworth-Rittman Hospital subject to the approval of Summa Health System. Following the adoption of the Amended and Restated Code of Regulations in October 2013, the Directors of the Corporation are to be elected as set forth below: (i) Nine (9) non-physician Directors are to be elected by Summa Health System as the sole member of the Corporation. (ii) Six (6) physician Directors are to be elected from a slate of nominees nominated through a process to be developed by the Medical Staffs of the Summa Hospitals (iii) The Chief Medical Officer of Summa Health System is to be a Special Voting Director Summa Foundation: In addition to directors elected by the Summa Health System Board as the sole member of Summa Foundation, the President and CEO of Summa Health System serves as a director of Summa Foundation. Summa Physicians, Inc.: Summa Physicians, Inc. is affiliated with Summa Akron City and St. Thom”

“Summa Akron City and St. Thomas Hospitals, Summa Barberton Citizens Hospital, Summa Wadsworth-Rittman Hospital: Summa Health System is the sole member of each of Summa Akron City and St. Thomas Hospitals, Summa Barberton Citizens Hospital, and Summa Wadsworth-Rittman Hospital. As the sole member, Summa Health System has the power and authority to approve or disapprove of each of the following on behalf of each of Summa Akron City and St. Thomas Hospitals, Summa Barberton Citizens Hospital, and Summa Wadsworth-Rittman Hospital: (i) Any modification of the essential nature, purpose, mission or operations of the Corporation; (ii) Adoption of a Code of Regulations, Bylaws or other constitutive document of the Corporation and any and all amendments thereto; (iii) Adoption of any amendments to the Articles of Incorporation or similar charter or organizational document or agreement and/or any other change in the corporate structure or governance of the Corporation; (iv) Establishment of qualifications for the selection of Directors, Directors or Managers of the Corporation; (v) Appointment or election and removal of members of the governing body of the Corporation; (vi) Appointment or election and removal of the President and/or Chief Executive Officer or similar officer(s) of the Corporation; (vii) Adoption of annual operating and capital budgets of the Corporation; (viii) The borrowing of money or other incurring or creating of any indebtedness of the Corporation, including by way of a guaranty of the debt of another, in an amount greater than $1,000,000 or that will increase the amount of indebtedness incurred in the current calendar year, in the aggregate, to more than $3,500,000; (ix) Adoption of the long range plans of the Corporation; (x) Determinations as to the use and occupancy of any building owned or leased by the Corporation; (xi) The sale, encumbrance, lease or disposition of real property of the Corporation other than in the ordinary course of the operations of the Corporation; and (xii) The merger, reorganization, dissolution or other corporate action of a similar nature, including participation in a joint venture, proposed by the Corporation. Summa Foundation: Summa Health System is the sole member ("Member") of Summa Foundation. The following are the matters ("Reserved Powers") which must be submitted to, and receive the approval of both the Board of Directors of Summa Foundation and the Member: (i) Adoption of the Foundation's annual operating and capital budgets; (ii) Expenditures for (a) non budgeted items in excess of certain dollar limits set from time to time by the Member and (b) items which are included in the Foundation's annual budgets but which exceed the budgeted amount by an amount in excess of certain dollar limits set from time to time by the Member; (iii) Incurrence, assumption or guarantee of any indebtedness if following the incurrence, assumption, or guarantee of such indebtedness the aggregate amount of all outstanding indebtedness incurred, assumed or guaranteed by the Foundation which has not been previously approved by the Member exceeds certain dollar limits set from time to time by the Member; (iv) Submission of any certificate of need application with any State or Federal Regulatory Agency; (v) Execution of any contract that calls for the Foundation to expand a sum in excess of certain dollar limits set from time to time by the Member or to provide services with a value in excess of certain dollar limits set from time to time by the Member; (vi) Election of such officers as are required to be elected under this Code of Regulations; (vii) Appointment of the Foundation's auditors and/or accountants; (viii) Adoption of the Foundation's long range plans and management objective, including the execution of any agreement with consortiums, alliances, etc; (ix) Sale, lease or other disposition of any real or personal property of the Foundation with a value in excess of certain dollar limits to be s”

“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 2013. Following this review and incorporation of changes recommended by this committee, the return was provided to the Summa Health System Committee on Governance prior to its September 2013 meeting for further review. The Committee on Governance is a standing committee appointed by the Summa Health System Board of Directors and includes members of the Board of Directors. Schedule H of the return was also reviewed by the Summa Health System Community Benefits Committee. After these reviews by the Committee on Governance and the Community Benefits Committee, and prior to filing with the IRS, an email was sent to each voting member of the Boards of Directors. This email included instructions and a link to a password-protected web site on which the entire Form 990 was available for viewing.”

“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.”

“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 with the exception of one board member who is an independent contractor who recuses himself on voting regarding the CEO evaluation and compensation package. The Compensation Committee engages outside consulting support to provide independent market data, advice and counsel to the Compensation Committee. For the past 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: Summa Health System: President & CEO Senior Vice President, Finance & CFO Senior Vice President, Legal Services & General Counsel Senior Vice President, IT&S & CIO Senior Vice President, Service Lines, Ambulatory & Ancillary Senior Vice President, Planning & Marketing Senior Vice President & Chief Nursing Officer Senior Vice President, Human Resources Senior Vice President, Chief Medical Officer President, SummaCare Summa Akron City and St. Thomas Hospitals: President & COO Summa Foundation: President Summa Barberton Citizens Hospital & Summa Wadsworth-Rittman Hospital: President & COO Summa Physicians, Inc.: President Cuyahoga Falls General Hospital: Note: Cuyahoga Falls General Hospital did not employ a President & COO during 2013”

“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 6, Part VI, Lines 1a & 1b Entity Name Number of Voting Number of Independent Directors Voting Directors Summa Akron City & St. Thomas 16 8 Hospitals ("SACSTH") Summa Foundation ("SF") 23 20 Summa Physicians, Inc. ("SPI") 7 0 Summa Barberton Citizens 16 8 Hospital ("SBH") The Wadsworth-Rittman Area 16 8 Hospital Assn ("WRH") All of the organizations listed above are subordinates under the control of Summa Health System ("SHS"). As of December 31, 2013, SHS had 15 voting directors, 9 of whom are independent voting directors.”

“Other Programs Services included: (a) Program-related investments in the following joint venture hospitals: Summa Western Reserve Hospital, LLC, Crystal Clinic Orthopaedic Center, LLC, and Summa Rehab Hospital, LLC. (b) Payments received under the American Reinvestment and Recovery Act for "Meaningful Use" due to successful implementation of electronic medical records. (c) Registration fees, including membership fees to Summa Wellness Institute ("SWI"). SWI is a medically supervised fitness facility blending fitness, wellness and rehabilitation in a clean, service-oriented environment. SWI features professional expertise and programming necessary to safely and effectively assist all people, regardless of current health status, to develop, initiate and maintain an active lifestyle that minimizes risk and promotes health and wellness and is one more step in Summa Health System's mission to provide the highest quality care to our patients and members and contribute to a healthier community.”

“Summa Health System is an integrated healthcare delivery system that provides coordinated, value-based care across the continuum for the people and populations we serve. We hold ourselves clinically and financially accountable for health outcomes in our communities. Summa Health System serves more than one million patients each year in comprehensive emergency, acute, critical, outpatient and long-term/homecare settings and represents more than 1,700 registered, inpatient beds on the campuses of Summa Akron City and St. Thomas Hospitals, Summa Barberton Citizen's Hospital, The Wadsworth-Rittman Area Hospital Association, Summa Rehab Hospital*, Summa Western Reserve Hospital*, and Crystal Clinic Orthopaedic Center*. In addition, outpatient care is provided in more than 16 community health centers and Emergency Departments (EDs), some integrated in the healthcare facilities, others are free-standing. *Summa Rehab Hospital, *Summa Western Reserve Hospital and *Crystal Clinic Orthopaedic Center are joint ventures in which Summa Health System has an interest, and are referenced in this document for the purpose of indentifying all entities affiliated with Summa Health System. Summa's proportionate interest of these joint ventures' charity care and other community benefits are included on Schedule H of Summa Health System's IRS Form 990 Group Return. Providing superior, multi-specialty patient care, medical research and continuing medical education, Summa Health System ranks as a highly recognized healthcare provider in several disciplines including: cardiovascular, emergency, oncology, stroke and nursing by prestigious organizations such as: The Society of Chest Pain Centers American College of Surgeons American Heart Association American Stroke Association National Accreditation Program of Breast Centers American Nurses Credentialing Center Premier Healthcare Alliance The Joint Commission Summa Health System is Summit County's largest employer and a leading economic engine for the region. Summa Health System includes the following: Summa Akron City and St. Thomas Hospitals: Summa Akron City and St. Thomas Hospitals is a single legal entity that includes two hospital campuses and several off-site locations. Summa Akron City and St. Thomas Hospitals operates both hospital locations as well as the hospital-based off-site locations under the same Medicare provider number. Summa Akron City and St. Thomas Hospitals has more than 5,800 individuals and has a medical staff of more than 1,000 professionals working on its campuses. Summa Akron City and St. Thomas Hospitals has 979 registered beds and 46 licensed bassinets. The buildings and facilities on both campuses total 1.7 million square feet. Summa Akron City Hospital offers general medical, surgical, obstetrical, trauma, and critical care services. Summa Akron City Hospital provides acute care services on a campus of approximately 60 acres. The campus is home to specialty health centers offering a wide range of outpatient services. In 2013, Summa Akron City Hospital opened a new Geriatric Unit in the Emergency Department. Summa Akron City Hospital received the following recognition in 2013: The Pallative Care Program was granted "Advanced Certification in Pallative Care" by The Joint Commission, its highest level of achievement. The program is the only one in Ohio to earn this recognition. Also, Women's Services received the Ohio Patient Safety Institute Acute Care Best Practice Award for the reduction of maternal morbidity and mortality related to hemorrhage. Summa St. Thomas Hospital provides acute care services along with behavioral health and substance abuse care. Summa St. Thomas Hospital was one of the first in the country to recognize the medical aspects of alcoholism as a disease and is the founding location of Alcoholics Anonymous. The hospital opened the nation's first alcoholism treatment ward and continues its longstanding dedication to this program today. Summa Akron City a”

“Financial and In-kind Donations Annually, Summa Health System contributes financial assistance and in-kind services to support community organizations that promote health, wellness, and an improved quality of life. From the local chapters of national groups such as United Way, the American Heart Association and the American Cancer Society, to Akron Community Health Resources (Akron's only federally-funded health center) Summa Health System participates in numerous community programs and helps other nonprofits fulfill their missions. In 2013, these contributions exceeded $2.3 million. Research Summa Health System's quality medical care is derived in part from its ability to translate results from carefully planned and executed research into effective patient care strategies. Research and innovation is an integral focus of the academic and clinical environment at Summa Health System and helps set the highest standards for medical care in the community. Summa Health System's reputation for excellence in such critical specialties as cardiology, diabetes, emergency services, orthopaedics, oncology, senior health, surgery, and women's health continues to grow through research and innovation. Summa Health System invested more than $5.1 million in research in 2013. In addition to support from Summa Foundation, major research programs are supported by grants from the National Institutes of Health, the Department of Defense and industry sponsors. Education Summa Health System supports the education of physicians and other healthcare professionals. Summa Akron City and St. Thomas Hospitals is the largest of the major teaching affiliates of the Northeast Ohio Medical University (NEOMED), a consortium of The University of Akron, Kent State University and Youngstown State University, and offers education to NEOMED's colleges of medicine and pharmacy students, as well as to medical students from schools around the country. In addition, Summa offers 17 accredited residency training programs in numerous specialties, training the next generation of primary care and specialty physicians for the region and beyond. Nursing education also is offered in collaboration with our local university partners. In 2013, 245 residents and fellows trained at Summa's three main hospitals. On average, approximately 40% of these residents remain in our local and surrounding communities. Summa's 2013 investment in health professions education totaled $19.1 million. Summa Health System is one of five founding medical and educational institutions responsible for the creation of the Austen BioInnovation Institute in Akron (ABIA), a unique collaboration that expands upon the region's rich legacy in industrial and materials science to pioneer the next generation of life enhancing and life saving innovations. Summa Health System Services: Following is a description of Summa Health System's notable accomplishments by primary service lines in 2013: Behavioral Health - The Center for the Treatment and Study of Traumatic Stress developed and implemented on of Ohio's only intensive outpatient programs designed specifically to deal with the symptoms of post traumatic stress disorder. Cardiovascular - An upgraded Heart Rhythm Services (HRS) Lab opened in January on the campus of Summa Akron City Hospital. Summa's Cardiovascular Institute applied for, and was accepted to, the Centers for Medicare and Medicaid Innovation's Bundled Payments for Care Initiative Program. Emergency/Trauma Services - EMS developed and implemented EMS direct activation of the cardiac catheterization lab for chest pain patients, resulting in an overall decrease time of ten minutes. This resulted in recognition by the American Heart Association's Platinum Achievement Award. Neuroscience - In addition to The Joint Commission's stroke recertification, the "Target Stroke Award" and "Get with the Guidelines Gold Plus Award" were received from AHA. Oncology - Summa Health System approved the VERO Linear Acce”

“Summa Physicians Inc. - Program Service Accomplishments Summa Physicians Inc. (SPI) is a Summa Health System entity comprised of multi-specialty physicians and practices. In 2013, SPI added 35 physicians in various specialties including cardiology and oncology. In total, SPI employs nearly 300 physicians and 730 support staff in more than 30 specialties and sub-specialties. SPI promotes strong affiliation and employment of physicians to ensure community and hospital needs for physician services are met. In 2013, SPI developed primary care pods to better communicate quality initiatives and enhance physician recruitment. Summa Foundation - Program Service Accomplishments Through philanthropy, Summa Foundation supports medical education, research, technology, and clinical innovation. Encompassing fundraising, resource development, community benefit, diversity and government relations, Summa Foundation works to develop new, diversified and increased resources and build relationships that influence health policy to advance the regional priorities of Summa Health System. Development The Foundation's development department offers a spectrum of philanthropic options for donors designed to create a positive impact on Summa Health System's operations, programs, projects and perceptions and to affect positive change in the communities Summa Health System serves. Development houses the grant and proposal development offices created to identify the resources and expertise of external and internal partners to generate funding for research, education and clinical and system projects. Philanthropic commitments to the Summa Foundation in 2013 were nearly $10 million, including a $4 million gift designated for Summa's Cardiovascular Institute to support the creation of a hybrid operating room. Community Benefit and Diversity This department leads efforts to address health disparities and other important community needs and raise awareness of health and healthcare issues affecting the communities served by Summa Health System. Community benefit and diversity provide wellness and educational tools, facilitate economic development programs, develop community partnerships, communicate Summa Health System's benefit to the community and engage the community and its workforce within the system and throughout the region. Government Relations This department is dedicated to elevating Summa Health System as a credible leader and partner in the health policy planning process. This department collaborates with the system development team to best position Summa education, research and clinical innovation priorities with public sector funding opportunities.”

“In 2013, Summa Health System, the parent organization, acted as the corporate services operating entity for the system. Operational changes implemented for the system included the centralized payroll management and accounts payable disbursements now transacted by the parent. For more information, see the IRS Form 990 for Summa Health System (parent), EIN 34-1887844.”

“Other Changes in Net Assets or Fund Balances: FASB 106 Post Retirement (44,069) Net Assets released from restriction 128,446 Minimum Pension Liability 26,813,193 Transfers between affiliates 28,050,757 Change in Trust Value 750,749 Other changes in Net Assets (361,400) ----------- Total Changes in Net Assets 55,337,676”

“Description:purchased medical services total fees:39878355”

“Description:physician services-affiliate total fees:52404016”

“Description:physician practice support total fees:24730957”

“Description:non-medical purchased services total fees:70707310”

“Description:repair & maintenance total fees:13113267”

“Description:collection services total fees:6947477”

“Description:hospice services total fees:3914611”

“Description:perfusion/blood processing total fees:3726787”

“Description:ambulance service total fees:325945”