$664.1M in expenses

Outpatient services for 2024: summa health system, and summa physicians, INC. Dba summa health medical group, provided over 1.6 million occasions of service, including 128,661 emergency department visits, 10,886 observation patients, 16,865 surgical operations, and almost 1.5 million other outpatient visits.

$489.7M in expenses

Inpatient services for 2024: summa health system had approximately 670 beds in service, admitted 34,611 adult patients, and delivered 4,981 newborns. The adult patients received 176,991 days of care, inpatient surgeries totaled 7,888, emergency admissions totaled 23,282 and the average length of stay was 5.11 days.

$54.4M in expenses

Research/education for 2024: summa health has a history of sponsoring and supporting basic and clinical research to understand diseases and treatment. Centers, programs and labs facilitate research in a number of medical fields. Summa health fosters a learning environment for the next generation of caregivers. At summa health's hospitals, approximately 285 residents and fellows train in 12 accredited residency programs, eight accredited fellowship training programs and one non-accredited fellowship program. Summa health provides clinical learning experiences to over 2,100 nursing, medical, pharmacy, emergency medical technician, paramedic, and allied health students.

$264.6M in expenses

Summa health is an integrated healthcare delivery system that provides coordinated, value-based care across the continuum for the people and populations we serve. We hold ourselves clinically and financially accountable for health outcomes in our communities. Summa health serves hundreds of thousands of patients each year in comprehensive emergency, acute, critical, outpatient and long-term/homecare settings and represents a total of 874 licensed, inpatient beds on the campuses of summa health system and summa rehab hospital. In addition, outpatient care is provided in more than 20 community health centers, urgent care facilities and emergency departments (eds), some integrated in the healthcare facilities, and others are freestanding. Summa rehab hospital is a joint venture in which summa health system has an interest, and is referenced in this document for the purpose of identifying all entities affiliated with summa health. Summa's proportionate interest of this joint venture's charity care and other community benefits is included on schedule h of summa health's IRS form 990 group return. Providing superior, multi-specialty patient care, medical research and continuing medical education, summa health ranks as a highly recognized healthcare provider in several disciplines including: weight management, cardiovascular, emergency, oncology, orthopedics & sports medicine, surgery, primary care, pulmonary, stroke, trauma, urology, women's services and nursing by prestigious organizations such as: american college of surgeons commission on cancer american heart association american stroke association national accreditation program for breast centers national accreditation program for rectal cancer american nursing credentialing center centers for medicare and medicaid services ohio patient safety institute american college of radiation american society for metabolic and bariatric surgery metabolic and bariatric surgery accreditation and quality improvement program- comprehensive center lung cancer alliance the joint commission healthgrades summa health is summit county's largest employer and a leading economic engine for the region. Summa health includes the following: summa health system: summa health system is a single legal entity that includes two inpatient hospital campuses and several ambulatory locations. Summa health system operates the inpatient hospital locations as well as the hospital-based off-site locations under the same medicare provider number. Summa health employs more than 8,500 individuals with summa health system accounting for the vast majority of these employees. Summa health system has a medical staff of more than 1,000 professionals working on its campuses. Summa health system has 814 licensed beds. The buildings and facilities on all campuses total more than 3 million square feet. Summa health system- akron campus offers general medical, surgical, obstetrical, trauma and critical care services. The akron campus provides acute care services and a wide range of outpatient services on a campus of approximately 60 acres. As a leader in medical education, summa health system supports the education of its physicians and healthcare professionals. The akron campus is a teaching affiliate of the northeast ohio medical university (neomed) and includes a staff of physicians and accredited residency and fellowship programs that foster a dynamic medical environment. Approximately 95 residents and fellows graduate from the institution's medical education programs each year. The barberton campus has a family practice residency program affiliated with neomed along with providing educational rotations for medical students. Summa health system- barberton campus summa health system- barberton campus is a 500,000 square foot acute care teaching hospital located on nearly 16 acres, located approximately 10 miles southwest of akron, ohio. The hospital has 159 licensed beds. The barberton campus provides the community with easy access to comprehensive, high-quality cancer services at the commission on cancer accredited parkview pavilion, as well as the full spectrum of cardiovascular disease care including diagnostic, interventional and surgical services, a state-of-the-art orthopedic joint replacement center of excellence, along with a variety of outpatient services. Charity care in 2024, summa health provided charity care at an estimated net cost of over $14.2 million. This amount represents the net cost associated with providing the care and does not include bad debt. Patients with income up to 250% of the federal poverty income guidelines or who have a hospital bill that exceeds 25% of their gross annual family income are eligible to apply for fully discounted charity care assistance. In addition, there is a sliding scale discount program for those with incomes between 250% and 400% of the federal poverty income guidelines. In 2024, the charity care program (including hospital care assurance program) benefited over 17,788 patient encounters. Medicaid shortfall historically, ohio medicaid reimbursements have not covered the cost of providing the care to program beneficiaries, creating a budgetary shortfall. As one of northeast ohio's top providers of hospital care for medicaid patients, summa health's unpaid costs for medicaid totaled over $89 million. Bad debt summa health is committed to providing quality and accessible healthcare. This includes covering the expense of payments that were expected but not received. While summa health recognizes bad debt is part of doing business, it agrees with the ohio hospital association that it is important to report these costs to show the total picture of care summa health provides to the community without full reimbursement. In 2024, the cost for providing care written off as a bad debt expense was over $17.7 million. Community health improvement services an important part of summa health's mission is offering a prevention and wellness program to build a healthier community. In 2024, summa health provided more than $16.9 million to help fund health improvement activities such as free and low-cost health screening, health education services and wellness programming. Subsidized health services summa health is committed to providing subsidized health services - clinical services that meet an identified community need and are provided despite financial loss. Vital services such as the summa health senior health center, summa health traumatic stress center, the summa health dental clinic and our diabetes education efforts are offered, even though they are not profitable. Income from other services is used to cover these costs. In 2024, the cost for subsidized services was over $50 million. Financial and in-kind donations annually, summa health contributes financial assistance and in-kind services to support community organizations that promote health, wellness and an improved quality of life. From neighborhood health facilities such as open m and faithful servants care center, to medical services at athletic events throughout the community, summa health participates in numerous community programs and helps other nonprofits fulfill their missions. In 2024, these contributions were more than $4.4 million. Research and innovation a major goal of the research & innovation group is to offer our patients access to cutting-edge therapies and technologies within the community, particularly through clinical trials. This not only provides the best care for our patients, but also improves the health of our community. In 2024, summa contributed a net cost of more than $6.5 million to explore potential new therapies, care coordination improvements and treatment options.

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(continued) education summa health supports the education of physicians and other healthcare professionals. Summa health system is the largest of the major teaching affiliates of the 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 health offers 12 accredited residency training programs, 8 accredited fellowship 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 local and national university partners. In 2024, approximately 285 residents and fellows trained at summa health's two main hospitals. On average, approximately 40% of these residents remain in our local and surrounding communities. Summa health's 2024 investment in health professional education totaled nearly $30.9 million. Summa health services: following is a description of summa health's notable accomplishments by primary service lines in 2024: critical care for the eighth time, summa health received the america's 100 best hospitals for critical care award from healthgrades representing superior clinical outcomes in treating pulmonary embolism, respiratory system failure, sepsis and diabetic emergencies. Summa health ranked #1 in the state by healthgrades for critical care. Heart and vascular: summa health has been recognized by the american heart association for many awards, including get with the guidelines gold plus- stroke and heart failure, lifeline heart attack referring/receiving center accreditation and stemi (heart attack) accreditation. Summa health received the NCDR chest pain mi gold performance achievement award for 2024 from the american college of cardiology. For the second consecutive year, summa health was recognized for our commitment and success in sustaining a top-level standard for care for heart attack patients. Summa health is one of only 61 hospitals nationwide to receive the gold honor. The summa health heart and vascular institute has been designated as a carotid care quality champion by the society for vascular surgery vascular quality initiative (SVS vqi). This distinguished program honors healthcare organizations across the country dedicated to improving the safety and effectiveness of vascular care through participation and engagement in vqi's carotid artery stenting and carotid endarterectomy registries. Participation in the vqi allows us to monitor performance, benchmark outcomes and provide the best possible care for our patients. Neuroscience: summa health system - akron campus received several healthgrades awards for neurosciences: * ranked #1 in the state for neurosciences. * ranked #1 in the state for cranial neurosurgery. * ranked #1 in the state for stroke care. Oncology: summa health is a leader in cancer treatment with nationally recognized cancer centers throughout northeast ohio. Summa treats more than 100 cancer types, specializing in lung, breast, colorectal, gynecological and orthopedic. Summa health's cancer centers are fully accredited by the american college of surgeons commission on cancer (coc). Summa health cancer institute was reaccredited from the national accreditation program for rectal cancer (naprc), a quality program of the american college of surgeons. Pulmonary summa health received the america's 100 best hospitals for pulmonary care award (six years in a row) representing superior clinical outcomes in treating chronic obstructive pulmonary disease (COPD) and pneumonia.

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(continued) system: for the 21st consecutive year, summa health was named as one of the 99 best workplaces in northeast ohio, as determined in the annual northcoast 99 awards, sponsored by the employers resource council. Summa health system - akron and barberton campuses were recipients of the healthgrades 2025 america's 50 best hospitals award. This places summa health among the top one percent of all hospitals for clinical care and patient outcomes across treatment of the most common conditions and procedures. Summa health was selected by the women's network leadership institute, a program of the greater akron chamber, as the 2024 dorothy o. Jackson award honoree. This honor reflects our organization's excellence and leadership in the commitment to the empowerment of women and the promotion of diversity in the workplace. Summary although reimbursement for services rendered is critical to the operations and stability of summa health, not all individuals possess the ability to purchase essential medical services. Summa health provided services to all patients on a non-discriminatory basis and without regard to any patient's ability to pay for such services or the individual's participation in a government-sponsored or subsidized healthcare system. Patients were encouraged to apply for uncompensated care and, depending on their level of income and number of dependents, all (or a portion) of their bill was reduced. Gross annual family income was compared using a sliding scale based on the federal poverty income guidelines to determine the charity discount for which the patient may be eligible. In 2024, summa health provided charity care to the indigent (including unreimbursed medicaid) at the cost of over $103 million. This amount does not include services provided written off as bad debt. In addition to uncompensated medical care, summa health provided wellness programs, community education programs and special programs for the elderly, persons with disabilities and the medically underserved. Summa health also operated a variety of broad community support activities. These programs were offered at a reduced price or provided to the community free of charge. Summa health operates its facilities in a manner consistent with the community benefit requirements of rev. Rule 69-545 and subsequent case law and IRS guidelines. Summa health's hospitals provide emergency services which are open and available to all persons of the community, regardless of their ability to pay. The board of directors consists of persons who are broadly representative of the community and medical staff. Summa health medical group- program service accomplishments: summa health medical group, a summa health entity, is a multi-specialty group of physicians, advanced practice providers and care teams in medical practices located in the communities we serve. In total, summa health medical group employs approximately 370 physicians and 1,400 support staff in more than 40 specialties and sub-specialties. Summa health medical group promotes strong affiliation and employment of physicians to ensure community and hospital needs for physician services are met. As members of newhealth collaborative, a clinician-led accountable care organization, summa health medical group physicians are leading the way toward value-based healthcare with initiatives such as the patient-centered medical home (PCMH) and meaningful use of health information technology. Summa foundation - program service accomplishments: summa foundation supports patient care, medical education and research through philanthropy. Generous contributions average $10 million a year and help summa health fulfill its mission to provide the highest quality, compassionate care and contribute to a healthier community. Summa foundation links community supporters with philanthropic priorities that enhance the delivery of patient care and empower clinical excellence across the entire system. Gifts support physician residency programs, advanced certifications for nurses, behavioral health programs, groundbreaking research, the latest technologies for diagnosis and treatment, cancer support services, and help recruit and retain the region's best physicians, assuring patients and families a continuum of quality care far into the future. Summa foundation also collaborates with system and clinical leaders to document the impact of philanthropic investments and to share that impact with donors. Community benefit and diversity: this department leads efforts to address health disparities and other important community needs and raise awareness of health and healthcare issues affecting the communities served by summa health. Community benefit and diversity provide wellness and educational tools, facilitate economic development programs, develop community partnerships, communicate summa health's benefit to the community and engage the community and its workforce within the system and throughout the region. Government relations: this department is dedicated to elevating summa health as a credible health system expert and partner in the public policy and regulatory planning process. This department collaborates with internal and external stakeholders to best protect and promote summa's mission, summa business and clinical innovation priorities with public officials and staff.