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In this file photo, Tom Knoll, President of the Summa Health System board of directors (left) and Thomas J. Strauss, Summa Health System President and Chief Executive (right) stand outside the Ann and David Brennan Critical Care Center at Summa Health System's Akron City Hospital. Summa Health System officials said the health system could pick a potential partner or opt to go it alone by as soon as the end of this year. (Ken Love/Akron Beacon Journal)