SALEM HEALTH: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- SALEM HEALTH (EIN 93-0579722)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2023-05-15
- IRS object ID
- 202331359349303218
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-05-15T08:58:57-05:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 135565207 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1300 SW 5TH AVENUE SUITE 3800 | AddressLine1Txt |
| City | PORTLAND | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97201 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 930579722 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SALEM HEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SALE | BusinessNameControlTxt |
| Phone | 5038141938 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 890 OAK STREET | AddressLine1Txt |
| City | SALEM | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97301 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JAMES PARR | PersonNm |
| Person Title | EVP OF OPERATIONS & CFO | PersonTitleTxt |
| Phone | 5038141938 | PhoneNum |
| Signature | 2023-05-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JAMES | PersonFirstNm |
| Person Last | PARR | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JAMES LANCASTER | PreparerPersonNm |
| PTIN | P00742579 | PTIN |
| Phone | 5032216500 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JAMES PARR | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 890 OAK STREET | AddressLine1Txt |
| City | SALEM | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $969,822,134 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SALEMHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1970 | FormationYr |
| Legal Domicile State | OR | LegalDomicileStateCd |
| Activity Or Mission | TO IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE IN THE COMMUNITIES WE SERVE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 5744 | TotalEmployeeCnt |
| Total Volunteers | 241 | TotalVolunteersCnt |
| Total Gross UBI | $3,973,299 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $79,272 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $188,028 | PYContributionsGrantsAmt |
| CY Contributions Grants | $9,814,333 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $889,502,388 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $958,493,973 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,926,915 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,221,775 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$4,490,127 | PYOtherRevenueAmt |
| CY Other Revenue | -$5,629,898 | CYOtherRevenueAmt |
| PY Total Revenue | $888,127,204 | PYTotalRevenueAmt |
| CY Total Revenue | $963,900,183 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,041,232 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $806,029 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $513,651,105 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $568,510,882 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $364,042,318 | PYOtherExpensesAmt |
| CY Other Expenses | $448,187,032 | CYOtherExpensesAmt |
| PY Total Expenses | $878,734,655 | PYTotalExpensesAmt |
| CY Total Expenses | $1,017,503,943 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $9,392,549 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$53,603,760 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,797,165,433 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,722,517,054 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $703,928,003 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $681,641,065 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,093,237,430 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,040,875,989 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE AND COMMUNITIES WE SERVE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $421,092,144 | ExpenseAmt |
| Grant | $806,029 | GrantAmt |
| Revenue | $754,702,780 | RevenueAmt |
| Desc | SALEM HEALTH IS ONE OF THE LARGEST OF OREGON'S 59 ACUTE HOSPITALS AND OPERATES THE BUSIEST EMERGENCY DEPARTMENT IN OREGON. THERE ARE 588 PRACTIONERS, REPRESENTING 54 DIFFERENT SPECIALTIES. MORE THAN 253 VOLUNTEERS PROVIDE NON-MEDICAL SUPPORT FOR THE HOSPITAL. STATISTICS FOR THE 12 MONTH PERIOD ENDED 06/30/22: BIRTHS - 3,139, DIAGNOSTIC IMAGING PROCEDURES - 212,121, ED VISITS - 101,817, INPATIENT ADMISSIONS - 28,490, LABORATORY PROCEDURES - 1,599,121, SURGERIES - 13,115. THE PRIMARY SERVICE AREA IS MARION AND POLK COUNTIES WITH APPROXIMATELY 348,616 RESIDENTS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $259,422,092 | ExpenseAmt |
| Revenue | $173,992,450 | RevenueAmt |
| Desc | SALEM HEALTH PROVIDES HEALTHCARE TO PEOPLE IN OUR COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY IN THE 12 MONTH PERIOD ENDED 06/30/2022, THE COST OF SERVICES PROVIDED AS A COMMUNITY BENEFIT TOTALED $120.4 MILLION. THIS FIGURE CONSISTED OF $24.8 MILLION IN COSTS TO PROVIDE CHARITY CARE TO INDIVIDUALS WHO CANNOT AFFORD TO PAY AND $60.6 MILLION IN UNDERPAYMENT BY MEDICAID AS THE AMOUNT PAID UNDER THE PROGRAM WAS LESS THAN THE COST TO PROVIDE THE SERVICES; AND $35 MILLION IN UNDERPAYMENT BY MEDICARE AS THE AMOUNT PAID WAS LESS THAN THE COST TO PROVIDE THE SERVICES. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $64,778,861 | ExpenseAmt |
| Revenue | $29,798,743 | RevenueAmt |
| Desc | SALEM HEALTH ACTIVELY PARTICIPATES IN COMMUNITY HEALTH IMPROVEMENT SERVICES. IN THE 12 MONTHS ENDED 06/30/2022, SALEM HEALTH GAVE $2,352,585 FOR UNFUNDED OR UNDERFUNDED HEALTH SERVICES, INCLUDING COMMUNITY HEALTH EDUCATION AND PREVENTION PROGRAMS. THE HOSPITAL HAS AN ACTIVE SPEAKERS BUREAU PROVIDING FREE HEALTH LECTURES TO COMMUNITY GROUPS. HEALTH SCREENINGS, SUPPORT GROUPS AND EDUCATION CLASSES ARE OFFERED ON AN ON-GOING BASIS. IN FY2022, SALEM HEALTH PROVIDED MORE THAN $1,589,801 IN CASE AND IN-KIND DONATIONS TO COMMUNITY HEALTH PROGRAMS SUCH AS MEDASSIST AND PROJECT ACCESS, PSYCHIATRIC CRISIS CENTER AND THE SALEM FREE CLINIC. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $745,293,097 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | Yes (1) | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 304 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 5744 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | Yes (1) | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | OR | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SALEM HEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5038141938 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 890 OAK STREET | AddressLine1Txt |
| City | SALEM | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97301 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (36 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| LANE SHETTERLY | |||||||||
| CHAIR | 3.70 | 2.30 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ALAN WYNN | |||||||||
| SECRETARY/TREASURER | 2.40 | 0.70 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JOHN COMBES MD | |||||||||
| CHAIR-ELECT | 3.10 | 0.90 | Yes (X) | $0 | $0 | $0 | |||
| KATHERINE KEENE | |||||||||
| PAST-CHAIR | 3.90 | 1.10 | Yes (X) | $0 | $0 | $0 | |||
| ANGELICA VEGA | |||||||||
| TRUSTEE | 3.23 | 0.60 | Yes (X) | $0 | $0 | $0 | |||
| ANNETTE CAMPISTA | |||||||||
| TRUSTEE | 3.23 | 0.60 | Yes (X) | $0 | $0 | $0 | |||
| DAVID HARRISON MD | |||||||||
| TRUSTEE | 2.30 | 0.70 | Yes (X) | $0 | $0 | $0 | |||
| JENN COLUMBUS | |||||||||
| TRUSTEE | 2.30 | 0.70 | Yes (X) | $0 | $0 | $0 | |||
| KENNETH SHERMAN JR | |||||||||
| TRUSTEE | 4.30 | 1.30 | Yes (X) | $0 | $0 | $0 | |||
| MARK ZOOK | |||||||||
| TRUSTEE | 3.90 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| PHIL JACKSON | |||||||||
| TRUSTEE | 2.30 | 0.70 | Yes (X) | $0 | $0 | $0 | |||
| RICARDO LINARES | |||||||||
| TRUSTEE | 2.30 | 0.70 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT KELLY MD | |||||||||
| TRUSTEE | 3.50 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| THERESA HASKINS | |||||||||
| TRUSTEE | 2.70 | 0.80 | Yes (X) | $0 | $0 | $0 | |||
| CHERYL R NESTER WOLFE | |||||||||
| PRESIDENT & CEO | 31.90 | 9.10 | Yes (X) | $1,489,354 | $0 | $37,763 | |||
| JAMES K PARR | |||||||||
| EVP OF OPERATIONS & CFO | 40.00 | 0.00 | Yes (X) | $968,668 | $0 | $93,184 | |||
| LEAH M MITCHELL | |||||||||
| EVP OF OPERATIONS & CIO | 40.00 | 0.00 | $952,716 | $0 | $94,593 | Yes (X) | |||
| BAHAA M WANLY | |||||||||
| CHIEF OPERATING OFFICER | 40.00 | 0.00 | $844,014 | $0 | $42,018 | Yes (X) | |||
| RALPH A YATES | |||||||||
| CMO SALEM HEALTH & SHMG | 40.00 | 0.00 | $803,639 | $0 | $33,733 | Yes (X) | |||
| JONATHAN H BAUER | |||||||||
| CHIEF LEGAL OFFICER | 40.00 | 0.00 | $761,801 | $0 | $79,220 | Yes (X) | |||
| CHRISTINE G CLARKE MD | |||||||||
| CHIEF MEDICAL OFFICER SHMG | 40.00 | 0.00 | $617,307 | $0 | $53,275 | Yes (X) | |||
| MATTHEW S BOLES | |||||||||
| VP MEDICAL AFFAIRS | 40.00 | 0.00 | $613,838 | $0 | $72,796 | Yes (X) | |||
| SARAH HORN | |||||||||
| SR VP & CHIEF NURSING & CLINICAL OPS OFFICER | 40.00 | 0.00 | $607,042 | $0 | $77,492 | Yes (X) | |||
| KATHERINE A DOBLER | |||||||||
| VP MEDICAL GROUP | 40.00 | 0.00 | $572,023 | $0 | $69,312 | Yes (X) | |||
| JAIME L NICHOLS | |||||||||
| CHIEF HUMAN RESOURCES OFFICER | 40.00 | 0.00 | $445,745 | $0 | $71,356 | Yes (X) | |||
| SHEA M CORUM | |||||||||
| CHIEF INFORMATION OFFICER | 40.00 | 0.00 | $462,359 | $0 | $65,034 | Yes (X) | |||
| JAMES R BAUER | |||||||||
| CHIEF DEVELOPMENT OFFICER | 39.00 | 1.00 | $410,630 | $0 | $53,027 | Yes (X) | |||
| LEILANI R SLAMA | |||||||||
| VP COMMUNITY ENGAGEMENT | 40.00 | 0.00 | $400,703 | $0 | $62,753 | Yes (X) | |||
| ZENNIA B CENIZA | |||||||||
| VP CLINICAL OPERATIONS | 40.00 | 0.00 | $441,022 | $0 | $34,731 | Yes (X) | |||
| DENISE B HOOVER | |||||||||
| CHIEF SURGICAL SERVICES OFFICER | 40.00 | 0.00 | $390,663 | $0 | $72,636 | Yes (X) | |||
| JENNIFER R FOWLER | |||||||||
| VP FINANCE | 40.00 | 0.00 | $341,298 | $0 | $65,897 | Yes (X) | |||
| JUAN R OYARZUN MD | |||||||||
| DIR. CARDIOTHORACIC MEDICINE | 40.00 | 0.00 | $1,418,295 | $0 | $45,687 | Yes (X) | |||
| NERVIN H FANOUS MD | |||||||||
| CARDIOTHORACIC SURGEON | 40.00 | 0.00 | $1,347,092 | $0 | $59,058 | Yes (X) | |||
| ERIC A LARO | |||||||||
| GENERAL SURGEON | 40.00 | 0.00 | $723,406 | $0 | $66,799 | Yes (X) | |||
| BRANDON H TIEU MD | |||||||||
| THORACIC SURGEON | 40.00 | 0.00 | $720,969 | $0 | $63,865 | Yes (X) | |||
| NICOLE M VANDERHEYDEN MD | |||||||||
| ASSOC CHIEF MEDICAL OFFICER SHMG | 40.00 | 0.00 | $713,260 | $0 | $74,035 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $16,045,844 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,388,264 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1333 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| AYA HEALTHCARE INC | |||||
| PO BOX 123519 | DALLAS | TX | 75312 | CONTRACT LABOR | $16,880,851 |
| TOWNE PARK LLC | |||||
| PO BOX 79349 | BALTIMORE | MD | 21279 | VALET & PARKING SERVICES | $5,698,299 |
| MAXIM STAFFING SOLUTIONS | |||||
| 12558 COLLECTIONS CENTER DR | CHICAGO | IL | 60693 | CONTRACT LABOR | $3,418,211 |
| SALEM VALLEY ACUTES | |||||
| PO BOX 781607 | PHILIDELPHIA | PA | 19178 | RENTAL TREATMENT SERVICES | $3,080,228 |
| EPIC | |||||
| BOX 99314 | MILWAUKEE | WI | 53288 | CONSULTING SERVICES | $2,915,712 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 111 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $90,491 | RelatedOrganizationsAmt |
| Government Grants | $9,723,842 | GovernmentGrantsAmt |
| Total Contributions | $9,814,333 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PATIENT SERVICE REV | 621110 | $924,939,150 | $924,939,150 | |
| OTHER HOSPITAL SERVICE | 900099 | $15,521,225 | $15,466,935 | $54,290 |
| PHARMACY | 446110 | $9,306,219 | $7,141,947 | $2,164,272 |
| NUTRITION SERVICES | 722210 | $6,799,477 | $6,799,477 | |
| REGIONAL LAB | 621500 | $1,927,902 | $173,165 | $1,754,737 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $958,493,973 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,212,103 | TotalRevenueColumnAmt |
| Exclusion | $1,212,103 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $292,053 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $5,921,951 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$5,629,898 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$5,629,898 | TotalRevenueColumnAmt |
| Exclusion | -$5,629,898 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $9,672 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $9,672 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,672 | TotalRevenueColumnAmt |
| Exclusion | $9,672 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $963,900,183 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $954,520,674 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $3,973,299 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$4,408,123 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $308,700 | TotalAmt |
| Program Services | $308,700 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $497,329 | TotalAmt |
| Program Services | $497,329 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,280,457 | TotalAmt |
| Management And General | $13,280,457 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $431,036,815 | TotalAmt |
| Program Services | $355,324,998 | ProgramServicesAmt |
| Management And General | $75,711,817 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $94,753,108 | TotalAmt |
| Program Services | $75,836,228 | ProgramServicesAmt |
| Management And General | $18,916,880 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,440,502 | TotalAmt |
| Program Services | $23,562,885 | ProgramServicesAmt |
| Management And General | $5,877,617 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,329,038 | TotalAmt |
| Management And General | $1,329,038 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $852,767 | TotalAmt |
| Program Services | $83,287 | ProgramServicesAmt |
| Management And General | $769,480 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $389,323 | TotalAmt |
| Management And General | $389,323 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $107,050 | TotalAmt |
| Management And General | $107,050 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $93,830,831 | TotalAmt |
| Program Services | $77,293,811 | ProgramServicesAmt |
| Management And General | $16,537,020 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $306,117 | TotalAmt |
| Management And General | $306,117 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,648,824 | TotalAmt |
| Program Services | $5,548,593 | ProgramServicesAmt |
| Management And General | $3,100,231 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,162,055 | TotalAmt |
| Program Services | $1,717,006 | ProgramServicesAmt |
| Management And General | $8,445,049 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,833,310 | TotalAmt |
| Program Services | $54,658,516 | ProgramServicesAmt |
| Management And General | $19,174,794 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $589,715 | TotalAmt |
| Program Services | $420,359 | ProgramServicesAmt |
| Management And General | $169,356 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $723,573 | TotalAmt |
| Program Services | $497,039 | ProgramServicesAmt |
| Management And General | $226,534 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,124,858 | TotalAmt |
| Management And General | $11,124,858 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,217,669 | TotalAmt |
| Management And General | $24,217,669 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,265,277 | TotalAmt |
| Management And General | $3,265,277 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PATIENT SUPPLIES | $133,417,539 | $126,895,921 | $6,521,618 |
| PROVIDER TAX | $51,608,826 | $51,608,826 | |
| OTHER PURCHASED SERVICE | $17,034,209 | $17,034,209 | |
| BAD DEBTS | $10,795,652 | $10,795,652 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,950,399 | TotalAmt |
| Program Services | $5,614,216 | ProgramServicesAmt |
| Management And General | $336,183 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,017,503,943 | TotalAmt |
| Program Services | $745,293,097 | ProgramServicesAmt |
| Management And General | $272,210,846 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $472,080 | BOYAmt |
| EOY | $214,312 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,257,683 | BOYAmt |
| EOY | $14,520,934 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $119,291,858 | BOYAmt |
| EOY | $121,776,730 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $917,470 | BOYAmt |
| EOY | $754,359 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,143,036 | BOYAmt |
| EOY | $10,789,005 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,707,948 | BOYAmt |
| EOY | $16,736,979 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $615,894,710 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $268,318,852 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $294,644,388 | BOYAmt |
| EOY | $347,575,858 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,244,709,010 | BOYAmt |
| EOY | $1,112,153,045 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,513,278 | BOYAmt |
| EOY | $44,829,568 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,197,000 | BOYAmt |
| EOY | $14,747,485 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,311,682 | BOYAmt |
| EOY | $38,418,779 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,797,165,433 | BOYAmt |
| EOY | $1,722,517,054 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $180,136,494 | BOYAmt |
| EOY | $172,204,967 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,510,623 | BOYAmt |
| EOY | $12,952,794 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $501,135,823 | BOYAmt |
| EOY | $490,140,885 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,145,063 | BOYAmt |
| EOY | $6,342,419 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $703,928,003 | BOYAmt |
| EOY | $681,641,065 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,088,714,432 | BOYAmt |
| EOY | $1,034,446,703 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,522,998 | BOYAmt |
| EOY | $6,429,286 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,093,237,430 | BOYAmt |
| EOY | $1,040,875,989 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,797,165,433 | BOYAmt |
| EOY | $1,722,517,054 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$53,603,760 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$2,192,984 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $3,435,303 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
Total Direct Lobbying TotalDirectLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $107,050 | FilingOrganizationsTotalAmt |
Total Lobbying Expend TotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $107,050 | FilingOrganizationsTotalAmt |
Other Exempt Purpose Expend OtherExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $745,186,047 | FilingOrganizationsTotalAmt |
Total Exempt Purpose Expend TotalExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $745,293,097 | FilingOrganizationsTotalAmt |
Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $1,000,000 | FilingOrganizationsTotalAmt |
Grassroots Nontaxable GrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $250,000 | FilingOrganizationsTotalAmt |
Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $1,000,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $100,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $1,000,000 | CurrentYearMinus1Amt |
| Current Year | $1,000,000 | CurrentYearAmt |
| Total | $3,100,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $4,650,000 | LobbyingCeilingAmt |
Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $90,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $75,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $82,500 | CurrentYearMinus1Amt |
| Current Year | $107,050 | CurrentYearAmt |
| Total | $354,550 | TotalAmt |
Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $250,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $4,500 | CurrentYearMinus2Amt |
| Current Year Minus1 | $250,000 | CurrentYearMinus1Amt |
| Current Year | $250,000 | CurrentYearAmt |
| Total | $754,500 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $1,131,750 | GrassrootsCeilingAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-A: | FormAndLineReferenceDesc |
| Explanation | SALEM HEALTH CONTRACTED WITH PUBLIC AFFAIRS COUNSEL TO KEEP THE HOSPITAL APPRISED OF BILLS IN THE STATE LEGISLATURE AND TO ENGAGE THE LEGISLATORS ON BEHALF OF THE HOSPITAL WHEN NECESSARY TO PROVIDE INFORMATION TO LEGISLATORS REGARDING THE IMPACT OF LEGISLATION ON THE HOSPITAL. ADDITIONALLY, THE HOSPITAL PAYS MEMBERSHIP DUES TO OREGON ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS (OAHHS) AND AMERICAN HOSPITAL ASSOCIATION (AHA). A PORTION OF THE DUES TO THESE ORGANIZATIONS IS ALLOCATED TO LOBBYING ACTIVITY (12.26% OF DUES TO OAHHS AND 27.29% OF DUES TO AHA) IN RELATION TO STATE AND NATIONAL HEALTHCARE ISSUES. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,671,547 | BeginningYearBalanceAmt |
| Contributions | $1,679,881 | ContributionsAmt |
| Investment Earnings Or Losses | $305,766 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $149,483 | OtherExpendituresAmt |
| End Year Balance | $6,507,711 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,558,231 | BeginningYearBalanceAmt |
| Contributions | $208,895 | ContributionsAmt |
| Investment Earnings Or Losses | $154,802 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $250,381 | OtherExpendituresAmt |
| End Year Balance | $4,671,547 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,981,742 | BeginningYearBalanceAmt |
| Contributions | $1,758,933 | ContributionsAmt |
| Investment Earnings Or Losses | -$1,293 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $181,151 | OtherExpendituresAmt |
| End Year Balance | $4,558,231 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,910,663 | BeginningYearBalanceAmt |
| Contributions | $414,192 | ContributionsAmt |
| Investment Earnings Or Losses | $82,322 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $425,435 | OtherExpendituresAmt |
| End Year Balance | $2,981,742 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,579,755 | BeginningYearBalanceAmt |
| Contributions | $458,243 | ContributionsAmt |
| Investment Earnings Or Losses | $190,571 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $317,906 | OtherExpendituresAmt |
| End Year Balance | $2,910,663 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Endowment Balance EOY | 1.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $339,741,359 | OtherCostOrOtherBasisAmt |
| Depreciation | $268,318,852 | DepreciationAmt |
| Book Value | $71,422,507 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $276,153,351 | OtherCostOrOtherBasisAmt |
| Book Value | $276,153,351 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $347,575,858 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| ACCRUED POST RETIREMENT BENEFITS | $1,911,797 |
| ACCRUED MALPRACTICE INSURANCE | $4,373,777 |
| OTHER LIABILITIES | $56,845 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $6,342,419 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | ENDOWMENT FUNDS ARE HELD BY SALEM HEALTH FOUNDATION FOR SALEM HEALTH SUPPORT. |
| PART X, LINE 2: | THE CORPORATION (SALEM HEALTH HOSPITALS & CLINICS), SALEM HEALTH, SALEM HEALTH WEST VALLEY, SALEM HEALTH FOUNDATION, WEST VALLEY HOSPITAL FOUNDATION, SALEM HEALTH PROFESSIONAL SERVICES AND WILLAMETTE VALLEY INSURANCE CORPORATION ARE TAX-EXEMPT ORGANIZATIONS PURSUANT TO INTERNAL REVENUE CODE (IRC) SECTION 501(C)(3). AS SUCH, ONLY UNRELATED BUSINESS INCOME IS SUBJECT TO FEDERAL OR STATE INCOME TAXES. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THE CORPORATION TO EVALUATE TAX POSITIONS TAKEN BY THE CORPORATION AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE CORPORATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. MANAGEMENT HAS ANALYZED TAX POSITIONS TAKEN BY THE CORPORATION AND HAS CONCLUDED THAT AS OF JUNE 30, 2022 THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE CORPORATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE CORPORATION MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO FISCAL YEAR 2019. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 300.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 38174 | PersonsServedCnt |
| Total Community Benefit Expns | $24,839,344 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $24,839,344 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02440 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 179823 | PersonsServedCnt |
| Total Community Benefit Expns | $234,582,748 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $173,992,450 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $60,590,298 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05950 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 217997 | PersonsServedCnt |
| Total Community Benefit Expns | $259,422,092 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $173,992,450 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $85,429,642 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08390 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 7431 | PersonsServedCnt |
| Total Community Benefit Expns | $2,352,585 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,142 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,339,443 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00230 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 299 | PersonsServedCnt |
| Total Community Benefit Expns | $3,460,700 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,460,700 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00340 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $57,194,612 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $29,785,601 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $27,409,011 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02690 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $181,163 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $181,163 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 370728 | PersonsServedCnt |
| Total Community Benefit Expns | $1,589,801 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,589,801 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 378458 | PersonsServedCnt |
| Total Community Benefit Expns | $64,778,861 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $29,798,743 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $34,980,118 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03440 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 596455 | PersonsServedCnt |
| Total Community Benefit Expns | $324,200,953 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $203,791,193 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $120,409,760 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11830 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,435 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,435 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $78,756 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $78,756 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $509,711 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $509,711 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $591,902 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $591,902 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $10,795,652 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $3,307,044 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $106,157,186 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $129,396,905 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$23,239,719 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | Yes (X) | CostAccountingSystemInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 NONE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SALEM HEALTH | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 890 OAK STREET | AddressLine1Txt |
| City | SALEM | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| State License | 14-1428 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SALEM HEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.SALEMHEALTH.ORG | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | WWW.CO.MARION.OR.US/HLT | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.SALEMHEALTH.ORG/ABOUT/COMMUNITY | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 300.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Other Method | Yes (X) | OtherMethodInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTP://WWW.SALEMHEALTH.ORG/ABOUT/CHARITY-CARE-AND-FINANCIAL-POLICY | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTP://WWW.SALEMHEALTH.ORG/ABOUT/CHARITY-CARE-AND-FINANCIAL-POLICY | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTP://WWW.SALEMHEALTH.ORG/ABOUT/CHARITY-CARE-AND-FINANCIAL-POLICY | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SALEM HEALTH | PART V, SECTION B, LINE 3J: A COMPREHENSIVE NEEDS ASSESSMENT WAS CONDUCTED IN THE TAX YEAR 2019 AND WAS SUBSTANTIALLY UPDATED IN TAX YEAR 2021. SEE LINE 5 FOR MORE INFORMATION. |
| SALEM HEALTH | PART V, SECTION B, LINE 5: A COMPREHENSIVE NEEDS ASSESSMENT WAS CONDUCTED IN THE TAX YEAR 2019. UPDATES OCCUR ANNUALLY. PARTNERS INCLUDING MARION COUNTY HEALTH & HUMAN SERVICES, POLK COUNTY HEALTH DEPARTMENT; WILLAMETTE VALLEY COMMUNITY HEALTH (WVCH) AND LATER PACIFICSOURCE COMMUNITY SOLUTIONS, WHICH WAS AWARDED THE CCO CONTRACT FOLLOWING THE DISSOLUTION OF WVCH; LOCAL HEALTH PROFESSIONALS, AND COMMUNITY PARTNERS. THE MAPP (MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS) CYCLE IS USED TO ASSESS AND IMPROVE THE HEALTH OF THE COMMUNITY. MAPP IS A FLEXIBLE, EVIDENCED BASED FRAMEWORK, CREATED BY THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS (NACCHO). EACH COMMUNITY THAT UTILIZES MAPP CONDUCTS A COMMUNITY HEALTH ASSESSMENT (CHA), WHICH CASTS A WIDE NET COLLECTING DATA IN VARIOUS WAYS TO UNDERSTAND LOCAL HEALTH AND WHY HEALTH CONDITIONS OCCUR. |
| SALEM HEALTH | PART V, SECTION B, LINE 6A: THE CHNA WAS CONDUCTED WITH COOPERATION AND REPRESENTATIVES FROM KAISER PERMANENTE, SANTIAM HOSPITAL AND LEGACY HEALTH. |
| SALEM HEALTH | PART V, SECTION B, LINE 6B: THE HOSPITAL FACILITY'S CHNA WAS CONDUCTED WITH THE BEHAVIORAL CARE NETWORK, CHEMEKETA COMMUNITY COLLEGE, CHERRIOTS, CITY OF WOODBURN, COMMUNITY ACTION AGENCY, COMMUNITY ADVISORY COUNCIL , EARLY LEARNING HUB, KAISER PERMANENTE, LEGACY HEALTH SILVERTON , MARION COUNTY HEALTH & HUMAN SERVICES, NORTHWEST SENIOR & DISABILITY SERVICES, POLK COUNTY HEALTH DEPARTMENT, SANTIAM HOSPITAL, WESTERN OREGON UNIVERSITY, WILLAMETTE VALLEY COMMUNITY HEALTH AND PACIFICSOURCE COMMUNITY SOLUTIONS.PART V, SECTION B, LINE 7BWWW.CO.POLK.OR.US/PH/COMMUNITY-HEALTH-ASSESSMENT-CHA |
| SALEM HEALTH | PART V, SECTION B, LINE 7D: THE HOSPITAL MADE THE CHNA AVAILABLE TO THE COMMUNITY. THE FULL ASSESSMENT, AS WELL AS ANNUAL UPDATES, ARE POSTED TO THE HOSPITAL AND COUNTY WEBSITES. |
| SALEM HEALTH | PART V, SECTION B, LINE 11: PRIORITY AREAS DETERMINED IN THE 2019 ASSESSMENT AND 2021 UPDATE ARE BEHAVIORAL HEALTH SUPPORT, SUBSTANCE USE AND HOUSING. WHILE COVID WAS NON-EXISTENT AT THE TIME THE CHNA WAS CONDUCTED, ITS IMPACT QUICKLY ECLIPSED OTHER NEEDS AND OVERWHELMED OUR PARTNERS IN PUBLIC HEALTH. DURING THE PRIOR YEAR, SALEM HEALTH RECOGNIZED A NEED WITHIN OUR COMMUNITY TO DISTRIBUTE VACCINATIONS AND ACTED QUICKLY TO STAND UP THE FIRST MASS VACCINATION SITE IN THE STATE OF OREGON. THIS PROVED TO BE AN EFFECTIVE AND EFFICIENT WAY TO VACCINATE OUR COMMUNITY, AS WELL AS REACH OUR VULNERABLE AND MARGINALIZED POPULATIONS. WE EXPANDED OUR FOCUS FROM VACCINES TO ADDRESSING THE DISPARITY OF INCREASED CHRONIC DISEASES, INCLUDING DIABETES, HYPERTENSION AND HIGH BLOOD PRESSURES AMONG OUR BIPOC COMMUNITIES. USING OUR CULTURALLY COMPETENT AND TRUSTED COMMUNITY PARTNERS, SALEM HEALTH OFFERED HEALTH SCREENINGS, EDUCATION CLASSES AND CONNECTIONS TO PRIMARY CARE BY USING BILINGUAL AND BICULTURAL EMPLOYEES. COVID-19 PANDEMIC HIGHLIGHTED HEALTH DISPARITIES IMPACTING LATINOS AND IMMIGRANTS IN OUR COMMUNITY. MARION COUNTY HAS OVER TWICE THE HISPANIC POPULATION (27%) AS THE OREGON STATE AVERAGE (13.3%). THE CHALLENGES AROUND COMMUNICATION OPTIONS IN SPANISH COMBINED WITH A LACK OF A PRIMARY CARE PROVIDER (ESPECIALLY SOMEONE SPEAKING SPANISH) AND OTHER NEEDS EMERGING DURING THE PANDEMIC, CREATED HIGH LEVELS OF TOXIC STRESS WITHIN THE LATINO COMMUNITY. SALEM HEALTH INVESTS IN MANO A MANO, A LATINO LED COMMUNITY NON-PROFIT, BY PROVIDING A COMMUNITY HEALTH WORKER TO BREAK THROUGH BARRIERS IN A CULTURALLY SPECIFIC WAY TO DECREASE TOXIC STRESS THROUGH HAVING A CHW ASSISTS FAMILIES IN ACCESSING EMERGENCY FOOD, UTILIZING HEALTH INSURANCE AND REMOVING OTHER HEALTHCARE BARRIERS, HOUSING, HEALTH EDUCATION AND COMMUNITY GROUPS TO SUPPORT FAMILIES.IN 2021, WE HAD SIGNIFICANT SUCCESS PARTNERING WITH MANO A MANO, PCUN AND OTHER COMMUNITY-BASED ORGANIZATIONS TO DISTRIBUTE COVID VACCINES TO THE LATINA(O) COMMUNITY AT CHURCHES, WORKPLACES, AND OTHER COMMUNITY EVENTS. WE CHOSE TO BUILD ON THAT SUCCESS AND USE OUR LEARNINGS TO ADDRESS CHRONIC DISEASE AND RISK INDICATORS. BLACK, INDIGENOUS AND PEOPLE OF COLOR ARE DISPROPORTIONATELY IMPACTED BY DIABETES. AFRICAN AMERICANS AND HISPANIC/LATINA(O)S ARE OVER 50% MORE LIKELY TO DEVELOP DIABETES. IN CERTAIN ZIP CODES, THE DISPARITIES INCREASE SIGNIFICANTLY. THE 97301-ZIP CODE HAS 35% RESIDENTS WHO IDENTIFY AS HISPANIC/LATINA(O), AND 23% WHO LIVE THERE ARE BELOW THE POVERTY LEVEL, COMPARED WITH 13% IN THE REST OF SALEM. THIS ZIP CODE'S MEDIAN INCOME IS 25% LESS THAN THE WHOLE OF SALEM AND HAS TWICE AS MANY CHILDREN LIVING IN POVERTY. RESIDENTS OF 97301 ALSO EXPERIENCE HIGH BLOOD PRESSURE, DIABETES, AND OBESITY AT HIGHER LEVELS, AND FEWER HAVE HEALTH INSURANCE. ARMED WITH THIS INFORMATION AND THE PARTNERSHIPS ESTABLISHED, SALEM HEALTH BEGAN WEEKLY COMMUNITY SCREENINGS WITH BI-LINGUAL DIABETES EDUCATORS AT EVENTS IN THE 97301 AND 97305 ZIP CODES. MORE THAN 400 PEOPLE WERE SCREENED, 90% IDENTIFYING AS HISPANIC/LATINA(O) AND NEARLY EVERY INDIVIDUAL HAS RISK FACTORS. OUR TEAM PARTNERED WITH MULTIPLE AGENCIES AND ORGANIZATIONS TO PROVIDE WRAP AROUND SERVICES, INCLUDING SIGNING UP FOR HEALTH INSURANCE, CONNECTING WITH A PRIMARY CARE PROVIDER, HEALTH EDUCATION CLASSES, SUPPORT GROUPS, APPOINTMENTS WITH A DIETITIAN AND DIABETES SELF-MANAGEMENT CLASSES OFFERED IN SPANISH AND ON SATURDAYS OR EVENINGS TO ACCOMMODATE WORK AND CHILD CARE SCHEDULES. IN 2020 FAMILY BUILDING BLOCKS, A COMMUNITY NON-PROFIT THAT FOCUSES ON PROVIDING SUPPORT TO HIGH RISK PARENTS OF CHILDREN UNDER 5, INTRODUCED A PEDIATRIC MENTAL HEALTH PRACTITIONER TO THEIR SERVICES. BY 2021, THE DEMAND WAS SO HIGH, THEY ADDED ANOTHER TWO FULL TIME PRACTITIONERS, INCLUDING A BI-LINGUAL THERAPIST. ABOUT HALF OF THE FAMILIES FBB SERVES ARE LATINA(O). WITH HELP FROM A COMMUNITY PARTNER GRANT FROM SALEM HEALTH IN 2021, MORE THAN 90 CHILDREN AND THEIR FAMILIES WERE SEEN FOR SERVICES INCLUDING INDIVIDUAL PSYCHOTHERAPY, FAMILY AND GROUP PSYCHOTHERAPY AND PLAY THERAPY. ANOTHER COMMUNITY PARTNER GRANT WAS GIVEN TO CATHOLIC COMMUNITY SERVICES "FOSTERING HOPE INITIATIVE" WHICH PLACES OUTREACH COORDINATORS IN LOW INCOME HOUSING TO CONNECT FAMILIES WITH RESOURCES INCLUDING CLOTHING, FOOD, ACCESS TO HEALTH CARE AND MENTAL HEALTH COUNSELING, AND FINANCIAL ASSISTANCE. THIS GRANT WAS SPECIFIC TO THE NORTH PORTION OF MARION COUNTY, ABOUT 56% LATINA(O) AND IS OFTEN OVERLOOKED DUE TO ITS RURAL NATURE. CCS WAS ABLE TO ENROLL 18 OF 21 FAMILIES REFERRED TO SERVICES, WHICH INCLUDED 32 ADULTS AND 41 CHILDREN.SUBSTANCE USE AND ABUSE, INCLUDING ALCOHOL, TOBACCO, AND DRUGS, REMAIN PRIMARY SOURCES OF PREVENTABLE DEATH IN THE COMMUNITY, STATE, AND THE COUNTRY. CO-OCCURRING DIAGNOSES FOR BOTH MENTAL ILLNESS AND SUBSTANCE USE DISORDERS ARE COMMON. IN 2014, 20.2 MILLION ADULTS IN THE UNITED STATES (8.4%) HAD A SUBSTANCE USE DISORDER AND OF THOSE 7.9 MILLION HAD BOTH A MENTAL DISORDER AND A SUBSTANCE USE DISORDER. THIS SIGNIFICANT OVERLAP BETWEEN SUBSTANCE ABUSE AND MENTAL HEALTH UNDERSCORES THE IMPORTANCE OF CAPTURING WHO IS ENGAGING IN BEHAVIORS INDICATIVE OF THESE DISORDERS IN THE COMMUNITY. THE IMPACT SUBSTANCE ABUSE HAS ON OUR COMMUNITY IS SIGNIFICANT. ABOUT 33% OF MOTOR VEHICLE FATALITIES IN MARION COUNTY INVOLVED ALCOHOL, COMPARED TO 29% IN POLK COUNTY AND 32% IN THE STATE. THE RATE OF DEATHS THAT INVOLVED ALCOHOL HAS BEEN INCREASING IN THE COMMUNITY IN RECENT YEARS. ROUGHLY 14% OF ADULT COMMUNITY MEMBERS BINGE DRINK, COMPARED TO 18% OF ADULTS IN THE STATE. IN MARION, 16% OF ADULTS WERE CURRENT CIGARETTE SMOKERS COMPARED TO 15% IN POLK AND 18% IN THE STATE. THE COMMUNITY IS NOT CURRENTLY MEETING THE HEALTHY PEOPLE 2020 GOAL FOR CIGARETTE SMOKING. TOBACCO IS THE AGENT MOST RESPONSIBLE FOR AVOIDABLE ILLNESS AND DEATH IN AMERICA TODAY. ACCORDING TO THE CENTERS FOR DISEASE CONTROL AND PREVENTION, TOBACCO USE BRINGS PREMATURE DEATH TO ALMOST HALF A MILLION AMERICANS EACH YEAR AND IT CONTRIBUTES TO PROFOUND DISABILITY AND PAIN IN MANY OTHERS. THE WORLD HEALTH ORGANIZATION STATES THAT APPROXIMATELY ONE-THIRD OF ALL TOBACCO USERS IN THIS COUNTRY WILL DIE PREMATURELY BECAUSE OF THEIR DEPENDENCE ON TOBACCO. MARION AND POLK COUNTIES CONTINUE TO SEE A SIGNIFICANT INCREASE IN TOBACCO USE AND HAS SINCE 2011: MARION COUNTY HAS 19% OF ITS RESIDENTS USING TOBACCO AND POLK COUNTY REPORTS 16.4%. TOBACCO USE CONTRIBUTES TO MANY DISEASES, ESPECIALLY LUNG CANCER, A DISEASE FROM WHICH MARION AND POLK COUNTY RESIDENTS DIE A HIGHER RATE THAN THOSE IN OTHER PARTS OF OREGON. WITH TOBACCO USE COMES A GREATER EXPOSURE TO SECONDHAND SMOKE FOR NON-SMOKERS, WHICH MAY EXACERBATE A WIDE RANGE OF ADVERSE HEALTH EFFECTS SUCH AS RESPIRATORY INFECTIONS AND ASTHMA. ESPECIALLY CONCERNING IS THE INCREASE OF TOBACCO USE DURING PREGNANCY WHICH, ALTHOUGH IT HAS DECREASED IN RECENT YEARS IS STILL FAR HIGHER AT 10% THAN THE HEALTH PEOPLE 2020 GOAL OF LESS THAN 2%.SALEM HEALTH IS A SMOKE FREE CAMPUS AND HAS WORKED WITH THE CITY OF SALEM TO EXPAND SMOKE FREE ZONES TO NEIGHBORING SIDEWALKS AND CITY PARKS. THE HOSPITAL SCREENS 100% OF ITS PATIENTS FOR TOBACCO USE AND PROVIDES ALL TOBACCO USERS WITH COMMUNITY CESSATION RESOURCE INFORMATION. THE AMERICAN LUNG ASSOCIATION'S FREEDOM FROM SMOKING CURRICULUM IS OFFERED AT NO COST THROUGH OUR COMMUNITY HEALTH EDUCATION CENTER (CHEC) AND THE HEALTH EDUCATION AND OUTREACH TEAMS PROVIDE COMMUNITY BASED EDUCATION TO SCHOOLS RELATED TO TOBACCO PREVENTION. SALEM HEALTH TRAUMA PREVENTION TEAM CONDUCTED CLASSES AND PRESENTATIONS AROUND SUBSTANCE ABUSE INCLUDING MARIJUANA AND VAPING USE AND METHAMPHETAMINE USE.SALEM HEALTH'S CHEC ALSO HOLDS CLASSES ON DUIS, SUBSTANCE ABUSE, METH ADDICTION PREVENTION, AA PROGRAM AND AL-ANON SUPPORT GROUPS, AND MINOR IN POSSESSION CLASSES. NO AND LOW COST HEALTH EDUCATION IS AVAILABLE TO THE GENERAL PUBLIC IN THE FORM OF CLASSES, OUTREACH AND ACCESS TO RESEARCH MATERIALS, ONLINE AND IN PRINT. A PART TIME LIBRARIAN IS ON STAFF TO ASSIST CLINICIANS WITH THE LATEST RESEARCH AND TREATMENT OPTIONS. A STAFF OF HEALTH EDUCATORS PRESENTS TO THE PUBLIC ON VARIOUS COMMUNITY HEALTH TOPICS ON REQUEST AND ATTENDS WELLNESS FAIRS, PROVIDING BIOMETRICS AND HEALTH INFORMATION. THE SALEM CANCER INSTITUTE OFFERS FREE SCREENINGS SEVERAL TIMES A YEAR FOR VARIOUS CANCERS, INCLUDING BREAST, COLON, LUNG, AND SKIN CANCER. STAFF AND CLINICIANS PARTICIPATE IN DOZENS OF HEALTH IMPROVEMENT COMMITTEES, ADDRESSING SOCIAL DETERMINANTS OF HEALTH SUCH AS HOMELESSNESS, FOOD INSECURITY, EDUCATION, AND ACCESS TO CARE. WORKFORCE HAS EMERGED AS A NEED NOT IDENTIFIED IN PREVIOUS ASSESSMENTS, BUT CERTAINLY AN ISSUE THAT IMPACTS THE COMMUNITY AS A WHOLE. SALEM HEALTH PROVIDES TRAINING FOR NURSING STUDENTS, CLINICAL ROTATIONS FOR PHYSICAL AND OCCUPATIONAL THERAPISTS, PHARMACISTS AND DIETITIANS. EMERGING HEALTH CARE PROFESSIONALS IN HIGH SCHOOL ARE GIVEN OPPORTUNITIES TO EXPLORE CAREERS THROUGH JOB SHADOWS. |
| SALEM HEALTH | PART V, SECTION B, LINE 13B: SALEM HEALTH FINANCIAL MATRIX IS BASED ON INCOME AS A PERCENT OF FEDERAL POVERTY LEVEL. |
| SALEM HEALTH | PART V, SECTION B, LINE 13H: CRITERIA CONSIDERED IN DETERMINING ELIGIBILITY INCLUDE, BUT ARE NOT LIMITED TO: 1) THE HOUSEHOLD'S GROSS INCOME. THE DEFINITION OF HOUSEHOLD GROSS INCOME INCLUDES THE COMBINED GROSS MONTHLY INCOME OF ALL PERSONS LEGALLY RESPONSIBLE FOR PATIENT BILL OR BALANCE.2) HOUSEHOLD'S ASSETS OTHER THAN PRIMARY RESIDENCE.3) EQUITY IN A REAL ESTATE (OTHER THAN THE PATIENT/GUARANTOR'S PRIMARY RESIDENCE), SECURITIES OR OTHER ASSETS ARE CONSIDERED AVAILABLE TO PAY THE PATIENT'S MEDICAL EXPENSES AND SHOULD BE INCLUDED IN THE INCOME CALCULATION 4) THE INCOME FROM INCOME-PRODUCING REAL PROPERTY SHOULD BE USED IN THE CALCULATION RATHER THAN THE EQUITY. 5) INDIVIDUAL RETIREMENT ACCOUNTS (IRAS) OR OTHER RETIREMENT FUNDS WILL NOT BE INCLUDED IN HOUSEHOLD ASSETS; HOWEVER DISTRIBUTIONS FROM THOSE FUNDS WILL BE CONSIDERED INCOME.6) FAMILY SIZE (PERSONS LEGALLY RESPONSIBLE FOR THE PATIENT BILL AND THEIR DEPENDENTS).7) THE FAMILY'S MONTHLY OUT-OF-POCKET EXPENSES FOR MEDICAL SUPPLIES AND SERVICES.8) ELIGIBILITY MAY BE CONTINGENT UPON PATIENT COOPERATION WITH THE APPLICATION PROCESS. HOUSEHOLD INCOMES UP TO 400% OF THE ANNUAL POVERTY LEVEL GUIDELINES (FPG) WILL BE ELIGIBLE FOR FINANCIAL ASSISTANCE AS OUTLINED BELOW AND IN THE FPG FINANCIAL MATRIX:FINANCIAL MATRIX INCOME AS A PERCENTAGE OF FEDERAL POVERTY LEVEL PERCENTAGE OF FPG PERCENTAGE DISCOUNT0-300% 100%301- 400% 65% |
| SALEM HEALTH | PART V, SECTION B, LINE 15E: APPLICATION PROCESS AND ELIGIBILITY DETERMINATION A REQUEST FOR FINANCIAL ASSISTANCE MAY BE MADE BEFORE, DURING OR AFTER THE PROVISION OF CARE. THE HOSPITAL HAS DEVELOPED AN APPLICATION PROCESS FOR DETERMINING INITIAL INTEREST IN AND QUALIFICATION FOR FINANCIAL ASSISTANCE. REQUESTS FOR FINANCIAL ASSISTANCE WILL BE ACCEPTED FROM THE PATIENT DIRECTLY, OR OTHERS ON THE PATIENT'S BEHALF. THIS COULD INCLUDE BUT IS NOT LIMITED TO, THE PATIENT'S REPRESENTATIVE OR HOSPITAL STAFF.SUPPORTING DOCUMENTATION MAY INCLUDE THE FOLLOWING: PATIENT MUST PROVIDE TWO OF THE FOLLOWING DOCUMENTS TO SUPPORT THE INCOME CLAIMS ON THE APPLICATION. THREE MONTHS INCOME VERIFICATION IN THE FORM OF PAY STUBS, BANK DEPOSITS, ETC. SOCIAL SECURITY DETERMINATION LETTERS THE PRIOR YEAR'S TAX RETURNS OR 450T-EZA "BASIC NEEDS" LETTER THAT INDICATES HOW PERSONS WITH NO INCOME ARE MEETING THEIR DAY TO DAY BASIC LIVING NEEDS. "BASIC NEEDS" LETTER MUST ONLY BE CONSIDERED A SECONDARY SUPPORTING DOCUMENT AFTER THE FINANCIAL COUNSELOR OR CLERK VALIDATES THAT INFORMATION. AS OUTLINED IN SALEM HEALTH'S CONDITIONS OF ADMISSION, A CREDIT BUREAU REPORT OR A CHARITY SCORING VENDOR MAY BE REQUESTED TO VALIDATE INFORMATION PROVIDED ON THE FINANCIAL ASSISTANCE APPLICATION. SALEM HEALTH MAY ACCEPT INFORMATION PROVIDED ON AN OHP APPLICATION, OHP ELIGIBILITY, PROBATE ESTATES DETERMINATION, DOCUMENTATION OF HOMELESS STATUS, OR RELIABLE THIRD PARTY CREDIT INFORMATION AS A SUBSTITUTE FOR THE FINANCIAL FORMS. OHP INFORMATION WILL BE CONSIDERED VALID 30 DAYS PRIOR TO ADMISSION AND 90 DAYS POST DISCHARGE. APPROVED SOURCES OF DOCUMENTATION FOR HOMELESS STATUS INCLUDE CHART NOTES, DISCHARGE PLANS, OR DISCHARGE SUMMARIES ENTERED INTO OUR HEALTH INFORMATION SYSTEM BY CARE PROVIDERS OF THE PATIENT INDICATING THEY ARE HOMELESS DURING THE REGISTRATION PROCESS. FINANCIAL ASSISTANCE GRANTED BASED ON THIRD PARTY INFORMATION RATHER THAN A FINANCIAL ASSISTANCE APPLICATION DOES NOT EXTEND TO FUTURE DATES OF SERVICE AND WOULD NEED TO BE REEVALUATED BASED ON INFORMATION AVAILABLE THAT TIME. PART V, SECTION B, LINE 16-FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY AND APPLICATION MAY BE DOWNLOADED FROM OUR WEBSITE: HTTPS://WWW.SALEMHEALTH.ORG/ABOUT/CHARITY-CARE-AND-FINANCIAL-POLICY-PAPER COPIES OF THE FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY AND APPLICATION ARE AVAILABLE IN THE EMERGENCY DEPARTMENT, IN REGISTRATION AREAS AND AT PATIENT FINANCIAL SERVICES, 550 HAWTHORNE SE, SUITE 200, SALEM OREGON 97301. -PAPER COPIES OF THE FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY AND APPLICATIONS MAY BE REQUESTED BY MAIL FROM FINANCIAL COUNSELING, SALEM HEALTH, PO BOX 14001, SALEM, OR 97309-9976 OR VIA TELEPHONE BY CALLING 503-562-4357. |
| SALEM HEALTH | PART V, SECTION B, LINE 16J: INFORMATION ON THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY IS MADE PUBLICALLY AVAILABLE FREE OF CHARGE IN THE FOLLOWING MANNER:1. NOTICES ARE POSTED IN KEY AREAS OF THE HOSPITAL, INCLUDING ADMITTING, THE EMERGENCY DEPARTMENT, OUTPATIENT DEPARTMENT REGISTRATION AREAS, AND PATIENT FINANCIAL SERVICES.2. THE CONDITIONS OF ADMISSION FORM INFORMS THE PATIENT OF THEIR RIGHT TO APPLY FOR FINANCIAL ASSISTANCE.3. WRITTEN INFORMATION SHALL BE AVAILABLE IN ENGLISH, SPANISH, RUSSIAN AND VIETNAMESE. THE HOSPITAL WILL PROVIDE THE APPROPRIATE INTERPRETATION SERVICES FOR PATIENTS/GUARANTORS WHO DO NOT SPEAK ENGLISH.4. FRONT-LINE STAFF WILL BE TRAINED TO ANSWER FINANCIAL ASSISTANCE QUESTIONS EFFECTIVELY AND WILL DIRECT ANY THAT CANNOT BE ANSWERED TO FINANCIAL COUNSELOR'S IN A TIMELY MANNER.5. THIS POLICY WILL BE POSTED ON SALEM HEALTH'S WEBSITE. WRITTEN INFORMATION ABOUT THIS POLICY WILL BE MADE AVAILABLE UPON REQUEST.6. ALL PATIENT BILLING STATEMENTS WILL INCLUDE A NOTICE THAT FINANCIAL ASSISTANCE IS AVAILABLE AND CONTACT INFORMATION IF THEY WANT TO LEARN MORE. |
| SALEM HEALTH | PART V, SECTION B, LINE 18E: IT IS THE POLICY OF SALEM HEALTH TO PURSUE COLLECTION OF PATIENT BALANCES FROM PATIENTS WHO HAVE THE ABILITY TO PAY FOR SERVICES. SALEM HEALTH MAKES REASONABLE EFFORTS TO IDENTIFY PATIENTS WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE. COLLECTION PROCEDURES APPLIED CONSISTENTLY AND FAIRLY FOR ALL PATIENTS REGARDLESS OF INSURANCE STATUS. ALL COLLECTIONS PROCEDURES WILL COMPLY WITH APPLICABLE LAWS AND WITH SALEM HEALTH'S MISSION. FOR THOSE PATIENTS UNABLE TO PAY ALL OR A PORTION OF THEIR OPEN BALANCES, THE FINANCIAL ASSISTANCE POLICY WILL BE FOLLOWED.COLLECTION AGENCIES AND/OR LAW FIRMS MAY BE ENLISTED AFTER REASONABLE COLLECTION AND PAYMENT OPTIONS HAVE BEEN EXHAUSTED. AGENCIES MAY HELP RESOLVED ACCOUNTS WHERE PATIENTS ARE UNCOOPERATIVE IN MAKING PAYMENTS, HAVE NOT MADE APPROPRIATE PAYMENTS OR HAVE BEEN UNWILLING TO PROVIDE REASONABLE FINANCIAL AND OTHER DATA TO SUPPORT THEIR REQUEST FOR FINANCIAL ASSISTANCE. COLLECTION AGENCY AND LAW FIRM STAFF WILL UPHOLD THE CONFIDENTIALITY AND INDIVIDUAL DIGNITY OF EACH PATIENT. ALL AGENCIES AND LAW FIRMS WILL COMPLY WITH ALL APPLICABLE LAWS INCLUDING HIPAA REQUIREMENTS FOR HANDLING PROTECTED HEALTH INFORMATION. |
| SALEM HEALTH | PART V, SECTION B, LINE 19E: SALEM HEALTH WILL NOTIFY INDIVIDUALS THAT FINANCIAL ASSISTANCE IS AVAILABLE TO ELIGIBLE INDIVIDUALS AT LEAST 30 DAYS PRIOR TO PURSUING EXTRAORDINARY COLLECTIONS ACTIONS (ECA) TO OBTAIN PAYMENT FOR THE CARE PROVIDED BY THE HOSPITAL. ECAS FOR HOSPITAL SERVICES WILL NOT COMMENCE FOR A PERIOD OF AT LEAST 240 DAYS AFTER THE DATE OF THE FIRST POST-DISCHARGE BILLING STATEMENT AND 30 DAYS AFTER THE HOSPITAL OR AUTHORIZED THIRD PARTY PROVIDES WRITTEN NOTICE OF ECAS THE HOSPITAL PLANS TO INITIATE FOR THE APPLICABLE MEDICALLY NECESSARY OR EMERGENCY CARE. |
| SALEM HEALTH | PART V, SECTION B, LINE 20E: SALEM HEALTH WILL NOTIFY INDIVIDUALS THAT FINANCIAL ASSISTANCE IS AVAILABLE TO ELIGIBLE INDIVIDUALS AT LEAST 30 DAYS PRIOR TO PURSUING EXTRAORDINARY COLLECTIONS ACTIONS (ECA) AS TO OBTAIN PAYMENT FOR THE CARE PROVIDED BY THE HOSPITAL BY DOING THE FOLLOWING:1) PROVIDE WRITTEN NOTICE TO THE INDIVIDUAL INDICATING THAT FINANCIAL ASSISTANCE IS AVAILABLE TO ELIGIBLE INDIVIDUALS, INDICATING THAT SALEM HEALTH INTENDS TO INITIATE OR HAVE A THIRD PARTY INITIATE TO OBTAIN PAYMENT FOR THE CARE AND PROVIDE A DEADLINE AFTER WHICH ECAS MAY BE PURSUED AND WHICH IS NO SOONER THAN 30 DAYS AFTER THE DATE OF THIS WRITTEN NOTICE2) PROVIDE THE INDIVIDUAL A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY WITH THE WRITTEN NOTICE3) MAKE REASONABLE EFFORTS TO ORALLY NOTIFY INDIVIDUAL ABOUT THE SALEM HEALTH'S FINANCIAL ASSISTANCE POLICY |
| SALEM HEALTH | PART V, SECTION B, LINE 21C: NOT APPLICABLE. SALEM HEALTH HAS A POLICY RELATIVE TO EMERGENCY MEDICAL CARE THAT REQUIRED THE HOSPITAL FACILITY TO PROVIDE, WITHOUT DISCRIMINATION, CARE FOR EMERGENCY MEDICAL CONDITIONS TO INDIVIDUALS REGARDLESS OF THEIR ELIGIBILITY UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. |
| SALEM HEALTH | PART V, SECTION B, LINE 21D: NOT APPLICABLE. SALEM HEALTH HAS A POLICY RELATIVE TO EMERGENCY MEDICAL CARE THAT REQUIRED THE HOSPITAL FACILITY TO PROVIDE, WITHOUT DISCRIMINATION, CARE FOR EMERGENCY MEDICAL CONDITIONS TO INDIVIDUALS REGARDLESS OF THEIR ELIGIBILITY UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. |
| PART V, SECTION B, LINE 11 (CONTINUED): | HOUSING AND HEALTH CARE WORK ARE CRITICAL PARTNERS IN PREVENTING AND ENDING HOMELESSNESS. HEALTHCARE SERVICES ARE MORE EFFECTIVE AND BETTER DELIVERED WHEN A PATIENT IS STABLY HOUSED. THE RATE OF HOMELESSNESS HAS BEEN INCREASING BOTH IN THE COMMUNITY AND THE STATE IN RECENT YEARS, INCLUDING GROWING NUMBERS OF STUDENTS IN K-12 EXPERIENCING HOMELESSNESS. THIS LEADS TO INADEQUATE CARE, DIFFICULT CONNECTING TO SERVICES, AND CONTRIBUTING TO CHRONIC DISEASE. EXPOSURE TO COMMUNICABLE DISEASE INCREASES, AND CHRONIC HEALTH CONDITIONS SUCH AS HIGH BLOOD PRESSURE AND DIABETES BECOME WORSE DUE TO MEDICATION STORAGE ISSUES AND DIFFICULTY MAINTAINING A HEALTHY DIET. BEHAVIORAL HEALTH ISSUES SUCH AS DEPRESSION, ALCOHOLISM, OR OTHER SUBSTANCE USE DISORDERS CAN DEVELOP AND/OR ARE MADE WORSE IN SUCH DIFFICULT SITUATIONS.SALEM HEALTH SUPPORTS COMMUNITY PARTNERS AND THEIR EFFORTS TO ADDRESS HOUSING AND HOMELESSNESS. FOR EXAMPLE, SALEM HEALTH WORKED WITH COMMUNITY PARTNERS TO COVER COST BARRIERS ESTABLISHING THE MARION POLK CONTINUUM OF CARE WITH HUD AND SUPPORTS A COMMUNITY DATABASE ESTABLISHING A SYSTEM FOR ALL PROVIDERS TO LOG ONTO THE SAME SHARED INFORMATION FOR YOUTH HOMELESS SUPPORTS AND COORDINATION. COMMUNITY WIDE TASK FORCES ARE IN PLACE TO ADDRESS HOMELESSNESS, WHICH IS DEEMED A CRITICAL ISSUE IN THE TWO COUNTIES SERVED BY SALEM HEALTH. REPRESENTATIVES FROM APPROPRIATE AREAS OF THE HOSPITAL ATTEND TASK FORCE MEETINGS AND LEVERAGE HOSPITAL RESOURCES TO POSITIVELY IMPACT HEALTH OUTCOMES. HOSPITAL LEADERS VOLUNTEER TIME TO SERVE ON COMMUNITY NON-PROFIT BOARDS WHICH MIRROR THE MISSION OF SALEM HEALTH AND ATTEND REGIONAL COLLABORATIVE WORK GROUPS THAT ADDRESS SOCIAL DETERMINANTS OF HEALTH. EXAMPLES INCLUDE BOARD POSITIONS ON SALEM FREE CLINIC, FAMILY BUILDING BLOCKS, MARION POLK FOOD SHARE, THE BOYS AND GIRLS CLUB, UNITED WAY, UNION GOSPEL MISSION, LIBERTY HOUSE, AND CATHOLIC COMMUNITY SERVICES.WE ARE ENGAGED IN POLICY MAKING AND LOCAL GOVERNMENTS COMMITTEES. OUR CHIEF NURSING OFFICER SERVES ON THE OREGON STATE BOARD OF NURSING, WHOSE GOALS ARE TO PROTECT THE PUBLIC BY REGULATING NURSING EDUCATION, LICENSURE, AND PRACTICE. WE ALSO HAVE EMPLOYEES WHO SERVE ON THE MARION COUNTY BUDGET COMMITTEE AND THE MARION COUNTY PUBLIC SAFETY COORDINATING COUNCIL.THE HOSPITAL PROVIDES COMMUNITY BASIC HEALTH IMPROVEMENT SERVICES AS REQUESTED IN MARION AND POLK COUNTIES. IN FISCAL YEAR 2022, THESE INCLUDED HEALTH SCREENINGS, EDUCATION AND OUTREACH. THE COMMUNITY HEALTH EDUCATION CENTER OFFERS A HEALTH RELATED LENDING LIBRARY, DROP-IN NURSING CONSULTATION SERVICES AND GROUP INSTRUCTION. DIABETIC AND NUTRITION COUNSELING IS ALSO OFFERED FOR PATIENTS NEWLY DIAGNOSED AND UNABLE TO PAY FOR THESE SERVICES. THE CHEC PROVIDES SPACE FREE OF CHARGE TO COMMUNITY PARTNERS SEEKING TO IMPROVE HEALTH OUTCOMES. THE ROOMS HOST CLASSES, LECTURES, HEALTH FAIRS AND SUPPORT GROUPS THAT ARE COORDINATED IN PARTNERSHIP WITH COMMUNITY AGENCIES. SALEM HEALTH PROVIDED COMMUNITY PARTNER GRANTS IN FISCAL YEAR 2022 TO ENHANCE EXISTING NON-PROFIT ORGANIZATIONS' WORK THAT ADDRESSES NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. WE INVESTED OVER $300,000 THIS YEAR IN ORGANIZATIONS THAT INCLUDE MID WILLAMETTE VALLEY HOMELESS ALLIANCE; HOME YOUTH SERVICES; LOVE, INC. IN NORTH MARION COUNTY; INTEGRATED SUPPORT FOR LIVING; MARION COUNTY LAW ENFORCEMENT ASSISTED DIVERSION; LIBERTY HOUSE; ST. FRANCIS FAMILY SHELTER; UNITED GOSPEL MISSION; CATHOLIC COMMUNITY SERVICES, HOMELESS YOUTH SERVICES DATABASE, BOYS AND GIRLS CLUB, CENTER 50+, POLK COUNTY SERVICE INTEGRATION TEAMS, NORTH MARION SERVICE INTEGRATION TEAM, WOODBURN SERVICE INTEGRATION TEAM; SALEM POLICE FOUNDATION; MARION POLK FOOD SHARE; MANO A MANO; POLK COUNTY COURT APPOINTED SPECIAL ADVOCATES (CASA); SALEM FREE CLINICS, AND UNITED WAY. ADDITIONALLY, SALEM HEALTH SUPPORTS COMMUNITY PARTNERS AND THEIR EFFORTS TO ADDRESS HOUSING AND SOCIAL DETERMINANTS OF HEALTH. SALEM HEALTH WORKED WITH COMMUNITY PARTNERS TO COVER COST BARRIERS ESTABLISHING THE MARION POLK CONTINUUM OF CARE WITH HUD AND SUPPORTS A COMMUNITY DATABASE ESTABLISHING A SYSTEM FOR ALL PROVIDERS TO LOG ONTO THE SAME SHARED INFORMATION FOR YOUTH HOMELESS SUPPORTS AND COORDINATION. SALEM HEALTH INVESTED IN TAYLORS HOUSE, AN EMERGENCY SHELTER FOR RUNAWAY, TO HIRE A YOUTH NAVIGATOR TO ENSURE ALL NEW RESIDENTS ARE CONNECTED TO STABILIZING RESOURCES AND HEALTH. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 12 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (12 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - REHABILITATION CENTER | ||||
| 755 MISSION ST SE | SALEM | OR | 97302 | REHABILITATION |
| 2 - LABORATORY PHILEBOTOMY SITE | ||||
| 1600 STATE ST | SALEM | OR | 97301 | LABORATORY SERVICES |
| 3 - COMPREHENSIVE PAIN CENTER | ||||
| 875 OAK STREET | SALEM | OR | 97302 | PAIN MANAGEMENT |
| 4 - REGIONAL LABORATORY | ||||
| 3300 STATE ST | SALEM | OR | 97301 | LABORATORY SERVICES |
| 5 - SALEM HEALTH MEDICAL CLINIC - W SALEM | ||||
| 1049 EDGEWATER ST NW SUITE 150 | SALEM | OR | 97304 | CLINIC |
| 6 - SALEM HEALTH MEDICAL CLINIC -BOULDER CRE | ||||
| 2485 12TH ST SE | SALEM | OR | 97302 | CLINIC |
| 7 - SALEM HEALTH MEDICAL CLINIC - EDGEWATER | ||||
| 1049 EDGEWATER ST NW | SALEM | OR | 97304 | CLINIC |
| 8 - SALEM HEALTH MEDICAL CLINIC - KEIZER | ||||
| 5100 RIVER ROAD N | SALEM | OR | 97303 | CLINIC |
| 9 - SALEM HEALTH MEDICAL CLINIC - SKYLINE VL | ||||
| 5050 SKYLINE VILLAGE LOOP | SALEM | OR | 97306 | CLINIC |
| 10 - SALEM HEALTH MEDICAL CLINIC - MONMOUTH | ||||
| 512 MAIN ST E SUITE 300 | MONMOUTH | OR | 97361 | CLINIC |
| 11 - SALEM HEALTH MEDICAL CLINIC - UGLOW AVE | ||||
| 1000 SE UGLOW AVE | DALLAS | OR | 97338 | CLINIC |
| 12 - SALEM HEALTH MEDICAL CLINIC - WOODBURN | ||||
| 105 ARNEY ROAD SUITE 130 | WOODBURN | OR | 97071 | CLINIC |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | CRITERIA CONSIDERED IN DETERMINING ELIGIBILITY INCLUDE BUT ARE NOT LIMITED TO: 1) THE HOUSEHOLD'S GROSS INCOME. THE DEFINITION OF HOUSEHOLD GROSS INCOME INCLUDES THE COMBINED GROSS MONTHLY INCOME OF ALL PERSONS LEGALLY RESPONSIBLE FOR PATIENT BILL OR BALANCE.2) HOUSEHOLD'S ASSETS OTHER THAN PRIMARY RESIDENCE3) EQUITY IN A REAL ESTATE (OTHER THAN THE PATIENT/GUARANTOR'S PRIMARY RESIDENCE), SECURITIES OR OTHER ASSETS ARE CONSIDERED AVAILABLE TO PAY THE PATIENTS' MEDICAL EXPENSES AND SHOULD BE INCLUDED IN THE INCOMES CALCULATION.THE INCOME FROM INCOME-PRODUCING REAL PROPERTY SHOULD BE USED IN CALCULATION RATHER THAN THE EQUITYINDIVIDUAL RETIREMENT ACCOUNTS (IRAS) OR OTHER RETIREMENT FUNDS WILL NOT BE INCLUDED IN HOUSEHOLD ASSETS, HOWEVER DISTRIBUTIONS FROM THOSE FUNDS WILL BE CONSIDERED INCOME.* FAMILY SIZE (PERSONS LEGALLY RESPONSIBLE FOR THE PATIENT BILL AND THEIR DEPENDENTS)* THE FAMILY'S MONTHLY OUT-OF-POCKET EXPENSES FOR MEDICAL SUPPLIES AND SERVICES* ELIGIBILITY MAY BE CONTINGENT UPON PATIENT COOPERATION WITH THE APPLICATION PROCESS. THE DEFINITION OF "HOUSEHOLD GROSS INCOME" INCLUDES THE COMBINED GROSS MONTHLY INCOME OF ALL PERSONS LEGALLY RESPONSIBLE FOR PATIENT BILL OR BALANCE.SUPPORTING DOCUMENTATION MAY INCLUDE THE FOLLOWING: PATIENT MUST PROVIDE TWO OF THE FOLLOWING DOCUMENTS TO SUPPORT THE INCOME CLAIMS ON THE APPLICATION. THREE MONTHS INCOME VERIFICATION IN THE FORM OF PAY STUBS, BANK DEPOSITS, ETC. SOCIAL SECURITY DETERMINATION LETTERS THE PRIOR YEAR'S TAX RETURNS OR 450T-EZ A "BASIC NEEDS" LETTER THAT INDICATES HOW PERSONS WITH NO INCOME ARE MEETING THEIR DAY TO DAY BASIC LIVING NEEDS. "BASIC NEEDS" LETTER MUST ONLY BE CONSIDERED A SECONDARY SUPPORTING DOCUMENT AFTER THE FINANCIAL COUNSELOR OR CLERK VALIDATES THAT INFORMATION. AS OUTLINED IN SALEM HEALTH'S CONDITIONS OF ADMISSION, A CREDIT BUREAU REPORT OR A CHARITY SCORING VENDOR MAY BE REQUESTED TO VALIDATE INFORMATION PROVIDED ON THE FINANCIAL ASSISTANCE APPLICATION. SALEM HEALTH MAY ACCEPT INFORMATION PROVIDED ON AN OHP APPLICATION, OHP ELIGIBILITY, PROBATE ESTATES DETERMINATION, DOCUMENTATION OF HOMELESS STATUS, OR RELIABLE THIRD PARTY CREDIT INFORMATION AS A SUBSTITUTE FOR THE FINANCIAL FORMS. OHP INFORMATION WILL BE CONSIDERED VALID 30 DAYS PRIOR TO ADMISSION AND 90 DAYS POST DISCHARGE. APPROVED SOURCES OF DOCUMENTATION FOR HOMELESS STATUS INCLUDE CHART NOTES, DISCHARGE PLANS, OR DISCHARGE SUMMARIES ENTERED INTO OUR HEALTH INFORMATION SYSTEM BY CARE PROVIDERS OF THE PATIENT INDICATING THEY ARE HOMELESS DURING THE REGISTRATION PROCESS. FINANCIAL ASSISTANCE GRANTED BASED ON THIRD PARTY INFORMATION RATHER THAN A FINANCIAL ASSISTANCE APPLICATION DOES NOT EXTEND TO FUTURE DATES OF SERVICE AND WOULD NEED TO BE REEVALUATED BASED ON INFORMATION AVAILABLE THAT TIME. |
| PART I, LINE 6A: | A COMMUNITY BENEFIT REPORT WAS PUBLISHED AND IS AVAILABLE AT HTTPS://WWW.SALEMHEALTH.ORG/ABOUT/COMMUNITY/COMMUNITY-BENEFIT-REPORTS. |
| PART I, LINE 7: | THE RATIO OF PATIENT CARE COST TO CHARGES WAS USED TO CALCULATE THE TOTAL COMMUNITY BENEFIT EXPENSE ON LINE 7, COLUMN C. THIS RATIO WAS APPLIED TO TOTAL FINANCIAL ASSISTANCE, MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS THAT ACCOUNT FOR A LARGE PORTION OF SALEM HEALTH'S COMMUNITY BENEFIT CONTRIBUTION. ENSURING THAT COMMUNITY MEMBERS HAVE ACCESS TO EMERGENCY, PRIMARY CARE AND OTHER HEALTH SERVICES REGARDLESS OF ABILITY TO PAY ALIGNS WITH THE HOSPITAL MISSION AND COMMITMENT TO SERVE THOSE LIVING IN MARION AND POLK COUNTIES.PART II: SALEM HEALTH IS DEEPLY EMBEDDED IN THE COMMUNITY AND HOSPITAL LEADERS WORK HAND IN HAND WITH REPRESENTATIVES FROM GOVERNMENT AGENCIES AND OTHER NON-PROFIT ORGANIZATIONS TO ASSESS AND ADDRESS COMMUNITY NEEDS. THREE AREAS CURRENTLY IDENTIFIED AS PRIORITIES ARE BEHAVIORAL HEALTH SUPPORT, HOUSING, AND SUBSTANCE USE. COMMUNITY WIDE TASK FORCES ARE IN PLACE TO ADDRESS THESE HEALTH NEEDS, WHICH ARE DEEMED MOST CRITICAL IN THE TWO COUNTIES SERVED BY SALEM HEALTH. REPRESENTATIVES FROM APPROPRIATE AREAS OF THE HOSPITAL ATTEND TASK FORCE MEETINGS AND LEVERAGE HOSPITAL RESOURCES TO POSITIVELY IMPACT HEALTH OUTCOMES. HOSPITAL LEADERS VOLUNTEER TIME TO SERVE ON COMMUNITY NON-PROFIT BOARDS WHICH MIRROR THE MISSION OF SALEM HEALTH AND ATTEND REGIONAL COLLABORATIVE WORK GROUPS THAT ADDRESS SOCIAL DETERMINANTS OF HEALTH. EXAMPLES INCLUDE BOARD POSITIONS ON SALEM FREE CLINIC, FAMILY BUILDING BLOCKS, MARION POLK FOOD SHARE, THE BOYS AND GIRLS CLUB, UNITED WAY, UNION GOSPEL MISSION, LIBERTY HOUSE, AND CATHOLIC COMMUNITY SERVICES.THE HOSPITAL PROVIDES COMMUNITY BASED HEALTH IMPROVEMENT SERVICES AS REQUESTED IN MARION AND POLK COUNTIES INCLUDING HEALTH SCREENINGS, EDUCATION AND OUTREACH. THE COMMUNITY HEALTH EDUCATION CENTER OFFERS A HEALTH RELATED LENDING LIBRARY, DROP-IN NURSING CONSULTATION SERVICES AND GROUP INSTRUCTION. DIABETIC AND NUTRITION COUNSELING IS ALSO OFFERED FOR PATIENTS NEWLY DIAGNOSED AND UNABLE TO PAY FOR THESE SERVICES. THE CENTER PROVIDES SPACE FREE OF CHARGE TO COMMUNITY PARTNERS SEEKING TO IMPROVE HEALTH OUTCOMES. THE ROOMS HOST CLASSES, LECTURES, HEALTH FAIRS AND SUPPORT GROUPS THAT ARE COORDINATED IN PARTNERSHIP WITH COMMUNITY AGENCIES. SALEM HEALTH PROVIDED COMMUNITY PARTNER GRANTS IN FISCAL YEAR 2022 TO ENHANCE EXISTING NON-PROFIT ORGANIZATIONS' WORK THAT ADDRESSES NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. WE INVESTED OVER $400,000 THIS YEAR IN ORGANIZATIONS THAT INCLUDE LOVE, INC. IN NORTH MARION COUNTY; INTEGRATED SUPPORT FOR LIVING; LIBERTY HOUSE; ST. FRANCIS FAMILY SHELTER; UNITED GOSPEL MISSION; CATHOLIC COMMUNITY SERVICES; BOYS AND GIRLS CLUB; MARION POLK FOOD SHARE; MANO A MANO; SALEM FREE CLINICS; FAMILY BUILDING BLOCKS; HABITAT FOR HUMANITY; UNITED WAY, ETC. ADDITIONALLY, SALEM HEALTH SUPPORTS COMMUNITY PARTNERS AND THEIR EFFORTS TO ADDRESS HOUSING AND SOCIAL DETERMINANTS OF HEALTH. SALEM HEALTH WORKED WITH COMMUNITY PARTNERS TO COVER COST BARRIERS ESTABLISHING THE MARION POLK CONTINUUM OF CARE WITH HUD AND SUPPORTS A COMMUNITY DATABASE ESTABLISHING A SYSTEM FOR ALL PROVIDERS TO LOG ONTO THE SAME SHARED INFORMATION FOR YOUTH HOMELESS SUPPORTS AND COORDINATION. SALEM HEALTH INVESTED IN TAYLORS HOUSE, AN EMERGENCY SHELTER FOR RUNAWAY, TO HIRE A YOUTH NAVIGATOR TO ENSURE ALL NEW RESIDENTS ARE CONNECTED TO STABILIZING RESOURCES AND HEALTH. SALEM HEALTH PROVIDES TRAINING FOR NURSING STUDENTS AND EMERGING HEALTH CARE PROFESSIONALS THROUGH HEALTH CAREER EXPLORATION. |
| PART III, LINE 2: | BAD DEBT EXPENSE IS PRIMARILY ESTIMATED BASED UPON THE HOSPITALS' HISTORICAL COLLECTION EXPERIENCE, THE AGE OF THE PATIENT'S ACCOUNT, THE PATIENT'S ECONOMIC ABILITY TO PAY, AND THE EFFECTIVENESS OF COLLECTION EFFORTS. PATIENT ACCOUNTS RECEIVABLE BALANCES ARE ROUTINELY REVIEWED IN CONJUNCTION WITH HISTORICAL COLLECTION RATES AND OTHER ECONOMIC CONDITIONS THAT MIGHT ULTIMATELY AFFECT THE COLLECTABILITY OF PATIENT ACCOUNTS WHEN CONSIDERING THE ADEQUACY OF THE AMOUNTS RECORDED IN THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. ACTUAL WRITE-OFFS HISTORICALLY HAVE APPROXIMATED MANAGEMENT'S EXPECTATIONS. |
| PART III, LINE 3: | BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER SALEM HEALTH'S FINANCIAL ASSISTANCE POLICY IS ESTIMATED BASED ON DATA FROM OUR PATIENT ACCOUNTING SYSTEM. THIS DATA IS THEN COMPARED AND MATCHED TO MEDIAN HOUSEHOLD INCOME CENSUS DATA BY ZIP CODE TO DETERMINE THE ESTIMATED BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE. |
| PART III, LINE 4: | PATIENT ACCOUNTS RECEIVABLE ARE RECORDED AT AN ESTIMATED COLLECTIBLE AMOUNT AND DO NOT BEAR INTEREST. EXPLICIT PRICE CONCESSIONS ARE ESTABLISHED AS A RESULT OF NEGOTIATED REIMBURSEMENT METHODOLOGIES WITH THIRD PARTY PAYORS.THE CORPORATION ALSO RECORDS ESTIMATED IMPLICIT PRICE CONCESSIONS (BASED PRIMARILY ON HISTORICAL COLLECTION EXPERIENCE) RELATED TO UNINSURED ACCOUNTS TO RECORD SELF-PAY REVENUES AT THE ESTIMATED AMOUNTS WE EXPECT TO COLLECT. THE CORPORATION DOES NOT ASSESS CREDIT RISK BEFORE SERVICES ARE RENDERED. |
| PART III, LINE 8: | MEDICARE PAYS A SIGNIFICANTLY REDUCED AMOUNT FOR MEDICAL SERVICES RENDERED TO THEIR ENROLLEES SUCH THAT THE NET REIMBURSEMENT DOES NOT COVER THE EXPENSES INCURRED TO PROVIDE THE SERVICES. SALEM HEALTH CONSIDERS THE DIFFERENCE BETWEEN THE COSTS TO PROVIDE THE SERVICES FOR MEDICARE ENROLLEES AND THE NET REIMBURSEMENT AS A BENEFIT TO THE COMMUNITY. MEDICARE FEE-FOR-SERVICE COSTS ARE DETERMINED FROM SALEM HEALTH'S FILED MEDICARE COST REPORT. THE CALCULATION OF NET BENEFIT IS EQUAL TO TOTAL MEDICARE PAYMENTS LESS MEDICARE COSTS.IN ADDITION TO TRADITIONAL MEDICARE FEE-FOR-SERVICE, SALEM HEALTH PROVIDES SUBSTANTIAL SERVICES TO OTHER MEDICARE POPULATIONS PARTICIPATING IN MEDICARE ADVANTAGE PLANS AT SIGNIFICANTLY REDUCED REIMBURSEMENT. THE NET REVENUES FOR THESE PLANS ARE LESS THAN THE COST TO PROVIDE CARE AND ARE NOT DISCLOSED IN PART III, LINE 8. SALEM HEALTH ALSO CONSIDERS THE DIFFERENCE BETWEEN THE NET COST TO PROVIDE CARE FOR MEDICARE ADVANTAGE ENROLLEES AND THE NET REIMBURSEMENT AS A BENEFIT TO THE COMMUNITY. THESE NET COSTS HAVE BEEN DETERMINED BY APPLYING THE RATIO OF COSTS TO CHARGES AS DETERMINED IN WORKSHEET 2 TO THE FULL BILLED CHARGES. THE CALCULATION OF NET BENEFIT IS EQUAL TO TOTAL MEDICARE ADVANTAGE PAYMENTS OF $228,653,843 LESS MEDICARE ADVANTAGE COSTS OF $308,658,311 FOR A TOTAL ADDITIONAL COMMUNITY BENEFIT IN THE AMOUNT OF $80,004,469. |
| PART III, LINE 9B: | THE BILLING AND COLLECTIONS ADMINISTRATIVE HOUSE-WIDE POLICY AND PROCEDURE STATES, "IF A PATIENT SUBMITS A COMPLETE APPLICATION FOR FINANCIAL ASSISTANCE AFTER AN ACCOUNT HAS BEEN REFERRED FOR COLLECTION ACTIVITY, SALEM HEALTH WILL SUSPEND THE ECAS UNTIL THE PATIENT'S APPLICATION HAS BEEN PROCESSED AND NOTIFY THE PATIENT OF DETERMINATION. IF AN INDIVIDUAL IS FOUND TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE, ANY ECAS WILL BE REVERSED. |
| PART VI, LINE 3: | PLEASE SEE ABOVE NARRATIVE, PART V, SECTION B, LINES 13-16 |
| PART VI, LINE 4: | MARION AND POLK COUNTY ARE LOCATED IN THE WILLAMETTE VALLEY AND ARE THE 5TH AND 13TH MOST POPULOUS COUNTIES IN OREGON RESPECTIVELY. THIS COMMUNITY SPANS ABOUT 1,950 SQUARE MILES, OF WHICH 1,200 ARE IN MARION AND 750 ARE IN POLK. IN MARION, THE FIVE LARGEST CITIES ARE KEIZER, SALEM, SILVERTON, STAYTON, AND WOODBURN, WHICH ARE HOME TO 66% OF THE COUNTY'S TOTAL POPULATION. THE REMAINING 34% LIVE IN ONE OF THE SMALLER 15 CITIES OR ON UNINCORPORATED LAND. IN POLK, THE LARGEST CITIES ARE DALLAS, FALLS CITY, INDEPENDENCE, MONMOUTH, WEST SALEM, AND WILLAMINA, OF WHICH ABOUT 84% OF POLK'S POPULATION RESIDES. THOSE WHO LIVE OUTSIDE OF THE MAJOR POPULATION AREAS IN THE COMMUNITY MAY EXPERIENCE GREATER DIFFICULTY ACCESSING RESOURCES LIKE HEALTH CARE SERVICES AND HEALTHY FOODS. GIVEN THE LIMITED PUBLIC TRANSPORTATION IN THESE RURAL AREAS, ACCESS TO A VEHICLE IS LIKELY REQUIRED TO LIVE A HEALTHY LIFESTYLE. AS OF 2020 THERE WERE ABOUT 433,353 PEOPLE LIVING IN THE COMMUNITY OR MARION AND POLK COUNTIES, WHICH IS ABOUT 10% OF THE TOTAL STATE POPULATION. OF THOSE, IT IS ESTIMATED THAT 344,920 PEOPLE LIVE IN MARION AND 87,433 LIVE IN POLK. SINCE 2010, THE POPULATION HAS INCREASED BY 8% IN MARION AND 11% IN POLK, WHICH WAS SIMILAR TO THE INCREASE IN THE STATE AS A WHOLE. THERE WERE ALSO A LARGER NUMBER OF PEOPLE LIVING PER SQUARE MILE IN THIS COMMUNITY COMPARED TO THE STATE AND THIS WAS ESPECIALLY TRUE FOR MARION. JUST OVER HALF OF COMMUNITY MEMBERS IDENTIFIED AS FEMALE, WHICH WAS SIMILAR TO THE STATE. THE COMMUNITY HAD A LARGER PROPORTION OF MEMBERS BETWEEN THE AGES OF 0-24 YEARS OLD THAN OREGON. THERE WAS ALSO A SMALLER PROPORTION OF WORKING AGE ADULTS (25-64) IN THE COMMUNITY THAN THE STATE. IN 2016, THE MEDIAN AGE WAS LOWER IN MARION (36.4 YEARS) COMPARED TO POLK (37.7 YEARS) AND THE STATE (39.2 YEARS.) ADDITIONALLY, MORE PEOPLE HAVE BEEN MIGRATING INTO THIS COMMUNITY AS OPPOSED TO LEAVING, WHICH IS EXPECTED TO CONTINUE DURING THE FORECAST PERIOD. IT IS ESTIMATED THAT THIS COMMUNITY WILL EXCEED 500,000 MEMBERS BY 2035 AND POLK WILL BE GROWING AT A FASTER RATE THAN MARION. SHIFTS IN AGE GROUPS WILL BE OCCURRING OVER THE NEXT 50 YEAR FORECAST PERIOD IN THIS COMMUNITY, WITH A GREATER PROPORTION OF MEMBERS FALLING INTO OLDER AGE GROUPS. THIS CHANGE IS IMPORTANT, AS IT HIGHLIGHTS THE NEED TO EXPAND AND PREPARE FOR THE GROWING HEALTH NEEDS OF AN AGING POPULATION. ABOUT 27% OF COMMUNITY MEMBERS IN MARION IDENTIFIED AS HISPANIC OR LATINA(O), WHICH WAS HIGHER THAN POLK (14%) AND OREGON (12%). MARION HAD A SMALLER PROPORTION OF MEMBERS WHO IDENTIFIED AS WHITE, NON-HISPANIC/LATINA(O) THAN POLK AND THE STATE. MARION ALSO HAD A LARGER PROPORTION OF MEMBERS WHO IDENTIFIED AS NATIVE HAWAIIAN OR PACIFIC ISLANDER THAN POLK AND THE STATE. ABOUT 1 OUT OF 4 HOUSEHOLDS (25%) IN MARION SPOKE A LANGUAGE OTHER THAN OTHER THAN ENGLISH AT HOME THAN POLK (14%) AND THE STATE (15%). COMMUNITY MEMBERS IN MARION HAD LOWER HOUSEHOLD MEDIAN INCOMES AND A HIGHER PERCENTAGE LIVING IN POVERTY, ESPECIALLY CHILDREN, THAN POLK AND THE STATE. 14.2% OF PEOPLE IN MARION COUNTY AND 12.5% IN POLK COUNTY ARE LIVING BELOW THE FEDERAL POVERTY LINE. ROUGHLY 25% OF CHILDREN WERE LIVING IN POVERTY IN MARION COUNTY, COMPARED TO 17% IN POLK COUNTY AND 20% IN OREGON OVERALL. IN THE COMMUNITY, A HIGHER PROPORTION OF FEMALES WERE LIVING IN POVERTY THAN MALES, AND MEMBERS WHO IDENTIFIED AS A RACE OR ETHNICITY OTHER THAN WHITE, NON-HISPANIC/LATINA(O) HAD HIGHER POVERTY RATES AS WELL.EDUCATIONAL ACHIEVEMENT HAS BEEN IMPROVING IN RECENT YEARS AS A HIGHER PERCENTAGE OF COMMUNITY MEMBERS HAVE A HIGH SCHOOL DIPLOMA/GED. 85% OF ADULTS OVER 25 IN MARION COUNTY AND 91% OF ADULTS IN POLK COUNTY HAVE A HIGH SCHOOL DIPLOMA OR GED. HOWEVER, THE PERCENTAGES DROP SIGNIFICANTLY FOR LATINO POPULATIONS WHICH WERE 53% IN MARION COUNTY AND 61% IN POLK COUNTY. EDUCATIONAL ACHIEVEMENT IN MARION COUNTY WAS LOWER THAN POLK AND THE STATE, ESPECIALLY WITH REGARD TO COLLEGE GRADUATES. IN MARION COUNTY 23% OF PEOPLE HAD A BACHELOR'S DEGREE OR HIGHER, COMPARED TO 31% IN POLK. EDUCATIONAL ACHIEVEMENT DIFFERED BY SEX, RACE AND ETHNICITY, GEOGRAPHY, AND DISABILITY STATUS. ABOUT 1 OUT OF 5 CHILDREN WERE FOOD INSECURE IN THIS COMMUNITY. IT WAS ALSO DIFFICULT FOR SOME COMMUNITY MEMBERS TO OBTAIN HEALTHY FOODS DUE TO AFFORDABILITY AND LOW ACCESS TO STORES THAT SELL THEM. |
| PART VI, LINE 5: | IN ADDITION TO THE WORK DESCRIBED IN THE ABOVE NARRATIVE, SALEM HEALTH HAS A COMMUNITY HEALTH EDUCATION CENTER THAT OFFERS NO AND LOW COST HEALTH EDUCATION TO THE GENERAL PUBLIC IN THE FORM OF CLASSES, OUTREACH AND ACCESS TO RESEARCH MATERIALS, ONLINE AND IN PRINT. A FULL TIME LIBRARIAN IS ON STAFF TO ASSIST CLINICIANS WITH THE LATEST RESEARCH AND TREATMENT OPTIONS. A STAFF OF HEALTH EDUCATORS PRESENTS TO THE PUBLIC ON VARIOUS COMMUNITY HEALTH TOPICS ON REQUEST AND ATTENDS WELLNESS FAIRS, PROVIDING BIOMETRICS AND HEALTH INFORMATION. THE SALEM CANCER INSTITUTE OFFERS FREE SCREENINGS SEVERAL TIMES A YEAR FOR VARIOUS CANCERS, INCLUDING BREAST, COLON, LUNG AND SKIN CANCER. STAFF AND CLINICIANS PARTICIPATE IN DOZENS OF HEALTH IMPROVEMENT COMMITTEES, ADDRESSING SOCIAL DETERMINANTS OF HEALTH SUCH AS HOMELESSNESS, FOOD INSECURITY, EDUCATION AND ACCESS TO CARE. FURTHER INFORMATION REGARDING HEALTH PROMOTION CAN BE FOUND IN PART V, SECTION B, LINE 11 NARRATIVE. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | OR |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (13 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc |
|---|---|---|---|---|---|---|---|---|---|---|
| SALEM FREE CLINIC | ||||||||||
| 1300 BROADWAY ST NE | SALEM | OR | 97301 | 203549992 | 501 (C) (3) | $75,000 | $0 | IMPROVE SOCIAL DETERMINATE OF HEALTH | ||
| UNITED WAY | ||||||||||
| 455 BILLER AVE NE | SALEM | OR | 97301 | 930395586 | 501 (C) (3) | $35,000 | $0 | IMPROVE SOCIAL DETERMINATE OF HEALTH | ||
| LOVE INC OF MARION COUNTY | ||||||||||
| 970 N CASCADE RE STE 100 | WOODBURN | OR | 97071 | 270560943 | 501 (C) (3) | $30,400 | $0 | IMPROVE SOCIAL DETERMINATE OF HEALTH | ||
| UNION GOSPEL MISSION | ||||||||||
| PO BOX 431 | SALEM | OR | 97308 | 930457267 | 501 (C) (3) | $30,000 | $0 | IMPROVE SOCIAL DETERMINATE OF HEALTH | ||
| CHURCH BY THE PARK | ||||||||||
| 2410 TURNER RD NE | SALEM | OR | 97302 | 853235718 | 501 (C) (3) | $30,000 | $0 | IMPROVE SOCIAL DETERMINATE OF HEALTH | ||
| CASA OF POLK COUNTY INC | ||||||||||
| 580 MAIN ST SUITE D | DALLAS | OR | 97338 | 270102203 | 501 (C) (3) | $26,000 | $0 | IMPROVE SOCIAL DETERMINATE OF HEALTH | ||
| POLK COUNTY BEHAVIORAL HEALTH | ||||||||||
| 182 SW ACADEMY ST | DALLAS | OR | 97338 | 936002310 | 501 (C) (3) | $18,000 | $0 | IMPROVE SOCIAL DETERMINATE OF HEALTH | ||
| POLK COUNTY FAMILY & OUTREACH | ||||||||||
| 182 SW ACADEMY ST | DALLAS | OR | 97338 | 936002310 | 501 (C) (3) | $18,000 | $0 | IMPROVE SOCIAL DETERMINATE OF HEALTH | ||
| ST FRANCIS SHELTER | ||||||||||
| 1820 BERRY ST SE | SALEM | OR | 97302 | 930943539 | 501 (C) (3) | $16,500 | $0 | IMPROVE SOCIAL DETERMINATE OF HEALTH | ||
| MARION POLK FOOD SHARE | ||||||||||
| 1660 SALEM INDUSTRIAL DR NE | SALEM | OR | 97301 | 943034161 | 501 (C) (3) | $10,000 | $0 | IMPROVE SOCIAL DETERMINATE OF HEALTH | ||
| WILLAMETTE EDUCATION SERVICE D | ||||||||||
| 1200 LANCASTER DR NE | SALEM | OR | 97301 | 936002529 | 501 (C) (3) | $9,300 | $0 | IMPROVE SOCIAL DETERMINATE OF HEALTH | ||
| MID-WILLAMETTE VALLEY | ||||||||||
| 100 HIGH ST SE STE 200 | SALEM | OR | 97301 | 852966836 | GOVT | $5,500 | $0 | IMPROVE SOCIAL DETERMINATE OF HEALTH | ||
| PSYCHIATRIC CRISIS CENTER | ||||||||||
| PO BOX 14500 | SALEM | OR | 97309 | 936002307 | MARION COUNTY | $0 | $1,556,875 | ACCESS TO MEDICAL SERVICES | OVERHEAD COSTS | USE OF SPACE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 13 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | CASH ASSISTANCE TO PATIENTS | GrantTypeTxt |
| Recipient | 31598 | RecipientCnt |
| Cash Grant | $497,329 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 2: | GRANTS ARE ONLY MADE TO QUALIFIED EXEMPT ORGANIZATIONS. BECAUSE DOCUMENTATION AND AUTHORIZATION IS CAREFULLY EXAMINED BEFORE A GRANT IS GIVEN, AND THE PURPOSES FOR A GRANT ARE KNOWN BEFORE IT IS AWARDED, NO ADDITIONAL FOLLOW UP IS PERFORMED TO FIND OUT HOW THE GRANT WAS USED. |
| SCH I PART III, COLUMN (F) | CASH ASSISTANCE IS PROVIDED TO PATIENTS IN NEED FOR PRESCRIPTIONS, LIFELINE SUPPORT, REHABILITATION AND OTHER URGENT NEEDS. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHERYL R NESTER WOLFE | ||||||||||||||
| PRESIDENT & CEO | $1,004,801 | $0 | $260,357 | $0 | $224,196 | $0 | $21,750 | $0 | $16,013 | $0 | $1,527,117 | $0 | $0 | $0 |
| JUAN R OYARZUN MD | ||||||||||||||
| DIR. CARDIOTHORACIC MEDICINE | $1,223,571 | $0 | $144,455 | $0 | $50,269 | $0 | $30,903 | $0 | $14,784 | $0 | $1,463,982 | $0 | $0 | $0 |
| NERVIN H FANOUS MD | ||||||||||||||
| CARDIOTHORACIC SURGEON | $1,160,634 | $0 | $144,455 | $0 | $42,003 | $0 | $48,855 | $0 | $10,203 | $0 | $1,406,150 | $0 | $0 | $0 |
| JAMES K PARR | ||||||||||||||
| EVP OF OPERATIONS & CFO | $678,541 | $0 | $236,644 | $0 | $53,483 | $0 | $69,633 | $0 | $23,551 | $0 | $1,061,852 | $0 | $0 | $0 |
| LEAH M MITCHELL | ||||||||||||||
| EVP OF OPERATIONS & CIO | $685,002 | $0 | $226,990 | $0 | $40,724 | $0 | $70,978 | $0 | $23,615 | $0 | $1,047,309 | $0 | $0 | $0 |
| BAHAA M WANLY | ||||||||||||||
| CHIEF OPERATING OFFICER | $605,182 | $0 | $202,866 | $0 | $35,966 | $0 | $18,850 | $0 | $23,168 | $0 | $886,032 | $0 | $0 | $0 |
| JONATHAN H BAUER | ||||||||||||||
| CHIEF LEGAL OFFICER | $560,654 | $0 | $199,647 | $0 | $1,500 | $0 | $55,483 | $0 | $23,737 | $0 | $841,021 | $0 | $0 | $0 |
| RALPH A YATES | ||||||||||||||
| CMO SALEM HEALTH & SHMG | $573,363 | $0 | $178,195 | $0 | $52,081 | $0 | $18,850 | $0 | $14,883 | $0 | $837,372 | $0 | $0 | $0 |
| ERIC A LARO | ||||||||||||||
| GENERAL SURGEON | $721,246 | $0 | $0 | $0 | $2,160 | $0 | $41,938 | $0 | $24,861 | $0 | $790,205 | $0 | $0 | $0 |
| NICOLE M VANDERHEYDEN MD | ||||||||||||||
| ASSOC CHIEF MEDICAL OFFICER SHMG | $566,466 | $0 | $92,131 | $0 | $54,663 | $0 | $57,349 | $0 | $16,686 | $0 | $787,295 | $0 | $0 | $0 |
| BRANDON H TIEU MD | ||||||||||||||
| THORACIC SURGEON | $610,214 | $0 | $108,595 | $0 | $2,160 | $0 | $40,090 | $0 | $23,775 | $0 | $784,834 | $0 | $0 | $0 |
| MATTHEW S BOLES | ||||||||||||||
| VP MEDICAL AFFAIRS | $453,772 | $0 | $157,816 | $0 | $2,250 | $0 | $48,096 | $0 | $24,700 | $0 | $686,634 | $0 | $0 | $0 |
| SARAH HORN | ||||||||||||||
| SR VP & CHIEF NURSING & CLINICAL OPS | $430,851 | $0 | $141,516 | $0 | $34,675 | $0 | $53,753 | $0 | $23,739 | $0 | $684,534 | $0 | $0 | $0 |
| CHRISTINE G CLARKE MD | ||||||||||||||
| CHIEF MEDICAL OFFICER SHMG | $465,633 | $0 | $150,516 | $0 | $1,158 | $0 | $51,027 | $0 | $2,248 | $0 | $670,582 | $0 | $0 | $0 |
| KATHERINE A DOBLER | ||||||||||||||
| VP MEDICAL GROUP | $421,989 | $0 | $147,784 | $0 | $2,250 | $0 | $45,734 | $0 | $23,578 | $0 | $641,335 | $0 | $0 | $0 |
| SHEA M CORUM | ||||||||||||||
| CHIEF INFORMATION OFFICER | $326,608 | $0 | $113,851 | $0 | $21,900 | $0 | $42,098 | $0 | $22,936 | $0 | $527,393 | $0 | $0 | $0 |
| JAIME L NICHOLS | ||||||||||||||
| CHIEF HUMAN RESOURCES OFFICER | $327,372 | $0 | $116,123 | $0 | $2,250 | $0 | $48,420 | $0 | $22,936 | $0 | $517,101 | $0 | $0 | $0 |
| ZENNIA B CENIZA | ||||||||||||||
| VP CLINICAL OPERATIONS | $275,097 | $0 | $95,557 | $0 | $70,368 | $0 | $18,850 | $0 | $15,881 | $0 | $475,753 | $0 | $0 | $0 |
| JAMES R BAUER | ||||||||||||||
| CHIEF DEVELOPMENT OFFICER | $297,153 | $0 | $103,966 | $0 | $9,511 | $0 | $37,043 | $0 | $15,984 | $0 | $463,657 | $0 | $0 | $0 |
| LEILANI R SLAMA | ||||||||||||||
| VP COMMUNITY ENGAGEMENT | $277,908 | $0 | $100,457 | $0 | $22,338 | $0 | $39,279 | $0 | $23,474 | $0 | $463,456 | $0 | $0 | $0 |
| DENISE B HOOVER | ||||||||||||||
| CHIEF SURGICAL SERVICES OFFICER | $274,923 | $0 | $92,674 | $0 | $23,066 | $0 | $44,201 | $0 | $28,435 | $0 | $463,299 | $0 | $0 | $0 |
| JENNIFER R FOWLER | ||||||||||||||
| VP FINANCE | $253,726 | $0 | $86,472 | $0 | $1,100 | $0 | $42,768 | $0 | $23,129 | $0 | $407,195 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 4B | FormAndLineReferenceDesc |
| Explanation | SOME OF THE HOSPITAL'S EMPLOYEES RECEIVE DEFERRED COMPENSATION UNDER A 457(F) NONQUALIFIED PLAN. THIS COMPENSATION IS INCLUDED IN COMPENSATION REPORTED IN PART II. THE TOTAL NONQUALIFIED PORTION OF EACH PERSONS DEFERRED COMPENSATION IS: BRANDON TIEU: $24,140 CHRISTINE CLARKE: $32,177 DENISE HOOVER: $19,551 ERIC LARO: $25,988 JAMES PARR: $47,883 JAMES BAUER: $21,093 JAIME NICHOLS: $23,770 JENNIFER FOWLER: $18,118 JONATHAN BAUER: $39,533 JUAN OYARZUN: $12,053 KATHERINE DOBLER: $29,784 LEAH MITCHELL: $46,328 LEILANI SLAMA: $20,429 MATTHEW BOLES: $32,146 NERVIN FANOUS: $30,005 NICOLE VANDERHAYDEN: $32,699 SARAH HORN: $29,103 SHEA CORUM: $23,248 | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| HOSPITAL FACILITY AUTHORITY OF THE CITY OF SALEM | ||||||||
| A | 521542796 | 794458EL9 | 2016-11-01 | $215,638,877 | SEE PART VI | 0 | 0 | 0 |
| HOSPITAL FACILITY AUTHORITY OF THE CITY OF SALEM | ||||||||
| B | 521542796 | 794458FX2 | 2019-10-29 | $321,418,462 | SEE PART VI | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Capital ExpendituresCapitalExpendituresAmt |
|---|---|---|---|---|---|---|---|---|---|---|
| A | $31,525,000 | $216,072,018 | $1,650,101 | $214,380,232 | $41,686 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | |
| B | $27,615,000 | $324,246,612 | $2,118,839 | $84,034,597 | $108,434,900 | Yes (1) | 0 | 0 | Yes (1) | $129,658,277 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Engage Bond Counsel ResearchEngageBondCounselResearchInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (1) | 0.01000 | 0.00200 | 0.01200 | 0 | 0 | Yes (1) |
| B | 0 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (1) | 0.00100 | 0.00000 | 0.00100 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd | Business Name Line2GICProviderName/BusinessNameLine2Txt | Term Of GICTermOfGICPct | Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| (no name) | ||||||||||||
| A | 0 | 0 | Yes (1) | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) | |||
| BAYERISCHE | ||||||||||||
| B | 0 | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) | 0 | Yes (1) | LANDESBAN | 2.000000000000 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| COLUMN A: | DIFFERENCE BETWEEN PART I(E) AND PART II, LINE 3 IS DUE TO INTEREST EARNINGS ON BOND PROCEEDS. PART I (F): BOND PROCEEDS WERE EXPENDED TO REFUND THE 2013AB BONDS (ISSUED ON JUNE 27, 2013), TO REFUND THE 2008A BONDS (ISSUED ON OCTOBER 8, 2008), TO REFUND THE 2006A BONDS (ISSUED ON NOVEMBER 15, 2006), AND TO PAY COSTS OF ISSUANCE RELATING TO THE BONDS. PART II, LINE 13: SINCE THE PROCEEDS OF THE BONDS WERE USED FOR REFUNDING PURPOSES, THE YEAR OF SUBSTANTIAL COMPLETION IS NOT APPLICABLE. PART III, LINE 7: AS PROVIDED IN TREASURY REGULATION SECTION 1.141-4(C)(2)(I)(B), THE AMOUNT OF PRIVATE PAYMENTS TAKEN INTO ACCOUNT UNDER THE PRIVATE PAYMENT TEST MAY NOT EXCEED THE AMOUNT OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE. ACCORDINGLY, THE AMOUNT OF PRIVATE PAYMENTS FOR THE REPORTING PERIOD DOES NOT EXCEED THE AMOUNT STATED IN PART III, LINE 6. THE ORGANIZATION HAS NOT UNDERTAKEN AN ANALYSIS OF THE PRIVATE SECURITY TEST WITH RESPECT TO THE BONDS, AS THE LEVEL OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS REPORTED IN PART III, LINE 6, IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE. PART IV, LINES 2(B): THE PORTION OF BOND PROCEEDS USED FOR CURRENT REFUNDING HAS MET THE 6-MONTH EXCEPTION TO REBATE. PART IV, LINES 2(C): BLX INTERIM ARBITRAGE REBATE ANALYSIS DATED 6/21/2021 SHOWS NO REBATE DUE. |
| COLUMN B: | DIFFERENCE BETWEEN PART I(E) AND PART II, LINE 3 IS DUE TO INTEREST EARNINGS ON BOND PROCEEDS. PART I (F): BOND PROCEEDS WERE EXPENDED TO REFUND, ON A CURRENT REFUNDING BASIS, THE ISSUER'S VARIABLE RATE REVENUE BONDS (SALEM HEALTH PROJECT), SERIES 2008B ON 10/29/2019, TO MAKE IMPROVEMENTS TO THE BORROWER'S HEALTH CARE FACILITIES AND TO PAY COSTS OF ISSUANCE ON THE BONDS. PART II, LINE 11: INCLUDES A PAYMENT IN CONNECTION WITH THE TERMAINTION OF THE INTEREST RATE SWAP RELATED TO THE ISSUER'S VARIABLE RATE REVENUE BONDS (SALEM HEALTH PROJECT), SERIES 2008B. PART III, LINE 7: AS PROVIDED IN TREASURY REGULATION SECTION 1.141-4(C)(2)(I)(B), THE AMOUNT OF PRIVATE PAYMENTS TAKEN INTO ACCOUNT UNDER THE PRIVATE PAYMENT TEST MAY NOT EXCEED THE AMOUNT OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE. ACCORDINGLY, THE AMOUNT OF PRIVATE PAYMENTS FOR THE REPORTING PERIOD DOES NOT EXCEED THE AMOUNT STATED IN PART III, LINE 6. THE ORGANIZATION HAS NOT UNDERTAKEN AN ANALYSIS OF THE PRIVATE SECURITY TEST WITH RESPECT TO THE BONDS, AS THE LEVEL OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS REPORTED IN PART III, LINE 6, IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE. PART IV, LINES 2(B): THE PORTION OF BOND POCEEDS USED FOR CURRENT REFUNDING HAS MET THE 6-MONTH EXCEPTION TO REBATE. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF SALEM HEALTH IS SALEM HEALTH HOSPITALS & CLINICS ("SHHC"), A NOT-FOR-PROFIT ENTITY. THE SALEM HEALTH TRUSTEES ARE ELECTED BY SHHC WHO ALSO APPROVES SIGNIFICANT DECISIONS OF THE SALEM HEALTH GOVERNING BODY. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE BYLAWS OF SALEM HEALTH STATE THAT THE TRUSTEES OF SALEM HEALTH SHALL BE ELECTED BY SHHC AT EACH ANNUAL ORGANIZATION MEETING OF THE BOARD OF DIRECTORS OF SHHC, OR IF ANY SUCH ANNUAL MEETING IS NOT HELD, THEN THE TRUSTEES MAY BE ELECTED AT A REGULAR OR SPECIAL MEETING OF THE BOARD OF DIRECTORS OF SHHC. |
| FORM 990, PART VI, SECTION A, LINE 7B | PURSUANT TO THE SALEM HEALTH BYLAWS, SHHC SHALL HAVE THE SOLE AND EXCLUSIVE RIGHT TO ACT WITH RESPECT TO THE FOLLOWING AFFAIRS OF SALEM HEALTH: A. APPROVAL OF THE MERGER OR CONSOLIDATION OF SALEM HEALTH WITH ANY OTHER ORGANIZATION OR ENTITY; PROVIDED, HOWEVER, THAT THE BOARD OF TRUSTEES MAY SUBMIT MERGER AND CONSOLIDATION PROPOSALS TO SHHC FOR ITS APPROVAL; B. ELECTION TO DISSOLVE AND WIND UP THE AFFAIRS OF SALEM HEALTH; PROVIDED THAT THE BOARD OF TRUSTEES MAY SUBMIT A DISSOLUTION PROPOSAL TO SHHC FOR ITS APPROVAL; C. SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE OR OTHER DISPOSITION OF ALL, OR SUBSTANTIALLY ALL, THE PROPERTY AND ASSETS OF SALEM HEALTH; PROVIDED, HOWEVER, THAT THE BOARD OF TRUSTEES MAY SUBMIT PROPOSALS FOR SUCH DISPOSITIONS TO SHHC FOR ITS APPROVAL; D. APPROVAL OF ANNUAL OPERATING CASH AND CAPITAL BUDGETS; E. APPROVAL OF LONG-TERM COMMITMENTS; F. APPROVAL OF LONG-RANGE PLANS; G. APPROVAL OF SPECIAL PROJECTS INVOLVING CAPITAL OR OPERATING EXPENDITURES IN EXCESS OF $1,000,000; AND H. MATERIAL ADDITIONS OR DELETIONS OF SERVICES. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE ORGANIZATION'S ACCOUNTING & FINANCE TEAM WORKS CLOSELY WITH THE OUTSIDE ACCOUNTING FIRM IT ENGAGES TO PREPARE AND REVIEW THE RETURN. THE CONTROLLER AND CFO REVIEW A DRAFT OF THE FORM 990 BEFORE IT IS PRESENTED TO THE GOVERNANCE COMMITTEE OF THE BOARD OF TRUSTEES. FINANCE ADMINISTRATION ADDRESSES AND RESPONDS TO QUESTIONS RAISED BY MEMBERS OF THE GOVERNANCE COMMITTEE. AFTER IT IS REVIEWED BY THE GOVERNANCE COMMITTEE, THE FINAL FORM 990 IS FORWARDED TO THE ENTIRE BOARD OF TRUSTEES PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 12C | ON AN ANNUAL BASIS THE SECRETARY OF THE HOSPITAL SHALL SEND TO EACH PERSON WHO IS A TRUSTEE, OFFICER, OR MEMBER OF A COMMITTEE, AND TO THOSE EMPLOYEES OF THE HOSPITAL AS THE BOARD MAY DETERMINE, A COPY OF THE POLICY REGARDING CONFLICTS OF INTEREST, TOGETHER WITH A QUESTIONNAIRE INQUIRING AS TO CONFLICTS, TO BE COMPLETED AND RETURNED TO THE SECRETARY BY THE TRUSTEE, OFFICER, COMMITTEE MEMBER OR EMPLOYEE PRIOR TO THE BEGINNING OF EACH CALENDAR YEAR. |
| FORM 990, PART VI, SECTION B, LINE 15 | EXECUTIVE COMPENSATION AT SALEM HEALTH IS DESIGNED TO ALLOW THE ORGANIZATION TO RECRUIT AND RETAIN QUALIFIED SENIOR LEADERS. THE GOVERNANCE COMMITTEE OF THE SALEM HEALTH BOARD OF TRUSTEES, NONE OF WHOM IS A SALEM HEALTH EMPLOYEE, ENGAGES ONE OR MORE INDEPENDENT CONSULTANTS TO PROVIDE MARKET DATA ON CEO COMPENSATION, INCLUDING BENEFITS, FOR THE CEOS AT COMPARABLE ORGANIZATIONS. THIS INFORMATION IS USED BY THE GOVERNANCE COMMITTEE AND BOARD OF TRUSTEES IN THEIR DISCUSSIONS AND DECISIONS ON CEO COMPENSATION. COMPENSATION FOR THE CEO IS REVIEWED ON AN ANNUAL BASIS. THE MOST RECENT REVIEW TOOK PLACE IN SEPTEMBER 2021. THE COMPENSATION DELIBERATIONS AND DECISIONS ARE DOCUMENTED IN THE GOVERNANCE COMMITTEE AND BOARD MINUTES FOR THIS MEETING. ONE OR MORE INDEPENDENT CONSULTANTS ARE ALSO RETAINED TO REVIEW EXECUTIVE COMPENSATION SEPARATE FROM THE CEO. THE CEO, IN CONJUNCTION WITH THE INDEPENDENT CONSULTANTS, ENSURES THAT EACH EXECUTIVE'S COMPENSATION IS COMPETITIVE IN THE MARKET FOR SIMILAR POSITIONS AT COMPARABLE ORGANIZATIONS. THE CEO ALSO PROVIDES INFORMATION TO THE BOARD GOVERNANCE COMMITTEE ON THE LEVELS OF EXECUTIVE COMPENSATION. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE ON THE HOSPITAL WEBSITE. |
| FORM 990, PART XI, LINE 9: | BOOK/TAX DIFFERENCE IN PARTNERSHIP INCOME 1,346,271. CHANGE IN NET BENEFICIAL INTEREST IN FOUNDATION 1,906,288. CHANGE IN NET BENEFIT COST 182,744. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| SALEM HEALTH WEST VALLEY | |||||||||||
| 525 SOUTHEAST WASHINGTON ST | DALLAS | OR | 97339 | 431960221 | HOSPITAL | OR | 501(C)(3) | LINE 3 | SHHC | 0 | |
| WILLAMETTE VALLEY INSURANCE COMPANY | |||||||||||
| 745 FORT STREET | HONOLULU | HI | 96813 | 201836190 | INSURANCE | HI | 501(C)(3) | LINE 12A, I | SHHC | 0 | |
| SALEM HEALTH FOUNDATION | |||||||||||
| 890 OAK STREET | SALEM | OR | 97301 | 237002687 | SUPPORT SH | OR | 501(C)(3) | LINE 7 | SHHC | 0 | |
| SALEM HEALTH HOSPITALS & CLINICS | |||||||||||
| 890 OAK STREET | SALEM | OR | 97301 | 930823471 | LEASES LAND | OR | 501(C)(3) | LINE 12A, I | 0 | N/A | |
| SALEM HEALTH PROFESSIONAL SERVICES | |||||||||||
| 890 OAK STREET | SALEM | OR | 97301 | 753175249 | BILLING | OR | 501(C)(3) | LINE 12A, I | SHHC | 0 | |
| WEST VALLEY HOSPITAL FOUNDATION | |||||||||||
| 525 SOUTHEAST WASHINGTON ST | DALLAS | OR | 97339 | 931298564 | SUPPORT SHWV | OR | 501(C)(3) | LINE 12A, I | SHHC | 0 | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SALEM AMBULATORY SURGERY CENTER | ||||||||||||
| 570 LIBERTY ST SE STE | SALEM | OR | 97301 | SURGERY CENTER | OR | N/A | -$784,305 | $2,543,130 | 0 | 0 | 0.51000 | |
| WILLAMETTE SURGERY CENTER LLC | ||||||||||||
| 890 OAK STREET | SALEM | OR | 97301 | SURGERY CENTER | OR | $2,009,475 | $1,873,855 | 0 | 0 | 0.54200 | SALEM HEALTH | |
| WSC BUILDING GROUP LLC | ||||||||||||
| 1445 STATE STREET | SALEM | OR | 97301 | SURGERY CENTER REAL ESTATE | OR | -$84,080 | $7,026,190 | 0 | 0 | 0.51000 | SALEM HEALTH | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Share Of EOY AssetsShareOfEOYAssetsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| OREGON HEALTHCARE ENTERPRISES INC TTTE 1 | |||||||||||||
| 4000 KRUSE WAY PL BLDG 2 STE 100 | LAKE OSWEGO | OR | 97035 | 456525337 | TAX TRUST PROGRAM | OR | N/A | T | $4,114 | 0.06280 | 0 | ||
| PACIFIC MEDICAL CONDOMINIUM UNIT OWNERS | |||||||||||||
| 890 OAK STREET | SALEM | OR | 97301 | 454353791 | OWNERS ASSN | OR | C | $1,135,000 | 0.71590 | 0 | SALEM HEALTH | $1,421,888 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Unrelated Org Txbl Partnership UnrelatedOrgTxblPartnershipGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WILLAMETTE VALLEY COMMUNITY | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2995 RYAN DRIVE | AddressLine1Txt |
| City | SALEM | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 455540852 | EIN |
| Primary Activities | COORDINATED C | PrimaryActivitiesTxt |
| Legal Domicile State | OR | LegalDomicileStateCd |
| Predominate Income | RELATED | PredominateIncomeDesc |
| All Partners C3 S | 0 | AllPartnersC3SInd |
| Share Of Total Income | $53,464 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $0 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | 0 | GeneralOrManagingPartnerInd |
| Ownership | 0.00000 | OwnershipPct |