SALEM HEALTH: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: SALEM HEALTH (EIN 93-0579722)
Tax period: 2023-07-01 to 2024-06-30
Filed: 2025-05-06
IRS object ID: 202521269349301532
Schema version: 2023v6.0
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	2025-05-06T09:58:28-05:00	ReturnTs
Tax Period End	2024-06-30	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	2023-07-01	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	2025-05-05	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (1)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	ZELJKO POPOVIC	PreparerPersonNm
PTIN	P01795951	PTIN
Phone	5032216500	PhoneNum
Preparation	2025-05-06	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2025-03-06 01:10:19Z	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	$1,144,647,007	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	13	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	6384	TotalEmployeeCnt
Total Volunteers	328	TotalVolunteersCnt
Total Gross UBI	$5,006,567	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$131,775	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$3,984,154	PYContributionsGrantsAmt
CY Contributions Grants	$3,853,751	CYContributionsGrantsAmt
PY Program Service Revenue	$1,003,264,664	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,138,264,203	CYProgramServiceRevenueAmt
PY Investment Income	$608,566	PYInvestmentIncomeAmt
CY Investment Income	$1,638,647	CYInvestmentIncomeAmt
PY Other Revenue	-$2,579,434	PYOtherRevenueAmt
CY Other Revenue	-$2,295,473	CYOtherRevenueAmt
PY Total Revenue	$1,005,277,950	PYTotalRevenueAmt
CY Total Revenue	$1,141,461,128	CYTotalRevenueAmt
PY Grants And Similar Paid	$733,851	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$415,082	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$594,391,450	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$711,866,562	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$487,607,528	PYOtherExpensesAmt
CY Other Expenses	$481,602,028	CYOtherExpensesAmt
PY Total Expenses	$1,082,732,829	PYTotalExpensesAmt
CY Total Expenses	$1,193,883,672	CYTotalExpensesAmt
PY Revenues Less Expenses	-$77,454,879	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$52,422,544	CYRevenuesLessExpensesAmt
Total Assets BOY	$2,919,561,597	TotalAssetsBOYAmt
Total Assets EOY	$1,663,640,361	TotalAssetsEOYAmt
Total Liabilities BOY	$1,960,816,350	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$759,708,663	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$958,745,247	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$903,931,698	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	$561,859,783	ExpenseAmt
Grant	$415,082	GrantAmt
Revenue	$882,501,367	RevenueAmt
Desc	SALEM HEALTH IS ONE OF THE LARGEST OF OREGON'S 60 ACUTE HOSPITALS AND OPERATES THE BUSIEST EMERGENCY DEPARTMENT IN OREGON. THERE ARE 631 PRACTIONERS, REPRESENTING 56 DIFFERENT SPECIALTIES. MORE THAN 312 VOLUNTEERS PROVIDE NON-MEDICAL SUPPORT FOR THE HOSPITAL. STATISTICS FOR THE 12 MONTH PERIOD ENDED 06/30/24: BIRTHS - 3,015, DIAGNOSTIC IMAGING PROCEDURES - 254,276, ED VISITS - 112,942, INPATIENT ADMISSIONS - 30,067, LABORATORY PROCEDUTRES - 1,593,021, SURGERIES - 13,216. THE PRIMARY SERVICE AREA IS MARION AND POLK COUNTIES WITH APPROXIMATELY 443,416 RESIDENTS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$306,742,293	ExpenseAmt
Revenue	$215,495,953	RevenueAmt
Desc	SALEM HEALTH PROVIDES HEALTHCARE TO PEOPLE IN OUR COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY IN THE 12 MONTH PERIOD ENDED 06/30/2024, THE COST OF SERVICES PROVIDED AS A COMMUNITY BENEFIT TOTALED $91,246,340. THIS FIGURE CONSISTED OF $19,284,164 IN COSTS TO PROVIDE CHARITY CARE TO INDIVIDUALS WHO CANNOT AFFORD TO PAY AND $71,962,176 IN UNDERPAYMENT BY MEDICAID AS THE AMOUNT PAID UNDER THE PROGRAM WAS LESS THAN THE COST TO PROVIDE THE SERVICES; AND $45,606,741 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	$85,873,624	ExpenseAmt
Revenue	$40,266,883	RevenueAmt
Desc	SALEM HEALTH ACTIVELY PARTICIPATES IN COMMUNITY HEALTH IMPROVEMENT SERVICES. IN THE 12 MONTHS ENDED 06/30/2024, SALEM HEALTH GAVE $2,310,646 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 FY2024, SALEM HEALTH PROVIDED MORE THAN $710,964 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	$954,475,700	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	0	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	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	350	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	6384	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	13	GoverningBodyVotingMembersCnt
Independent Voting Member	13	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 (34 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
KATHERINE L KEENE
CHAIR ELECT	3.90	1.10	Yes (X)	$0	$0	$0
ALAN WYNN
SECRETARY/TREASURER	2.40	0.70	Yes (X)	$0	$0	$0	Yes (X)
RICARDO LINARES
TRUSTEE	2.30	0.70	Yes (X)	$0	$0	$0
JOHN COMBES MD
CHAIR	3.70	2.30	Yes (X)	$0	$0	$0	Yes (X)
JENN COLUMBUS
TRUSTEE	2.30	0.70	Yes (X)	$0	$0	$0
DAVID HARRISON MD
TRUSTEE	2.30	0.70	Yes (X)	$0	$0	$0
THERESA HASKINS
TRUSTEE	2.70	0.80	Yes (X)	$0	$0	$0
PHIL JACKSON
TRUSTEE	2.30	0.70	Yes (X)	$0	$0	$0
LANE SHETTERLY
PAST CHAIR	3.70	2.30	Yes (X)	$0	$0	$0
ROBERT KELLY MD
TRUSTEE	3.50	1.00	Yes (X)	$0	$0	$0
ANGELICA VEGA
TRUSTEE	3.23	0.60	Yes (X)	$0	$0	$0
MARK ZOOK
TRUSTEE	3.90	1.00	Yes (X)	$0	$0	$0
ANNETTE CAMPISTA
TRUSTEE	3.23	0.60	Yes (X)	$0	$0	$0
CHERYL R NESTER WOLFE
PRESIDENT & CEO	31.90	9.10		$1,673,623	$0	$43,199	Yes (X)
JAMES K PARR
EVP OF OPERATIONS & CFO	36.00	4.00		$856,362	$0	$109,318	Yes (X)
LEAH M MITCHELL
EVP OF OPERATIONS & CIO	40.00	0.00		$857,714	$0	$109,997		Yes (X)
RALPH A YATES
CMO SALEM HEALTH	40.00	0.00		$692,761	$0	$37,400		Yes (X)
MATTHEW S BOLES
VP MEDICAL AFFAIRS	40.00	0.00		$851,125	$0	$94,852		Yes (X)
JONATHAN H BAUER
CHIEF LEGAL OFFICER	40.00	0.00		$595,872	$0	$84,717		Yes (X)
SARAH HORN
SR VP & CHIEF NURSING & CLINICAL OPS	40.00	0.00		$619,467	$0	$92,083		Yes (X)
CHRISTINE G CLARKE MD
SHMG CHIEF MEDICAL OFFICER	40.00	0.00		$658,692	$0	$62,598		Yes (X)
KATHERINE A DOBLER
VP MEDICAL GROUP	40.00	0.00		$480,496	$0	$65,369		Yes (X)
SHEA M CORUM
CHIEF INFORMATION OFFICER	40.00	0.00		$456,642	$0	$77,163		Yes (X)
JAIME L NICHOLS
CHIEF HUMAN RESOURCES OFFICER	40.00	0.00		$396,377	$0	$79,987		Yes (X)
LEILANI R SLAMA
VP COMMUNITY ENGAGEMENT	40.00	0.00		$359,137	$0	$70,341		Yes (X)
JENNIFER R FOWLER
VP FINANCE	40.00	0.00		$382,995	$0	$78,918		Yes (X)
JAMES R BAUER
CHIEF DEVELOPMENT OFFICER	39.00	1.00		$349,391	$0	$57,775		Yes (X)
AMIE M WITTENBERG
VP CLINICAL OPERATIONS	40.00	0.00		$349,829	$0	$70,526		Yes (X)
JUAN R OYARZUN MD
DIR. CARDIOTHORATIC MEDICINE	40.00	0.00		$1,324,065	$0	$61,337			Yes (X)
NERVIN H FANOUS MD
CARDIOTHORACIC SURGEON	40.00	0.00		$1,174,770	$0	$59,668			Yes (X)
NESTER F MERCADO
MED DIRECTOR CATH LAB OPS	40.00	0.00		$839,407	$0	$70,235			Yes (X)
LOGAN P PRIOLLAUD
CARDIAC ANESTHESIOLOGIST	40.00	0.00		$905,549	$0	$84,347			Yes (X)
MICHAEL SCHIEDLER
CARDIOLOGIST INTERVENTIONAL	40.00	0.00		$789,941	$0	$69,597			Yes (X)
ZENNIA B CENIZA
FORMER VP CLINICAL OPERATIONS	0.00	0.00		$264,358	$0	$0				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$14,878,573	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,479,427	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1714	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	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 674907	DALLAS	TX	752674907	CONTRACT LABOR	$51,077,497
LOCUM TENENS
PO BOX 405547	ATLANTA	GA	303845547	CONTRACT LABOR	$2,952,428
ARUP LABORATORIES
PO BOX 27964	SALT LAKE CITY	UT	84127	CONTRACT LABOR	$2,666,228
CLOUDMED SOLUTIONS LLC
PO BOX 208272	DALLAS	TX	752308272	IT SUPPORT	$1,579,355
OREGON COMMUNITY IMAGING
2925 RYAN DR SE	SALEM	OR	97301	IMAGING SERVICES	$1,548,462

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	47	CntrctRcvdGreaterThan100KCnt
Related Organizations	$3,853,751	RelatedOrganizationsAmt
Total Contributions	$3,853,751	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REV	621110	$1,097,794,812	$1,097,794,812
OTHER HOSPITAL SERVICE	900099	$19,613,331	$19,507,547	$105,784
PHARMACY	456110	$12,896,214	$8,439,603	$4,456,611
NUTRITION SERVICES	722210	$7,515,674	$7,515,674
REGIONAL LAB	621500	$444,172	$0	$444,172

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,138,264,203	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,489,923	TotalRevenueColumnAmt
Exclusion	$1,489,923	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$890,406	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$3,185,879	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$2,295,473	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$2,295,473	TotalRevenueColumnAmt
Exclusion	-$2,295,473	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$148,724	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	$148,724	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$148,724	TotalRevenueColumnAmt
Exclusion	$148,724	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,141,461,128	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,133,257,636	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$5,006,567	UnrelatedBusinessRevenueAmt
Exclusion	-$656,826	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$415,082	TotalAmt
Program Services	$415,082	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$11,673,188	TotalAmt
Management And General	$11,673,188	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$544,127,874	TotalAmt
Program Services	$450,243,480	ProgramServicesAmt
Management And General	$93,884,394	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$116,189,589	TotalAmt
Program Services	$94,122,895	ProgramServicesAmt
Management And General	$22,066,694	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$39,875,911	TotalAmt
Program Services	$32,302,689	ProgramServicesAmt
Management And General	$7,573,222	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$1,749,030	TotalAmt
Management And General	$1,749,030	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,213,950	TotalAmt
Management And General	$1,213,950	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$470,994	TotalAmt
Management And General	$470,994	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$38,750	TotalAmt
Management And General	$38,750	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$77,350,431	TotalAmt
Program Services	$62,661,365	ProgramServicesAmt
Management And General	$14,689,066	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$406,477	TotalAmt
Management And General	$406,477	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$10,936,083	TotalAmt
Program Services	$8,859,105	ProgramServicesAmt
Management And General	$2,076,978	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$11,309,704	TotalAmt
Program Services	$9,161,768	ProgramServicesAmt
Management And General	$2,147,936	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$78,383,473	TotalAmt
Program Services	$63,496,906	ProgramServicesAmt
Management And General	$14,886,567	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,281,622	TotalAmt
Program Services	$1,038,217	ProgramServicesAmt
Management And General	$243,405	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$934,823	TotalAmt
Program Services	$757,282	ProgramServicesAmt
Management And General	$177,541	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$16,960,673	TotalAmt
Management And General	$16,960,673	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$25,309,396	TotalAmt
Program Services	$25,309,396	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,977,894	TotalAmt
Management And General	$4,977,894	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
PATIENT SUPPLIES	$145,313,243	$117,715,393	$27,597,850
PROVIDER TAX	$59,238,053	$59,238,053
OTHER PURCHASED SERVICE	$19,569,739	$19,569,739
BAD DEBTS	$15,874,553		$15,874,553

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$10,283,140	TotalAmt
Program Services	$9,584,330	ProgramServicesAmt
Management And General	$698,810	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,193,883,672	TotalAmt
Program Services	$954,475,700	ProgramServicesAmt
Management And General	$239,407,972	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$384,969	BOYAmt
EOY	$437,949	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$32,853,587	BOYAmt
EOY	$20,006,837	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$131,995,781	BOYAmt
EOY	$158,444,811	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$149,412	BOYAmt
EOY	$359,380	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$9,538,556	BOYAmt
EOY	$11,163,629	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$15,292,452	BOYAmt
EOY	$13,180,847	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$441,333,586	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$312,159,658	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$133,500,910	BOYAmt
EOY	$129,173,928	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$2,495,816,005	BOYAmt
EOY	$1,189,799,528	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$41,841,631	BOYAmt
EOY	$65,176,263	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$14,747,485	BOYAmt
EOY	$14,747,485	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$43,440,809	BOYAmt
EOY	$61,149,704	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,919,561,597	BOYAmt
EOY	$1,663,640,361	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$1,461,796,522	BOYAmt
EOY	$263,741,663	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$15,030,872	BOYAmt
EOY	$23,573,600	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$478,858,007	BOYAmt
EOY	$466,674,843	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$5,130,949	BOYAmt
EOY	$5,718,557	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,960,816,350	BOYAmt
EOY	$759,708,663	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	$951,676,849	BOYAmt
EOY	$899,860,134	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$7,068,398	BOYAmt
EOY	$4,071,564	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$958,745,247	BOYAmt
EOY	$903,931,698	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,919,561,597	BOYAmt
EOY	$1,663,640,361	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$52,422,544	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$594,587	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$1,796,418	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	$38,750	FilingOrganizationsTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$38,750	FilingOrganizationsTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$954,436,950	FilingOrganizationsTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$954,475,700	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	$1,000,000	CurrentYearMinus2Amt
Current Year Minus1	$1,000,000	CurrentYearMinus1Amt
Current Year	$1,000,000	CurrentYearAmt
Total	$4,000,000	TotalAmt

Field	Value	IRS element (for citing)
Lobbying Ceiling	$6,000,000	LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$82,500	CurrentYearMinus3Amt
Current Year Minus2	$107,050	CurrentYearMinus2Amt
Current Year Minus1	$23,250	CurrentYearMinus1Amt
Current Year	$38,750	CurrentYearAmt
Total	$251,550	TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$250,000	CurrentYearMinus3Amt
Current Year Minus2	$250,000	CurrentYearMinus2Amt
Current Year Minus1	$250,000	CurrentYearMinus1Amt
Current Year	$250,000	CurrentYearAmt
Total	$1,000,000	TotalAmt

Field	Value	IRS element (for citing)
Grassroots Ceiling	$1,500,000	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 (12.00% OF DUES TO OAHHS AND 39.00% 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	$7,093,181	BeginningYearBalanceAmt
Contributions	$872,853	ContributionsAmt
Investment Earnings Or Losses	$7,731	InvestmentEarningsOrLossesAmt
Other Expenditures	$3,912,487	OtherExpendituresAmt
End Year Balance	$4,061,278	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$6,507,711	BeginningYearBalanceAmt
Contributions	$718,810	ContributionsAmt
Investment Earnings Or Losses	$37,875	InvestmentEarningsOrLossesAmt
Other Expenditures	$171,215	OtherExpendituresAmt
End Year Balance	$7,093,181	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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 Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

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

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	$392,417,222	OtherCostOrOtherBasisAmt
Depreciation	$301,650,414	DepreciationAmt
Book Value	$90,766,808	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$48,916,364	OtherCostOrOtherBasisAmt
Depreciation	$10,509,244	DepreciationAmt
Book Value	$38,407,120	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$129,173,928	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
ACCRUED MALPRACTICE INSURANCE	$5,438,724
OTHER LIABILITIES	$279,833

Field	Value	IRS element (for citing)
Total Liability	$5,718,557	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, 2024 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 2021.

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	43028	PersonsServedCnt
Total Community Benefit Expns	$19,284,164	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$19,284,164	NetCommunityBenefitExpnsAmt
Total Expense	0.01640	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	195021	PersonsServedCnt
Total Community Benefit Expns	$287,458,129	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$215,495,953	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$71,962,176	NetCommunityBenefitExpnsAmt
Total Expense	0.06110	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	238049	PersonsServedCnt
Total Community Benefit Expns	$306,742,293	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$215,495,953	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$91,246,340	NetCommunityBenefitExpnsAmt
Total Expense	0.07750	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	19408	PersonsServedCnt
Total Community Benefit Expns	$2,310,646	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$38,240	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,272,406	NetCommunityBenefitExpnsAmt
Total Expense	0.00190	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Persons Served	770	PersonsServedCnt
Total Community Benefit Expns	$7,852,920	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,600	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,846,320	NetCommunityBenefitExpnsAmt
Total Expense	0.00670	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$74,902,492	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$40,222,043	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$34,680,449	NetCommunityBenefitExpnsAmt
Total Expense	0.02940	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$96,602	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$96,602	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Persons Served	44136	PersonsServedCnt
Total Community Benefit Expns	$710,964	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$710,964	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	64314	PersonsServedCnt
Total Community Benefit Expns	$85,873,624	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$40,266,883	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$45,606,741	NetCommunityBenefitExpnsAmt
Total Expense	0.03870	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	302363	PersonsServedCnt
Total Community Benefit Expns	$392,615,917	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$255,762,836	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$136,853,081	NetCommunityBenefitExpnsAmt
Total Expense	0.11620	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$70,782	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$70,782	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,427,160	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,427,160	NetCommunityBenefitExpnsAmt
Total Expense	0.00290	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,497,942	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,497,942	NetCommunityBenefitExpnsAmt
Total Expense	0.00300	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$15,874,553	BadDebtExpenseAmt
Bad Debt Expense Attributable	$2,712,954	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$135,083,045	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$110,394,481	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$24,688,564	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost Accounting System	Yes (X)	CostAccountingSystemInd

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	22	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	SEE PART V, SECTION C	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	WWW.CO.POLK.OR.US/PH/COMMUNITY-HEALTH-ASSESSMENT-CHA	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	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	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 (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SALEM HEALTH	PART V, SECTION B, LINE 3J: A COMPREHENSIVE NEEDS ASSESSMENT WAS CONDUCTED IN THE FY19 AND WAS UPDATED IN TAX YEAR 2022 (FISCAL YEAR 2023). SEE LINE 5 FOR MORE INFORMATION.
SALEM HEALTH	PART V, SECTION B, LINE 5: A COMMUNITY HEALTH NEEDS ASSESSMENT IS UPDATED ANNUALLY IN COOPERATION WITH LOCAL PARTNERS, INCLUDING MARION COUNTY HEALTH & HUMAN SERVICES, POLK COUNTY HEALTH DEPARTMENT, SANTIAM HOSPITAL AND CLINICS, LEGACY HEALTH, AND KAISER PERMANENTE, WILLAMETTE HEALTH COUNCIL, AND PACIFICSOURCE COMMUNITY SOLUTIONS, THE LOCAL COORDINATED CARE ORGANIZATION.THE COMMUNITY HEALTH NEEDS ASSESSMENT GATHERS DATA FROM VARIOUS RELIABLE SOURCES TO IDENTIFY LOCAL STRENGTHS AND THE MOST PRESSING HEALTH CHALLENGES USING AN EVIDENCE-BASED FRAMEWORK. THIS INFORMATION IS THEN USED TO CREATE A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP), WHICH IDENTIFIES STRATEGIES AND TACTICS TO ADDRESS THE IDENTIFIED PRIORITY AREAS.THE PROCESS USES MAPP (MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS) 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). MAPP ALLOWS COMMUNITIES TO CAST A WIDE NET, COLLECTING DATA IN MULTIPLE WAYS TO UNDERSTAND LOCAL HEALTH AND WHAT CONTRIBUTES TO LOCAL HEALTH CONDITIONS.
SALEM HEALTH	PART V, SECTION B, LINE 6A: THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IS CONDUCTED IN COOPERATION WITH LOCAL PARTNERS, INCLUDING MARION COUNTY HEALTH & HUMAN SERVICES, POLK COUNTY HEALTH DEPARTMENT, SANTIAM HOSPITAL AND CLINICS, LEGACY HEALTH, AND KAISER PERMANENTE, WILLAMETTE HEALTH COUNCIL, AND PACIFICSOURCE COMMUNITY SOLUTIONS, THE LOCAL COORDINATED CARE ORGANIZATION.
SALEM HEALTH	PART V, SECTION B, LINE 6B: OTHER CHNA COMMUNITY PARTNERS INCLUDE THESE ORGANIZATIONS: BEHAVIORAL CARE NETWORK, CHEMEKETA COMMUNITY COLLEGE, CHERRIOTS (SALEM-KEIZER MASS TRANSIT), CITY OF WOODBURN, COMMUNITY ACTION AGENCY, EARLY CHILDHOOD LEARNING HUB, CITY OF SALEM, CITY OF WOODBURN, NORTHWEST HUMAN SERVICES, NORTHWEST SENIOR & DISABILITY SERVICES, POLK COUNTY HEALTH SERVICES, SALEM HOUSING AUTHORITY, AND WESTERN OREGON UNIVERSITY.PART V, SECTION B, LINE 7A:HTTPS://WWW.SALEMHEALTH.ORG/ABOUT/COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
SALEM HEALTH	PART V, SECTION B, LINE 7D: SALEM HEALTH HOSPITALS AND CLINICS PUBLISHES ANNUAL UPDATES TO THE CHNA ON ITS WEBSITE, WHERE IT IS AVAILABLE TO THE COMMUNITY. THE FULL ASSESSMENT, AS WELL AS ANNUAL UPDATES, ARE ALSO POSTED TO COUNTY PUBLIC HEALTH DEPARTMENT WEBSITES. HTTPS://SALEMHEALTH.ORG/DOCS/DEFAULT-SOURCE/COMMUNITY/2023-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDF?SFVRSN=91F282C4_2 HTTPS://WWW.MARIONPOLKCOMMUNITYHEALTH.ORG/PAGES/CHACHIPPART V, SECTION B, LINE 10A:HTTPS://WWW.SALEMHEALTH.ORG/ABOUT/COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
SALEM HEALTH	PART V, SECTION B, LINE 11: PRIORITY AREAS DETERMINED ARE BEHAVIORAL HEALTH SUPPORT, SUBSTANCE USE AND HOUSING. SALEM HOSPITAL PARTNERED WITH FAMILY BUILDING BLOCKS, A CERTIFIED RELIEF NURSERY PROVIDING INTENSIVE SPECIALIZED PREVENTION SERVICES TO KEEP CHILDREN SAFE AND FAMILIES TOGETHER IN MARION AND POLK COUNTIES. SALEM HEALTH PROVIDED FUNDING TO EXPAND CLINICAL SERVICE AVAILABILITY BY SUPPORTING AN ADDITIONAL MENTAL HEALTH CLINICIAN AND TRANSPORTATION TO ENSURE FAMILIES HAVE ACCESS TO GET TO THEIR MENTAL HEALTH THERAPY APPOINTMENTS.SALEM HOSPITAL ALSO PROVIDED FUNDING TO ST. JOSEPH SHELTER, LOCATED IN RURAL MARION COUNTY, WHICH PROVIDES TRANSITIONAL LIVING FOR FAMILIES IN CRISIS. HOUSEHOLDS WHO QUALIFY FOR TRANSITIONAL LIVING SERVICES ARE ELIGIBLE BY MEETING THE FOLLOWING CRITERIA: STRUGGLING WITH POVERTY, ADDICTION, JOBLESSNESS OR LEGAL ISSUES, WHO WANT TO HAVE THEIR CHILDREN RETURNED TO THEIR CARE. PROGRAMING AT ST. JOSEPH INCLUDES ADDICTION COUNSELING, FINANCIAL COUNSELING, JOB ASSISTANCE, MENTAL HEALTH SUPPORTS, AS WELL AS HOUSING FOR THE WHOLE FAMILY AND ADDITIONAL NEEDS SUCH AS FOOD AND CLOTHING. THEY HAVE DEMONSTRATED SUCCESS IN HELPING FAMILIES MOVE INTO HEALTHY AND STABLE LIVING, KEEPING FAMILIES TOGETHER, AND PREVENTING CHILDREN FROM ENTERING INTO THE FOSTER CARE SYSTEM.THE CENTER FOR HOPE AND SAFETY OFFER SUPPORT TO VICTIMS AND SURVIVORS OF DOMESTIC VIOLENCE, SEXUAL ASSAULT, STALKING AND HUMAN TRAFFICKING. SALEM HOSPITAL HAS A LONG HISTORY WITH THIS ORGANIZATION AND THIS YEAR PROVIDED FUNDING TO SUPPORT HOUSING, AND OTHER PRACTICAL NEEDS OF WOMEN SEEKING SAFETY AND SHELTER. ADDITIONAL SUPPORTS INCLUDE MEDICAL SERVICES, ONSITE MEDICAL AND DENTAL SERVICES, PRESCRIPTIONS AND OTHER OVER THE COUNTER NEEDS AND TREATMENTS. SALEM HOSPITAL EMERGENCY DEPARTMENT EMPLOYS SEXUAL ASSAULT NURSE EXAMINERS (SANE), WHO ARE TRAINED TO PROVIDE MEDICAL TREATMENT AND SUPPORT TO SEXUAL ASSAULT VICTIMS. THE MID-WILLAMETTE VALLEY HOMELESS ALLIANCE CONTINUUM OF CARE WORKS TO END AND PREVENT HOMELESSNESS IN THE MARION AND POLK COUNTY REGION. SALEM HEALTH HOSPITALS AND CLINICS (SHHC) SUPPORTS THE ALLIANCE FINANCIALLY AND BY PROVIDING A SALEM HEALTH EXECUTIVE TO SERVES ON THE BOARD AND EXECUTIVE COMMITTEE. ADDITIONAL SHHC STAFF SERVE ON COMMITTEES DESIGNED TO COORDINATE, LEVERAGE, AND ALIGN EFFORT AND RESOURCES AMONG MULTIPLE NONPROFIT AND GOVERNMENT ORGANIZATIONS. REPRESENTATIVES ATTEND TASK FORCE MEETINGS AND LEVERAGE HOSPITAL RESOURCES TO POSITIVELY IMPACT HEALTH OUTCOMES. SALEM HEALTH HOSPITALS AND CLINICS PROVIDES COMMUNITY PARTNER GRANTS TO ENHANCE EXISTING NONPROFIT ORGANIZATIONS' WORK WHICH ADDRESS NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. NEARLY $375,000 WAS INVESTED, INCLUDING THE PROJECTS MENTIONED ABOVE AS WELL AS MEDICAL TEAMS INTERNATIONAL, AMERICAN CANCER SOCIETY, WILLAMETTE HEALTH COUNCIL, NW HUMAN SERVICES, NEIGHBORS SERVING UNDER SHELTERED NEIGHBORS, NORTH MARION SERVICE INTEGRATION, ASSISTANCE LEAGUE, SALEM POLICE FOUNDATION, CENTER FOR HOPE AND SAFETY, FAMILY BUILDING BLOCKS, LIBERTY HOUSE, SALEM FIRE FOUNDATION, SANTIAM TEEN CENTER, SALVATION ARMY, PUNX WITH PURPOSE, RED CROSS, SALVATION ARMY, CASCADIA RADICAL FAERIE RESOURCES, IKE BOX, SALEM FREE CLINIC, YMCA, AND THE UNITED WAY.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, SALEM FIRE FOUNDATION, FAMILY BUILDING BLOCKS, THE BOYS AND GIRLS CLUB, UNITED WAY, LIBERTY HOUSE, AND CATHOLIC COMMUNITY SERVICES, INTEGRATED SUPPORT FOR LIVING INC., WILLAMETTE HEALTH COUNCIL, CENTER FOR HOPE AND SAFETY, AMERICAN RED CROSS, SALEM FIRE FOUNDATION, AND THE SALVATION ARMY.SHHC'S COMMUNITY HEALTH EDUCATION CENTER (CHEC) PROVIDES CLASSES AND RESOURCES FOR THE COMMUNITY. ADDRESSING MENTAL HEALTH NEEDS, THEY PROVIDE QUESTION REFER PERSUADE (QPR) TRAINING TO IDENTIFY INDIVIDUALS WHO ARE STRUGGLING WITH SUICIDE IDEATION. THOUGH OUT THE YEAR THEY OFFER CLASSES AND PRESENTATION THAT INCLUDE MEDITATION, ANXIETY MANAGEMENT, "GOOD FOOD, GOOD MOOD," YOGA, ART AS SELF-CARE, AND GRIEF HEALING. THESE CLASSES AND RESOURCES WORK TO INCREASE RESILIENCY AND ADDRESS MENTAL HEALTH CHALLENGES.THE HOSPITAL PROVIDES COMMUNITY BASIC HEALTH IMPROVEMENT SERVICES AS REQUESTED IN MARION AND POLK COUNTIES. IN 2023, 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. 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 HOSPITAL 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. THE SALEM HEALTH TRAUMA PREVENTION TEAM CONDUCTED CLASSES AND PRESENTATIONS AROUND SUBSTANCE ABUSE PREVENTION, INCLUDING SMOKING, VAPING, MARIJUANA AND METHAMPHETAMINE USE. THIS TEAM ADDITIONALLY CONDUCTS VICTIM IMPACT COURSES THAT ARE COURT ORDERED TO INDIVIDUALS WHO ARE CONVICTED OF DRUNK DRIVING.THE SALEM HOSPITAL EMERGENCY DEPARTMENT SCREENS ALL PATIENTS FOR SUICIDE RISK AND PROVIDES ADDITIONAL EVALUATION BY MENTAL HEALTH EVALUATORS ONSITE IN THE ED. PATIENTS ADMITTED FOR OPIOID OVERDOSES ARE REFERRED TO THE MARION COUNTY MEDICALLY ASSISTED TREATMENT TEAM WITH IN 2 HOURS OF ADMISSION AND COUNSELOR WILL COME ONSITE TO MEET WITH THE PATIENT AND BEGIN THE PROCESS FOR TREATMENT IF THE PATIENT AGREES. THE SALEM CANCER CENTER, ON THE CAMPUS OF SALEM HOSPITAL AND PART OF SALEM HEALTH HOSPITALS AND CLINICS, 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 AND CLINICAL ROTATIONS, AS WELL AS EMPLOYEE PARTICIPATION IN LOCAL JOB FAIRS. SALEM HEALTH ADVOCATES FOR POLICY IMPROVEMENTS THROUGH STATE ADVISORY, RULEMAKING AND LOCAL GOVERNMENT COMMITTEES. WE HAVE EXECUTIVES SERVING ON THE OREGON STATE BOARD OF NURSING, AND AS A GOVERNOR-APPOINTMENT ON THE OREGON JOINT TASK FORCE ON HOSPITAL DISCHARGE CHALLENGES. OTHER EMPLOYEES SERVE ON THE MARION COUNTY BUDGET COMMITTEE AND THE MARION COUNTY PUBLIC SAFETY COORDINATING COUNCIL. ADDITIONAL POLICY BOARDS INCLUDE THE HOSPITAL CAPACITY SYSTEM TASKFORCE, MID-VALLEY HOMELESS ALLIANCE, HEALTH INFORMATION TECHNOLOGY (HIT) COMMONS GOVERNANCE WITH PACIFICSOURCE CCO, AND THE OREGON YOUTH EXPERIENCING HOMELESSNESS ADVISORY COUNCIL.
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: PATIENTS ARE ELIGIBLE TO APPLY FOR FINANCIAL ASSISTANCE ANY TIME PRIOR, DURING, OR AFTER SERVICES ARE PROVIDED. CRITERIA CONSIDERED IN DETERMINING ELIGIBILITY IS BASED ON YOUR FAMILY SIZE AND HOUSEHOLD'S GROSS INCOME BASED ON FEDERAL POVERTY GUIDELINES (FPG). THE DEFINITION OF 'HOUSEHOLD'S GROSS INCOME' INCLUDES THE COMBINED GROSS MONTHLY INCOME OF ALL PERSONS LEGALLY RESPONSIBLE FOR PATIENT BILL OR BALANCE. THE FINANCIAL ASSISTANCE MATRIX IS AS FOLLOWS:BELOW 300% FPG RECEIVES 100% DISCOUNT301%-400% RECEIVES 65% DISCOUNTCATASTROPHIC DISCOUNT RECEIVES 100% OF BALANCES GREATER THAN 20% GROSS FAMILY INCOMEIF A PATIENT HAS NO INSURANCE COVERAGE, NO THIRD-PARTY LIABILITY, AND NO OTHER VIABLE THIRD-PARTY PAYMENT OPTIONS AVAILABLE THEN AN UNINSURED DISCOUNT OF 53% WILL BE APPLIED TO TOTAL ELIGIBLE BILLED CHARGES.
SALEM HEALTH	PART V, SECTION B, LINE 15E: PATIENTS ARE ELIGIBLE TO APPLY FOR FINANCIAL ASSISTANCE ANY TIME PRIOR, DURING, OR AFTER SERVICES ARE PROVIDED. TRANSLATED VERSIONS OF THE APPLICATION FORM, FINANCIAL ASSISTANCE POLICY, AND SUMMARY, ARE AVAILABLE UPON REQUEST IN SPANISH AND RUSSIAN. CRITERIA CONSIDERED IN DETERMINING ELIGIBILITY IS BASED ON FAMILY SIZE AND HOUSEHOLD'S GROSS INCOME BASED ON FEDERAL POVERTY GUIDELINES (FPG). THE DEFINITION OF 'HOUSEHOLD'S GROSS INCOME' INCLUDES THE COMBINED GROSS MONTHLY INCOME OF ALL PERSONS LEGALLY RESPONSIBLE FOR PATIENT BILL OR BALANCE.INITIAL DOCUMENTATION NEEDED INCLUDES EITHER OPTION 1 OR OPTION 2:OPTION 1 - ALL PAGES AND SCHEDULES OF THE CURRENT YEAR'S FEDERAL TAX FILING. IF PATIENT OWNS A BUSINESS, PLEASE INCLUDE CURRENT YEAR BUSINESS/CORPORATION TAXES. PLEASE DO NOT SEND HANDWRITTEN TAXES, W-2'S, OR STATE TAXES, AS WE CANNOT ACCEPT THESE DOCUMENTS.OR OPTION 2: IF PATIENT DID NOT FILE A CURRENT YEAR TAX RETURN, THEY WILL NEED TO GET A NON-FILING VERIFICATION LETTER FROM THE IRS. ADDITIONAL DOCUMENTS MIGHT ALSO BE REQUIRED:* MOST RECENT THREE (3) MONTHS WAGE STUBS FROM YOUR EMPLOYER. DO NOT SEND DIRECT DEPOSIT INFORMATION OR BANK STATEMENTS, AS WE NEED TO SEE THE GROSS PAY (BEFORE TAXES AND DEDUCTIONS ARE TAKEN OUT).* CURRENT YEAR SOCIAL SECURITY ADMINISTRATION AWARD LETTER, PLEASE DO NOT SEND BANK STATEMENTS.* CURRENT YEAR PENSION BENEFIT AWARD LETTER, PLEASE DO NOT SEND BANK STATEMENTS.* VETERANS AFFAIRS AWARD LETTER, PLEASE DO NOT SEND BANK STATEMENTS.* ANNUITY AWARD LETTER, PLEASE DO NOT SEND BANK STATEMENTS.* UNEMPLOYMENT BENEFITS LETTER, PLEASE DO NOT SEND BANK STATEMENTS.* CHILD SUPPORT AWARD LETTER, PLEASE DO NOT SEND BANK STATEMENTS.* ALIMONY AWARD LETTER OR COURT DOCUMENTS.* STUDENT FINANCIAL AID AWARD LETTER.* SHORT TERM DISABILITY BENEFITS AWARD LETTER, PLEASE DO NOT SEND BANK STATEMENTS.* LONG TERM DISABILITY BENEFITS AWARD LETTER, PLEASE DO NOT SEND BANK STATEMENTS.* A "BASIC NEEDS" LETTER THAT INDICATES HOW PERSONS WITH NO INCOME ARE MEETING THEIR DAY-TO-DAY BASIC LIVING NEEDS.THE FINANCIAL ASSISTANCE MATRIX IS AS FOLLOWS:BELOW 300% FPG RECEIVES 100% DISCOUNT301%-400% RECEIVES 65% DISCOUNTCATASTROPHIC DISCOUNT RECEIVES 100% OF BALANCES GREATER THAN 20% GROSS FAMILY INCOMEIF A PATIENT HAS NO INSURANCE COVERAGE, NO THIRD-PARTY LIABILITY, AND NO OTHER VIABLE THIRD-PARTY PAYMENT OPTIONS AVAILABLE THEN AN UNINSURED DISCOUNT OF 53% WILL BE APPLIED TO TOTAL ELIGIBLE BILLED CHARGES.PATIENTS WILL RECEIVE A DETERMINATION LETTER OR REQUEST FOR ADDITIONAL DOCUMENTS LETTER IN THE MAIL WITHIN 21 DAYS AFTER THE APPLICATION WAS RECEIVED. ANY OTHER POTENTIAL SOURCES OF PAYMENT, SUCH AS STATE MEDICAL INSURANCE, HEALTH SHARE COOP/COST SHARING, LIABILITY INSURANCE, WORKMAN'S COMP, ETC. MUST BE EXHAUSTED PRIOR TO RECEIVING DISCOUNTS. FINANCIAL ASSISTANCE IS THE OPTION OF LAST RESORT, AND YOU MUST COOPERATE WITH THE APPROVAL PROCESS OF ANY FUNDING SOLUTION THAT WOULD PAY THE PATIENT'S BILLS IN ORDER TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE. PRESUMPTIVE ELIGIBILITY AND DETERMINATION: SALEM HEALTH WILL SCREEN ANY PATIENT/GUARANTOR 1) WITHOUT PUBLIC OR PRIVATE HEALTH INSURANCE COVERAGE, 2) ENROLLED IN A STATE MEDICAL ASSISTANCE PROGRAM, OR 3) WHO WILL OWE THE HOSPITAL $500 OR MORE ON A SINGLE STATEMENT, PRIOR TO THEM RECEIVING A STATEMENT. WE WILL ALSO SCREEN ALL PATIENTS PRIOR TO SENDING TO COLLECTIONS.PRESUMPTIVE CHARITY DISCOUNTS ARE DETERMINED BASED ON THE FEDERAL POVERTY GUIDELINES (FPG) AND OREGON HOUSE BILL 3076. THE PRESUMPTIVE ELIGIBILITY SCREENING MAY INCLUDE A REVIEW OF:(A) EXISTING PATIENT RECORDS;(B) INFORMATION ROUTINELY COLLECTED DURING PATIENT REGISTRATION OR ADMISSION;(C) INFORMATION VOLUNTARILY SUPPLIED BY THE PATIENT;(D) PREVIOUS FINANCIAL ASSISTANCE ADJUSTMENTS; AND(E) EXISTING ELIGIBILITY FOR ASSISTANCE PROGRAMS. EXAMPLES INCLUDE, BUT ARE NOT LIMITED TO: MEDICAID, SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP), TEMPORARY ASSISTANCE FOR NEEDY FAMILIES (TANF), WOMEN, INFANTS AND CHILDREN (WIC), FREE LUNCH OR BREAKFAST PROGRAMS, LOW-INCOME HOME ENERGY ASSISTANCE PROGRAMS, OR ANY OTHER PROGRAM WHICH ARE MEANS TESTED AND WOULD REASONABLY REFLECT THE APPROXIMATE PATIENT HOUSEHOLD INCOME.BASED ON THE OUTCOME OF THE REVIEW, ADJUSTMENTS WILL BE APPLIED TO THE PATIENTS/GUARANTORS ACCOUNT PRIOR TO RECEIVING A BILLING STATEMENT IN ACCORDANCE WITH FINANCIAL MATRIX ABOVE.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 AND IN REGISTRATION AREAS.-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 PUBLICLY 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 WEB SITE. 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 RESOLVE 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: PATIENTS WILL RECEIVE A DETERMINATION LETTER OR REQUEST FOR ADDITIONAL DOCUMENTS LETTER IN THE MAIL WITHIN 21 DAYS AFTER WE RECEIVE YOUR APPLICATION. ANY OTHER POTENTIAL SOURCES OF PAYMENT, SUCH AS STATE MEDICAL INSURANCE, HEALTH SHARE COOP/COST SHARING, LIABILITY INSURANCE, WORKMAN'S COMP, ETC. MUST BE EXHAUSTED PRIOR TO RECEIVING DISCOUNTS. FINANCIAL ASSISTANCE IS THE OPTION OF LAST RESORT, AND YOU MUST COOPERATE WITH THE APPROVAL PROCESS OF ANY FUNDING SOLUTION THAT WOULD PAY THE PATIENT'S BILLS IN ORDER TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE. 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 HOSPITALS AND CLINICS 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 HOSPITALS AND CLINICS 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.

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 (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	PATIENTS ARE ELIGIBLE TO APPLY FOR FINANCIAL ASSISTANCE ANY TIME PRIOR, DURING, OR AFTER SERVICES ARE PROVIDED. CRITERIA CONSIDERED IN DETERMINING ELIGIBILITY IS BASED ON YOUR FAMILY SIZE AND HOUSEHOLD'S GROSS INCOME BASED ON FEDERAL POVERTY GUIDELINES (FPG). THE DEFINITION OF 'HOUSEHOLD'S GROSS INCOME' INCLUDES THE COMBINED GROSS MONTHLY INCOME OF ALL PERSONS LEGALLY RESPONSIBLE FOR PATIENT BILL OR BALANCE. THE FINANCIAL MATRIX IS AS FOLLOWS:BELOW 300% FPG RECEIVES 100% DISCOUNT301%-400% RECEIVES 65% DISCOUNTCATASTROPHIC DISCOUNT RECEIVES 100% OF BALANCES GREATER THAN 20% GROSS FAMILY INCOME.SUPPORTING DOCUMENTATION MAY INCLUDE THE FOLLOWING:* CURRENT YEAR FEDERAL TAX FILING INCLUDING ALL PAGES AND SCHEDULES* NON-FILING VERIFICATION LETTER FROM THE IRS* MOST RECENT THREE (3) MONTHS WAGE STUBS FROM YOUR EMPLOYER* CURRENT YEAR SOCIAL SECURITY ADMINISTRATION AWARD LETTER* CURRENT YEAR PENSION BENEFIT AWARD LETTER* VETERANS AFFAIRS AWARD LETTER* ANNUITY AWARD LETTER* UNEMPLOYMENT BENEFITS LETTER* CHILD SUPPORT AWARD LETTER* ALIMONY AWARD LETTER OR COURT DOCUMENTS* STUDENT FINANCIAL AID AWARD LETTER* SHORT TERM DISABILITY BENEFITS AWARD LETTER* LONG TERM DISABILITY BENEFITS AWARD LETTER* A "BASIC NEEDS" LETTER THAT INDICATES HOW PERSONS WITH NO INCOME ARE MEETING THEIR DAY-TO-DAY BASIC LIVING NEEDS VALIDATES THAT INFORMATION.AS OUTLINED IN SALEM HEALTH HOSPITALS AND CLINICS' 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 HOSPITALS AND CLINICS, INCLUDING SALEM HOSPITAL, 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, BUT SALEM HEALTH HOSPITALS AND CLINICS FREQUENTLY ADDRESS AND SUPPORT OTHER CRITICAL COMMUNITY NEEDS SUCH AS PERSONAL SAFETY, INJURY PREVENTION, ACCESS TO CARE AND CHRONIC DISEASE MANAGEMENT FOR VULNERABLE POPULATIONS. COMMUNITY WIDE TASK FORCES ARE IN PLACE TO ADDRESS THESE IDENTIFIED PRIORITIES, 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, THE BOYS AND GIRLS CLUB, UNITED WAY, YMCA, 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 (CHEC) 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, AND BOTH INSTRUCTION AND PRINTED MATERIALS ARE AVAILABLE IN SPANISH. 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 TO ENHANCE EXISTING NON-PROFIT ORGANIZATIONS WORK THAT ADDRESS NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. NEARLY $375,000 WAS INVESTED IN ORGANIZATIONS INCLUDING: FAMILY BUILDING BLOCKS, ST. JOSEPH SHELTER, CENTER FOR HOPE AND SAFETY, THE MID-WILLAMETTE VALLEY HOMELESS ALLIANCE MEDICAL TEAMS INTERNATIONAL, AMERICAN CANCER SOCIETY, WILLAMETTE HEALTH COUNCIL, NW HUMAN SERVICES, NEIGHBORS SERVING UNDER SHELTERED NEIGHBORS, NORTH MARION SERVICE INTEGRATION, ASSISTANCE LEAGUE, SALEM POLICE FOUNDATION, CENTER FOR HOPE AND SAFETY, FAMILY BUILDING BLOCKS, LIBERTY HOUSE, SALEM FIRE FOUNDATION, SANTIAM TEEN CENTER, SALVATION ARMY, PUNX WITH PURPOSE, RED CROSS, SALVATION ARMY, CASCADIA RADICAL FAERIE RESOURCES, IKE BOX, SALEM FREE CLINIC, YMCA, AND THE UNITED WAY.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 PAYERS.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, SECTION B. 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 $283,978,993 LESS MEDICARE ADVANTAGE COSTS OF $378,211,925 FOR A TOTAL ADDITIONAL COMMUNITY BENEFIT IN THE AMOUNT OF $94,232,931.
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 2:	PLEASE SEE ABOVE, PART V, SECTION B, LINE 11 NARRATIVE
PART VI, LINE 3:	PLEASE SEE ABOVE NARRATIVE, PART V, SECTION B, LINES 13-16
PART VI, LINE 4:	MARION AND POLK COUNTIES ARE 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. AS OF 2020 THERE WERE APPROXIMATELY 433,353 PEOPLE LIVING IN THE COMMUNITY OF MARION AND POLK COUNTIES, WHICH IS ABOUT 10% OF THE TOTAL STATE POPULATION. OF THOSE, IT IS ESTIMATED THAT 345,920 PEOPLE LIVE IN MARION AND 87,433 LIVE IN POLK. IN MARION COUNTY, 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, AND WILLAMINA, AS WELL AS A PORTION OF SALEM (WEST), THE COMPOSITE OF WHICH APPROXIMATELY 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. TRANSPORTATION CAN BE DIFFICULT GIVEN THE LIMITED PUBLIC TRANSPORTATION IN THESE RURAL AREAS.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 REGARDS 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. MARION AND POLK COUNTIES HAVE A HIGHER PERCENTAGE OF PEOPLE LIVING BELOW THE FEDERAL POVERTY LEVEL THAN OREGON AS A WHOLE. A GREATER PERCENTAGE OF FEMALES WERE LIVING IN POVERTY THAN MALES. ABOUT 1 IN 10 PEOPLE ARE FOOD INSECURE. 15% OF CHILDREN IN MARION COUNTY ARE FOOD INSECURE, WHICH IS THE HIGHEST RATE IN OREGON. 41% OF COMMUNITY MEMBERS WERE LIVING IN A FOOD DESERT COMPARED TO 18% IN POLK. TO BE CONSIDERED A FOOD DESERT, A CENSUS TRACT MUST BE DESIGNATED AS BOTH LOW-INCOME AND HAVE LOW ACCESS TO SUPERMARKETS OR LARGE GROCERY STORES WHERE HEALTHY FOODS ARE AVAILABLE. KEY FINDINGS FOR MARION & POLK COUNTIES: * A GREATER PERCENTAGE OF THE COMMUNITY POPULATION IS YOUNGER, UNDER THE AGE OF 25, THAN OREGON. IN COMING YEARS, THE COMMUNITY IS EXPECTED TO SHIFT, WITH A GREATER PERCENTAGE OF OLDER ADULTS MAKING UP THE POPULATION. * MARION COUNTY HAS A LARGER PERCENTAGE OF MEMBERS THAT IDENTIFIED AS HISPANIC OR LATINX THAN OREGON. ABOUT 28.7% IDENTIFIED AS HISPANIC/LATINX IN MARION, COMPARED TO 12.1% IN POLK AND 14.9% IN OREGON. * THE COMMUNITY HAS A HIGHER PERCENTAGE OF MEMBERS THAT SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME THAN OREGON. ROUGHLY, 1 IN 4 HOUSEHOLDS (25%) IN MARION SPEAK A LANGUAGE OTHER THAN ENGLISH, COMPARED WITH 12% IN POLK AND 15% IN OREGON. THE MOST COMMON LANGUAGES SPOKEN AFTER ENGLISH WERE SPANISH, VARIOUS ASIAN OR PACIFIC ISLANDER LANGUAGES, AND RUSSIAN. * ABOUT 15% OF COMMUNITY MEMBERS ARE LIVING WITH A DISABILITY, WHICH HAS BEEN DECREASING OVER TIME. THE MOST COMMON TYPES OF DISABILITIES IN THE COMMUNITY WERE DIFFICULTIES WALKING, LIVING ALONE, OR COGNITIVE. THE PROPORTION OF COMMUNITY MEMBERS LIVING WITH A DISABILITY DIFFERED BY RACE AND ETHNICITY. * ONE THIRD (33%) OF MARION COUNTY COMMUNITY MEMBERS LIVED OUTSIDE OF THE FIVE LARGEST CITIES IN MARION COUNTY. ABOUT 16% OF POLK COUNTY COMMUNITY MEMBERS LIVED OUTSIDE OF ITS LARGEST CITIES. * THE COMMUNITY IS GROWING, AGING, AND BECOMING MORE DIVERSE, A TREND THAT IS PREDICTED TO CONTINUE. POPULATION PROJECTIONS ESTIMATE THAT THERE WILL BE 500,000 COMMUNITY MEMBERS BY 2035. OLDER ADULTS WILL REPRESENT A GREATER PROPORTION OF THE OVERALL POPULATION IN THE FUTURE THAN THEY DO CURRENTLY.
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 LIBRARIAN IS ON STAFF TO ASSIST CLINICIANS WITH THE LATEST RESEARCH AND TREATMENT OPTIONS. HEALTH EDUCATORS PRESENT TO THE PUBLIC ON VARIOUS COMMUNITY HEALTH TOPICS ON REQUEST AND ATTEND OR HOST WELLNESS FAIRS, PROVIDING BIOMETRIC HEALTH SCREENING AND ADDITIONAL HEALTH INFORMATION. THE SALEM CANCER CENTER 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 (10 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)	$130,000	$0	IMPROVE SOCIAL DETERMINATE OF HEALTH
MEDICAL TEAMS INTERNATIONAL
14150 SW MILTON COURT	TIGARD	OR	97224	930878944	501(C)(3)	$35,500	$0	IMPROVE SOCIAL DETERMINATE OF HEALTH
WILLAMETTE HEALTH COUNCIL
PO BOX 3759	SALEM	OR	97302	842658002	501(C)(3)	$25,000	$0	IMPROVE SOCIAL DETERMINATE OF HEALTH
FAMILY BUILDING BLOCKS
2425 LANCASTER DR NE	SALEM	OR	97305	931233373	501(C)(3)	$23,000	$0	IMPROVE SOCIAL DETERMINATE OF HEALTH
CATHOLIC COMMUNITY SERVICES
3737 PORTLAND ROAD NE	SALEM	OR	97301	930388917	501(C)(3)	$20,000	$0	IMPROVE SOCIAL DETERMINATE OF HEALTH
POLK COUNTY FAMILY & OUTREACH
182 SW ACADEMY ST 220	DALLAS	OR	97338	936002310	GOVERNMENTAL ENTITY	$18,000	$0	IMPROVE SOCIAL DETERMINATE OF HEALTH
UNITED WAY OF THE MID-WILLAMETTE VALLEY
455 BLILER AVE NE	SALEM	OR	97301	930395586	501(C)(3)	$10,000	$0	IMPROVE SOCIAL DETERMINATE OF HEALTH
MID-WILLAMETTE VALLEY
2475 CENTER ST NE	SALEM	OR	97301	237056987	501(C)(3)	$8,000	$0	IMPROVE SOCIAL DETERMINATE OF HEALTH
CAPITAL FUTBOL CLUB
1678 LIBERTY ST SE	SALEM	OR	97302	931069211	501(C)(3)	$7,500	$0	IMPROVE SOCIAL DETERMINATE OF HEALTH
PSYCHIATRIC CRISIS CENTER
PO BOX 14500	SALEM	OR	97309	936002307	MARION COUNTY	$0	$1,534,471	ACCESS TO MEDICAL SERVICES	OVERHEAD COSTS	USE OF SPACE

Field	Value	IRS element (for citing)
Total501c3 Org	9	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

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	Yes (1)	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	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (21 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	$1,053,743	$0	$275,391	$0	$344,489	$0	$28,050	$0	$15,149	$0	$1,716,822	$0	$320,387	$0
JUAN R OYARZUN MD
DIR. CARDIOTHORATIC MEDICINE	$1,246,733	$0	$0	$0	$77,332	$0	$51,530	$0	$9,807	$0	$1,385,402	$0	$35,848	$0
NERVIN H FANOUS MD
CARDIOTHORACIC SURGEON	$1,134,748	$0	$0	$0	$40,022	$0	$51,530	$0	$8,138	$0	$1,234,438	$0	$36,020	$0
LOGAN P PRIOLLAUD
CARDIAC ANESTHESIOLOGIST	$869,669	$0	$0	$0	$35,880	$0	$60,035	$0	$24,312	$0	$989,896	$0	$20,000	$0
LEAH M MITCHELL
EVP OF OPERATIONS & CIO	$813,013	$0	$0	$0	$44,701	$0	$84,724	$0	$25,273	$0	$967,711	$0	$40,622	$0
JAMES K PARR
EVP OF OPERATIONS & CFO	$804,313	$0	$0	$0	$52,049	$0	$84,724	$0	$24,594	$0	$965,680	$0	$49,349	$0
MATTHEW S BOLES
VP MEDICAL AFFAIRS	$752,512	$0	$0	$0	$98,613	$0	$71,349	$0	$23,503	$0	$945,977	$0	$38,087	$0
NESTER F MERCADO
MED DIRECTOR CATH LAB OPS	$800,458	$0	$0	$0	$38,949	$0	$45,800	$0	$24,435	$0	$909,642	$0	$0	$0
MICHAEL SCHIEDLER
CARDIOLOGIST INTERVENTIONAL	$768,201	$0	$0	$0	$21,740	$0	$44,195	$0	$25,402	$0	$859,538	$0	$0	$0
RALPH A YATES
CMO SALEM HEALTH	$625,964	$0	$0	$0	$66,797	$0	$21,450	$0	$15,950	$0	$730,161	$0	$43,574	$0
CHRISTINE G CLARKE MD
SHMG CHIEF MEDICAL OFFICER	$606,106	$0	$0	$0	$52,586	$0	$62,519	$0	$79	$0	$721,290	$0	$0	$0
SARAH HORN
SR VP & CHIEF NURSING & CLINICAL OPS	$586,644	$0	$0	$0	$32,823	$0	$67,488	$0	$24,595	$0	$711,550	$0	$31,023	$0
JONATHAN H BAUER
CHIEF LEGAL OFFICER	$594,072	$0	$0	$0	$1,800	$0	$60,121	$0	$24,596	$0	$680,589	$0	$0	$0
KATHERINE A DOBLER
VP MEDICAL GROUP	$460,256	$0	$0	$0	$20,240	$0	$50,546	$0	$14,823	$0	$545,865	$0	$17,540	$0
SHEA M CORUM
CHIEF INFORMATION OFFICER	$430,878	$0	$0	$0	$25,764	$0	$51,891	$0	$25,272	$0	$533,805	$0	$24,144	$0
JAIME L NICHOLS
CHIEF HUMAN RESOURCES OFFICER	$385,120	$0	$0	$0	$11,257	$0	$55,394	$0	$24,593	$0	$476,364	$0	$8,557	$0
JENNIFER R FOWLER
VP FINANCE	$371,169	$0	$0	$0	$11,826	$0	$54,445	$0	$24,473	$0	$461,913	$0	$10,308	$0
LEILANI R SLAMA
VP COMMUNITY ENGAGEMENT	$331,559	$0	$0	$0	$27,578	$0	$45,069	$0	$25,272	$0	$429,478	$0	$20,486	$0
AMIE M WITTENBERG
VP CLINICAL OPERATIONS	$346,327	$0	$0	$0	$3,502	$0	$46,053	$0	$24,473	$0	$420,355	$0	$0	$0
JAMES R BAUER
CHIEF DEVELOPMENT OFFICER	$334,187	$0	$0	$0	$15,204	$0	$41,825	$0	$15,950	$0	$407,166	$0	$4,531	$0
ZENNIA B CENIZA
FORMER VP CLINICAL OPERATIONS	$0	$0	$0	$0	$264,358	$0	$0	$0	$0	$0	$264,358	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3	THE BOARD OF TRUSTEES WHO ESTABLISH CEO COMPENSATION IS THE SAME BOARD FOR SALEM HEALTH AND SALEM HEALTH WEST VALLEY.
PART I, LINES 4A-B	THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS WHICH ARE REPORTED IN PART II, COLUMN B(III): ZENNIA CENIZA: $264,358 SOME OF THE HOSPITAL'S INDIVIDUALS 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: AMIE M WITTENBERG: $24,603 CHRISTINE CLARKE: $41,069 JAIME L NICHOLS: $27,344 JAMES PARR: $56,674 JAMES BAUER: $23,676 JENNIFER FOWLER: $26,395 JONATHAN BAUER: $41,971 JUAN OYARZUN: $30,080 KATHERINE DOBLER: $32,396 LEAH MITCHELL: $56,674 LEILANI SLAMA: $23,619 LOGAN PRIOLLAUD: $41,885 MATTHEW BOLES: $53,199 MICHAEL SCHIEDLER: $26,045 NERVIN FANOUS: $30,080 NESTER MERCADO: $27,650 SARAH HORN: $39,438 SHEA CORUM: $30,441
PART I, LINE 7	THE SALEM HEALTH HOSPITALS AND CLINICS BOARD OF TRUSTEES ESTABLISHES ANNUAL PERFORMANCE GOALS FOR THE CEO AT THE BEGINNING OF EACH FISCAL YEAR. AT THE END OF THE FISCAL YEAR, THE BOARD INDEPENDENTLY EVALUATES THE CEO'S PERFORMANCE AGAINST THESE GOALS AND, AT ITS SOLE DISCRETION, DETERMINES AND AWARDS AN APPROPRIATE BONUS BASED ON THE EXTENT TO WHICH THE GOALS WERE MET.

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	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr
A	$25,130,000	$216,072,022	$1,650,101	$214,421,922	Yes (1)	Yes (1)	Yes (1)	Yes (1)
B	$25,805,000	$326,721,472	$2,118,839	$84,034,597	Yes (1)	0	0	Yes (1)	$240,568,046	2023

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)	0.00400	0.00000	0.00400	0	0	Yes (1)
B	0	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00100		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)	Yes (1)	0	0	Yes (1)	0	Yes (1)	LANDESBAN	2.000000000000	0

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:

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 3 - THE TOTAL PROCEEDS SHOWN IN PART II, LINE 3 DIFFERS FROM THE ISSUE PRICE SHOWN IN PART I, (E) DUE TO INTEREST EARNINGS ON INVESTED PROCEEDS. 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 9/06/2024 SHOWS NO REBATE DUE.

COLUMN B:

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 ORIGINALLY ISSUED ON NOVEMBER 13, 2008, TO MAKE IMPROVEMENTS TO THE BORROWER'S HEALTH CARE FACILITIES AND TO PAY COSTS OF ISSUANCE ON THE BONDS. PART II, LINE 3 - THE TOTAL PROCEEDS SHOWN IN PART II, LINE 3 DIFFERS FROM THE ISSUE PRICE SHOWN IN PART I, (E) DUE TO INTEREST EARNINGS ON INVESTED PROCEEDS. PART II, LINE 11: INCLUDES A PAYMENT IN CONNECTION WITH THE TERMINATION 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. PART IV, LINES 2(C): BLX INTERIM ARBITRAGE REBATE ANALYSIS DATED 10/10/2023 SHOWS NO REBATE DUE.

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. THE ORGANIZATION MAINTAINS A RIGOROUS CONFLICT OF INTEREST POLICY TO ENSURE TRANSPARENCY AND INTEGRITY IN DECISION-MAKING. AT EACH BOARD AND COMMITTEE MEETING, MEMBERS ARE ASKED TO DISCLOSE ANY CONFLICTS OF INTEREST AT THE OUTSET OR AS THEY ARISE. IF A CONFLICT IS DECLARED OR PERCEIVED, THE AFFECTED BOARD MEMBER ABSTAINS FROM VOTING AND MAY BE EXCUSED FROM DISCUSSIONS RELATED TO THE CONFLICT. ADDITIONALLY, ALL BOARD MEMBERS MUST SUBMIT AN ANNUAL CONFLICT OF INTEREST DISCLOSURE DETAILING POTENTIAL CONFLICTS, INCLUDING FINANCIAL AND OWNERSHIP INTERESTS FOR THEMSELVES AND THEIR FAMILY MEMBERS. PHYSICIAN BOARD MEMBERS WHO ALSO SERVE ON THE MEDICAL STAFF OF SALEM HOSPITAL OR WEST VALLEY HOSPITAL ARE EXCLUDED FROM PARTICIPATING IN DECISIONS RELATED TO CEO COMPENSATION.
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 2023. 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 1,200,417. CHANGE IN NET BENEFICIAL INTEREST IN FOUNDATION -2,996,835.

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 (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
WILLAMETTE SURGERY CENTER LLC
1445 STATE STREET	SALEM	OR	97301	260018738	SURGERY CENTER	OR	SALEM HEALTH	RELATED	$1,818,828	$3,601,995	0	Yes (1)	1.00000
WSC BUILDING GROUP LLC
1445 STATE STREET	SALEM	OR	97301	871401703	SURGERY CENTER REAL ESTATE	OR	SALEM HEALTH	RELATED	-$55,504	$13,842,134	0	Yes (1)	1.00000

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	$544,136	0.05520	0
PACIFIC MEDICAL CONDOMINIUM UNIT OWNERS
890 OAK STREET	SALEM	OR	97301	454353791	OWNERS ASSN	OR		C	$1,852,482	0.71590	0	SALEM HEALTH	$1,483,759

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

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
SALEM HEALTH HOSPITALS & CLINICS
A	$101,543	CASH
SALEM HEALTH HOSPITALS & CLINICS
A	$46,233,235	CASH