2025-05-06T09:58:28-05:00 2024-06-30 135565207 KPMG LLP 1300 SW 5TH AVENUE SUITE 3800 PORTLAND OR 97201 990 2023-07-01 930579722 SALEM HEALTH SALE 5038141938 890 OAK STREET SALEM OR 97301 JAMES PARR EVP OF OPERATIONS & CFO 5038141938 2025-05-05 1 1 ZELJKO POPOVIC P01795951 5032216500 2025-05-06 2023 2025-03-06 01:10:19Z JAMES PARR 890 OAK STREET SALEM OR 97301 1144647007 0 X WWW.SALEMHEALTH.ORG X 1970 OR TO IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE IN THE COMMUNITIES WE SERVE. 13 13 6384 328 5006567 131775 3984154 3853751 1003264664 1138264203 608566 1638647 -2579434 -2295473 1005277950 1141461128 733851 415082 0 0 594391450 711866562 0 0 0 487607528 481602028 1082732829 1193883672 -77454879 -52422544 2919561597 1663640361 1960816350 759708663 958745247 903931698 TO IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE AND COMMUNITIES WE SERVE. 0 0 561859783 415082 882501367 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. 306742293 215495953 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. 85873624 40266883 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. 954475700 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 350 0 1 6384 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 13 13 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 OR X SALEM HEALTH 5038141938 890 OAK STREET SALEM OR 97301 KATHERINE L KEENE CHAIR ELECT 3.90 1.10 X 0 0 0 ALAN WYNN SECRETARY/TREASURER 2.40 0.70 X X 0 0 0 RICARDO LINARES TRUSTEE 2.30 0.70 X 0 0 0 JOHN COMBES MD CHAIR 3.70 2.30 X X 0 0 0 JENN COLUMBUS TRUSTEE 2.30 0.70 X 0 0 0 DAVID HARRISON MD TRUSTEE 2.30 0.70 X 0 0 0 THERESA HASKINS TRUSTEE 2.70 0.80 X 0 0 0 PHIL JACKSON TRUSTEE 2.30 0.70 X 0 0 0 LANE SHETTERLY PAST CHAIR 3.70 2.30 X 0 0 0 ROBERT KELLY MD TRUSTEE 3.50 1.00 X 0 0 0 ANGELICA VEGA TRUSTEE 3.23 0.60 X 0 0 0 MARK ZOOK TRUSTEE 3.90 1.00 X 0 0 0 ANNETTE CAMPISTA TRUSTEE 3.23 0.60 X 0 0 0 CHERYL R NESTER WOLFE PRESIDENT & CEO 31.90 9.10 X 1673623 0 43199 JAMES K PARR EVP OF OPERATIONS & CFO 36.00 4.00 X 856362 0 109318 LEAH M MITCHELL EVP OF OPERATIONS & CIO 40.00 0.00 X 857714 0 109997 RALPH A YATES CMO SALEM HEALTH 40.00 0.00 X 692761 0 37400 MATTHEW S BOLES VP MEDICAL AFFAIRS 40.00 0.00 X 851125 0 94852 JONATHAN H BAUER CHIEF LEGAL OFFICER 40.00 0.00 X 595872 0 84717 SARAH HORN SR VP & CHIEF NURSING & CLINICAL OPS 40.00 0.00 X 619467 0 92083 CHRISTINE G CLARKE MD SHMG CHIEF MEDICAL OFFICER 40.00 0.00 X 658692 0 62598 KATHERINE A DOBLER VP MEDICAL GROUP 40.00 0.00 X 480496 0 65369 SHEA M CORUM CHIEF INFORMATION OFFICER 40.00 0.00 X 456642 0 77163 JAIME L NICHOLS CHIEF HUMAN RESOURCES OFFICER 40.00 0.00 X 396377 0 79987 LEILANI R SLAMA VP COMMUNITY ENGAGEMENT 40.00 0.00 X 359137 0 70341 JENNIFER R FOWLER VP FINANCE 40.00 0.00 X 382995 0 78918 JAMES R BAUER CHIEF DEVELOPMENT OFFICER 39.00 1.00 X 349391 0 57775 AMIE M WITTENBERG VP CLINICAL OPERATIONS 40.00 0.00 X 349829 0 70526 JUAN R OYARZUN MD DIR. CARDIOTHORATIC MEDICINE 40.00 0.00 X 1324065 0 61337 NERVIN H FANOUS MD CARDIOTHORACIC SURGEON 40.00 0.00 X 1174770 0 59668 NESTER F MERCADO MED DIRECTOR CATH LAB OPS 40.00 0.00 X 839407 0 70235 LOGAN P PRIOLLAUD CARDIAC ANESTHESIOLOGIST 40.00 0.00 X 905549 0 84347 MICHAEL SCHIEDLER CARDIOLOGIST INTERVENTIONAL 40.00 0.00 X 789941 0 69597 ZENNIA B CENIZA FORMER VP CLINICAL OPERATIONS 0.00 0.00 X 264358 0 0 14878573 0 1479427 1714 1 1 0 AYA HEALTHCARE INC PO BOX 674907 DALLAS TX 752674907 CONTRACT LABOR 51077497 LOCUM TENENS PO BOX 405547 ATLANTA GA 303845547 CONTRACT LABOR 2952428 ARUP LABORATORIES PO BOX 27964 SALT LAKE CITY UT 84127 CONTRACT LABOR 2666228 CLOUDMED SOLUTIONS LLC PO BOX 208272 DALLAS TX 752308272 IT SUPPORT 1579355 OREGON COMMUNITY IMAGING 2925 RYAN DR SE SALEM OR 97301 IMAGING SERVICES 1548462 47 3853751 3853751 PATIENT SERVICE REV 621110 1097794812 1097794812 OTHER HOSPITAL SERVICE 900099 19613331 19507547 105784 PHARMACY 456110 12896214 8439603 4456611 NUTRITION SERVICES 722210 7515674 7515674 REGIONAL LAB 621500 444172 0 444172 1138264203 1489923 1489923 890406 3185879 -2295473 -2295473 -2295473 148724 0 148724 148724 148724 1141461128 1133257636 5006567 -656826 415082 415082 11673188 11673188 544127874 450243480 93884394 116189589 94122895 22066694 39875911 32302689 7573222 1749030 1749030 1213950 1213950 470994 470994 38750 38750 77350431 62661365 14689066 406477 406477 10936083 8859105 2076978 11309704 9161768 2147936 78383473 63496906 14886567 1281622 1038217 243405 934823 757282 177541 16960673 16960673 25309396 25309396 4977894 4977894 PATIENT SUPPLIES 145313243 117715393 27597850 PROVIDER TAX 59238053 59238053 OTHER PURCHASED SERVICE 19569739 19569739 BAD DEBTS 15874553 15874553 10283140 9584330 698810 1193883672 954475700 239407972 0 384969 437949 32853587 20006837 131995781 158444811 149412 359380 9538556 11163629 15292452 13180847 441333586 312159658 133500910 129173928 2495816005 1189799528 41841631 65176263 14747485 14747485 43440809 61149704 2919561597 1663640361 1461796522 263741663 15030872 23573600 478858007 466674843 5130949 5718557 1960816350 759708663 X 951676849 899860134 7068398 4071564 958745247 903931698 2919561597 1663640361 X -52422544 -594587 -1796418 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 38750 38750 954436950 954475700 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 82500 107050 23250 38750 251550 250000 250000 250000 250000 1000000 1500000 SCHEDULE C, PART II-A: 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. 7093181 872853 7731 3912487 4061278 6507711 718810 37875 171215 7093181 4671547 1679881 305766 149483 6507711 4558231 208895 154802 250381 4671547 2981742 1758933 -1293 181151 4558231 1.00000 0 1 1 392417222 301650414 90766808 48916364 10509244 38407120 129173928 ACCRUED MALPRACTICE INSURANCE 5438724 OTHER LIABILITIES 279833 5718557 X 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. 1 1 X 1 X 300.000000000000 1 X 1 1 0 1 1 43028 19284164 19284164 0.01640 195021 287458129 215495953 71962176 0.06110 238049 306742293 215495953 91246340 0.07750 19408 2310646 38240 2272406 0.00190 770 7852920 6600 7846320 0.00670 74902492 40222043 34680449 0.02940 96602 0 96602 0.00010 44136 710964 0 710964 0.00060 64314 85873624 40266883 45606741 0.03870 302363 392615917 255762836 136853081 0.11620 70782 70782 0.00010 3427160 3427160 0.00290 3497942 3497942 0.00300 1 15874553 2712954 135083045 110394481 24688564 X 1 NONE 1 1 SALEM HEALTH 890 OAK STREET SALEM OR 97301 14-1428 X X X SALEM HEALTH 1 0 0 1 X X X X X X X X X X 22 1 1 1 1 X SEE PART V, SECTION C X WWW.CO.POLK.OR.US/PH/COMMUNITY-HEALTH-ASSESSMENT-CHA X X 1 22 1 SEE PART V, SECTION C 0 1 X 300.000000000000 400.000000000000 X X X X X 1 1 X X X X 1 X HTTP://WWW.SALEMHEALTH.ORG/ABOUT/CHARITY-CARE-AND-FINANCIAL-POLICY X HTTP://WWW.SALEMHEALTH.ORG/ABOUT/CHARITY-CARE-AND-FINANCIAL-POLICY X HTTP://WWW.SALEMHEALTH.ORG/ABOUT/CHARITY-CARE-AND-FINANCIAL-POLICY X X X X X X X 1 X 0 X X X X X 1 X 0 0 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. 12 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 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 1 SALEM FREE CLINIC 1300 BROADWAY ST NE SALEM OR 97301 203549992 501(C)(3) 130000 0 IMPROVE SOCIAL DETERMINATE OF HEALTH MEDICAL TEAMS INTERNATIONAL 14150 SW MILTON COURT TIGARD OR 97224 930878944 501(C)(3) 35500 0 IMPROVE SOCIAL DETERMINATE OF HEALTH WILLAMETTE HEALTH COUNCIL PO BOX 3759 SALEM OR 97302 842658002 501(C)(3) 25000 0 IMPROVE SOCIAL DETERMINATE OF HEALTH FAMILY BUILDING BLOCKS 2425 LANCASTER DR NE SALEM OR 97305 931233373 501(C)(3) 23000 0 IMPROVE SOCIAL DETERMINATE OF HEALTH CATHOLIC COMMUNITY SERVICES 3737 PORTLAND ROAD NE SALEM OR 97301 930388917 501(C)(3) 20000 0 IMPROVE SOCIAL DETERMINATE OF HEALTH POLK COUNTY FAMILY & OUTREACH 182 SW ACADEMY ST 220 DALLAS OR 97338 936002310 GOVERNMENTAL ENTITY 18000 0 IMPROVE SOCIAL DETERMINATE OF HEALTH UNITED WAY OF THE MID-WILLAMETTE VALLEY 455 BLILER AVE NE SALEM OR 97301 930395586 501(C)(3) 10000 0 IMPROVE SOCIAL DETERMINATE OF HEALTH MID-WILLAMETTE VALLEY 2475 CENTER ST NE SALEM OR 97301 237056987 501(C)(3) 8000 0 IMPROVE SOCIAL DETERMINATE OF HEALTH CAPITAL FUTBOL CLUB 1678 LIBERTY ST SE SALEM OR 97302 931069211 501(C)(3) 7500 0 IMPROVE SOCIAL DETERMINATE OF HEALTH PSYCHIATRIC CRISIS CENTER PO BOX 14500 SALEM OR 97309 936002307 MARION COUNTY 0 1534471 OVERHEAD COSTS USE OF SPACE ACCESS TO MEDICAL SERVICES 9 1 PART I, LINE 2: GRANTS ARE ONLY MADE TO QUALIFIED EXEMPT ORGANIZATIONS. BECAUSE DOCUMENTATION AND AUTHORIZATION IS CAREFULLY EXAMINED BEFORE A GRANT IS GIVEN, AND THE PURPOSES FOR A GRANT ARE KNOWN BEFORE IT IS AWARDED, NO ADDITIONAL FOLLOW UP IS PERFORMED TO FIND OUT HOW THE GRANT WAS USED. X X X X 1 1 0 0 0 0 0 1 0 CHERYL R NESTER WOLFE PRESIDENT & CEO 1053743 0 275391 0 344489 0 28050 0 15149 0 1716822 0 320387 0 JUAN R OYARZUN MD DIR. CARDIOTHORATIC MEDICINE 1246733 0 0 0 77332 0 51530 0 9807 0 1385402 0 35848 0 NERVIN H FANOUS MD CARDIOTHORACIC SURGEON 1134748 0 0 0 40022 0 51530 0 8138 0 1234438 0 36020 0 LOGAN P PRIOLLAUD CARDIAC ANESTHESIOLOGIST 869669 0 0 0 35880 0 60035 0 24312 0 989896 0 20000 0 LEAH M MITCHELL EVP OF OPERATIONS & CIO 813013 0 0 0 44701 0 84724 0 25273 0 967711 0 40622 0 JAMES K PARR EVP OF OPERATIONS & CFO 804313 0 0 0 52049 0 84724 0 24594 0 965680 0 49349 0 MATTHEW S BOLES VP MEDICAL AFFAIRS 752512 0 0 0 98613 0 71349 0 23503 0 945977 0 38087 0 NESTER F MERCADO MED DIRECTOR CATH LAB OPS 800458 0 0 0 38949 0 45800 0 24435 0 909642 0 0 0 MICHAEL SCHIEDLER CARDIOLOGIST INTERVENTIONAL 768201 0 0 0 21740 0 44195 0 25402 0 859538 0 0 0 RALPH A YATES CMO SALEM HEALTH 625964 0 0 0 66797 0 21450 0 15950 0 730161 0 43574 0 CHRISTINE G CLARKE MD SHMG CHIEF MEDICAL OFFICER 606106 0 0 0 52586 0 62519 0 79 0 721290 0 0 0 SARAH HORN SR VP & CHIEF NURSING & CLINICAL OPS 586644 0 0 0 32823 0 67488 0 24595 0 711550 0 31023 0 JONATHAN H BAUER CHIEF LEGAL OFFICER 594072 0 0 0 1800 0 60121 0 24596 0 680589 0 0 0 KATHERINE A DOBLER VP MEDICAL GROUP 460256 0 0 0 20240 0 50546 0 14823 0 545865 0 17540 0 SHEA M CORUM CHIEF INFORMATION OFFICER 430878 0 0 0 25764 0 51891 0 25272 0 533805 0 24144 0 JAIME L NICHOLS CHIEF HUMAN RESOURCES OFFICER 385120 0 0 0 11257 0 55394 0 24593 0 476364 0 8557 0 JENNIFER R FOWLER VP FINANCE 371169 0 0 0 11826 0 54445 0 24473 0 461913 0 10308 0 LEILANI R SLAMA VP COMMUNITY ENGAGEMENT 331559 0 0 0 27578 0 45069 0 25272 0 429478 0 20486 0 AMIE M WITTENBERG VP CLINICAL OPERATIONS 346327 0 0 0 3502 0 46053 0 24473 0 420355 0 0 0 JAMES R BAUER CHIEF DEVELOPMENT OFFICER 334187 0 0 0 15204 0 41825 0 15950 0 407166 0 4531 0 ZENNIA B CENIZA FORMER VP CLINICAL OPERATIONS 0 0 0 0 264358 0 0 0 0 0 264358 0 0 0 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. A HOSPITAL FACILITY AUTHORITY OF THE CITY OF SALEM 521542796 794458EL9 2016-11-01 215638877 SEE PART VI 0 0 0 B HOSPITAL FACILITY AUTHORITY OF THE CITY OF SALEM 521542796 794458FX2 2019-10-29 321418462 SEE PART VI 0 0 0 A 25130000 216072022 1650101 214421922 1 1 1 1 B 25805000 326721472 2118839 240568046 84034597 2023 1 0 0 1 A 0 1 1 1 1 1 0.00400 0.00000 0.00400 0 0 1 B 0 1 1 1 1 1 0.00100 0.00100 0 0 1 A 0 0 1 1 0 0 0 0 1 B 0 1 1 1 0 0 1 BAYERISCHE LANDESBAN 2.000000000000 0 0 1 A 1 B 1 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. 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. 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 N/A 0 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 WILLAMETTE SURGERY CENTER LLC 1445 STATE STREET SALEM OR 97301 260018738 SURGERY CENTER OR SALEM HEALTH RELATED 1818828 3601995 0 1 1.00000 WSC BUILDING GROUP LLC 1445 STATE STREET SALEM OR 97301 871401703 SURGERY CENTER REAL ESTATE OR SALEM HEALTH RELATED -55504 13842134 0 1 1.00000 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 544136 0.05520 0 PACIFIC MEDICAL CONDOMINIUM UNIT OWNERS 890 OAK STREET SALEM OR 97301 454353791 OWNERS ASSN OR SALEM HEALTH C 1852482 1483759 0.71590 0 1 0 1 1 0 0 0 0 0 1 0 0 1 1 1 1 1 1 1 SALEM HEALTH HOSPITALS & CLINICS A 101543 CASH SALEM HEALTH HOSPITALS & CLINICS A 46233235 CASH