SALEM HEALTH WEST VALLEY: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: SALEM HEALTH WEST VALLEY (EIN 43-1960221)
Tax period: 2023-07-01 to 2024-06-30
Filed: 2025-05-06
IRS object ID: 202531269349301533
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 D
Schedule H
Schedule I
Schedule J
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	431960221	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SALEM HEALTH WEST VALLEY	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	525 SOUTHEAST WASHINGTON ST	AddressLine1Txt
City	DALLAS	CityNm
State Abbreviation	OR	StateAbbreviationCd
ZIP	97338	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	525 SOUTHEAST WASHINGTON ST	AddressLine1Txt
City	DALLAS	CityNm
State Abbreviation	OR	StateAbbreviationCd
ZIP	97338	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$101,202,297	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	2002	FormationYr
Legal Domicile State	OR	LegalDomicileStateCd
Activity Or Mission	WE STRIVE TO IMPROVE THE HEALTH AND WELL BEING OF THE PEOPLE AND COMMUNITY WE SERVE.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	358	TotalEmployeeCnt
Total Volunteers	14	TotalVolunteersCnt
Total Gross UBI	$13,818	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$2,586	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$20,631	PYContributionsGrantsAmt
CY Contributions Grants	$40,889	CYContributionsGrantsAmt
PY Program Service Revenue	$80,137,713	PYProgramServiceRevenueAmt
CY Program Service Revenue	$100,970,256	CYProgramServiceRevenueAmt
PY Investment Income	$20,900	PYInvestmentIncomeAmt
CY Investment Income	$191,152	CYInvestmentIncomeAmt
PY Other Revenue	$0	PYOtherRevenueAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$80,179,244	PYTotalRevenueAmt
CY Total Revenue	$101,202,297	CYTotalRevenueAmt
PY Grants And Similar Paid	$20,769	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$11,547	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$27,411,428	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$33,015,010	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$32,766,801	PYOtherExpensesAmt
CY Other Expenses	$30,803,715	CYOtherExpensesAmt
PY Total Expenses	$60,198,998	PYTotalExpensesAmt
CY Total Expenses	$63,830,272	CYTotalExpensesAmt
PY Revenues Less Expenses	$19,980,246	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$37,372,025	CYRevenuesLessExpensesAmt
Total Assets BOY	$211,555,335	TotalAssetsBOYAmt
Total Assets EOY	$120,113,347	TotalAssetsEOYAmt
Total Liabilities BOY	$141,108,876	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$12,294,617	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$70,446,459	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$107,818,730	NetAssetsOrFundBalancesEOYAmt
Mission	TO IMPROVE THE HEALTH AND WELL BEING OF THE PEOPLE IN THE COMMUNITIES WE SERVE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$50,925,979	ExpenseAmt
Revenue	$99,160,159	RevenueAmt
Desc	SALEM HEALTH WEST VALLEY IS A CRITICAL ACCESS HOSPITAL SERVING THE RURAL POLK COUNTY REGION WITH A POPULATION OF 88,799. SERVICES INCLUDE: DIAGNOSTIC IMAGING PROCEDURES 39,885, EMERGENCY DEPARTMENT VISITS 20,162, INPATIENT ADMISSIONS 572, LABORATORY TESTS / DRAWS 286,919, SURGERIES 475.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$1,303,167	ExpenseAmt
Revenue	$0	RevenueAmt
Desc	SALEM HEALTH WEST VALLEY PROVIDES HEALTHCARE TO PEOPLE IN OUR COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY IN THE 12 MONTHS ENDED 06/30/2024, THE COST OF SERVICES PROVIDED AS A COMMUNITY BENEFIT TOTALED $1,303.167. THIS FIGURE CONSISTED OF $1,303,167 IN COSTS TO PROVIDE CHARITY CARE TO INDIVIDUALS WHO CANNOT AFFORD TO PAY.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$2,301,996	ExpenseAmt
Revenue	$1,821,297	RevenueAmt
Desc	SALEM HEALTH WEST VALLEY ACTIVELY PARTICIPATES IN COMMUNITY HEALTH IMPROVEMENT SERVICES. IN THE 12 MONTHS ENDED 06/30/2024, SALEM HEALTH WEST VALLEY GAVE $11,547 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.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$54,531,142	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	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	Yes (1)	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	0	TaxExemptBondsInd
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	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	46	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	358	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	0	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 SE	AddressLine1Txt
City	SALEM	CityNm
State Abbreviation	OR	StateAbbreviationCd
ZIP	97301	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
JOHN COMBES MD
CHAIR	0.60	3.40	Yes (X)	Yes (X)	$0	$0	$0
ALAN WYNN
SECRETARY/TREASURER	0.40	2.70	Yes (X)	Yes (X)	$0	$0	$0
JENN COLUMBUS
TRUSTEE	0.40	2.50	Yes (X)		$0	$0	$0
KATHERINE L KEENE
CHAIR-ELECT	0.70	4.30	Yes (X)		$0	$0	$0
LANE SHETTERLY
PAST-CHAIR	0.80	5.20	Yes (X)		$0	$0	$0
ANGELICA VEGA
TRUSTEE	0.30	4.70	Yes (X)		$0	$0	$0
DAVID HARRISON MD
TRUSTEE	0.40	2.60	Yes (X)		$0	$0	$0
PHIL JACKSON
TRUSTEE	0.40	2.60	Yes (X)		$0	$0	$0
ROBERT KELLY MD
TRUSTEE	0.70	3.80	Yes (X)		$0	$0	$0
THERESA HASKINS
TRUSTEE	0.50	3.00	Yes (X)		$0	$0	$0
RIC LINARES
TRUSTEE	0.40	2.60	Yes (X)		$0	$0	$0
MARK ZOOK
TRUSTEE	0.70	4.20	Yes (X)		$0	$0	$0
ANNETTE CAMPISTA
TRUSTEE	0.20	3.30	Yes (X)		$0	$0	$0
CHERYL NESTER WOLFE
PRESIDENT & CEO	6.00	34.00		Yes (X)	$0	$1,673,623	$43,199
JAMES PARR
EVP OF OPERATIONS & CFO	3.00	37.00		Yes (X)	$0	$856,362	$109,318
SEVEN J HILL
WVH IMAGING LEAD	40.00	0.00			$222,489	$0	$23,555	Yes (X)
MARY S PLACEK
FAMILY PRACTITIONER	40.00	0.00			$383,905	$0	$59,538	Yes (X)
MATTHEW E MARTIN
WVH IMAGING LEAD	40.00	0.00			$202,627	$0	$41,142	Yes (X)
AMANI M ABUJAME
PHARMACIST	40.00	0.00			$196,051	$0	$10,928	Yes (X)
MARGIE L HUGGINS
CLINICAL NURSE BSN	40.00	0.00			$207,974	$0	$25,089	Yes (X)
BRANDON SCHMIDGALL
FORMER CHIEF ADMIN. OFFICER	0.00	0.00			$320,486	$0	$17,776		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,533,532	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,529,985	TotReportableCompRltdOrgAmt
Total Other Compensation	$330,545	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	68	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
SCOTT EDWARDS ARCHITECTURE LLP
2525 E BURNSIDE STREET	PORTLAND	OR	97214	ARCHITECTURAL SERVICES	$1,328,215
AYA HEALTHCARE INC
PO BOX 674907	DALLAS	TX	752674907	CONTRACT LABOR	$1,028,918
ARUP LABORATORIES
PO BOX 27964	SALT LAKE CITY	UT	84127	LABORATORY TESTING SERVICES	$363,053
THE NETWORK ORGANIZATION LLC
PO BOX 3974	SALEM	OR	97302	REAL ESTATE MGMT SERVICES	$315,967
TODD HIXSON
490 LEFFELLE ST S	SALEM	OR	97302	PROVIDER SERVICES	$167,816

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	5	CntrctRcvdGreaterThan100KCnt
Related Organizations	$40,889	RelatedOrganizationsAmt
Total Contributions	$40,889	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REV.	621500	$50,501,361	$50,501,361
REGIONAL LAB	621300	$38,784,827	$38,784,827
PHARMACY	621110	$11,376,599	$11,362,781	$13,818
NUTRITION SERVICES	722210	$174,860	$174,860
OTHER HOSPITAL SERVICE	900099	$132,609	$132,609

Field	Value	IRS element (for citing)
Total Program Service Revenue	$100,970,256	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$191,152	TotalRevenueColumnAmt
Exclusion	$191,152	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$101,202,297	TotalRevenueColumnAmt
Related Or Exempt Func Income	$100,956,438	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$13,818	UnrelatedBusinessRevenueAmt
Exclusion	$191,152	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$11,547	TotalAmt
Program Services	$11,547	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$25,784,322	TotalAmt
Program Services	$22,818,977	ProgramServicesAmt
Management And General	$2,965,345	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$42,473	TotalAmt
Management And General	$42,473	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$5,488,106	TotalAmt
Program Services	$4,856,942	ProgramServicesAmt
Management And General	$631,164	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,700,109	TotalAmt
Program Services	$1,504,587	ProgramServicesAmt
Management And General	$195,522	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$8,553,363	TotalAmt
Program Services	$8,394,567	ProgramServicesAmt
Management And General	$158,796	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$12,558	TotalAmt
Management And General	$12,558	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,862,432	TotalAmt
Program Services	$690,990	ProgramServicesAmt
Management And General	$3,171,442	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,730	TotalAmt
Program Services	$1,730	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,699,482	TotalAmt
Program Services	$1,670,362	ProgramServicesAmt
Management And General	$2,029,120	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$45,053	TotalAmt
Program Services	$31,139	ProgramServicesAmt
Management And General	$13,914	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$24,969	TotalAmt
Program Services	$14,481	ProgramServicesAmt
Management And General	$10,488	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$520,921	TotalAmt
Program Services	$520,921	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$63,899	TotalAmt
Program Services	$63,899	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
PATIENT SUPPLIES	$6,588,234	$6,588,234
PROVIDER TAX	$4,084,283	$4,084,283
BAD DEBT	$2,171,910	$2,171,910
OTHER PURCHASED SERVICE	$751,609	$683,301	$68,308

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$423,272	TotalAmt
Program Services	$423,272	ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$63,830,272	TotalAmt
Program Services	$54,531,142	ProgramServicesAmt
Management And General	$9,299,130	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$300	BOYAmt
EOY	$300	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$9,776,514	BOYAmt
EOY	$536,541	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$10,978,567	BOYAmt
EOY	$13,221,402	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,012,050	BOYAmt
EOY	$680,230	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$205,072	BOYAmt
EOY	$140,982	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$34,087,005	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$6,251,793	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$19,362,759	BOYAmt
EOY	$27,835,212	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$275,900	BOYAmt
EOY	$275,900	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$169,944,173	BOYAmt
EOY	$77,422,780	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$211,555,335	BOYAmt
EOY	$120,113,347	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$9,993,421	BOYAmt
EOY	$5,044,201	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$331,053	BOYAmt
EOY	$618,065	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$130,784,402	BOYAmt
EOY	$6,632,351	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$141,108,876	BOYAmt
EOY	$12,294,617	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	$70,378,487	BOYAmt
EOY	$107,750,511	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$67,972	BOYAmt
EOY	$68,219	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$70,446,459	BOYAmt
EOY	$107,818,730	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$211,555,335	BOYAmt
EOY	$120,113,347	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$37,372,025	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$246	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 D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$68,940	BeginningYearBalanceAmt
Contributions	$228	ContributionsAmt
End Year Balance	$69,168	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$47,141	BeginningYearBalanceAmt
Contributions	$25,299	ContributionsAmt
Grants Or Scholarships	$3,500	GrantsOrScholarshipsAmt
End Year Balance	$68,940	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$48,372	BeginningYearBalanceAmt
Contributions	-$1,231	ContributionsAmt
End Year Balance	$47,141	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$47,747	BeginningYearBalanceAmt
Contributions	$625	ContributionsAmt
End Year Balance	$48,372	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$48,090	BeginningYearBalanceAmt
Contributions	-$343	ContributionsAmt
End Year Balance	$47,747	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	$7,697,253	OtherCostOrOtherBasisAmt
Depreciation	$6,251,793	DepreciationAmt
Book Value	$1,445,460	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$26,389,752	OtherCostOrOtherBasisAmt
Book Value	$26,389,752	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$27,835,212	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM SALEM HEALTH	$62,734,826
DUE FROM SHHC	$12,441,476
DUE FROM OAHHS	$1,027,794
LEASED RENTAL SPACE	$1,150,465
BENEFICIAL INTEREST IN FOUNDATION	$68,219

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$77,422,780	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
DUE TO SALEM HEALTH	$3,033,913
DUE TO SHHC	$3,072
DUE TO MEDICAIRE/MEDICAID	$2,350,974
DUE TO OAHHS	$987,293
LIAB. FOR MALPRACTICE INSURANCE	$191,103
DUE TO MSO	$48,707
OTHER LONG-TERM ACCRUALS	$17,289

Field	Value	IRS element (for citing)
Total Liability	$6,632,351	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 WEST VALLEY HOSPITAL FOUNDATION FOR SALEM HEALTH WEST VALLEY SUPPORT.

PART X, LINE 2:

THE CORPORATION, SALEM WEST VALLEY, SHF, WVHF, SHPS, AND WVIC ARE TAX-EXEMPT ORGANIZATIONS PURSUANT TO INTERNAL REVENUE SECTION 501(C)(3). AS SUCH, ONLY UNRELATED BUSINESS INCOME IS SUBJECT TO FEDERAL OR STATE INCOME TAXES. THE PROVISION FOR UNRELATED BUSINESS INCOME TAXES IS IMMATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THE CORPORATION TO EVALUATE TAX POSITIONS TAKEN BY THE CORPORATIONAND 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	6968	PersonsServedCnt
Total Community Benefit Expns	$1,303,167	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,303,167	NetCommunityBenefitExpnsAmt
Total Expense	0.02110	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	26629	PersonsServedCnt
Total Community Benefit Expns	$17,582,379	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,582,379	DirectOffsettingRevenueAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	33597	PersonsServedCnt
Total Community Benefit Expns	$18,885,546	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,582,379	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,303,167	NetCommunityBenefitExpnsAmt
Total Expense	0.02110	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	1420	PersonsServedCnt
Total Community Benefit Expns	$11,547	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$11,547	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,290,449	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,821,297	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$469,152	NetCommunityBenefitExpnsAmt
Total Expense	0.00760	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	1420	PersonsServedCnt
Total Community Benefit Expns	$2,301,996	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,821,297	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$480,699	NetCommunityBenefitExpnsAmt
Total Expense	0.00780	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	35017	PersonsServedCnt
Total Community Benefit Expns	$21,187,542	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$19,403,676	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,783,866	NetCommunityBenefitExpnsAmt
Total Expense	0.02890	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,589	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,589	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,589	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,589	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$2,171,912	BadDebtExpenseAmt
Bad Debt Expense Attributable	$255,488	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$5,507,681	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$5,289,720	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$217,961	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	1 NONE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SALEM HEALTH WEST VALLEY	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	525 SOUTHEAST WASHINGTON ST	AddressLine1Txt
City	DALLAS	CityNm
State Abbreviation	OR	StateAbbreviationCd
ZIP	97338	ZIPCd

Field	Value	IRS element (for citing)
State License	14-1461	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
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 WEST VALLEY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
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
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	SEE PART V, SECTION C	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 (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SALEM HEALTH WEST VALLEY	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 WEST VALLEY	PART V, SECTION B, LINE 6A: A 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 WEST VALLEY	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-ASSESSMENTPART V, SECTION B, LINE 7B:WWW.CO.POLK.OR.US/PH/COMMUNITY-HEALTH-ASSESSMENT-CHA
SALEM HEALTH WEST VALLEY	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 WEST VALLEY	PART V, SECTION B, LINE 11: PRIORITY AREAS DETERMINED ARE BEHAVIORAL HEALTH SUPPORTS, SUBSTANCE USE AND HOUSING. SALEM HEALTH WEST VALLEY CONDUCTS SUICIDE SCREENING ON EACH INDIVIDUAL SEEKING CARE IN THE EMERGENCY DEPARTMENT. SUICIDE PREVENTION SUPPORTS ARE ALSO PROVIDED TO OUR COMMUNITY THROUGH QPR (QUESTION, PERSUADE, REFER) TRAININGS AND ENGAGEMENT IN THE MID-VALLEY SUICIDE PREVENTION COALITION. SALEM HEALTH WEST VALLEY PROVIDES FUNDING AND VOLUNTEERS TO FALL CITY THRIVES AND ITS FALL CITY HAPPY DANCE, A COMMUNITY EVENT WHICH RAISES AWARENESS AROUND MENTAL HEALTH AND RESILIENCY, INCLUDING A COMMUNITY RESOURCE FAIR.SALEM HEALTH WEST VALLEY IS A SMOKE FREE CAMPUS. THE HOSPITAL SCREENS 100% OF ITS PATIENTS FOR TOBACCO USE AND PROVIDES ALL TOBACCO USERS WITH COMMUNITY CESSATION RESOURCE INFORMATION. THE AMERICAN LUNG ASSOCIATION'S FREEDOM FROM SMOKING CURRICULUM IS OFFERED AT NO COST THROUGH OUR COMMUNITY HEALTH EDUCATION CENTER (CHEC) AND THE HEALTH EDUCATION AND OUTREACH TEAMS PROVIDE COMMUNITY-BASED EDUCATION TO SCHOOLS RELATED TO TOBACCO PREVENTION. SALEM HEALTH'S TRAUMA PREVENTION TEAM CONDUCTED CLASSES AND PRESENTATIONS AROUND SUBSTANCE ABUSE PREVENTION, INCLUDING SMOKING, VAPING, MARIJUANA AND METHAMPHETAMINE USE. SALEM HEALTH WEST VALLEY SUPPORTS THE POLK COUNTY SERVICE INTEGRATION TEAM (SIT), BOTH FINANCIALLY AND SERVING AS MEMBERS ON THE TEAM. THE PURPOSE OF SIT IS TO FACILITATE COLLABORATION AMONG COMMUNITY PARTNERS TO PROVIDE COORDINATED RESOURCES AND INFORMATION FOR INDIVIDUALS AND FAMILIES PROVIDING RESOURCES TO FILL GAPS IN AREAS SUCH AS HOUSING, TRANSPORTATION NEEDS, AND HEALTHY FOODS. SERVICE INTEGRATION TEAMS ARE COMMUNITY PARTNERS EXPEDITING SOLUTIONS BY MATCHING RESOURCES TO CLEARLY DEFINED NEEDS, WHILE AVOIDING DUPLICATION OF SERVICE. SIT INTERVENES IN A VARIETY OF CIRCUMSTANCES AND PROVIDE MULTIPLE RESOURCES, CONNECTING INDIVIDUALS AND FAMILIES AND MINIMIZING TOXIC STRESS. 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 AND ABOUT 1 IN 10 PEOPLE ARE FOOD INSECURE. SALEM HEALTH WEST VALLEY PARTNERED WITH DALLAS EMERGENCY FOOD BANK AND THE DALLAS DOWNTOWN ASSOCIATION TO ADDRESS FOOD INSECURITY AND FOOD DESERT CHALLENGES.SALEM HEALTH WEST VALLEY PROVIDED FUNDING AND PARTNERSHIP TO SALEM FREE CLINICS TO EXPAND HEALTH SCREENINGS AND HEALTH CARE FOR PEOPLE IN POLK COUNTY, WHICH HAS A SIGNIFICANT PROVIDER SHORTAGE. THE OREGON PROVIDER TO POPULATION RATIO IS 1:358. IN POLK COUNTY, THE RATIO IS ONE PROVIDER FOR EVERY 2,245 PEOPLE. THE FREE CLINICS WITH ACCESS TO MEDICAL, DENTAL AND MENTAL HEALTH CARE ARE EXTREMELY IMPORTANT FOR THIS COMMUNITY.SALEM HEALTH WEST VALLEY EXPANDED ITS EFFORTS TO INCREASE THE AVAILABILITY OF CAR SEATS AND ASSISTANCE WITH CAR SEAT INSTALLATION BY PARTNERING WITH BAMBINOS, WHICH HAS THE ONLY CERTIFIED CAR SEAT INSTALLERS IN POLK COUNTY.COMMUNITY HEALTH EDUCATORS IMPROVED BIKE SAFETY BY PROVIDING FREE HELMETS AND SAFETY INSTRUCTIONS AT LOCAL BIKE RODEOS.SALEM HEALTH WEST VALLEY STRIVES TO FULFILL ITS MISSION TO IMPROVE THE HEALTH AND WELLBEING OF THE PEOPLE AND COMMUNITIES IT SERVES THROUGH ONGOING EFFORTS AND PARTNERSHIPS. NEARLY CONSTANT ASSESSMENT AND EVALUATION OF THE EFFICACY OF PROGRAMS AS WELL AS NONPROFITS ALSO SERVING THESE NEEDS ALLOW SALEM HEALTH WEST VALLEY TO ENGAGE NEW COMMUNITY PARTNERS, INCREASE LEVELS OF AWARENESS, AND IMPROVE UPON EFFECTIVE STRATEGIES OF HEALTH AND COMMUNITY STRENGTH GOING FORWARD.
SALEM HEALTH WEST VALLEY	PART V, SECTION B, LINE 13B: SALEM HEALTH WEST VALLEY FINANCIAL MATRIX IS BASED ON INCOME AS A PERCENT OF FEDERAL POVERTY LEVEL.
SALEM HEALTH WEST VALLEY	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 WEST VALLEY	PART V, SECTION B, LINE 15E: PATIENTS ARE ELIGIBLE TO APPLY FOR FINANCIAL ASSISTANCE ANY TIME BEFORE, DURING, OR AFTER SERVICES ARE PROVIDED. TRANSLATED VERSIONS OF THE APPLICATION FORM, FINANCIAL ASSISTANCE POLICY, AND SUMMARY, ARE AVAILABLE UPON REQUEST IN SPANISH AND RUSSIA. 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 NEEDSTHE 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, SUPPLEMENTALNUTRITION 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 WEST VALLEY	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 WEST VALLEY	PART V, SECTION B, LINE 18E: IT IS THE POLICY OF SALEM HEALTH HOSPITALS AND CLINICS TO PURSUE COLLECTION OF PATIENT BALANCES FROM PATIENTS WHO HAVE THE ABILITY TO PAY FOR SERVICES. SALEM HEALTH HOSPITALS AND CLINICS MAKES REASONABLE EFFORTS TO IDENTIFY PATIENTS WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE. COLLECTION PROCEDURES APPLIED CONSISTENTLY AND FAIRLY FOR ALL PATIENTS REGARDLESS OF INSURANCE STATUS. ALL COLLECTIONS PROCEDURES WILL COMPLY WITH APPLICABLE LAWS AND WITH SALEM HEALTH'S MISSION. FOR THOSE PATIENTS UNABLE TO PAY ALL OR A PORTION OF THEIR OPEN BALANCES, THE FINANCIAL ASSISTANCE POLICY WILL BE FOLLOWED.COLLECTION AGENCIES AND/OR LAW FIRMS MAY BE ENLISTED AFTER REASONABLE COLLECTION AND PAYMENT OPTIONS HAVE BEEN EXHAUSTED. AGENCIES MAY HELP RESOLVED ACCOUNTS WHERE PATIENTS ARE UNCOOPERATIVE IN MAKING PAYMENTS, HAVE NOT MADE APPROPRIATE PAYMENTS OR HAVE BEEN UNWILLING TO PROVIDE REASONABLE FINANCIAL AND OTHER DATA TO SUPPORT THEIR REQUEST FOR FINANCIAL ASSISTANCE. COLLECTION AGENCY AND LAW FIRM STAFF WILL UPHOLD THE CONFIDENTIALITY AND INDIVIDUAL DIGNITY OF EACH PATIENT. ALL AGENCIES AND LAW FIRMS WILL COMPLY WITH ALL APPLICABLE LAWS INCLUDING HIPAA REQUIREMENTS FOR HANDLING PROTECTED HEALTH INFORMATION.
SALEM HEALTH WEST VALLEY	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 HOSPITALS AND CLINICS 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 WEST VALLEY	PART V, SECTION B, LINE 20E: SALEM HEALTH WEST VALLEY 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 WEST VALLEY	PART V, SECTION B, LINE 21C: NOT APPLICABLE. SALEM HEALTH WEST VALLEY 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 WEST VALLEY	PART V, SECTION B, LINE 21D: NOT APPLICABLE. SALEM HEALTH WEST VALLEY 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	4	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - SALEM HEALTH MEDICAL CLINIC - MONMOUTH
512 MAIN ST E STE 300	MONMOUTH	OR	97361	CLINIC
2 - SALEM HEALTH MEDICAL CLINIC - INDEPENDEN
1430 MONMOUTH ST	INDEPENDENCE	OR	97351	CLINIC
3 - CENTRAL SCHOOL - HEALTH CLINIC
1601 MONMOUTH ST STE 100	INDEPENDENCE	OR	97351	CLINIC
4 - SURGICAL SPECIALTY CLINIC
641 SE MILLER AVE	DALLAS	OR	97338	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 INCOMESUPPORTING DOCUMENTATION MAY INCLUDE THE FOLLOWING:CURRENT YEAR FEDERAL TAX FILING INCLUDING ALL PAGES AND SCHEDULESNON-FILING VERIFICATION LETTER FROM THE IRSMOST RECENT THREE (3) MONTHS WAGE STUBS FROM YOUR EMPLOYERCURRENT YEAR SOCIAL SECURITY ADMINISTRATION AWARD LETTERCURRENT YEAR PENSION BENEFIT AWARD LETTERVETERANS AFFAIRS AWARD LETTERANNUITY AWARD LETTERUNEMPLOYMENT BENEFITS LETTERCHILD SUPPORT AWARD LETTERALIMONY AWARD LETTER OR COURT DOCUMENTSSTUDENT FINANCIAL AID AWARD LETTERSHORT TERM DISABILITY BENEFITS AWARD LETTERLONG TERM DISABILITY BENEFITS AWARD LETTERA "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 HEALTH WEST VALLEY, 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.SALEM HEALTH WEST VALLEY EMERGENCY ROOM CONDUCTS A SUICIDE PREVENTION SCREENING ON EVERY PERSON WHO PRESENTS THEMSELVES TO THE HOSPITAL. WE ALSO PROVIDE SUPPORTS TO OUR COMMUNITY INCLUDING QPR TRAININGS (QUESTION, PERSUADE, REFER) AND ENGAGEMENT IN THE MID-VALLEY SUICIDE PREVENTION COALITION. SALEM HEALTH WEST VALLEY PROVIDES FUNDING AND VOLUNTEERS TO FALL CITY THRIVES, SPONSORING THE FALL CITY HAPPY DANCE. FALL CITY HAPPY DANCE IS A COMMUNITY ACTIVITY TO ADDRESS MENTAL HEALTH AWARENESS, RESILIENCY AND INCLUDES A RESOURCE FAIR.SALEM HEALTH WEST VALLEY IS A SMOKE FREE CAMPUS AND THE HOSPITAL SCREENS 100% OF ITS PATIENTS FOR TOBACCO USE AND PROVIDES ALL TOBACCO USERS WITH COMMUNITY CESSATION RESOURCE INFORMATION. THE AMERICAN LUNG ASSOCIATION'S FREEDOM FROM SMOKING CURRICULUM IS OFFERED AT NO COST THROUGH OUR COMMUNITY HEALTH EDUCATION CENTER (CHEC) AND THE HEALTH EDUCATION AND OUTREACH TEAMS PROVIDE COMMUNITY-BASED EDUCATION TO SCHOOLS RELATED TO TOBACCO PREVENTION. SALEM HEALTH HOSPITALS AND CLINICS' TRAUMA PREVENTION TEAM CONDUCTED CLASSES AND PRESENTATIONS AROUND SUBSTANCE ABUSE PREVENTION, INCLUDING SMOKING, VAPING, MARIJUANA AND METHAMPHETAMINE USE. SALEM HEALTH WEST VALLEY SUPPORTS THE POLK COUNTY SERVICE INTEGRATION TEAM (SIT), BOTH FINANCIALLY AND SERVING AS MEMBERS ON THE TEAM. THE PURPOSE OF SIT IS TO FACILITATE COLLABORATION AMONG COMMUNITY PARTNERS TO PROVIDE COORDINATED RESOURCES AND INFORMATION FOR INDIVIDUALS AND FAMILIES PROVIDING RESOURCES TO FILL GAPS IN AREAS SUCH AS HOUSING, TRANSPORTATION NEEDS, AND HEALTHY FOODS. SERVICE INTEGRATION TEAMS ARE COMMUNITY PARTNERS EXPEDITING SOLUTIONS BY MATCHING RESOURCES TO CLEARLY DEFINED NEEDS, WHILE AVOIDING DUPLICATION OF SERVICE. SIT INTERVENES IN A VARIETY OF CIRCUMSTANCES AND PROVIDE MULTIPLE RESOURCES, CONNECTING INDIVIDUALS AND FAMILIES AND MINIMIZING TOXIC STRESS. 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 AND ABOUT 1 IN 10 PEOPLE ARE FOOD INSECURE. SALEM HEALTH WEST VALLEY PARTNERED WITH DALLAS EMERGENCY FOOD BANK AND THE DALLAS DOWNTOWN ASSOCIATION TO ADDRESS FOOD INSECURITY AND FOOD DESERT CHALLENGES.SALEM HEALTH WEST VALLEY PROVIDED FUNDING AND PARTNERSHIP TO SALEM FREE CLINICS TO EXPAND HEALTH SCREENINGS AND HEALTH CARE FOR PEOPLE IN POLK COUNTY, WHICH HAS A SIGNIFICANT PROVIDER SHORTAGE. THE OREGON PROVIDER TO POPULATION RATIO IS 1:358. IN POLK COUNTY, THE RATIO IS ONE PROVIDER FOR EVERY 2,245 PEOPLE. THE FREE CLINICS WITH ACCESS TO MEDICAL, DENTAL AND MENTAL HEALTH CARE ARE EXTREMELY IMPORTANT FOR THIS COMMUNITY. SALEM HEALTH WEST VALLEY EXPANDED ITS EFFORTS TO INCREASE THE AVAILABILITY OF CAR SEATS AND ASSISTANCE WITH CAR SEAT INSTALLATION BY PARTNERING WITH BAMBINOS, WHICH HAS THE ONLY CERTIFIED CAR SEAT INSTALLERS IN POLK COUNTY.COMMUNITY HEALTH EDUCATORS IMPROVED BIKE SAFETY BY PROVIDING FREE HELMETS AND SAFETY INSTRUCTIONS AT LOCAL BIKE RODEOS.
PART III, LINE 2:	BAD DEBT EXPENSE IS PRIMARILY ESTIMATED BASED UPON THE HOSPITALS' HISTORICAL COLLECTION EXPERIENCE, THE AGE OF THE PATIENT'S ACCOUNT, THE PATIENT'S ECONOMIC ABILITY TO PAY, AND THE EFFECTIVENESS OF COLLECTION EFFORTS. PATIENT ACCOUNTS RECEIVABLE BALANCES ARE ROUTINELY REVIEWED IN CONJUNCTION WITH HISTORICAL COLLECTION RATES AND OTHER ECONOMIC CONDITIONS THAT MIGHT ULTIMATELY AFFECT THE COLLECTABILITY OF PATIENT ACCOUNTS WHEN CONSIDERING THE ADEQUACY OF THE AMOUNTS RECORDED IN THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. ACTUAL WRITE-OFFS HISTORICALLY HAVE APPROXIMATED MANAGEMENT'S EXPECTATIONS.
PART III, LINE 3:	BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER SALEM HEALTH'S FINANCIAL ASSISTANCE POLICY IS ESTIMATED BASED ON DATA FROM OUR PATIENT ACCOUNTING SYSTEM. THIS DATA IS THEN COMPARED AND MATCHED TO MEDIAN HOUSEHOLD INCOME CENSUS DATA BY ZIP CODE TO DETERMINE THE ESTIMATED BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE.
PART III, LINE 4:	PATIENT ACCOUNTS RECEIVABLE ARE RECORDED AT AN ESTIMATED COLLECTIBLE AMOUNT AND DO NOT BEAR INTEREST. EXPLICIT PRICE CONCESSIONS ARE ESTABLISHED AS A RESULT OF NEGOTIATED REIMBURSEMENT METHODOLOGIES WITH THIRD PARTY PAYORS.THE CORPORATION ALSO RECORDS ESTIMATED IMPLICIT PRICE CONCESSIONS (BASED PRIMARILY ON HISTORICAL COLLECTION EXPERIENCE) RELATED TO UNINSURED ACCOUNTS TO RECORD SELF-PAY REVENUES AT THE ESTIMATED AMOUNTS WE EXPECT TO COLLECT. THE CORPORATION DOES NOT ASSESS CREDIT RISK BEFORE SERVICES ARE RENDERED.
PART III, LINE 8:	MEDICARE FEE-FOR-SERVICE COSTS ARE DETERMINED FROM SALEM HEALTH WEST VALLEY'S FILED MEDICARE COST REPORT.
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 PART V, SECTION B, LINE 11 NARRATIVE
PART VI, LINE 3:	PLEASE SEE 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, 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 HOSPITALS AND CLINICS 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 STAFF LIBRARIAN IS AVAILABLE TO ASSIST CLINICIANS WITH THE LATEST RESEARCH AND TREATMENT OPTIONS. A STAFF OF HEALTH EDUCATORS PRESENTS TO THE PUBLIC ON VARIOUS COMMUNITY HEALTH TOPICS ON REQUEST AND ATTENDS WELLNESS FAIRS, PROVIDING BIOMETRICS AND HEALTH INFORMATION. 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

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PSYCHIATRIC CRISIS CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 14500	AddressLine1Txt
City	SALEM	CityNm
State Abbreviation	OR	StateAbbreviationCd
ZIP	97309	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	936002307	RecipientEIN
IRC Section	MARION COUNTY	IRCSectionDesc
Cash Grant	$0	CashGrantAmt
Non Cash Assistance	$11,547	NonCashAssistanceAmt
Valuation Method Used	OVERHEAD COSTS	ValuationMethodUsedDesc
Non Cash Assistance	USE OF SPACE	NonCashAssistanceDesc
Purpose Of Grant	ACCESS TO MEDICAL SERVICES	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	0	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 (8 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 NESTER WOLFE
PRESIDENT & CEO	$0	$1,053,743	$0	$275,391	$0	$344,489	$0	$28,050	$0	$15,149	$0	$1,716,822	$0	$320,387
JAMES PARR
EVP OF OPERATIONS & CFO	$0	$804,313	$0	$0	$0	$52,049	$0	$84,724	$0	$24,594	$0	$965,680	$0	$49,349
MARY S PLACEK
FAMILY PRACTITIONER	$352,662	$0	$0	$0	$31,243	$0	$32,462	$0	$27,076	$0	$443,443	$0	$0	$0
BRANDON SCHMIDGALL
FORMER CHIEF ADMIN. OFFICER	$127,035	$0	$0	$0	$193,451	$0	$10,894	$0	$6,882	$0	$338,262	$0	$0	$0
SEVEN J HILL
WVH IMAGING LEAD	$222,001	$0	$0	$0	$488	$0	$14,513	$0	$9,042	$0	$246,044	$0	$0	$0
MATTHEW E MARTIN
WVH IMAGING LEAD	$202,523	$0	$0	$0	$104	$0	$15,602	$0	$25,540	$0	$243,769	$0	$0	$0
MARGIE L HUGGINS
CLINICAL NURSE BSN	$204,477	$0	$0	$0	$3,497	$0	$15,544	$0	$9,545	$0	$233,063	$0	$0	$0
AMANI M ABUJAME
PHARMACIST	$195,833	$0	$0	$0	$218	$0	$9,813	$0	$1,115	$0	$206,979	$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): BRANDON SCHMIDGALL: $193,000 SOME OF THE HOSPITAL'S EMPLOYEES RECEIVE DEFERRED COMPENSATION UNDER A 457(F) NONQUALIFIED PLAN. THIS COMPENSATION IS INCLUDED IN COMPENSATION REPORTED IN PART II. THE TOTAL NONQUALIFIED PORTION OF EACH PERSONS DEFERRED COMPENSATION IS: JAMES PARR - $56,674 (INCLUDED IN DEFERRED COMPENSATION) MARY PLACEK - $14,312 (INCLUDED IN DEFERRED COMPENSATION)
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 O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	THE SOLE MEMBER OF SALEM HEALTH WEST VALLEY IS SALEM HEALTH HOSPITALS & CLINICS ("SHHC"), A NOT-FOR-PROFIT ENTITY. THE SALEM HEALTH WEST VALLEY TRUSTEES ARE ELECTED BY SHHC WHO ALSO APPROVES SIGNIFICANT DECISIONS OF THE SALEM HEALTH WEST VALLEY GOVERNING BODY.
FORM 990, PART VI, SECTION A, LINE 7A	THE BYLAWS OF SALEM HEALTH WEST VALLEY STATE THAT THE TRUSTEES OF SALEM HEALTH WEST VALLEY 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 WEST VALLEY BYLAWS, SHHC SHALL HAVE THE SOLE AND EXCLUSIVE RIGHT TO ACT WITH RESPECT TO THE FOLLOWING AFFAIRS OF SALEM HEALTH WEST VALLEY: A. APPROVAL OF THE MERGER OR CONSOLIDATION OF SALEM HEALTH WEST VALLEY 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 WEST VALLEY; 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 WEST VALLEY; 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 (SH) IS DESIGNED TO ALLOW THE ORGANIZATION TO RECRUIT AND RETAIN QUALIFIED SENIOR LEADERS. THE GOVERNANCE COMMITTEE OF THE SH BOARD OF TRUSTEES, NONE OF WHOM IS A SH 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 ITS 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 IX, LINE 11G	PHYSICIAN PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 3,360,916. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,360,916. PHYSICIAN DIRECTOR FEES: PROGRAM SERVICE EXPENSES 91,559. MANAGEMENT AND GENERAL EXPENSES 13,835. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 105,394. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 4,554,045. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,554,045. OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 388,047. MANAGEMENT AND GENERAL EXPENSES 144,961. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 533,008.
FORM 990, PART XI, LINE 9:	CHANGE IN BENEFICIAL INTEREST 246.

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
890 OAK STREET	SALEM	OR	97301	930579722	HOSPITAL	OR	501(C)(3)	LINE 3	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
WEST VALLEY HOSPITAL FOUNDATION
525 SOUTHEAST WASHINGTON ST	DALLAS	OR	97338	931298564	SUPPORT SHWV	OR	501(C)(3)	LINE 12A, I	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 PROFESSIONAL SERVICES
890 OAK STREET	SALEM	OR	97301	753175249	BILLING	OR	501(C)(3)	LINE 12A, I	SHHC	0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	OREGON HEALTHCARE ENTERPRISES INC -1-	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4000 KRUSE WAY PLACE BLDG 2 STE 100	AddressLine1Txt
City	LAKE OSWEGO	CityNm
State Abbreviation	OR	StateAbbreviationCd
ZIP	97035	ZIPCd

Field	Value	IRS element (for citing)
EIN	456525337	EIN
Primary Activities	TAX TRUST PROGRAM	PrimaryActivitiesTxt
Legal Domicile State	OR	LegalDomicileStateCd
Entity Type	T	EntityTypeTxt
Share Of Total Income	$82,523	ShareOfTotalIncomeAmt
Ownership	0.00450	OwnershipPct
Controlled Organization	0	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	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	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (1)	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	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	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	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd