SALEM HEALTH: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: SALEM HEALTH (EIN 93-0579722)
Tax period: 2020-07-01 to 2021-06-30
Filed: 2022-05-13
IRS object ID: 202241339349308049
Schema version: 2020v4.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-05-13T15:27:24-05:00	ReturnTs
Tax Period End	2021-06-30	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	1918 EIGHTH AVENUE SUITE 2900	AddressLine1Txt
City	SEATTLE	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98101	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	930579722	EIN

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Business Name Control	SALE	BusinessNameControlTxt
Phone	5038141938	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	890 OAK STREET	AddressLine1Txt
City	SALEM	CityNm
State Abbreviation	OR	StateAbbreviationCd
ZIP	97301	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JAMES PARR	PersonNm
Person Title	EVP OF OPERATIONS & CFO	PersonTitleTxt
Phone	5038141938	PhoneNum
Signature	2022-05-12	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	JAMES	PersonFirstNm
Person Last	PARR	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	SUE W ROBISON	PreparerPersonNm
PTIN	P00560072	PTIN
Phone	2069134000	PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	JAMES PARR	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	890 OAK STREET	AddressLine1Txt
City	SALEM	CityNm
State Abbreviation	OR	StateAbbreviationCd
ZIP	97301	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$893,506,513	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SALEMHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1970	FormationYr
Legal Domicile State	OR	LegalDomicileStateCd
Activity Or Mission	TO IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE IN THE COMMUNITIES WE SERVE.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	5523	TotalEmployeeCnt
Total Volunteers	380	TotalVolunteersCnt
Total Gross UBI	$2,784,465	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$521,552	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$209,546	PYContributionsGrantsAmt
CY Contributions Grants	$188,028	CYContributionsGrantsAmt
PY Program Service Revenue	$822,991,176	PYProgramServiceRevenueAmt
CY Program Service Revenue	$889,502,388	CYProgramServiceRevenueAmt
PY Investment Income	$26,434,038	PYInvestmentIncomeAmt
CY Investment Income	$2,926,915	CYInvestmentIncomeAmt
PY Other Revenue	-$2,912,274	PYOtherRevenueAmt
CY Other Revenue	-$4,490,127	CYOtherRevenueAmt
PY Total Revenue	$846,722,486	PYTotalRevenueAmt
CY Total Revenue	$888,127,204	CYTotalRevenueAmt
PY Grants And Similar Paid	$600,774	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,041,232	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$478,504,694	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$513,651,105	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$312,372,732	PYOtherExpensesAmt
CY Other Expenses	$364,042,318	CYOtherExpensesAmt
PY Total Expenses	$791,478,200	PYTotalExpensesAmt
CY Total Expenses	$878,734,655	CYTotalExpensesAmt
PY Revenues Less Expenses	$55,244,286	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$9,392,549	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,808,658,793	TotalAssetsBOYAmt
Total Assets EOY	$1,797,165,433	TotalAssetsEOYAmt
Total Liabilities BOY	$731,806,597	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$703,928,003	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,076,852,196	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,093,237,430	NetAssetsOrFundBalancesEOYAmt
Mission	TO IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE AND COMMUNITIES WESERVE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$342,379,443	ExpenseAmt
Grant	$1,041,232	GrantAmt
Revenue	$723,598,165	RevenueAmt
Desc	SALEM HEALTH IS ONE OF THE LARGEST OF OREGON'S 59 ACUTE CARE HOSPITALS AND OPERATES THE BUSIEST EMERGENCY DEPARTMENT IN OREGON. THERE ARE 617 PRACTITIONERS, REPRESENTING 54 DIFFERENT SPECIALTIES. MORE THAN 380 VOLUNTEERS PROVIDE NON-MEDICAL SUPPORT FOR THE HOSPITAL. STATISTICS FOR THE 12 MONTH PERIOD ENDED 6/30/21: BIRTHS - 2,974, DIAGNOSTIC IMAGING PROCEDURES - 207,838, ED VISITS - 93,820, INPATIENT ADMISSIONS - 28,243, LABORATORY PROCEDURES - 1,474,077, SURGERIES - 13,734. THE PRIMARY SERVICE AREA IS MARION AND POLK COUNTIES WITH APPROXIMATELY 347,182 RESIDENTS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$226,857,957	ExpenseAmt
Revenue	$142,983,820	RevenueAmt
Desc	SALEM HEALTH PROVIDES HEALTHCARE TO PEOPLE IN OUR COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY. IN THE 12 MONTH PERIOD ENDED 6/30/21, THE COST OF SERVICES PROVIDED AS A COMMUNITY BENEFIT TOTAL $130.2 MILLION. THIS FIGURE CONSISTED OF $21.3 MILLION IN COSTS TO PROVIDE CHARITY CARE TO INDIVIDUALS WHO CANNOT AFFORD TO PAY; $62.6 MILLION IN UNDERPAYMENT BY MEDICAID AS THE AMOUNT PAID WAS LESS THAN THE COST TO PROVIDE THE SERVICES; AND $35.6 MILLION IN UNDERPAYMENT BY MEDICARE AS THE AMOUNT PAID WAS LESS THAN THE COST TO PROVIDE THE SERVICES.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$58,485,702	ExpenseAmt
Revenue	$22,920,401	RevenueAmt
Desc	SALEM HEALTH ACTIVELY PARTICIPATES IN COMMUNITY HEALTH IMPROVEMENT SERVICES. IN THE 12 MONTH PERIOD ENDED 6/30/21, SALEM HEALTH GAVE $22.9 MILLION FOR UNFUNDED OR UNDERFUNDED HEALTH SERVICES, 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 FY 2021, SALEM HEALTH PROVIDED MORE THAN $1,030,000 IN CASE AND IN-KIND DONATIONS TO COMMUNITY HEALTH PROGRAMS SUCH AS MEDASSIST AND PROJECT ACCESS, PSYCHIATRIC CRISIS CENTER AND THE SALEM FREE CLINIC.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$627,723,102	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	Yes (1)	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	274	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	5523	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	13	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	OR	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	5038141938	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	890 OAK STREET	AddressLine1Txt
City	SALEM	CityNm
State Abbreviation	OR	StateAbbreviationCd
ZIP	97301	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (35 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
ALAN WYNN
SECRETARY/TREASURER	2.40	0.70	Yes (X)	Yes (X)	$0	$0	$0
BONNIE DRIGGERS RN
TRUSTEE	3.90	1.10	Yes (X)		$0	$0	$0
DAVID HARRISON MD
TRUSTEE	2.30	0.70	Yes (X)		$0	$0	$0
JENN COLUMBUS
TRUSTEE	2.30	0.70	Yes (X)		$0	$0	$0
JOHN COMBES MD
CHAIR-ELECT	3.10	0.90	Yes (X)		$0	$0	$0
KATHERINE KEENE
PAST-CHAIR	3.90	1.10	Yes (X)		$0	$0	$0
KENNETH SHERMAN JR
TRUSTEE	4.30	1.30	Yes (X)		$0	$0	$0
LANE SHETTERLY
CHAIR	3.70	2.30	Yes (X)	Yes (X)	$0	$0	$0
MARK ZOOK
TRUSTEE	3.90	1.00	Yes (X)		$0	$0	$0
PHIL JACKSON
TRUSTEE	2.30	0.70	Yes (X)		$0	$0	$0
RICARDO LINARES
TRUSTEE	2.30	0.70	Yes (X)		$0	$0	$0
ROBERT KELLY MD
TRUSTEE	3.50	1.00	Yes (X)		$0	$0	$0
THERESA HASKINS
TRUSTEE	2.70	0.80	Yes (X)		$0	$0	$0
CHERYL NESTER WOLFE
PRESIDENT & CEO	30.90	9.10		Yes (X)	$1,421,603	$0	$37,584
JAMES PARR
EVP OF OPERATIONS & CFO	34.90	5.10		Yes (X)	$810,561	$0	$88,591
BAHAA WANLY
CHIEF OPERATING OFFICER	40.00	0.00			$694,890	$0	$79,208	Yes (X)
CHRISTINE CLARKE
CHIEF MEDICAL OFFICER SHMG	40.00	0.00			$489,864	$0	$49,964	Yes (X)
DENISE HOOVER
CHIEF SURGICAL SERVICES OFFICER	40.00	0.00			$361,519	$0	$60,724	Yes (X)
JAIME NICHOLS
CHIEF HUMAN RESOURCES OFFICER	40.00	0.00			$351,217	$0	$66,882	Yes (X)
JAMES BAUER
CHIEF DEVELOPMENT OFFICER	40.00	0.00			$317,358	$0	$36,639	Yes (X)
JENNIFER FOWLER
VP FINANCE	40.00	0.00			$283,596	$0	$41,936	Yes (X)
JONATHAN BAUER
CHIEF LEGAL OFFICER	40.00	0.00			$410,453	$0	$50,887	Yes (X)
KATHERINE DOBLER
VP MEDICAL GROUP	40.00	0.00			$528,724	$0	$67,359	Yes (X)
LEAH MITCHELL
EVP OF OPERATIONS & CIO	40.00	0.00			$778,150	$0	$87,212	Yes (X)
LEILANI SLAMA
VP COMMUNITY ENGAGEMENT	39.00	1.00			$326,384	$0	$59,733	Yes (X)
MATTHEW BOLES
VP MEDICAL AFFAIRS	40.00	0.00			$557,353	$0	$70,396	Yes (X)
RALPH YATES
CMO SALEM HEALTH AND SHMG	40.00	0.00			$783,392	$0	$33,563	Yes (X)
SARAH HORN
CHIEF NURSING OFFICER	40.00	0.00			$476,990	$0	$72,603	Yes (X)
SHEA CORUM
VP IT OPERATIONS	40.00	0.00			$383,721	$0	$63,337	Yes (X)
ZENNIA CENIZA
VP CLINICAL OPERATIONS	40.00	0.00			$327,140	$0	$51,997	Yes (X)
ATISH CHOPRA
VASCULAR SURGEON	40.00	0.00			$760,245	$0	$60,177		Yes (X)
JUAN OYARZUN
DIR CARDIOTHORACIC MEDICINE	40.00	0.00			$1,179,977	$0	$74,456		Yes (X)
KATHERINE JONES
CARDIOTHORACIC SURGEON	40.00	0.00			$1,210,316	$0	$52,716		Yes (X)
KENTEN WOOLHISER
NEUROLOGY MEDICAL DIRECTOR	40.00	0.00			$774,232	$0	$54,590		Yes (X)
NERVIN FANOUS
CARDIOTHORACIC SURGEON	40.00	0.00			$1,056,538	$0	$55,800		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$14,284,223	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,316,354	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	977	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
TOWNE PARK
PO BOX 79349	BALTIMORE	MD	212790349	VALET AND PARKING SERVICES	$4,080,128
EPIC SYSTEMS CORP
PO BOX 88314	MILWAUKEE	WI	532880314	CONSULTING SERVICES	$3,039,470
ARUP LABORATORIES
PO BOX 27964	SALT LAKE CITY	UT	84127	LABORATORY SERVICES	$2,623,897
SALEM PULMONARY ASSOCIATES PC
801 MISSION ST SE	SALEM	OR	97302	CONTRACT LABOR	$1,921,618
SALEM VALLEY ACUTES
PO BOX 781607	PHILADELPHIA	PA	191781607	RENAL TREATMENT SERVICES	$1,913,948

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	5	CntrctRcvdGreaterThan100KCnt
Related Organizations	$188,028	RelatedOrganizationsAmt
Total Contributions	$188,028	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE	621110	$878,301,176	$878,301,176
PHARMACY	446110	$7,124,338	$5,538,992	$1,585,346
VALUE BASED CARE / NUTRITION	722210	$5,608,996	$5,608,996
REGIONAL LAB	621500	$1,358,073	$205,199	$1,152,874
OTHER HOSPITAL SERVICES	900099	-$2,890,195	-$2,936,440	$46,245

Field	Value	IRS element (for citing)
Total Program Service Revenue	$889,502,388	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,755,348	TotalRevenueColumnAmt
Exclusion	$2,755,348	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$208,191	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$4,698,318	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$4,490,127	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$4,490,127	TotalRevenueColumnAmt
Exclusion	-$4,490,127	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$852,558	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$680,991	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$171,567	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$171,567	TotalRevenueColumnAmt
Exclusion	$171,567	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$888,127,204	TotalRevenueColumnAmt
Related Or Exempt Func Income	$886,717,923	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,784,465	UnrelatedBusinessRevenueAmt
Exclusion	-$1,563,212	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$606,177	TotalAmt
Program Services	$606,177	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$435,055	TotalAmt
Program Services	$435,055	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$10,867,877	TotalAmt
Management And General	$10,867,877	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$392,595,717	TotalAmt
Program Services	$323,079,485	ProgramServicesAmt
Management And General	$69,516,232	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$82,524,718	TotalAmt
Program Services	$66,082,898	ProgramServicesAmt
Management And General	$16,441,820	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$27,662,793	TotalAmt
Program Services	$22,151,394	ProgramServicesAmt
Management And General	$5,511,399	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$756,046	TotalAmt
Management And General	$756,046	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$923,525	TotalAmt
Program Services	$78,449	ProgramServicesAmt
Management And General	$845,076	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$363,359	TotalAmt
Management And General	$363,359	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$82,500	TotalAmt
Management And General	$82,500	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$37,734,889	TotalAmt
Program Services	$31,084,382	ProgramServicesAmt
Management And General	$6,650,507	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$172,972	TotalAmt
Program Services	$42	ProgramServicesAmt
Management And General	$172,930	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$11,399,231	TotalAmt
Program Services	$7,313,098	ProgramServicesAmt
Management And General	$4,086,133	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$8,765,542	TotalAmt
Program Services	$1,203,892	ProgramServicesAmt
Management And General	$7,561,650	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$69,545,701	TotalAmt
Program Services	$51,484,415	ProgramServicesAmt
Management And General	$18,061,286	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$91,105	TotalAmt
Program Services	$82,085	ProgramServicesAmt
Management And General	$9,020	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$290,121	TotalAmt
Program Services	$190,510	ProgramServicesAmt
Management And General	$99,611	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$12,659,086	TotalAmt
Management And General	$12,659,086	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$26,366,106	TotalAmt
Management And General	$26,366,106	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,275,808	TotalAmt
Management And General	$3,275,808	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
PATIENT SUPPLIES	$127,057,825	$120,847,078	$6,210,747
PROVIDER TAX	$48,278,054		$48,278,054
BAD DEBTS	$11,786,552		$11,786,552
RECRUITING	$1,408,716	$1,025,916	$382,800

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,085,180	TotalAmt
Program Services	$2,058,226	ProgramServicesAmt
Management And General	$1,026,954	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$878,734,655	TotalAmt
Program Services	$627,723,102	ProgramServicesAmt
Management And General	$251,011,553	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$183,701	BOYAmt
EOY	$472,080	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$38,594,400	BOYAmt
EOY	$32,257,683	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$101,113,044	BOYAmt
EOY	$119,291,858	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$740,143	BOYAmt
EOY	$917,470	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$8,359,363	BOYAmt
EOY	$9,143,036	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$9,882,440	BOYAmt
EOY	$13,707,948	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$559,033,902	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$264,389,514	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$531,889,436	BOYAmt
EOY	$294,644,388	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,035,085,261	BOYAmt
EOY	$1,244,709,010	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$25,860,953	BOYAmt
EOY	$29,513,278	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$10,197,000	BOYAmt
EOY	$10,197,000	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$46,753,052	BOYAmt
EOY	$42,311,682	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,808,658,793	BOYAmt
EOY	$1,797,165,433	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$132,924,805	BOYAmt
EOY	$180,136,494	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$76,647,551	BOYAmt
EOY	$14,510,623	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$511,820,190	BOYAmt
EOY	$501,135,823	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$10,414,051	BOYAmt
EOY	$8,145,063	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$731,806,597	BOYAmt
EOY	$703,928,003	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,072,385,322	BOYAmt
EOY	$1,088,714,432	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,466,874	BOYAmt
EOY	$4,522,998	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,076,852,196	BOYAmt
EOY	$1,093,237,430	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,808,658,793	BOYAmt
EOY	$1,797,165,433	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$9,392,549	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$408,208	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$6,584,477	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Total Direct Lobbying TotalDirectLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$82,500	FilingOrganizationsTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$82,500	FilingOrganizationsTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$582,736,700	FilingOrganizationsTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$582,819,200	FilingOrganizationsTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,000,000	FilingOrganizationsTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$250,000	FilingOrganizationsTotalAmt

Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt

Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$1,000,000	CurrentYearMinus3Amt
Current Year Minus2	$1,000,000	CurrentYearMinus2Amt
Current Year Minus1	$100,000	CurrentYearMinus1Amt
Current Year	$1,000,000	CurrentYearAmt
Total	$3,100,000	TotalAmt

Field	Value	IRS element (for citing)
Lobbying Ceiling	$4,650,000	LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$127,723	CurrentYearMinus3Amt
Current Year Minus2	$90,000	CurrentYearMinus2Amt
Current Year Minus1	$75,000	CurrentYearMinus1Amt
Current Year	$82,500	CurrentYearAmt
Total	$375,223	TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$250,000	CurrentYearMinus3Amt
Current Year Minus2	$250,000	CurrentYearMinus2Amt
Current Year Minus1	$4,500	CurrentYearMinus1Amt
Current Year	$250,000	CurrentYearAmt
Total	$754,500	TotalAmt

Field	Value	IRS element (for citing)
Grassroots Ceiling	$1,131,750	GrassrootsCeilingAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-A:	FormAndLineReferenceDesc
Explanation	SALEM HEALTH CONTRACTED WITH PUBLIC AFFAIRS COUNSEL TO KEEP THE HOSPITAL APPRISED OF BILLS IN THE STATE LEGISLATURE AND TO ENGAGE THE LEGISLATORS ON BEHALF OF THE HOSPITAL WHEN NECESSARY TO PROVIDE INFORMATION TO LEGISLATORS REGARDING THE IMPACT OF LEGISLATION ON THE HOSPITAL. ADDITIONALLY, THE HOSPITAL PAYS MEMBERSHIP DUES TO OREGON ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS (OAHHS) AND AMERICAN HOSPITAL ASSOCIATION (AHA). A PORTION OF THE DUES TO THESE ORGANIZATIONS IS ALLOCATED TO LOBBYING ACTIVITY (12.8% OF DUES TO OAHHS AND 26.47% OF DUES TO AHA) IN RELATION TO STATE AND NATIONAL HEALTHCARE ISSUES.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,558,231	BeginningYearBalanceAmt
Contributions	$208,895	ContributionsAmt
Investment Earnings Or Losses	$154,802	InvestmentEarningsOrLossesAmt
Other Expenditures	$250,381	OtherExpendituresAmt
End Year Balance	$4,671,547	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,981,742	BeginningYearBalanceAmt
Contributions	$1,758,933	ContributionsAmt
Investment Earnings Or Losses	-$1,293	InvestmentEarningsOrLossesAmt
Other Expenditures	$181,151	OtherExpendituresAmt
End Year Balance	$4,558,231	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,910,663	BeginningYearBalanceAmt
Contributions	$414,192	ContributionsAmt
Investment Earnings Or Losses	$82,322	InvestmentEarningsOrLossesAmt
Other Expenditures	$425,435	OtherExpendituresAmt
End Year Balance	$2,981,742	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,579,755	BeginningYearBalanceAmt
Contributions	$458,243	ContributionsAmt
Investment Earnings Or Losses	$190,571	InvestmentEarningsOrLossesAmt
Other Expenditures	$317,906	OtherExpendituresAmt
End Year Balance	$2,910,663	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,345,110	BeginningYearBalanceAmt
Contributions	$373,134	ContributionsAmt
Investment Earnings Or Losses	-$201,146	InvestmentEarningsOrLossesAmt
Other Expenditures	$937,343	OtherExpendituresAmt
End Year Balance	$2,579,755	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

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,444,654	OtherCostOrOtherBasisAmt
Book Value	$3,444,654	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$351,772,769	OtherCostOrOtherBasisAmt
Depreciation	$264,389,514	DepreciationAmt
Book Value	$87,383,255	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$203,816,479	OtherCostOrOtherBasisAmt
Book Value	$203,816,479	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$294,644,388	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
ACCRUED POST RETIREMENT BENEFITS	$3,074,334
ACCRUED MALPRACTICE INSURANCE	$4,936,187
OTHER LIABILITIES	$134,542

Field	Value	IRS element (for citing)
Total Liability	$8,145,063	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART V, LINE 4:

ENDOWMENT FUNDS ARE HELD BY SALEM HEALTH FOUNDATION FOR SALEM HEALTH SUPPORT.

PART X, LINE 2:

THE CORPORATION (SALEM HEALTH HOSPITALS & CLINICS), SALEM HEALTH, SALEM HEALTH WEST VALLEY, SALEM HEALTH FOUNDATION, WEST VALLEY HOSPITAL FOUNDATION, SALEM HEALTH PROFESSIONAL SERVICES AND WILLAMETTE VALLEY INSURANCE CORPORATION ARE TAX-EXEMPT ORGANIZATIONS PURSUANT TO INTERNAL REVENUE CODE (IRC) SECTION 501(C)(3). AS SUCH, ONLY UNRELATED BUSINESS INCOME IS SUBJECT TO FEDERAL OR STATE INCOME TAXES. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THE CORPORATION TO EVALUATE TAX POSITIONS TAKEN BY THE CORPORATION AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE CORPORATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. MANAGEMENT HAS ANALYZED TAX POSITIONS TAKEN BY THE CORPORATION AND HAS CONCLUDED THAT AS OF JUNE 30, 2021 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 2018.

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	83229	PersonsServedCnt
Total Community Benefit Expns	$21,261,103	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$21,261,103	NetCommunityBenefitExpnsAmt
Total Expense	0.02420	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	208940	PersonsServedCnt
Total Community Benefit Expns	$205,596,854	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$142,983,820	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$62,613,034	NetCommunityBenefitExpnsAmt
Total Expense	0.07120	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	292169	PersonsServedCnt
Total Community Benefit Expns	$226,857,957	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$142,983,820	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$83,874,137	NetCommunityBenefitExpnsAmt
Total Expense	0.09540	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	7880	PersonsServedCnt
Total Community Benefit Expns	$2,777,879	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,457	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,773,422	NetCommunityBenefitExpnsAmt
Total Expense	0.00320	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Persons Served	337	PersonsServedCnt
Total Community Benefit Expns	$2,447,989	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,447,989	NetCommunityBenefitExpnsAmt
Total Expense	0.00280	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$52,108,477	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,915,944	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$29,192,533	NetCommunityBenefitExpnsAmt
Total Expense	0.03320	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$118,621	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$118,621	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Persons Served	26409	PersonsServedCnt
Total Community Benefit Expns	$1,032,736	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,032,736	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	34626	PersonsServedCnt
Total Community Benefit Expns	$58,485,702	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,920,401	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$35,565,301	NetCommunityBenefitExpnsAmt
Total Expense	0.04050	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	326795	PersonsServedCnt
Total Community Benefit Expns	$285,343,659	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$165,904,221	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$119,439,438	NetCommunityBenefitExpnsAmt
Total Expense	0.13590	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,503	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,503	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$71,423	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$71,423	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,424,522	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,424,522	NetCommunityBenefitExpnsAmt
Total Expense	0.00160	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,500,448	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,500,448	NetCommunityBenefitExpnsAmt
Total Expense	0.00170	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$11,786,552	BadDebtExpenseAmt
Bad Debt Expense Attributable	$5,454,267	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$110,562,064	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$112,661,316	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$2,099,252	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

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

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	890 OAK STREET	AddressLine1Txt
City	SALEM	CityNm
State Abbreviation	OR	StateAbbreviationCd
ZIP	97301	ZIPCd

Field	Value	IRS element (for citing)
State License	14-1428	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	19	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.SALEMHEALTH.ORG/ABOUT/COMMUNITY	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	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.SALEMHEALTH.ORG/ABOUT/COMMUNITY	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	300.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Other Method	Yes (X)	OtherMethodInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTP://WWW.SALEMHEALTH.ORG/ABOUT/CHARITY-CARE-AND-FINANCIAL-POLICY	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTP://WWW.SALEMHEALTH.ORG/ABOUT/CHARITY-CARE-AND-FINANCIAL-POLICY	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTP://WWW.SALEMHEALTH.ORG/ABOUT/CHARITY-CARE-AND-FINANCIAL-POLICY	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SALEM HEALTH	PART V, SECTION B, LINE 5: A COMPREHENSIVE NEEDS ASSESSMENT WAS CONDUCTED IN THE TAX YEAR 2019. PARTNERS INCLUDING MARION COUNTY HEALTH & HUMAN SERVICES, POLK COUNTY HEALTH DEPARTMENT, WILLAMETTE VALLEY COMMUNITY HEALTH (WVCH), LOCAL HEALTH PROFESSIONALS, AND COMMUNITY PARTNERS BEGAN A NEW MAPP (MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS) CYCLE TO ASSESS AND IMPROVE THE HEALTH OF THE COMMUNITY. MAPP IS A FLEXIBLE, EVIDENCED BASED FRAMEWORK, CREATED BY THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS (NACCHO). EACH COMMUNITY THAT UTILIZES MAPP CONDUCTS A COMMUNITY HEALTH ASSESSMENT (CHA), WHICH CASTS A WIDE NET COLLECTING DATA IN VARIOUS WAYS TO UNDERSTAND LOCAL HEALTH AND WHY HEALTH CONDITIONS OCCUR.
SALEM HEALTH	PART V, SECTION B, LINE 6A: THE CHNA WAS CONDUCTED WITH COOPERATION AND REPRESENTATIVES FROM KAISER PERMANENTE, SANTIAM HOSPITAL AND LEGACY HEALTH.
SALEM HEALTH	PART V, SECTION B, LINE 6B: THE HOSPITAL FACILITY'S CHNA WAS CONDUCTED WITH THE BEHAVIORAL CARE NETWORK, CHEMEKETA COMMUNITY COLLEGE, CHERRIOTS, CITY OF WOODBURN, COMMUNITY ACTION AGENCY, COMMUNITY ADVISORY COUNCIL , EARLY LEARNING HUB, KAISER PERMANENTE, LEGACY HEALTH SILVERTON , MARION COUNTY HEALTH & HUMAN SERVICES, NORTHWEST SENIOR & DISABILITY SERVICES, POLK COUNTY HEALTH DEPARTMENT, SANTIAM HOSPITAL, WESTERN OREGON UNIVERSITY, WILLAMETTE VALLEY COMMUNITY HEALTH.
SALEM HEALTH	PART V, SECTION B, LINE 7D: THE HOSPITAL MADE THE CHNA AVAILABLE TO THE COMMUNITY. THE FULL ASSESSMENT IS POSTED TO THE HOSPITAL AND COUNTY WEBSITES.
SALEM HEALTH	PART V, SECTION B, LINE 11: PRIORITY AREAS DETERMINED IN THE 2019 ASSESSMENT ARE BEHAVIORAL HEALTH SUPPORT, HOUSING, SUBSTANCE USE. WHILE COVID WAS NON-EXISTENT AT THE TIME THE CHNA WAS CONDUCTED, ITS IMPACT QUICKLY ECLIPSED OTHER NEEDS AND OVERWHELMED OUR PARTNERS IN PUBLIC HEALTH. SALEM HEALTH RECOGNIZED A NEED WITHIN OUR COMMUNITY TO DISTRIBUTE VACCINATIONS AND ACTED QUICKLY TO STAND UP THE FIRST MASS VACCINATION SITE IN THE STATE OF OREGON. THIS PROVED TO BE AN EFFECTIVE AND EFFICIENT WAY TO VACCINATE OUR COMMUNITY, AS WE PROVIDED OVER 212,000 VACCINES AT THIS SITE IN A SIX MONTH WINDOW. AS DISPARITIES IN ACCESS FOR OUR COMMUNITIES OF COLOR BECAME APPARENT, THE WORK HAS EXPANDED TO INCLUDE MOBILE VACCINE TEAMS TO REACH UNDERSERVED AND BIPOC COMMUNITIES IN MARION AND POLK COUNTIES. THE MOBILE VACCINE TEAM BROUGHT OVER 13,000 COVID-19 VACCINATIONS TO PEOPLE AT FARMS, FOOD PROCESSING PLANTS, CHURCHES, PARISHES, AND RURAL AREAS IN MARION AND POLK COUNTIES. WE WENT TO SENIOR LIVING COMMUNITIES, HOMELESS COMMUNITIES AND SCHOOLS. THE OUTREACH WAS PRACTICAL, WIDESPREAD AND SIGNIFICANT.BEHAVIORAL HEALTH: THIS CONTINUES TO BE AN AREA OF FOCUS AND CONCERN FOR OUR COMMUNITY, PREVENTING/INTERVENING IN MENTAL ILLNESS SUCH AS ANXIETY OR DEPRESSION AND REDUCING SUICIDE ATTEMPTS AND COMPLETIONS. A CDC REPORT IN 2017 RANKED OREGON THE 14TH HIGHEST IN THE COUNTRY FOR DEATHS RELATED TO DRUG OVERDOSES AND 15TH FOR SUICIDE. SUICIDE CONTINUES TO BE THE 2ND LEADING CAUSE OF DEATH FOR AGES 10-24. MARION AND POLK COUNTIES CONTINUE TO HAVE HIGH RISK FACTORS FOR YOUTH. WE ARE MAKING HEADWAY IN POLK COUNTY WHICH AT 33.8% OF 11TH GRADERS REPORTED SYMPTOMS OF DEPRESSION, WAS A SIGNIFICANT DROP FROM THE PREVIOUS YEAR. MARION COUNTY INCREASED TO 38.3% OF 11TH GRADERS REPORTING SYMPTOMS. 11TH GRADE STUDENTS SERIOUSLY CONSIDERING SUICIDE IN POLK COUNTY WERE 20.4% WITH 7.7% ACTUALLY ATTEMPTING. IN MARION COUNTY 11TH GRADERS SERIOUSLY CONSIDERING SUICIDE IN 2019 WERE 19.9% AND ATTEMPTS INCREASED FROM 2017 TO 10%. OUR COMMUNITY CONTINUES TO BE AT OR ABOVE THE OREGON AVERAGES IN DEPRESSION AND SUICIDE MARKERS.ABOUT 1 IN 4 ADULTS HAS BEEN DIAGNOSED WITH DEPRESSION IN THE COMMUNITY, WHICH WAS SIMILAR TO THE STATE. A HIGHER PERCENTAGE OF FEMALES HAVE BEEN DIAGNOSED WITH DEPRESSION THAN MALES. ABOUT 13% OF ADULTS IN MARION EXPERIENCED FREQUENT MENTAL DISTRESS, COMPARED TO 12% IN POLK AND 14% IN THE STATE. MALE COMMUNITY MEMBERS AND THOSE WHO IDENTIFIED AS AMERICAN INDIAN/ALASKA NATIVE OR WHITE, NON-HISPANIC HAD HIGHER MORTALITY RATES THAN THEIR PEERS. SALEM HEALTH CONTINUES TO BE ENGAGED IN COMMUNITY WIDE INITIATIVES TO EXPLORE CONTRIBUTING FACTORS TO THIS INCREASE. SALEM HEALTH COMMUNITY HEALTH EDUCATION CENTER (CHEC) HOSTS CLASSES IN MENTAL HEALTH SUPPORTS AND STRENGTHS INCLUDING: BURNOUT AND RESILIENCE, LIFE IN BALANCE EXERCISE CLASS, GOOD FOOD GOOD MOOD. SALEM HEALTH TRAUMA PREVENTION TEAM CONDUCTED PRESENTATIONS AND CLASSES ON SELF CARE AND SUICIDE PREVENTION IN LOCAL SCHOOLS. WE ALSO HOUSE THE MARION COUNTY PSYCHIATRIC CRISIS CENTER ON OUR CAMPUS AND HAVE A VERY STRONG PARTNERSHIP WITH THEM.SALEM HEALTH SUPPORTS CENTER 50+, WHICH IS A LOCAL SENIOR CENTER WORKING TO KEEP AGING PEOPLE HEALTH THROUGH SOCIAL AND PHYSICAL ACTIVITIES. THE IMPACT COVID HAD ON OUR SENIORS IN THIS COMMUNITY WAS SIGNIFICANT. IN-PERSON ACTIVITIES WERE ELIMINATED AND SENIORS BECAME INCREASINGLY. WE INVESTED IN WELLNESS ON WHEELS (WOW) WHICH WAS A MOBILE VERSION OF CENTER 50+ RECONNECTING 200 RESIDENTS WEEKLY PROVIDING POP-UP PROGRAMMING AROUND CONNECTIVITY AND SOCIAL SUPPORTS IN THE COMMUNITY USING PARKS AND OTHER PUBLIC SPACES.COVID-19 PANDEMIC HIGHLIGHTED HEALTH DISPARITIES IMPACTING LATINOS AND IMMIGRANTS IN OUR COMMUNITY. AT 27% MARION COUNTY HAS OVER TWICE THE HISPANIC POPULATION AS THE OREGON STATE AVERAGE (13.3%). THE CHALLENGES AROUND COMMUNICATION OPTIONS IN SPANISH COMBINED WITH A LACK OF A PRIMARY CARE PROVIDER (ESPECIALLY SOMEONE SPEAKING SPANISH) AND OTHER NEEDS EMERGING DURING THE PANDEMIC, CREATED HIGH LEVELS OF TOXIC STRESS WITHIN THE LATINO COMMUNITY. SALEM HEALTH INVESTS IN MANO A MANO IN PROVIDING A COMMUNITY HEALTH WORKER TO BREAK THROUGH BARRIERS IN A CULTURALLY SPECIFIC WAY TO INCREASE DECREASE TOXIC STRESS THROUGH HAVING A CHW ASSISTS FAMILIES IN ACCESSING EMERGENCY FOOD, UTILIZING HEALTH INSURANCE AND REMOVING OTHER HEALTHCARE BARRIERS, HOUSING, HEALTH EDUCATION AND COMMUNITY GROUPS TO SUPPORT FAMILIES.SUBSTANCE ABUSE: SUBSTANCE USE AND ABUSE, INCLUDING ALCOHOL, TOBACCO, AND DRUGS, REMAIN THE PRIMARY SOURCE(S) OF PREVENTABLE DEATH IN THE COMMUNITY, STATE, AND THE COUNTRY. CO-OCCURRING DIAGNOSES FOR BOTH MENTAL ILLNESS AND SUBSTANCE USE DISORDERS ARE COMMON. IN 2014, 20.2 MILLION ADULTS IN THE UNITED STATES (8.4%) HAD A SUBSTANCE USE DISORDER AND OF THOSE 7.9 MILLION HAD BOTH A MENTAL DISORDER AND A SUBSTANCE USE DISORDER. THIS SIGNIFICANT OVERLAP BETWEEN SUBSTANCE ABUSE AND MENTAL HEALTH UNDERSCORES THE IMPORTANCE OF CAPTURING WHO IS ENGAGING IN BEHAVIORS INDICATIVE OF THESE DISORDERS IN THE COMMUNITY. THE IMPACT SUBSTANCE ABUSE HAS ON OUR COMMUNITY IS SIGNIFICANT. ABOUT 33% OF MOTOR VEHICLE FATALITIES IN MARION COUNTY INVOLVED ALCOHOL, COMPARED TO 29% IN POLK COUNTY AND 32% IN THE STATE. THE RATE OF DEATHS THAT INVOLVED ALCOHOL HAS BEEN INCREASING IN THE COMMUNITY IN RECENT YEARS. ROUGHLY 14% OF ADULT COMMUNITY MEMBERS BINGE DRINK, COMPARED TO 18% OF ADULTS IN THE STATE. IN MARION, 16% OF ADULTS WERE CURRENT CIGARETTE SMOKERS COMPARED TO 15% IN POLK AND 18% IN THE STATE. THE COMMUNITY IS NOT CURRENTLY MEETING THE HEALTHY PEOPLE 2020 GOAL FOR CIGARETTE SMOKING. TOBACCO IS THE AGENT MOST RESPONSIBLE FOR AVOIDABLE ILLNESS AND DEATH IN AMERICA TODAY. ACCORDING TO THE CENTERS FOR DISEASE CONTROL AND PREVENTION, TOBACCO USE BRINGS PREMATURE DEATH TO ALMOST HALF A MILLION AMERICANS EACH YEAR AND IT CONTRIBUTES TO PROFOUND DISABILITY AND PAIN IN MANY OTHERS. THE WORLD HEALTH ORGANIZATION STATES THAT APPROXIMATELY ONE-THIRD OF ALL TOBACCO USERS IN THIS COUNTRY WILL DIE PREMATURELY BECAUSE OF THEIR DEPENDENCE ON TOBACCO. MARION AND POLK COUNTIES CONTINUE TO SEE A SIGNIFICANT INCREASE IN TOBACCO USE AND HAS SINCE 2011: MARION COUNTY HAS 19% OF ITS RESIDENTS USING TOBACCO AND POLK COUNTY REPORTS 16.4%. TOBACCO USE CONTRIBUTES TO MANY DISEASES, ESPECIALLY LUNG CANCER, A DISEASE FROM WHICH MARION AND POLK COUNTY RESIDENTS DIE A HIGHER RATE THAN THOSE IN OTHER PARTS OF OREGON. WITH TOBACCO USE COMES A GREATER EXPOSURE TO SECONDHAND SMOKE FOR NON-SMOKERS, WHICH MAY EXACERBATE A WIDE RANGE OF ADVERSE HEALTH EFFECTS SUCH AS RESPIRATORY INFECTIONS AND ASTHMA. ESPECIALLY CONCERNING IS THE INCREASE OF TOBACCO USE DURING PREGNANCY WHICH, ALTHOUGH IT HAS DECREASED IN RECENT YEARS IS STILL FAR HIGHER AT 10% THAN THE HEALTH PEOPLE 2020 GOAL OF LESS THAN 2%.SALEM HEALTH IS A SMOKE FREE CAMPUS AND HAS WORKED WITH THE CITY OF SALEM TO EXPAND SMOKE FREE ZONES TO NEIGHBORING SIDEWALKS AND CITY PARKS. THE HOSPITAL SCREENS 100% OF ITS PATIENTS FOR TOBACCO USE AND PROVIDES ALL TOBACCO USERS WITH COMMUNITY CESSATION RESOURCE INFORMATION. THE AMERICAN LUNG ASSOCIATION'S FREEDOM FROM SMOKING CURRICULUM IS OFFERED AT NO COST THROUGH OUR COMMUNITY HEALTH EDUCATION CENTER (CHEC) AND THE HEALTH EDUCATION AND OUTREACH TEAMS PROVIDE COMMUNITY BASED EDUCATION TO SCHOOLS RELATED TO TOBACCO PREVENTION. THE CHEC ALSO HOLDS CLASSES ON DUIS, SUBSTANCE ABUSE, METH ADDICTION PREVENTION, AA PROGRAM AND AL-ANON SUPPORT GROUPS, AND MINOR IN POSSESSION CLASSES. THE TRAUMA PREVENTION TEAM CONDUCTED PRESENTATIONS ADDRESSING SUICIDE PREVENTION AND SUBSTANCE ABUSE. SALEM HEALTH TRAUMA PREVENTION TEAM CONDUCTED CLASSES AND PRESENTATIONS AROUND SUBSTANCE ABUSE INCLUDING MARIJUANA AND VAPING USE AND METHAMPHETAMINE USE.SALEM HEALTH SUPPORTS COMMUNITY PARTNERS AND THEIR EFFORTS TO ADDRESS ADDICTION. FOR EXAMPLE, THE MARION COUNTY LEAD PROGRAM THROUGH A GRANT PROCESS. THIS PROGRAM PROVIDES TOOLS FOR PUBLIC SAFETY OFFICERS TO DIVERT INDIVIDUALS SUSPECTED OF LOW-LEVEL CRIMES AWAY FROM JAIL AND INTO COMMUNITY BASED SERVICES. SUBSTANCE ABUSE IS THE ROOT OF MORE THAN 20% OF CRIMES AND A DRIVING FORCE OF REPEAT OFFENDERS AND REDIRECTING INDIVIDUALS TOWARDS TREATMENT IS A PROVEN TOOL TO HELP STOP THIS CYCLE. INTENSE CASE MANAGEMENT AND ACCESSING TREATMENT SERVICES ARE KEY ELEMENTS OF THIS PROGRAM.HOUSING: HOUSING AND HEALTH CARE WORK ARE CRITICAL PARTNERS IN PREVENTING AND ENDING HOMELESSNESS. HEALTHCARE SERVICES ARE MORE EFFECTIVE AND BETTER DELIVERED WHEN A PATIENT IS STABLY HOUSED. THE RATE OF HOMELESSNESS HAS BEEN INCREASING BOTH IN THE COMMUNITY AND THE STATE IN RECENT YEARS, INCLUDING GROWING NUMBERS OF STUDENTS IN K-12 EXPERIENCING HOMELESSNESS. THIS LEADS TO INADEQUATE CARE, DIFFICULT CONNECTING TO SERVICES, AND CONTRIBUTING TO CHRONIC DISEASE. EXPOSURE TO COMMUNICABLE DISEASE INCREASES, AND CHRONIC HEALTH CONDITIONS SUCH AS HIGH BLOOD PRESSURE AND DIABETES BECOME WORSE DUE TO MEDICATION STORAGE ISSUES AN
SALEM HEALTH	PART V, SECTION B, LINE 13B: SALEM HEALTH FINANCIAL MATRIX IS BASED ON INCOME AS A PERCENT OF FEDERAL POVERTY LEVEL.
SALEM HEALTH	PART V, SECTION B, LINE 13H: CRITERIA CONSIDERED IN DETERMINING ELIGIBILITY INCLUDE, BUT ARE NOT LIMITED TO: 1) THE HOUSEHOLD'S GROSS INCOME. THE DEFINITION OF HOUSEHOLD GROSS INCOME INCLUDES THE COMBINED GROSS MONTHLY INCOME OF ALL PERSONS LEGALLY RESPONSIBLE FOR PATIENT BILL OR BALANCE.2) HOUSEHOLD'S ASSETS OTHER THAN PRIMARY RESIDENCE.1. EQUITY IN A REAL ESTATE (OTHER THAN THE PATIENT/GUARANTOR'S PRIMARY RESIDENCE), SECURITIES OR OTHER ASSETS ARE CONSIDERED AVAILABLE TO PAY THE PATIENT'S MEDICAL EXPENSES AND SHOULD BE INCLUDED IN THE INCOME CALCULATION 2. THE INCOME FROM INCOME-PRODUCING REAL PROPERTY SHOULD BE USED IN THE CALCULATION RATHER THAN THE EQUITY. 3. INDIVIDUAL RETIREMENT ACCOUNTS (IRAS) OR OTHER RETIREMENT FUNDS WILL NOT BE INCLUDED IN HOUSEHOLD ASSETS; HOWEVER DISTRIBUTIONS FROM THOSE FUNDS WILL BE CONSIDERED INCOME.3) FAMILY SIZE (PERSONS LEGALLY RESPONSIBLE FOR THE PATIENT BILL AND THEIR DEPENDENTS).4) THE FAMILY'S MONTHLY OUT-OF-POCKET EXPENSES FOR MEDICAL SUPPLIES AND SERVICES.5) ELIGIBILITY MAY BE CONTINGENT UPON PATIENT COOPERATION WITH THE APPLICATION PROCESS. HOUSEHOLD INCOMES UP TO 400% OF THE ANNUAL POVERTY LEVEL GUIDELINES (FPG) WILL BE ELIGIBLE FOR FINANCIAL ASSISTANCE AS OUTLINED BELOW AND IN THE FPG FINANCIAL MATRIX:FINANCIAL MATRIX INCOME AS A PERCENTAGE OF FEDERAL POVERTY LEVEL PERCENTAGE OF FPG PERCENTAGE DISCOUNT0-300% 100%301- 400% 65%
SALEM HEALTH	PART V, SECTION B, LINE 15E: PART V, SECTION B, LINE 15E: SUPPORTING DOCUMENTATION MAY INCLUDE THE FOLLOWING: PATIENT MUST PROVIDE TWO OF THE FOLLOWING DOCUMENTS TO SUPPORT THE INCOME CLAIMS ON THE APPLICATION. THREE MONTHS INCOME VERIFICATION IN THE FORM OF PAY STUBS, BANK DEPOSITS, ETC. SOCIAL SECURITY DETERMINATION LETTERS THE PRIOR YEAR'S TAX RETURNS OR 450T-EZA "BASIC NEEDS" LETTER THAT INDICATES HOW PERSONS WITH NO INCOME ARE MEETING THEIR DAY TO DAY BASIC LIVING NEEDS. "BASIC NEEDS" LETTER MUST ONLY BE CONSIDERED A SECONDARY SUPPORTING DOCUMENT AFTER THE FINANCIAL COUNSELOR OR CLERK VALIDATES THAT INFORMATION. AS OUTLINED IN SALEM HEALTH'S CONDITIONS OF ADMISSION, A CREDIT BUREAU REPORT OR A CHARITY SCORING VENDOR MAY BE REQUESTED TO VALIDATE INFORMATION PROVIDED ON THE FINANCIAL ASSISTANCE APPLICATION. SALEM HEALTH MAY ACCEPT INFORMATION PROVIDED ON AN OHP APPLICATION, OHP ELIGIBILITY, PROBATE ESTATES DETERMINATION, DOCUMENTATION OF HOMELESS STATUS, OR RELIABLE THIRD PARTY CREDIT INFORMATION AS A SUBSTITUTE FOR THE FINANCIAL FORMS. OHP INFORMATION WILL BE CONSIDERED VALID 30 DAYS PRIOR TO ADMISSION AND 90 DAYS POST DISCHARGE. APPROVED SOURCES OF DOCUMENTATION FOR HOMELESS STATUS INCLUDE CHART NOTES, DISCHARGE PLANS, OR DISCHARGE SUMMARIES ENTERED INTO OUR HEALTH INFORMATION SYSTEM BY CARE PROVIDERS OF THE PATIENT INDICATING THEY ARE HOMELESS DURING THE REGISTRATION PROCESS. FINANCIAL ASSISTANCE GRANTED BASED ON THIRD PARTY INFORMATION RATHER THAN A FINANCIAL ASSISTANCE APPLICATION DOES NOT EXTEND TO FUTURE DATES OF SERVICE AND WOULD NEED TO BE REEVALUATED BASED ON INFORMATION AVAILABLE THAT TIME. APPLICATION PROCESS AND ELIGIBILITY DETERMINATION A REQUEST FOR FINANCIAL ASSISTANCE MAY BE MADE BEFORE, DURING OR AFTER THE PROVISION OF CARE. THE HOSPITAL HAS DEVELOPED AN APPLICATION PROCESS FOR DETERMINING INITIAL INTEREST IN AND QUALIFICATION FOR FINANCIAL ASSISTANCE. REQUESTS FOR FINANCIAL ASSISTANCE WILL BE ACCEPTED FROM THE PATIENT DIRECTLY, OR OTHERS ON THE PATIENT'S BEHALF. THIS COULD INCLUDE BUT IS NOT LIMITED TO, THE PATIENT'S REPRESENTATIVE OR HOSPITAL STAFF.
SALEM HEALTH	PART V, SECTION B, LINE 16J: INFORMATION ON THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY IS MADE PUBLICALLY AVAILABLE FREE OF CHARGE IN THE FOLLOWING MANNER:1. NOTICES ARE POSTED IN KEY AREAS OF THE HOSPITAL, INCLUDING ADMITTING, THE EMERGENCY DEPARTMENT, OUTPATIENT DEPARTMENT REGISTRATION AREAS, AND PATIENT FINANCIAL SERVICES.2. THE CONDITIONS OF ADMISSION FORM INFORMS THE PATIENT OF THEIR RIGHT TO APPLY FOR FINANCIAL ASSISTANCE.3. WRITTEN INFORMATION SHALL BE AVAILABLE IN ENGLISH, SPANISH, RUSSIAN AND VIETNAMESE. THE HOSPITAL WILL PROVIDE THE APPROPRIATE INTERPRETATION SERVICES FOR PATIENTS/GUARANTORS WHO DO NOT SPEAK ENGLISH.4. FRONT-LINE STAFF WILL BE TRAINED TO ANSWER FINANCIAL ASSISTANCE QUESTIONS EFFECTIVELY AND WILL DIRECT ANY THAT CANNOT BE ANSWERED TO FINANCIAL COUNSELOR'S IN A TIMELY MANNER.5. THIS POLICY WILL BE POSTED ON SALEM HEALTH'S 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 RESOLVED ACCOUNTS WHERE PATIENTS ARE UNCOOPERATIVE IN MAKING PAYMENTS, HAVE NOT MADE APPROPRIATE PAYMENTS OR HAVE BEEN UNWILLING TO PROVIDE REASONABLE FINANCIAL AND OTHER DATA TO SUPPORT THEIR REQUEST FOR FINANCIAL ASSISTANCE. COLLECTION AGENCY AND LAW FIRM STAFF WILL UPHOLD THE CONFIDENTIALITY AND INDIVIDUAL DIGNITY OF EACH PATIENT. ALL AGENCIES AND LAW FIRMS WILL COMPLY WITH ALL APPLICABLE LAWS INCLUDING HIPAA REQUIREMENTS FOR HANDLING PROTECTED HEALTH INFORMATION.
SALEM HEALTH	PART V, SECTION B, LINE 19E: SALEM HEALTH WILL NOTIFY INDIVIDUALS THAT FINANCIAL ASSISTANCE IS AVAILABLE TO ELIGIBLE INDIVIDUALS AT LEAST 30 DAYS PRIOR TO PURSUING EXTRAORDINARY COLLECTIONS ACTIONS (ECA) TO OBTAIN PAYMENT FOR THE CARE PROVIDED BY THE HOSPITAL. ECAS FOR HOSPITAL SERVICES WILL NOT COMMENCE FOR A PERIOD OF AT LEAST 240 DAYS AFTER THE DATE OF THE FIRST POST-DISCHARGE BILLING STATEMENT AND 30 DAYS AFTER THE HOSPITAL OR AUTHORIZED THIRD PARTY PROVIDES WRITTEN NOTICE OF ECAS THE HOSPITAL PLANS TO INITIATE FOR THE APPLICABLE MEDICALLY NECESSARY OR EMERGENCY CARE.
SALEM HEALTH	PART V, SECTION B, LINE 20E: SALEM HEALTH WILL NOTIFY INDIVIDUALS THAT FINANCIAL ASSISTANCE IS AVAILABLE TO ELIGIBLE INDIVIDUALS AT LEAST 30 DAYS PRIOR TO PURSUING EXTRAORDINARY COLLECTIONS ACTIONS (ECA) AS TO OBTAIN PAYMENT FOR THE CARE PROVIDED BY THE HOSPITAL BY DOING THE FOLLOWING:1) PROVIDE WRITTEN NOTICE TO THE INDIVIDUAL INDICATING THAT FINANCIAL ASSISTANCE IS AVAILABLE TO ELIGIBLE INDIVIDUALS, INDICATING THAT SALEM HEALTH INTENDS TO INITIATE OR HAVE A THIRD PARTY INITIATE TO OBTAIN PAYMENT FOR THE CARE AND PROVIDE A DEADLINE AFTER WHICH ECAS MAY BE PURSUED AND WHICH IS NO SOONER THAN 30 DAYS AFTER THE DATE OF THIS WRITTEN NOTICE2) PROVIDE THE INDIVIDUAL A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY WITH THE WRITTEN NOTICE3) MAKE REASONABLE EFFORTS TO ORALLY NOTIFY INDIVIDUAL ABOUT THE SALEM HEALTH'S FINANCIAL ASSISTANCE POLICY
SALEM HEALTH	PART V, SECTION B, LINE 21C: NOT APPLICABLE. SALEM HEALTH HAS A POLICY RELATIVE TO EMERGENCY MEDICAL CARE THAT REQUIRED THE HOSPITAL FACILITY TO PROVIDE, WITHOUT DISCRIMINATION, CARE FOR EMERGENCY MEDICAL CONDITIONS TO INDIVIDUALS REGARDLESS OF THEIR ELIGIBILITY UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY.
SALEM HEALTH	PART V, SECTION B, LINE 21D: NOT APPLICABLE. SALEM HEALTH HAS A POLICY RELATIVE TO EMERGENCY MEDICAL CARE THAT REQUIRED THE HOSPITAL FACILITY TO PROVIDE, WITHOUT DISCRIMINATION, CARE FOR EMERGENCY MEDICAL CONDITIONS TO INDIVIDUALS REGARDLESS OF THEIR ELIGIBILITY UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY.
PART V, SECTION B, LINE 7B:	WWW.CO.POLK.OR.US/PH/COMMUNITY-HEALTH-ASSESSMENT-CHA
PART V, SECTION B, LINE 16:	-FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY AND APPLICATION MAY BE DOWNLOADED FROM OUR WEBSITE: HTTPS://WWW.SALEMHEALTH.ORG/ABOUT/CHARITY-CARE-AND-FINANCIAL-POLICY-PAPER COPIES OF THE FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY AND APPLICATION ARE AVAILABLE IN THE EMERGENCY DEPARTMENT, IN REGISTRATION AREAS AND AT PATIENT FINANCIAL SERVICES, 550 HAWTHORNE SE, SUITE 200, SALEM OREGON 97301. -PAPER COPIES OF THE FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY AND APPLICATIONS MAY BE REQUESTED BY MAIL FROM FINANCIAL COUNSELING, SALEM HEALTH, PO BOX 14001, SALEM, OR 97309-9976 OR VIA TELEPHONE BY CALLING 503-562-4357.

Field	Value	IRS element (for citing)
Facility	15	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (15 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - REHABILITATION CENTER
755 MISSION ST SE	SALEM	OR	97302	REHABILITATION
2 - LABORATORY PHILEBOTOMY SITE
1600 STATE ST	SALEM	OR	97301	LABORATORY SERVICES
3 - COMPREHENSIVE PAIN CENTER
875 OAK STREET	SALEM	OR	97302	PAIN MANAGEMENT
4 - REGIONAL LABORATORY
3300 STATE ST	SALEM	OR	97301	LABORATORY SERVICES
5 - SALEM HEALTH MEDICAL CLINIC - S SALEM
2925 RIVER RD S	SALEM	OR	97302	CLINIC
6 - SALEM HEALTH MEDICAL CLINIC - SALEM
966 12TH STREET SE	SALEM	OR	97301	CLINIC
7 - SALEM HEALTH MEDICAL CLINIC - W SALEM
1049 EDGEWATER ST NW SUITE 150	SALEM	OR	97304	CLINIC
8 - SALEM HEALTH MEDICAL CLINIC -BOULDER CRE
2485 12TH ST SE	SALEM	OR	97302	CLINIC
9 - SALEM HEALTH MEDICAL CLINIC - EDGEWATER
1049 EDGEWATER ST NW	SALEM	OR	97304	CLINIC
10 - SALEM HEALTH MEDICAL CLINIC - KEIZER
5100 RIVER ROAD N	SALEM	OR	97303	CLINIC
11 - SALEM HEALTH MEDICAL CLINIC - SKYLINE VL
5050 SKYLINE VILLAGE LOOP	SALEM	OR	97306	CLINIC
12 - SALEM HEALTH MEDICAL CLINIC - MILLER AVE
641 SE MILLER AVE	DALLAS	OR	97338	CLINIC
13 - SALEM HEALTH MEDICAL CLINIC - MONMOUTH
512 MAIN ST E SUITE 300	MONMOUTH	OR	97361	CLINIC
14 - SALEM HEALTH MEDICAL CLINIC - UGLOW AVE
1000 SE UGLOW AVE	DALLAS	OR	97338	CLINIC
15 - SALEM HEALTH MEDICAL CLINIC - WOODBURN
105 ARNEY ROAD SUITE 130	WOODBURN	OR	97071	CLINIC

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	CRITERIA CONSIDERED IN DETERMINING ELIGIBILITY INCLUDE BUT ARE NOT LIMITED TO: 1) THE HOUSEHOLD'S GROSS INCOME. THE DEFINITION OF HOUSEHOLD GROSS INCOME INCLUDES THE COMBINED GROSS MONTHLY INCOME OF ALL PERSONS LEGALLY RESPONSIBLE FOR PATIENT BILL OR BALANCE.2) HOUSEHOLD'S ASSETS OTHER THAN PRIMARY RESIDENCEEQUITY IN A REAL ESTATE (OTHER THAN THE PATIENT/GUARANTOR'S PRIMARY RESIDENCE), SECURITIES OR OTHER ASSETS ARE CONSIDERED AVAILABLE TO PAY THE PATIENTS' MEDICAL EXPENSES AND SHOULD BE INCLUDED IN THE INCOMES CALCULATIONTHE INCOME FROM INCOME-PRODUCING REAL PROPERTY SHOULD BE USED IN CALCULATION RATHER THAN THE EQUITYINDIVIDUAL RETIREMENT ACCOUNTS (IRAS) OR OTHER RETIREMENT FUNDS WILL NOT BE INCLUDED IN HOUSEHOLD ASSETS, HOWEVER DISTRIBUTIONS FROM THOSE FUNDS WILL BE CONSIDERED INCOME.3) FAMILY SIZE (PERSONS LEGALLY RESPONSIBLE FOR THE PATIENT BILL AND THEIR DEPENDENTS)4) THE FAMILY'S MONTHLY OUT-OF-POCKET EXPENSES FOR MEDICAL SUPPLIES AND SERVICES5) ELIGIBILITY MAY BE CONTINGENT UPON PATIENT COOPERATION WITH THE APPLICATION PROCESS. THE DEFINITION OF "HOUSEHOLD GROSS INCOME" INCLUDES THE COMBINED GROSS MONTHLY INCOME OF ALL PERSONS LEGALLY RESPONSIBLE FOR PATIENT BILL OR BALANCE.SUPPORTING DOCUMENTATION MAY INCLUDE THE FOLLOWING: PATIENT MUST PROVIDE TWO OF THE FOLLOWING DOCUMENTS TO SUPPORT THE INCOME CLAIMS ON THE APPLICATION. THREE MONTHS INCOME VERIFICATION IN THE FORM OF PAY STUBS, BANK DEPOSITS, ETC. SOCIAL SECURITY DETERMINATION LETTERS THE PRIOR YEAR'S TAX RETURNS OR 450T-EZ A "BASIC NEEDS" LETTER THAT INDICATES HOW PERSONS WITH NO INCOME ARE MEETING THEIR DAY TO DAY BASIC LIVING NEEDS. "BASIC NEEDS" LETTER MUST ONLY BE CONSIDERED A SECONDARY SUPPORTING DOCUMENT AFTER THE FINANCIAL COUNSELOR OR CLERK VALIDATES THAT INFORMATION. AS OUTLINED IN SALEM HEALTH'S CONDITIONS OF ADMISSION, A CREDIT BUREAU REPORT OR A CHARITY SCORING VENDOR MAY BE REQUESTED TO VALIDATE INFORMATION PROVIDED ON THE FINANCIAL ASSISTANCE APPLICATION. SALEM HEALTH MAY ACCEPT INFORMATION PROVIDED ON AN OHP APPLICATION, OHP ELIGIBILITY, PROBATE ESTATES DETERMINATION, DOCUMENTATION OF HOMELESS STATUS, OR RELIABLE THIRD PARTY CREDIT INFORMATION AS A SUBSTITUTE FOR THE FINANCIAL FORMS. OHP INFORMATION WILL BE CONSIDERED VALID 30 DAYS PRIOR TO ADMISSION AND 90 DAYS POST DISCHARGE. APPROVED SOURCES OF DOCUMENTATION FOR HOMELESS STATUS INCLUDE CHART NOTES, DISCHARGE PLANS, OR DISCHARGE SUMMARIES ENTERED INTO OUR HEALTH INFORMATION SYSTEM BY CARE PROVIDERS OF THE PATIENT INDICATING THEY ARE HOMELESS DURING THE REGISTRATION PROCESS. FINANCIAL ASSISTANCE GRANTED BASED ON THIRD PARTY INFORMATION RATHER THAN A FINANCIAL ASSISTANCE APPLICATION DOES NOT EXTEND TO FUTURE DATES OF SERVICE AND WOULD NEED TO BE REEVALUATED BASED ON INFORMATION AVAILABLE THAT TIME.
PART I, LINE 6A:	A COMMUNITY BENEFIT REPORT WAS PUBLISHED AND IS AVAILABLE AT HTTPS://WWW.SALEMHEALTH.ORG/DOCS/DEFAULT-SOURCE/COMMUNITY/SH-CHIP-PLAN-2020-INFO-DOCX.PDF
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, COMMUNITY BUILDING ACTIVITIES:	SALEM HEALTH IS DEEPLY EMBEDDED IN THE COMMUNITY AND HOSPITAL LEADERS WORK HAND IN HAND WITH REPRESENTATIVES FROM GOVERNMENT AGENCIES AND OTHER NON-PROFIT ORGANIZATIONS TO ASSESS AND ADDRESS COMMUNITY NEEDS. THREE AREAS CURRENTLY IDENTIFIED AS PRIORITIES ARE BEHAVIORAL HEALTH SUPPORT, HOUSING, AND SUBSTANCE USE. COMMUNITY WIDE TASK FORCES ARE IN PLACE TO ADDRESS THESE HEALTH NEEDS, WHICH ARE DEEMED MOST CRITICAL IN THE TWO COUNTIES SERVED BY SALEM HEALTH. REPRESENTATIVES FROM APPROPRIATE AREAS OF THE HOSPITAL ATTEND TASK FORCE MEETINGS AND LEVERAGE HOSPITAL RESOURCES TO POSITIVELY IMPACT HEALTH OUTCOMES. HOSPITAL LEADERS VOLUNTEER TIME TO SERVE ON COMMUNITY NON-PROFIT BOARDS WHICH MIRROR THE MISSION OF SALEM HEALTH AND ATTEND REGIONAL COLLABORATIVE WORK GROUPS THAT ADDRESS SOCIAL DETERMINANTS OF HEALTH. EXAMPLES INCLUDE BOARD POSITIONS ON SALEM FREE CLINIC, FAMILY BUILDING BLOCKS, MARION POLK FOOD SHARE, THE BOYS AND GIRLS CLUB, UNITED WAY, UNION GOSPEL MISSION, LIBERTY HOUSE, AND CATHOLIC COMMUNITY SERVICES.THE HOSPITAL PROVIDES COMMUNITY BASED HEALTH IMPROVEMENT SERVICES AS REQUESTED IN MARION AND POLK COUNTIES. IN 2021, THESE INCLUDED HEALTH SCREENINGS, EDUCATION AND OUTREACH. THE COMMUNITY HEALTH EDUCATION CENTER OFFERS A HEALTH RELATED LENDING LIBRARY, DROP-IN NURSING CONSULTATION SERVICES AND GROUP INSTRUCTION. DIABETIC AND NUTRITION COUNSELING IS ALSO OFFERED FOR PATIENTS NEWLY DIAGNOSED AND UNABLE TO PAY FOR THESE SERVICES. THE CENTER PROVIDES SPACE FREE OF CHARGE TO COMMUNITY PARTNERS SEEKING TO IMPROVE HEALTH OUTCOMES. THE ROOMS HOST CLASSES, LECTURES, HEALTH FAIRS AND SUPPORT GROUPS THAT ARE COORDINATED IN PARTNERSHIP WITH COMMUNITY AGENCIES. SALEM HEALTH PROVIDED COMMUNITY PARTNER GRANTS IN 2021 TO ENHANCE EXISTING NON-PROFIT ORGANIZATIONS' WORK THAT ADDRESSES NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. THESE ORGANIZATIONS INCLUDE HOME YOUTH SERVICES, CONTINUUM OF CARE, SOLUTIONS TO HOMELESSNESS, FAMILY BUILDING BLOCKS, LAW ENFORCEMENT ASSISTED DIVERSION, HOMELESS YOUTH SERVICES DATABASE, BOYS AND GIRLS CLUB, CENTER 40+, SANTIAM FIRE SUPPORT, GILBERT HOUSE/CASA, WILLAMETTE VALLEY HOSPICE, POLK COUNTY SERVICE INTEGRATION TEAMS, NORTH MARION SERVICE INTEGRATION TEAM, WOODBURN SERVICE INTEGRATION TEAM, ASSISTANCE LEAGUE, SALEM POLICE FOUNDATION, MANO A MANO, SALEM FREE CLINICS, AND NW FAMILY SERVICES. ADDITIONAL FINANCIAL GRANTS ARE ISSUED TO NON-PROFITS THAT ADDRESS ACCESS TO HEALTH CARE FOR UN- AND UNDERINSURED POPULATIONS. LASTLY, THE HOSPITAL PROVIDES TRAINING FOR NURSING STUDENTS AND EMERGING HEALTH CARE PROFESSIONALS THROUGH HEALTH CAREER EXPLORATION.
PART III, LINE 2:	BAD DEBT EXPENSE IS PRIMARILY ESTIMATED BASED UPON THE HOSPITALS' HISTORICAL COLLECTION EXPERIENCE, THE AGE OF THE PATIENT'S ACCOUNT, THE PATIENT'S ECONOMIC ABILITY TO PAY, AND THE EFFECTIVENESS OF COLLECTION EFFORTS. PATIENT ACCOUNTS RECEIVABLE BALANCES ARE ROUTINELY REVIEWED IN CONJUNCTION WITH HISTORICAL COLLECTION RATES AND OTHER ECONOMIC CONDITIONS THAT MIGHT ULTIMATELY AFFECT THE COLLECTABILITY OF PATIENT ACCOUNTS WHEN CONSIDERING THE ADEQUACY OF THE AMOUNTS RECORDED IN THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. ACTUAL WRITE-OFFS HISTORICALLY HAVE APPROXIMATED MANAGEMENT'S EXPECTATIONS.
PART III, LINE 3:	BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER SALEM HEALTH'S FINANCIAL ASSISTANCE POLICY IS ESTIMATED BASED ON DATA FROM OUR PATIENT ACCOUNTING SYSTEM. THIS DATA IS THEN COMPARED AND MATCHED TO MEDIAN HOUSEHOLD INCOME CENSUS DATA BY ZIP CODE TO DETERMINE THE ESTIMATED BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE.
PART III, LINE 4:	PATIENT ACCOUNTS RECEIVABLE ARE RECORDED AT AN ESTIMATED COLLECTIBLE AMOUNT AND DO NOT BEAR INTEREST. EXPLICIT PRICE CONCESSIONS ARE ESTABLISHED AS A RESULT OF NEGOTIATED REIMBURSEMENT METHODOLOGIES WITH THIRD PARTY PAYORS.THE CORPORATION ALSO RECORDS ESTIMATED IMPLICIT PRICE CONCESSIONS (BASED PRIMARILY ON HISTORICAL COLLECTION EXPERIENCE) RELATED TO UNINSURED ACCOUNTS TO RECORD SELF-PAY REVENUES AT THE ESTIMATED AMOUNTS WE EXPECT TO COLLECT. THE CORPORATION DOES NOT ASSESS CREDIT RISK BEFORE SERVICES ARE RENDERED.
PART III, LINE 8:	MEDICARE PAYS A SIGNIFICANTLY REDUCED AMOUNT FOR MEDICAL SERVICES RENDERED TO THEIR ENROLLEES SUCH THAT THE NET REIMBURSEMENT DOES NOT COVER THE EXPENSES INCURRED TO PROVIDE THE SERVICES. SALEM HEALTH CONSIDERS THE DIFFERENCE BETWEEN THE COSTS TO PROVIDE THE SERVICES FOR MEDICARE ENROLLEES AND THE NET REIMBURSEMENT AS A BENEFIT TO THE COMMUNITY. MEDICARE FEE-FOR-SERVICE COSTS ARE DETERMINED FROM SALEM HEALTH'S FILED MEDICARE COST REPORT. THE CALCULATION OF NET BENEFIT IS EQUAL TO TOTAL MEDICARE PAYMENTS LESS MEDICARE COSTS.IN ADDITION TO TRADITIONAL MEDICARE FEE-FOR-SERVICE, SALEM HEALTH PROVIDES SUBSTANTIAL SERVICES TO OTHER MEDICARE POPULATIONS PARTICIPATING IN MEDICARE ADVANTAGE PLANS AT SIGNIFICANTLY REDUCED REIMBURSEMENT. THE NET REVENUES FOR THESE PLANS ARE LESS THAN THE COST TO PROVIDE CARE AND ARE NOT DISCLOSED IN PART III, LINE 8. SALEM HEALTH ALSO CONSIDERS THE DIFFERENCE BETWEEN THE NET COST TO PROVIDE CARE FOR MEDICARE ADVANTAGE ENROLLEES AND THE NET REIMBURSEMENT AS A BENEFIT TO THE COMMUNITY. THESE NET COSTS HAVE BEEN DETERMINED BY APPLYING THE RATIO OF COSTS TO CHARGES AS DETERMINED IN WORKSHEET 2 TO THE FULL BILLED CHARGES. THE CALCULATION OF NET BENEFIT IS EQUAL TO TOTAL MEDICARE ADVANTAGE PAYMENTS OF $211,194,711 LESS MEDICARE ADVANTAGE COSTS OF $255,639,975 FOR A TOTAL ADDITIONAL COMMUNITY BENEFIT IN THE AMOUNT OF $44,445,263.
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 COUNTY ARE LOCATED IN THE WILLAMETTE VALLEY AND ARE THE 5TH AND 13TH MOST POPULOUS COUNTIES IN OREGON RESPECTIVELY. THIS COMMUNITY SPANS ABOUT 1,950 SQUARE MILES, OF WHICH 1,200 ARE IN MARION AND 750 ARE IN POLK. IN MARION, THE FIVE LARGEST CITIES ARE KEIZER, SALEM, SILVERTON, STAYTON, AND WOODBURN, WHICH ARE HOME TO 66% OF THE COUNTY'S TOTAL POPULATION. THE REMAINING 34% LIVE IN ONE OF THE SMALLER 15 CITIES OR ON UNINCORPORATED LAND. IN POLK, THE LARGEST CITIES ARE DALLAS, FALLS CITY, INDEPENDENCE, MONMOUTH, WEST SALEM, AND WILLAMINA, OF WHICH ABOUT 84% OF POLK'S POPULATION RESIDES. THOSE WHO LIVE OUTSIDE OF THE MAJOR POPULATION AREAS IN THE COMMUNITY MAY EXPERIENCE GREATER DIFFICULTY ACCESSING RESOURCES LIKE HEALTH CARE SERVICES AND HEALTHY FOODS. GIVEN THE LIMITED PUBLIC TRANSPORTATION IN THESE RURAL AREAS, ACCESS TO A VEHICLE IS LIKELY REQUIRED TO LIVE A HEALTHY LIFESTYLE. AS OF 2020 THERE WERE ABOUT 433,353 PEOPLE LIVING IN THE COMMUNITY OR MARION AND POLK COUNTIES, WHICH IS ABOUT 10% OF THE TOTAL STATE POPULATION. OF THOSE, IT IS ESTIMATED THAT 344,920 PEOPLE LIVE IN MARION AND 87,433 LIVE IN POLK. SINCE 2010, THE POPULATION HAS INCREASED BY 8% IN MARION AND 11% IN POLK, WHICH WAS SIMILAR TO THE INCREASE IN THE STATE AS A WHOLE. THERE WERE ALSO A LARGER NUMBER OF PEOPLE LIVING PER SQUARE MILE IN THIS COMMUNITY COMPARED TO THE STATE AND THIS WAS ESPECIALLY TRUE FOR MARION. JUST OVER HALF OF COMMUNITY MEMBERS IDENTIFIED AS FEMALE, WHICH WAS SIMILAR TO THE STATE. THE COMMUNITY HAD A LARGER PROPORTION OF MEMBERS BETWEEN THE AGES OF 0-24 YEARS OLD THAN OREGON. THERE WAS ALSO A SMALLER PROPORTION OF WORKING AGE ADULTS (25-64) IN THE COMMUNITY THAN THE STATE. IN 2016, THE MEDIAN AGE WAS LOWER IN MARION (36.4 YEARS) COMPARED TO POLK (37.7 YEARS) AND THE STATE (39.2 YEARS.) ADDITIONALLY, MORE PEOPLE HAVE BEEN MIGRATING INTO THIS COMMUNITY AS OPPOSED TO LEAVING, WHICH IS EXPECTED TO CONTINUE DURING THE FORECAST PERIOD. IT IS ESTIMATED THAT THIS COMMUNITY WILL EXCEED 500,000 MEMBERS BY 2035 AND POLK WILL BE GROWING AT A FASTER RATE THAN MARION. SHIFTS IN AGE GROUPS WILL BE OCCURRING OVER THE NEXT 50 YEAR FORECAST PERIOD IN THIS COMMUNITY, WITH A GREATER PROPORTION OF MEMBERS FALLING INTO OLDER AGE GROUPS. THIS CHANGE IS IMPORTANT, AS IT HIGHLIGHTS THE NEED TO EXPAND AND PREPARE FOR THE GROWING HEALTH NEEDS OF AN AGING POPULATION. ABOUT 27% OF COMMUNITY MEMBERS IN MARION IDENTIFIED AS HISPANIC OR LATINA(O), WHICH WAS HIGHER THAN POLK (14%) AND OREGON (12%). MARION HAD A SMALLER PROPORTION OF MEMBERS WHO IDENTIFIED AS WHITE, NON-HISPANIC/LATINA(O) THAN POLK AND THE STATE. MARION ALSO HAD A LARGER PROPORTION OF MEMBERS WHO IDENTIFIED AS NATIVE HAWAIIAN OR PACIFIC ISLANDER THAN POLK AND THE STATE. ABOUT 1 OUT OF 4 HOUSEHOLDS (25%) IN MARION SPOKE A LANGUAGE OTHER THAN OTHER THAN ENGLISH AT HOME THAN POLK (14%) AND THE STATE (15%). COMMUNITY MEMBERS IN MARION HAD LOWER HOUSEHOLD MEDIAN INCOMES AND A HIGHER PERCENTAGE LIVING IN POVERTY, ESPECIALLY CHILDREN, THAN POLK AND THE STATE. 14.2% OF PEOPLE IN MARION COUNTY AND 12.5% IN POLK COUNTY ARE LIVING BELOW THE FEDERAL POVERTY LINE. ROUGHLY 25% OF CHILDREN WERE LIVING IN POVERTY IN MARION COUNTY, COMPARED TO 17% IN POLK COUNTY AND 20% IN OREGON OVERALL. IN THE COMMUNITY, A HIGHER PROPORTION OF FEMALES WERE LIVING IN POVERTY THAN MALES, AND MEMBERS WHO IDENTIFIED AS A RACE OR ETHNICITY OTHER THAN WHITE, NON-HISPANIC/LATINA(O) HAD HIGHER POVERTY RATES AS WELL.EDUCATIONAL ACHIEVEMENT HAS BEEN IMPROVING IN RECENT YEARS AS A HIGHER PERCENTAGE OF COMMUNITY MEMBERS HAVE A HIGH SCHOOL DIPLOMA/GED. 85% OF ADULTS OVER 25 IN MARION COUNTY AND 91% OF ADULTS IN POLK COUNTY HAVE A HIGH SCHOOL DIPLOMA OR GED. HOWEVER, THE PERCENTAGES DROP SIGNIFICANTLY FOR LATINO POPULATIONS WHICH WERE 53% IN MARION COUNTY AND 61% IN POLK COUNTY. EDUCATIONAL ACHIEVEMENT IN MARION COUNTY WAS LOWER THAN POLK AND THE STATE, ESPECIALLY WITH REGARD TO COLLEGE GRADUATES. IN MARION COUNTY 23% OF PEOPLE HAD A BACHELOR'S DEGREE OR HIGHER, COMPARED TO 31% IN POLK. EDUCATIONAL ACHIEVEMENT DIFFERED BY SEX, RACE AND ETHNICITY, GEOGRAPHY, AND DISABILITY STATUS. ABOUT 1 OUT OF 5 CHILDREN WERE FOOD INSECURE IN THIS COMMUNITY. IT WAS ALSO DIFFICULT FOR SOME COMMUNITY MEMBERS TO OBTAIN HEALTHY FOODS DUE TO AFFORDABILITY AND LOW ACCESS TO STORES THAT SELL THEM.
PART VI, LINE 5:	IN ADDITION TO THE WORK DESCRIBED IN THE ABOVE NARRATIVE, SALEM HEALTH HAS A COMMUNITY HEALTH EDUCATION CENTER THAT OFFERS NO AND LOW COST HEALTH EDUCATION TO THE GENERAL PUBLIC IN THE FORM OF CLASSES, OUTREACH AND ACCESS TO RESEARCH MATERIALS, ONLINE AND IN PRINT. A FULL TIME LIBRARIAN IS ON STAFF TO ASSIST CLINICIANS WITH THE LATEST RESEARCH AND TREATMENT OPTIONS. A STAFF OF HEALTH EDUCATORS PRESENTS TO THE PUBLIC ON VARIOUS COMMUNITY HEALTH TOPICS ON REQUEST AND ATTENDS WELLNESS FAIRS, PROVIDING BIOMETRICS AND HEALTH INFORMATION. THE SALEM CANCER INSTITUTE OFFERS FREE SCREENINGS SEVERAL TIMES A YEAR FOR VARIOUS CANCERS, INCLUDING BREAST, COLON, LUNG AND SKIN CANCER. STAFF AND CLINICIANS PARTICIPATE IN DOZENS OF HEALTH IMPROVEMENT COMMITTEES, ADDRESSING SOCIAL DETERMINANTS OF HEALTH SUCH AS HOMELESSNESS, FOOD INSECURITY, EDUCATION AND ACCESS TO CARE.JANUARY 2021 SALEM HEALTH AND SALEM HEALTH WEST VALLEY SET UP THE FIRST WIDE-SCALE VACCINE CLINIC IN OREGON AT THE OREGON STATE FAIRGROUNDS. THIS PROVED TO BE AN EFFECTIVE AND EFFICIENT WAY TO VACCINATE OUR COMMUNITY. OVER THE NEXT SEVERAL MONTHS WE PROVIDED OVER 212,000 VACCINES AT THIS SITE. ADDITIONALLY, WE CREATED MOBILE VACCINE TEAMS TO REACH UNDERSERVED AND BIPOC COMMUNITIES IN MARION AND POLK COUNTIES. THE MOBILE VACCINE TEAM BROUGHT OVER 13,000 COVID-19 VACCINATIONS TO PEOPLE AT FARMS, FOOD PROCESSING PLANTS, CHURCHES, PARISHES, AND RURAL AREAS IN MARION AND POLK COUNTIES. WE WENT TO SENIOR LIVING COMMUNITIES, HOMELESS COMMUNITIES AND SCHOOLS. THE OUTREACH WAS PRACTICAL, WIDESPREAD AND SIGNIFICANT.
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 (12 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
BOYS & GIRLS CLUB
1395 SUMMER ST NE	SALEM	OR	97301	930581470	501 (C) (3)	$41,000	IMPROVE SOCIAL DETERMINATE OF HEALTH
COMMUNITY ACTION AGENCY
625 UNION ST NE	SALEM	OR	97301	237056987	501 (C) (3)	$34,000	IMPROVE SOCIAL DETERMINATE OF HEALTH
FAMILY BUILDING BLOCKS
2425 LANCASTER DR NE	SALEM	OR	97305	931233373	501 (C) (3)	$7,500	IMPROVE SOCIAL DETERMINATE OF HEALTH
MANO A MANO FAMILY CENTER
2921 SADDLE CLUB ST SE 1009	SALEM	OR	97317	930992858	501 (C) (3)	$30,000	IMPROVE SOCIAL DETERMINATE OF HEALTH
MARION CO SHERIFF'S OFFICE
3610 AUMSVILLE HWY	SALEM	OR	97309	743261052	GOVT	$30,000	IMPROVE SOCIAL DETERMINATE OF HEALTH
MID-WILLAMETTE VALLEY
100 HIGH ST SE STE 200	SALEM	OR	97301	852966836	GOVT	$5,899	IMPROVE SOCIAL DETERMINATE OF HEALTH
POLK COUNTY SERVICE INTEGRATION
182 SW ACADEMY SUITE 220	DALLAS	OR	97338	936002310	GOVT	$16,800	IMPROVE SOCIAL DETERMINATE OF HEALTH
SALEM ART ASSOCIATION
600 MISSION ST S	SALEM	OR	97301	930421613	501 (C) (3)	$6,250	IMPROVE SOCIAL DETERMINATE OF HEALTH
SALEM FREE CLINIC
1300 BROADWAY ST NE	SALEM	OR	97301	203549992	501 (C) (3)	$77,000	IMPROVE SOCIAL DETERMINATE OF HEALTH
SALEM LEADERSHIP FOUNDATION
1300 BROADWAY ST NE 409	SALEM	OR	97301	931215089	501 (C) (3)	$25,000	IMPROVE SOCIAL DETERMINATE OF HEALTH
SALEM POLICE FOUNDATION
PO BOX 2631	SALEM	OR	97308	271899059	501 (C) (3)	$11,000	IMPROVE SOCIAL DETERMINATE OF HEALTH
PSYCHIATRIC CRISIS CENTER
PO BOX 14500	SALEM	OR	97309	936002307	MARION COUNTY		ACCESS TO MEDICAL SE	$1,143,470	OVERHEAD COSTS	USE OF SPACE

Field	Value	IRS element (for citing)
Total501c3 Org	12	Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	CASH ASSISTANCE TO PATIENTS	GrantTypeTxt
Recipient	11585	RecipientCnt
Cash Grant	$435,055	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 2:	GRANTS ARE ONLY MADE TO QUALIFIED EXEMPT ORGANIZATIONS. BECAUSE DOCUMENTATION AND AUTHORIZATION IS CAREFULLY EXAMINED BEFORE A GRANT IS GIVEN, AND THE PURPOSES FOR A GRANT ARE KNOWN BEFORE IT IS AWARDED, NO ADDITIONAL FOLLOW UP IS PERFORMED TO FIND OUT HOW THE GRANT WAS USED.
SCH I PART III, COLUMN (F)	CASH ASSISTANCE IS PROVIDED TO PATIENTS IN NEED FOR PRESCRIPTIONS, LIFELINE SUPPORT, REHABILITATION AND OTHER URGENT NEEDS.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	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	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CHERYL NESTER WOLFE
PRESIDENT & CEO	$1,003,683	$0	$252,189	$0	$165,731	$0	$21,375	$0	$16,209	$0	$1,459,187	$0	$0	$0
KATHERINE JONES
CARDIOTHORACIC SURGEON	$968,201	$0	$118,816	$0	$123,299	$0	$39,781	$0	$12,935	$0	$1,263,032	$0	$0	$0
JUAN OYARZUN
DIR CARDIOTHORACIC MEDICINE	$1,011,869	$0	$118,816	$0	$49,292	$0	$59,493	$0	$14,963	$0	$1,254,433	$0	$0	$0
NERVIN FANOUS
CARDIOTHORACIC SURGEON	$900,656	$0	$118,816	$0	$37,066	$0	$45,379	$0	$10,421	$0	$1,112,338	$0	$0	$0
JAMES PARR
EVP OF OPERATIONS & CFO	$592,723	$0	$170,353	$0	$47,485	$0	$65,022	$0	$23,569	$0	$899,152	$0	$0	$0
LEAH MITCHELL
EVP OF OPERATIONS & CIO	$568,503	$0	$170,353	$0	$39,294	$0	$63,342	$0	$23,870	$0	$865,362	$0	$0	$0
KENTEN WOOLHISER
NEUROLOGY MEDICAL DIRECTOR	$666,072	$0	$50,912	$0	$57,248	$0	$33,266	$0	$21,323	$0	$828,821	$0	$0	$0
ATISH CHOPRA
VASCULAR SURGEON	$680,885	$0	$78,208	$0	$1,152	$0	$36,381	$0	$23,795	$0	$820,421	$0	$0	$0
RALPH YATES
CMO SALEM HEALTH AND SHMG	$562,472	$0	$161,224	$0	$59,696	$0	$18,525	$0	$15,038	$0	$816,955	$0	$0	$0
BAHAA WANLY
CHIEF OPERATING OFFICER	$518,975	$0	$143,825	$0	$32,090	$0	$55,209	$0	$23,999	$0	$774,098	$0	$0	$0
MATTHEW BOLES
VP MEDICAL AFFAIRS	$430,336	$0	$124,767	$0	$2,250	$0	$46,496	$0	$23,900	$0	$627,749	$0	$0	$0
KATHERINE DOBLER
VP MEDICAL GROUP	$407,589	$0	$118,885	$0	$2,250	$0	$44,436	$0	$22,922	$0	$596,082	$0	$0	$0
SARAH HORN
CHIEF NURSING OFFICER	$345,508	$0	$99,211	$0	$32,271	$0	$48,733	$0	$23,870	$0	$549,593	$0	$0	$0
CHRISTINE CLARKE
CHIEF MEDICAL OFFICER SHMG	$435,788	$0	$52,572	$0	$1,504	$0	$47,907	$0	$2,057	$0	$539,828	$0	$0	$0
JONATHAN BAUER
CHIEF LEGAL OFFICER	$369,358	$0	$40,000	$0	$1,095	$0	$35,867	$0	$15,021	$0	$461,341	$0	$0	$0
SHEA CORUM
VP IT OPERATIONS	$294,714	$0	$83,697	$0	$5,310	$0	$39,561	$0	$23,776	$0	$447,058	$0	$0	$0
DENISE HOOVER
CHIEF SURGICAL SERVICES OFFICER	$265,712	$0	$76,548	$0	$19,259	$0	$43,135	$0	$17,589	$0	$422,243	$0	$0	$0
JAIME NICHOLS
CHIEF HUMAN RESOURCES OFFICER	$272,644	$0	$77,633	$0	$940	$0	$44,092	$0	$22,790	$0	$418,099	$0	$0	$0
LEILANI SLAMA
VP COMMUNITY ENGAGEMENT	$246,947	$0	$71,130	$0	$8,307	$0	$36,500	$0	$23,234	$0	$386,118	$0	$0	$0
ZENNIA CENIZA
VP CLINICAL OPERATIONS	$248,391	$0	$70,739	$0	$8,010	$0	$36,233	$0	$15,763	$0	$379,136	$0	$0	$0
JAMES BAUER
CHIEF DEVELOPMENT OFFICER	$259,887	$0	$49,076	$0	$8,395	$0	$21,744	$0	$14,895	$0	$353,997	$0	$0	$0
JENNIFER FOWLER
VP FINANCE	$219,923	$0	$62,700	$0	$973	$0	$18,615	$0	$23,321	$0	$325,532	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINES 4A-B	FormAndLineReferenceDesc
Explanation	DURING CALENDAR YEAR 2020, THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS: BRUCE RODGERS: $106,441, PAID BY RELATED ORGANIZATION. LAURIE BARR: $30,483.12 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: ATISH CHOPRA: $20,706 BAHAA WANLY: $36,684 CHRISTINE CLARKE: $29,404 DENISE HOOVER: $18,910 JAIME NICHOS: $19,867 JAMES BAUER: $18,602 JONATHAN BAUER: $35,867 JAMES PARR: $41,869 JENNIFER FOWLER: $15,764 JUAN OYARZUN: $30,984 KATHERINE DOBLER: $28,761 KATHERINE JONES: $24,106 KENTEN WOOLHISER: $17,591 LEAH MITCHELL: $40,117 LEILANI SLAMAX: $17,975 MATTHEW BOLES: $30,821 NERVIN FANOUS: $29,704 SARAH HORN: $24,508 SHEA CORUM: $21,036 ZENNIA CENIZA: $17,708	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
HOSPITAL FACILITY AUTHORITY OF THE CITY OF SALEM
A	521542796	794458EL9	2016-11-01	$215,638,877	SEE PART VI	0	0	0
HOSPITAL FACILITY AUTHORITY OF THE CITY OF SALEM
B	521542796	794458FX2	2019-10-29	$321,418,462	SEE PART VI	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Capital ExpendituresCapitalExpendituresAmt
A	$18,505,000	$216,072,018	$1,650,101	$214,380,232	$41,686	Yes (1)	Yes (1)	Yes (1)	Yes (1)
B	$7,015,000	$324,246,612	$2,118,839	$84,034,597	$108,434,900	Yes (1)	0	0	Yes (1)	$129,658,277

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00800	0.00200	0.01000	0	0	Yes (1)
B	0	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00100		0.00100	0	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Business Name Line2GICProviderName/BusinessNameLine2Txt	Term Of GICTermOfGICPct	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd
(no name)
A	0	0	Yes (1)	Yes (1)	0	0	0	0	Yes (1)
BAYERISCHE
B	0	Yes (1)	Yes (1)	0	0	0	Yes (1)	0	Yes (1)	LANDESBAN	2.000000000000	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

COLUMN A:

DIFFERENCE BETWEEN PART I(E) AND PART II, LINE 3 IS DUE TO INTEREST EARNINGS ON BOND PROCEEDS. PART I (F): BOND PROCEEDS WERE EXPENDED TO REFUND THE 2013AB BONDS (ISSUED ON JUNE 27, 2013), TO REFUND THE 2008A BONDS (ISSUED ON OCTOBER 8, 2008), TO REFUND THE 2006A BONDS (ISSUED ON NOVEMBER 15, 2006), AND TO PAY COSTS OF ISSUANCE RELATING TO THE BONDS. PART II, LINE 13: SINCE THE PROCEEDS OF THE BONDS WERE USED FOR REFUNDING PURPOSES, THE YEAR OF SUBSTANTIAL COMPLETION IS NOT APPLICABLE. PART III, LINE 7: AS PROVIDED IN TREASURY REGULATION SECTION 1.141-4(C)(2)(I)(B), THE AMOUNT OF PRIVATE PAYMENTS TAKEN INTO ACCOUNT UNDER THE PRIVATE PAYMENT TEST MAY NOT EXCEED THE AMOUNT OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE. ACCORDINGLY, THE AMOUNT OF PRIVATE PAYMENTS FOR THE REPORTING PERIOD DOES NOT EXCEED THE AMOUNT STATED IN PART III, LINE 6. THE ORGANIZATION HAS NOT UNDERTAKEN AN ANALYSIS OF THE PRIVATE SECURITY TEST WITH RESPECT TO THE BONDS, AS THE LEVEL OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS REPORTED IN PART III, LINE 6, IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE. PART IV, LINES 2(B): THE PORTION OF BOND PROCEEDS USED FOR CURRENT REFUNDING HAS MET THE 6-MONTH EXCEPTION TO REBATE. PART IV, LINES 2(C): BLX INTERIM ARBITRAGE REBATE ANALYSIS DATED 6/21/2021 SHOWS NO REBATE DUE.

COLUMN B:

DIFFERENCE BETWEEN PART I(E) AND PART II, LINE 3 IS DUE TO INTEREST EARNINGS ON BOND PROCEEDS. PART I (F): BOND PROCEEDS WERE EXPENDED TO REFUND, ON A CURRENT REFUNDING BASIS, THE ISSUER'S VARIABLE RATE REVENUE BONDS (SALEM HEALTH PROJECT), SERIES 2008B ON 10/29/2019, TO MAKE IMPROVEMENTS TO THE BORROWER'S HEALTH CARE FACILITIES AND TO PAY COSTS OF ISSUANCE ON THE BONDS. PART II, LINE 11: INCLUDES A PAYMENT IN CONNECTION WITH THE TERMAINTION OF THE INTEREST RATE SWAP RELATED TO THE ISSUER'S VARIABLE RATE REVENUE BONDS (SALEM HEALTH PROJECT), SERIES 2008B. PART III, LINE 7: AS PROVIDED IN TREASURY REGULATION SECTION 1.141-4(C)(2)(I)(B), THE AMOUNT OF PRIVATE PAYMENTS TAKEN INTO ACCOUNT UNDER THE PRIVATE PAYMENT TEST MAY NOT EXCEED THE AMOUNT OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE. ACCORDINGLY, THE AMOUNT OF PRIVATE PAYMENTS FOR THE REPORTING PERIOD DOES NOT EXCEED THE AMOUNT STATED IN PART III, LINE 6. THE ORGANIZATION HAS NOT UNDERTAKEN AN ANALYSIS OF THE PRIVATE SECURITY TEST WITH RESPECT TO THE BONDS, AS THE LEVEL OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS REPORTED IN PART III, LINE 6, IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE. PART IV, LINES 2(B): THE PORTION OF BOND POCEEDS USED FOR CURRENT REFUNDING HAS MET THE 6-MONTH EXCEPTION TO REBATE.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11B	THE ORGANIZATION'S ACCOUNTING & FINANCE TEAM WORKS CLOSELY WITH THE OUTSIDE ACCOUNTING FIRM IT ENGAGES TO PREPARE AND REVIEW THE RETURN. THE CONTROLLER AND CFO REVIEW A DRAFT OF THE FORM 990 BEFORE IT IS PRESENTED TO THE GOVERNANCE COMMITTEE OF THE BOARD OF TRUSTEES. FINANCE ADMINISTRATION ADDRESSES AND RESPONDS TO QUESTIONS RAISED BY MEMBERS OF THE GOVERNANCE COMMITTEE. AFTER IT IS REVIEWED BY THE GOVERNANCE COMMITTEE, THE FINAL FORM 990 IS FORWARDED TO THE ENTIRE BOARD OF TRUSTEES PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12C	ON AN ANNUAL BASIS THE SECRETARY OF THE HOSPITAL SHALL SEND TO EACH PERSON WHO IS A TRUSTEE, OFFICER, OR MEMBER OF A COMMITTEE, AND TO THOSE EMPLOYEES OF THE HOSPITAL AS THE BOARD MAY DETERMINE, A COPY OF THE POLICY REGARDING CONFLICTS OF INTEREST, TOGETHER WITH A QUESTIONNAIRE INQUIRING AS TO CONFLICTS, TO BE COMPLETED AND RETURNED TO THE SECRETARY BY THE TRUSTEE, OFFICER, COMMITTEE MEMBER OR EMPLOYEE PRIOR TO THE BEGINNING OF EACH CALENDAR YEAR.
FORM 990, PART VI, SECTION B, LINE 15	EXECUTIVE COMPENSATION AT SALEM HEALTH IS DESIGNED TO ALLOW THE ORGANIZATION TO RECRUIT AND RETAIN QUALIFIED SENIOR LEADERS. THE GOVERNANCE COMMITTEE OF THE SALEM HEALTH BOARD OF TRUSTEES, NONE OF WHOM IS A SALEM HEALTH EMPLOYEE, ENGAGES ONE OR MORE INDEPENDENT CONSULTANTS TO PROVIDE MARKET DATA ON CEO COMPENSATION, INCLUDING BENEFITS, FOR THE CEOS AT COMPARABLE ORGANIZATIONS. THIS INFORMATION IS USED BY THE GOVERNANCE COMMITTEE AND BOARD OF TRUSTEES IN THEIR DISCUSSIONS AND DECISIONS ON CEO COMPENSATION. COMPENSATION FOR THE CEO IS REVIEWED ON AN ANNUAL BASIS. THE MOST RECENT REVIEW TOOK PLACE IN SEPTEMBER 2020. 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 3,846,048. CAPITAL DONATIONS 141,560. CHANGE IN NET BENEFIT COST 2,540,745. CHANGE IN NET BENEFICIAL INTEREST IN FOUNDATION 56,124.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	MWVP INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	570 LIBERTY ST SE STE 200	AddressLine1Txt
City	SALEM	CityNm
State Abbreviation	OR	StateAbbreviationCd
ZIP	97301	ZIPCd

Field	Value	IRS element (for citing)
Primary Activities	HOLDS LAND	PrimaryActivitiesTxt
Legal Domicile State	OR	LegalDomicileStateCd
Total Income	$0	TotalIncomeAmt
End Of Year Assets	$0	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	SHHC	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
SALEM HEALTH WEST VALLEY
525 SOUTHEAST WASHINGTON ST	DALLAS	OR	97339	431960221	HOSPITAL	OR	501(C)(3)	LINE 3	SHHC	0
WILLAMETTE VALLEY INSURANCE COMPANY
745 FORT STREET	HONOLULU	HI	96813	201836190	INSURANCE	HI	501(C)(3)	LINE 12A, I	SHHC	0
SALEM HEALTH FOUNDATION
890 OAK STREET	SALEM	OR	97301	237002687	SUPPORT SH	OR	501(C)(3)	LINE 7	SHHC	0
SALEM HEALTH HOSPITALS & CLINICS
890 OAK STREET	SALEM	OR	97301	930823471	LEASES LAND	OR	501(C)(3)	LINE 12A, I		0	N/A
SALEM HEALTH PROFESSIONAL SERVICES
890 OAK STREET	SALEM	OR	97301	753175249	BILLING	OR	501(C)(3)	LINE 12A, I	SHHC	0
WEST VALLEY HOSPITAL FOUNDATION
525 SOUTHEAST WASHINGTON ST	DALLAS	OR	97339	931298564	SUPPORT SHWV	OR	501(C)(3)	LINE 12A, I	SHHC	0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Predominant Income TypePredominantIncomeTypeTxt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Share Of Total IncomeShareOfTotalIncomeAmt
SALEM AMBULATORY SURGERY CENTER
570 LIBERTY ST SE SUITE	SALEM	OR	97301	SURGERY CENTER	OR	N/A	RELATED	$51,000	0	0	0.51000
WILLAMETTE SURGERY CENTER LLC
890 OAK STREET	SALEM	OR	97301	SURGERY CENTER	OR		RELATED	$2,800,668	0	0	0.54200	SALEM HEALTH	$2,303,787

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
OREGON HEALTHCARE ENTERPRISES INC TTEE 1
4000 KRUSE WAY PL BLDG 2 STE 100	LAKE OSWEGO	OR	97035	456525337	TAX TRUST PROGRAM	OR	N/A	T	$23,821	0.06670	0
OREGON HEALTHCARE ENTERPRISES INC TTEE 2
4000 KRUSE WAY PL BLDG 2 STE 100	LAKE OSWEGO	OR	97035	456822739	TAX TRUST PROGRAM	OR	N/A	T	-$29	0.01670	0
PACIFIC MEDICAL CONDOMINIUM UNIT OWNERS
890 OAK STREET	SALEM	OR	97301	454353791	OWNERS ASSN	OR		C		0.71590	0	SALEM HEALTH

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (1)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	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	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Unrelated Org Txbl Partnership UnrelatedOrgTxblPartnershipGrp

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	WILLAMETTE VALLEY COMMUNITY	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2995 RYAN DRIVE	AddressLine1Txt
City	SALEM	CityNm
State Abbreviation	OR	StateAbbreviationCd
ZIP	97301	ZIPCd

Field	Value	IRS element (for citing)
EIN	455540852	EIN
Primary Activities	COORDINATED C	PrimaryActivitiesTxt
Legal Domicile State	OR	LegalDomicileStateCd
Predominate Income	RELATED	PredominateIncomeDesc
All Partners C3 S	0	AllPartnersC3SInd
Share Of Total Income	-$934,190	ShareOfTotalIncomeAmt
Share Of EOY Assets	$736,164	ShareOfEOYAssetsAmt
Disproportionate Allocations	0	DisproportionateAllocationsInd
General Or Managing Partner	Yes (1)	GeneralOrManagingPartnerInd
Ownership	0.09090	OwnershipPct