SALEM HEALTH: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- SALEM HEALTH (EIN 93-0579722)
- Tax period
- 2019-07-01 to 2020-06-30
- Filed
- 2021-05-15
- IRS object ID
- 202121359349302322
- Schema version
- 2019v5.1
- 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 | 2021-05-15T16:52:00-05:00 | ReturnTs |
| Tax Period End | 2020-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
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 | 2019-07-01 | 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) |
|---|---|---|
| In Care Of | % SALEM HEALTH | InCareOfNm |
| 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 | CFO | PersonTitleTxt |
| Phone | 5038141938 | PhoneNum |
| Signature | 2021-05-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SUE ROBISON | PreparerPersonNm |
| PTIN | P00560072 | PTIN |
| Phone | 2069134000 | PhoneNum |
| Preparation | 2021-05-03 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | 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 | $855,505,684 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SALEMHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1970 | FormationYr |
| Legal Domicile State | OR | LegalDomicileStateCd |
| Activity Or Mission | TO IMPROVE THE HEALTH AND WELL BEING OF THE PEOPLE IN THE COMMUNITIES WE SERVE | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 5590 | TotalEmployeeCnt |
| Total Volunteers | 532 | TotalVolunteersCnt |
| Total Gross UBI | $3,380,597 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $474,427 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $280,398 | PYContributionsGrantsAmt |
| CY Contributions Grants | $209,546 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $817,092,478 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $822,991,176 | CYProgramServiceRevenueAmt |
| PY Investment Income | $29,554,053 | PYInvestmentIncomeAmt |
| CY Investment Income | $26,434,038 | CYInvestmentIncomeAmt |
| PY Other Revenue | $780,603 | PYOtherRevenueAmt |
| CY Other Revenue | -$2,912,274 | CYOtherRevenueAmt |
| PY Total Revenue | $847,707,532 | PYTotalRevenueAmt |
| CY Total Revenue | $846,722,486 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $743,743 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $600,774 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $442,907,802 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $478,504,694 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $327,142,462 | PYOtherExpensesAmt |
| CY Other Expenses | $312,372,732 | CYOtherExpensesAmt |
| PY Total Expenses | $770,794,007 | PYTotalExpensesAmt |
| CY Total Expenses | $791,478,200 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $76,913,525 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $55,244,286 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,399,234,388 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,808,658,793 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $392,328,484 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $731,806,597 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,006,905,904 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,076,852,196 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE AND COMMUNITIES WE SERVE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $326,592,284 | ExpenseAmt |
| Grant | $600,774 | GrantAmt |
| Revenue | $660,339,545 | 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 490 PRACTITIONERS, REPRESENTING 59 DIFFERENT SPECIALTIES. MORE THAN 532 VOLUNTEERS PROVIDE NON-MEDICAL SUPPORT FOR THE HOSPITAL. STATISTICS FOR THE 12 MONTH PERIOD ENDED 6/30/20: BIRTHS - 3,187, DIAGNOSTIC IMAGING PROCEDURES - 194,807, ED VISITS - 99,613, INPATIENT ADMISSIONS - 24,977, LABORATORY PROCEDURES - 1,385,352, SURGERIES - 13,047. THE PRIMARY SERVICE AREA IS MARION AND POLK COUNTIES WITH APPROXIMATELY 438,000 RESIDENTS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $202,099,512 | ExpenseAmt |
| Revenue | $134,083,193 | RevenueAmt |
| Desc | SALEM HEALTH PROVIDES HEALTHCARE TO PEOPLE IN OUR COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY. IN THE 12 MONTH PERIOD ENDED 6/30/20, THE COST OF SERVICES PROVIDED AS A COMMUNITY BENEFIT TOTAL $130.2 MILLION. THIS FIGURE CONSISTED OF $19.8 MILLION IN COSTS TO PROVIDE CHARITY CARE TO INDIVIDUALS WHO CANNOT AFFORD TO PAY; $48.2 MILLION IN UNDERPAYMENT BY MEDICAID AS THE AMOUNT PAID WAS LESS THAN THE COST TO PROVIDE THE SERVICES; AND $62.2 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 | $63,014,194 | ExpenseAmt |
| Revenue | $25,187,840 | RevenueAmt |
| Desc | SALEM HEALTH ACTIVELY PARTICIPATES IN COMMUNITY HEALTH IMPROVEMENT SERVICES. IN THE 12 MONTH PERIOD ENDED 6/30/20, SALEM HEALTH GAVE $23.7 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 2020, SALEM HEALTH PROVIDED MORE THAN $980,000 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 | $591,705,990 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (true) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (true) | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | Yes (true) | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 313 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 5590 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | Yes (true) | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | OR | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SALEM HEALTH | PersonNm |
| Phone | 5038141938 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 890 OAK STREET SE | AddressLine1Txt |
| City | SALEM | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (39 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Key EmployeeKeyEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|---|
| Cheryl Nester Wolfe | |||||||||
| President & CEO | 31.9 | 8.1 | Yes (X) | $1,234,189 | $0 | $37,221 | |||
| Juan Oyarzun | |||||||||
| Dir Cardiothoracic Medicine | 40.0 | 0.0 | $1,205,442 | $0 | $60,670 | Yes (X) | |||
| Nervin Fanous | |||||||||
| Cardiothoracic Surgeon | 40.0 | 0.0 | $993,625 | $0 | $54,573 | Yes (X) | |||
| Katherine Jones | |||||||||
| Cardiothoracic Surgeon | 40.0 | 0.0 | $986,349 | $0 | $59,866 | Yes (X) | |||
| Erica Mitchell | |||||||||
| Medical Dir. Vascular Surgery | 40.0 | 0.0 | $881,552 | $0 | $57,267 | Yes (X) | |||
| Ralph Yates | |||||||||
| CMO Salem Health | 40.0 | 0.0 | $836,973 | $0 | $33,171 | Yes (X) | |||
| Carrie Allison | |||||||||
| Trauma Director | 40.0 | 0.0 | $758,737 | $0 | $44,863 | Yes (X) | |||
| James Parr | |||||||||
| Chief Financial Officer | 34.9 | 5.1 | Yes (X) | $690,299 | $0 | $82,023 | |||
| Leah Mitchell | |||||||||
| Chief Integration Officer | 40.0 | 0.0 | $595,458 | $0 | $75,722 | Yes (X) | |||
| Bahaa Wanly | |||||||||
| Chief Operating Officer | 40.0 | 0.0 | $553,615 | $0 | $69,027 | Yes (X) | |||
| Laurie Barr | |||||||||
| CHRO until 1/19/19 | 40.0 | 0.0 | $528,260 | $0 | $3,931 | Yes (X) | |||
| Matthew Boles | |||||||||
| VP Medical Affairs | 40.0 | 0.0 | $454,196 | $0 | $67,917 | Yes (X) | |||
| Sarah Horn | |||||||||
| Chief Nursing Officer | 40.0 | 0.0 | $440,462 | $0 | $71,146 | Yes (X) | |||
| Bruce Rodgers | |||||||||
| VP Medical Group | 20.0 | 20.0 | $11,169 | $371,275 | $11,030 | Yes (X) | |||
| Shea Corum | |||||||||
| VP IT Operations | 40.0 | 0.0 | $319,774 | $0 | $59,606 | Yes (X) | |||
| Denise Hoover | |||||||||
| VP Surgical Services | 40.0 | 0.0 | $317,684 | $0 | $60,128 | Yes (X) | |||
| Christine Clarke | |||||||||
| Chief Medical Officer SHMG | 20.0 | 0.0 | $333,300 | $0 | $17,817 | Yes (X) | |||
| Leilani Slama | |||||||||
| VP Community Engagement | 39.0 | 1.0 | $266,421 | $0 | $55,836 | Yes (X) | |||
| Zennia Ceniza | |||||||||
| VP Clinical Operations | 40.0 | 0.0 | $274,724 | $0 | $46,747 | Yes (X) | |||
| Jaime Nichols | |||||||||
| VP Human Resources | 40.0 | 0.0 | $255,138 | $0 | $50,302 | Yes (X) | |||
| Jennifer Fowler | |||||||||
| VP Finance | 40.0 | 0.0 | $214,472 | $0 | $34,320 | Yes (X) | |||
| Katherine A Dobler | |||||||||
| VP Medical Group | 40.0 | 0.0 | $195,144 | $0 | $26,808 | Yes (X) | |||
| Lisa Roth | |||||||||
| Director, Development | 40.0 | 0.0 | $117,257 | $0 | $13,643 | Yes (X) | |||
| James Bauer | |||||||||
| Chief Development Officer | 40.0 | 0.0 | $53,230 | $0 | $6,080 | Yes (X) | |||
| Alan Wynn | |||||||||
| Secretary/Treasurer | 2.5 | 0.8 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Bonnie Driggers RN | |||||||||
| Past Chair | 3.9 | 1.1 | $0 | $0 | $0 | Yes (X) | |||
| David Harrison MD | |||||||||
| Trustee | 2.3 | 0.7 | $0 | $0 | $0 | Yes (X) | |||
| John Combes MD | |||||||||
| Trustee | 2.7 | 0.8 | $0 | $0 | $0 | Yes (X) | |||
| John Lattimer | |||||||||
| Trustee | 3.23 | 0.6 | $0 | $0 | $0 | Yes (X) | |||
| Katherine L Keene | |||||||||
| Chair | 4.7 | 1.3 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Kenneth Sherman Jr | |||||||||
| Trustee | 2.7 | 0.8 | $0 | $0 | $0 | Yes (X) | |||
| Lane Shetterly | |||||||||
| Vice Chair | 3.4 | 2.1 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Phil Jackson | |||||||||
| Trustee | 2.3 | 0.7 | $0 | $0 | $0 | Yes (X) | |||
| Ricardo Linares | |||||||||
| Trustee | 2.3 | 0.7 | $0 | $0 | $0 | Yes (X) | |||
| Robert Kelly MD | |||||||||
| Trustee | 3.9 | 1.1 | $0 | $0 | $0 | Yes (X) | |||
| Robert Wells | |||||||||
| Trustee | 3.23 | 0.6 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Theresa Haskins | |||||||||
| Trustee | 2.3 | 0.7 | $0 | $0 | $0 | Yes (X) | |||
| Jenn Columbus | |||||||||
| TRUSTEE | 3.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| Mark Zook | |||||||||
| TRUSTEE | 3.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $12,517,470 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $371,275 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,099,714 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 880 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| OREGON HEALTH SCIENCE UNIVERSITY | |||||
| 3181 SW SAM JACKSON PARK RD | Portland | OR | 972393098 | CONTRACT LABOR | $3,140,238 |
| EPIC SYSTEMS CORP | |||||
| PO BOX 88314 | Milwaukee | WI | 532880314 | CONSULTING SERVICES | $2,435,685 |
| SALEM PULMONARY ASSOCIATES PC | |||||
| 801 MISSION ST SE | SALEM | OR | 97302 | CONTRACT LABOR | $1,926,042 |
| ARUP LABORATORIES | |||||
| PO BOX 27964 | Salt Lake City | UT | 84127 | LABORATORY SERVICES | $2,099,290 |
| AMN LOS ANGELES LOCKBOX | |||||
| PO BOX 56157 | Los Angeles | CA | 900746157 | CONTRACT LABOR | $2,387,997 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 118 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $209,546 | RelatedOrganizationsAmt |
| All Other Contributions | $0 | AllOtherContributionsAmt |
| Total Contributions | $209,546 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Patient Service Revenue | 621110 | $779,101,415 | $779,101,415 | |
| Other Hospital services | 900099 | $34,246,009 | $34,151,921 | $94,088 |
| Pharmacy | 446110 | $6,674,851 | $4,483,909 | $2,190,942 |
| Regional Lab | 621500 | $1,315,246 | $219,679 | $1,095,567 |
| Nutrition Services | 722210 | $1,653,655 | $1,653,655 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $822,991,176 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $27,890,044 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $27,890,044 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $712,290 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,624,564 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$2,912,274 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$2,912,274 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | -$2,912,274 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $3,702,628 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $5,158,634 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$1,456,006 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$1,456,006 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | -$1,456,006 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $846,722,486 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $819,610,579 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $3,380,597 | UnrelatedBusinessRevenueAmt |
| Exclusion | $23,521,764 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $358,478 | TotalAmt |
| Program Services | $358,478 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $242,296 | TotalAmt |
| Program Services | $242,296 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,523,238 | TotalAmt |
| Management And General | $8,523,238 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $369,437,415 | TotalAmt |
| Program Services | $336,597,365 | ProgramServicesAmt |
| Management And General | $32,840,050 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $74,397,347 | TotalAmt |
| Program Services | $66,255,444 | ProgramServicesAmt |
| Management And General | $8,141,903 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,146,694 | TotalAmt |
| Program Services | $23,285,250 | ProgramServicesAmt |
| Management And General | $2,861,444 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $854,942 | TotalAmt |
| Management And General | $854,942 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,429,890 | TotalAmt |
| Program Services | $19,126 | ProgramServicesAmt |
| Management And General | $1,410,764 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $373,925 | TotalAmt |
| Program Services | $35,445 | ProgramServicesAmt |
| Management And General | $338,480 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75,000 | TotalAmt |
| Management And General | $75,000 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,827,732 | TotalAmt |
| Program Services | $28,318,683 | ProgramServicesAmt |
| Management And General | $1,509,049 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $90,397 | TotalAmt |
| Program Services | $3,804 | ProgramServicesAmt |
| Management And General | $86,593 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,821,214 | TotalAmt |
| Program Services | $6,460,020 | ProgramServicesAmt |
| Management And General | $3,361,194 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,650,052 | TotalAmt |
| Program Services | $1,415,870 | ProgramServicesAmt |
| Management And General | $5,234,182 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,621,139 | TotalAmt |
| Program Services | $13,915,652 | ProgramServicesAmt |
| Management And General | $10,705,487 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $658,160 | TotalAmt |
| Program Services | $413,877 | ProgramServicesAmt |
| Management And General | $244,283 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $681,210 | TotalAmt |
| Program Services | $540,917 | ProgramServicesAmt |
| Management And General | $140,293 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,020,474 | TotalAmt |
| Management And General | $12,020,474 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,226,087 | TotalAmt |
| Management And General | $48,226,087 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,801,750 | TotalAmt |
| Management And General | $3,801,750 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Patient Supplies | $113,032,082 | $112,074,884 | $957,198 |
| PROVIDER TAX | $43,441,387 | $43,441,387 | |
| BAD DEBTS | $11,779,213 | $11,779,213 | |
| ALL OTHER EXPENSES | $4,988,078 | $1,768,879 | $3,219,199 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $791,478,200 | TotalAmt |
| Program Services | $591,705,990 | ProgramServicesAmt |
| Management And General | $199,772,210 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $454,184 | BOYAmt |
| EOY | $183,701 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,555,367 | BOYAmt |
| EOY | $38,594,400 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $103,925,303 | BOYAmt |
| EOY | $101,113,044 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $632,371 | BOYAmt |
| EOY | $740,143 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,525,578 | BOYAmt |
| EOY | $8,359,363 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,790,526 | BOYAmt |
| EOY | $9,882,440 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,095,174,925 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $563,285,489 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $497,461,937 | BOYAmt |
| EOY | $531,889,436 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $729,653,923 | BOYAmt |
| EOY | $1,035,085,261 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,141,214 | BOYAmt |
| EOY | $25,860,953 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $10,197,000 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,093,985 | BOYAmt |
| EOY | $46,753,052 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,399,234,388 | BOYAmt |
| EOY | $1,808,658,793 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $93,526,918 | BOYAmt |
| EOY | $132,924,805 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,780 | BOYAmt |
| EOY | $76,647,551 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $272,967,121 | BOYAmt |
| EOY | $511,820,190 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,751,665 | BOYAmt |
| EOY | $10,414,051 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $392,328,484 | BOYAmt |
| EOY | $731,806,597 | 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 | $1,003,876,479 | BOYAmt |
| EOY | $1,072,385,322 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,029,425 | BOYAmt |
| EOY | $4,466,874 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,006,905,904 | BOYAmt |
| EOY | $1,076,852,196 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,399,234,388 | BOYAmt |
| EOY | $1,808,658,793 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $55,244,286 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $785,865 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $13,916,141 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | 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 (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp |
Total Direct Lobbying TotalDirectLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $75,000 | FilingOrganizationsTotalAmt |
Total Lobbying Expend TotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $75,000 | FilingOrganizationsTotalAmt |
Other Exempt Purpose Expend OtherExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $591,630,990 | FilingOrganizationsTotalAmt |
Total Exempt Purpose Expend TotalExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $591,705,990 | 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp |
Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $1,000,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $1,000,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $1,000,000 | CurrentYearMinus1Amt |
| Current Year | $100,000 | 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 | $135,334 | CurrentYearMinus3Amt |
| Current Year Minus2 | $127,723 | CurrentYearMinus2Amt |
| Current Year Minus1 | $90,000 | CurrentYearMinus1Amt |
| Current Year | $75,000 | CurrentYearAmt |
| Total | $428,057 | TotalAmt |
Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $250,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $250,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $250,000 | CurrentYearMinus1Amt |
| Current Year | $4,500 | 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 IN RELATION TO STATE AND NATIONAL HEALTHCARE ISSUES. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp |
CY Endwmt Fund CYEndwmtFundGrp
| 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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| 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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| 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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| 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 |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,619,320 | BeginningYearBalanceAmt |
| Contributions | $683,999 | ContributionsAmt |
| Investment Earnings Or Losses | $655,272 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $613,481 | OtherExpendituresAmt |
| End Year Balance | $3,345,110 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Endowment Balance EOY | 1.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $13,075,728 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $17,995,752 | OtherCostOrOtherBasisAmt |
| Book Value | $31,071,480 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $17,011,177 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $618,679,078 | OtherCostOrOtherBasisAmt |
| Depreciation | $313,751,097 | DepreciationAmt |
| Book Value | $321,939,158 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovementsGrp |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $338,771,886 | OtherCostOrOtherBasisAmt |
| Depreciation | $240,706,566 | DepreciationAmt |
| Book Value | $98,065,320 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $89,641,304 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,827,826 | DepreciationAmt |
| Book Value | $80,813,478 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $531,889,436 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| ACCRUED POST RETIREMENT BENEFI | $5,916,089 |
| ACCRUED MALPRACTICE INSURANCE | $4,243,196 |
| DUE TO WILLAMETTE VALLEY | $91,927 |
| LEASEHOLD INCENTIVES | $13,529 |
| OTHER LIABILITIES | $149,310 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $10,414,051 | 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, 2020 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 2017. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 300. | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 55683 | PersonsServedCnt |
| Total Community Benefit Expns | $19,828,224 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $19,828,224 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02470 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 180619 | PersonsServedCnt |
| Total Community Benefit Expns | $182,271,288 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $134,083,193 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $48,188,095 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06010 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 236302 | PersonsServedCnt |
| Total Community Benefit Expns | $202,099,512 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $134,083,193 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $68,016,319 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08480 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 30789 | PersonsServedCnt |
| Total Community Benefit Expns | $2,743,867 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $35,196 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,708,671 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00340 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 376 | PersonsServedCnt |
| Total Community Benefit Expns | $2,147,827 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,147,827 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00270 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $56,937,354 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $25,152,644 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $31,784,710 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03970 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $199,468 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $199,468 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 32327 | PersonsServedCnt |
| Total Community Benefit Expns | $985,678 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $985,678 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00120 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 63492 | PersonsServedCnt |
| Total Community Benefit Expns | $63,014,194 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $25,187,840 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $37,826,354 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04720 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 299794 | PersonsServedCnt |
| Total Community Benefit Expns | $265,113,706 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $159,271,033 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $105,842,673 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.13200 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,855 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $14,855 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $43,846 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $43,846 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,572,013 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,572,013 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00330 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,630,714 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,630,714 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00330 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $11,779,214 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $7,196,614 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $113,353,823 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $128,036,759 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$14,682,936 | 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 (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| 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 SE | 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 | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | 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 (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.salemhealth.org | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | www.co.marion.or.us/HLT | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.SALEMHEALTH.ORG/ABOUT/COMMUNITY | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 300. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400. | 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 (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | 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 (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | see Section C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | see Section C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | see Section C | 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 |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | 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 (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. |
| Part V, Section B, Line 6a: | The CHNA was conducted with cooperation and representatives from Kaiser Permanente, Santiam Hospital and Legacy 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. |
| Part V, Section B, Line 7d: | the Hospital made the CHNA widely available to the community. All partners described in Section B, Line 6b were provided with executive summary documents for distribution to community members free of charge. The full assessment is posted to the hospital and county websites. |
| Part V, Section B, Line 11: | Priority areas determined in the 2019 assessment are behavioral health support, housing, substance use. 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 report in 2017 ranked Oregon the 10th highest in the country for deaths related to drug overdoses, alcohol, and 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. We invested and partnered with school districts in Marion and Polk Counties to support suicide prevention curriculum and training, Sources of Strength, to increase resiliency in students and communities. We offer free "Question, Persuade, Refer" (QPR) training to community members and has partnered with several school districts, universities, non-profit organizations and the faith based community to increase the number of trainers available to offer the course. We hosted ILead youth leadership program which empowers students in leadership, peer to peer support and opportunities to affect change in their communities especially in our BIPOC communities. The Trauma Prevention team conducted more than 200 classroom presentations addressing suicide prevention and substance abuse. Salem Health Community Health Education Center (CHEC) hosts Mindfulness classes, sleep classes, stress reduction classes, and additional outreach presentations - Stress: Friend or Foe, Mindful Aging, Recess for Adults, Passion for Life, Healthful Harmony, Good Food Good Mood. We also house the Marion County Psychiatric Crisis Center on our campus and have a very strong partnership with them. 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 Associations 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 more than 200 classroom presentations addressing suicide prevention and substance abuse. 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 and difficulty maintaining a healthy diet. Behavioral health issues such as depression, alcoholism, or other substance use disorders can develop and/or are made worse in such difficult situations. Salem Health worked with community partners to cover cost barriers establishing the Marion Polk Continuum of Care with HUD and an executive serves on their board. We sponsored 2 dental vans for health events with the homeless community. Salem Health provided an annual subscription for the Challenge to End Youth Homelessness Database establishing a system for all providers to log onto the same shared information for youth homeless supports and coordination. |
| PART V, SECTION B, LINE 13B: | Salem Health financial matrix is based on income as a percent of federal poverty level. PART V, SECTION B, LINE 13H: CRITERIA CONSIDERED IN DETERMINING ELIGIBILITY INCLUDE, BUT ARE NOT LIMITED TO: 1. HOUSEHOLD'S GROSS INCOME *THE DEFINITION OF 'HOUSEHOLD'S 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 * 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. * THE INCOME FROM INCOME-PRODUCING REAL PROPERTY SHOULD BE USED IN THE CALCULATION RATHER THAN THE EQUITY. * 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 FEDERAL POVERTY 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 DISCOUNT 0-300% 100% 301-400% 65% ALL OTHER UNINSURED ALL OTHER UNINSURED |
| 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 4506T-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 the information. As outlined in Salem Healths 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 patients behalf. This could include but is not limited to, the patients representative or hospital staff. |
| 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. Part V, Section B, Line 16a: FAP website address: http://www.salemhealth.org/about/charity-care-and-financial-policy |
| Part V, Section B, Line 16b: | Financial assistance application website address: http://www.salemhealth.org/about/charity-care-and-financial-policy |
| Part V, Section B, Line 16c: | Plain language summary website address: http://www.salemhealth.org/about/charity-care-and-financial-policy |
| Part V, Section B, Line 16j: | Information on the hospitals financial assistance policy is made publicly available free of charge in the following manner: 1. Notices are posted in key areas of the Hospital, including Admitting, the Emergency Department, Outpatient Department registration areas, and Patient Financial Services. 2. The Conditions of Admission Form informs the patient of their right to apply for financial assistance. 3. Written information shall be available in English, Spanish, Russian and Vietnamese. The Hospital will provide the appropriate interpretation services for patients/guarantors who do not speak English. 4. Front-line staff will be trained to answer financial assistance questions effectively and will direct any that cannot be answered to Financial Counselors in a timely manner. 5. This policy will be posted on Salem Healths website. Written information about this policy will be made available upon request. 6. All patient billing statements will include a notice that financial assistance is available and contact information if they want to learn more. |
| 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 Healths mission. For those patients unable to pay all or a portion of their open balances, the financial assistance policy will be followed. Collection agencies and/or law firms may be enlisted after reasonable collection and payment options have been exhausted. Agencies may help resolve accounts where patients are uncooperative in making payments, have not made appropriate payments or have been unwilling to provide reasonable financial and other data to support their request for financial assistance. Collection agency and law firm staff will uphold the confidentiality and individual dignity of each patient. All agencies and law firms will comply with all applicable laws including HIPAA requirements for handling protected health information. |
| 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: * 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 notice * Provide the individual a plain language summary of the financial assistance policy with the written notice * Make reasonable efforts to orally notify individual about Salem Healths financial assistance policy |
| 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 hospitals financial assistance policy |
| 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 hospitals financial assistance policy. |
| 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 |
|---|---|---|---|---|
| REHABILITATION CENTER | ||||
| 755 MISSION ST SE | SALEM | OR | 97302 | REHABILITATION |
| LABORATORY PHILEBOTOMY SITE - HOPE | ||||
| 1600 STATE ST | SALEM | OR | 97301 | LABORATORY SERVICES |
| COMPREHENSIVE PAIN CENTER | ||||
| 875 OAK STREET | SALEM | OR | 97302 | PAIN MANAGEMENT |
| REGIONAL LABORATORY | ||||
| 3300 STATE ST | SALEM | OR | 97301 | LABORATORY SERVICES |
| SALEM HEALTH MEDICAL CLINIC - S SALEM | ||||
| 2925 RIVER RD S | SALEM | OR | 97302 | CLINIC |
| SALEM HEALTH MEDICAL CLINIC - SALEM | ||||
| 966 12TH STREET SE | SALEM | OR | 97301 | CLINIC |
| SALEM HEALTH MEDICAL CLINIC - W SALEM | ||||
| 1049 EDGEWATER ST NW SUITE 150 | SALEM | OR | 97304 | CLINIC |
| SALEM HEALTH MEDICAL CLINIC -BOULDER CRE | ||||
| 2485 12TH ST SE | SALEM | OR | 97302 | CLINIC |
| SALEM HEALTH MEDICAL CLINIC - EDGEWATER | ||||
| 1049 EDGEWATER ST NW | SALEM | OR | 97304 | CLINIC |
| SALEM HEALTH MEDICAL CLINIC - KEIZER | ||||
| 5100 RIVER ROAD N | KEIZER | OR | 97303 | CLINIC |
| SALEM HEALTH MEDICAL CLINIC - SKYLINE VL | ||||
| 5050 SKYLINE VILLAGE LOOP | SALEM | OR | 97306 | CLINIC |
| SALEM HEALTH MEDICAL CLINIC - MILLER AVE | ||||
| 641 SE MILLER AVE | DALLAS | OR | 97338 | CLINIC |
| SALEM HEALTH MEDICAL CLINIC - MONMOUTH | ||||
| 512 MAIN ST E SUITE 300 | MONMOUTH | OR | 97361 | CLINIC |
| SALEM HEALTH MEDICAL CLINIC - UGLOW AVE | ||||
| 1000 SE UGLOW AVE | DALLAS | OR | 97338 | CLINIC |
| SALEM HEALTH MEDICAL CLINIC - WOODBURN | ||||
| 105 ARNEY ROAD SUITE 130 | WOODBURN | OR | 97071 | CLINIC |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, LINE 3C: | Criteria considered in determining eligibility include but are not limited to: 1) The households 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) Households assets other than primary residence Equity in a real estate (other than the patient/guarantors primary residence), securities or other assets are considered available to pay the patients medical expenses and should be included in the incomes calculation The income from income-producing real property should be used in calculation rather than the equity 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 familys monthly out-of-pocket expenses for medical supplies and services 5) Eligibility may be contingent upon patient cooperation with the application process. 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 years 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 Healths 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 &6b: | A Community Benefit Report was published and is available at www.salemhealth.org. |
| 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, BY APPLYING THIS RATIO TO TOTAL CHARITY, MEDICAID AND OTHER COMMUNITY BENEFIT RELATED EXPENSES TO ARRIVE AT COST. COLUMN D IS REFLECTIVE OF PAYMENTS RECEIVED. |
| 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, and Liberty House. The hospital provides community based health improvement services as requested in Marion and Polk counties. In 2019, 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 2019 to enhance existing non-profit organizations work that addresses needs identified in the community health needs assessment. 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 Programs for high school students in districts that fall within the hospital catchment area, serving hundreds of high school students aspiring to medical careers. |
| PART III, LINE 2: | Bad Debt expense is primarily estimated based upon the hospitals historical collection experience, the age of the patients account, the patients 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 managements expectations. |
| PART III, LINE 3: | Bad Debt expense attributable to patients who likely would qualify for financial assistance under Salem Healths 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: | EFFECTIVE OCTOBER 1, 2011, THE HOSPITALS ADOPTED FASB ISSUED ACCOUNTING STANDARDS UPDATE (ASU) NO. 2011-07, HEALTH CARE ENTITIES (TOPIC 954): PRESENTATION AND DISCLOSURE OF PATIENT SERVICE REVENUE, PROVISION FOR BAD DEBTS, AND THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR CERTAIN HEALTHCARE ENTITIES. THE ADOPTION OF THIS ASU RESULTED IN A RECLASSIFICATION OF BAD DEBT EXPENSE FROM AN OPERATING EXPENSE TO BE A REDUCTION IN DERIVING NET PATIENT SERVICE REVENUE. THE ALLOWANCES FOR DOUBTFUL ACCOUNTS ARE 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 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 $168,002,686 LESS MEDICARE ADVANTAGE COSTS OF $221,915,587 FOR A TOTAL ADDITIONAL COMMUNITY BENEFIT IN THE AMOUNT OF $53,912,901. |
| 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: | Priority areas determined in the 2019 assessment are behavioral health support, housing, substance use. 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 report in 2017 ranked Oregon the 10th highest in the country for deaths related to drug overdoses, alcohol, and 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. We invested and partnered with school districts in Marion and Polk Counties to support suicide prevention curriculum and training, "Sources of Strength," to increase resiliency in students and communities. We offer free "Question, Persuade, Refer" (QPR) training to community members and has partnered with several school districts, universities, non-profit organizations and the faith based community to increase the number of trainers available to offer the course. We hosted ILead youth leadership program which empowers students in leadership, peer to peer support and opportunities to affect change in their communities especially in our BIPOC communities. The Trauma Prevention team conducted more than 200 classroom presentations addressing suicide prevention and substance abuse. Salem Health Community Health Education Center (CHEC) hosts Mindfulness classes, sleep classes, stress reduction classes, and additional outreach presentations - Stress: Friend or Foe, Mindful Aging, Recess for Adults, Passion for Life, Healthful Harmony, Good Food Good Mood. We also house the Marion County Psychiatric Crisis Center on our campus and have a very strong partnership with them. 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 more than 200 classroom presentations addressing suicide prevention and substance abuse. 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 and difficulty maintaining a healthy diet. Behavioral health issues such as depression, alcoholism, or other substance use disorders can develop and/or are made worse in such difficult situations. Salem Health worked with community partners to cover cost barriers establishing the Marion Polk Continuum of Care with HUD and an executive serves on their board. We sponsored 2 dental vans for health events with the homeless community. Salem Health provided an annual subscription for the Challenge to End Youth Homelessness Database establishing a system for all providers to log onto the same shared information for youth homeless supports and coordination. |
| PART VI, LINE 3: | 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 discount 0-300% 100% 301- 400% 65% 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. 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. -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. FAP website address: http://www.salemhealth.org/about/charity-care-and-financial-policy Financial assistance application website address: http://www.salemhealth.org/about/charity-care-and-financial-policy Plain language summary website address: http://www.salemhealth.org/about/charity-care-and-financial-policy Information on the hospital's financial assistance policy is made publicly available free of charge in the following manner: 1. Notices are posted in key areas of the Hospital, including Admitting, the Emergency Department, Outpatient Department registration areas, and Patient Financial Services. 2. The Conditions of Admission Form informs the patient of their right to apply for financial assistance. 3. Written information shall be available in English, Spanish, Russian and Vietnamese. The Hospital will provide the appropriate interpretation services for patients/guarantors who do not speak English. 4. Front-line staff will be trained to answer financial assistance questions effectively and will direct any that cannot be answered to Financial Counselor's in a timely manner. 5. This policy will be posted on Salem Health's web site. Written information about this policy will be made available upon request. 6. All patient billing statements will include a notice that financial assistance is available and contact information if they want to learn more. |
| 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 2019 there were about 433,908 people living in the community, which is about 10% of the total state population Of those, it is estimated that 347,818 people live in Marion and 86,085 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. Between 2017 and 2035, growth will occur at a slightly higher pace and will begin to slow down, tapering off towards the end of the forecast. 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 26% of community members in Marion identified as Hispanic or Latina(o), which was higher than Polk (13%) 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%). Just over 15% of people in this community were living with a disability, which was greater than the state. The proportion of people living with disabilities has been increasing in all regions in recent years. Community members in Marion had lower household median incomes and a higher percentage living in poverty, especially children, than Polk and the state. Roughly 25% of children were living in poverty in Marion, compared to 17% in Polk and 20% in Oregon. 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. Overall, poverty rates have been decreasing in this community and the state recently, likely due in part to improving economic conditions. Educational achievement has been improving in recent years as a higher percentage of community members have a high school diploma/GED. However, educational achievement in Marion was lower than Polk and the state, especially with regard to college graduates. In Marion, 22% of people had a Bachelor's degree or higher, compared to 30% in Polk and 31% in Oregon. 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: | Promotion of community health 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. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| AMERICAN CANCER SOCIETY | ||||||||||
| 0330 SW CURRY ST | PORTLAND | OR | 97239 | 131788491 | 501(C)(3) | $6,000 | GRANTS TO CANCER SURVIVORS SPONSORSHIP/IMPROVE SOCIAL DETERMINATE OF HEALTH | |||
| COMMUNITY ACTION AGENCY | ||||||||||
| 625 Union St NE | SALEM | OR | 97301 | 237056987 | 501(C)(3) | $32,900 | 2019 SUSTAINERS HAPPY HOUR SPONSORSHIP/RIVERFEST SPONSORSHIP/IMPROVE SOCIAL DETERMINATE OF HEALTH GRANTS | |||
| FAMILY BUILDING BLOCKS | ||||||||||
| 2425 LANCASTER DR NE | SALEM | OR | 97305 | 931233373 | 501(C)(3) | $42,500 | 2018 PLAY FOR A CURE OREGON SPONSORSHIP/IMPROVE SOCIAL DETERMINATE OF HEALTH GRANTS | |||
| KRIS KNOX LLV FOUNDATION | ||||||||||
| 4742 Liberty St S PMB 270 | SALEM | OR | 97302 | 931328274 | 501(C)(3) | $6,500 | MID VALLEY SUICIDE PREVENTION COALTION WEBSITE UPGRADES/DISEASE PREVENTION GRANTS | |||
| NORTHWEST FAMILY SERVICES | ||||||||||
| 6200 SE King Rd | PORTLAND | OR | 97222 | 930841022 | 501(C)(3) | $77,500 | 2019 SALEM ART FAIR & FESTIVAL SPONSORSHIP/2019 GOLD SPONSORSHIP FOR CLAY BALL/IMPROVE SOCIAL DETERMINATE OF HEALTH GRANTS | |||
| OREGON SYMPHONY ASSOCIATION IN SALEM | ||||||||||
| PO Box 324 | SALEM | OR | 97308 | 936031819 | 501(C)(3) | $10,000 | SALEM FREE CLINIC SUPPORT/ 2018 BINATIONAL HEALTH FAIR PRESENTING SPONSOR / OREGON BI-NATIONAL HEALTH FAIR & PROVIDER SPONSORSHIP/ DISEASE PREVENTION AND IMPROVE SOCIAL DETERMINATE OF HEALTH GRANTS | |||
| POLK COUNTY SERVICE INTEGRATION | ||||||||||
| 182 SW ACADEMY SUITE 220 | DALLAS | OR | 97338 | 936002310 | Govt | $18,000 | WELLNESS CLASSIC SPONSORSHIP/IMPROVE SOCIAL DETERMINATE OF HEALTH GRANTS | |||
| SALEM FREE CLINIC | ||||||||||
| 1300 BROADWAY ST NE | SALEM | OR | 97301 | 203549992 | 501(C)(3) | $81,000 | MEALS FOR SUICIDE PREVENTION/DISEASE PREVENTION GRANTS | |||
| SALEM KEIZER EDUC FOUNDATION | ||||||||||
| 233 Commerical Street NE | SALEM | OR | 97301 | 930831467 | 501(C)(3) | $10,000 | BRIDGE BUILDERS SUMMER CHALLENGE SPONSORSHIP/ OPEN STREETS SALEM EVENT SPONSORSHIP/COMMUNITY HOMELESS CONNECT SUPPORT/IMPROVE SOCIAL DETERMINATE OF HEALTH GRANTS | |||
| SALEM POLICE FOUNDATION | ||||||||||
| PO BOX 2631 | SALEM | OR | 97308 | 271899059 | 501(C)(3) | $12,500 | SUICIDE AWARENESS SPONSORSHIP/CHIEF'S CIRCLE TITLE SPONSORSHIP/DISEASE PREVENTION & IMPROVE SOCIAL DETERMINATE OF HEALTH GRANTS | |||
| UNITED WAY | ||||||||||
| 455 Bliler Ave NE | SALEM | OR | 97303 | 930395586 | 501(C)(3) | $7,500 | LIGHTHOUSE SHELTER/DRUG & ALCOHOL MENTOR/IMPROVE SOCIAL DETERMINATE OF HEALTH GRANTS | |||
| PSYCHIATRIC CRISIS CENTER | ||||||||||
| PO BOX 14500 | SALEM | OR | 97309 | 936002307 | MARION COUNTY | ACCESS TO MEDICAL SERVICES | $60,068 | OVERHEAD COSTS | USE OF SPACE | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 16 | Total501c3OrgCnt |
| Total Other Org | 16 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | Cash Assistance to patients | GrantTypeTxt |
| Recipient | 8928 | RecipientCnt |
| Cash Grant | $242,296 | 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. |
| PART III, COLUMN A | 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 (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (true) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | Yes (true) | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (24 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 | $931,965 | $0 | $217,591 | $0 | $84,633 | $0 | $21,000 | $0 | $16,221 | $0 | $1,271,410 | $0 | $0 | $0 |
| Juan Oyarzun | ||||||||||||||
| Dir Cardiothoracic Medicine | $1,105,677 | $0 | $74,551 | $0 | $25,214 | $0 | $45,663 | $0 | $15,007 | $0 | $1,266,112 | $0 | $0 | $0 |
| Erica Mitchell | ||||||||||||||
| Medical Dir. Vascular Surgery | $824,769 | $0 | $50,591 | $0 | $6,192 | $0 | $39,401 | $0 | $17,866 | $0 | $938,819 | $0 | $0 | $0 |
| Nervin Fanous | ||||||||||||||
| Cardiothoracic Surgeon | $916,914 | $0 | $74,551 | $0 | $2,160 | $0 | $44,384 | $0 | $10,189 | $0 | $1,048,198 | $0 | $0 | $0 |
| Katherine Jones | ||||||||||||||
| Cardiothoracic Surgeon | $910,502 | $0 | $74,551 | $0 | $1,296 | $0 | $44,384 | $0 | $15,482 | $0 | $1,046,215 | $0 | $0 | $0 |
| Ralph Yates | ||||||||||||||
| CMO Salem Health | $549,384 | $0 | $130,793 | $0 | $156,796 | $0 | $18,200 | $0 | $14,971 | $0 | $870,144 | $0 | $0 | $0 |
| James Parr | ||||||||||||||
| Chief Financial Officer | $527,073 | $0 | $123,484 | $0 | $39,742 | $0 | $58,203 | $0 | $23,820 | $0 | $772,322 | $0 | $0 | $0 |
| Carrie Allison | ||||||||||||||
| Trauma Director | $682,887 | $0 | $51,750 | $0 | $24,100 | $0 | $40,400 | $0 | $4,463 | $0 | $803,600 | $0 | $0 | $0 |
| Leah Mitchell | ||||||||||||||
| Chief Integration Officer | $452,041 | $0 | $106,720 | $0 | $36,697 | $0 | $52,915 | $0 | $22,807 | $0 | $671,180 | $0 | $0 | $0 |
| Bahaa Wanly | ||||||||||||||
| Chief Operating Officer | $437,645 | $0 | $100,859 | $0 | $15,111 | $0 | $46,377 | $0 | $22,650 | $0 | $622,642 | $0 | $0 | $0 |
| Laurie Barr | ||||||||||||||
| CHRO until 1/19/19 | $7,762 | $0 | $0 | $0 | $520,498 | $0 | $1,980 | $0 | $1,951 | $0 | $532,191 | $0 | $0 | $0 |
| Matthew Boles | ||||||||||||||
| VP Medical Affairs | $418,277 | $0 | $33,669 | $0 | $2,250 | $0 | $41,881 | $0 | $26,036 | $0 | $522,113 | $0 | $0 | $0 |
| Sarah Horn | ||||||||||||||
| Chief Nursing Officer | $335,522 | $0 | $79,695 | $0 | $25,245 | $0 | $47,595 | $0 | $23,551 | $0 | $511,608 | $0 | $0 | $0 |
| Zennia Ceniza | ||||||||||||||
| VP Clinical Operations | $236,198 | $0 | $32,099 | $0 | $6,427 | $0 | $31,758 | $0 | $14,989 | $0 | $321,471 | $0 | $0 | $0 |
| Shea Corum | ||||||||||||||
| VP IT Operations | $258,425 | $0 | $60,214 | $0 | $1,135 | $0 | $36,584 | $0 | $23,022 | $0 | $379,380 | $0 | $0 | $0 |
| Denise Hoover | ||||||||||||||
| VP Surgical Services | $255,463 | $0 | $61,102 | $0 | $1,119 | $0 | $42,066 | $0 | $18,062 | $0 | $377,812 | $0 | $0 | $0 |
| Christine Clarke | ||||||||||||||
| Chief Medical Officer SHMG | $310,834 | $0 | $20,923 | $0 | $1,543 | $0 | $15,400 | $0 | $2,417 | $0 | $351,117 | $0 | $0 | $0 |
| Leilani Slama | ||||||||||||||
| VP Community Engagement | $216,044 | $0 | $47,871 | $0 | $2,506 | $0 | $33,377 | $0 | $22,459 | $0 | $322,257 | $0 | $0 | $0 |
| Jaime Nichols | ||||||||||||||
| VP Human Resources | $224,074 | $0 | $30,828 | $0 | $236 | $0 | $28,784 | $0 | $21,518 | $0 | $305,440 | $0 | $0 | $0 |
| Jennifer Fowler | ||||||||||||||
| VP Finance | $190,113 | $0 | $23,877 | $0 | $482 | $0 | $11,461 | $0 | $22,859 | $0 | $248,792 | $0 | $0 | $0 |
| Katherine A Dobler | ||||||||||||||
| VP Medical Group | $194,305 | $0 | $0 | $0 | $839 | $0 | $13,780 | $0 | $13,028 | $0 | $221,952 | $0 | $0 | $0 |
| Lisa Roth | ||||||||||||||
| Director, Development | $93,432 | $0 | $23,713 | $0 | $112 | $0 | $5,403 | $0 | $8,240 | $0 | $130,900 | $0 | $0 | $0 |
| James Bauer | ||||||||||||||
| Chief Development Officer | $51,770 | $0 | $0 | $0 | $1,460 | $0 | $3,825 | $0 | $2,255 | $0 | $59,310 | $0 | $0 | $0 |
| Bruce Rodgers | ||||||||||||||
| VP Medical Group | $11,045 | $47,350 | $0 | $0 | $124 | $323,925 | $723 | $6,353 | $412 | $3,542 | $12,304 | $381,170 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 4A: | FormAndLineReferenceDesc |
| Explanation | DURING CALENDAR YEAR 2019, THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS: LAURIE BARR $361,705 BRUCE RODGERS $275,884 (PAID BY RELATED ORGANIZATION) PART I, LINE 4B: 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: BAHAA WANLY $30,977 DENISE HOOVER $18,266 JAIME NICHOLS $6,723 JAMES PARR $37,203 JAMES BAUER $3,825 JUAN OYARZUN $30,263 KATHERINE JONES $28,984 KATHERINE A. DOBLER $13,780 LEAH MITCHELL $31,915 LEILANI SLAMA $15,902 MATTHEW BOLES $29,924 NERVIN FANOUS $28,984 SARAH HORN $23,795 SHEA CORUM $18,391 JENNIFER FOWLER $7,404 ERICA L. MITCHELL $24,001 CARRIE E. ALLISON MD $22,200 ZENNIA CENIZA $14,160 | 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 | false | false | false |
| HOSPITAL FACILITY AUTHORITY OF THE CITY OF SALEM | ||||||||
| B | 521542796 | 794458FX2 | 2019-10-29 | $321,418,462 | SEE PART VI | false | false | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $16,495,000 | $0 | $216,072,016 | $0 | $0 | $0 | $1,650,101 | $0 | $0 | $0 | $214,380,232 | $41,684 | Yes (true) | Yes (true) | Yes (true) | Yes (true) |
| B | $0 | $0 | $322,810,186 | $0 | $0 | $0 | $2,118,839 | $0 | $0 | $34,666,593 | $84,034,602 | $201,990,153 | Yes (true) | false | false | Yes (true) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | 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 | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Remedial Action TakenRemedialActionTakenInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | Yes (true) | Yes (true) | Yes (true) | Yes (true) | Yes (true) | 0.01100 | 0.00200 | 0.01300 | false | false | Yes (true) |
| B | Yes (true) | Yes (true) | Yes (true) | Yes (true) | Yes (true) | 0.00900 | 0.00000 | 0.00900 | false | false | Yes (true) |
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 | Business Name Line1GICProviderName/BusinessNameLine1Txt | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd | Term Of GICTermOfGICPct | Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 0 | ||||||||||||
| A | false | Yes (true) | Yes (true) | false | false | false | false | 0 | false | Yes (true) | ||
| 0 | ||||||||||||
| B | false | Yes (true) | Yes (true) | false | false | false | Yes (true) | BAYERISCHE LANDESBAN | false | Yes (true) | 2. | Yes (true) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| COLUMN A: | THE 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 IN PART III, LINE 6, IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE. PART IV, LINE 2(B): THE PORTION OF BOND PROCEEDS USED FOR CURRENT REFUNDING HAS MET THE 6-MONTH EXCEPTION TO REBATE. |
| COLUMN B: | THE DIFFERENCE BETWEEN PART I(E) AND PART II, LINE 3 IS DUE TO AN ORIGINAL ISSUE PREMIUM OF $41,938,462.25 PLUS ANY 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 BONDS. PART II, LINE 11: INCLUDES A PAYMENT IN CONNECTION WITH THE TERMINATION OF THE INTEREST RATE SWAP RELATED TO THE ISSUER'S VARIABLE RATE REVENUE BONDS (SALEM HEALTH PROJECT), SERIES 2008B PART III, LINE 7: AS PROVIDED IN TREASURY REGULATION SECTION 1.141-4(C)(2)(I)(B), THE AMOUNT OF PRIVATE PAYMENTS TAKEN INTO ACCOUNT UNDER THE PRIVATE PAYMENT TEST MAY NOT EXCEED THE AMOUNT OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE. ACCORDINGLY, THE AMOUNT OF PRIVATE PAYMENTS FOR THE REPORTING PERIOD DOES NOT EXCEED THE AMOUNT STAED 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, LINE 2(B): THE PORTION OF BOND PROCEEDS 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 JULY/AUGUST 2019. 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, CHANGES IN NET ASSETS: | Capital Donations 258,764 Change in fair value of interest rate swap agreement 8,121,166 Change in net benefit cost 369,616 Change in beneficial interest in foundation 1,431,688 Book/Tax Difference in Partnership Income 3,734,907 TOTAL TO FORM 990, PART XI, LINE 9 13,916,141 |
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 |
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 |
|---|---|---|---|---|---|---|---|---|---|---|
| SALEM HEALTH FOUNDATION | ||||||||||
| 890 OAK STREET SE | SALEM | OR | 97301 | 237002687 | SUPPORT SH | OR | 501(c)(3) | 7 | SHHC | false |
| SALEM HEALTH HOSPITALS & CLINICS | ||||||||||
| 890 OAK STREET SE | SALEM | OR | 97301 | 930823471 | LEASES LAND | OR | 501(c)(3) | 12, TYPE I | NA | false |
| SALEM HEALTH WEST VALLEY | ||||||||||
| 525 SOUTHEAST WASHINGTON ST | DALLAS | OR | 97338 | 431960221 | HOSPITAL | OR | 501(c)(3) | 3 | SHHC | false |
| WEST VALLEY HOSPITAL FOUNDATION | ||||||||||
| 525 SOUTHEAST WASHINGTON ST | DALLAS | OR | 97338 | 931298564 | SUPPORT SHWV | OR | 501(c)(3) | 12, TYPE I | SHHC | false |
| WILLAMETTE VALLEY INSURANCE COMPANY | ||||||||||
| 745 FORT STREET | HONOLULU | HI | 96813 | 201836190 | INSURANCE | HI | 501(c)(3) | 12, TYPE I | SHHC | false |
| SALEM HEALTH PROFESSIONAL SERVICES | ||||||||||
| 890 OAK STREET SE | SALEM | OR | 97301 | 753175249 | BILLING | OR | 501(c)(3) | 12, TYPE I | SHHC | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | UBI Code VUBICodeVAmt | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SALEM AMBULATORY SURGERY CENTER LLC | ||||||||||||||
| 570 LIBERTY ST SE SUITE 200 | SALEM | OR | 97301 | 824752936 | SURGERY CENTER | OR | NA | RELATED | $0 | $51,000 | false | $0 | false | 0.51000 |
| WILLAMETTE SURGERY CENTER LLC | ||||||||||||||
| 890 OAK STREET SE | SALEM | OR | 97301 | 930579722 | SURGERY CENTER | OR | SALEM HEALTH | RELATED | $2,297,208 | $1,774,107 | false | $0 | false | 0.54200 |
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 | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| OREGON HEALTHCARE ENTERPRISES INC TTEE 1 | ||||||||||||
| 4000 KRUSE WAY PL BLDG 2 STE 100 | LAKE OSWEGO | OR | 97035 | 456525337 | TAX TRUST PROGRAM | OR | NA | Trust | $126,049 | $0 | 0.06587 | false |
| OREGON HEALTHCARE ENTERPRISES INC TTEE 2 | ||||||||||||
| 4000 KRUSE WAY PL BLDG 2 STE 100 | LAKE OSWEGO | OR | 97035 | 456822739 | TAX TRUST PROGRAM | OR | NA | Trust | $0 | $0 | false | |
| PACIFIC MEDICAL CONDOMINIUM UNIT OWNERS | ||||||||||||
| 890 OAK STREET SE | SALEM | OR | 97301 | 454353791 | OWNERS ASSN | OR | SALEM HEALTH | C Corp | $0 | $0 | 0.71590 | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (true) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Unrelated Org Txbl Partnership UnrelatedOrgTxblPartnershipGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WILLAMETTE VALLEY COMMUNITY HEALTH LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2995 RYAN DRIVE SE SUITE 200 | 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 | false | AllPartnersC3SInd |
| Share Of Total Income | $253,748 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $7,798,066 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | false | DisproportionateAllocationsInd |
| UBI Code V | $0 | UBICodeVAmt |
| General Or Managing Partner | Yes (true) | GeneralOrManagingPartnerInd |
| Ownership | 0.09091 | OwnershipPct |