2021-05-15T16:52:00-05:00 2020-06-30 KPMG LLP 1918 Eighth Avenue Suite 2900 Seattle WA 98101 990 2019-07-01 930579722 SALEM HEALTH % SALEM HEALTH SALE 5038141938 890 OAK STREET SALEM OR 97301 JAMES PARR CFO 5038141938 2021-05-11 true SUE ROBISON P00560072 2069134000 2021-05-03 2019 2022-09-23 18:48:47Z JAMES PARR 890 OAK STREET SALEM OR 97301 855505684 false X WWW.SALEMHEALTH.ORG X 1970 OR TO IMPROVE THE HEALTH AND WELL BEING OF THE PEOPLE IN THE COMMUNITIES WE SERVE 14 14 5590 532 3380597 474427 280398 209546 817092478 822991176 29554053 26434038 780603 -2912274 847707532 846722486 743743 600774 0 0 442907802 478504694 0 0 0 327142462 312372732 770794007 791478200 76913525 55244286 1399234388 1808658793 392328484 731806597 1006905904 1076852196 TO IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE AND COMMUNITIES WE SERVE. false false 326592284 600774 660339545 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. 202099512 134083193 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. 63014194 25187840 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. 591705990 true true false true false false false false false true true false false false true true false true false false false false false false false false true true true true true true false false false false false false false false false false false false false false true true true false false true true 313 0 true 5590 true true true false false false false false false false false false true false X 14 14 false false false false false false false true true false false true true true true true true true true false OR X SALEM HEALTH 5038141938 890 OAK STREET SE SALEM OR 97301 X Cheryl Nester Wolfe President & CEO 31.9 8.1 X 1234189 0 37221 Juan Oyarzun Dir Cardiothoracic Medicine 40.0 0.0 X 1205442 0 60670 Nervin Fanous Cardiothoracic Surgeon 40.0 0.0 X 993625 0 54573 Katherine Jones Cardiothoracic Surgeon 40.0 0.0 X 986349 0 59866 Erica Mitchell Medical Dir. Vascular Surgery 40.0 0.0 X 881552 0 57267 Ralph Yates CMO Salem Health 40.0 0.0 X 836973 0 33171 Carrie Allison Trauma Director 40.0 0.0 X 758737 0 44863 James Parr Chief Financial Officer 34.9 5.1 X 690299 0 82023 Leah Mitchell Chief Integration Officer 40.0 0.0 X 595458 0 75722 Bahaa Wanly Chief Operating Officer 40.0 0.0 X 553615 0 69027 Laurie Barr CHRO until 1/19/19 40.0 0.0 X 528260 0 3931 Matthew Boles VP Medical Affairs 40.0 0.0 X 454196 0 67917 Sarah Horn Chief Nursing Officer 40.0 0.0 X 440462 0 71146 Bruce Rodgers VP Medical Group 20.0 20.0 X 11169 371275 11030 Shea Corum VP IT Operations 40.0 0.0 X 319774 0 59606 Denise Hoover VP Surgical Services 40.0 0.0 X 317684 0 60128 Christine Clarke Chief Medical Officer SHMG 20.0 0.0 X 333300 0 17817 Leilani Slama VP Community Engagement 39.0 1.0 X 266421 0 55836 Zennia Ceniza VP Clinical Operations 40.0 0.0 X 274724 0 46747 Jaime Nichols VP Human Resources 40.0 0.0 X 255138 0 50302 Jennifer Fowler VP Finance 40.0 0.0 X 214472 0 34320 Katherine A Dobler VP Medical Group 40.0 0.0 X 195144 0 26808 Lisa Roth Director, Development 40.0 0.0 X 117257 0 13643 James Bauer Chief Development Officer 40.0 0.0 X 53230 0 6080 Alan Wynn Secretary/Treasurer 2.5 0.8 X X 0 0 0 Bonnie Driggers RN Past Chair 3.9 1.1 X 0 0 0 David Harrison MD Trustee 2.3 0.7 X 0 0 0 John Combes MD Trustee 2.7 0.8 X 0 0 0 John Lattimer Trustee 3.23 0.6 X 0 0 0 Katherine L Keene Chair 4.7 1.3 X X 0 0 0 Kenneth Sherman Jr Trustee 2.7 0.8 X 0 0 0 Lane Shetterly Vice Chair 3.4 2.1 X X 0 0 0 Phil Jackson Trustee 2.3 0.7 X 0 0 0 Ricardo Linares Trustee 2.3 0.7 X 0 0 0 Robert Kelly MD Trustee 3.9 1.1 X 0 0 0 Robert Wells Trustee 3.23 0.6 X X 0 0 0 Theresa Haskins Trustee 2.3 0.7 X 0 0 0 Jenn Columbus TRUSTEE 3.0 0.0 X 0 0 0 Mark Zook TRUSTEE 3.0 0.0 X 0 0 0 12517470 371275 1099714 880 false true false OREGON HEALTH SCIENCE UNIVERSITY 3181 SW SAM JACKSON PARK RD Portland OR 972393098 CONTRACT LABOR 3140238 EPIC SYSTEMS CORP PO BOX 88314 Milwaukee WI 532880314 CONSULTING SERVICES 2435685 SALEM PULMONARY ASSOCIATES PC 801 MISSION ST SE SALEM OR 97302 CONTRACT LABOR 1926042 ARUP LABORATORIES PO BOX 27964 Salt Lake City UT 84127 LABORATORY SERVICES 2099290 AMN LOS ANGELES LOCKBOX PO BOX 56157 Los Angeles CA 900746157 CONTRACT LABOR 2387997 118 209546 0 209546 Patient Service Revenue 621110 779101415 779101415 Other Hospital services 900099 34246009 34151921 94088 Pharmacy 446110 6674851 4483909 2190942 Regional Lab 621500 1315246 219679 1095567 Nutrition Services 722210 1653655 1653655 822991176 27890044 0 27890044 0 0 712290 3624564 -2912274 0 -2912274 0 -2912274 3702628 5158634 -1456006 -1456006 0 -1456006 0 0 0 0 0 0 0 0 0 0 846722486 819610579 3380597 23521764 358478 358478 242296 242296 0 0 8523238 8523238 0 369437415 336597365 32840050 0 74397347 66255444 8141903 26146694 23285250 2861444 854942 854942 1429890 19126 1410764 373925 35445 338480 75000 75000 0 0 29827732 28318683 1509049 90397 3804 86593 9821214 6460020 3361194 6650052 1415870 5234182 0 24621139 13915652 10705487 658160 413877 244283 0 681210 540917 140293 12020474 12020474 0 48226087 48226087 3801750 3801750 Patient Supplies 113032082 112074884 957198 PROVIDER TAX 43441387 43441387 BAD DEBTS 11779213 11779213 ALL OTHER EXPENSES 4988078 1768879 3219199 791478200 591705990 199772210 0 454184 183701 12555367 38594400 0 0 103925303 101113044 0 0 0 0 632371 740143 7525578 8359363 8790526 9882440 1095174925 563285489 497461937 531889436 729653923 1035085261 0 0 24141214 25860953 0 10197000 14093985 46753052 1399234388 1808658793 93526918 132924805 0 0 82780 76647551 272967121 511820190 0 0 0 0 0 0 0 0 25751665 10414051 392328484 731806597 X 1003876479 1072385322 3029425 4466874 1006905904 1076852196 1399234388 1808658793 X 55244286 785865 13916141 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 75000 75000 591630990 591705990 1000000 250000 1000000 1000000 1000000 100000 3100000 4650000 135334 127723 90000 75000 428057 250000 250000 250000 4500 754500 1131750 SCHEDULE C, PART II-A SALEM HEALTH CONTRACTED WITH PUBLIC AFFAIRS COUNSEL TO KEEP THE HOSPITAL APPRISED OF BILLS IN THE STATE LEGISLATURE AND TO ENGAGE THE LEGISLATORS ON BEHALF OF THE HOSPITAL WHEN NECESSARY TO PROVIDE INFORMATION TO LEGISLATORS REGARDING THE IMPACT OF LEGISLATION ON THE HOSPITAL. ADDITIONALLY, THE HOSPITAL PAYS MEMBERSHIP DUES TO OREGON ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS (OAHHS) AND AMERICAN HOSPITAL ASSOCIATION (AHA). A PORTION OF THE DUES TO THESE ORGANIZATIONS IS ALLOCATED TO LOBBYING ACTIVITY IN RELATION TO STATE AND NATIONAL HEALTHCARE ISSUES. 2981742 1758933 -1293 181151 4558231 2910663 414192 82322 425435 2981742 2579755 458243 190571 317906 2910663 3345110 373134 -201146 937343 2579755 2619320 683999 655272 613481 3345110 1.00000 false true true 13075728 17995752 31071480 17011177 618679078 313751097 321939158 338771886 240706566 98065320 89641304 8827826 80813478 531889436 0 ACCRUED POST RETIREMENT BENEFI 5916089 ACCRUED MALPRACTICE INSURANCE 4243196 DUE TO WILLAMETTE VALLEY 91927 LEASEHOLD INCENTIVES 13529 OTHER LIABILITIES 149310 10414051 X PART V, LINE 4: ENDOWMENT FUNDS ARE HELD BY SALEM HEALTH FOUNDATION FOR SALEM HEALTH SUPPORT. PART X, LINE 2: THE CORPORATION (SALEM HEALTH HOSPITALS & CLINICS), SALEM HEALTH, SALEM HEALTH WEST VALLEY, SALEM HEALTH FOUNDATION, WEST VALLEY HOSPITAL FOUNDATION, SALEM HEALTH PROFESSIONAL SERVICES AND WILLAMETTE VALLEY INSURANCE CORPORATION ARE TAX-EXEMPT ORGANIZATIONS PURSUANT TO INTERNAL REVENUE CODE (IRC) SECTION 501(C)(3). AS SUCH, ONLY UNRELATED BUSINESS INCOME IS SUBJECT TO FEDERAL OR STATE INCOME TAXES. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THE CORPORATION TO EVALUATE TAX POSITIONS TAKEN BY THE CORPORATION AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE CORPORATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. MANAGEMENT HAS ANALYZED TAX POSITIONS TAKEN BY THE CORPORATION AND HAS CONCLUDED THAT AS OF JUNE 30, 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. true true X true X 300. true X true true false true true 55683 19828224 19828224 0.02470 180619 182271288 134083193 48188095 0.06010 236302 202099512 134083193 68016319 0.08480 30789 2743867 35196 2708671 0.00340 376 2147827 2147827 0.00270 56937354 25152644 31784710 0.03970 199468 199468 0.00020 32327 985678 985678 0.00120 63492 63014194 25187840 37826354 0.04720 299794 265113706 159271033 105842673 0.13200 14855 14855 0.00000 43846 43846 0.00000 2572013 2572013 0.00330 2630714 2630714 0.00330 false 11779214 7196614 113353823 128036759 -14682936 X true true 1 1 Salem Health 890 Oak Street SE Salem OR 97301 14-1428 X X X SALEM HEALTH 1 false false true X X X X X X X X X 19 true true true true X www.salemhealth.org X www.co.marion.or.us/HLT X X true 19 true WWW.SALEMHEALTH.ORG/ABOUT/COMMUNITY false true X 300. 400. X X X X X true true X X X X true X see Section C X see Section C X see Section C X X X X X X true X false X X X X X true X false false 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. 15 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 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. true AMERICAN CANCER SOCIETY 0330 SW CURRY ST PORTLAND OR 97239 131788491 501(C)(3) 6000 GRANTS TO CANCER SURVIVORS SPONSORSHIP/IMPROVE SOCIAL DETERMINATE OF HEALTH COMMUNITY ACTION AGENCY 625 Union St NE SALEM OR 97301 237056987 501(C)(3) 32900 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) 42500 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) 6500 MID VALLEY SUICIDE PREVENTION COALTION WEBSITE UPGRADES/DISEASE PREVENTION GRANTS NORTHWEST FAMILY SERVICES 6200 SE King Rd PORTLAND OR 97222 930841022 501(C)(3) 77500 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) 10000 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 18000 WELLNESS CLASSIC SPONSORSHIP/IMPROVE SOCIAL DETERMINATE OF HEALTH GRANTS SALEM FREE CLINIC 1300 BROADWAY ST NE SALEM OR 97301 203549992 501(C)(3) 81000 MEALS FOR SUICIDE PREVENTION/DISEASE PREVENTION GRANTS SALEM KEIZER EDUC FOUNDATION 233 Commerical Street NE SALEM OR 97301 930831467 501(C)(3) 10000 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) 12500 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) 7500 LIGHTHOUSE SHELTER/DRUG & ALCOHOL MENTOR/IMPROVE SOCIAL DETERMINATE OF HEALTH GRANTS PSYCHIATRIC CRISIS CENTER PO BOX 14500 SALEM OR 97309 936002307 MARION COUNTY 60068 OVERHEAD COSTS USE OF SPACE ACCESS TO MEDICAL SERVICES 16 16 Cash Assistance to patients 8928 242296 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. X X X X true true false false false true true false false Cheryl Nester Wolfe President & CEO 931965 0 217591 0 84633 0 21000 0 16221 0 1271410 0 0 0 Juan Oyarzun Dir Cardiothoracic Medicine 1105677 0 74551 0 25214 0 45663 0 15007 0 1266112 0 0 0 Erica Mitchell Medical Dir. Vascular Surgery 824769 0 50591 0 6192 0 39401 0 17866 0 938819 0 0 0 Nervin Fanous Cardiothoracic Surgeon 916914 0 74551 0 2160 0 44384 0 10189 0 1048198 0 0 0 Katherine Jones Cardiothoracic Surgeon 910502 0 74551 0 1296 0 44384 0 15482 0 1046215 0 0 0 Ralph Yates CMO Salem Health 549384 0 130793 0 156796 0 18200 0 14971 0 870144 0 0 0 James Parr Chief Financial Officer 527073 0 123484 0 39742 0 58203 0 23820 0 772322 0 0 0 Carrie Allison Trauma Director 682887 0 51750 0 24100 0 40400 0 4463 0 803600 0 0 0 Leah Mitchell Chief Integration Officer 452041 0 106720 0 36697 0 52915 0 22807 0 671180 0 0 0 Bahaa Wanly Chief Operating Officer 437645 0 100859 0 15111 0 46377 0 22650 0 622642 0 0 0 Laurie Barr CHRO until 1/19/19 7762 0 0 0 520498 0 1980 0 1951 0 532191 0 0 0 Matthew Boles VP Medical Affairs 418277 0 33669 0 2250 0 41881 0 26036 0 522113 0 0 0 Sarah Horn Chief Nursing Officer 335522 0 79695 0 25245 0 47595 0 23551 0 511608 0 0 0 Zennia Ceniza VP Clinical Operations 236198 0 32099 0 6427 0 31758 0 14989 0 321471 0 0 0 Shea Corum VP IT Operations 258425 0 60214 0 1135 0 36584 0 23022 0 379380 0 0 0 Denise Hoover VP Surgical Services 255463 0 61102 0 1119 0 42066 0 18062 0 377812 0 0 0 Christine Clarke Chief Medical Officer SHMG 310834 0 20923 0 1543 0 15400 0 2417 0 351117 0 0 0 Leilani Slama VP Community Engagement 216044 0 47871 0 2506 0 33377 0 22459 0 322257 0 0 0 Jaime Nichols VP Human Resources 224074 0 30828 0 236 0 28784 0 21518 0 305440 0 0 0 Jennifer Fowler VP Finance 190113 0 23877 0 482 0 11461 0 22859 0 248792 0 0 0 Katherine A Dobler VP Medical Group 194305 0 0 0 839 0 13780 0 13028 0 221952 0 0 0 Lisa Roth Director, Development 93432 0 23713 0 112 0 5403 0 8240 0 130900 0 0 0 James Bauer Chief Development Officer 51770 0 0 0 1460 0 3825 0 2255 0 59310 0 0 0 Bruce Rodgers VP Medical Group 11045 47350 0 0 124 323925 723 6353 412 3542 12304 381170 0 0 PART I, LINE 4A: 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 A HOSPITAL FACILITY AUTHORITY OF THE CITY OF SALEM 521542796 794458EL9 2016-11-01 215638877 SEE PART VI false false false B HOSPITAL FACILITY AUTHORITY OF THE CITY OF SALEM 521542796 794458FX2 2019-10-29 321418462 SEE PART VI false false false A 16495000 0 216072016 0 0 0 1650101 0 0 0 214380232 41684 true true true true B 0 0 322810186 0 0 0 2118839 0 0 34666593 84034602 201990153 true false false true A true true true true true 0.01100 0.00200 0.01300 false false true B true true true true true 0.00900 0.00000 0.00900 false false true A false true true false false false 0 false 0 false true B false true true false false false 0 true BAYERISCHE LANDESBAN 2. true false true A true B true 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. 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 MWVP INC 570 LIBERTY ST SE STE 200 SALEM OR 97301 HOLDS LAND OR SHHC 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 SALEM AMBULATORY SURGERY CENTER LLC 570 LIBERTY ST SE SUITE 200 SALEM OR 97301 824752936 SURGERY CENTER OR NA RELATED 0 51000 false 0 false 0.51000 WILLAMETTE SURGERY CENTER LLC 890 OAK STREET SE SALEM OR 97301 930579722 SURGERY CENTER OR SALEM HEALTH RELATED 2297208 1774107 false 0 false 0.54200 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 126049 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 true true true true false false false false false false true false false true true true true true true WILLAMETTE VALLEY COMMUNITY HEALTH LLC 2995 RYAN DRIVE SE SUITE 200 SALEM OR 97301 455540852 COORDINATED C OR RELATED false 253748 7798066 false 0 true 0.09091