SALEM HEALTH: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: SALEM HEALTH (EIN 93-0579722)
Tax period: 2018-07-01 to 2019-06-30
Filed: 2020-06-01
IRS object ID: 202041539349302354
Schema version: 2018v3.3
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	2020-06-01T18:38:27-05:00	ReturnTs
Tax Period End	2019-06-30	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	2018-07-01	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	2020-05-21	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	LISA M MEYER	PreparerPersonNm
PTIN	P01490170	PTIN
Phone	2069134000	PhoneNum
Preparation	2020-05-20	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	199.206.0.5	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	91023620201535000088	FederalOriginalSubmissionId
Federal Original Submission Id	2020-06-01	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	E05B3AD073E203267904F3052869CFD6C9DFEDC3	AtSubmissionCreationDeviceId
At Submission Filing Device Id	9105E6E520034E9B148D3B0F89283359AE297A20	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2021-01-29 14:40:06Z	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	$850,697,397	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	13	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	5454	TotalEmployeeCnt
Total Volunteers	505	TotalVolunteersCnt
Total Gross UBI	$2,652,476	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$477,421	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,056,591	PYContributionsGrantsAmt
CY Contributions Grants	$280,398	CYContributionsGrantsAmt
PY Program Service Revenue	$783,829,055	PYProgramServiceRevenueAmt
CY Program Service Revenue	$817,092,478	CYProgramServiceRevenueAmt
PY Investment Income	$31,831,446	PYInvestmentIncomeAmt
CY Investment Income	$29,554,053	CYInvestmentIncomeAmt
PY Other Revenue	$542,703	PYOtherRevenueAmt
CY Other Revenue	$780,603	CYOtherRevenueAmt
PY Total Revenue	$817,259,795	PYTotalRevenueAmt
CY Total Revenue	$847,707,532	CYTotalRevenueAmt
PY Grants And Similar Paid	$807,294	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$743,743	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$412,741,884	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$442,907,802	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$321,264,712	PYOtherExpensesAmt
CY Other Expenses	$327,142,462	CYOtherExpensesAmt
PY Total Expenses	$734,813,890	PYTotalExpensesAmt
CY Total Expenses	$770,794,007	CYTotalExpensesAmt
PY Revenues Less Expenses	$82,445,905	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$76,913,525	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,306,434,818	TotalAssetsBOYAmt
Total Assets EOY	$1,399,234,388	TotalAssetsEOYAmt
Total Liabilities BOY	$385,873,792	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$392,328,484	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$920,561,026	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,006,905,904	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	$119,090,106	ExpenseAmt
Revenue	$367,771,664	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 488 PRACTITIONERS, REPRESENTING 54 DIFFERENT SPECIALTIES. MORE THAN 505 VOLUNTEERS PROVIDE NON-MEDICAL SUPPORT FOR THE HOSPITAL. STATISTICS FOR THE 12 MONTH PERIOD ENDED 6/30/19: BIRTHS - 3,432, DIAGNOSTIC IMAGING PROCEDURES - 200,763, ED VISITS - 108,607, INPATIENT ADMISSIONS - 27,225, LABORATORY PROCEDURES - 1,450,292, SURGERIES - 14,053. THE PRIMARY SERVICE AREA IS MARION AND POLK COUNTIES WITH APPROXIMATELY 430,000 RESIDENTS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$535,899,306	ExpenseAmt
Revenue	$424,087,165	RevenueAmt
Desc	SALEM HEALTH PROVIDES HEALTHCARE TO PEOPLE IN OUR COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY. IN THE 12 MONTH PERIOD ENDED 6/30/19, THE COST OF SERVICES PROVIDED AS A COMMUNITY BENEFIT TOTAL $111.8 MILLION. THIS FIGURE CONSISTED OF $19.2 MILLION IN COSTS TO PROVIDE CHARITY CARE TO INDIVIDUALS WHO CANNOT AFFORD TO PAY; $42.2 MILLION IN UNDERPAYMENT BY MEDICAID AS THE AMOUNT PAID WAS LESS THAN THE COST TO PROVIDE THE SERVICES; AND $50.4 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	$40,510,003	ExpenseAmt
Grant	$743,743	GrantAmt
Revenue	$23,655,409	RevenueAmt
Desc	SALEM HEALTH ACTIVELY PARTICIPATES IN COMMUNITY HEALTH IMPROVEMENT SERVICES. IN THE 12 MONTH PERIOD ENDED 6/30/19, SALEM HEALTH GAVE $24.9 MILLION FOR UNFUNDED OR UNDERFUNDED HEALTH SERVICES, COMMUNITY HEALTH EDUCATION AND PREVENTION PROGRAMS. THE HOSPITAL HAS AN ACTIVE SPEAKERS BUREAU PROVIDING FREE HEALTH LECTURES TO COMMUNITY GROUPS. HEALTH SCREENINGS, SUPPORT GROUPS AND EDUCATION CLASSES ARE OFFERED ON AN ON-GOING BASIS. IN FY 2019, SALEM HEALTH PROVIDED MORE THAN $400,000 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	$695,499,415	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
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
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 With Officer Ent	false	BusinessRlnWithOfficerEntInd
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	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	334	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	5454	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	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	13	IndependentVotingMemberCnt
Family Or Business Rln	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

Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Katherine L Keene
Chair	4.7	1.3	Yes (X)	Yes (X)	$0	$0	$0
Lane Shetterly
Vice Chair	3.3	2.2	Yes (X)	Yes (X)	$0	$0	$0
Alan Wynn
Secretary/Treasurer	3.1	0.9	Yes (X)	Yes (X)	$0	$0	$0
John Combes MD
Trustee	2.7	0.8	Yes (X)		$0	$0	$0
Bonnie Driggers RN
Past Chair	3.9	1.1	Yes (X)		$0	$0	$0
David Harrison MD
Trustee	2.3	0.7	Yes (X)		$1,465	$0	$0
Theresa Haskins
Trustee	3.1	0.9	Yes (X)		$0	$0	$0
Phil Jackson
Trustee	2.3	0.7	Yes (X)		$0	$0	$0
Robert Kelly MD
Trustee	3.9	1.1	Yes (X)		$3,660	$0	$0
John Lattimer
Trustee	3.9	1.1	Yes (X)		$0	$0	$0
Ricardo Linares
Trustee	2.0	0.5	Yes (X)		$0	$0	$0
Kenneth Sherman Jr
Trustee	3.5	1.0	Yes (X)		$0	$0	$0
Robert Wells
Trustee	2.3	0.7	Yes (X)		$0	$0	$0
Cheryl Nester Wolfe
President & CEO	31.9	8.1		Yes (X)	$1,089,162	$0	$60,230
James Parr
Chief Financial Officer	34.9	5.1		Yes (X)	$586,361	$0	$94,858
Ralph Yates
CMO Salem Health and SHMG	40.0	0.0			$610,012	$0	$82,272	Yes (X)
Leah Mitchell
CIO/VP Kaizen Quality & Safety	40.0	0.0			$548,027	$0	$86,980	Yes (X)
Bahaa Wanly
Chief Operating Officer	40.0	0.0			$454,461	$0	$78,514	Yes (X)
Laurie Barr
Chief HR Officer - END 1/19/19	40.0	0.0			$428,628	$0	$81,077	Yes (X)
Sarah Horn
Chief Nursing Officer	40.0	0.0			$409,682	$0	$80,553	Yes (X)
Christine Clarke
General Surgeon	20.0	0.0			$297,395	$0	$37,620	Yes (X)
Andrew Furman
VP Med Affairs - End 2/25/18	40.0	0.0			$281,830	$0	$19,039	Yes (X)
Denise Hoover
VP Surgical Services	40.0	0.0			$264,317	$0	$64,813	Yes (X)
Shea Corum
VP IT Operations	40.0	0.0			$260,909	$0	$63,486	Yes (X)
Zennia Ceniza
VP Clinical Operations	40.0	0.0			$241,881	$0	$42,016	Yes (X)
Leilani Slama
VP Community Engagement	39.0	1.0			$236,717	$0	$60,345	Yes (X)
Jaime Nichols
Interim VP Human Resources	40.0	0.0			$178,568	$0	$46,513	Yes (X)
Bruce Rodgers
VP Medical Group - END 1/5/19	20.0	20.0			$138,057	$0	$37,984	Yes (X)
Juan Oyarzun
Dir Cardiothoracic Medicine	40.0	0.0			$1,183,341	$0	$85,299		Yes (X)
Katherine Jones
Cardiothoracic Surgeon	40.0	0.0			$1,017,316	$0	$81,544		Yes (X)
Nervin Fanous
Cardiothoracic Surgeon	40.0	0.0			$1,009,720	$0	$76,282		Yes (X)
Nicole VanDerHeyden
SHMG Chief Medical Officer	40.0	0.0			$689,629	$0	$93,013		Yes (X)
Daniel Chen
Neurology Physician	40.0	0.0			$616,541	$0	$68,711		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$10,547,679	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,341,149	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	783	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	$5,993,095
EPIC SYSTEMS CORP
PO BOX 88314	Milwaukee	WI	532880314	CONSULTING SERVICES	$3,564,911
INX LLC
PO BOX 677638	Dallas	TX	752677638	HARDWARE SUPPORT	$2,540,787
ARUP LABORATORIES
PO BOX 27964	Salt Lake City	UT	84127	LABORATORY SERVICES	$2,030,182
AMN LOS ANGELES
PO BOX 56157	Los Angeles	CA	900746157	CONTRACT LABOR	$1,927,812

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	97	CntrctRcvdGreaterThan100KCnt
Related Organizations	$280,398	RelatedOrganizationsAmt
All Other Contributions	$0	AllOtherContributionsAmt
Total Contributions	$280,398	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	621110	$795,771,113	$795,771,113
Other Hospital services	900099	$12,513,949	$12,382,726	$131,223
PHARMACY	446110	$6,592,292	$5,092,129	$1,500,163
REGIONAL LAB	621500	$1,349,364	$328,274	$1,021,090
NUTRITION/VALUE BASED CARE	722210	$865,760	$865,760

Field	Value	IRS element (for citing)
Total Program Service Revenue	$817,092,478	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$30,336,622	TotalRevenueColumnAmt
Exclusion	$30,336,622	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	$715,153	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,008,786	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$293,633	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$293,633	TotalRevenueColumnAmt
Exclusion	-$293,633	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$1,198,510	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$1,981,079	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$782,569	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$782,569	TotalRevenueColumnAmt
Exclusion	-$782,569	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

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	Passthrough Income	Desc
Business	541900	BusinessCd
Total Revenue Column	$1,074,236	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,074,236	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,074,236	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$847,707,532	TotalRevenueColumnAmt
Related Or Exempt Func Income	$815,514,238	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,652,476	UnrelatedBusinessRevenueAmt
Exclusion	$29,260,420	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$560,767	TotalAmt
Program Services	$560,767	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$182,976	TotalAmt
Program Services	$182,976	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	$6,479,935	TotalAmt
Management And General	$6,479,935	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	$341,208,388	TotalAmt
Program Services	$313,157,990	ProgramServicesAmt
Management And General	$28,050,398	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	$71,021,837	TotalAmt
Program Services	$63,968,371	ProgramServicesAmt
Management And General	$7,053,466	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$24,197,642	TotalAmt
Program Services	$21,794,477	ProgramServicesAmt
Management And General	$2,403,165	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$771,284	TotalAmt
Program Services	$771,284	ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,355,501	TotalAmt
Program Services	$15,168	ProgramServicesAmt
Management And General	$1,340,333	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$424,320	TotalAmt
Program Services	$349,665	ProgramServicesAmt
Management And General	$74,655	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	$25,496,724	TotalAmt
Program Services	$22,029,526	ProgramServicesAmt
Management And General	$3,467,198	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$103,290	TotalAmt
Management And General	$103,290	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,567,107	TotalAmt
Program Services	$4,193,625	ProgramServicesAmt
Management And General	$3,373,482	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$6,657,250	TotalAmt
Program Services	$1,378,752	ProgramServicesAmt
Management And General	$5,278,498	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$22,261,680	TotalAmt
Program Services	$12,675,195	ProgramServicesAmt
Management And General	$9,586,485	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,049,310	TotalAmt
Program Services	$661,963	ProgramServicesAmt
Management And General	$387,347	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	$796,968	TotalAmt
Program Services	$616,056	ProgramServicesAmt
Management And General	$180,912	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$10,535,457	TotalAmt
Program Services	$10,535,457	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$45,469,068	TotalAmt
Program Services	$45,469,068	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,261,104	TotalAmt
Program Services	$4,261,104	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
PATIENT SUPPLIES	$113,918,140	$113,380,637	$537,503
PROVIDER TAX	$44,011,628	$44,011,628
BAD DEBTS	$23,932,066	$23,932,066
Other Purchased Services	$12,113,462	$10,346,610	$1,766,852

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,343,103	TotalAmt
Program Services	$1,207,030	ProgramServicesAmt
Management And General	$5,136,073	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$770,794,007	TotalAmt
Program Services	$695,499,415	ProgramServicesAmt
Management And General	$75,294,592	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$535,623	BOYAmt
EOY	$454,184	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$14,572,136	BOYAmt
EOY	$12,555,367	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	$87,867,240	BOYAmt
EOY	$103,925,303	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	$545,456	BOYAmt
EOY	$632,371	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$6,689,498	BOYAmt
EOY	$7,525,578	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$6,274,832	BOYAmt
EOY	$8,790,526	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,016,204,892	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$518,742,955	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$477,020,355	BOYAmt
EOY	$497,461,937	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$674,691,909	BOYAmt
EOY	$729,653,923	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	$15,672,505	BOYAmt
EOY	$24,141,214	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$22,565,264	BOYAmt
EOY	$14,093,985	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,306,434,818	BOYAmt
EOY	$1,399,234,388	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$83,977,757	BOYAmt
EOY	$93,526,918	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	$525,200	BOYAmt
EOY	$82,780	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$278,251,740	BOYAmt
EOY	$272,967,121	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	$164,174	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	$22,954,921	BOYAmt
EOY	$25,751,665	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$385,873,792	BOYAmt
EOY	$392,328,484	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$917,643,621	BOYAmt
EOY	$1,003,876,479	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,917,405	BOYAmt
EOY	$3,029,425	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$920,561,026	BOYAmt
EOY	$1,006,905,904	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,306,434,818	BOYAmt
EOY	$1,399,234,388	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$76,913,525	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$11,676,210	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$2,244,857	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	$90,000	FilingOrganizationsTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$90,000	FilingOrganizationsTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$695,409,415	FilingOrganizationsTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$695,499,415	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	$1,000,000	CurrentYearAmt
Total	$4,000,000	TotalAmt

Field	Value	IRS element (for citing)
Lobbying Ceiling	$6,000,000	LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$97,242	CurrentYearMinus3Amt
Current Year Minus2	$135,334	CurrentYearMinus2Amt
Current Year Minus1	$127,723	CurrentYearMinus1Amt
Current Year	$90,000	CurrentYearAmt
Total	$450,299	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	$250,000	CurrentYearAmt
Total	$1,000,000	TotalAmt

Field	Value	IRS element (for citing)
Grassroots Ceiling	$1,500,000	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	$2,910,663	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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,560,192	BeginningYearBalanceAmt
Contributions	$318,689	ContributionsAmt
Investment Earnings Or Losses	-$66,873	InvestmentEarningsOrLossesAmt
Other Expenditures	$192,688	OtherExpendituresAmt
End Year Balance	$2,619,320	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	$23,124,460	OtherCostOrOtherBasisAmt
Book Value	$36,200,188	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$22,305,358	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$606,315,944	OtherCostOrOtherBasisAmt
Depreciation	$290,150,477	DepreciationAmt
Book Value	$338,470,825	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$306,011,756	OtherCostOrOtherBasisAmt
Depreciation	$220,246,328	DepreciationAmt
Book Value	$85,765,428	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$45,371,646	OtherCostOrOtherBasisAmt
Depreciation	$8,346,150	DepreciationAmt
Book Value	$37,025,496	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$497,461,937	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
FAIR VALUE - INTEREST RATE SWAP	$11,982,074
ACCRUED POST RETIREMENT BENEFIT	$6,631,051
ACCRUED MALPRACTICE INSURANCE	$4,156,390
DUE TO WVCH	$2,764,172
LEASEHOLD INCENTIVES	$91,479
OTHER LIABILITIES	$126,499

Field	Value	IRS element (for citing)
Total Liability	$25,751,665	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:

UNCERTAIN TAX POSITIONS FROM THE NOTES TO CONSOLIDATED FINANCIAL STATEMENTS ISSUED FOR SALEM HEALTH HOSPITALS AND CLINICS AND RELATED COMPANIES: 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. MANAGEMENT HAS NOT RECORDED A PROVISION AS UNRELATED BUSINESS INCOME, IF ANY, IS IMMATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THE CORPORATION TO EVALUATE TAX POSITIONS TAKEN BY THE 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, 2019 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 2016.

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	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
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	46470	PersonsServedCnt
Total Community Benefit Expns	$19,184,794	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$19,184,794	NetCommunityBenefitExpnsAmt
Total Expense	0.02490	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	117861	PersonsServedCnt
Total Community Benefit Expns	$177,544,445	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$135,347,733	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$42,196,712	NetCommunityBenefitExpnsAmt
Total Expense	0.05470	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	164331	PersonsServedCnt
Total Community Benefit Expns	$196,729,239	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$135,347,733	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$61,381,506	NetCommunityBenefitExpnsAmt
Total Expense	0.07960	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	43245	PersonsServedCnt
Total Community Benefit Expns	$3,575,539	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$89,356	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,486,183	NetCommunityBenefitExpnsAmt
Total Expense	0.00450	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Persons Served	567	PersonsServedCnt
Total Community Benefit Expns	$1,567,955	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,567,955	NetCommunityBenefitExpnsAmt
Total Expense	0.00200	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$42,815,218	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$23,558,165	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,257,053	NetCommunityBenefitExpnsAmt
Total Expense	0.02500	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$188,759	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$188,759	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Persons Served	27330	PersonsServedCnt
Total Community Benefit Expns	$428,048	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$428,048	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	71142	PersonsServedCnt
Total Community Benefit Expns	$48,575,519	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$23,647,521	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$24,927,998	NetCommunityBenefitExpnsAmt
Total Expense	0.03230	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	235473	PersonsServedCnt
Total Community Benefit Expns	$245,304,758	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$158,995,254	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$86,309,504	NetCommunityBenefitExpnsAmt
Total Expense	0.11190	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$30,976	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$30,976	NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,139,321	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,139,321	NetCommunityBenefitExpnsAmt
Total Expense	0.00280	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,170,297	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,170,297	NetCommunityBenefitExpnsAmt
Total Expense	0.00280	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$23,932,067	BadDebtExpenseAmt
Bad Debt Expense Attributable	$13,658,934	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$117,281,538	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$127,268,795	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$9,987,257	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	17	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	18	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
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 (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part V, Section B, Line 5:	A comprehensive needs assessment was conducted in the tax year 2017 in cooperation with the local public health department, coordinated care organizations and local non-profit organizations. The assessment was conducted by surveying community partners working in social, health, community, educational and correctional health settings and the community at large. Paper and electronic surveys were distributed throughout both counties and community forums were held as well to identify health needs and priorities. National surveillance data such as the Behavior Risk Surveillance survey and Oregon Healthy Teens was used, in addition to state and local data from birth and death certificates.
Part V, Section B, Line 6a:	The CHNA was conducted with cooperation and representatives from Santiam Hospital and Legacy Health.
Part V, Section B, Line 6b:	The hospital facility's CHNA was conducted with Community Action Agency, the Early Learning Hub, Marion County Health Department, Polk Co Health Department, Oregon State University Cooperative Extension, United Way, WVP Health Authority and 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 addressed in the 2017 assessment include adolescent mental health, obesity, tobacco use, and sexually transmitted infections. Salem Health has chosen to focus on the first three areas. Adolescent Mental Health: Oregon's suicide rate in 2017 was more than twice as high as the national average. Suicide is the second leading cause of death for those ages 15-34 and the third leading cause for those ages 9-14. According to Oregon Health Plan (Medicaid) data, 31.5% of children ages 12-17 in Marion County have a mental health condition and fewer than half are receiving treatment. The numbers are even more stark for children under the age of 12: 27% have been identified as having a mental health condition and just 4% are receiving treatment. The number of patients seen in the Salem Hospital emergency room for suicidal ideation and intentional self-harm has increased neatly 80% since 2016. Salem Health has launched a community wide initiative to explore contributing factors to this increase along with Salem-Keizer Public Schools, the county health departments and other mental health care providers. The scope for the 2018-19 years is community prevention with plans to expand the work beyond this scope in 2020. Salem Health offers 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. Tobacco: 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 have continuously seen a significant increase in tobacco since 2011: 19% of Marion County residents and 16.4% of Polk County residents use tobacco. Tobacco use contributes to many diseases, including lung cancer. Marion and Polk county residents die at a higher rate from lung cancer 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. Particularly concerning is the increase of tobacco use during pregnancy. Tobacco use during pregnancy has decreased in recent years, but at 10% is still far higher 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 the Salem Health Community Health Education Center and the Health Education and Outreach teams provide community based education to schools related to tobacco prevention. Obesity: Obesity rates in Marion and Polk counties continue to climb at a rate higher than the rest of the state. Nearly 35% of adults in Marion county are considered to be obese and 18% of 11th graders in Marion county are obese, compared with 26% and 15% respectively statewide. In Polk county, 31.5% of adults are obese as are 17.5% of 11th graders. Obesity contributes to nearly every chronic medical condition, including heart disease, diabetes and cancer. Salem Health continues to focus on obesity prevention efforts through health outreach and education, support of partnering agencies with a shared goal to decrease obesity, medical provider BMI screenings and community health education center programming focused on health promotion and prevention of chronic disease. Obesity is also a priority for the Community Health Improvement Plan (CHIP) which is supported by Salem Health. The Marion County Public Health Department convenes community stakeholders to address obesity using a logic model and collective impact framework. Salem Health and other community partners' collective work impact is published annually on the Marion County Public Health website. Sexually transmitted infections: Marion County has experienced significant increases in sexually transmitted infections in the last five years, including a 7.8% increase in the incidence of Chlamydia, 186.7% increase in the incidence of Gonorrhea and a 490% increase in the incidence of Syphilis. Marion County is seeing an increase in rates of congenital Syphilis. Marion County is actively working with local providers to ensure accurate reporting, education to appropriate audiences and efficacy of treatment in tackling these diseases. Salem Health's providers are participating and a representative meets regularly with Marion County Public Health to assess the needs and progress made.
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 Health's Condition 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 or 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 at that time. Application Process & 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.
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

Field	Value	IRS element (for citing)
Facility	8	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 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 - KEIZER
550 DEITZ AVE NE	KEIZER	OR	97303	CLINIC
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

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, LINE 3C:	Criteria considered in determining eligibility include, but are not limited to: 1. 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.
Part I, Line 6a &6b:	A Community Benefit Report was published and is available at www.salemhealth.org.
Part I, Line 7:	WORKSHEET 2, RATIO OF PATIENT CARE COST TO CHARGES, WAS USED TO CALCULATE THE RATIO OF PATIENT CARE COST TO CHARGES (CCR). THIS CCR WAS THEN APPLIED TO THE CHARITY CARE, MEDICAID AND OTHER COMMUNITY BENEFIT RELATED EXPENSES TO CALCULATE THE COST.
PART I, LINE 7, COLUMN (F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $23,932,067.
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 ADOLESCENT MENTAL HEALTH, OBESITY AND TOBACCO. 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 BASES HEALTH IMPROVEMENT SERVICES AS REQUESTED IN MARION AND POLK COUNTIES. IN 2017, 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 2018 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. ITS HEALTH CAREER EXPLORATION PROGRAMS FOR HIGH SCHOOL STUDENTS IN DISTRICTS THAT FALL WITHIN THE HOSPITAL CATCHMENT AREA SERVE HUNDREDS OF HIGH SCHOOL STUDENTS ASPIRING TO MEDICAL CAREERS. SALEM HEALTH HAS MORE THAN 450 VOLUNTEERS AND A STAFF OF THREE THAT COORDINATE COMMUNITY BUILDING ACTIVITIES. VOLUNTEERS RAISE MONEY FOR COMMUNITY SCHOLARSHIPS, COORDINATE JOB SHADOW OPPORTUNITIES AND ARRANGE FOR BLOOD DRIVES. IN 2017, SALEM HEALTH SPONSORED AN ORGANIZATION WIDE INITIATIVE TO ENCOURAGE EMPLOYEES TO VOLUNTEER IN THE LOCAL COMMUNITY. OVER THE COURSE OF THE YEAR, 83% OF DEPARTMENTS WITHIN THE HOSPITAL HAD AT LEAST ONE EMPLOYEE VOLUNTEER OUTSIDE THE HOSPITAL. GROUP VOLUNTEER OPPORTUNITIES WERE COORDINATED QUARTERLY, SUCH AS PARK BEAUTIFICATION AND SET UP OF LOCAL EVENTS. LEADERS AT ALL LEVELS WITHIN SALEM HEALTH SERVE ON COMMUNITY BOARDS AND TASK FORCES THAT ADDRESS COMMUNITY NEEDS. THE HOSPITAL WORKS WITH THE LOCAL MEDICAL COMMUNITY TO IDENTIFY GAPS IN CARE AND RECRUIT NEEDED PRIMARY CARE PROVIDERS AND SPECIALISTS TO IMPROVE ACCESS TO CARE. PHYSICIAN LEADERSHIP TRAINING IS OFFERED TO COMMUNITY PROVIDERS ACROSS THE SERVICE AREA.
PART III, LINE 2:	BAD DEBT EXPENSE IS PRIMARILY ESTIMATED BASED UPON THE HOSPITALS' HISTORICAL COLLECTION EXPERIENCE, THE AGE OF THE PATIENT'S ACCOUNT, THE PATIENT'S ECONOMIC ABILITY TO PAY, AND THE EFFECTIVENESS OF COLLECTION EFFORTS. PATIENT ACCOUNTS RECEIVABLE BALANCES ARE ROUTINELY REVIEWED IN CONJUNCTION WITH HISTORICAL COLLECTION RATES AND OTHER ECONOMIC CONDITIONS THAT MIGHT ULTIMATELY AFFECT THE COLLECTABILITY OF PATIENT ACCOUNTS WHEN CONSIDERING THE ADEQUACY OF THE AMOUNTS RECORDED IN THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. ACTUAL WRITE-OFFS HISTORICALLY HAVE APPROXIMATED MANAGEMENT'S EXPECTATIONS.
PART III, LINE 3:	BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER SALEM HEALTH'S FINANCIAL ASSISTANCE POLICY IS ESTIMATED BASED ON DATA FROM OUR PATIENT ACCOUNTING SYSTEM. THIS DATA IS THEN COMPARED AND MATCHED TO MEDIAN HOUSEHOLD INCOME CENSUS DATA BY ZIP CODE TO DETERMINE THE ESTIMATED BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE.
PART III, LINE 4:	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 $171,457,893 LESS MEDICARE ADVANTAGE COSTS OF $211,901,271 FOR A TOTAL ADDITIONAL COMMUNITY BENEFIT IN THE AMOUNT OF $40,443,378.
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:	AN UPDATED COMMUNITY NEEDS ASSESSMENT WAS CONDUCTED IN 2017. THE NEEDS ASSESSMENT DESCRIBES THE COMMUNITY SERVED BY THE HOSPITAL AND THE DEMOGRAPHICS OF THE COMMUNITY. IT DOES NOT DESCRIBE THE EXISTING HEALTH CARE FACILITIES AND RESOURCES WITHIN THE COMMUNITY THAT ARE AVAILABLE TO RESPOND TO NEEDS. THE MARION AND POLK COUNTY HEALTH CARE SYSTEM CAPACITY AND ACCESS ASSESSMENT CONTAINS HEALTH CARE FACILITY AND RESOURCE INFORMATION. THE CAPACITY AND ACCESS ASSESSMENT IS UPDATED ANNUALLY. THE MOST RECENT CHNA AND HEALTH CARE SYSTEM CAPACITY AND ACCESS ASSESSMENTS ARE PUBLISHED TO THE SALEM HEALTH WEBSITE AT WWW.SALEMHEALTH.ORG. THE NATIONAL MODEL, MOBILIZATION FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) WAS USED AS THE FRAMEWORK FOR CHNA. THE FOUR ASSESSMENTS OF MAPP FRAMEWORK INCLUDE: COMMUNITY THEMES AND STRENGTHS, LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT, COMMUNITY HEALTH STATUS ASSESSMENT AND THE FORCES OF CHANGE ASSESSMENT. THE COMMUNITY THEMES AND STRENGTHS ASSESSMENT WAS CONDUCTED BY SURVEYING COMMUNITY PARTNERS WORKING IN SOCIAL, EDUCATIONAL, COMMUNITY AND CORRECTIONAL HEALTH SETTING AND THE COMMUNITY AT LARGE. THE SURVEYS USED IN BOTH COUNTIES HAS THE SAME QUESTIONS AND WERE BASED ON PAST SURVEYS. PAPER AND ELECTRONIC SURVEYS WERE ALLOCATED BASED ON POPULATION DISTRIBUTION THROUGHOUT THE TWO COUNTIES. THE COMMUNITY HEALTH STATUS ASSESSMENT WAS CONDUCTED BY COMPILING DATA FROM NATIONAL SURVEILLANCE SYSTEMS LIKE THE BEHAVIORAL RISK FACTOR SURVEILLANCE SURVEY AND OREGON HEALTHY TEENS, AS WELL AS STATE AND LOCAL DATA FROM BIRTH AND DEATH CERTIFICATES. IN ADDITION, A SERIES OF COMMUNITY FORUMS WERE CONDUCTED ACROSS MARION AND POLK COUNTIES TO IDENTIFY HEALTH PRIORITIES. THE MARION AND POLK COUNTY HEALTH ASSESSMENT UPDATES WERE PUBLISHED IN DECEMBER 2017 AND CAN BE FOUND ON THE SALEM HEALTH WEBSITE AT WWW.SALEMHEALTH.ORG. THE DOCUMENT INFORMED THE DEVELOPMENT OF THE COMMUNITY BENEFIT IMPLEMENTATION STRATEGY FOR THE YEARS 2018-2020, ALSO AVAILABLE ON THE WEBSITE. THE IMPACT OF ACTIONS TAKEN TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE HOSPITAL FACILITIES' PRIOR CHNAS CAN BE FOUND ON THE COMMUNITY HEALTH IMPROVEMENT PARTNERS (CHIP) ANNUAL REPORT. THE CHIP IS COORDINATED BY MARION COUNTY PUBLIC HEALTH DEPARTMENT AND IS PUBLISHED ON THEIR WEBSITE AT WWW.CO.MARION.OR.US/HLT/CHIP/PAGES/DEFAULT.ASPX
PART VI, LINE 3:	SALEM HEALTH SCREENS UNINSURED PATIENTS FOR ELIGIBILITY THROUGH THE OREGON HEALTH PLAN (OHP/MEDICAID), WORKERS COMPENSATION, THIRD PARTY LIABILITIES, CONSOLIDATED OMNIBUS BUDGET RECONCILIATION ACT (COBRA) OR ANY OTHER POTENTIAL FUNDING SOURCE AT THE POINT OF SCHEDULING, PATIENT REGISTRATION, OR WHILE INPATIENT. THE HOSPITAL OR ITS REPRESENTATIVE WILL REVIEW THE PATIENT'S CURRENT RESOURCES AND WORK WITH HIM/HER TO GAIN ELIGIBILITY FOR ANY OF THESE PROGRAMS AS APPROPRIATE. PATIENTS NOT ELIGIBLE FOR OHP OR THE OTHER PROGRAMS LISTED ABOVE WHO HAVE FINANCIAL CONSTRAINTS THAT INHIBIT THEIR ABILITY TO PAY, WILL BE ASSESSED FOR FINANCIAL ASSISTANCE. 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 IS 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 ARE 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 IS POSTED ON SALEM HEALTH'S WEBSITE. WRITTEN INFORMATION ABOUT THIS POLICY WILL BE MADE AVAILABLE UPON REQUEST. 6. ALL PATIENT BILLING STATEMENTS 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, in 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 2017, there were about 424,982 people living in the community, which is about 10% of the total state population. Of those, it is estimated that 341,286 people live in Marion and 83,696 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 initially occur at a slightly higher pace and then 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. 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:	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 (17 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)	$11,500	RELAY FOR LIFE OF GREATER SALEM SPONSORSHIP/TOAST TO CANCER SURVIVORS SPONSORSHIP/IMPROVE SOCIAL DETERMINATE OF HEALTH
CASA OF MARION COUNTY
PO BOX 20298	Keizer	OR	97307	270560943	501(C)(3)	$8,500	GOLD SPONSORSHIP2018/2019 SUPERHERO RACE SPONSORSHIP/2019 LIGHT OF HOPE SPONSORSHIP/IMPROVE SOCIAL DETERMINATE OF HEALTH
COMMUNITY ACTION AGENCY HOME
625 Union St NE	SALEM	OR	97301	237056987	501(C)(3)	$15,000	Adolescent health goals achieved by the agency's Taylor's House/IMPROVE SOCIAL DETERMINATE OF HEALTH
FAMILY BUILDING BLOCKS
2425 LANCASTER DR NE	SALEM	OR	97305	931233373	501(C)(3)	$6,000	2019 SUSTAINERS HAPPY HOUR SPONSORSHIP/RIVERFEST SPONSORSHIP/IMPROVE SOCIAL DETERMINATE OF HEALTH
KRIS KNOX LLV FOUNDATION
4742 Liberty St S PMB 270	SALEM	OR	97302	931328274	501(C)(3)	$6,500	2018 PLAY FOR A CURE OREGON SPONSORSHIP/IMPROVE SOCIAL DETERMINATE OF HEALTH
NORTHWEST FAMILY SERVICES
6200 SE King Rd	PORTLAND	OR	97222	930841022	501(C)(3)	$30,461	PROJECT ACCESS NOW/2018 DISCOVERY PINK WALK SPONSORSHIP/IMPROVE SOCIAL DETERMINATE OF HEALTH
POLK COUNTY FAMILY & OUTREACH
182 SW ACADEMY SUITE 220	Dallas	OR	97338	936002310	POLK COUNTY	$6,000	MID VALLEY SUICIDE PREVENTION COALTION WEBSITE UPGRADES/DISEASE PREVENTION
POLK COUNTY SERVICE INTEGRATION
182 SW ACADEMY SUITE 220	Dallas	OR	97338	936002310	POLK COUNTY	$15,000	2018-2019 INTEGRATION SERVICES/IMPROVE SOCIAL DETERMINATE OF HEALTH
SALEM ART ASSOCIATION
600 MISSION ST S	SALEM	OR	97302	930421613	501(C)(3)	$6,250	2019 SALEM ART FAIR & FESTIVAL SPONSORSHIP/2019 GOLD SPONSORSHIP FOR CLAY BALL/IMPROVE SOCIAL DETERMINATE OF HEALTH
SALEM FREE CLINIC
1300 BROADWAY ST NE	SALEM	OR	97301	203549992	501(C)(3)	$79,000	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
SALEM HEALTH FOUNDATION
PO Box 14001	SALEM	OR	97309	237002687	501(C)(3)	$6,000	WELLNESS CLASSIC SPONSORSHIP/IMPROVE SOCIAL DETERMINATE OF HEALTH
SALEM KEIZER EDUC FOUNDATION
233 Commerical Street NE	SALEM	OR	97301	930831467	501(C)(3)	$21,000	AWESOME YOUTH SPORTS SPONSORSHIP/2019 AWESOME 3000 SPONSORSHIP/IMPROVE SOCIAL DETERMINATE OF HEALTH
SALEM KEIZER SCHOOL DISTRICT
2450 Lancaster Dr NE	SALEM	OR	97305	936000763	OREGON	$5,400	MEALS FOR SUICIDE PREVENTION/DISEASE PREVENTION
SALEM LEADERSHIP FOUNDATION
PO BOX 7384	SALEM	OR	97303	931215089	501(C)(3)	$6,000	BRIDGE BUILDERS SUMMER CHALLENGE SPONSORSHIP/ OPEN STREETS SALEM EVENT SPONSORSHIP/COMMUNITY HOMELESS CONNECT SUPPORT/IMPROVE SOCIAL DETERMINATE OF HEALTH
SALEM POLICE FOUNDATION
PO BOX 2631	SALEM	OR	97308	271899059	501(C)(3)	$10,000	SUICIDE AWARENESS SPONSORSHIP/CHIEF'S CIRCLE TITLE SPONSORSHIP/DISEASE PREVENTION & IMPROVE SOCIAL DETERMINATE OF HEALTH
SALVATION ARMY
1901 Front St	SALEM	OR	97301	941156347	501(C)(3)	$25,000	LIGHTHOUSE SHELTER/DRUG & ALCOHOL MENTOR/IMPROVE SOCIAL DETERMINATE OF HEALTH
PSYCHIATRIC CRISIS CENTER
PO BOX 14500	SALEM	OR	97309	936002307	MARION COUNTY		ACCESS TO MEDICAL SERVICES	$23,367	OVERHEAD COSTS	USE OF SPACE

Field	Value	IRS element (for citing)
Total501c3 Org	17	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	Cash Assistance to patients	GrantTypeTxt
Recipient	7003	RecipientCnt
Cash Grant	$182,976	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	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 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	$820,803	$0	$249,393	$0	$18,966	$0	$20,625	$0	$39,605	$0	$1,149,392	$0	$0	$0
James Parr
Chief Financial Officer	$493,482	$0	$91,079	$0	$1,800	$0	$55,475	$0	$39,383	$0	$681,219	$0	$0	$0
Ralph Yates
CMO Salem Health and SHMG	$488,863	$0	$96,469	$0	$24,680	$0	$49,519	$0	$32,753	$0	$692,284	$0	$0	$0
Leah Mitchell
CIO/VP Kaizen Quality & Safety	$441,476	$0	$104,311	$0	$2,240	$0	$50,588	$0	$36,392	$0	$635,007	$0	$0	$0
Bahaa Wanly
Chief Operating Officer	$377,966	$0	$75,133	$0	$1,362	$0	$41,912	$0	$36,602	$0	$532,975	$0	$0	$0
Laurie Barr
Chief HR Officer - END 1/19/19	$342,771	$0	$83,617	$0	$2,240	$0	$44,086	$0	$36,991	$0	$509,705	$0	$0	$0
Sarah Horn
Chief Nursing Officer	$342,054	$0	$66,284	$0	$1,344	$0	$43,727	$0	$36,826	$0	$490,235	$0	$0	$0
Christine Clarke
General Surgeon	$295,902	$0		$0	$1,493	$0	$22,996	$0	$14,624	$0	$335,015	$0	$0	$0
Andrew Furman
VP Med Affairs - End 2/25/18	$124,442	$0		$0	$157,388	$0	$3,165	$0	$15,874	$0	$300,869	$0	$0	$0
Denise Hoover
VP Surgical Services	$218,497	$0	$44,848	$0	$972	$0	$35,806	$0	$29,007	$0	$329,130	$0	$0	$0
Shea Corum
VP IT Operations	$217,081	$0	$42,987	$0	$841	$0	$29,988	$0	$33,498	$0	$324,395	$0	$0	$0
Zennia Ceniza
VP Clinical Operations	$217,460	$0	$23,094	$0	$1,327	$0	$15,771	$0	$26,245	$0	$283,897	$0	$0	$0
Leilani Slama
VP Community Engagement	$195,737	$0	$38,718	$0	$2,262	$0	$27,561	$0	$32,784	$0	$297,062	$0	$0	$0
Jaime Nichols
Interim VP Human Resources	$161,019	$0	$17,403	$0	$146	$0	$14,609	$0	$31,904	$0	$225,081	$0	$0	$0
Bruce Rodgers
VP Medical Group - END 1/5/19	$86,569	$0	$50,577	$0	$911	$0	$25,098	$0	$12,886	$0	$176,041	$0	$0	$0
Juan Oyarzun
Dir Cardiothoracic Medicine	$1,152,177	$0	$25,000	$0	$6,164	$0	$44,916	$0	$40,383	$0	$1,268,640	$0	$0	$0
Katherine Jones
Cardiothoracic Surgeon	$1,016,026	$0		$0	$1,290	$0	$43,617	$0	$37,927	$0	$1,098,860	$0	$0	$0
Nervin Fanous
Cardiothoracic Surgeon	$947,153	$0	$60,417	$0	$2,150	$0	$43,617	$0	$32,665	$0	$1,086,002	$0	$0	$0
Nicole VanDerHeyden
SHMG Chief Medical Officer	$613,489	$0	$68,658	$0	$7,482	$0	$52,239	$0	$40,774	$0	$782,642	$0	$0	$0
Daniel Chen
Neurology Physician	$588,269	$0	$26,564	$0	$1,708	$0	$29,189	$0	$39,522	$0	$685,252	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINES 4A-B:	FormAndLineReferenceDesc
Explanation	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 $26,787 BRUCE RODGERS $17,080 CHRISTINE CLARKE $7,871 DANIEL CHEN $14,064 DENISE HOOVER $15,724 JAMES PARR $34,850 JUAN OYARZUN $29,791 KATHERINE JONES $28,492 LAURIE BARR $23,461 LEAH MITCHELL $29,963 LEILANI SLAMA $14,388 MATTHEW BOLES $4,005 NERVIN FANOUS $28,492 NICHOLE VANDERHEYDEN $31,614 RALPH YATES $34,394 SARAH HORN $23,102 SHEA CORUM $15,469	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	794458CY3	2008-11-13	$125,000,000	REFUND SERIES 2004AB AND 2006B	false	false	false
HOSPITAL FACILITY AUTHORITY OF THE CITY OF SALEM
B	521542796	794458EL9	2016-11-01	$215,638,877	REFUND SERIES 2013AB AND 2008A	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	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$50,000,000	$0	$125,021,764	$0	$0	$0	$633,004	$1,153,492	$0	$9,260,268	$113,975,000	$0	2009	Yes (true)	false	Yes (true)	Yes (true)
B	$14,580,000	$0	$216,071,505	$0	$0	$0	$1,649,486	$0	$0	$0	$214,380,232	$41,788		Yes (true)	Yes (true)	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.00500	0.00100	0.00600	false	false	false	Yes (true)
B	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.01000	0.00200	0.01200	false	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	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
UBS AG
A	false	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	25.8	false	false	false	0	false	Yes (true)
0
B	false	Yes (true)	Yes (true)	false	false	false				false	0	false	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 IN THE PROJECT FUND. PART I (A): THE HOSPITAL FACILITY AUTHORITY OF THE CITY OF SALEM, OREGON REVENUE BONDS PART I (F): PROCEEDS WERE USED TO REFUND SERIES 2004AB AND SERIES 2006B BONDS, FINANCE THE CONTRUCTION OF THE PATIENT TOWER AND OTHER IMPROVEMENTS. PART II, LINE 1: BONDS REFUNDING SERIES 2008C: SERIES 2013AB (ISSUED JUNE 27, 2013). 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 PAYMENTS TEST MAY NOT EXCEED THE AMOUNT OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE. ACCORDINGLY, THE AMOUNT OF PRIVATE PAYMENTS FOR THE REPORTING PERIOD DOES NOT EXCEED THE AMOUNT STATED IN PART III, LINE 6. THE ORGANIZATION HAS NOT UNDERTAKEN AN ANALYSIS OF THE PRIVATE SECURITY TEST WITH RESPECT TO THE BONDS AS THE LEVEL OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS REPORTED IN PART III, LINE 6, IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE. PART IV, LINE 2(B): THE REFUNDING AND NEW MONEY PORTIONS OF THE BONDS HAVE MET THE 6-MONTH EXCEPTION TO REBATE. PART IV, LINE 2(C): PROCEEDS OF THE BONDS MET A SPENDING EXCEPTION TO REBATE AND, THEREFORE, NO PAYMENT WILL EVER BE DUE ON THE BONDS.

COLUMN B:

THE DIFFERENCE BETWEEN PART I(E) AND PART II, LINE 3 IS DUE TO INTEREST EARNINGS ON BOND PROCEEDS. PART I (A): THE HOSPITAL FACILITY AUTHORITY OF THE CITY OF SALEM, OREGON REVENUE BONDS PART I (F): BONDS PROCEEDS WERE EXPENDED TO REFUND THE 2013AB BONDS (ISSUED ON JUNE 27, 2013), TO REFUND THE 2008A BONDS (ISSUED ON OCTOBER 8, 2008) TO REFUND THE 2006A BONDS (ISSUED ON NOVEMBER 15, 2006) AND TO PAY COSTS OF ISSUANCE RELATING TO THE BONDS. PART II, LINE 13: SINCE THE PROCEEDS OF THE BONDS WERE USED FOR REFUNDING PURPOSES, THE YEAR OF SUBSTANTIAL COMPLETION IS NOT APPLICABLE. PART III, LINE 7: AS PROVIDED IN TREASURY REGULATION SECTION 1.141-4(C)(2)(I)(B), THE AMOUNT OF PRIVATE PAYMENTS TAKEN INTO ACCOUNT UNDER THE PRIVATE PAYMENT TEST MAY NOT EXCEED THE AMOUNT OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE. ACCORDINGLY, THE AMOUNT OF PRIVATE PAYMENTS FOR THE REPORTING PERIOD DOES NOT EXCEED THE AMOUNT STATED IN PART III, LINE 6. THE ORGANIZATION HAS NOT UNDERTAKEN AN ANALYSIS OF THE PRIVATE SECURITY TEST WITH RESPECT TO THE BONDS, AS THE LEVEL OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS REPORTED IN PART III, LINE 6, IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE. PART IV, 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:	CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT -2,823,233. CHANGE IN NET BENEFIT COST -1,794,648. CHANGE IN BENEFICIAL INTEREST IN FOUNDATION 112,020. Book/Tax Difference in Partnership Income 2,261,004. TOTAL TO FORM 990, PART XI, LINE 9 -2,244,857.

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	$266,794	$1,435,112	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
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
4000 KRUSE WAY PL BLDG 2 STE 100	LAKE OSWEGO	OR	97035	456822739	TAX TRUST PROGRAM	OR	NA	Trust	$0	$0	0.00000	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