SALEM HEALTH: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: SALEM HEALTH (EIN 93-0579722)
Tax period: 2017-07-01 to 2018-06-30
Filed: 2019-05-09
IRS object ID: 201901309349300240
Schema version: 2017v2.3
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	2019-05-09T17:02:38-05:00	ReturnTs
Tax Period End	2018-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	930623286	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ALDRICH CPAS AND ADVISORS LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	680 HAWTHORNE AVE SE 140	AddressLine1Txt
City	SALEM	CityNm
State Abbreviation	OR	StateAbbreviationCd
ZIP	97301	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	930579722	EIN

Business Name BusinessName

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

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JAMES PARR	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	5038141938	PhoneNum
Signature	2019-05-03	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JOYLYN M ANKENEY CPA	PreparerPersonNm
PTIN	P00366587	PTIN
Phone	5035857774	PhoneNum
Preparation	2019-04-27	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	69.30.50.66	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2019-05-03	IPDt
IP Tm	08:50:08	IPTm
IP Timezone	PD	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	8F3AA22F39D27857D024F0A150D4B9C64528F6BF	AtSubmissionCreationDeviceId
At Submission Filing Device Id	E5FDCD901E0D408F4D4CEC4276ECD8FBEDBFFABE	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	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	$818,601,362	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SALEMHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1970	FormationYr
Legal Domicile State	OR	LegalDomicileStateCd
Activity Or Mission	TO IMPROVE THE HEALTH AND WELL BEING OF THE PEOPLE IN THE COMMUNITIES WE SERVE.	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	5257	TotalEmployeeCnt
Total Volunteers	415	TotalVolunteersCnt
Total Gross UBI	$2,303,935	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$275,797	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,293,735	PYContributionsGrantsAmt
CY Contributions Grants	$1,056,591	CYContributionsGrantsAmt
PY Program Service Revenue	$749,790,070	PYProgramServiceRevenueAmt
CY Program Service Revenue	$783,829,055	CYProgramServiceRevenueAmt
PY Investment Income	$9,717,236	PYInvestmentIncomeAmt
CY Investment Income	$31,831,446	CYInvestmentIncomeAmt
PY Other Revenue	$3,395,065	PYOtherRevenueAmt
CY Other Revenue	$542,703	CYOtherRevenueAmt
PY Total Revenue	$764,196,106	PYTotalRevenueAmt
CY Total Revenue	$817,259,795	CYTotalRevenueAmt
PY Grants And Similar Paid	$804,612	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$807,294	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$386,294,442	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$412,741,884	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$316,577,436	PYOtherExpensesAmt
CY Other Expenses	$321,264,712	CYOtherExpensesAmt
PY Total Expenses	$703,676,490	PYTotalExpensesAmt
CY Total Expenses	$734,813,890	CYTotalExpensesAmt
PY Revenues Less Expenses	$60,519,616	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$82,445,905	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,211,931,939	TotalAssetsBOYAmt
Total Assets EOY	$1,306,434,818	TotalAssetsEOYAmt
Total Liabilities BOY	$391,556,988	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$385,873,792	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$820,374,951	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$920,561,026	NetAssetsOrFundBalancesEOYAmt
Mission	TO IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE AND COMMUNITIES WE SERVE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$123,901,187	ExpenseAmt
Revenue	$364,315,400	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 487 PRACTITIONERS, REPRESENTING 53 DIFFERENT SPECIALTIES. MORE THAN 415 VOLUNTEERS PROVIDE NON-MEDICAL SUPPORT FOR THE HOSPITAL.STATISTICS FOR THE 12 MONTH PERIOD ENDED 6/30/18: BIRTHS - 3,443, DIAGNOSTIC IMAGING PROCEDURES - 190,479, ED VISITS - 107,877, INPATIENT ADMISSIONS - 26,392, LABORATORY PROCEDURES - 1,388,575, SURGERIES - 13,865. THE PRIMARY SERVICE AREA IS MARION AND POLK COUNTIES WITH APPROXIMATELY 500,000 RESIDENTS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$502,945,547	ExpenseAmt
Revenue	$400,652,208	RevenueAmt
Desc	SALEM HEALTH PROVIDES HEALTHCARE TO PEOPLE IN OUR COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY. IN THE 12 MONTH PERIOD ENDED 6/30/18, THE COST OF SERVICES PROVIDED AS A COMMUNITY BENEFIT TOTALED $102.2 MILLION. THIS FIGURE CONSISTED OF $11.0 MILLION IN COSTS TO PROVIDE CHARITY CARE TO INDIVIDUALS WHO CANNOT AFFORD TO PAY; $41.5 MILLION IN UNDERPAYMENT BY MEDICAID AS THE AMOUNT PAID WAS LESS THAN THE COST TO PROVIDE THE SERVICES; AND $49.7 MILLION IN UNDERPAYMENT BY MEDICARE AS THE AMOUNT PAID WAS LESS THAN THE COST TO PROVIDE THE SERVICES. SALEM HEALTH DOES NOT PURSUE LEGAL ACTION FOR NON-PAYMENT OF BILLS AGAINST CHARITY CARE PATIENTS WHO HAVE DEMONSTRATED THAT THEY HAVE NEITHER SUFFICIENT INCOME NOR ASSETS TO MEET THEIR FINANCIAL OBLIGATIONS.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$35,698,839	ExpenseAmt
Grant	$807,294	GrantAmt
Revenue	$17,245,846	RevenueAmt
Desc	SALEM HEALTH ACTIVELY PARTICIPATES IN COMMUNITY HEALTH IMPROVEMENT SERVICES. IN THE 12 MONTH PERIOD ENDED 6/30/18, SALEM HEALTH GAVE $12.7 MILLION FOR UNFUNDED OR UNDERFUNDED HEALTH SERVICES, INCLUDING IMPROVING ACCESS TO CARE THROUGH PHYSICIAN RECRUITING, 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 2018, SALEM HEALTH PROVIDED MORE THAN $1 MILLION IN CASH 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	$662,545,573	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	337	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	5257	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	OR	StatesWhereCopyOfReturnIsFldCd
Other Website	Yes (X)	OtherWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	5038141938	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
BONNIE DRIGGERS RN
CHAIR	5.00	Yes (X)	Yes (X)	$0	$0	$0
KATHERINE L KEENE
VICE CHAIR	6.00	Yes (X)	Yes (X)	$0	$0	$0
ALAN WYNN
SECRETARY/TREASURER	3.72	Yes (X)	Yes (X)	$0	$0	$0
THERESA HASKINS
TRUSTEE	5.00	Yes (X)		$0	$0	$0
KENNETH SHERMAN JR
TRUSTEE	7.00	Yes (X)		$0	$0	$0
ROB KELLY MD
TRUSTEE	5.00	Yes (X)		$0	$0	$0
LANE SHETTERLY
TRUSTEE	5.00	Yes (X)		$0	$0	$0
ROBERT WELLS
PAST-CHAIR	5.00	Yes (X)		$0	$0	$0
NANCY REYES-MOLYNEUX MD
TRUSTEE	3.50	Yes (X)		$0	$0	$0
JOHN COMBES MD
TRUSTEE	4.00	Yes (X)		$0	$0	$0
JOHN LATTIMER
TRUSTEE	5.00	Yes (X)		$0	$0	$0
RICARDO LINARES
TRUSTEE	3.00	Yes (X)		$0	$0	$0
CHERYL NESTER WOLFE
PRESIDENT AND CEO	30.00		Yes (X)	$1,081,556	$0	$59,048	10.00
JAMES PARR
CHIEF FINANCIAL OFFICER	32.00		Yes (X)	$549,324	$0	$92,187	8.00
RALPH YATES
CMO SALEM HEALTH AND SHMG	39.00			$534,014	$0	$76,769	1.00	Yes (X)
LAURIE BARR
CHIEF HUMAN RESOURCES OFFICER	30.00			$396,897	$0	$78,997	10.00	Yes (X)
SARAH HORN
CHIEF NURSING OFFICER	39.00			$389,773	$0	$78,244	1.00	Yes (X)
LEAH MITCHELL
CIO	39.00			$468,126	$0	$75,206	1.00	Yes (X)
ANDREW FURMAN - TERM 01252019
VP MEDICAL AFFAIRS	39.00			$416,063	$0	$76,745	1.00	Yes (X)
BAHAA WANLY
CHIEF OPERATING OFFICER	39.00			$370,073	$0	$72,867	1.00	Yes (X)
CHRISTINE CLARKE
GENERAL SURGEON	20.00			$347,389	$0	$45,599	0.00	Yes (X)
ZENNIA CENIZA EFF 51218
INTERIM VP CLINICAL OPERATIONS	40.00			$242,315	$0	$39,702		Yes (X)
DENISE HOOVER
VP SURGICAL SERVICES	39.00			$236,188	$0	$55,488	1.00	Yes (X)
SHEA CORUM
VP IT OPERATIONS	39.00			$221,178	$0	$58,283	1.00	Yes (X)
LEILANI SLAMA
VP COMMUNITY ENGAGEMENT	20.00			$196,822	$0	$55,191	20.00	Yes (X)
JUAN OYARZUN
DIR CARDIOTHORACIC MED	40.00			$1,216,638	$0	$84,437			Yes (X)
NERVIN FANOUS
CARDIOTHORACIC SURGEON	40.00			$957,819	$0	$76,764			Yes (X)
NICOLE VANDERHEYDEN MD
TRAUMA DIR/ ASSOC CMO SHMG	39.00			$769,898	$0	$93,002	1.00		Yes (X)
KATHERINE JONES
CARDIOTHORACIC SURGEON	40.00			$914,212	$0	$57,734			Yes (X)
PAUL COELHO
MEDICAL DIRECTOR, PAIN MANAGEMENT	40.00			$525,682	$0	$51,448			Yes (X)
LORI JAMES-NIELSEN TERM 31717
SEE SCHEDULE J	10.00			$120,700	$0	$24,905	30.00			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$9,954,667	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,252,616	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	690	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
OHSU
PO BOX 3595	PORTLAND	OR	97208	CONTRACT LABOR	$4,237,032
EPIC SYSTEMS CORP
PO BOX 88314	MILWAUKEE	WI	532880314	CONSULTING SERVICES	$2,498,458
SALEM PULMONARY ASSOCIATES PC
801 MISSION ST SE	SALEM	OR	97302	CONTRACT LABOR	$1,911,599
RENAL TREATMENT CENTER-WEST
PO BOX 781607	PHILADELPHIA	PA	191781607	RENAL TREATMENT SERVICES	$1,705,118
OREGON ANETHESIOLOGY GROUP
707 SW WASHINGTON ST SUITE 700	PORTLAND	OR	972053536	CONTRACT LABOR	$1,578,280

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	99	CntrctRcvdGreaterThan100KCnt
Related Organizations	$657,701	RelatedOrganizationsAmt
All Other Contributions	$398,890	AllOtherContributionsAmt
Total Contributions	$1,056,591	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE	621110	$757,937,686	$757,937,686
OTHER HOSPITAL SERVICES	900099	$17,662,107	$17,562,479	$99,628
PHARMACY	446110	$6,297,893	$5,231,738	$1,066,155
REGIONAL LAB	621500	$1,364,187	$240,750	$1,123,437
VALUE BASED CARE/NUTRITION SERVIC	722210	$567,182	$567,182

Field	Value	IRS element (for citing)
Total Program Service Revenue	$783,829,055	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$32,092,903	TotalRevenueColumnAmt
Exclusion	$32,092,903	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$889,342	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,034,973	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$145,631	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$145,631	TotalRevenueColumnAmt
Exclusion	-$145,631	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$45,137	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$306,594	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$261,457	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$261,457	TotalRevenueColumnAmt
Exclusion	-$261,457	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	PASSTHROUGH INCOME	Desc
Business	541900	BusinessCd
Total Revenue Column	$688,334	TotalRevenueColumnAmt
Related Or Exempt Func Income	$673,619	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$14,715	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$688,334	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$817,259,795	TotalRevenueColumnAmt
Related Or Exempt Func Income	$782,213,454	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,303,935	UnrelatedBusinessRevenueAmt
Exclusion	$31,685,815	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$567,846	TotalAmt
Program Services	$567,846	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$239,448	TotalAmt
Program Services	$239,448	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$5,936,476	TotalAmt
Management And General	$5,936,476	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$315,470,255	TotalAmt
Program Services	$288,404,724	ProgramServicesAmt
Management And General	$27,065,531	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$68,686,706	TotalAmt
Program Services	$62,136,276	ProgramServicesAmt
Management And General	$6,550,430	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$22,648,447	TotalAmt
Program Services	$20,352,071	ProgramServicesAmt
Management And General	$2,296,376	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$1,121,655	TotalAmt
Program Services	$900,158	ProgramServicesAmt
Management And General	$221,497	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,294,032	TotalAmt
Program Services	$24,260	ProgramServicesAmt
Management And General	$1,269,772	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$450,550	TotalAmt
Program Services	$374,808	ProgramServicesAmt
Management And General	$75,742	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

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

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$29,642,484	TotalAmt
Program Services	$25,680,208	ProgramServicesAmt
Management And General	$3,962,276	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$91,934	TotalAmt
Program Services	$1,297	ProgramServicesAmt
Management And General	$90,637	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,674,667	TotalAmt
Program Services	$4,414,866	ProgramServicesAmt
Management And General	$3,259,801	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$7,649,545	TotalAmt
Program Services	$1,282,785	ProgramServicesAmt
Management And General	$6,366,760	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$19,403,492	TotalAmt
Program Services	$12,301,201	ProgramServicesAmt
Management And General	$7,102,291	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,108,429	TotalAmt
Program Services	$640,102	ProgramServicesAmt
Management And General	$468,327	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$935,194	TotalAmt
Program Services	$747,819	ProgramServicesAmt
Management And General	$187,375	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$10,556,453	TotalAmt
Program Services	$10,556,453	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$43,548,559	TotalAmt
Program Services	$43,548,559	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$5,008,195	TotalAmt
Program Services	$5,008,195	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
PATIENT SUPPLIES	$103,283,354	$102,859,725	$423,629
PROVIDER TAX	$40,520,554	$40,520,554
BAD DEBTS	$29,984,352	$29,984,352
OTHER PURCHASED SERVICE	$11,088,724	$9,063,175	$2,025,549

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,820,039	TotalAmt
Program Services	$2,936,691	ProgramServicesAmt
Management And General	$4,883,348	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$734,813,890	TotalAmt
Program Services	$662,545,573	ProgramServicesAmt
Management And General	$72,268,317	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$477,445	BOYAmt
EOY	$535,623	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$5,008,688	BOYAmt
EOY	$14,572,136	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$86,887,594	BOYAmt
EOY	$87,867,240	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$545,456	BOYAmt
EOY	$545,456	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$6,386,043	BOYAmt
EOY	$6,689,498	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$7,051,916	BOYAmt
EOY	$6,274,832	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$952,082,271	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$475,061,916	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$474,377,495	BOYAmt
EOY	$477,020,355	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$589,144,876	BOYAmt
EOY	$674,691,909	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$18,742,130	BOYAmt
EOY	$15,672,505	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$23,310,296	BOYAmt
EOY	$22,565,264	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,211,931,939	BOYAmt
EOY	$1,306,434,818	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$79,929,240	BOYAmt
EOY	$83,977,757	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$27,940	BOYAmt
EOY	$525,200	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$284,804,178	BOYAmt
EOY	$278,251,740	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$231,968	BOYAmt
EOY	$164,174	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$26,563,662	BOYAmt
EOY	$22,954,921	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$391,556,988	BOYAmt
EOY	$385,873,792	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$817,795,213	BOYAmt
EOY	$917,643,621	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,579,738	BOYAmt
EOY	$2,917,405	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$820,374,951	BOYAmt
EOY	$920,561,026	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,211,931,939	BOYAmt
EOY	$1,306,434,818	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$82,445,905	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$14,686,310	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$3,053,860	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

Total Direct Lobbying TotalDirectLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$127,723	FilingOrganizationsTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$127,723	FilingOrganizationsTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$662,417,850	FilingOrganizationsTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$662,545,573	FilingOrganizationsTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

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

Grassroots Nontaxable GrassrootsNontaxableGrp

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

Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp

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

Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp

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

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$1,000,000	CurrentYearMinus3Amt
Current Year Minus2	$1,000,000	CurrentYearMinus2Amt
Current Year Minus1	$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	$173,324	CurrentYearMinus3Amt
Current Year Minus2	$97,242	CurrentYearMinus2Amt
Current Year Minus1	$135,334	CurrentYearMinus1Amt
Current Year	$127,723	CurrentYearAmt
Total	$533,623	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 OAHHS AND 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

CY Endwmt Fund CYEndwmtFundGrp

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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,073,328	BeginningYearBalanceAmt
Contributions	$674,913	ContributionsAmt
Investment Earnings Or Losses	$154,704	InvestmentEarningsOrLossesAmt
Other Expenditures	$342,753	OtherExpendituresAmt
End Year Balance	$2,560,192	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Term Endowment Balance EOY	1.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$11,668,774	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$23,124,460	OtherCostOrOtherBasisAmt
Book Value	$34,793,234	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$13,495,103	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$609,683,732	OtherCostOrOtherBasisAmt
Depreciation	$273,429,420	DepreciationAmt
Book Value	$349,749,415	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$965,187	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$279,954,377	OtherCostOrOtherBasisAmt
Depreciation	$201,632,496	DepreciationAmt
Book Value	$79,287,068	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$13,190,638	OtherCostOrOtherBasisAmt
Book Value	$13,190,638	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$477,020,355	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
FAIR VALUE INTEREST RATE SWAP AGREEMENT	$9,158,841
ACCRUED POST RETIREMENT HEALTHCARE BENEFITS	$5,242,726
ACCRUED MALPRACTICE INSURANCE	$4,075,826
ESTIMATED LIABILITY TO MEDICARE	$1,511,287
DUE TO SALEM HEALTH HOSPITALS & CLINICS	$2,860,827
OTHER LONG-TERM LIABILITIES	$105,414

Field	Value	IRS element (for citing)
Total Liability	$22,954,921	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$848,870,620	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$14,686,310	NetUnrealizedGainsInvstAmt
Other Revenue	$16,924,515	OtherRevenueAmt
Revenue Not Reported	$31,610,825	RevenueNotReportedAmt
Revenue Subtotal	$817,259,795	RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$817,259,795	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$748,684,547	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$13,209,741	OtherExpensesIncludedAmt
Expenses Not Reported	$13,209,741	ExpensesNotReportedAmt
Expenses Subtotal	$735,474,806	ExpensesSubtotalAmt
Other Expenses Not Included	-$660,916	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	-$660,916	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$734,813,890	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 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 AND RELATED COMPANIES: THE CORPORATION (SALEM HEALTH HOSPITALS & CLINICS), SALEM HEALTH, SALEM HEALTH WEST VALLEY, SHF, WVHF, SHPS, AND WVIC 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. THE CORPORATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES IN ACCORDANCE WITH FASB ASC 740-10, INCOME TAXES-IMPLEMENTATION GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES AND DISCLOSURE AMENDMENTS FOR NONPUBLIC ENTITIES. 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 IRS. MANAGEMENT HAS ANALYZED TAX POSITIONS TAKEN BY THE CORPORATION AND HAS CONCLUDED THAT AS OF JUNE 30,2018 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 2011.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	REVENUE NETTED WITH EXPENSES 3,135,121. EXPENSE NETTED WITH REVENUE 13,789,394.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	OTHER RELATED ORGANIZATION REVENUE NOT INCLUDED ON FINANCIAL STATEMENTS
PART XII, LINE 2D - OTHER ADJUSTMENTS:	REVENUE NETTED WITH EXPENSES 3,135,121. EXPENSES NETTED WITH REVENUE 13,789,394. CUMULATIVE EFFECT OF ADOPTION OF FAIR VALUE OPTION -3,714,774.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	CHANGE IN BENEFICIAL INTEREST IN FOUNDATION 337,666. CHANGE IN POSTRETIREMENT BENEFIT OBLIGATION -998,582.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	300.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Persons Served	30898	PersonsServedCnt
Total Community Benefit Expns	$11,029,770	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$11,029,770	NetCommunityBenefitExpnsAmt
Total Expense	0.01560	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	162962	PersonsServedCnt
Total Community Benefit Expns	$172,945,869	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$131,419,428	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$41,526,441	NetCommunityBenefitExpnsAmt
Total Expense	0.05890	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	193860	PersonsServedCnt
Total Community Benefit Expns	$183,975,639	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$131,419,428	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$52,556,211	NetCommunityBenefitExpnsAmt
Total Expense	0.07450	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	129746	PersonsServedCnt
Total Community Benefit Expns	$2,848,921	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$69,722	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,779,199	NetCommunityBenefitExpnsAmt
Total Expense	0.00390	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Persons Served	663	PersonsServedCnt
Total Community Benefit Expns	$2,005,563	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,005,563	NetCommunityBenefitExpnsAmt
Total Expense	0.00280	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$29,957,784	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,176,124	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,781,660	NetCommunityBenefitExpnsAmt
Total Expense	0.01810	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$129,847	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$129,847	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Persons Served	27560	PersonsServedCnt
Total Community Benefit Expns	$756,724	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$756,724	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	157969	PersonsServedCnt
Total Community Benefit Expns	$35,698,839	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,245,846	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,452,993	NetCommunityBenefitExpnsAmt
Total Expense	0.02610	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	351829	PersonsServedCnt
Total Community Benefit Expns	$219,674,478	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$148,665,274	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$71,009,204	NetCommunityBenefitExpnsAmt
Total Expense	0.10060	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,040	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,040	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,243	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,243	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,217,389	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,217,389	NetCommunityBenefitExpnsAmt
Total Expense	0.00310	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,233,672	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,233,672	NetCommunityBenefitExpnsAmt
Total Expense	0.00310	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$29,984,352	BadDebtExpenseAmt
Bad Debt Expense Attributable	$22,480,038	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$107,851,118	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$120,168,337	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$12,317,219	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
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	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	17	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.SALEMHEALTH.ORG	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	WWW.CO.MARION.OR.US AND WWW.CO.POLK.OR.US	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.SALEMHEALTH.ORG/ABOUT/COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	300.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Other Method	Yes (X)	OtherMethodInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTP://WWW.SALEMHEALTH.ORG/ABOUT/CHARITY-CARE-AND-FINANCIAL-POLICY	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTP://WWW.SALEMHEALTH.ORG/ABOUT/CHARITY-CARE-AND-FINANCIAL-POLICY	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTP://WWW.SALEMHEALTH.ORG/ABOUT/CHARITY-CARE-AND-FINANCIAL-POLICY	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit Other Actions	Yes (X)	PermitOtherActionsInd
Collection Activities	Yes (1)	CollectionActivitiesInd
Other Actions	Yes (X)	OtherActionsInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SALEM HEALTH	PART V, SECTION B, LINE 3J: 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 THE BEHAVIOR RISK SURVEILLANCE SURVEY AND OREGON HEALTHY TEENS WAS USED, IN ADDITION TO STATE AND LOCAL DATA FROM BIRTH AND DEATH CERTIFICATES.
SALEM HEALTH	PART V, SECTION B, LINE 5: THE NATIONAL MODEL, MOBILIZATION FOR ACTION THROUGH PLANNING AND PARTNERSHIPS OR MAPP AS THE FRAMEWORK FOR THE COMMUNITY HEALTH ASSESSMENT. THE FOUR ASSESSMENTS OF THE 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, HEALTH, COMMUNITY, EDUCATIONAL AND CORRECTIONAL HEALTH SETTINGS AND THE COMMUNITY-AT-LARGE. THE SURVEYS USED IN BOTH MARION AND POLK COUNTIES CONSISTED OF THE SAME QUESTIONS AND USED THE 2011 MARION COUNTY SURVEY AS A TEMPLATE. PAPER AND ELECTRONIC SURVEYS WERE ALLOCATED BASED ON POPULATION DISTRIBUTION THROUGHOUT OUR COMMUNITIES. THE COMMUNITY HEALTH STATUS ASSESSMENT WAS CONDUCTED BY COMPILING DATA FROM NATIONAL SURVEILLANCE SYSTEMS LIKE THE BEHAVIOR 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 CAFES WERE CONDUCTED ACROSS MARION AND POLK COUNTY TO IDENTIFY HEALTH PRIORITIES.SALEM HEALTH HOSTED COMMUNITY CAFES AND REPRESENTATIVES FROM MARION AND POLK COUNTY PUBLIC HEALTH, PRESENTED CHNA FINDINGS TO THE SALEM HEALTH COMMUNITY BENEFIT COMMITTEE OF THE BOARD OF TRUSTEES IN NOVEMBER 2015.
SALEM HEALTH	PART V, SECTION B, LINE 6A: THE CHNA WAS CONDUCTED WITH COOPERATION AND REPRESENTATIVES FROM SANITAM HOSPITAL AND LEGACY HEALTH.
SALEM HEALTH	PART V, SECTION B, LINE 6B: THE HOSPITAL FACILITY'S CHNA WAS CONDUCTED WITH COMMUNITY ACTION AGENCY, THE EARLY LEARNING HUB, INC, MARION COUNTY HEALTH DEPARTMENT, POLK COUNTY HEALTH DEPARTMENT, OREGON STATE UNIVERSITY COOPERATIVE EXTENSION, UNITED WAY, WVP HEALTH AUTHORITY, AND WILLAMETTE VALLEY COMMUNITY HEALTH.
SALEM 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.
SALEM HEALTH	PART V, SECTION B, LINE 2: THE HOSPITAL WAS NOT ACQUIRED OR PLACED INTO SERVICE AS A TAX-EXEMPT HOSPITAL IN THE CURRENT TAX YEAR OR THE IMMEDIATELY PRECEDING TAX YEAR 2017.
SALEM HEALTH	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. 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 PATIENT SEEN IN THE SALEM HOSPITAL EMERGENCY ROOM FOR SUICIDAL IDEATION AND INTENTIONAL SELF HARM HAS INCREASED MORE THAN 200% 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 TRAINED SEVERAL SCHOOL DISTRICT EMPLOYEES AND CONTRACTED EMPLOYEES TO PROVIDE THE TRAINING SEVERAL TIMES A MONTH ALL OVER OUR SERVICE AREA.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 CONTINUE TO SEE A SIGNIFICANT INCREASE IN TOBACCO USE AND HAS SINCE 2011: MARION COUNTY HAS 19% OF ITS RESIDENTS USING TOBACCO AND POLK COUNTY REPORTS 16.4%. TOBACCO USE CONTRIBUTES TO MANY DISEASES, BUT ESPECIALLY LUNG CANCER, A DISEASE FROM WHICH MARION AND POLK COUNTY RESIDENTS DIE A HIGHER RATE THAN THOSE IN OTHER PARTS OF OREGON. WITH TOBACCO USE COMES A GREATER EXPOSURE TO SECONDHAND SMOKE FOR NON-SMOKERS, WHICH MAY EXACERBATE A WIDE RANGE OF ADVERSE HEALTH EFFECTS SUCH AS RESPIRATORY INFECTIONS AND ASTHMA. ESPECIALLY CONCERNING IS THE INCREASE OF TOBACCO USE DURING PREGNANCY WHICH, ALTHOUGH IT HAS DECREASED IN RECENT YEARS IS STILL FAR HIGHER AT 10% THAN THE HEALTH PEOPLE 2020 GOAL OF LESS THAN 2%.SALEM HEALTH IS A SMOKE FREE CAMPUS AND HAS WORKED WITH THE CITY OF SALEM TO EXPAND SMOKE FREE ZONES TO NEIGHBORING SIDEWALKS AND CITY PARKS. THE HOSPITAL SCREENS 100% OF ITS PATIENTS FOR TOBACCO USE AND PROVIDES ALL TOBACCO USERS WITH COMMUNITY CESSATION RESOURCE INFORMATION. THE AMERICAN LUNG ASSOCIATION'S FREEDOM FROM SMOKING CURRICULUM IS OFFERED AT NO COST THROUGH THE SALEM HEALTH COMMUNITY HEALTH EDUCATION CENTER AND THE HEALTH EDUCATION AND OUTREACH TEAMS PROVIDE COMMUNITY BASED EDUCATION TO SCHOOLS RELATED TO TOBACCO PREVENTION.OBESITYOBESITY 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. PARTNER ADDRESSING OBESITY SUBMIT ANNUAL ACTIVITIES AND REPORT RESULTS. 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% IN 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.
SALEM HEALTH	PART V, SECTION B, LINE 13B: SALEM HEALTH FINANCIAL MATRIX IS BASED ON INCOME AS A PERCENT OF FEDERAL POVERTY LEVEL.
SALEM HEALTH	PART V, SECTION B, LINE 13H: CRITERIA CONSIDERED IN DETERMINING ELIGIBILITY INCLUDE, BUT ARE NOT LIMITED TO: 1) THE HOUSEHOLD'S GROSS INCOME. THE DEFINITION OF HOUSEHOLD GROSS INCOME INCLUDES THE COMBINED GROSS MONTHLY INCOME OF ALL PERSONS LEGALLY RESPONSIBLE FOR PATIENT BILL OR BALANCE.2) HOUSEHOLD'S ASSETS OTHER THAN PRIMARY RESIDENCEEQUITY IN A REAL ESTATE (OTHER THAN THE PATIENT/GUARANTOR'S PRIMARY RESIDENCE), SECURITIES OR OTHER ASSETS ARE CONSIDERED AVAILABLE TO PAY THE PATIENTS' MEDICAL EXPENSES AND SHOULD BE INCLUDED IN THE INCOMES CALCULATIONTHE INCOME FROM INCOME-PRODUCING REAL PROPERTY SHOULD BE USED IN CALCULATION RATHER THAN THE EQUITYINDIVIDUAL RETIREMENT ACCOUNTS (IRAS) OR OTHER RETIREMENT FUNDS WILL NOT BE INCLUDED IN HOUSEHOLD ASSETS, HOWEVER DISTRIBUTIONS FROM THOSE FUNDS WILL BE CONSIDERED INCOME.3) FAMILY SIZE (PERSONS LEGALLY RESPONSIBLE FOR THE PATIENT BILL AND THEIR DEPENDENTS4) THE FAMILY'S MONTHLY OUT-OF-POCKET EXPENSES FOR MEDICAL SUPPLIES AND SERVICES5) ELIGIBILITY MAY BE CONTINGENT UPON PATIENT COOPERATION WITH THE APPLICATION PROCESS. HOUSEHOLD INCOMES UP TO 400% OF THE ANNUAL POVERTY LEVEL GUIDELINES (FPG) WILL BE ELIGIBLE FOR FINANCIAL ASSISTANCE AS OUTLINED BELOW AND IN THE FPG FINANCIAL MATRIX:FINANCIAL MATRIX INCOME AS A PERCENTAGE OF FEDERAL POVERTY LEVEL PERCENTAGE OF FPG PERCENTAGE DISCOUNT0-300% 100%301- 400% 65%
SALEM HEALTH	PART V, SECTION B, LINE 15E: SUPPORTING DOCUMENTATION MAY INCLUDE THE FOLLOWING: PATIENT MUST PROVIDE TWO OF THE FOLLOWING DOCUMENTS TO SUPPORT THE INCOME CLAIMS ON THE APPLICATION. THREE MONTHS INCOME VERIFICATION IN THE FORM OF PAY STUBS, BANK DEPOSITS, ETC. SOCIAL SECURITY DETERMINATION LETTERS THE PRIOR YEAR'S TAX RETURNS OR 450T-EZ A "BASIC NEEDS" LETTER THAT INDICATES HOW PERSONS WITH NO INCOME ARE MEETING THEIR DAY TO DAY BASIC LIVING NEEDS. "BASIC NEEDS" LETTER MUST ONLY BE CONSIDERED A SECONDARY SUPPORTING DOCUMENT AFTER THE FINANCIAL COUNSELOR OR CLERK VALIDATES THAT INFORMATION. AS OUTLINED IN SALEM HEALTH'S CONDITIONS OF ADMISSION, A CREDIT BUREAU REPORT OR A CHARITY SCORING VENDOR MAY BE REQUESTED TO VALIDATE INFORMATION PROVIDED ON THE FINANCIAL ASSISTANCE APPLICATION. SALEM HEALTH MAY ACCEPT INFORMATION PROVIDED ON AN OHP APPLICATION, OHP ELIGIBILITY, PROBATE ESTATES DETERMINATION, DOCUMENTATION OF HOMELESS STATUS, OR RELIABLE THIRD PARTY CREDIT INFORMATION AS A SUBSTITUTE FOR THE FINANCIAL FORMS. OHP INFORMATION WILL BE CONSIDERED VALID 30 DAYS PRIOR TO ADMISSION AND 90 DAYS POST DISCHARGE. APPROVED SOURCES OF DOCUMENTATION FOR HOMELESS STATUS INCLUDE CHART NOTES, DISCHARGE PLANS, OR DISCHARGE SUMMARIES ENTERED INTO OUR HEALTH INFORMATION SYSTEM BY CARE PROVIDERS OF THE PATIENT INDICATING THEY ARE HOMELESS DURING THE REGISTRATION PROCESS. FINANCIAL ASSISTANCE GRANTED BASED ON THIRD PARTY INFORMATION RATHER THAN A FINANCIAL ASSISTANCE APPLICATION DOES NOT EXTEND TO FUTURE DATES OF SERVICE AND WOULD NEED TO BE REEVALUATED BASED ON INFORMATION AVAILABLE THAT TIME. APPLICATION PROCESS AND ELIGIBILITY DETERMINATION A REQUEST FOR FINANCIAL ASSISTANCE MAY BE MADE BEFORE, DURING OR AFTER THE PROVISION OF CARE. THE HOSPITAL HAS DEVELOPED AN APPLICATION PROCESS FOR DETERMINING INITIAL INTEREST IN AND QUALIFICATION FOR FINANCIAL ASSISTANCE. REQUESTS FOR FINANCIAL ASSISTANCE WILL BE ACCEPTED FROM THE PATIENT DIRECTLY, OR OTHERS ON THE PATIENT'S BEHALF. THIS COULD INCLUDE BUT IS NOT LIMITED TO, THE PATIENT'S REPRESENTATIVE OR HOSPITAL STAFF. -FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY AND APPLICATION MAY BE DOWNLOADED FROM OUR WEBSITE: HTTP://WWW.SALEMHEALTH.ORG/ABOUT/CHARITY-CARE-AND-FINANCIAL-POLICY-PAPER COPIES OF THE FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY AND APPLICATION ARE AVAILABLE IN THE EMERGENCY DEPARTMENT, IN REGISTRATION AREAS AND AT PATIENT FINANCIAL SERVICES, 550 HAWTHORNE SE, SUITE 200, SALEM OREGON 97301. -PAPER COPIES OF THE FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY AND APPLICATIONS MAY BE REQUESTED BY MAIL FROM FINANCIAL COUNSELING, SALEM HEALTH, PO BOX 14001, SALEM, OR 97309-9976 OR VIA TELEPHONE BY CALLING 503-562-4357.
SALEM HEALTH	PART V, SECTION B, LINE 16J: INFORMATION ON THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY IS MADE PUBLICALLY AVAILABLE FREE OF CHARGE IN THE FOLLOWING MANNER:1) NOTICES ARE POSTED IN KEY AREAS OF THE HOSPITAL, INCLUDING ADMITTING, THE EMERGENCY DEPARTMENT, OUTPATIENT DEPARTMENT REGISTRATION AREAS AND PATIENT FINANCIAL SERVICES2) 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 REQUEST6) ALL PATIENT BILLING STATEMENTS INCLUDE A NOTICE THAT FINANCIAL ASSISTANCE IS AVAILABLE AND CONTRACT INFORMATION IF THEY WANT TO LEARN MORE.
SALEM HEALTH	PART V, SECTION B, LINE 18E: IT IS THE POLICY OF SALEM HEALTH TO PURSUE COLLECTION OF PATIENT BALANCES FROM PATIENTS WHO HAVE THE ABILITY TO PAY FOR SERVICES. SALEM HEALTH MAKES REASONABLE EFFORTS TO IDENTIFY PATIENTS WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE. COLLECTION PROCEDURES APPLIED CONSISTENTLY AND FAIRLY FOR ALL PATIENTS REGARDLESS OF INSURANCE STATUS. ALL COLLECTIONS PROCEDURES WILL COMPLY WITH APPLICABLE LAWS AND WITH SALEM HEALTH'S MISSION. FOR THOSE PATIENTS UNABLE TO PAY ALL OR A PORTION OF THEIR OPEN BALANCES, THE FINANCIAL ASSISTANCE POLICY WILL BE FOLLOWED.COLLECTION AGENCIES AND/OR LAW FIRMS MAY BE ENLISTED AFTER REASONABLE COLLECTION AND PAYMENT OPTIONS HAVE BEEN EXHAUSTED. AGENCIES MAY HELP RESOLVED ACCOUNTS WHERE PATIENTS ARE UNCOOPERATIVE IN MAKING PAYMENTS, HAVE NOT MADE APPROPRIATE PAYMENTS OR HAVE BEEN UNWILLING TO PROVIDE REASONABLE FINANCIAL AND OTHER DATA TO SUPPORT THEIR REQUEST FOR FINANCIAL ASSISTANCE. COLLECTION AGENCY AND LAW FIRM STAFF WILL UPHOLD THE CONFIDENTIALITY AND INDIVIDUAL DIGNITY OF EACH PATIENT. ALL AGENCIES AND LAW FIRMS WILL COMPLY WITH ALL APPLICABLE LAWS INCLUDING HIPAA REQUIREMENTS FOR HANDLING PROTECTED HEALTH INFORMATION.
SALEM HEALTH	PART V, SECTION B, LINE 19E: SALEM HEALTH WILL NOTIFY INDIVIDUALS THAT FINANCIAL ASSISTANCE IS AVAILABLE TO ELIGIBLE INDIVIDUALS AT LEAST 30 DAYS PRIOR TO PURSUING EXTRAORDINARY COLLECTIONS ACTIONS (ECA) TO OBTAIN PAYMENT FOR THE CARE PROVIDED BY THE HOSPITAL. ECAS FOR HOSPITAL SERVICES WILL NOT COMMENCE FOR A PERIOD OF AT LEAST 240 DAYS AFTER THE DATE OF THE FIRST POST-DISCHARGE BILLING STATEMENT AND 30 DAYS AFTER THE HOSPITAL OR AUTHORIZED THIRD PARTY PROVIDES WRITTEN NOTICE OF ECAS THE HOSPITAL PLANS TO INITIATE FOR THE APPLICABLE MEDICALLY NECESSARY OR EMERGENCY CARE.
SALEM HEALTH	PART V, SECTION B, LINE 20E: SALEM HEALTH WILL NOTIFY INDIVIDUALS THAT FINANCIAL ASSISTANCE IS AVAILABLE TO ELIGIBLE INDIVIDUALS AT LEAST 30 DAYS PRIOR TO PURSUING EXTRAORDINARY COLLECTIONS ACTIONS (ECA) AS TO OBTAIN PAYMENT FOR THE CARE PROVIDED BY THE HOSPITAL BY DOING THE FOLLOWING:1) PROVIDE WRITTEN NOTICE TO THE INDIVIDUAL INDICATING THAT FINANCIAL ASSISTANCE IS AVAILABLE TO ELIGIBLE INDIVIDUALS, INDICATING THAT SALEM HEALTH INTENDS TO INITIATE OR HAVE A THIRD PARTY INITIATE TO OBTAIN PAYMENT FOR THE CARE AND PROVIDE A DEADLINE AFTER WHICH ECAS MAY BE PURSUED AND WHICH IS NO SOONER THAN 30 DAYS AFTER THE DATE OF THIS WRITTEN NOTICE2) PROVIDE THE INDIVIDUAL A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY WITH THE WRITTEN NOTICE3) MAKE REASONABLE EFFORTS TO ORALLY NOTIFY INDIVIDUAL ABOUT THE SALEM HEALTH'S FINANCIAL ASSISTANCE POLICY.
SALEM HEALTH	PART V, SECTION B, LINE 21C: NOT APPLICABLE. SALEM HEALTH HAS A POLICY RELATIVE TO EMERGENCY MEDICAL CARE THAT REQUIRED THE HOSPITAL FACILITY TO PROVIDE, WITHOUT DISCRIMINATION, CARE FOR EMERGENCY MEDICAL CONDITIONS TO INDIVIDUALS REGARDLESS OF THEIR ELIGIBILITY UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY.
SALEM HEALTH	PART V, SECTION B, LINE 21D: NOT APPLICABLE. SALEM HEALTH HAS A POLICY RELATIVE TO EMERGENCY MEDICAL CARE THAT REQUIRED THE HOSPITAL FACILITY TO PROVIDE, WITHOUT DISCRIMINATION, CARE FOR EMERGENCY MEDICAL CONDITIONS TO INDIVIDUALS REGARDLESS OF THEIR ELIGIBILITY UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY.

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
1 - REHABILITATION CENTER
755 MISSION ST SE	SALEM	OR	97302	REHABILITATION
2 - LABORATORY PHLEBOTOMY SITE - HOPE
1600 STATE ST	SALEM	OR	97301	LABORATORY SERVICES
3 - COMPREHENSIVE PAIN CENTER
875 OAK STREET	SALEM	OR	97302	PAIN MANAGEMENT
4 - REGIONAL LABORATORY
3300 STATE ST	SALEM	OR	97301	LABORATORY SERVICES
5 - SALEM HEALTH MEDICAL CLINIC - KEIZER
550 DEITZ AVE NE	KEIZER	OR	97303	CLINIC
6 - SALEM HEALTH MEDICAL CLINIC - S SALEM
2925 RIVER RD S	SALEM	OR	97302	CLINIC
7 - SALEM HEALTH MEDICAL CLINIC - SALEM
966 12TH STREET SE	SALEM	OR	97301	CLINIC
8 - SALEM HEALTH MEDICAL CLINIC - W SALEM
1049 EDGEWATER ST NW SUITE 150	SALEM	OR	97304	CLINIC

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	CRITERIA CONSIDERED IN DETERMINING ELIGIBILITY INCLUDE BUT ARE NOT LIMITED TO: 1) THE HOUSEHOLD'S GROSS INCOME. THE DEFINITION OF HOUSEHOLD GROSS INCOME INCLUDES THE COMBINED GROSS MONTHLY INCOME OF ALL PERSONS LEGALLY RESPONSIBLE FOR PATIENT BILL OR BALANCE.2) HOUSEHOLD'S ASSETS OTHER THAN PRIMARY RESIDENCEEQUITY IN A REAL ESTATE (OTHER THAN THE PATIENT/GUARANTOR'S PRIMARY RESIDENCE), SECURITIES OR OTHER ASSETS ARE CONSIDERED AVAILABLE TO PAY THE PATIENTS' MEDICAL EXPENSES AND SHOULD BE INCLUDED IN THE INCOMES CALCULATIONTHE INCOME FROM INCOME-PRODUCING REAL PROPERTY SHOULD BE USED IN CALCULATION RATHER THAN THE EQUITYINDIVIDUAL RETIREMENT ACCOUNTS (IRAS) OR OTHER RETIREMENT FUNDS WILL NOT BE INCLUDED IN HOUSEHOLD ASSETS, HOWEVER DISTRIBUTIONS FROM THOSE FUNDS WILL BE CONSIDERED INCOME.3) FAMILY SIZE (PERSONS LEGALLY RESPONSIBLE FOR THE PATIENT BILL AND THEIR DEPENDENTS)4) THE FAMILY'S MONTHLY OUT-OF-POCKET EXPENSES FOR MEDICAL SUPPLIES AND SERVICES5) ELIGIBILITY MAY BE CONTINGENT UPON PATIENT COOPERATION WITH THE APPLICATION PROCESS. THE DEFINITION OF "HOUSEHOLD GROSS INCOME" INCLUDES THE COMBINED GROSS MONTHLY INCOME OF ALL PERSONS LEGALLY RESPONSIBLE FOR PATIENT BILL OR BALANCE.SUPPORTING DOCUMENTATION MAY INCLUDE THE FOLLOWING: PATIENT MUST PROVIDE TWO OF THE FOLLOWING DOCUMENTS TO SUPPORT THE INCOME CLAIMS ON THE APPLICATION. THREE MONTHS INCOME VERIFICATION IN THE FORM OF PAY STUBS, BANK DEPOSITS, ETC. SOCIAL SECURITY DETERMINATION LETTERS THE PRIOR YEAR'S TAX RETURNS OR 450T-EZ A "BASIC NEEDS" LETTER THAT INDICATES HOW PERSONS WITH NO INCOME ARE MEETING THEIR DAY TO DAY BASIC LIVING NEEDS. "BASIC NEEDS" LETTER MUST ONLY BE CONSIDERED A SECONDARY SUPPORTING DOCUMENT AFTER THE FINANCIAL COUNSELOR OR CLERK VALIDATES THAT INFORMATION. AS OUTLINED IN SALEM HEALTH'S CONDITIONS OF ADMISSION, A CREDIT BUREAU REPORT OR A CHARITY SCORING VENDOR MAY BE REQUESTED TO VALIDATE INFORMATION PROVIDED ON THE FINANCIAL ASSISTANCE APPLICATION. SALEM HEALTH MAY ACCEPT INFORMATION PROVIDED ON AN OHP APPLICATION, OHP ELIGIBILITY, PROBATE ESTATES DETERMINATION, DOCUMENTATION OF HOMELESS STATUS, OR RELIABLE THIRD PARTY CREDIT INFORMATION AS A SUBSTITUTE FOR THE FINANCIAL FORMS. OHP INFORMATION WILL BE CONSIDERED VALID 30 DAYS PRIOR TO ADMISSION AND 90 DAYS POST DISCHARGE. APPROVED SOURCES OF DOCUMENTATION FOR HOMELESS STATUS INCLUDE CHART NOTES, DISCHARGE PLANS, OR DISCHARGE SUMMARIES ENTERED INTO OUR HEALTH INFORMATION SYSTEM BY CARE PROVIDERS OF THE PATIENT INDICATING THEY ARE HOMELESS DURING THE REGISTRATION PROCESS. FINANCIAL ASSISTANCE GRANTED BASED ON THIRD PARTY INFORMATION RATHER THAN A FINANCIAL ASSISTANCE APPLICATION DOES NOT EXTEND TO FUTURE DATES OF SERVICE AND WOULD NEED TO BE REEVALUATED BASED ON INFORMATION AVAILABLE THAT TIME.
PART I, LINE 7:	FINANCIAL ASSISTANCE, MEDICAID AND COSTS OF OTHER MEANS-TESTED GOVERNMENT PROGRAMS ACCOUNT FOR A LARGE PORTION OF SALEM HEALTH'S COMMUNITY BENEFIT CONTRIBUTION. ENSURING THAT COMMUNITY MEMBERS HAVE ACCESS TO EMERGENCY, PRIMARY CARE AND OTHER HEALTH SERVICES REGARDLESS OF ABILITY TO PAY ALIGNS WITH THE HOSPITAL MISSION AND COMMITMENT TO SERVE THOSE LIVING IN MARION AND POLK COUNTIES. 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 2017. THESE GRANTS SUPPORT THE WORK OF COMMUNITY PARTNERS WHO ARE ADDRESSING THE IDENTIFIED NEEDS FROM THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT. 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.
PART I, LN 7 COL(F):	THE AMOUNT OF BAD DEBT EXPENSE REMOVED FROM TOTAL EXPENSE THAT WAS INCLUDED IN FORM 990, PART IX, LINE 25, COLUMN (A), BUT REMOVED FROM THIS FIGURE FOR THE PURPOSES OF CALCULATING THE PERCENTAGE IN SCHEDULE H, PART I, LINE 7, COLUMN (F) WAS $29,984,352.
PART I, LINE 6A	A COMMUNITY BENEFIT REPORT WAS PREPARED DURING THE TAX YEAR AND CAN BE FOUND ON THE SALEM HEALTH WEBSITE AT WWW.SALEMHEALTH.ORG
PART II, COMMUNITY BUILDING ACTIVITIES:	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 AND 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 II, LINE 8:	SALEM HEALTH HAS BEEN ACTIVELY RECRUITING PRIMARY CARE PROVIDERS TO MARION AND POLK COUNTIES TO IMPROVE ACCESS TO CARE.
PART II	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 BLOOD DRIVES.LEADERS AT ALL LEVELS WITHIN SALEM HEALTH SERVE ON COMMUNITY BOARDS AND TASK FORCES THAT ADDRESS COMMUNITY NEEDS.THE HOSPITAL HAS BEEN ACTIVELY RECRUITING PRIMARY CARE PROVIDERS TO MARION AND POLK COUNTIES TO IMPROVE ACCESS TO CARE. SALEM HEALTH OFFERS PHYSICIAN LEADERSHIP TRAINING TO COMMUNITY PROVIDERS AND LEADERSHIP DEVELOPMENT COURSES THAT ARE MADE AVAILABLE TO LEADERS ACROSS THE SERVICE AREA.
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 $154,301,793 LESS MEDICARE ADVANTAGE COSTS OF $182,654,129 FOR A TOTAL ADDITIONAL COMMUNITY BENEFIT IN THE AMOUNT OF $28,352,336.
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:	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCESALEM 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. INFORMATION ON THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY IS MADE PUBLICALLY AVAILABLE FREE OF CHARGE IN THE FOLLOWING MANNER:1) NOTICES ARE POSTED IN KEY AREAS OF THE HOSPITAL, INCLUDING ADMITTING, THE EMERGENCY DEPARTMENT, OUTPATIENT DEPARTMENT REGISTRATION AREAS AND PATIENT FINANCIAL SERVICES2) 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 REQUEST6) ALL PATIENT BILLING STATEMENTS INCLUDE A NOTICES THAT FINANCIAL ASSISTANCE IS AVAILABLE AND CONTRACT INFORMATION IF THEY WANT TO LEARN MORE.
PART VI, LINE 4:	SALEM HEALTH SERVES MARION AND POLK COUNTIES. DEMOGRAPHICS IN 2016, THE POPULATION OF POLK COUNTY WAS ESTIMATED TO BE 81,823, WHICH IS AN 8.5% INCREASE FROM 2011. THE LARGEST CITY POPULATION IS LOCATED IN WEST SALEM WITH 28,871 PEOPLE, EVEN THOUGH POLK COUNTY ONLY INCLUDES THE 97304 ZIP CODE OF SALEM. THE NEXT LARGEST CITY IS DALLAS WITH 14,583 PEOPLE. POLK COUNTY HAS A LARGER PROPORTION OF INDIVIDUALS BETWEEN THE AGES OF 0-24 YEARS OLD THAN OREGON AND THE UNITED STATES. THE RACIAL MAKEUP OF THE COUNTY WAS 80% WHITE, 2.6% AMERICAN INDIAN, 2% ASIAN, 0.9% BLACK OR AFRICAN AMERICAN, 0.4% PACIFIC ISLANDER AND 3.5% MADE UP OF 2 OR MORE RACES. THOSE OF HISPANIC OR LATINO ORIGIN MADE UP 13% OF THE POPULATIONS. THE MEDIAN INCOME OF POLK COUNTY IS SLIGHTLY HIGHER THAN THE REST OF OREGON, BUT LOWER THAN THE MEDIAN INCOME FOR THE UNITED STATES. ABOUT 16% OF THE POPULATION LIVE BELOW THE POVERTY LINE, WHICH IS LESS COMPARATIVELY THAN THE REST OF THE STATE. THE UNEMPLOYMENT RATE FOR THOSE 16 AND OLDER IS 6.5%, HIGHER THAN THE REST OF OREGON. POLK COUNTY IS MOSTLY RURAL AND HAS THE SECOND LARGEST AREA DEVOTED TO VITICULTURE IN THE STATE AT 1,322 ACRES. MARION COUNTY IS A MIX OF URBAN AND RURAL WITH A POPULATION OF 336,316. THE RACIAL MAKEUP IS 66% WHITE, 2.6% AMERICAN INDIAN, 2.3% ASIAN, 1.4% BLACK OR AFRICAN AMERICAN, 1% PACIFIC ISLANDER AND 3.3% TWO OR MORE RACES. HISPANIC AND LATINO ORIGIN MAKES UP 26% OF THE POPULATION. MARION COUNTY RESIDENTS HAVE A LOWER MEDIAN HOUSEHOLD INCOME THAN OREGON RESIDENTS AND AMERICANS IN GENERAL. A LARGER PERCENT OF MARION COUNTY RESIDENTS (ESPECIALLY RESIDENTS UNDER 18) LIVE BELOW THE FEDERAL POVERTY LEVEL THAN OREGON RESIDENTS AND AMERICANS IN GENERAL. A SMALLER PERCENT OF MARION COUNTY RESIDENTS HAVE ATTAINED A COLLEGE DEGREE THAN OREGON AND UNITED STATES RESIDENTS. AGRICULTURE AND FOOD PROCESSING ARE IMPORTANT TO THE COUNTY'S ECONOMY AS ARE LUMBER, MANUFACTURING AND EDUCATION. MARION COUNTY IS THE LEADER IN AGRICULTURAL PRODUCTION AMONG ALL OTHER OREGON COUNTIES.
PART VI, LINE 5:	SALEM HEALTH FUNDS A COMMUNITY HEALTH EDUCATION CENTER AND HEALTH EDUCATION OUTREACH PROGRAM. THE CENTER IS STAFFED BY HEALTH EDUCATORS AND REGISTERED NURSES WHO PROVIDE EDUCATION SERVICES TO COMMUNITY MEMBERS ON A DROP-IN BASIS; A MEDICAL PROFESSIONAL AND HEALTH CONSUMER LIBRARY ALLOWS PATRONS TO CHECK OUT HEALTH MATERIALS FREE OF CHARGE. THE LIBRARY SUPPORTS COMMUNITY PROVIDERS, HEALTH PROFESSIONALS AND STUDENTS THAT LIVE, WORK AND LEARN IN MARION AND POLK COUNTIES. FOUR DIFFERENT ONLINE MEDICAL JOURNAL AND RESOURCES SUBSCRIPTION SERVICES ARE PROVIDED TO ENSURE THE MOST UPDATE TO DATE AND ACCURATE INFORMATION AVAILABLE. MORE THAN 1,500 CLASSES AND EVENTS ARE HELD AT THE CENTER AND IN THE COMMUNITY EACH YEAR TO PROMOTE HEALTH AND PREVENT CHRONIC CONDITIONS. THESE RANGE FROM HEALTH SCREENINGS/EARLY DETECTION TO CHRONIC DISEASE MANAGEMENT AND END OF LIFE DECISION SUPPORT, THE OUTREACH PRIORITIES SUPPORT THE CHNA AND STAFF WORK IN COLLABORATION WITH COMMUNITY PARTNERING AGENCIES TO IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE WITHIN SALEM HEALTH'S SERVICE AREAS.HOSPITAL EXECUTIVES INTENTIONALLY SERVE ON NON-PROFIT BOARDS THROUGHOUT THE COMMUNITY. THESE INCLUDE MARION POLK FOOD SHARE, FAMILY BUILDING BLOCKS, LIBERTY HOUSE, THE BOYS AND GIRLS CLUB, SALEM FREE CLINIC, UNITED WAY, AND THE SALVATION ARMY, AMONG OTHERS. THESE ORGANIZATIONS SERVE VULNERABLE POPULATIONS. OFTEN, COMMUNITY BENEFIT ACTIVITIES, ESPECIALLY CASH AND INKIND DONATIONS SUPPORT THE WORK OF PARTNERING ORGANIZATIONS TO MEET THE IDENTIFIED NEEDS OF THE UNDERSERVED IN OUR COMMUNITY.THE COMMUNITY PARTNER GRANT PROGRAM PROMOTES THE HEALTH AND WELL-BEING OF LOW INCOME INDIVIDUALS AND FAMILIES IN MARION AND POLK COUNTIES THROUGH FUNDING PROJECTS THAT ADDRESS HEALTH RELATED PRIORITIES IN THE CHNA. IN 2017, OVER $300,000 WAS DISTRIBUTED TO COMMUNITY PARTNERS TO ADDRESS EARLY CHILDHOOD HEALTH, SUBSTANCE ABUSE, OBESITY AND MENTAL HEALTH, SPECIFICALLY DEPRESSION.
PART VI, LINE 6:	SALEM HEALTH IS AN OREGON NONPROFIT CORPORATION AND A TAX-EXEMPT ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE CODE. SALEM HEALTH, HOSPITALS AND CLINICS IS THE "PARENT" CORPORATION AND SOLE CORPORATE MEMBER OF SALEM HEALTH, SALEM HEALTH FOUNDATION, SALEM HEALTH WEST VALLEY, WEST VALLEY HOSPITAL FOUNDATION, WILLAMETTE VALLEY INSURANCE CORPORATION, AND SALEM HEALTH PROFESSIONAL SERVICES. ALL ENTITIES WITHIN THE PARENT CORPORATION ARE SEPARATE NONPROFIT CORPORATIONS.SALEM HEALTH IS AN OREGON NONPROFIT CORPORATION AND A TAX-EXEMPT ORGANIZATION. THE CORPORATION ALSO DOES BUSINESS UNDER THE NAME "SALEM HOSPITAL, A PART OF SALEM HEALTH HOSPITALS AND CLINICS." SALEM HEALTH IS ONE OF THE LARGEST ACUTE CARE HOSPITALS IN OREGON. LICENSED FOR 494 BEDS, SALEM HEALTH OFFERS A BROAD RANGE OF INPATIENT AND OUTPATIENT SERVICES AN AREA OF OVER 500,000 PEOPLE, INCLUDING MARION AND POLK COUNTIES INCLUDING THE RESIDENTS OF THE CITY OF SALEM, THE STATE CAPITAL OF OREGON.SALEM HEALTH, AS PART OF SALEM HEALTH HOSPITALS AND CLINICS IS GOVERNED BY AN ALL-VOLUNTEER COMMUNITY-BASED BOARD OF TRUSTEES (BOARD). THE BOARD HAS THE RESPONSIBILITY FOR THE DEVELOPMENT AND OVERSIGHT OF SALEM HEALTH VALUES, VISION, PURPOSE AND LONG-TERM STRATEGY. THROUGH THESE DOCUMENTS, THE COMMUNITY BENEFIT STEERING COMMITTEE ASSESSES AND REAFFIRMS SALEM HEALTH'S COMMUNITY BENEFIT COMMITMENTS AND CONNECTIONS WITH COMMUNITY NEEDS AND PRIMARY CONSTITUENCIES. THE COMMUNITY BENEFIT PLAN ASSURES MEASUREMENT AND COMPARISON OF SALEM HEALTH'S COMMUNITY ACTIVITIES TO EVOLVING NORMS AND OVERSEES THE CLEAR AND ACCURATE COMMUNICATION OF THESE ACTIVITIES TO KEY CONSTITUENCIES.
PART VI, LINE 7, REPORTS FILED WITH STATES	OR

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (24 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
SALEM HEALTH FOUNDATION
PO BOX 14001	SALEM	OR	97309	237002687	501(C)(3)	$6,000	CHARITABLE CONTRIBUTION GOLF TOURNAMENT
SALEM KEIZER EDUCATION FOUNDATION
233 COMMERCIAL STREET NE	SALEM	OR	97301	930831467	501(C)(3)	$25,000	AWESOME 3000 SPONSORSHIP/DISEASE PREVENTION
BOYS & GIRLS CLUB
1395 SUMMER ST NE	SALEM	OR	97301	930581470	501(C)(3)	$42,000	COMMUNITY PARTNER GRANT/IMPROVE SOCIAL DETERMINATE OF HEALTH
LIBERTY HOUSE
2685 4TH ST NE	SALEM	OR	97301	931236936	501(C)(3)	$30,000	CHEFS FOR LIBERTY HOUSE SPONSORSHIP/CHAMPIONS FOR CHILDREN SPONSORSHIP
SALVATION ARMY
1901 FRONT ST	SALEM	OR	97301	941156347	501(C)(3)	$25,000	COMMUNITY PARTNER GRANT
UNITED WAY OF MID WILLAMETTE VALLEY
455 BLILER AVE NE	SALEM	OR	97303	930395586	501(C)(3)	$5,000	SPONSOR BINATIONAL HEALTH FAIR/PRESIDENT'S LEADERSHIP CIRCLE/IMPROVE SOCIAL DETERMINATE OF HEALTH
SALEM FREE MEDICAL CLINIC
1300 BROADWAY ST NE STE 104	SALEM	OR	97301	203549992	501(C)(3)	$80,000	ACCESS TO CARE (SALEM & DALLAS)
POLK CO FAMILY & COMMUNITY OUTREACH
182 SW ACADEMY STREET 220	DALLAS	OR	97338	936002310	GOVERNMENT	$15,000	COMMUNITY PARTNER GRANT
FAMILY BUILDING BLOCKS
2425 LANCASTER DR NE	SALEM	OR	97305	931233373	501(C)(3)	$5,000	COMMUNITY PARTNER GRANT
GILBERT HOUSE
116 MARION ST NE	SALEM	OR	97301	930948548	501(C)(3)	$5,000	EXHIBIT SPONSOR - ALL ABOUT ME
MARION COUNTY
PO BOX 14500	SALEM	OR	97309	936002307	GOVERNMENT	$25,000	COMMUNITY PARTNER GRANT/IMPROVE SOCIAL DETERMINATE TO HEALTH
MARION POLK FOOD SHARE
1660 SALEM INDUSTRIAL DRIVE NE	SALEM	OR	97301	943034161	501(C)(3)	$32,471	COMMUNITY PARTNER GRANT/IMPROVE SOCIAL DETERMINATE TO HEALTH
MWVCAA
2585 STATE ST	SALEM	OR	97301	237056987	501(C)(3)	$12,500	COMMUNITY PARTNER GRANT
CITY OF SALEM HOUSING AUTHORITY
360 CHURCH ST SE	SALEM	OR	97301	930582087	GOVERNMENT	$25,000	COMMUNITY PARTNER GRANT/IMPROVE SOCIAL DETERMINATE TO HEALTH
COMMUNITY SERVICES CONSORTIUM
250 BROAD ALBIN ST NE	ALBANY	OR	97321	936118438	501(C)(3)	$25,000	COMMUNITY PARTNER GRANT/IMPROVE SOCIAL DETERMINATE TO HEALTH
ISAAC'S ROOM
299 COTTAGE ST NE	SALEM	OR	97301	931267455	501(C)(3)	$20,500	COMMUNITY PARTNER GRANT/IMPROVE SOCIAL DETERMINATE TO HEALTH
OPTIONS COUNSELING & FAMILY SERVICES
3500 CHAD DR SUITE 350	EUGENE	OR	97408	943436426	501(C)(3)	$22,209	COMMUNITY PARTNER GRANT/IMPROVE SOCIAL DETERMINATE TO HEALTH
OSBORNE ADVENTURES
4742 LIBERTY RD S	SALEM	OR	97301	814004992	501(C)(3)	$8,500	CYCLE SHARE STATION SPONSOR/IMPROVE SOCIAL DETERMINATE TO HEALTH
RONALD MCDONALD HOUSE CHARITY
2620 N COMMERCIAL AVE	PORTLAND	OR	97227	930806912	501(C)(3)	$5,000	STRONG TOGETHER WALK SPONSORSHIP/IMPROVE SOCIAL DETERMINATE TO HEALTH
ROTARY TRIATHLON OF SALEM
PO BOX 442	SALEM	OR	97308	937060946	501(C)(3)	$5,000	ART FAIR & FESTIVAL SPONSORSHIP/IMPROVE SOCIAL DETERMINATE TO HEALTH
SALEM ART ASSOCIATION
600 MISSION ST S	SALEM	OR	97302	930421613	501(C)(3)	$6,250	CLAY BALL SPONSORSHIP/IMPROVE SOCIAL DETERMINATE TO HEALTH
SALEM LEADERSHIP FOUNDATION
PO BOX 7384	SALEM	OR	97203	931215089	501(C)(3)	$5,000	OPEN STREETS SPONSORSHIP/IMPROVE SOCIAL DETERMINATE TO HEALTH
SALEM POLICE FOUNDATION
PO BOX 2631	SALEM	OR	97308	271899059	501(C)(3)	$8,500	SPONSORSHIP BREAKFAST WITH THE CHIEF/IMPROVE SOCIAL DETERMINATE TO HEALTH
THE INSPIRE FOUNDATION
1110 COMMERCIAL ST NE	SALEM	OR	97301	461482848	501(C)(3)	$6,500	GREAT SALEM RACE SPONSORSHIP/DISEASE PREVENTION

Field	Value	IRS element (for citing)
Total501c3 Org	21	Total501c3OrgCnt
Total Other Org	4	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
CASH ASSISTANCE TO PATIENTS IN NEED FOR PRESCRIPTIONS, LIFELINE SUPPORT, REHABILITATION AND OTHER URGENT NEEDS.	149	$45,944
SCHOLARSHIPS FOR HEALTH PROFESSIONS EDUCATION	64	$193,504

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	GRANTS ARE ONLY MADE TO QUALIFIED EXEMPT ORGANIZATIONS. NO MONITORING IS REQUIRED.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	Yes (1)	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	Yes (1)	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 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 AND CEO	$680,629	$0	$385,687	$0	$15,240	$0	$20,250	$0	$38,798	$0	$1,140,604	$0	$0	$0
JAMES PARR
CHIEF FINANCIAL OFFICER	$475,917	$0	$71,607	$0	$1,800	$0	$53,898	$0	$38,289	$0	$641,511	$0	$0	$0
RALPH YATES
CMO SALEM HEALTH AND SHMG	$451,585	$0	$67,189	$0	$15,240	$0	$46,684	$0	$30,085	$0	$610,783	$0	$0	$0
LAURIE BARR
CHIEF HUMAN RESOURCES OFFICER	$323,000	$0	$72,097	$0	$1,800	$0	$43,054	$0	$35,943	$0	$475,894	$0	$0	$0
SARAH HORN
CHIEF NURSING OFFICER	$341,815	$0	$46,878	$0	$1,080	$0	$42,379	$0	$35,865	$0	$468,017	$0	$0	$0
LEAH MITCHELL
CIO	$395,127	$0	$71,799	$0	$1,200	$0	$46,459	$0	$28,747	$0	$543,332	$0	$0	$0
ANDREW FURMAN - TERM 01252019
VP MEDICAL AFFAIRS	$359,953	$0	$54,478	$0	$1,632	$0	$40,449	$0	$36,296	$0	$492,808	$0	$0	$0
BAHAA WANLY
CHIEF OPERATING OFFICER	$321,460	$0	$47,281	$0	$1,332	$0	$37,830	$0	$35,037	$0	$442,940	$0	$0	$0
CHRISTINE CLARKE
GENERAL SURGEON	$346,434	$0	$0	$0	$955	$0	$30,366	$0	$15,233	$0	$392,988	$0	$0	$0
ZENNIA CENIZA EFF 51218
INTERIM VP CLINICAL OPERATIONS	$210,204	$0	$30,876	$0	$1,235	$0	$13,676	$0	$26,026	$0	$282,017	$0	$0	$0
DENISE HOOVER
VP SURGICAL SERVICES	$204,919	$0	$30,379	$0	$890	$0	$32,298	$0	$23,190	$0	$291,676	$0	$0	$0
SHEA CORUM
VP IT OPERATIONS	$191,931	$0	$28,501	$0	$746	$0	$25,976	$0	$32,307	$0	$279,461	$0	$0	$0
LEILANI SLAMA
VP COMMUNITY ENGAGEMENT	$169,250	$0	$25,634	$0	$1,938	$0	$23,472	$0	$31,719	$0	$252,013	$0	$0	$0
JUAN OYARZUN
DIR CARDIOTHORACIC MED	$1,186,736	$0	$25,000	$0	$4,902	$0	$44,344	$0	$40,093	$0	$1,301,075	$0	$0	$0
NERVIN FANOUS
CARDIOTHORACIC SURGEON	$956,109	$0	$0	$0	$1,710	$0	$42,502	$0	$34,262	$0	$1,034,583	$0	$0	$0
NICOLE VANDERHEYDEN MD
TRAUMA DIR/ ASSOC CMO SHMG	$728,212	$0	$34,555	$0	$7,131	$0	$51,491	$0	$41,511	$0	$862,900	$0	$0	$0
KATHERINE JONES
CARDIOTHORACIC SURGEON	$913,372	$0	$0	$0	$840	$0	$24,537	$0	$33,197	$0	$971,946	$0	$0	$0
PAUL COELHO
MEDICAL DIRECTOR, PAIN MANAGEMENT	$520,780	$0	$0	$0	$4,902	$0	$21,917	$0	$29,531	$0	$577,130	$0	$0	$0
LORI JAMES-NIELSEN TERM 31717
SEE SCHEDULE J	$119,917	$0	$0	$0	$783	$0	$10,300	$0	$14,605	$0	$145,605	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINES 4A-B	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: CHERYL NESTER WOLFE $207,151 ($207,151 INCLUDED IN BONUS & INCENTIVE COMPENSATION AND $0 INCLUDED IN DEFERRED COMPENSATION) JAMES PARR $33,648 (INCLUDED IN DEFERRED COMPENSATION) RALPH YATES $31,834 (INCLUDED IN DEFERRED COMPENSATION) LAURIE BARR $46,372 ($23,569 INCLUDED IN BONUS & INCENTIVE COMPENSATION AND $22,804 INCLUDED IN DEFERRED COMPENSATION) SARAH HORN $22,128 (INCLUDED IN DEFERRED COMPENSATION) LEAH MITCHELL $43,995 ($17,786 INCLUDED IN BONUS & INCENTIVE COMPENSATION AND $26,210 INCLUDED IN DEFERRED COMPENSATION) ANDREW FURMAN $25,599 (INCLUDED IN DEFERRED COMPENSATION) BAHAA WANLY $22,981 (INCLUDED IN DEFERRED COMPENSATION) DENISE HOOVER $14,492 (INCLUDED IN DEFERRED COMPENSATION) SHEA CORUM $13,669 (INCLUDED IN DEFERRED COMPENSATION) LEILANI SLAMA $12,459 (INCLUDED IN DEFERRED COMPENSATION) JUAN OYARZUN $29,494 (INCLUDED IN DEFERRED COMPENSATION) NERVIN FANOUS $27,652 (INCLUDED IN DEFERRED COMPENSATION) NICOLE VANDERHEYDEN $65,796 ($34,555 INCLUDED IN BONUS & INCENTIVE COMPENSATION AND $31,241 INCLUDED IN DEFERRED COMPENSATION) CHRISTINE CLARKE $15,516 (INCLUDED IN DEFERRED COMPENSATION) KATHERINE JONES $24,537 (INCLUDED IN DEFERRED COMPENSATION) PAUL COELHO $18,382 (INCLUDED IN DEFERRED COMPENSATION)
PART I, LINE 6	CERTAIN PHYSICIANS RECEIVE INCENTIVE COMPENSATION IN ACCORDANCE WITH THEIR EMPLOYMENT AGREEMENTS WITH SALEM HEALTH. AMOUNTS NOTED ON SCHEDULE J PART II COLUMN (II) REFLECT PAYMENTS EARNED BY THESE PHYSICIAN EMPLOYEES IN SUCH AGREEMENTS. ADDITIONALLY, FOR KEY EMPLOYEES AND MANAGEMENT OF SALEM HEALTH THE BOARD OF TRUSTEES HAS APPROVED AN ANNUAL LEADERSHIP INCENTIVE PROGRAM THAT PROVIDES FOR INCENTIVE PAYMENTS BASED ON OBJECTIVE CRITERIA RELATED TO QUALITY AND SAFETY, ENGAGEMENT, PATIENT SATISFACTION AND FINANCIAL PERFORMANCE. AMOUNTS NOTED ON SCHEDULE J PART II COLUMN (II) REFLECT PAYMENTS EARNED UNDER THE LEADERSHIP INCENTIVE PLAN.
PART I, LINE 7	THE GOVERNANCE COMMITTEE OF THE BOARD OF TRUSTEES, IN CONSULTATION WITH INDEPENDENT COMPENSATION CONSULTANTS, REVIEWS CEO TOTAL COMPENSATION AND PERFORMANCE ANNUALLY. AS PART OF THE COMMITTEE'S ACTIONS, A NON-FIXED BONUS MAY BE AWARDED TO THE CEO. IN THIS YEAR THE NON-FIXED PAYMENT WAS PAID UNDER THE 457(F) NONQUALIFIED PLAN AND IS INCLUDED IN DEFERRED COMPENSATION REPORTED IN PART II.
ADDITIONAL INFORMATION FOR EXECUTIVE TRANSITIONS	LORI JAMES-NELSEN WAS CHIEF STRATEGY OFFICER UNTIL AUGUST 1, 2016. SUBSEQUENTLY SHE WAS A LOANED EXECUTIVE TO OHSU PARTNERS UNTIL MARCH 17, 2017.

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
THE HOSPITAL FACILITY AUTHORITY OF THE CITY OF SALEM OREGON REVENUE BONDS
A	521542796	794458CY3	2008-11-13	$125,000,000	REFUND SERIES 2004AB AND 2006B. PATIENT TOWER CONSTRUCTION AND OTHER IMP.	0	0	0
THE HOSPITAL FACILITY AUTHORITY OF THE CITY OF SALEM OREGON REVENUE BONDS
B	521542796	794458EL9	2016-11-01	$215,638,877	REFUND SERIES 2013 AB AND 2008A. PAY COSTS OF ISSUANCE RELATING TO THE BONDS	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Refunding EscrowRefundingEscrowAmt	UnspentUnspentAmt
A	$50,000,000	$125,021,764	$633,004	$1,153,492	$9,260,268	$113,975,000	2009	Yes (1)	0	Yes (1)	Yes (1)
B	$9,395,000	$216,071,609	$1,649,773			$188,489,677		Yes (1)	Yes (1)	Yes (1)	Yes (1)	$25,890,658	$41,500

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00500	0.00100	0.00600	0	0	Yes (1)
B	0	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00900	0.00200	0.01100	0	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
UBS AG
A	0	0	Yes (1)	Yes (1)	Yes (1)	Yes (1)	25.800000000000	0	0	0	0	Yes (1)
(no name)
B	0	Yes (1)	Yes (1)	0	0	0				0	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

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

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SUPPLEMENTAL INFORMATION:	FormAndLineReferenceDesc
Explanation	COLUMN A: DIFFERENCE BETWEEN PART I(E) AND PART II, LINE 3 IS DUE TO INTEREST EARNINGS IN THE PROJECT FUND. 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 BONDSM MAS 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: DIFFERENCE BETWEEN PART I(E) AND PART II, LINE 3 IS DUE TO INTEREST EARNINGS ON BOND PROCEEDS. 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. PART IV, LINES 2(B): THE PORTION OF BOND PROCEEDS USED FOR CURRENT REFUNDING HAS MET THE 6-MONTH EXCEPTION TO REBATE.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11B	THE GOVERNANCE COMMITTEE OF THE BOARD OF TRUSTEES REVIEWS THE 990. IT IS THEN FORWARDED TO THE ENTIRE BOARD OF TRUSTEES.
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 A MARKET DATA ON EXECUTIVE COMPENSATION, INCLUDING BENEFITS, FOR THE CEO AND OTHER EXECUTIVES IN SIMILAR ROLES AT COMPARABLE ORGANIZATIONS. THIS INFORMATION IS USED BY THE GOVERNANCE COMMITTEE IN ITS DISCUSSIONS AND DECISIONS ON CEO COMPENSATION. THE CEO, IN CONJUNCTION WITH OTHER SALARY SURVEY OR PUBLIC INFORMATION AND THE INDEPENDENT CONSULTANT, ENSURES THAT EACH EXECUTIVE'S COMPENSATION IS COMPETITIVE IN THE MARKET FOR SIMILAR POSITIONS AT COMPARABLE ORGANIZATIONS.
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:	CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT 3,714,776. CHANGE IN NET BENEFIT COST -998,582. CHANGE IN BENEFICIAL INTEREST IN FOUNDATION 337,666.

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)
EIN	123456789	EIN
Primary Activities	HOLDS LAND	PrimaryActivitiesTxt
Legal Domicile State	OR	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

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

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
SALEM HEALTH FOUNDATION
890 OAK STREET SE	SALEM	OR	97301	237002687	SUPPORTS SALEM HEALTH	OR	501(C)(3)	7	SALEM HEALTH HOSPITALS AND CLINICS	0
SALEM HEALTH HOSPITALS & CLINICS
890 OAK STREET SE	SALEM	OR	97301	930823471	LEASES LAND TO SALEM HEALTH	OR	501(C)(3)	11 TYPE 1		0	N/A
SALEM HEALTH WEST VALLEY
525 SOUTHEAST WASHINGTON STREET	DALLAS	OR	97338	431960221	HOSPITAL	OR	501(C)(3)	3	SALEM HEALTH HOSPITALS AND CLINICS	0
WEST VALLEY HOSPITAL FOUNDATION
525 SOUTHEAST WASHINGTON STREET	DALLAS	OR	97338	931298564	SUPPORTS SALEM HEALTH WEST VALLEY	OR	501(C)(3)	11 TYPE 1	SALEM HEALTH HOSPITALS AND CLINICS	0
WILLAMETTE VALLEY INSURANCE COMPANY
745 FORT STREET	HONOLULU	HI	96813	201836190	CAPTIVE INSURANCE	HI	501(C)(3)	11 TYPE 1	SALEM HEALTH HOSPITALS AND CLINICS	0
SALEM HEALTH PROFESSIONAL SERVICES
890 OAK STREET SE	SALEM	OR	97301	753175249	BILLING SERVICE FOR PROFESSIONAL FEES	OR	501(C)(3)	3	SALEM HEALTH HOSPITALS AND CLINICS	0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Predominant Income TypePredominantIncomeTypeTxt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	UBI Code VUBICodeVAmt
SALEM AMBULATORY SURGERY CENTER LLC
570 LIBERTY ST SE SUITE 200	SALEM	OR	97301	824752936	OWN, OPERATE, & MANAGE OUTPATIENT SURGERY CENTER	OR	N/A	RELATED	0	0	0.51000
POPULATION HEALTH ALLIANCE OF OREGON LLC
601 SW 2ND AVE STE 1940	PORTLAND	OR	97204	471546023	POPULATION HEALTH DATA MANAGEMENT	OR	N/A	RELATED	0	0	0.12890	-$1,798,910	-$588,908
WILLAMETTE VALLEY COMMUNITY HEALTH LLC
2995 RYAN DRIVE SE STE 200	SALEM	OR	97301	455540852	COORDINATED CARE ORGANIZATION	OR	N/A	RELATED	0	0	0.09090	-$553,660	-$586,669
PREMIER HEALTHCARE ALLIANCE LP
13034 BALLANTYNE CORPORATE PLACE	CHARLOTTE	NC	28277	330387407	ENABLE HOSPITALS TO IMPROVE CLINICAL & FINANCIAL PERFORMANCE	NC	N/A	RELATED	0	Yes (1)	0.00080	$730,578	$901,579	$14,715

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Share Of EOY AssetsShareOfEOYAssetsAmt
OREGON HEALTHCARE ENTERPRISES INC TTEE CO ANDREW DAVIDSON
4000 KRUSEWAY PLACE BLDG 2 STE 100	LAKE OSWEGO	OR	97035	456525337	TAX TRUST PROGRAM	OR	N/A	T	$56,108	0.05560	0
OREGON HEALTHCARE ENTERPRISES INC TTEE CO ANDREW DAVIDSON
4000 KRUSEWAY PLACE BLDG 2 STE 100	LAKE OSWEGO	OR	97035	456822739	TAX TRUST PROGRAM	OR	N/A	T			0
PACIFIC MEDICAL CONDOMINIUM UNIT OWNERS ASSOCIATION
890 OAK STREET SE	SALEM	OR	97301	454353791	OWNERS ASSOCATION & BUILDING MANAGEMENT	OR		C	$782	0.71590	0	SALEM HEALTH	$320,015

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (1)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd