2018-04-23T09:07:36-07:00 2017-06-30 990 2016-07-01 341041385 Salem Community Hospital SALE 3303327214 1995 East State Street Salem OH 44460 Michael Giangardella VP Finance/Administration 3303327214 2018-04-23 12.33.201.68 2016 2021-01-29 14:40:06Z Salem Regional Medical Center Dr Anita Hackstedde MD 1995 East State Street Salem OH 44460 112642754 0 X www.salemregional.com X 1913 OH Salem Regional Medical Center (SRMC) is a 110-bed, not-for-profit rural facility, which provides a continuum of medical services to the residents of Columbiana and southern Mahoning counties, including inpatient and outpatient medical and surgical care, obstetrics, and gynecology, orthopedics, intensive care and a 15-bed skilled nursing facility. The Hospital also operates a full-time 24-hour Emergency Department, and treats all patients requiring medical care, irrespective of their financial means. The Hospital provides its services free of charge or on a sliding scale to uninsured/underinsured patients, regardless of race, creed, origin, handicap, age or ability to pay.; in support of its mission- "To Serve. To Care. To Heal." 19 15 1092 138 1804842 0 387986 230893 103884775 104006361 7928236 7196007 1108086 954540 113309083 112387801 0 0 0 0 51441501 53466436 0 0 0 54804567 56724258 106246068 110190694 7063015 2197107 240252649 244575881 86902322 82302332 153350327 162273549 "To Serve. To Care. To Heal," encompasses the Hospital's mission of providing high quality care on both an inpatient and outpatient basis; and addresses our patients' health care needs at each life stage, within our available resources. SRMC seeks to provide a broad range of diagnostic, inpatient, outpatient and emergency services appropriate for a community-based hospital, while ensuring that sufficient, high-quality primary and specialty physician services are available and accessible to residents of our service area. 0 0 77024855 0 104006361 SRMC's mission and purpose is achieved by providing quality care to the sick and injured on both and inpatient and outpatient basis, while addressing our patients' healthcare needs at each life stage, within our available resources. The Medical Center seeks to provide a broad range of diagnostic, inpatient, outpatient and emergency services appropriate for a community hospital, while ensuring that sufficient, high-quality primary and specialty physician services are available and accessible to residents of our service area. During fiscal year 2017, SRMC provided comprehensive healthcare services including: 4,962 Admissions; 3,422 Surgeries; and 28,479 Emergency Department visits. In support of this commitment, SRMC operates a full-time, 24-hour Emergency Department, and treats all patients requiring emergency medical care, irrespective of their financial means. The Medical Center also accepts all patients covered by Medicare, Medicaid and General Assistance. Subsidized health services provided by the Hospital that are not self-sustaining include obstetric and behavioral health services, and the Medical Center' costs for supporting these services is $1,764,533. If these programs were closed or not available to the community, the cost to the government or to another tax-exempt organization would increase. SRMC also accepts all patients covered by Medicare, Medicaid and General Assistance. For fiscal year 2017, costs incurred by SRMC for unpaid costs of the Medicaid program were $1,053,740, and unreimbursed costs from other governmental programs were $ 14,288,218. These community benefits, arising from patient care provided by SRMC are documented to help to relieve a governmental financial and programmatic burden as evidenced through the Medical Center's charitable purpose. 0 0 0 77024855 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 X 99 0 1 1092 1 1 0 0 0 0 0 0 0 0 0 0 X 19 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X Michael Giangardella 3303327214 1995 East State Street Salem OH 44460 Matt Bender Chair 1 2 X 0 0 0 Todd Olson Vice -chair 1 2 X 0 0 0 Greg Bestic Secretary 1 1 X 0 0 0 Jon Vollnogle Treasurer 1 1 X 7584 0 0 Derek Hiscox Past Chair 1 2 X 0 0 0 Dr Larry Schmetterer Chief of Staff 1 0 X 20750 0 0 Jon Rettig Sr Director 1 1 X 0 0 0 David Mollenkopf Director 1 0 X 0 0 0 Dave Gano Director 1 0 X 0 0 0 Dr Jeffrey Cohen DO Director 1 0 X 0 0 0 John Biastro Director 1 0 X 0 0 0 Peter Apicella MD Director 1 0 X 18166 0 0 Vicki Hall Director 1 1 X 0 0 0 Dr Lauren Fredrickson MD Director 1 0 X 11000 0 0 Vito Abruzzino Director 1 0 X 0 0 0 Chris Meta Director 1 0 X 0 0 0 Ruth Ann Rinto Director 1 1 X 0 0 0 Jeffrey Zimmerman Director 1 0 X 0 0 0 Lynn Scullion O D Director 1 0 X 0 0 0 Anita Hackstedde President/CEO 35 5 X 336504 0 51275 Mike Giangardella VP Finance/Administration 39 1 X 209372 0 39101 Barbara Hirst VP Nursing/Human Resources 40 0 X 179042 0 55739 Keith Meredith VP Clinical Operations 40 0 X 160183 0 28679 Sue Bryarly Director of Pharmacy 40 0 X 144327 0 20034 Mark LItalien Director Information Services 40 0 X 137136 0 51683 Stephen Ferenchak Pharmacist 44 0 X 130982 0 41332 Doreen Sheck Pharmacist 43 0 X 125719 0 33977 Corey Less Pharmacist 43 0 X 124607 0 32918 1605372 0 354738 24 0 1 0 Inpatient Medical Services Inc 822 Kumho Drive Suite 202 Fairlawn OH 44333 Medical Services 907221 Navin Haffty & Associates 1900 West Park Drive Suite 180 Westborough MA 01581 Consulting services 784151 Northstar Anesthesia 6225N State Hwy 161 Suite 200 Irving TX 75038 Medical Services 706469 Laboratory Corporation of America PO box 12140 Burlington NC 27216 Laboratory services 656896 Healogics Wound Care 5220 Belfort Road Suite 130 Jacksonville FL 32256 Healthcare Services 405394 13 0 0 0 0 0 230893 0 230893 Patient Service Revenue 622000 102201519 102201519 0 0 Patient Service Revenue 621500 812804 0 812804 0 Patient Service Revenue 621610 992038 0 992038 0 0 0 0 0 104006361 7195432 0 0 7195432 0 0 0 0 0 0 0 0 326161 0 254953 0 71208 0 71208 0 0 71208 0 575 0 0 0 575 575 0 0 575 0 Dietary Income 900099 665833 665833 0 0 Medical Record Fees 900099 16982 16982 0 0 Gift Shop Income 900099 164719 164719 0 0 35798 35798 0 0 883332 112387801 103084851 1804842 7267215 1045879 0 1045879 38195948 28639595 9556353 3595186 2675072 920114 7728474 5339823 2388651 2900949 2142615 758334 236153 0 236153 79491 0 79491 7966440 4576637 3389803 464361 0 464361 5514220 3295733 2218487 4324958 2856635 1468323 4799637 3472084 1327553 27617 13707 13910 972233 0 972233 10373434 4081165 6292269 547071 141534 405537 Bad Debts 3625871 3625871 0 0 State Assesment 1628388 0 1628388 0 Drugs and Pharmaceuticals 8042675 8042675 0 0 Medical Supplies 8121709 8121709 0 0 110190694 77024855 33165839 0 8107394 4048420 8919548 13099642 967018 995759 4375241 2958459 184540105 87068778 93859615 97471327 123723640 125675311 300193 326963 240252649 244575881 11077270 11318988 48900000 47300000 229310 168643 26695742 23514701 86902322 82302332 X 153043117 162102024 307210 171525 0 0 153350327 162273549 240252649 244575881 X 2197107 6263575 0 0 0 462540 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2330745 0 2330745 117935434 0 45420367 72515067 1801570 0 555272 1246298 62234704 0 41093139 21141565 237652 0 0 237652 97471327 Deferred Liability 195796 Pension Liability 23318905 23514701 1 1 1 X 1 X 1 1 0 1 1 1623095 2084049 -460954 0 3274786 2221046 1053740 0.0097 14089458 8838757 5250701 0.048 0 0 18987339 13143852 5843487 0.0577 475 127262 611190 10078 601112 0.005 241 423 615733 0 615733 0.005 3686610 1922077 1764533 0.016 79 1250 69595 2295 67300 0 795 128935 4983128 1934450 3048678 0.0260 795 128935 23970467 15078302 8892165 0.0837 2 150 199 0 199 22 5800 31863 0 31863 80 6904 32312 0 32312 3 268 55162 8878 46284 1 16 2831 0 2831 24 5404 17208 0 17208 60 2456 19473 0 19473 50 332 346157 0 346157 242 21330 505205 8878 496327 0 1 1594500 90286 20707871 29745388 -9037517 X 1 1 1 1 Salem Community Hospital dba Salem Regional Medical Center 1995 East State Street Salem OH 44460 Salemregional.com X 15 bed skilled nursing facility Salem Community Hospital dba Salem Regional Medical Center 1 0 0 1 X X X X X X X X 13 1 1 1 1 X salemregional.com X 1 13 1 salemregional.com 0 0 1 X 150 350 1 1 X X X 1 X salemregional.com X salemregional.com X X 1 X X 1 X X X X X 1 0 0 Schedule H, Part V, Section B, Line 5-Salem Community Hospital : To take into account input from persons representing the community served, the CHNA primary data collection process included 4 focus groups conducted with a total of 49 adult participants, including physicians, school nurses, mayors/county commissioners and members of the largest county drug and alcohol coalition. In addition, 17 individual interviews were conducted with key stakeholders from diverse community groups and underrepresented population providers, including school Boards, area social service/community health providers, county government officials and providers of services to underserved and minority health populations. An internet and paper-based Community Needs Survey was conducted with 417 completed surveys obtained. Schedule H, Part V, Section B, Line 6a-Salem Community Hospital Along with Salem Regional Medical Center, East Liverpool City Hospital also provided financial support for the CHNA process. Schedule H, Part V, Section B, Line 6b-Salem Community Hospital A collaborative workgroup conducted the CHNA, composed of the Columbiana County Educational Service Center, Columbiana County General Health District, Columbiana County Mental Health and Recovery Services Board, Community Action Agency of Columbiana County, East Liverpool City Health Department, East Liverpool City Hospital, RiverValley Physicians (Affiliated with East Liverpool City Hospital), Salem City Health Department and Salem Regional Medical Center. In addition, this workgroup developed a county health improvement plan to address the CHNA's priorities. Schedule H, Part V, Section B, Line 7d-Salem Community Hospital The CHNA was posted on Salem Regional Medical Center's website, along with being posted on many of the collaborative partners' websites. In addition, a newsrelease was sent to the media regarding the findings of the CHNA, with information about how the general public could access the CHNA via the internet. A summary of the CHNA's findings was also presented to several community groups including social service providers and school health professionals. Schedule H, Part V, Section B, Line 11-Salem Community Hospital The Columbiana County Needs Assessment identified that more than half of county households have incomes at or below 200% of poverty. In addition, over one-fourth of Columbiana County's population depends on government assistance and/or retirement income. Regional health outcomes and social/economic/environmental rates that were worse than Ohio benchmarks included: higher rates of premature death/years of potential life lost before age 75, higher adult obesity rates combined with lower physical activity rates, higher percentage of people who report their physical health as fair or poor, lower mammogram screening compliance, lower high school graduation and post-secondary rates, higher teen birth rates, greater number of deaths due to injury, higher rates of alcohol-impaired driving and a higher index of air pollution. Data related to barriers in accessing clinical care indicated higher ratios of the population to primary care physicians, mental health providers and dental health providers, reflecting health professional shortages in these categories. In addition, focus group participants and stakeholders identified multi-faceted socio-economic issues related to the poor economy, increased drug abuse and mental health issues, lack of education, and unemployment as key environmental drivers of the health status of the community. Each of these needs is important and should be addressed by various county-wide organizations and/or community partners of the Medical Center. However, due to their societal magnitude and SRMC's limited resources and capacity to meaningfully impact the economic foundation of the county, SRMC has chosen to allocate significant resources to the priority health needs which yield the greatest opportunities to affect a positive change. As outlined in the 2016-2019 Implementation Plan, SRMC will focus on the CHNA's top 25 health priorities related to obesity/chronic disease; mental health/substance abuse and tobacco use/cancer prevention utilizing a three-year intervention strategy and defined target outcomes for each priority. Note that these priorities align with 9 of Ohio's top 10 health priorities as identified by the Health Policy Institute of Ohio in 2016. SRMC's Implementation Plan was approved by the Medical Center's Board in June 2016. Schedule H, Part V, Section B, Line 16j-Salem Community Hospital The availability of free or discounted care is provided on billing statements tp patients. This information is also posted on a sign at the billing office. Schedule H, Part I, Line 6a Salem Regional Medical Center (SRMC) prepares an Annual Report that is distributed to the community via a paper and electronic format, as well as being posted on the SRMC website at www.salemregional.com. The Annual Report includes a summary of the Medical Center's statement of expenses and uncompensated care, along with highlighting SRMC's major community benefit initiatives and outcomes. This community benefit information is provided in an effort to document its tax exempt purpose and demonstrate the benefits provided for the broader community as determined by community need. Schedule H, Part I, Line 7 Costs are determined by applying the ratio of cost to charges to gross charges and utilizing the format as outlined in the Schedule H instructions. Beyond charity care, "Other Benefits" reported include community health improvement services and community benefit operations, with community building activities listed in Part II. The Medical Center seeks opportunities to further its tax exempt purpose by providing a wide variety of benefits for the broader community, including the development of a county-wide needs assessment to identify regional health needs; and the development and adoption of a related Implementation Plan to address the health needs identified. Examples of other community benefit activities include, but are not limited to: grant-writing activities for improved community health; health professionals education for nurses, therapists (physical, occupational, speech and respiratory), medical imaging and dietitians; financial and in-kind contributions for community based feeding programs and food pantries, blood drives, social services for vulnerable populations (including assistance with medications, transportation, limited English proficiency and referrals to support systems; community health education regarding cancer, diabetes, arthritis and other chronic disease management and prevention, obesity prevention and women's health; and community health fairs and free and reduced-cost clinical screenings for high blood pressure, cholesterol, blood sugar and lung cancer. Many of these educational programs, screenings, health fairs and outreach activities are provided in outlying school districts and communities within the Medical Center's defined geographic service area, in an effort to increase regional access to health services and health resources for people of all ages and socioeconomic means. It is estimated that over 120,000 area residents participated in community benefit programs and/or events provided and/or sponsored by Salem Regional Medical Center. SRMC also provides a free telephone emergency response service to more than 60 area residents, enabling elderly and physically disadvantaged individuals to live independently in their homes. Schedule H, Part I, Line 7, Column f Bad debt expense in the amount of $3,625,871 is included in total expenses on Form 990,Part IX ,line 25,but was subtracted for purposes of calculating the percentages in Schedule H,Part 1, line 7. Schedule H, Part I, Line 7g Costs for subsidized health services include those attributable to providing obstetrical services and outpatient behavioral health services. There are no health services attributable a physician clinic. Schedule H, Part II During the taxable year, SRMC participated in 242 different community building activities in an effort to provide programs and activities that respond to demonstrated, unmet community needs and fulfill community benefit objectives by improving access to health services and/or enhancing population health and knowledge. SRMC participated in several area activities for the local and regional Chambers of Commerce; provided community support related to youth asset development through the Coordinated Action for School Health (CASH) Coalition and was a leading collaborative partner in disaster readiness; assisted in environmental improvements related to community medications' disposal; represented SRMC on diverse community coalitions related to improving community health; advocated for community health improvements on the local and state levels on behalf of improving access to health care; assisted with workforce development related to recruiting and retaining physicians in medically underserved areas; participated in community workforce boards, partnerships with area universities to address the health care work force shortage and provided many school-based programs on health care careers, including offering teen and college student mentoring opportunities. SRMC continues to serve as a community resource and partner for regional non-profit organizations by providing collaborative programming with agencies such as the American Cancer Society, American Diabetes Association, American Heart Association, American Red Cross, Columbiana County Community Action Agency, Columbiana County and Salem City Departments of Health, Coordinated Action for School Health, Hospice of the Valley, Kent State University- Salem Campus, Northeast Ohio Workforce Development, Northeast Ohio Medical University, Salem Area Visiting Nurses Association and the Salem Community Center. In addition, SRMC makes financial and in-kind contributions to many of these not-for-profit organizations through event sponsorships and staffing support, and meeting space. Schedule H, Part III, Section A, Line 4 Excerpt from footnote. "Accounts receivable are reduced by an allowance for doubtful accounts. In evaluating the collectibility of accounts receivable, the Center analyzes its past history and identifies trends for each of its major payer sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for uncollectible accounts. Management regularly reviews data about these major payer sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients who have third-party coverage, the Center analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for uncollectible accounts, if necessary (for example, for expected uncollectible deductibles and copayments on accounts for which the third-party payer has not yet paid, or for payers who are known to be having financial difficulties that make the realization of amounts due unlikely). For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), the Center records a significant provision for uncollectible accounts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates (or the discounted rates if negotiated or provided under the Center's Financial Assistance Policy) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts."The cost of bad debt was determined by applying the Medical Center's cost to charge ratio to the charges that were written off to bad debt. The Hospital believes this is a community benefit because the patients ,who may likely qualify for assistance under the Hospital's financial Assistance Policy,do not or are unwilling to provide documentation of the eligibility for charity care and therefore are classified as bad debt. The hospital is very willing to work out payment arrangements and discounted fees;however those patients unwilling to respond to repeated offers of assistance are categorized as bad debt expense. Had information been made available to make a determination of their eligibility,the Hospital believes that many patients classified as bad debt would qualify for charity care. This judgement is based on the economic conditions and specific knowledge of the patients involved. Schedule H, Part III, Section B, Line 8 The costs were obtained from the Medicare cost report. The Medical Center incurred costs in excess of $29.7 million to care for and treat beneficiaries ,while receiving reimbursement of $20.7 million,leaving a shortfall of $9 million. this is a direct benefit provided by the Medical Center to local beneficiaries who live in the surrounding communities. Schedule H, Part III, Section C, Line 9b Per the Medical Center's collection policy,the Medical Center will not pursue collection for non-payment of bills against individuals who demonstrate that they have neither sufficient income nor assets to met their financial obligations. Schedule H, Part VI, Line 2 SRMC formally assesses the healthcare needs of the communities that it serves on a minimum of a triennial basis, and does so in collaboration with other community health providers. The most recent comprehensive, county-wide needs assessment was published in June 2016, and was developed by a collaborative of Columbiana County's major health providers, public health entities, and health-focused coalitions including Salem Regional Medical Center; East Liverpool City Hospital; the Columbiana County, East Liverpool and Salem City Health Departments; Columbiana County Educational Service Center; Community Action Agency of Columbiana County; the Coordination Action for School Health (CASH) Coalition; and the Columbiana County Mental Health Services and Recovery Board. The CHNA process began in August 2015, with the development of the project plan and timeline. The above mentioned collaborative convened in October 2015 and continued meeting through April 2016 to evaluate the previous CHNA, collect and analyze primary and secondary data, conduct community asset mapping and identify issues and select priorities to address through the development of the 2016 CHNA. Strategy Solutions, Inc. was retained to facilitate the process and provide data analysis and prioritization support. The geographic area of the needs assessment encompassed Ohio's Columbiana County, most of which is within Salem Regional Medical Center's Service Area; and prioritized the public, primary and specialty health care needs of community members from birth through end-of-life care. The CHNA action plan and report development were presented to and approved by the SRMC Board in June 2016, and distributed to all participating coalition organizations. The SRMC Implementation Plan was approved by the Board in November 2016, and both documents are posted on the SRMC website at: http://www.salemhosp.com/getpage.php?name=Needs_Assessment_2016&sub=About+Us. The Medical Center will carry forward its implementation strategies by addressing them in its Strategic Plan and annual Organizational Goals. In addition, SRMC is a collaborative partner in other types of needs assessments, such as the school health asset study, through the Search Institute, conducted on an annual basis with area school districts; a multi-disciplinary assessment of substance abuse incidence and treatment needs via the county-wide ADAPT coalition; behavioral health needs in collaboration with the Mental Health and Recovery services Board; and minority health access needs in collaboration with faith-based and literacy-based advocacy groups. Schedule H, Part VI, Line 3 The availability of free or discounted care is provided on billing statements to patients and this information is also posted on a sign at the billing office. Schedule H, Part VI, Line 4 Salem Regional Medical Center's rural service area is officially designated as within one of Ohio's 32 Appalachian counties and includes Columbiana County, excluding Yellow Creek and East Liverpool Townships; and the five lower townships of Mahoning County. Portions of Columbiana County are also designated as Medically Underserved, and as a dental and mental health care Health Professional Shortage Areas. The Robert Wood Johnson County Health Rankings data also showed that Columbiana County faces a significant barrier to access as indicated by the county's ratio of the population to primary care providers (1,858:1) being higher than Ohio (1,296:1); and the county's ratio of dentists (4,404:1) being considerably higher than Ohio (1,713:1). Columbiana County residents are older than their state and national counterparts, and the Service Area is characterized by a declining social, economic and population base, which impacts the area's health status problems and health service utilization. Lack of insurance is also a barrier to access, with the rate of uninsured Columbiana County adults higher than Ohio. Poverty is also a factor with more than half of the county's population at or below 200% of the federal poverty level. Regional health outcomes and social/economic/environmental rates that were worse than Ohio benchmarks included: higher rates of premature death/years of potential life lost before age 75, higher adult obesity rates combined with lower physical activity rates, higher percentage of people who report their physical health as fair or poor, lower mammogram screening compliance, lower high school graduation and post-secondary rates, higher teen birth rates, greater number of deaths due to injury, higher rates of alcohol-impaired driving and a higher index of air pollution. Health disparities are also more common among those with lower incomes as well as in Appalachian communities. The county has a high percentage of obesity and sedentary behavior compared to other Ohio counties, and only small percentages of residents engage in health habits related to physical activity and nutrition. The area also has a low educational attainment rate with 20% of adults having no high school diploma. Schedule H, Part VI, Line 5 Salem Regional Medical Center actively seeks opportunities to further the community's health status by providing a wide variety of benefits for the broader community, including grant-writing activities for improved community health; financial and in-kind contributions for community based feeding programs and food pantries, blood drives, social services for vulnerable populations (including assistance with medications, transportation, limited English proficiency and referrals to support systems); community health education regarding cancer, diabetes, arthritis and other chronic disease management and prevention, obesity prevention and women's health; and community health fairs and free and reduced-cost clinical screenings. Many of these educational programs, screenings, health fairs and outreach activities are provided in outlying school districts and communities within the Medical Center's defined geographic service area, in an effort to increase regional access to health services and health resources for people of all ages and socioeconomic means. It is estimated that over 120,000 area residents participated in community benefit programs and/or events provided and/or sponsored by Salem Regional Medical Center. SRMC also provides a free telephone emergency response service to more than 60 area residents, enabling elderly and physically disadvantaged individuals to live independently in their homes. SRMC also utilizes an active volunteer base, with 138 community members donating over 13,788 hours of volunteer service annually. In addition, the SRMC Board of Directors is comprised of 18 community volunteers from the SRMC Service Area, who perform fiduciary responsibilities through monthly committee and Board activities X X 0 0 0 0 0 0 0 0 0 Anita Hackstedde President/CEO 336504 0 0 0 0 0 37042 0 14233 0 387779 0 0 0 Mike Giangardella VP Finance/Administration 209372 0 0 0 0 0 24868 0 14233 0 248473 0 0 0 Barbara Hirst VP Nursing/Human Resources 179042 0 0 0 0 0 47825 0 7914 0 234781 0 0 0 Keith Meredith VP Clinical Operations 160183 0 0 0 0 0 20765 0 7914 0 188862 0 0 0 Sue Bryarly Director of Pharmacy 144327 0 0 0 0 0 12120 0 7914 0 164361 0 0 0 Mark LItalien Director Information Services 137136 0 0 0 0 0 35849 0 15834 0 188819 0 0 0 Stephen Ferenchak Pharmacist 130982 0 0 0 0 0 24498 0 15834 0 171314 0 0 0 Doreen Sheck Pharmacist 125719 0 0 0 0 0 10232 0 23745 0 159696 0 0 0 Corey Less Pharmacist 124607 0 0 0 0 0 9173 0 23745 0 157525 0 0 0 A City Of Salem Ohio 346002560 2013-04-04 52000000 Hospital Facility Construction 0 1 0 A 29600292 0 52000000 0 193598 0 168913 0 160493 21883897 6893 0 2014 0 1 1 1 A 0 1 0 0 0.0112 0 0.0112 1 0 1 A 0 1 0 0 1 0 0 0 1 A 1 John Biastro Director 59916 Child of interested person in employed by Medical Center 0 Form 990, Part V, Line 3b The 990-T is in the process of being prepared and will be timely filed. Form 990, Part VI, Section B, Line 11b The 990 is made available for review by the governing board prior to filing. Form 990, Part VI, Section B, Line 12c On an annual basis,Directors and Key employees disclose potential business or professional relationships they may have with the Organization and /or other Directors /Key employees. In situations when a Director may have a conflict they may participate in the discussion,but must leave the room prior to final discussion and vote. Form 990, Part VI, Section B, Line 15 The President's compensation is determined by the Board of Directors of Salem Regional Medical Center,based upon the recommendation of the Board's Executive Committee,both of which are comprised primarily of independent board members. The committee evaluates market data through formal statewide salary surveys ,as well as targeted regional survey data. Form 990, Part VI, Section C, Line 19 As a private not-for-profit organization,Salem Regional Medical Center does not make its governing documents or financial statements generally available to the public ,although the federal form 990 is available for review upon request. Form 990, Part XI, Line 9 Change in defined benefit pension plan loses,prior service costs or credits and transition asset or obligations $3,942,941 ,transfers to related organizations($-3,344,716),decrease in restricted net assets(135,685) SCH Professional Corporation 1995 East State Street Salem OH 44460 341764515 Physician Offices OH 501(c)(3) 11 Salem Community Hospital 0 The Charitable Foundation of Salem Community Hospital 1995 East State Street Salem OH 44460 462902698 Support Salem Community Hospital OH 501(c)3 11 Salem Communiy Hospital 0 Salem Medical Arts & Development Corporation 2020 East State Street Salem OH 44460 341049534 Office Rent OH N/A C 1 0 0 1 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 SCH Professional Corporation j 133254 cost per sq. foot. SCH Professional Corporation b 3211462 actual capital contribution SCH Professional Corporation o 156152 Actual salaries and benefits paid. The Charitable Foundation of Salem Community Hospital c 60642 Contribution received from contributing organization