SALEM HEALTH: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: SALEM HEALTH (EIN 93-0579722)
Tax period: 2014-10-01 to 2015-09-30
Filed: 2016-08-12
IRS object ID: 201622259349303117
Schema version: 2014v6.0
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	2016-08-12T13:45:22-05:00	ReturnTs
Tax Period End	2015-09-30	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	AKT 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	2014-10-01	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 HOSPITAL	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 SE	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	CHIEF FINANCIAL OFFICER	PersonTitleTxt
Phone	5038141938	PhoneNum
Signature	2016-08-08	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	2016-08-08	PreparationDt

Field	Value	IRS element (for citing)
Tax	2014	TaxYr
Build TS	2016-09-27 15:27:22Z	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 SE	AddressLine1Txt
City	SALEM	CityNm
State Abbreviation	OR	StateAbbreviationCd
ZIP	97301	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$705,501,423	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SALEMHOSPITAL.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	10	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	4643	TotalEmployeeCnt
Total Volunteers	377	TotalVolunteersCnt
Total Gross UBI	$3,832,349	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$838,415	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$955,967	PYContributionsGrantsAmt
CY Contributions Grants	$971,792	CYContributionsGrantsAmt
PY Program Service Revenue	$624,694,771	PYProgramServiceRevenueAmt
CY Program Service Revenue	$682,835,718	CYProgramServiceRevenueAmt
PY Investment Income	$12,885,194	PYInvestmentIncomeAmt
CY Investment Income	$18,432,624	CYInvestmentIncomeAmt
PY Other Revenue	-$1,623,352	PYOtherRevenueAmt
CY Other Revenue	$1,970,549	CYOtherRevenueAmt
PY Total Revenue	$636,912,580	PYTotalRevenueAmt
CY Total Revenue	$704,210,683	CYTotalRevenueAmt
PY Grants And Similar Paid	$496,057	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$511,839	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$314,864,958	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$340,295,913	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$282,067,536	PYOtherExpensesAmt
CY Other Expenses	$294,336,205	CYOtherExpensesAmt
PY Total Expenses	$597,428,551	PYTotalExpensesAmt
CY Total Expenses	$635,143,957	CYTotalExpensesAmt
PY Revenues Less Expenses	$39,484,029	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$69,066,726	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,029,796,528	TotalAssetsBOYAmt
Total Assets EOY	$1,058,780,244	TotalAssetsEOYAmt
Total Liabilities BOY	$404,769,196	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$395,145,843	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$625,027,332	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$663,634,401	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	$115,554,677	ExpenseAmt
Revenue	$326,284,573	RevenueAmt
Desc	SALEM HOSPITAL IS ONE OF THE LARGEST OF OREGON'S 59 ACUTE CARE HOSPITALS AND OPERATES THE BUSIEST EMERGENCY DEPARTMENT IN OREGON. THERE ARE 449 PRACTITIONERS, REPRESENTING 51 DIFFERENT SPECIALTIES. MORE THAN 350 VOLUNTEERS PROVIDE NON-MEDICAL SUPPORT FOR THE HOSPITAL. FISCAL YEAR ENDED 9/30/15 STATISTICS: BIRTHS - 3,269, DIAGNOSTIC IMAGING PROCEDURES - 170,512, ED VISITS - 103,849, INPATIENT ADMISSIONS - 25,260, LABORATORY PROCEDURES - 1,290,367, SURGERIES - 13,724. THE PRIMARY SERVICE AREA IS THE GREATER WILLAMETTE VALLEY WITH APPROXIMATELY 500,000 RESIDENTS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$429,852,704	ExpenseAmt
Revenue	$343,668,248	RevenueAmt
Desc	SALEM HOSPITAL PROVIDES HEALTHCARE TO PEOPLE IN OUR COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY. IN FY2015, THE COST OF SERVICES PROVIDED AS A COMMUNITY BENEFIT TOTALED $86.2 MILLION. THIS FIGURE CONSISTED OF $8.9 MILLION IN COSTS TO PROVIDE CHARITY CARE TO INDIVIDUALS WHO CANNOT AFFORD TO PAY; $39 MILLION IN UNDERPAYMENT BY MEDICAID AS THE AMOUNT PAID WAS LESS THAN THE COST TO PROVIDE THE SERVICES; AND $38.3 MILLION IN UNDERPAYMENT BY MEDICARE AS THE AMOUNT PAID WAS LESS THAN THE COST TO PROVIDE THE SERVICES. SALEM HOSPITAL 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	$23,842,229	ExpenseAmt
Grant	$511,839	GrantAmt
Revenue	$11,637,229	RevenueAmt
Desc	SALEM HOSPITAL ACTIVELY PARTICIPATES IN COMMUNITY HEALTH IMPROVEMENT SERVICES. IN FY 2015, SALEM HOSPITAL GAVE $12.2 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 2015, SALEM HOSPITAL PROVIDED MORE THAN $497 THOUSAND 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	$569,249,610	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	0	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	350	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	4643	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	10	GoverningBodyVotingMembersCnt
Independent Voting Member	8	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	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
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 HOSPITAL	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 (30 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
KATHERINE L KEENE
TRUSTEE	10.50	Yes (X)	$0	$0	$0
PAM VUKOVICH
TRUSTEE	8.10	Yes (X)	$0	$0	$0
KENNETH SHERMAN JR
TRUSTEE	4.00	Yes (X)	$0	$0	$0
BONNIE DRIGGERS RN
TRUSTEE	6.30	Yes (X)	$0	$0	$0
THERESA HASKINS
TRUSTEE	5.00	Yes (X)	$0	$0	$0
ALAN WYNN
SECRETARY/TREASURER	3.00	Yes (X)	$0	$0	$0	Yes (X)
ROB KELLY MD
TRUSTEE	8.10	Yes (X)	$0	$0	$0
LANE SHETTERLY
TRUSTEE	9.00	Yes (X)	$0	$0	$0
ROBERT WELLS
CHAIRPERSON	20.00	Yes (X)	$0	$0	$0	Yes (X)
NANCY REYES-MOLYNEUX MD
TRUSTEE	7.00	Yes (X)	$0	$0	$0
NORMAN GRUBER
CHIEF EXECUTIVE OFFICER	30.00		$854,799	$0	$359,824	Yes (X)	10.00
JAMES PARR AS OF 11114
CHIEF FINANCIAL OFFICER	30.00		$267,518	$0	$52,372	Yes (X)	10.00
AARON CRANE THRU 103114
CHIEF FINANCE AND STRATEGY OFFICER	30.00		$481,746	$0	$45,607	Yes (X)	10.00
ROBERT BRANNIGAN
CHIEF ADMIN OFFICER WVH	10.00		$350,914	$0	$61,875		30.00	Yes (X)
LAURIE BARR
VP HUMAN RESOURCES	30.00		$331,442	$0	$61,564		10.00	Yes (X)
BRENDA BUBLITZ
VP SURGICAL SERVICES	30.00		$188,549	$0	$46,867		10.00	Yes (X)
MARTIN MORRIS THRU 2615
VP/CHIEF DEVELOPMENT OFFICER	5.00		$302,823	$0	$57,922		35.00	Yes (X)
CHERYL NESTER WOLFE
CHIEF OPERATING OFFICER	30.00		$586,757	$0	$7,254		10.00	Yes (X)
CORT GARRISON
CHIEF INFORMATION OFFICER	30.00		$463,435	$0	$79,635		10.00	Yes (X)
SARAH HORN
CHIEF NURSING OFFICER	30.00		$163,441	$0	$41,580		10.00	Yes (X)
LEAH MITCHELL
VP KAIZEN QUALITY & SAFETY	30.00		$263,204	$0	$47,192		10.00	Yes (X)
LORI JAMES-NIELSEN
VP CHIEF STRATEGY OFFICER	30.00		$249,929	$0	$67,173		10.00	Yes (X)
JAYAPRAKASH REDDY MD
PHYSICIAN	40.00		$404,689	$0	$58,663				Yes (X)
NICOLE VANDERHEYDEN MD
PHYSICIAN	40.00		$511,496	$0	$79,204				Yes (X)
THYE SCHUYLER MD
PHYSICIAN	40.00		$457,657	$0	$58,822				Yes (X)
PREETHI PRAKASH MD
PHYSICIAN	40.00		$412,648	$0	$36,327				Yes (X)
SHERIF AL-HAWAREY MD
PHYSICIAN	40.00		$480,037	$0	$39,214				Yes (X)
MARTHA ENRIQUEZ
FORMER CHIEF NURSING OFFICER	30.00		$352,860	$0	$68,353		10.00			Yes (X)
WILLIAM HOLLOWAY MD
FORMER CHIEF MEDICAL OFFICER	30.00		$781,952	$0	$65,280		10.00			Yes (X)
ANNE KOLLER
FORMER CHIEF MARKETING OFFICER	30.00		$144,055	$0	$9,343		10.00			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$8,049,951	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,344,071	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	256	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 574	PORTLAND	OR	972070574	CONTRACT LABOR	$2,388,240
SHIFTWISE
PO BOX 70870	ST PAUL	MN	55170	CONTRACT LABOR	$2,325,087
EPIC SYSTEMS CORP
PO BOX 88314	MILWAUKEE	WI	532880314	CONSULTING SERVICES	$2,060,890
OREGON ANESTHESIOLOGY GROUP
707 SW WASHINGTON ST STE 700	PORTLAND	OR	972053523	CONTRACT LABOR	$1,578,904
PEACEHEALTH LABORATORIES
PO BOX 77003	SPRINGFIELD	OR	97475	LABORATORY SERVICES	$1,403,017

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	96	CntrctRcvdGreaterThan100KCnt
Related Organizations	$699,078	RelatedOrganizationsAmt
All Other Contributions	$272,714	AllOtherContributionsAmt
Total Contributions	$971,792	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE	621110	$656,072,515	$656,072,515
OTHER HOSPITAL SERVICES	900099	$17,754,814	$17,715,569	$39,245
PHARMACY	446110	$7,343,237	$5,019,962	$2,323,275
REGIONAL LAB	621500	$1,640,682	$184,505	$1,456,177
NUTRITION SERVICES	722210	$24,470	$24,470

Field	Value	IRS element (for citing)
Total Program Service Revenue	$682,835,718	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$18,378,083	TotalRevenueColumnAmt
Exclusion	$18,378,083	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$674,608	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,290,740	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$616,132	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$616,132	TotalRevenueColumnAmt
Exclusion	-$616,132	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$25,941	SecuritiesAmt
Other	$28,600	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$25,941	SecuritiesAmt
Other	$28,600	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$54,541	TotalRevenueColumnAmt
Exclusion	$54,541	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	PASSTHROUGH INCOME	Desc
Business	541900	BusinessCd
Total Revenue Column	$2,586,681	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,573,029	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$13,652	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,586,681	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$704,210,683	TotalRevenueColumnAmt
Related Or Exempt Func Income	$681,590,050	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,832,349	UnrelatedBusinessRevenueAmt
Exclusion	$17,816,492	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$287,257	TotalAmt
Program Services	$287,257	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$224,582	TotalAmt
Program Services	$224,582	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$4,761,710	TotalAmt
Management And General	$4,761,710	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$263,963,094	TotalAmt
Program Services	$239,079,637	ProgramServicesAmt
Management And General	$24,883,457	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$52,648,960	TotalAmt
Program Services	$47,376,192	ProgramServicesAmt
Management And General	$5,272,768	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$18,922,149	TotalAmt
Program Services	$16,866,218	ProgramServicesAmt
Management And General	$2,055,931	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$707,694	TotalAmt
Program Services	$707,694	ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,307,313	TotalAmt
Program Services	$39,867	ProgramServicesAmt
Management And General	$2,267,446	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$361,974	TotalAmt
Program Services	$332,375	ProgramServicesAmt
Management And General	$29,599	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$138,200	TotalAmt
Management And General	$138,200	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$28,820,397	TotalAmt
Program Services	$22,046,533	ProgramServicesAmt
Management And General	$6,773,864	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$171,770	TotalAmt
Program Services	$289	ProgramServicesAmt
Management And General	$171,481	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,928,055	TotalAmt
Program Services	$4,779,255	ProgramServicesAmt
Management And General	$2,148,800	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$8,448,391	TotalAmt
Program Services	$701,148	ProgramServicesAmt
Management And General	$7,747,243	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$14,001,503	TotalAmt
Program Services	$11,170,205	ProgramServicesAmt
Management And General	$2,831,298	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,161,687	TotalAmt
Program Services	$566,383	ProgramServicesAmt
Management And General	$595,304	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,064,937	TotalAmt
Program Services	$592,634	ProgramServicesAmt
Management And General	$472,303	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$12,679,399	TotalAmt
Program Services	$12,679,399	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$38,469,437	TotalAmt
Program Services	$38,469,437	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$723,685	TotalAmt
Program Services	$723,685	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
PATIENT SUPPLIES	$100,110,740	$99,665,460	$445,280	$0
PROVIDER TAX	$35,470,286	$35,470,286
BAD DEBTS	$24,726,314	$24,726,314	$0	$0
OTHER PURCHASED SERVICE	$13,072,941	$11,633,412	$1,439,529	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,971,482	TotalAmt
Program Services	$1,111,348	ProgramServicesAmt
Management And General	$3,860,134	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$635,143,957	TotalAmt
Program Services	$569,249,610	ProgramServicesAmt
Management And General	$65,894,347	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$24,005	BOYAmt
EOY	$23,955	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$3,387,781	BOYAmt
EOY	$6,279,813	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$70,343,522	BOYAmt
EOY	$71,162,119	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$5,218	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$9,697,318	BOYAmt
EOY	$2,561,826	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$6,236,713	BOYAmt
EOY	$6,153,634	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$8,002,433	BOYAmt
EOY	$7,618,392	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$936,065,912	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$481,535,017	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$445,276,526	BOYAmt
EOY	$454,530,895	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$450,315,165	BOYAmt
EOY	$474,160,005	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$12,053,859	BOYAmt
EOY	$14,694,650	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$24,453,988	BOYAmt
EOY	$21,594,955	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,029,796,528	BOYAmt
EOY	$1,058,780,244	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$70,618,815	BOYAmt
EOY	$71,339,123	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$306,397,614	BOYAmt
EOY	$296,555,251	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$551,264	BOYAmt
EOY	$339,797	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$27,201,503	BOYAmt
EOY	$26,911,672	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$404,769,196	BOYAmt
EOY	$395,145,843	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$622,467,140	BOYAmt
EOY	$661,015,081	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,560,192	BOYAmt
EOY	$2,619,320	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$625,027,332	BOYAmt
EOY	$663,634,401	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,029,796,528	BOYAmt
EOY	$1,058,780,244	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$69,066,726	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$22,946,488	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$7,513,169	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
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

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Total Grassroots Lobbying TotalGrassrootsLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$50,000	FilingOrganizationsTotalAmt

Total Direct Lobbying TotalDirectLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$123,324	FilingOrganizationsTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$173,324	FilingOrganizationsTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$635,020,633	FilingOrganizationsTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$635,193,957	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 Minus2	$1,000,000	CurrentYearMinus2Amt
Current Year Minus1	$1,000,000	CurrentYearMinus1Amt
Current Year	$1,000,000	CurrentYearAmt
Total	$3,000,000	TotalAmt

Field	Value	IRS element (for citing)
Lobbying Ceiling	$4,500,000	LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus2	$126,332	CurrentYearMinus2Amt
Current Year Minus1	$121,166	CurrentYearMinus1Amt
Current Year	$173,324	CurrentYearAmt
Total	$420,822	TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Current Year Minus2	$250,000	CurrentYearMinus2Amt
Current Year Minus1	$250,000	CurrentYearMinus1Amt
Current Year	$250,000	CurrentYearAmt
Total	$750,000	TotalAmt

Field	Value	IRS element (for citing)
Grassroots Ceiling	$1,125,000	GrassrootsCeilingAmt

Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year	$50,000	CurrentYearAmt
Total	$50,000	TotalAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-A	FormAndLineReferenceDesc
Explanation	SALEM HOSPITAL 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	$2,560,192	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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,120,674	BeginningYearBalanceAmt
Contributions	$160,956	ContributionsAmt
Investment Earnings Or Losses	$379,362	InvestmentEarningsOrLossesAmt
Other Expenditures	$587,664	OtherExpendituresAmt
End Year Balance	$2,073,328	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,785,208	BeginningYearBalanceAmt
Contributions	$332,125	ContributionsAmt
Investment Earnings Or Losses	$494,527	InvestmentEarningsOrLossesAmt
Other Expenditures	$491,186	OtherExpendituresAmt
End Year Balance	$2,120,674	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,903,809	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$118,601	InvestmentEarningsOrLossesAmt
End Year Balance	$1,785,208	EndYearBalanceAmt

Field	Value	IRS element (for citing)
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	$9,915,235	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$23,124,460	OtherCostOrOtherBasisAmt
Book Value	$33,039,695	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$5,929,821	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$536,245,415	OtherCostOrOtherBasisAmt
Depreciation	$217,439,805	DepreciationAmt
Book Value	$324,735,431	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$988,861	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$332,723,498	OtherCostOrOtherBasisAmt
Depreciation	$264,095,212	DepreciationAmt
Book Value	$69,617,147	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$27,138,622	OtherCostOrOtherBasisAmt
Book Value	$27,138,622	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$454,530,895	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
FAIR VALUE INTEREST RATE SWAP AGREEMENT	$15,991,746
ACCRUED POST RETIREMENT HEALTHCARE BENEFITS	$6,247,411
ACCRUED MALPRACTICE INSURANCE	$2,076,182
ESTIMATED LIABILITY TO MEDICARE	$2,255,141
DUE TO SALEM HEALTH	$308,163
OTHER LONG-TERM LIABILITIES	$33,029

Field	Value	IRS element (for citing)
Total Liability	$26,911,672	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$691,963,969	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$22,946,488	NetUnrealizedGainsInvstAmt
Other Revenue	$11,325,244	OtherRevenueAmt
Revenue Not Reported	-$11,621,244	RevenueNotReportedAmt
Revenue Subtotal	$703,585,213	RevenueSubtotalAmt
Other Revenues Not Included	$625,470	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$625,470	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$704,210,683	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$645,982,944	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$11,190,782	OtherExpensesIncludedAmt
Expenses Not Reported	$11,190,782	ExpensesNotReportedAmt
Expenses Subtotal	$634,792,162	ExpensesSubtotalAmt
Other Expenses Not Included	$351,795	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$351,795	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$635,143,957	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	ENDOWMENT FUNDS ARE HELD BY SALEM HOSPITAL FOUNDATION FOR SALEM HOSPITAL 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), SALEM HOSPITAL, WEST VALLEY HOSPITAL, SHF, WVHF, WVPS, 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 SEPTEMBER 30,2015 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 2009.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	REVENUE NETTED WITH EXPENSES 2,926,187. EXPENSE NETTED WITH REVENUE 5,093,858. CHANGE IN NET VALUE OF OTHER SECURITIES 3,305,199.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	OTHER REVENUE NOT INCLUDED ON FINANCIAL STATEMENTS 625,470.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	REVENUE NETTED WITH EXPENSES 2,926,187. CUMULATIVE EFFECT OF ADOPTION OF FAIR VALUE OPTION 3,170,737. EXPENSE NETTED WITH REVENUE 5,093,858.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	CHANGE IN BENEFICIAL INTEREST IN FOUNDATION 59,127. CHANGE IN POSTRETIREMENT BENEFIT OBLIGATION 292,668.

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
Percent200	Yes (X)	Percent200Ind
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	33470	PersonsServedCnt
Total Community Benefit Expns	$8,902,565	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,902,565	NetCommunityBenefitExpnsAmt
Total Expense	0.01460	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	150034	PersonsServedCnt
Total Community Benefit Expns	$153,711,944	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$114,683,675	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$39,028,269	NetCommunityBenefitExpnsAmt
Total Expense	0.06390	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	183504	PersonsServedCnt
Total Community Benefit Expns	$162,614,509	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$114,683,675	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$47,930,834	NetCommunityBenefitExpnsAmt
Total Expense	0.07850	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	160090	PersonsServedCnt
Total Community Benefit Expns	$3,339,668	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$64,058	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,275,610	NetCommunityBenefitExpnsAmt
Total Expense	0.00540	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Persons Served	1848	PersonsServedCnt
Total Community Benefit Expns	$1,597,096	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,597,096	NetCommunityBenefitExpnsAmt
Total Expense	0.00260	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,189,795	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,573,171	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,616,624	NetCommunityBenefitExpnsAmt
Total Expense	0.01080	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$219,119	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$219,119	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Persons Served	13191	PersonsServedCnt
Total Community Benefit Expns	$496,551	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$496,551	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	175129	PersonsServedCnt
Total Community Benefit Expns	$23,842,229	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,637,229	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,205,000	NetCommunityBenefitExpnsAmt
Total Expense	0.02000	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	358633	PersonsServedCnt
Total Community Benefit Expns	$186,456,738	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$126,320,904	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$60,135,834	NetCommunityBenefitExpnsAmt
Total Expense	0.09850	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,246	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$13,246	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,247	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$13,247	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,280,088	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,280,088	NetCommunityBenefitExpnsAmt
Total Expense	0.00210	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,306,581	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,306,581	NetCommunityBenefitExpnsAmt
Total Expense	0.00210	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$24,726,314	BadDebtExpenseAmt
Bad Debt Expense Attributable	$17,865,535	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$95,550,985	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$108,540,086	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$12,989,101	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 HOSPITAL	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)
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 HOSPITAL	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
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	12	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
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	12	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.SALEMHEALTH.ORG/ABOUT/COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT	StrategyWebsiteURLTxt
Strategy Attached	0	StrategyAttachedInd
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	200.000000000000	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
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
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTPS://WWW.SALEMHOSPITALBILL.COM/FINANCIAL_ASSISTANCE.ASPX	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPS://WWW.SALEMHOSPITALBILL.COM/FINANCIAL_ASSISTANCE.ASPX	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://WWW.SALEMHOSPITALBILL.COM/FINANCIAL_ASSISTANCE.ASPX	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
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Collection Activities	0	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SALEM HOSPITAL	PART V, SECTION B, LINE 5: IN THE SUMMER OF 2014, MARION AND POLK HEALTH DEPARTMENTS BEGAN TO DISCUSS A VISION FOR A JOINT COMMUNITY HEALTH ASSESSMENT AND IMPROVEMENT PLAN. BOTH COUNTIES ENJOY WORKING WITH SIMILAR PARTNERS INCLUDING SALEM HEALTH, KAISER PERMANENTE, WILLAMETTE VALLEY COMMUNITY HEALTH, OSU EXTENSION, EARLY LEARNING HUB, INC., AND UNITED WAY.DRIVEN BY SHARED DATA NEEDS, SALEM AND WEST VALLEY HOSPITALS JOINED BY MARION AND POLK COUNTIES, BEGAN PLANNING FOR A JOINT COMMUNITY HEALTH ASSESSMENT IN SEPTEMBER 2014. SALEM HEALTH'S DIRECTOR OF COMMUNITY BENEFITS SERVED ON MARION POLK COMMUNITY HEALTH ASSESSMENT STEERING COMMITTEE, REPRESENTING WEST VALLEY AND SALEM HOSPITAL. THE STEERING COMMITTEE DEVELOPED A VISION TO ENSURE THE COMMUNITY HEALTH ASSESSMENT REPRESENTS THE WHOLE COMMUNITY BY LOOKING AT THE BROAD DEFINITION OF HEALTH INCLUDING THE COMMUNITY SYSTEM AND THE ENVIRONMENT.THE STEERING COMMITTEE SELECTED 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 (CONDUCTED IN 2013), 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, AS SERIES OF COMMUNITY CAF S WERE CONDUCTED ACROSS MARION AND POLK COUNTY TO IDENTIFY HEALTH PRIORITIES.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. THE MARION AND POLK COUNTY HEALTH REPORTS WAS PUBLISHED IN DECEMBER 2015 AND CAN BE FOUND ON THE SALEM HEALTH WEBSITE. WWW.SALEMHEALTH.ORG. THE DOCUMENT WILL INFORM THE DEVELOPMENT OF THE COMMUNITY BENEFIT IMPLEMENTATION STRATEGY FOR REPORTING YEARS 2015 - 2017.
SALEM HOSPITAL	PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITY'S CHNA WAS CONDUCTED WITH SANTIAM HOSPITAL AND SILVERTON HEALTH.
SALEM HOSPITAL	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 HOSPITAL	PART V, SECTION B, LINE 11: 2014 IS THE LAST REPORTING YEAR FOR THE 2012- 2014 COMMUNITY BENEFIT IMPLEMENTATION PLAN. SALEM HOSPITAL CONTINUES TO WORK WITH COMMUNITY PARTNERS TO DECREASE THE RATE OF TEEN PREGNANCY, INCREASE THE RATE OF MOTHERS WHO RECEIVE EARLY PRENATAL CARE AND DECREASE THE PERCENTAGE OF ADULT OBESITY IN MARION COUNTY.IN POLK COUNTY, COMMUNITY MEMBERS AND REPRESENTATIVES FROM PARTNERING AGENCIES ARE WORKING COLLABORATIVELY WITH SALEM AND WEST VALLEY HOSPITALS TO DECREASE THE PREVALENCE OF OBESITY ACROSS ALL AGE RANGES.TEEN PREGNANCY RATES IN MARION COUNTY. SIGNIFICANT IMPROVEMENT HAS BEEN SEEN IN TEEN PREGNANCY RATES IN MARION COUNTY. SALEM HOSPITAL HAS COLLABORATED WITH SEVERAL AGENCIES TO IMPROVE THIS HEALTH PRIORITY. THE 2012 CHNA SET EARLY PRENATAL CARE AS A HEALTH PRIORITY. RATES IMPROVED IN 2012 AND 2013 BUT DROPPED IN IN 2014. TEEN AND LATINO MOTHERS DO NOT SEEK OR HAVE ACCESS TO EARLY PRENATAL CARE AT THE SAME RATES AS OLDER MOTHERS AND THOSE THAT IDENTIFY AS NON-HISPANIC, WHITE. TO ADDRESS THIS HEALTH PRIORITY, SALEM HOSPITAL COLLABORATES WITH THE SALEM KEIZER SCHOOL DISTRICT'S PROGRAM AT CHEMEKETA FOR PREGNANT AND PARENTING TEENS TO PROVIDE TEACHERS ON CHILDBIRTH TOPICS AND ALSO PROVIDE PRIVATE TOURS FOR THE TEENS THROUGH THEIR INSTRUCTOR. WE ATTEND HEALTH FAIRS AT CHEMEKETA FOR THIS GROUP A COUPLE OF TIMES A YEAR AND INCLUDE CAR SEAT DEMO AND INFORMATION. THE HOSPITAL COORDINATING OUTREACH TO TEENS. WE PUT OUT THE BROCHURES FOR THE OREGON MOTHERSCARE PROGRAM IN COOPERATION WITH THE MARION CO. HEALTH DEPT. THE HOSPITAL PROMOTES OREGON MOTHERSCARE. THE BOOT CAMP FOR NEW DADS REACHES THE TEEN DADS. WE POST ALL THESE CLASSES ON THE EARLY LEARNING HUB WEBSITE AND ALL THE AGENCIES ARE USING THIS WEB CALENDAR TO HELP PROMOTE THE CLASSES IN THE COMMUNITY. ADULT OBESITY RATES IN BOTH MARION AND POLK COUNTIES REMAIN ABOVE STATE AND NATIONAL AVERAGES AND ABOVE THE HP2020 GOAL OF 30.5%. SALEM AND WEST VALLEY HOSPITAL CONTINUE TO FOCUS ON OBESITY PREVENTION EFFORTS THROUGH HEALTH OUTREACH AND EDUCATION, SUPPORT OF PARTNERING AGENCIES WITH A SHARED GOAL TO DECREASE ADULT OBESITY, MEDICAL PROVIDER BMI SCREENING AND COMMUNITY HEALTH EDUCATION CENTER PROGRAMMING FOCUSING ON HEALTH PROMOTION AND PREVENTION OF CHRONIC DISEAS.
SALEM HOSPITAL	PART V, SECTION B, LINE 22D: SALEM HOSPITAL USED THE APPROVED LOOK-BACK AGB CALCULATION METHOD FROM THE REGULATIONS THAT INCLUDES MEDICARE AND COMMERCIAL PAYOR RATES.
PART V, SECTION B, LINE 16	FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY
SALEM HOSPITAL PART V, SECTION B, LINE 16A WEBSITE:	HTTPS://WWW.SALEMHOSPITALBILL.COM/FINANCIAL_ASSISTANCE.ASPX
SALEM HOSPITAL PART V, SECTION B, LINE 16B WEBSITE:	HTTPS://WWW.SALEMHOSPITALBILL.COM/FINANCIAL_ASSISTANCE.ASPX
SALEM HOSPITAL PART V, SECTION B, LINE 16C WEBSITE:	HTTPS://WWW.SALEMHOSPITALBILL.COM/FINANCIAL_ASSISTANCE.ASPX

Field	Value	IRS element (for citing)
Facility	8	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
REHABILITATION CENTER
2561 CENTER ST SE	SALEM	OR	97301	REHABILITATION
LABORATORY PHLEBOTOMY SITE - HOPE
1600 STATE ST	SALEM	OR	97301	LABORATORY SERVICES
COMPREHENSIVE PAIN CENTER
280 LIBERTY ST SE SUITE 320	SALEM	OR	97301	PAIN MANAGEMENT
REGIONAL LABORATORY
3300 STATE ST	SALEM	OR	97301	LABORATORY SERVICES
WHP FAMILY MEDICINE KEIZER
550 DEITZ AVE NE	KEIZER	OR	97303	CLINIC
WHP FAMILY MEDICINE RIVER ROAD S
2925 RIVER RD S	SALEM	OR	97302	CLINIC
WHP FAMILY MEDICINE PARKSIDE
966 12TH STREET SE	SALEM	OR	97301	CLINIC
WHP FAMILY MEDICINE WEST SALEM
1049 EDGEWATER ST NW SUITE 150	SALEM	OR	97304	CLINIC

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	IT IS THE POLICY OF SALEM HOSPITAL TO PROVIDE FINANCIAL COUNSELING TO PATIENTS REGARDING THEIR FINANCIAL OBLIGATION AT THE EARLIEST OPPORTUNITY POSSIBLE. SALEM HOSPITAL PROVIDES A VARIETY OF OPTIONS TO ASSIST PATIENTS IN RESOLVING THEIR ACCOUNTS, INCLUDING: OREGON HEALTH PLAN (OHP) SCREENING, CHARITY ASSISTANCE, MEDICAL FINANCING CARDS, LOANS, AND EXTENDED PAYMENT PLANS. DISCOUNTS MAY BE AVAILABLE ON THE NET BALANCE FOR PATIENTS AT OR BELOW 400% OF THE FEDERAL POVERTY LEVEL. PATIENTS AT OR BELOW 200% OF THE POVERTY LEVEL ARE ELIGIBLE FOR 100% CHARITY ASSISTANCE.THE HOSPITAL CONSIDERS BOTH INCOME AND/OR ASSETS AVAILABLE TO PAY PATIENT'S MEDICAL EXPENSES1.THE HOSPITAL WILL MULTIPLY THE FAMILY INCOME BY 30%2.THE HOSPITAL WILL DETERMINE THE PATIENT'S ALLOWABLE MEDICAL EXPENSES3.THE HOSPITAL WILL COMPARE 30% OF THE FAMILY INCOME TO THE TOTAL OF THE PATIENT'S ALLOWABLE MEDICAL EXPENSES. IF THE TOTAL OF THE ALLOWABLE MEDICAL EXPENSES IS GREATER THAN 30% OF THE FAMILY INCOME, THEN THE PATIENT MEETS THE CATASTROPHIC CHARITY CARE QUALIFICATION. THE HOSPITAL WILL LIMIT PATIENT LIABILITY FOR MEDICAL EXPENSES TO 30% OF THE FAMILY'S INCOME. AMOUNTS THAT EXCEED THIS LIMIT WILL BE ELIGIBLE FOR CHARITY CARE.FOR EXAMPLE: FAMILY INCOME OF $70,000 PER YEAR AND MEDICAL EXPENSES OF $45,000. THIRTY-PERCENT OF THE FAMILY'S ANNUAL INCOME IS $21,000; THE FAMILY'S MEDICAL EXPENSES OF $45,000 EXCEED THIS AMOUNT. THE FAMILY SHOULD THEREFORE BE ELIGIBLE FOR A CHARITY WRITE-OFF OF $24,000.ORASSET TESTASSETS CONSIDERED AVAILABLE TO PAY PATIENT'S MEDICAL EXPENSES1. EQUITY IN A REAL ESTATE, OTHER THAN THE PATIENT'S PERSONAL RESIDENCE, SECURITIES OR OTHER ASSETS (E.G.. RENTAL PROPERTY, AGRICULTURAL USE) IS CONSIDERED AVAILABLE TO PAY THE PATIENT'S MEDICAL EXPENSES.2. $201,000 REPRESENTS THE MEDIAN VALUE OF A HOME IN SALEM, OREGON AS OF AUGUST 2010. THE HOSPITAL CONSIDERS THIS AMOUNT TO BE PROTECTED FROM CONSIDERATION AS A FUNDING SOURCE. EQUITY IN A PATIENT'S PERSONAL RESIDENCE OVER AND ABOVE $201,000 WILL BE CONSIDERED AS AVAILABLE TO PAY MEDICAL LIABILITIES.3. THE CATASTROPHIC LIMIT UNDER THIS TEST WILL BE ESTABLISHED AT 100% OF THE EQUITY IN REAL PROPERTY OVER AND ABOVE THE FIRST $201,000 IN A PRIMARY RESIDENCE, AND 100% OF THE EQUITY IN OTHER REAL PROPERTY PRODUCING INCOME.FOR EXAMPLE: $280,000 (MARKET VALUE) - $100,000 (MORTGAGE) = $180,000 (NET VALUE); THEREFORE, $201,000 (PROTECTED SO EQUITY WOULD NOT BE CONSIDERED)
PART I, LINE 7:	NET COMMUNITY BENEFIT EXPENSE IS CALCULATED BY TOTAL COSTS OF CARE PROVIDED LESS THE DIRECT, OFFSETTING NET REVENUES FOR THOSE SERVICES. THE COSTS TO PROVIDE CHARITY CARE AND MEDICAID SERVICES DISCLOSED IN LINE 7, COLUMN (C) LINES (A) AND (B), RESPECTIVELY, ARE DETERMINED BY APPLYING THE COST TO CHARGE RATIO AS DETERMINED IN WORKSHEET 2 TO THE FULL BILLED CHARGES FOR THE SERVICES RENDERED. NET COMMUNITY BENEFIT EXPENSE FOR THE COSTS FOR SUBSIDIZED HEALTH SERVICES DISCLOSED IN PART I, LINE 7(G) USES AN INTERNAL COSTING SYSTEM WHEREBY DIRECT AND INDIRECT EXPENSES ARE ALLOCATED TO DISCRETE OFFSETTING NET REVENUES FOR EACH SERVICE. OVERHEAD COSTS ARE ALLOCATED TO REVENUE GENERATING SERVICES BASED ON UTILIZATION STATISTICS SUCH AS SQUARE FOOTAGE FOR MAINTENANCE COSTS.
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 $24,726,314.
PART II, COMMUNITY BUILDING ACTIVITIES:	IN 2014, SALEM HOSPITAL PROVIDED EXECUTIVE LEADERSHIP TO THE BOARD OF WALTON HOUSE, A RESPITE HOUSING PROVIDER. THE HEALTH EDUCATION DIVISION HOSTED AN ANNUAL UPDATE OF COMMUNITY BENEFIT ACTIVITIES FOR COMMUNITY PARTNERING AGENCIES. ACCESS TO CARE WAS IDENTIFIED AND PRIORITIZED AS A HEALTH NEED IN BOTH THE MARION AND POLK COUNTY COMMUNITY HEALTH REPORTS AND SALEM AND WEST VALLEY HOSPITALS ADDRESS THE NEED AS PART OF THE COMMUNITY BENEFIT IMPLEMENTATION STRATEGIES. MOREOVER, FOCUS GROUPS COORDINATED BY THE SALEM AND WEST VALLEY HOSPITAL BOARD OF TRUSTEES IDENTIFIED ACCESS TO CARE AS A SIGNIFICANT HEALTH CONCERN IN BOTH MARION AND POLK COUNTIES. FOCUS GROUP PARTICIPANTS STATED THAT LANGUAGE BARRIERS, LACK OF DENTAL HEALTH FUNDING, TRANSPORTATION, AND LIMITED ACCESS TO MENTAL HEALTH SERVICES ARE SIGNIFICANT ISSUES IN OUR COMMUNITY. A LIMITED NUMBER OF PROVIDERS WILL TAKE UNINSURED PATIENTS AND THOSE THAT DO, OFTEN CANNOT SEE THESE PATIENTS RIGHT AWAY. ALTHOUGH SOME CLINICS OFFER SAME DAY APPOINTMENTS AND EXTENDED HOURS, THE EMERGENCY DEPARTMENT IS SEEN AS THE SOURCE FOR AFTER-HOURS HEALTH CARE IN OUR COMMUNITY. PARTICIPANT SUGGESTED THAT THE HOSPITALS COULD EASE THE IDENTIFIED BURDENS BY CONTINUING TO RECRUIT MORE PROVIDERS WHO ARE WILLING TO ACCEPT UNINSURED AND UNDER-INSURED PATIENTS. TO EASE THE BURDEN OF ACCESS TO CARE AND TO ENSURE A WELL TRAINED HEALTH PROFESSIONAL WORKFORCE, SALEM HOSPITAL CONTINUES TO MAKE A SIGNIFICANT INVESTMENT IN PHYSICIAN RECRUITMENT AND MEDICAL WORK FORCE DEVELOPMENT.
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 HEALTH CARE 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. COST OF BAD DEBT EXPENSE ESTIMATED AS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY ON LINE 3 IS CALCULATED BY SUBTOTALING THE BAD DEBT AMOUNTS BY ZIP CODE. AMOUNTS WRITTEN OFF FOR ZIP CODES WHOSE MEDIAN HOUSEHOLD INCOME FOR A FAMILY OF FOUR FALLS AT OR BELOW 200% OF FEDERAL POVERTY GUIDELINES ARE INCLUDED ON THIS LINE.
PART III, LINE 8:	MEDICARE PAYORS PAY A SIGNIFICANTLY REDUCED AMOUNT FOR MEDICAL SERVICES RENDERED TO THEIR ENROLLEES SUCH THAT THE NET REIMBURSEMENT DOES NOT EVEN COVER THE EXPENSES INCURRED TO PROVIDE THE SERVICE. SALEM HOSPITAL CONSIDERS THE DIFFERENCE BETWEEN THE COSTS TO PROVIDE CARE FOR MEDICARE ENROLLEES AND THE NET REIMBURSEMENT AS A BENEFIT TO THE COMMUNITY. MEDICARE FEE-FOR-SERVICE COSTS ARE DETERMINED FROM SALEM HOSPITALS 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 HOSPITAL 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 HOSPITAL 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 $133,433,588 LESS MEDICARE ADVANTAGE COSTS OF $158,698,109 FOR A TOTAL ADDITIONAL COMMUNITY BENEFIT IN THE AMOUNT OF $25,264,521.
PART III, LINE 9B:	IF THERE IS AN INDICATION THAT A PATIENT MAY BE UNABLE TO PAY THEIR BILL, A FINANCIAL QUESTIONNAIRE IS GIVEN OR SENT TO THE PATIENT. UPON RECEIPT OF THE COMPLETED QUESTIONNAIRE, THE PATIENT FINANCIAL COUNSELOR WILL DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE AND NOTIFY THE PATIENT REGARDING THEIR ELIGIBILITY FOR DISCOUNTS UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. ELIGIBILITY IS DETERMINED BASED ON THE QUESTIONNAIRE AND SUPPORTING DOCUMENTATION IN ACCORDANCE TO THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY.
PART VI, LINE 2:	SALEM HOSPITAL COLLABORATED WITH THE MARION COUNTY AND POLK COUNTY HEALTH DEPARTMENTS IN PUBLICATION OF THEIR 2011 AND 2012 COMMUNITY HEALTH REPORTS. IN ADDITION, SALEM HOSPITAL HAS A CONTRACTUAL ARRANGEMENT WITH HEALTHY COMMUNITIES INSTITUTE (CHI) TO PROVIDE COMMUNITY MEMBERS, PARTNERING AGENCIES AND THE COUNTY HEALTH DEPARTMENT STAFF ACCESS TO WEB-BASED HEALTH INDICATOR DATA ON AN ONGOING BASIS. THE CHI WEB-BASED DATA DASHBOARD, MARION AND POLK COUNTY HEALTH ASSESSMENTS; MARION AND POLK COMMUNITY HEALTH IMPLEMENTATION PLANS ARE PUBLISHED ON THE SALEM HOSPITAL WEBSITE. THESE DOCUMENTS SERVE TO INFORM THE SALEM HOSPITAL BENEFIT STRATEGY.A PRIORITIZED DESCRIPTION OF THE COMMUNITY HEALTH NEEDS IDENTIFIED IN THE COMMUNITY HEALTH REPORTS AND THE SALEM HOSPITAL WEB-BASED, MARION AND POLK COUNTY INDICATOR TOOLS ARE INCLUDED IN THE COMMUNITY HEALTH IMPROVEMENT PLANS (CHIP). THE CHIP REPORTS ALSO DESCRIBE THE PROCESS AND CRITERIA USED IN PRIORITIZING HEALTH NEEDS. THE CHIP PLANNING COMMITTEES CHOSE KEY HEALTH INDICATORS THAT MOST ADVERSELY AFFECTED THE COMMUNITY AT LARGE FROM THE HEALTH REPORT AND DASHBOARD FINDINGS.IN MARION COUNTY 10 INDICATORS WERE CHOSEN FOR CONSIDERATION: ADULTS WHO ARE OBESE, ADULTS ENGAGING IN PHYSICAL ACTIVITY, ADULTS WITH ASTHMA, AGE-ADJUSTED DEATH RATE DUE TO COLORECTAL CANCER, MOTHERS WHO RECEIVED EARLY PRENATAL CARE, PNEUMONIA VACCINATION RATE FOR AGES 65+, TEEN FRUIT AND VEGETABLE CONSUMPTION, TEEN PREGNANCY RATE, TEENS WHO ENGAGE IN REGULAR PHYSICAL ACTIVITY, AND TEENS WHO USE MARIJUANA.COMMUNITY INPUT WAS SOLICITED IN THREE REGIONAL FORUMS ACROSS MARION COUNTY, AS DESCRIBED IN THE MARION COUNTY CHIP REPORT. PRIORITY AREAS BY REGION WERE SELECTED. SALEM HOSPITAL IS WORKING WITH COMMUNITY AGENCIES AND STAKEHOLDERS THAT HAVE CHOSEN TO PLACE PRIORITY ON DECREASING THE RATE OF TEEN PREGNANCY, INCREASING THE RATE OF MOTHERS WHO RECEIVE EARLY PRENATAL CARE AND DECREASING THE PERCENTAGE OF ADULT OBESITY IN MARION COUNTY. IN POLK COUNTY, THE CHIP PLANNING COMMITTEE CHOSE NINE KEY HEALTH INDICATORS THAT MOST ADVERSELY AFFECTED THE COMMUNITY AT LARGE FROM THE HEALTH REPORT AND DASHBOARD FINDINGS. THE REVIEW RESULTED IN THE FOLLOWING RANKINGS, LISTED IN ORDER OF RECEIVING THE MOST EXPRESSED CONCERN TO LEAST THE EXPRESSED CONCERN: TEENS WHO ARE OBESE; POOR MENTAL HEALTH DAYS; ADULTS WHO ARE OBESE; MOTHERS WHO RECEIVE EARLY PRENATAL CARE; TEEN PREGNANCY RATES; LOW-INCOME PRESCHOOL OBESITY; MALE ADULTS WHO BINGE DRINK; CANCER SCREENINGS AND PREVALENCE; AND TEEN MARIJUANA USE.THE NINE INDICATORS WERE PRESENTED TO REPRESENTATIVES FROM COMMUNITY PARTNERING AGENCIES AT THE POLK COMMUNITY HEALTH ASSESSMENT LAUNCH IN LATE 2011. THE GROUP WAS INSTRUCTED TO SELECT THREE TO FOUR FOCUS AREAS. INDICATORS SELECTED INCLUDED TEENS WHO ARE OBESE, ADULTS WHO ARE OBESE, AND LOW-INCOME PRESCHOOL OBESITY. ALL THREE INDICATORS FOCUSED ON THE ISSUE OF OBESITY. DESPITE THE FACILITATOR'S ENCOURAGEMENT TO THINK BROADLY, THE COMMUNITY STRONGLY SUPPORTED THE SINGLE ISSUE OF OBESITY, DUE, AMONG OTHER THINGS, TO THE IMPACT ON OTHER HEALTH ISSUES. THE COMMUNITY HEALTH IMPROVEMENT PLAN WORKGROUP AGREED THAT TARGETING THE HIGH RATE OF OBESITY IN POLK COUNTY WOULD HAVE A TREMENDOUS POSITIVE IMPACT DUE TO THE VARIETY OF HEALTH ISSUES DIRECTLY RELATED TO OBESITY INCLUDING: MOBILITY, CHRONIC CONDITIONS, WORKABILITY, SELF-ESTEEM, STRESS, AND PHYSICALITY. ALTHOUGH THE POLK COUNTY CHIP IDENTIFIED NINE HEALTH INDICATORS AND CHOSE TO FOCUS ON THOSE RELATED TO OBESITY, THE HOSPITAL DATA DASHBOARD INCLUDES SOCIAL DETERMINANTS OF HEALTH AS WELL. IN POLK COUNTY, EDUCATIONAL (3RD GRADE READING, AND 8TH GRADE MATH PROFICIENCY), GROCERY STORE DENSITY, AND VIOLENT CRIME RATE NEGATIVELY INFLUENCE HEALTH. THEREFORE, THESE FOUR INDICATORS WERE ALSO IDENTIFIED AS AREAS OF NEED.THE PUBLIC HEALTH DEPARTMENT AND HOSPITAL RECOGNIZE THE IMPORTANCE OF EACH OF THE HEALTH INDICATORS AND ARE COMMITTED TO IMPACT AS MANY HEALTH MEASURES AS POSSIBLE THROUGH DIRECT CONTRIBUTION, COMMUNITY COLLABORATION, AND PARTNERSHIP. SALEM HOSPITAL'S COMMUNITY BENEFIT ACTIVITIES WILL FOCUS PRIMARILY ON IMPROVING HEALTH IN MARION AND POLK COUNTIES, WHILE ASSISTING WEST VALLEY HOSPITAL, ALSO A PART OF SALEM HEALTH, WITH ITS WORK TO IMPACT HEALTH ISSUES IN POLK COUNTY.
PART VI, LINE 3:	IT IS THE POLICY OF SALEM HOSPITAL TO PROVIDE FINANCIAL COUNSELING TO PATIENTS REGARDING THEIR FINANCIAL OBLIGATION AT THE EARLIEST OPPORTUNITY POSSIBLE. SALEM HOSPITAL PROVIDES A VARIETY OF OPTIONS TO ASSIST PATIENTS IN RESOLVING THEIR ACCOUNTS, INCLUDING: OREGON HEALTH PLAN (OHP) SCREENING, CHARITY ASSISTANCE, LOANS, AND EXTENDED PAYMENT PLANS. DISCOUNTS MAY BE AVAILABLE ON THE NET BALANCE FOR PATIENTS AT OR BELOW 400% OF THE FEDERAL POVERTY LEVEL. PATIENTS AT OR BELOW 200% OF THE POVERTY LEVEL ARE ELIGIBLE FOR 100% CHARITY ASSISTANCE.ALL UNINSURED PATIENTS WITH BALANCES OVER $500 ARE SCREENED FOR ELIGIBILITY THROUGH THE OREGON HEALTH PLAN (OHP), CONSOLIDATED OMNIBUS BUDGET RECONCILIATION ACT (COBRA) ELIGIBILITY, AND/OR ELIGIBILITY INTO THE FAMILY HEALTH INSURANCE ASSISTANCE PLAN (FHIAP) PROGRAM.SALEM 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 THAT ARE NOT ELIGIBLE FOR OHP OR THE OTHER PROGRAMS LISTED ABOVE, AND HAVE FINANCIAL CONSTRAINTS THAT INHIBIT THEIR ABILITY TO PAY, WILL BE ASSESSED FOR EITHER CHARITY CARE OR A FINANCIAL DISCOUNT.INFORMATION ON THE HOSPITAL'S CHARITY CARE & FINANCIAL POLICY SHALL BE MADE PUBLICLY AVAILABLE IN THE FOLLOWING MANNER:- NOTICES ARE POSTED IN KEY AREAS OF THE HOSPITAL, INCLUDING ADMITTING, THE EMERGENCY DEPARTMENT, OUTPATIENT DEPARTMENT REGISTRATION AREAS, AND THE BUSINESS OFFICE. - THE CONDITIONS OF ADMISSION FORM INFORMS THE PATIENT OF THEIR RIGHT TO APPLY FOR CHARITY CARE. - WRITTEN INFORMATION SHALL BE AVAILABLE IN ENGLISH AND SPANISH. THE HOSPITAL WILL PROVIDE THE APPROPRIATE INTERPRETATION SERVICES FOR ALL PATIENTS WHO DO NOT SPEAK ENGLISH. - FRONT-LINE STAFF IS TRAINED TO ANSWER CHARITY CARE QUESTIONS EFFECTIVELY AND WILL DIRECT ANY QUESTIONS THAT CANNOT BE ANSWERED TO BUSINESS OFFICE STAFF IN A TIMELY MANNER. - THIS POLICY IS POSTED ON SALEM HOSPITAL'S WEBSITE. WRITTEN INFORMATION ABOUT THIS POLICY IS MADE AVAILABLE TO ANY PERSON WHO REQUESTS THE INFORMATION. - THE FIRST PATIENT STATEMENT WILL INCLUDE A NOTICE THAT CHARITY CARE AND/OR FINANCIAL ASSISTANCE IS AVAILABLE.
PART VI, LINE 4:	SALEM HOSPITAL SERVES MARION AND POLK COUNTIES; THERE ARE 77,916 PEOPLE AND 28,239 HOUSEHOLDS RESIDING IN THE POLK COUNTY. THE POPULATION DENSITY WAS 101.8 INHABITANTS PER SQUARE MILE (39.3/KM2). THERE WERE 30,391 HOUSING UNITS. THE RACIAL MAKEUP OF THE COUNTY WAS 79.6% WHITE, 2.5% AMERICAN INDIAN, 2.0% ASIAN, 0.8% BLACK OR AFRICAN AMERICAN, 0.3% PACIFIC ISLANDER AND 3.4% FROM TWO OR MORE RACES. THOSE OF HISPANIC OR LATINO ORIGIN MADE UP 13% OF THE POPULATION. 7.3% OF THE POPULATION IS FOREIGN BORN.THE AVERAGE HOUSEHOLD SIZE WAS 2.62. 5.9% OF THE POPULATION ARE UNDER THE AGE OF 5 YEARS, 23.5% ARE UNDER THE AGE OF 18 AND 16.4% ARE OVER THE AGE OF 65 YEARS.THE MEDIAN INCOME FOR A HOUSEHOLD IN POLK COUNTY IS $52,808. THE PER CAPITA INCOME FOR THE COUNTY WAS $24,426. ABOUT 16.5% OF THE POPULATION LIVE BELOW THE POVERTY LINE.THE DEMOGRAPHIC OF MARION COUNTY IS VERY DIFFERENT FROM POLK. THERE ARE 326,110 PEOPLE AND 113,285 HOUSEHOLDS RESIDING IN THE MARION COUNTY. THE POPULATION DENSITY WAS 266.7 INHABITANTS PER SQUARE MILE (39.3/KM2). THERE WERE 121,628 HOUSING UNITS. THE RACIAL MAKEUP OF THE COUNTY IS 67.5% WHITE, 2.5% AMERICAN INDIAN, 2.2% ASIAN, 1.4% BLACK OR AFRICAN AMERICAN, 0.9% PACIFIC ISLANDER AND 3.2% FROM TWO OR MORE RACES. THOSE OF HISPANIC OR LATINO ORIGIN MADE UP 25.3 OF THE POPULATION. 13.7% OF THE POPULATION IS FOREIGN BORN.THE AVERAGE HOUSEHOLD SIZE WAS 2.72. SEVEN PERCENT OF THE POPULATION ARE UNDER THE AGE OF 5 YEARS, 25.6% ARE UNDER THE AGE OF 18 AND 13.9% ARE OVER THE AGE OF 65 YEARS.THE MEDIAN INCOME FOR A HOUSEHOLD IN MARION COUNTY IS $46,885. THE PER CAPITA INCOME FOR THE COUNTY WAS $22,001. ABOUT 18.6% OF THE POPULATION LIVE BELOW THE POVERTY LINE.
PART VI, LINE 5:	SALEM HOSPITAL IS GOVERNED BY AN ALL-VOLUNTEER COMMUNITY-BASED BOARD OF TRUSTEES (BOARD). HOSPITAL LEADERSHIP AND EXECUTIVE STAFF SERVE ON COMMUNITY NON-PROFIT ADVISORY BOARDS AND PROFESSIONAL ASSOCIATIONS. THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO QUALIFIED PHYSICIANS IN ITS COMMUNITY AND PROVIDES FREE OFFICE SPACE AND OTHER IN-KIND SUPPORT SERVICES TO NON-PROFIT ORGANIZATIONS.SALEM HOSPITAL FUNDS A COMMUNITY HEALTH EDUCATION AND OUTREACH PROGRAM. THE CENTER IS STAFFED BY HEALTH EDUCATORS AND REGISTERED NURSES THAT 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. MORE THAN 1500 CLASSES AND EVENTS ARE HELD AT THE CENTER AND IN THE COMMUNITY EACH YEAR TO PROMOTE HEALTH AND PREVENT CHRONIC CONDITIONS. THESE RANGE FROM PREVENTION AND EARLY DETECTION/SCREENING SERVICES 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 COMMUNITIES AND INDIVIDUALS WITHIN MARION AND POLK COUNTIES. SALEM HOSPITAL PROVIDES FINANCIAL SUPPORT AND SPONSORSHIP TO NONPROFIT ORGANIZATIONS. BY LEVERAGING HOSPITAL RESOURCES AND WORKING IN COLLABORATIVE PARTNERSHIPS, SALEM HOSPITAL IS ABLE TO PROVIDE BENEFITS THAT REACH BEYOND HEALTHCARE DELIVERY AND POSITIVELY IMPACT THE SOCIAL DETERMINANTS OF HEALTH.
PART VI, LINE 6:	SALEM HOSPITAL IS AN OREGON NONPROFIT CORPORATION AND A TAX-EXEMPT ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE CODE. SALEM HEALTH IS THE "PARENT" CORPORATION AND SOLE CORPORATE MEMBER OF THE CORPORATION, SALEM HOSPITAL, SALEM HOSPITAL FOUNDATION, WEST VALLEY HOSPITAL, WEST VALLEY HOSPITAL FOUNDATION, WILLAMETTE VALLEY INSURANCE CORPORATION, AND WILLAMETTE VALLEY PROFESSIONAL SERVICES. ALL ENTITIES WITHIN THE PARENT CORPORATION ARE SEPARATE NONPROFIT CORPORATIONS.SALEM HOSPITAL 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." SALEM HOSPITAL IS ONE OF THE LARGEST ACUTE CARE HOSPITALS IN OREGON. LICENSED FOR 454 BEDS, SALEM HOSPITAL OFFERS A BROAD RANGE OF INPATIENT AND OUTPATIENT SERVICES AN AREA OF OVER 500,000 PEOPLE, INCLUDING ALL OF MARION AND POLK AND PORTIONS OF LINN AND YAMHILL COUNTIES INCLUDING THE RESIDENTS OF THE CITY OF SALEM, THE STATE CAPITAL OF OREGON.SALEM HOSPITAL IS THE LARGEST PRIVATE EMPLOYER IN SALEM, OREGON, WITH APPROXIMATELY 4,189 FULL AND PART-TIME EMPLOYEES (AS OF SEPTEMBER 30, 2015). THE MEDICAL STAFF IS COMPRISED OF APPROXIMATELY 482 PHYSICIANS REPRESENTING MORE THAN 50 SPECIALTIES AND SUBSPECIALTIES, AND MORE THAN 300 VOLUNTEERS PROVIDE NON-MEDICAL SUPPORT FOR SALEM HOSPITAL.SALEM HOSPITAL, AS PART OF SALEM HEALTH 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 HOSPITAL'S COMMUNITY BENEFIT COMMITMENTS AND CONNECTIONS WITH COMMUNITY NEEDS AND PRIMARY CONSTITUENCIES. THE COMMUNITY BENEFIT PLAN ASSURES MEASUREMENT AND COMPARISON OF SALEM HOSPITAL'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 (17 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
MEDICAL FOUNDATION OF MARION & POLK COUNTIES
2995 RYAN DRIVE STE 100	SALEM	OR	97301	931261633	501(C)(3)	$18,000	SPONSORSHIP OF ANNUAL BENEFIT FUNDRAISER/SPONSOR PINK WALK/IMPROVE ACCESS TO HEALTHCARE
AMERICAN CANCER SOCIETY
2120 1ST AV N	SEATTLE	WA	98121	841316555	501(C)(3)	$5,000	RELAY FOR LIFE SPONSORSHIP/IMPROVE SOCIAL DETERMINATE OF HEALTH
MARCH OF DIMES
1220 SW MORRISON SUITE 510	PORTLAND	OR	97205	131846366	501(C)(3)	$11,000	NURSE OF THE YEAR AWARDS/SPONSOR FOR SALEM MARCH FOR BABIES/IMPROVE SOCIAL DETERMINATE OF HEALTH
SALEM HOSPITAL FOUNDATION
PO BOX 14001	SALEM	OR	97309	237002687	501(C)(3)	$5,000	CHARITABLE CONTRIBUTION GOLF TOURNAMENT
SALEM KEIZER EDUCATION FOUNDATION
233 COMMERCIAL STREET NE	SALEM	OR	97301	930831467	501(C)(3)	$5,000	AWESOME 3000 SPONSORSHIP/DISEASE PREVENTION
LINDA L VLADYKA BREAST WELLNESS FOUNDATION
4742 LIBERTY RD S PMB 270	SALEM	OR	97302	931328274	501(C)(3)	$5,500	SPONSOR SOFTBALL TOURNAMENT/IMPROVE SOCIAL DETERMINATE OF HEALTH
SALEM MULTICULTURAL INST
PO BOX 4611	SALEM	OR	97302	911780361	501(C)(3)	$5,000	SPONSOR WORLD BEAT FESTIVAL/IMPROVE SOCIAL DETERMINATE OF HEALTH
BOYS & GIRLS CLUB
1395 SUMMER ST NE	SALEM	OR	97301	930581470	501(C)(3)	$27,000	COMMUNITY PARTNER GRANT/IMPROVE SOCIAL DETERMINATE OF HEALTH
COMMUNITY ACTION AGENCY HOME YOUTH & RESOURCE CENTER
625 UNION ST NE	SALEM	OR	97301	237056987	501(C)(3)	$41,537	COMMUNITY PARTNER GRANT
FACES OF AMERICA
1687 SUMMER ST NE	SALEM	OR	97301	264271875	501(C)(3)	$5,000	SPONSOR FAMILY LEARNING AND RESOURCE CENTER
LIBERTY HOUSE
2685 4TH ST NE	SALEM	OR	97301	931236936	501(C)(3)	$10,000	BUSINESS & CORPORATE SUSTAINER GROUP MEMBERSHIP/DISEASE PREVENTION
OHSU FOUNDATION
3181 SW SAM JACKSON PARK RD	PORTLAND	OR	97239	237083114	501(C)(3)	$5,000	GOLF TOURNAMENT & BENEFIT DINNER
OREGON STATE UNIVERSITY
218 KERR ADMINISTRATION BUILDING	CORVALLIS	OR	97331	933001786	170(C)(1)	$49,940	EXPANSION OF "JUST WALK SALEM" PROGRAM
SALVATION ARMY
1901 FRONT ST	SALEM	OR	97301	941156347	501(C)(3)	$50,000	COMMUNITY PARTNER GRANT
UNITED WAY OF MID WILLAMETTE VALLEY
455 BLILER AVE NE	SALEM	OR	97303	930395586	501(C)(3)	$5,000	PRESIDENT'S LEADERSHIP CIRCLE/IMPROVE SOCIAL DETERMINATE OF HEALTH
FESTIVAL OF LIGHTS
4742 LIBERTY RD S 211	SALEM	OR	97302	931323330	501(C)(3)	$5,000	SPONSOR HOLIDAY PARADE/DISEASE PREVENTION
POLK CO SERVICE INTEGRATION
182 SW ACADEMY STREET 220	DALLAS	OR	97338	936000869	GOVERNMENTAL	$15,000	MATCHING CONTRIBUTION FOR 2015-2016 FY

Field	Value	IRS element (for citing)
Total501c3 Org	15	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.	221	$54,358
SCHOLARSHIPS FOR HEALTH PROFESSIONS EDUCATION	88	$170,224

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 (20 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
NORMAN GRUBER
CHIEF EXECUTIVE OFFICER	$735,929	$0	$96,303	$0	$22,567	$0	$319,500	$0	$40,324	$0	$1,214,623	$0	$0	$0
JAMES PARR AS OF 11114
CHIEF FINANCIAL OFFICER	$230,816	$0	$36,414	$0	$288	$0	$20,305	$0	$32,067	$0	$319,890	$0	$0	$0
AARON CRANE THRU 103114
CHIEF FINANCE AND STRATEGY OFFICER	$425,850	$0	$52,703	$0	$3,193	$0	$19,500	$0	$26,107	$0	$527,353	$0	$0	$0
ROBERT BRANNIGAN
CHIEF ADMIN OFFICER WVH	$295,652	$0	$47,921	$0	$7,341	$0	$34,984	$0	$26,891	$0	$412,789	$0	$0	$0
LAURIE BARR
VP HUMAN RESOURCES	$276,221	$0	$53,575	$0	$1,646	$0	$35,680	$0	$25,884	$0	$393,006	$0	$0	$0
BRENDA BUBLITZ
VP SURGICAL SERVICES	$171,281	$0	$11,872	$0	$5,396	$0	$17,871	$0	$28,996	$0	$235,416	$0	$0	$0
MARTIN MORRIS THRU 2615
VP/CHIEF DEVELOPMENT OFFICER	$256,644	$0	$38,847	$0	$7,332	$0	$37,027	$0	$20,895	$0	$360,745	$0	$0	$0
CHERYL NESTER WOLFE
CHIEF OPERATING OFFICER	$464,829	$0	$114,587	$0	$7,341	$0	$0	$0	$7,254	$0	$594,011	$0	$0	$0
CORT GARRISON
CHIEF INFORMATION OFFICER	$397,720	$0	$63,157	$0	$2,558	$0	$45,083	$0	$34,552	$0	$543,070	$0	$0	$0
SARAH HORN
CHIEF NURSING OFFICER	$152,293	$0	$11,063	$0	$85	$0	$11,717	$0	$29,863	$0	$205,021	$0	$0	$0
LEAH MITCHELL
VP KAIZEN QUALITY & SAFETY	$225,041	$0	$37,195	$0	$968	$0	$32,367	$0	$14,825	$0	$310,396	$0	$0	$0
LORI JAMES-NIELSEN
VP CHIEF STRATEGY OFFICER	$212,461	$0	$36,100	$0	$1,368	$0	$34,761	$0	$32,412	$0	$317,102	$0	$0	$0
JAYAPRAKASH REDDY MD
PHYSICIAN	$383,373	$0	$20,619	$0	$697	$0	$25,011	$0	$33,652	$0	$463,352	$0	$0	$0
NICOLE VANDERHEYDEN MD
PHYSICIAN	$476,639	$0	$31,660	$0	$3,197	$0	$42,977	$0	$36,227	$0	$590,700	$0	$0	$0
THYE SCHUYLER MD
PHYSICIAN	$456,819	$0	$0	$0	$838	$0	$30,317	$0	$28,505	$0	$516,479	$0	$0	$0
PREETHI PRAKASH MD
PHYSICIAN	$388,295	$0	$23,758	$0	$595	$0	$14,300	$0	$22,027	$0	$448,975	$0	$0	$0
SHERIF AL-HAWAREY MD
PHYSICIAN	$459,158	$0	$20,000	$0	$879	$0	$11,200	$0	$28,014	$0	$519,251	$0	$0	$0
MARTHA ENRIQUEZ
FORMER CHIEF NURSING OFFICER	$323,239	$0	$22,280	$0	$7,341	$0	$36,605	$0	$31,748	$0	$421,213	$0	$0	$0
WILLIAM HOLLOWAY MD
FORMER CHIEF MEDICAL OFFICER	$362,856	$0	$204,314	$0	$214,782	$0	$35,765	$0	$29,515	$0	$847,232	$0	$0	$0
ANNE KOLLER
FORMER CHIEF MARKETING OFFICER	$0	$0	$0	$0	$144,055	$0	$0	$0	$9,343	$0	$153,398	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINES 4A-B	WILLIAM HOLLOWAY M.D. RECEIVED SEVERANCE PAY UPON TERMINATION OF HIS EMPLOYMENT. THE TOTAL OF HIS SEVERANCE PAY WAS $212,390. THIS AMOUNT IS INCLUDED IN 'OTHER REPORTABLE COMPENSATION' IN COLUMN (B)(III). 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: NORMAN GRUBER $396,303 ($96,303 INCLUDED IN BONUS & INCENTIVE COMPENSATION AND $300,000 INCLUDED IN DEFERRED COMPENSATION) JAMES PARR $3,405 (INCLUDED IN DEFERRED COMPENSATION) ROBERT BRANNIGAN $37,579 ($16,895 INCLUDED IN BONUS & INCENTIVE COMPENSATION AND $20,684 INCLUDED IN DEFERRED COMPENSATION) LAURIE BARR $26,917 ($8,137 INCLUDED IN BONUS & INCENTIVE COMPENSATION AND $18,780 INCLUDED IN DEFERRED COMPENSATION) MARTHA ENRIQUEZ $22,305 (INCLUDED IN DEFERRED COMPENSATION) MARTIN MORRIS $38,847 ($21,320 INCLUDED IN BONUS & INCENTIVE COMPENSATION AND $17,527 INCLUDED IN DEFERRED COMPENSATION) CHERYL NESTER WOLFE $37,749 (INCLUDED IN BONUS & INCENTIVE COMPENSATION) CORT GARRISON $28,183 (INCLUDED IN DEFERRED COMPENSATION) WILLIAM HOLLOWAY $18,865 (INCLUDED IN DEFERRED COMPENSATION) SHERIF AL-HAWAREY $11,200 (INCLUDED IN DEFERRED COMPENSATION) NICOLE VANDERHEYDEN $57,737 ($31,660 INCLUDED IN BONUS & INCENTIVE COMPENSATION AND $26,077 INCLUDED IN DEFERRED COMPENSATION) THYE SCHUYLER $16,017 (INCLUDED IN DEFERRED COMPENSATION) LEAH MITCHELL $15,467 (INCLUDED IN DEFERRED COMPENSATION) LORI JAMES-NEILSEN $15,169 (INCLUDED IN DEFERRED COMPENSATION) JAYAPRAKASH REDDY $10,711 (INCLUDED IN DEFERRED COMPENSATION) BRENDA BUBLITZ $15,560 (INCLUDED IN DEFERRED COMPENSATION)
PART I, LINE 6	CERTAIN PHYSICIANS RECEIVE INCENTIVE COMPENSATION IN ACCORDANCE WITH THEIR EMPLOYMENT AGREEMENTS WITH SALEM HOSPITAL. 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 HOSPITAL 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. ROBERT BRANNIGAN'S INCENTIVE PAYMENTS ARE BASED ON WEST VALLEY HOSPITAL'S BOARD APPROVED LEADERSHIP INCENTIVE PLAN. 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.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 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	794458CL1	2006-11-15	$123,122,698	CONSTRUCTION AND RENOVATION OF VARIOUS CAMPUS FACILITIES	0	0	0
THE HOSPITAL FACILITY AUTHORITY OF THE CITY OF SALEM OREGON REVENUE BONDS
B	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
C	521542796	794458CX5	2008-10-08	$60,487,711	REFUND SERIES 2004A; CONSTRUCTION AND RENOVATION OF VARIOUS BUILDINGS.	0	0	0
THE HOSPITAL FACILITY AUTHORITY OF THE CITY OF SALEM OREGON REVENUE BONDS
D	521542796	NONEAVAIL	2013-06-27	$69,965,000	CURRENT REFUNDING; FINANCE VARIOUS IMPROVEMENTS TO HEALTH CARE FACILITIES.	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Credit EnhancementCreditEnhancementAmt	Other Spent ProceedsOtherSpentProceedsAmt	In Reserve FundInReserveFundAmt
A	$8,070,000	$128,355,347	$1,105,000	$127,250,347	2009	0	Yes (1)	Yes (1)
B	$50,000,000	$125,021,764	$633,004	$9,260,268	2009	Yes (1)	Yes (1)	Yes (1)	$1,153,492	$113,975,000
C	$20,525,000	$60,600,453	$837,965	$6,160,859	2009	Yes (1)	Yes (1)	Yes (1)		$47,630,629	$6,143,987
D	$1,685,000	$70,376,249	$290,834	$19,697,016		Yes (1)	0	Yes (1)		$50,003,336

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.01200	0.00200	0.01400	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00400	0.00100	0.00500	Yes (1)
C	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00500	0.00100	0.00600	Yes (1)
D	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00200	0.00000	0.00200	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line2GICProviderName/BusinessNameLine2Txt	Term Of GICTermOfGICPct	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd
WELLS FARGO BANK
A	0	0	Yes (1)	0	0	0	Yes (1)	NA	2.000000000000	Yes (1)	0	Yes (1)
UBS AG
B	0	0	Yes (1)	0	Yes (1)	Yes (1)	0				0	Yes (1)	25.800000000000	0	0
(no name)
C	0	0	Yes (1)	Yes (1)	0	0	0				0	Yes (1)
(no name)
D	0	Yes (1)	Yes (1)	Yes (1)	0	0	0				0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)
D	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 EARNED FROM THE CONSTRUCTION FUND. 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 THE BONDS THAT WAS DEPOSITED TO THE CONSTRUCTION FUND HAS MET THE 2-YEAR EXPENDITURE EXCEPTION TO REBATE. PART IV, LINE 2(C): PROCEEDS OF THE BONDS HAVE MET A SPENDING EXCEPTION 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 EARNED FROM THE PROJECT, COSTS OF ISSUANCE, AND DEBT SERVICE RESERVE FUNDS. PART I(F): BONDS REFUNDED BY SERIES 2008A: SERIES 2004A (ISSUED NOVEMBER 23, 2004). 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 THE BONDS THAT WAS EXPENDED TO FINANCE A CURRENT REFUNDING HAS MET THE 6-MONTH EXPENDITURE EXCEPTION TO REBATE. PART IV, LINE 2(C): THE 5TH YEAR ANNIVERSARY REBATE COMPUTATION WAS PERFORMED AS OF OCTOBER 1, 2013, ON OCTOBER 18,2013. COLUMN C: DIFFERENCE BETWEEN PART I(E) AND PART II, LINE 3 IS DUE TO INTEREST EARNED FROM THE PROJECT FUND. PART I(F): BONDS REFUNDED BY SERIES 2008B: SERIES 2004AB (ISSUED NOVEMBER 23, 2004) AND SERIES 2006B (ISSUED NOVEMBER 15, 2006). 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 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 II, 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 THE BONDS THAT WAS EXPENDED TO FINANCE A CURRENT REFUNDING AND THE PORTION OF THE BONDS THAT WAS DEPOSITED TO THE PROJECT AND COSTS OF ISSUANCE FUNDS, COLLECTIVELY, HAVE MET THE 6-MONTH EXPENDITURE EXCEPTION TO REBATE. COLUMN D: DIFFERENCE BETWEEN PART I(E) AND PART II, LINE 3 IS DUE TO INTEREST EARNED FROM THE PROJECT FUND AND COSTS OF ISSUANCE. PART I(F): BONDS REFUNDED BY SERIES 2013AB: SERIES 2008C (ISSUED NOVEMBER 13, 2008). 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 REFUNDING AND NEW MONEY PORTIONS OF THE BONDS HAVE MET THE 6-MONTH AND 2-YEAR EXPENDITURE EXCEPTIONS TO REBATE, RESPECTIVELY. PART IV, LINE 2(C): PROCEEDS OF THE BONDS HAVE MET SPENDING EXCEPTIONS AND, THEREFORE, NO PAYMENT WILL EVER BE DUE ON THE BONDS.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11	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 A 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 HOSPITAL IS DESIGNED TO ALLOW THE ORGANIZATION TO RECRUIT AND RETAIN QUALIFIED SENIOR LEADERS. THE GOVERNANCE COMMITTEE OF THE SALEM HOSPITAL BOARD OF TRUSTEES, NONE OF WHOM IS A SALEM HOSPITAL 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 -3,170,737. CHANGE IN NET BENEFIT COST 292,668. CHANGE IN BENEFICIAL INTEREST IN FOUNDATION 59,127. EQUITY TRANSFER BETWEEN RELATED ENTITIES -4,694,227.
FORM 990, PART XII, LINE 2C	THERE HAVE NOT BEEN ANY CHANGES FROM THE PREVIOUS YEAR.

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	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 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 HOSPITAL FOUNDATION
890 OAK STREET SE	SALEM	OR	97301	237002687	SUPPORTS SALEM HOSPITAL	OR	501(C)(3)	7	SALEM HEALTH	0
SALEM HOSPITAL AUXILIARY
890 OAK STREET SE	SALEM	OR	97301	931081113	SUPPORTS SALEM HOSPITAL	OR	501(C)(3)	9		0	N/A
SALEM HEALTH
890 OAK STREET SE	SALEM	OR	97301	930823471	LEASES LAND TO SALEM HOSPITAL	OR	501(C)(3)	11 TYPE 1		0	N/A
WEST VALLEY HOSPITAL
525 SOUTHEAST WASHINGTON STREET	DALLAS	OR	97338	431960221	HOSPITAL	OR	501(C)(3)	3	SALEM HEALTH	0
WEST VALLEY HOSPITAL FOUNDATION
525 SOUTHEAST WASHINGTON STREET	DALLAS	OR	97338	931298564	SUPPORTS WEST VALLEY HOSPITAL	OR	501(C)(3)	11 TYPE 1	SALEM HEALTH	0
WILLAMETTE VALLEY INSURANCE COMPANY
745 FORT STREET	HONOLULU	HI	96813	201836190	CAPTIVE INSURANCE	HI	501(C)(3)	11 TYPE 1	SALEM HEALTH	0
WILLAMETTE VALLEY PROFESSIONAL SERVICES
890 OAK STREET SE	SALEM	OR	97301	753175249	BILLING SERVICE FOR PROFESSIONAL FEES	OR	501(C)(3)	3	SALEM HEALTH	0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	OREGON COMMUNITY IMAGING LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2925 RYAN DR SE	AddressLine1Txt
City	SALEM	CityNm
State Abbreviation	OR	StateAbbreviationCd
ZIP	97301	ZIPCd

Field	Value	IRS element (for citing)
EIN	202683062	EIN
Primary Activities	MEDICAL IMAGING COOPERATIVE	PrimaryActivitiesTxt
Legal Domicile State	OR	LegalDomicileStateCd
Direct Controlling NA	N/A	DirectControllingNACd

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