SILVERTON HEALTH: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- SILVERTON HEALTH (EIN 93-0281321)
- Tax period
- 2013-10-01 to 2014-09-30
- Filed
- 2015-08-14
- IRS object ID
- 201512269349304166
- Schema version
- 2013v4.0
- 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 D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-08-14T16:23:56-05:00 | ReturnTs |
| Tax Period End | 2014-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 910189318 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOSS ADAMS LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 805 SW BROADWAY STE 1200 | AddressLine1 |
| City | PORTLAND | City |
| State | OR | State |
| ZIP Code | 97205 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 930281321 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SILVERTON HEALTH | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SILV | BusinessNameControlTxt |
| Phone | 5038731500 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 342 FAIRVIEW STREET | AddressLine1 |
| City | SILVERTON | City |
| State | OR | State |
| ZIP Code | 97381 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAN JESSUP | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 5038731500 | PhoneNum |
| Signature | 2015-08-05 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | WENDY CAMPOS | PreparerPersonNm |
| PTIN | P00448102 | PTIN |
| Phone | 5032421447 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | RICHARD CAGEN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 342 FAIRVIEW STREET | AddressLine1 |
| City | SILVERTON | City |
| State | OR | State |
| ZIP Code | 97381 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $125,005,171 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | SILVERTONHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1918 | FormationYr |
| Legal Domicile State | OR | LegalDomicileStateCd |
| Activity Or Mission | THROUGH SILVERTON HEALTH WE COME TOGETHER TO IMPROVE THE HEALTH OF OUR COMMUNITIES. RECOGNIZING OUR RESPONSIBILITY FOR CAREFUL USE OF RESOURCES, IT IS OUR MISSION TO ENCOURAGE WELLNESS AND DELIVER QUALITY HEALTH CARE, TO ORGANIZE OURSELVES AS A COLLABORATIVE TEAM FOSTERING INTEGRITY, ACCOUNTABILITY AND INNOVATION, AND TO CREATE AN ENVIRONMENT THAT PROMOTES COMPASSION AND RECOGNIZES THE DIGNITY OF ALL, WITH SENSITIVITY TO THE VALUES AND CULTURES OF THOSE WHO ENTRUST US WITH THEIR CARE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 959 | TotalEmployeeCnt |
| Total Volunteers | 206 | TotalVolunteersCnt |
| Total Gross UBI | $396,849 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $823,174 | PYContributionsGrantsAmt |
| CY Contributions Grants | $409,838 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $106,948,982 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $116,976,911 | CYProgramServiceRevenueAmt |
| PY Investment Income | $104,438 | PYInvestmentIncomeAmt |
| CY Investment Income | -$81,620 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,146,163 | PYOtherRevenueAmt |
| CY Other Revenue | $7,501,465 | CYOtherRevenueAmt |
| PY Total Revenue | $111,022,757 | PYTotalRevenueAmt |
| CY Total Revenue | $124,806,594 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $211,254 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $200,809 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $63,697,974 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $64,107,123 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $49,969,274 | PYOtherExpensesAmt |
| CY Other Expenses | $60,788,346 | CYOtherExpensesAmt |
| PY Total Expenses | $113,878,502 | PYTotalExpensesAmt |
| CY Total Expenses | $125,096,278 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$2,855,745 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$289,684 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $66,076,664 | TotalAssetsBOYAmt |
| Total Assets EOY | $79,417,430 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $25,674,617 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $40,636,696 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $40,402,047 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $38,780,734 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THROUGH SILVERTON HEALTH WE COME TOGETHER TO IMPROVE THE HEALTH OF OUR COMMUNITIES. RECOGNIZING OUR RESPONSIBILITY FOR CAREFUL USE OF RESOURCES, IT IS OUR MISSON TO ENCOURAGE WELLNESS AND DELIVER QUALITY HEALTH CARE, TO ORGANIZE OURSELVES AS A COLLABORATIVE TEAM FOSTERING INTEGRITY, ACCOUNTABILITY AND INNOVATION, AND TO CREATE AN ENVIRONMENT THAT PROMOTES COMPASSION AND RECOGNIZES THE DIGNITY OF ALL, WITH SENSITIVITY TO THE VALUES AND CULTURES OF THOSE WHO ENTRUST US WITH THEIR CARE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $99,364,492 | ExpenseAmt |
| Grant | $200,809 | GrantAmt |
| Revenue | $124,081,527 | RevenueAmt |
| Desc | GENERAL HOSPITAL INPATIENT AND OUTPATIENT CARE AND EDUCATION FOR PATIENTS IN THE LOCAL COMMUNITY, INCLUDING MEDICARE AND MEDICAID PATIENTS AND CHARITY CARE. CHARGES WRITTEN OFF DUE TO INADEQUATE REIMBURSEMENT - $63.9 MILLION. CHARGES FORGONE FOR CHARITY CARE - $7.2 MILLION. | Desc |
| Total Program Service Expenses | $99,364,492 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | 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 | 0 | 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 | Yes (1) | 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 | 117 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 959 | 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 | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | 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 | 0 | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | OR | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAN JESSUP | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5038731548 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 342 FAIRVIEW STREET | AddressLine1 |
| City | SILVERTON | City |
| State | OR | State |
| ZIP Code | 97381 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| GAYLE GOSCHIE | |||||||||
| CHAIRMAN | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| DAVE BUCK | |||||||||
| VICE-CHAIR | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| DARCY RUEF | |||||||||
| TREASURER | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| BETH DAVISSON | |||||||||
| SECRETARY | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| JOHN WEBSTER | |||||||||
| SECRETARY | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| ELIZABETH BLOUNT | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | 2.00 | |||
| MIKE DICKMAN | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| ROBERT ENGLE | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | 2.00 | |||
| ROBERTO FRANCO | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| FRANK GOLDEN | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| JANE JONES | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | 2.00 | |||
| GARY SIMON | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOHN ZIELINSKI | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| BROOKE RENARD | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| RICHARD CAGEN | |||||||||
| PRESIDENT | 40.00 | Yes (X) | $475,569 | $0 | $19,908 | ||||
| DAN JESSUP | |||||||||
| CFO | 40.00 | Yes (X) | $0 | $0 | $0 | ||||
| CHRISTINE DENNING | |||||||||
| COO | 40.00 | Yes (X) | $167,120 | $0 | $25,016 | ||||
| LINDA DAMIANO | |||||||||
| COO CLINICS | 40.00 | Yes (X) | $158,528 | $0 | $29,776 | ||||
| ROB JOHNSON | |||||||||
| EXECUTIVE VP | 40.00 | Yes (X) | $232,265 | $0 | $28,750 | ||||
| KAREN BRADY | |||||||||
| CIO | 40.00 | Yes (X) | $130,660 | $0 | $10,454 | ||||
| TERRI MERRITT-WORDEN | |||||||||
| VP HEALTH & WELLNESS | 40.00 | $160,089 | $0 | $32,790 | Yes (X) | ||||
| DAVID THORSETT | |||||||||
| DOCTOR | 40.00 | $646,175 | $0 | $33,673 | Yes (X) | ||||
| BRIAN PUSKAS | |||||||||
| DOCTOR | 40.00 | $568,287 | $0 | $23,751 | Yes (X) | ||||
| HARRIS WATERS | |||||||||
| DOCTOR | 40.00 | $505,737 | $0 | $10,818 | Yes (X) | ||||
| RICHARD BLOCK | |||||||||
| DOCTOR | 40.00 | $446,252 | $0 | $30,296 | Yes (X) | ||||
| MARC HOUSTON | |||||||||
| ASST MEDICAL DIRECTOR | 36.00 | $408,673 | $0 | $30,316 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,899,355 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $275,548 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 94 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| PROVIDENCE HEALTH SYSTEM-OREGON | |||||
| 1235 NE 47TH AVE SUITE 260 | PORTLAND | OR | 97213 | BILLING SERVICES | $976,592 |
| PT NORTHWEST LLC | |||||
| 685 36TH AVE NE | SALEM | OR | 97301 | PATIENT SERVICES | $914,424 |
| LEOPOLD KETEL LLC | |||||
| 112 SW FIRST AVE | PORTLAND | OR | 97204 | ADVERTISING | $418,908 |
| RELAYHEALTH | |||||
| PO BOX 98347 | CHICAGO | IL | 60693 | BILLING SERVICES | $315,305 |
| DELL MARKETING LP | |||||
| ONE DELL WAY | ROUND ROCK | TX | 78682 | COMPUTER/SOFTWARE MAINTENANCE | $298,949 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 24 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $314,811 | RelatedOrganizationsAmt |
| Government Grants | $31,301 | GovernmentGrantsAmt |
| All Other Contributions | $63,726 | AllOtherContributionsAmt |
| Noncash Contributions | $10,090 | NoncashContributionsAmt |
| Total Contributions | $409,838 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICES | Desc |
| Business | 621990 | BusinessCd |
| Total Revenue Column | $116,976,911 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $116,976,911 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $116,976,911 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $116,957 | TotalRevenueColumnAmt |
| Exclusion | $116,957 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $198,577 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$198,577 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$198,577 | TotalRevenueColumnAmt |
| Exclusion | -$198,577 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| OTHER OPERATING REVENUES | 900099 | $6,753,064 | $6,753,064 | |
| PASSTHROUGH INCOME | 900099 | $748,401 | $351,552 | $396,849 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $7,501,465 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $124,806,594 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $124,081,527 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $396,849 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$81,620 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $200,809 | TotalAmt |
| Program Services | $200,809 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,448,268 | TotalAmt |
| Program Services | $950,860 | ProgramServicesAmt |
| Management And General | $497,408 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,809,764 | TotalAmt |
| Program Services | $37,357,323 | ProgramServicesAmt |
| Management And General | $12,452,441 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,021,892 | TotalAmt |
| Program Services | $1,516,419 | ProgramServicesAmt |
| Management And General | $505,473 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,496,412 | TotalAmt |
| Program Services | $5,622,309 | ProgramServicesAmt |
| Management And General | $1,874,103 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,330,787 | TotalAmt |
| Program Services | $2,498,090 | ProgramServicesAmt |
| Management And General | $832,697 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $210,136 | TotalAmt |
| Management And General | $210,136 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $88,620 | TotalAmt |
| Management And General | $88,620 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,238,524 | TotalAmt |
| Program Services | $7,678,893 | ProgramServicesAmt |
| Management And General | $2,559,631 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $255,399 | TotalAmt |
| Program Services | $255,399 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,147,653 | TotalAmt |
| Program Services | $860,740 | ProgramServicesAmt |
| Management And General | $286,913 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,105,483 | TotalAmt |
| Program Services | $829,112 | ProgramServicesAmt |
| Management And General | $276,371 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,465,841 | TotalAmt |
| Program Services | $3,349,381 | ProgramServicesAmt |
| Management And General | $1,116,460 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $82,203 | TotalAmt |
| Program Services | $61,652 | ProgramServicesAmt |
| Management And General | $20,551 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $150,275 | TotalAmt |
| Program Services | $112,706 | ProgramServicesAmt |
| Management And General | $37,569 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $481,482 | TotalAmt |
| Program Services | $481,482 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,120,321 | TotalAmt |
| Program Services | $3,090,241 | ProgramServicesAmt |
| Management And General | $1,030,080 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $759,823 | TotalAmt |
| Management And General | $759,823 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| CAPITATED EXPENSE | $15,750,483 | $15,750,483 | |
| SUPPLIES | $11,704,829 | $8,778,622 | $2,926,207 |
| CHARITY CARE | $7,245,123 | $7,245,123 | |
| BAD DEBT EXPENSE | $828,899 | $828,899 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,153,252 | TotalAmt |
| Program Services | $1,895,949 | ProgramServicesAmt |
| Management And General | $257,303 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $125,096,278 | TotalAmt |
| Program Services | $99,364,492 | ProgramServicesAmt |
| Management And General | $25,731,786 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,171,615 | BOYAmt |
| EOY | $10,059,656 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,017,008 | BOYAmt |
| EOY | $14,866,578 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $108,751 | BOYAmt |
| EOY | $100,000 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,533,228 | BOYAmt |
| EOY | $1,665,612 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,371,871 | BOYAmt |
| EOY | $1,252,281 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $80,443,690 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $45,713,903 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,294,846 | BOYAmt |
| EOY | $34,729,787 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $100,000 | BOYAmt |
| EOY | $100,000 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,479,345 | BOYAmt |
| EOY | $16,643,516 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,076,664 | BOYAmt |
| EOY | $79,417,430 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,092,528 | BOYAmt |
| EOY | $20,053,871 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,264,423 | BOYAmt |
| EOY | $5,605,989 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,317,666 | BOYAmt |
| EOY | $14,976,836 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,674,617 | BOYAmt |
| EOY | $40,636,696 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,402,047 | BOYAmt |
| EOY | $38,780,734 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,402,047 | BOYAmt |
| EOY | $38,780,734 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,076,664 | BOYAmt |
| EOY | $79,417,430 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$289,684 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$2,040 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$1,329,589 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
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 D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $197,792 | BeginningYearBalanceAmt |
| Contributions | $11,400 | ContributionsAmt |
| Investment Earnings Or Losses | $15,699 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $30,641 | OtherExpendituresAmt |
| End Year Balance | $194,250 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $232,087 | BeginningYearBalanceAmt |
| Contributions | $1,124 | ContributionsAmt |
| Investment Earnings Or Losses | $18,362 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $53,781 | OtherExpendituresAmt |
| End Year Balance | $197,792 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $263,361 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $21,602 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $52,876 | OtherExpendituresAmt |
| End Year Balance | $232,087 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $171,238 | BeginningYearBalanceAmt |
| Contributions | $99,785 | ContributionsAmt |
| Investment Earnings Or Losses | -$2,104 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $5,558 | OtherExpendituresAmt |
| End Year Balance | $263,361 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $107,739 | BeginningYearBalanceAmt |
| Contributions | $57,837 | ContributionsAmt |
| Investment Earnings Or Losses | $11,226 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $5,564 | OtherExpendituresAmt |
| End Year Balance | $171,238 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.87090 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.12910 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (1) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,768,949 | OtherCostOrOtherBasisAmt |
| Book Value | $2,768,949 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $36,500,954 | OtherCostOrOtherBasisAmt |
| Depreciation | $17,256,055 | DepreciationAmt |
| Book Value | $19,244,899 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $812,889 | OtherCostOrOtherBasisAmt |
| Depreciation | $688,155 | DepreciationAmt |
| Book Value | $124,734 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $39,713,968 | OtherCostOrOtherBasisAmt |
| Depreciation | $27,769,693 | DepreciationAmt |
| Book Value | $11,944,275 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $646,930 | OtherCostOrOtherBasisAmt |
| Book Value | $646,930 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $34,729,787 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| OTHER RECEIVABLES | $2,308,536 |
| OTHER ASSETS | $11,168,047 |
| ASSETS LIMITED AS TO USE | $3,166,933 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $16,643,516 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| ESTIMATED MEDICAL MALPRACTICE LIABILITY | $11,456,119 |
| CAPITAL LEASE OBLIGATIONS | $3,520,717 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $14,976,836 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | ENDOWMENTS ARE HELD BY A RELATED ORGANIZATION, SILVERTON HEALTH FOUNDATION, FOR THE BENEFIT OF SILVERTON HEALTH. THE EARNINGS OF THE ENDOWMENT FUNDS ARE USED TO SUPPORT THE MISSION OF SILVERTON HEALTH. |
| PART X, LINE 2: | FIN 48 (ASC 740) FOOTNOTE - THE ORGANIZATION HAD NO UNRECOGNIZED TAX LIABILITIES AT SEPTEMBER 30, 2014 AND SEPTEMBER 30, 2013. THE ORGANIZATION RECOGNIZES INTEREST ACCRUED AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AS AN ADMINISTRATIVE EXPENSE. DURING THE YEARS ENDED SEPTEMBER 30, 2014 AND 2013, THE ORGANIZATION RECOGNIZED NO INTEREST AND PENALTIES. THE ORGANIZATION FILES AN EXEMPT ORGANIZATION INCOME TAX RETURN IN THE U.S. FEDERAL JURISDICTION AND UNRELATED BUSINESS INCOME TAX RETURNS IN THE U.S. FEDERAL JURISDICTION AND WITH THE OREGON DEPARTMENT OF REVENUE. |
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 |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| 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 | 1400 | PersonsServedCnt |
| Total Community Benefit Expns | $3,031,411 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $58,889 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,972,522 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02390 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 30707 | PersonsServedCnt |
| Total Community Benefit Expns | $22,855,991 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $21,578,557 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,277,434 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01030 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 0 | PersonsServedCnt |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 32107 | PersonsServedCnt |
| Total Community Benefit Expns | $25,887,402 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $21,637,446 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,249,956 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03420 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 18 | ActivitiesOrProgramsCnt |
| Persons Served | 18307 | PersonsServedCnt |
| Total Community Benefit Expns | $522,288 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $171,174 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $351,114 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00280 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 14 | ActivitiesOrProgramsCnt |
| Persons Served | 106 | PersonsServedCnt |
| Total Community Benefit Expns | $216,454 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $216,454 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00170 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 18 | ActivitiesOrProgramsCnt |
| Persons Served | 10641 | PersonsServedCnt |
| Total Community Benefit Expns | $185,314 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $185,314 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00150 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 50 | ActivitiesOrProgramsCnt |
| Persons Served | 29054 | PersonsServedCnt |
| Total Community Benefit Expns | $924,056 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $171,174 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $752,882 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00600 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 50 | ActivitiesOrProgramsCnt |
| Persons Served | 61161 | PersonsServedCnt |
| Total Community Benefit Expns | $26,811,458 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $21,808,620 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,002,838 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04020 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $69 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $69 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Persons Served | 652 | PersonsServedCnt |
| Total Community Benefit Expns | $14,250 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $14,250 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 1272 | PersonsServedCnt |
| Total Community Benefit Expns | $11,782 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $11,782 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 850 | PersonsServedCnt |
| Total Community Benefit Expns | $2,760 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,760 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Persons Served | 583 | PersonsServedCnt |
| Total Community Benefit Expns | $53,865 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $28,879 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $24,986 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 14 | ActivitiesOrProgramsCnt |
| Persons Served | 3357 | PersonsServedCnt |
| Total Community Benefit Expns | $82,726 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $28,879 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $53,847 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $828,899 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $18,793,849 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $24,972,220 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$6,178,371 | 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 | SILVERTON HOSPITAL | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 342 FAIRVIEW STREET | AddressLine1 |
| City | SILVERTON | City |
| State | OR | State |
| ZIP Code | 97381 | ZIPCode |
| 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 | SILVERTON HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| 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 |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTP://SILVERTONHEALTH.ORG/ | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Include Operational Plan | Yes (X) | IncludeOperationalPlanInd |
| Adopt Budget | Yes (X) | AdoptBudgetInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | Yes (1) | AllNeedsAddressedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (1) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (1) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| Other Factors | Yes (X) | OtherFactorsInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit Report To Credit Agency | Yes (X) | PermitReportToCreditAgencyInd |
| Permit Lawsuit | Yes (X) | PermitLawsuitInd |
| Permit Lien On Residence | Yes (X) | PermitLienOnResidenceInd |
| Collection Activities | Yes (1) | CollectionActivitiesInd |
| Reporting To Credit Agency | Yes (X) | ReportingToCreditAgencyInd |
| Lawsuit | Yes (X) | LawsuitInd |
| Liens On Residences | Yes (X) | LiensOnResidencesInd |
| 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 (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SILVERTON HOSPITAL | PART V, SECTION B, LINE 1J: SILVERTON HEALTH ACCOUNTABLE CARE PRIORITIES |
| SILVERTON HOSPITAL | PART V, SECTION B, LINE 3: COMMUNITY MEMBERS AND PARTNERS WERE INVITED TO CHIP MEETINGS, WITH OVER 60 PARTICIPANTS IN ATTENDANCE. |
| SILVERTON HOSPITAL | PART V, SECTION B, LINE 4: SALEM HEALTHSANTIAM HOSPITALMEMORIAL HOSPITAL |
| SILVERTON HOSPITAL | PART V, SECTION B, LINE 5D: PLACED AT CLINIC AND HOSPITAL RECEPTION DESKS. |
| SILVERTON HOSPITAL | PART V, SECTION B, LINE 12I: PATIENTS MUST LIVE IN THE SERVICE ARE OR BE PATIENTS OF SILVERTON HEALTH PCP. |
| SILVERTON HOSPITAL | PART V, SECTION B, LINE 20D: INITIALLY BILL BASED ON FULL CHARGES AND THEN PROVIDE A DISCOUNT BASED ON THE CHARITY CARE POLICY. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 16 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (16 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | FacilityFacilityTxt |
|---|---|---|---|---|
| WOODBURN FAMILY MEDICINE | ||||
| 1475 MT HOOD AVE | WOODBURN | OR | 97071 | PRIMARY CARE CLINIC |
| WOODBURN DIAGNOSTIC IMAGING | ||||
| 693 RAY J GLATT CIR | WOODBURN | OR | 97071 | OUTPATIENT CLINIC |
| SH SPECIALISTS CLINIC | ||||
| 452 WELCH ST | SILVERTON | OR | 97381 | SPECIALISTS CLINIC |
| MT ANGEL FAMILY MEDICINE | ||||
| 250 W MARQUAM ST | MT ANGEL | OR | 97362 | PRIMARY CARE CLINIC |
| SILVERTON REHAB SERVICES | ||||
| 240 PHELPS ST | SILVERTON | OR | 97381 | OUTPATIENT CLINIC |
| WOODBURN IMMEDIATE CARE | ||||
| 1475 MT HOOD AVE | WOODBURN | OR | 97071 | URGENT CARE CLINIC |
| WOODBURN REHAB SERVICES | ||||
| 1475 MT HOOD AVE | WOODBURN | OR | 97071 | OUTPATIENT CLINIC |
| WOODBURN GENERAL SURGERY | ||||
| 1475 MT HOOD AVE | WOODBURN | OR | 97071 | SPECIALISTS CLINIC |
| MIDWIFERY & WOMENS WELLNESS | ||||
| 409 WELCH ST | SILVERTON | OR | 97381 | PRIMARY CARE CLINIC |
| KEIZER HEALTH CENTER | ||||
| 5685 INLAND SHORES WAY N | KEIZER | OR | 97303 | PRIMARY CARE CLINIC |
| SILVERTON FAMILY PHYSICIANS | ||||
| 347 FAIRVIEW ST | SILVERTON | OR | 97381 | PRIMARY CARE CLINIC |
| SILVERTON INTERNAL MEDICINE | ||||
| 347 FAIRVIEW ST | SILVERTON | OR | 97381 | PRIMARY CARE CLINIC |
| WOODBURN SURGERY CENTER | ||||
| 1475 MT HOOD AVE | WOODBURN | OR | 97071 | OUTPATIENT CLINIC |
| WOODBURN STEPS | ||||
| 693 RAY J GLATT CIR | WOODBURN | OR | 97071 | OUTPATIENT CLINIC |
| MCCLAINE STREET CLINIC | ||||
| 442 MCCLAINE ST | SILVERTON | OR | 97381 | PRIMARY CARE CLINIC |
| TUKWILA MENTAL HEALTH | ||||
| 693 RAY J GLATT CIR | WOODBURN | OR | 97071 | OUTPATIENT CLINIC |
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7, COLUMN (F): | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 828,899. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | SILVERTON HEALTH'S COMMUNITY BUILDING ACTIVITIES PROMOTE COMMUNITY HEALTH IN MULTIPLE WAYS. OUR PARTICIPATION IN LOCAL CHAMBERS OF COMMERCE AND ECONOMIC DEVELOPMENT GROUPS HELPS SUPPORT THE GROWTH OF JOBS IN OUR COMMUNITY, ENABLING THE UNEMPLOYED TO FIND WORK, AND FROM THAT, THE ABILITY TO AFFORD HEALTHCARE AND FOOD/SHELTER FOR THEIR FAMILIES. IN ADDITION, SILVERTON HEALTH STAFF AND EMPLOYEES OFTEN PARTICIPATE IN HIGH SCHOOL CAREER FAIRS, ALLOW STUDENTS TO JOB SHADOW THEM, AND OFFER TOURS OF THE HOSPITAL TO YOUNG CHILDREN. THROUGH THIS PARTICIPATION, SILVERTON HEALTH HOPES TO ENCOURAGE STUDENTS TO GO TO COLLEGE AND POSSIBLY CONSIDER A CAREER IN THE HEALTHCARE FIELD, AS OUR STATE HAS A LARGE SHORTAGE IN THIS AREA. SILVERTON HEALTH ALSO SUPPORTS LOCAL SCHOOLS BY DONATING ROOM SPACE FOR MEETINGS AND TRAININGS, BY DONATING GIFT BASKETS TO HELP THE SCHOOLS RAISE MONEY, AND BY BEING RESPONSIVE WHEN NEEDS ARISE. BY SUPPORTING OUR LOCAL SCHOOLS, WE REDUCE THE GOVERNMENT BURDEN AND ALLOW THE SCHOOLS TO BETTER PROVIDE FOR THE YOUTH IN OUR COMMUNITY, INCLUDING OFFERING STUDENTS FOOD, SHELTER, EDUCATION, AND ASSISTANCE THEY MAY NOT RECEIVE AT HOME. SILVERTON HEALTH ALSO PLAYS A CRITICAL ROLE IN EMERGENCY MANAGEMENT FOR OUR RURAL AREA. SILVERTON HEALTH AND ITS STAFF ROUTINELY WORK WITH STATE, COUNTY, AND LOCAL ORGANIZATION STAFF TO TRAIN AND PREPARE FOR NATURAL DISASTERS, DISEASE OUTBREAKS, AND CASUALTIES OF MASS QUANTITIES. IN PREPARING OUR LOCAL ORGANIZATIONS AND CITIZENS FOR SUCH EVENTS BEFORE THEY HAPPEN, WE ENSURE ACCESS TO CARE IN CRITICAL TIMES AND GREATER EFFICIENCY IN TIMES OF TRAUMA. ADDITIONALLY, SILVERTON HEALTH MAKES DONATIONS TO HELP FUND PHYSICAL IMPROVEMENTS LIKE THE CONSTRUCTION OF A SENIOR CENTER IN SILVERTON AND THE CONSTRUCTION OF A WOODBURN BOYS AND GIRLS CLUB. THESE FACILITIES PROVIDE COMMUNITY MEMBERS SAFE SHELTER, PHYSICAL ACTIVITY, SOCIAL INTERACTION, SENSE OF COMMUNITY, AND SOMETIMES CLASSES OR MENTORING TO IMPROVE THEIR HEALTH. FINALLY, SILVERTON HEALTH PROVIDES MEETING SPACE AND DONATIONS TO GROUPS WHICH HELP KEEP DRIVERS SAFE (AARP DRIVER'S SAFETY CLASS) AND PROMOTE LITERACY (WOODBURN SCHOOL DISTRICT LITERACY PROGRAM) THEREBY PROVIDING LOCAL CITIZENS AND THEIR FAMILIES BETTER ACCESS TO CARE AND OVERALL HEALTH. |
| PART III, LINE 4: | THE ORGANIZATION UTILIZES A COST ACCOUNTING SYSTEM FOR DETERMINING THE ASSOCIATED COST OF PROVIDING SERVICES TO PATIENTS WITHOUT INSURANCE THAT ARE SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS. THAT PERCENTAGE IS THEN APPLIED TO THE TOTAL BAD DEBT EXPENSE PER THE GENERAL LEDGER (BASED ON CHARGES) TO DETERMINE THE ASSOCIATED COST. COLLECTIONS FROM THE PATIENT/GUARANTOR ARE NETTED AGAINST THAT COST TO DETERMINE A NET COST.ANY COLLECTIONS RECEIVED ON ACCOUNTS THAT WERE WRITTEN OFF TO BAD DEBT (EITHER PARTIALLY OR IN FULL) WERE NETTED AGAINST THE COST OF PROVIDING THE SERVICES TO THE PATIENT IN ORDER TO DETERMINE A NET COST.THE ORGANIZATION CURRENTLY DOES NOT HAVE THE SYSTEMS NECESSARY TO REASONABLY ESTIMATE THE AMOUNT OF BAD DEBT EXPENSE THAT COULD BE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.THE HOSPITAL REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYORS, PATIENTS AND OTHERS. THE HOSPITAL PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE HOSPITAL BILLS THIRD-PARTY PAYORS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT.THE FOOTNOTE THAT DISCUSSES BAD DEBT EXPENSE IS CONTAINED ON PAGE 10 OF THE ATTACHED FINANCIAL STATEMENTS, ENTITLED "PATIENT ACCOUNTS RECEIVABLE." |
| PART III, LINE 8: | SILVERTON HEALTH'S MISSION IS TO PROVIDE QUALITY HEALTHCARE SERVICES AND LEADERSHIP IN PROMOTING HEALTH IMPROVEMENT TO ALL PERSONS IN ITS SERVICE AREA ON A NON-DISCRIMINATORY BASIS AND WITHOUT REGARD TO ABILITY TO PAY. IN KEEPING WITH ITS COMMITMENT TO SERVE ALL MEMBERS OF THE COMMUNITY, THE HOSPITAL PROVIDES CARE TO INDIVIDUALS COVERED BY THE MEDICARE PROGRAM IN SPITE OF THE FACT THAT THE COST OF PROVIDING THOSE SERVICES EXCEEDS THE REVENUE RECEIVED. THE HOSPITAL ABSORBS THE SHORTFALL EACH YEAR, AND THIS CONTINUED COMMITMENT SHOULD BE TREATED AS A COMPONENT OF THE HOSPITAL'S COMMUNITY BENEFIT.THE ORGANIZATION UTILIZES A COST ACCOUNTING SYSTEM FOR DETERMINING THE ASSOCIATED COST OF PROVIDING SERVICES TO PATIENTS BY INDIVIDUAL PATIENT ACCOUNT. THE ACCOUNTS ARE THEN AGGREGATED FOR ALL PATIENT SEGMENTS BOTH BY TYPE OF SERVICE (INPATIENT, OUTPATIENT, EMERGENCY, ETC) AS WELL AS BY PAYOR (PRIVATE INSURANCE, MEDICARE, MEDICAID, SELF PAY, ETC) IN ORDER TO DETERMINE THE COST OF PROVIDING SERVICES TO ALL PATIENTS.THE COSTING METHODOLOGY USED FOR DETERMINING MEDICARE ALLOWABLE COSTS IS THAT REQUIRED BY CMS IN PREPARATION OF FORM CMS-2552. |
| PART III, LINE 9B: | SILVERTON HEALTH STRIVES TO PROVIDE ACCURATE AND TIMELY SERVICE WHEN BILLING AN INSURANCE COMPANY OR PATIENT DIRECTLY. EVERY BILL AND STATEMENT INCLUDES INFORMATION ABOUT HOW TO CONTACT FINANCIAL REPRESENTATIVES AND ARRANGE PAYMENT PLANS. WE ARE COMMITTED TO FINDING WAYS TO HELP EVERY PATIENT PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE RESPONSIBLE WITHOUT EXPERIENCING AN OVERWHELMING FINANCIAL BURDEN. IN ADDITION TO MAKING OUR BILLING PROCESS EASY TO UNDERSTAND AND ENSURING READY ACCESS TO CHARITY CARE AND FINANCIAL ASSISTANCE, WE ARE ABLE TO PROVIDE PATIENT COST INFORMATION IN ADVANCE OF SERVICES OR TREATMENT. |
| PART VI, LINE 2: | NEEDS ASSESSMENT - WE PURCHASED A PRODUCT FROM HEALTHY COMMUNITIES INSTITUTE WHICH PROVIDES HIGH-QUALITY COMMUNITY HEALTH ASSESSMENT DATA, IMPROVED HEALTH INDICATOR TRACKING, BEST PRACTICE SHARING AND COMMUNITY DEVELOPMENT TOOLS THAT FUNCTION TOGETHER TO HELP IMPROVE THE HEALTH AND ENVIRONMENTAL SUSTAINABILITY OF THE COMMUNITY. WE USED THE PRODUCT (WHICH HIGHLIGHTS BY COUNTY AND ZIPCODE) IN CONJUNCTION WITH COMMUNITY HEALTH WORK GROUPS WHICH WERE ASSEMBLED IN THREE AREAS OF OUR PSA: SALEM, SILVERTON AND WOODBURN. WE ALSO WORK WITH LOCAL NOT-FOR-PROFIT COMMUNITY ORGANIZATIONS AND LOCAL SCHOOLS TO IDENTIFY ADDITIONAL SMALLER NEEDS. FINALLY, WE RECEIVE DIRECT REQUESTS (VIA EMAIL, CALL, LETTER) FROM STATE, LOCAL, AND NOT-FOR-PROFIT GROUPS/ORGANIZATIONS ASKING US TO ASSIST THEM IN MEETING OTHER HEALTH AND COMMUNITY BUILDING NEEDS. |
| PART VI, LINE 3: | PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - ALL PATIENTS INQUIRING ABOUT FINANCIAL ASSISTANCE AND/OR CHARITY CARE ARE REFERRED TO THE FINANCIAL COUNSELORS WHERE THE PATIENT IS THEN PROVIDED WITH DETAILED INFORMATION ON THE APPLICATION AND REQUIREMENTS NEEDED TO SUPPORT CHARITY CARE ELIGIBILITY AND DETERMINATION. POLICIES EXIST BOTH IN WRITTEN AND ONLINE FORMATS. THE POLICY IS CURRENTLY AVAILABLE IN ENGLISH AND SPANISH. |
| PART VI, LINE 4: | COMMUNITY INFORMATION - SILVERTON HEALTH DEFINES ITS PRIMARY SERVICE AREA BY THE FOLLOWING ZIPCODES: 97381, 97362, 97071, 97038, 97375, 97026, 97032, 97301, 97302, 97303, 97305, 97373 AND 97317. THIS INCLUDES THE CITIES OF SILVERTON, MT. ANGEL, WOODBURN, GERVAIS, HUBBARD, SCOTTS MILLS, ST. BENEDICT, MOLALLA, KEIZER AND PARTS OF SALEM. THESE CITIES MAKE UP THE TOP 85% OF OUR TOTAL BUSINESS. OUR COVERAGE IS PRIMARILY IN MARION COUNTY BUT ALSO CLACKAMAS COUNTY (FOR MOLALLA). RESIDENTS OF OUR COMMUNITY ARE PRIMARILY CAUCASIAN AND HISPANIC. THERE IS A LARGE MIGRANT WORKER POPULATION IN THIS AREA AND SOME OF OUR SERVICE AREA INCLUDES MEDICALLY UNDERSERVED AREAS AS WELL AS HEALTH PROFESSIONAL SHORTAGE AREAS. IN ADDITION, WE HAVE AN UNCHARACTERISTICALLY LARGE POPULATION OF SENIORS IN SOME PORTIONS OF OUR SERVICE AREA, SPECIFICALLY IN WOODBURN AND THE SURROUNDING AREAS. |
| 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 (10 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc |
|---|---|---|---|---|---|---|---|---|---|---|
| KEIZER AREA CHAMBER OF COMMERCE | ||||||||||
| 6075 ULALI DR NE SUITE 102 | KEIZER | OR | 97303 | 936030759 | 501(C)(6) | $12,000 | SPONSORSHIP OF COMMUNITY ACTIVITIES AND FESTIVALS | |||
| AMERICAN CANCER SOCIETY - RELAY FOR LIFE | ||||||||||
| PO BOX 22538 | OKLAHOMA CITY | OK | 73123 | 841316555 | 501(C)(3) | $9,121 | SPONSORSHIP OF A TEAM | |||
| SALEM HOSPITAL FOUNDATION | ||||||||||
| PO BOX 14001 | SALEM | OR | 97309 | 237002687 | 501(C)(3) | $9,000 | TO SUPPORT COMMUNITY NEEDS ASSESSMENT FOR OUR AREAS | |||
| SALUD MEDICAL CENTER (YAKIMA VALLEY FARM WORKS CLINIC) | ||||||||||
| 3896 BEVERLY AVE NE | SALEM | OR | 97305 | 911019392 | 501(C)(3) | $42,432 | COMMUNITY MEDICAL CARE | |||
| BOYS & GIRLS CLUB-WOODBURN EXTENSION | ||||||||||
| 1395 SUMMER ST NE | SALEM | OR | 97303 | 930581470 | 501(C)(3) | $5,500 | PROVIDE MEETING SPACE TO PLAN COMMUNITY ACTIVITIES | $1,075 | FMV | ROOM RENTALS |
| OREGON CHILD DEVELOPMENT COALITION | ||||||||||
| PO BOX 2780 | WILSONVILLE | OR | 97070 | 930591240 | 501(C)(3) | PROVIDE MEETING SPACE TO PLAN COMMUNITY ACTIVITIES | $5,675 | FMV | ROOM RENTALS | |
| ROTARY INTERNATIONAL | ||||||||||
| PO BOX 132 | SILVERTON | OR | 97381 | 936032688 | 501(C)(4) | PROVIDE MEETING SPACE TO PLAN COMMUNITY ACTIVITIES | $11,000 | FMV | ROOM RENTALS | |
| WOODBURN AREA CHAMBER OF COMMERCE | ||||||||||
| PO BOX 194 | WOODBURN | OR | 97071 | 936027273 | 501(C)(6) | PROVIDE MEETING SPACE TO PLAN COMMUNITY ACTIVITIES | $7,398 | FMV | ROOM RENTALS | |
| KIWANIS INTERNATIONAL | ||||||||||
| PO BOX 1046 | WOODBURN | OR | 97071 | 936037102 | 501(C)(4) | PROVIDE MEETING SPACE TO PLAN COMMUNITY ACTIVITIES | $15,000 | FMV | ROOM RENTALS | |
| ROTARY INTERNATIONAL | ||||||||||
| PO BOX 247 | WOODBURN | OR | 97071 | 936032666 | 501(C)(4) | PROVIDE MEETING SPACE TO PLAN COMMUNITY ACTIVITIES | $15,405 | FMV | ROOM RENTALS | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 5 | Total501c3OrgCnt |
| Total Other Org | 5 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE GRANTS AND ASSISTANCE PROVIDED TO LOCAL ORGANIZATIONS ARE CONSIDERED TO BE DONATION-TYPE CONTRIBUTIONS. SUCH CONTRIBUTIONS ARE GENERALLY MADE TO SECTION 501(C)(3) OR OTHER TAX-EXEMPT ORGANIZATIONS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | 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 | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RICHARD CAGEN | ||||||||||||||
| PRESIDENT | $296,985 | $0 | $0 | $0 | $178,584 | $0 | $4,400 | $0 | $15,508 | $0 | $495,477 | $0 | $0 | $0 |
| CHRISTINE DENNING | ||||||||||||||
| COO | $162,120 | $0 | $5,000 | $0 | $0 | $0 | $10,909 | $0 | $14,107 | $0 | $192,136 | $0 | $0 | $0 |
| LINDA DAMIANO | ||||||||||||||
| COO CLINICS | $135,876 | $0 | $20,989 | $0 | $1,663 | $0 | $9,717 | $0 | $20,059 | $0 | $188,304 | $0 | $0 | $0 |
| ROB JOHNSON | ||||||||||||||
| EXECUTIVE VP | $211,194 | $0 | $11,398 | $0 | $9,673 | $0 | $13,200 | $0 | $15,550 | $0 | $261,015 | $0 | $0 | $0 |
| TERRI MERRITT-WORDEN | ||||||||||||||
| VP HEALTH & WELLNESS | $141,368 | $0 | $0 | $0 | $18,721 | $0 | $8,643 | $0 | $24,147 | $0 | $192,879 | $0 | $0 | $0 |
| DAVID THORSETT | ||||||||||||||
| DOCTOR | $602,306 | $0 | $43,869 | $0 | $0 | $0 | $13,200 | $0 | $20,473 | $0 | $679,848 | $0 | $0 | $0 |
| BRIAN PUSKAS | ||||||||||||||
| DOCTOR | $411,544 | $0 | $156,743 | $0 | $0 | $0 | $3,929 | $0 | $19,822 | $0 | $592,038 | $0 | $0 | $0 |
| HARRIS WATERS | ||||||||||||||
| DOCTOR | $350,637 | $0 | $155,100 | $0 | $0 | $0 | $0 | $0 | $10,818 | $0 | $516,555 | $0 | $0 | $0 |
| RICHARD BLOCK | ||||||||||||||
| DOCTOR | $446,252 | $0 | $0 | $0 | $0 | $0 | $13,200 | $0 | $17,096 | $0 | $476,548 | $0 | $0 | $0 |
| MARC HOUSTON | ||||||||||||||
| ASST MEDICAL DIRECTOR | $408,673 | $0 | $0 | $0 | $0 | $0 | $9,843 | $0 | $20,473 | $0 | $438,989 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 4A | FormAndLineReferenceDesc |
| Explanation | TERRI MERRITT-WORDEN - A SEVERANCE AGREEMENT WAS ENTERED INTO FOR THE PERIOD OF NOVEMBER 2013 THROUGH SEPTEMBER 2014 AFTER EMPLOYEE WAS TERMINATED. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOSPITAL FACILITY AUTHORITY - SILVERTONOR | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 931074291 | BondIssuerEIN |
| Bond Issued | 2006-10-26 | BondIssuedDt |
| Issue Price | $10,097,600 | IssuePriceAmt |
| Purpose | CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $4,491,611 | RetiredAmt |
| Total Proceeds | $10,097,600 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $97,600 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $6,033,330 | CapitalExpendituresAmt |
| Other Spent Proceeds | $3,966,670 | OtherSpentProceedsAmt |
| Substantial Completion | 2008 | SubstantialCompletionYr |
| Current Refunding | Yes (1) | CurrentRefundingInd |
| Advance Refunding | 0 | AdvanceRefundingInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0.00000 | PrivateBusUseByOthersPct |
| Private Bus Concerning UBI | 0.00000 | PrivateBusConcerningUBIPct |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | 0 | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | Yes (1) | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | 0 | ProceduresCorrectiveActionInd |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| DAN JESSUP | |||
| HOSPITAL CFO/EMPLOYEE OF MANAGEMENT COMPANY PROVIDING SERVICES TO HOSPITAL | $274,692 | DAN JESSUP IS THE CFO OF THE HOSPITAL BY CONTRACT WITH A THIRD-PARTY MANAGEMENT COMPANY AND IS AN EMPLOYEE OF THAT MANAGEMENT COMPANY; THE MANAGEMENT COMPANY PROVIDES VARIOUS SERVICES TO THE HOSPITAL, WHICH INCLUDE THE CFO POSITION. THE TRANSACTION AMOUNT IS THE AMOUNT THE HOSPITAL PAID THE MANAGEMENT COMPANY FOR FINANCIAL SERVICES. | 0 |
| ROBERT ENGLE | |||
| HOSPITAL BOARD MEMBER/OWNER OF PARTNERSHIPS LEASING PROPERTY TO HOSPITAL | $2,440,158 | ROBERT ENGLE IS A GREATER THAN 5% OWNER OF 3 PARTNERSHIPS, WHICH EACH LEASE PROPERTY TO THE HOSPITAL. THE TRANSACTION AMOUNT IS TOTAL LEASE PAYMENTS PAID TO THE 3 PARTNERSHIPS DURING THE FISCAL YEAR. | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | THE HOSPITAL CONTRACTS WITH A THIRD-PARTY NONPROFIT CORPORATION TO PROVIDE VARIOUS MANAGEMENT SERVICES, INCLUDING FINANCIAL SERVICES (INCLUDING THE CFO POSITION), GROUP PURCHASING AND PATIENT ACCOUNTING SERVICES. |
| FORM 990, PART VI, SECTION B, LINE 11 | FORM 990 IS REVIEWED IN DETAIL BY THE CONTROLLER AND CFO AND APPROVED BY THE CEO. FORM 990 IS E-MAILED TO THE GOVERNING BOARD PRIOR TO FILING FOR REVIEW AND APPROVAL. IT IS THEN PRESENTED BY THE CFO TO THE FULL GOVERNING BOARD DURING AN EXECUTIVE SESSION OF THE REGULAR BOARD MEETING AT A LATER TIME. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CONFLICT OF INTEREST POLICY IS SENT OUT ANNUALLY FOR OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES TO REVIEW THE POLICY AND COMPLETE THE CONFLICT OF INTEREST STATEMENT. ANY CONFLICTS ARE DISCLOSED TO THE BOARD AND THE BOARD VOTES ON WHETHER OR NOT A CONFLICT EXISTS. IF A CONFLICT DOES EXIST, A DIFFERENT ALTERNATIVE WILL BE LOOKED AT WITH POSSIBLY AN EXTERNAL PARTY TO AVOID A CONFLICT. IF NONE EXISTS, THE BOARD SHALL DETERMINE BY MAJORITY VOTE WHETHER THE TRANSACTION IS IN THE ORGANIZATION'S BEST INTEREST AND FAIR AND REASONABLE AND WILL MAKE A DETERMINATION AS TO WHETHER TO ENTER INTO THE TRANSACTION. |
| FORM 990, PART VI, SECTION B, LINE 15 | LEGAL COUNSEL DEVELOPED A PROCESS TO DETERMINE COMPENSATION OF THE CEO, WHICH INCLUDES COMPARABILITY DATA AND DEVELOPMENT OF A COMPENSATION GRID. COMPARABILITY DATA WAS USED FROM NORTHWEST EXECUTIVE COMPENSATION SURVEY AND A STANDARD PROCESS WAS FOLLOWED IN DETERMINING COMPENSATION FOR KEY EMPLOYEES, WHEREIN JOBS ARE EVALUATED BY THE HUMAN RESOURCES DEPARTMENT USING SURVEY DATA AND INTERNAL EQUITY TO DETERMINE THE SLOTTING OF JOBS INTO ESTABLISHED PAY GRADES. WHEN EVALUATING A PAY GRADE THE 50TH PERCENTILE ON A SALARY SURVEY IS USED AS A STARTING PLACE FOR MIDPOINT TO DETERMINE IF THE RANGE IS APPROPRIATE. WITHIN A PAY GRADE WE THEN USE ESTABLISHED PAY GUIDELINES TO HELP US DETERMINE AT WHICH POINT IN THE PAY GRADE WE PLACE AN EMPLOYEE. THE GUIDELINES PROVIDE RECOMMENDED PERCENTAGE POINTS ABOVE MINIMUM - BASED ON EDUCATION, TRAINING, CERTIFICATION AND SKILL SETS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | BOOK/TAX DIFFERENCE FROM PASSTHROUGH INVESTMENT INCOME -1,329,589. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SILVERTON HEALTH FOUNDATION | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 342 FAIRVIEW STREET | AddressLine1 |
| City | SILVERTON | City |
| State | OR | State |
| ZIP Code | 97381 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 930913392 | EIN |
| Primary Activities | TO PROVIDE SUPPORT FOR SILVERTON HEALTH'S CHARITABLE ACTIVITIES | PrimaryActivitiesTxt |
| Legal Domicile State | OR | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | 170(B)(1) (A)(VI) | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SILVERTON HEALTH | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | 0 | ControlledOrganizationInd |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MID-VALLEY MEDICAL MANAGEMENT COMPANY LLC | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 342 FAIRVIEW STREET | AddressLine1 |
| City | SILVERTON | City |
| State | OR | State |
| ZIP Code | 97381 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 800612509 | EIN |
| Primary Activities | MANAGEMENT OF CATH LAB AT SILVERTON HEALTH | PrimaryActivitiesTxt |
| Legal Domicile State | OR | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SILVERTON HEALTH | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeTypeTxt |
| Share Of Total Income | $439,955 | ShareOfTotalIncomeAmt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | 0 | GeneralOrManagingPartnerInd |
| Ownership | 0.51000 | OwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | 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 | 0 | 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 | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MID-VALLEY MEDICAL MANAGEMENT COMPANY LLC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | S | TransactionTypeTxt |
| Involved | $467,012 | InvolvedAmt |
| Method Of Amount Determination | CASH TRANSFERRED | MethodOfAmountDeterminationTxt |