SALEM HEALTH: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: SALEM HEALTH (EIN 93-0579722)
Tax period: 2012-10-01 to 2013-09-30
Filed: 2014-08-12
IRS object ID: 201422249349301257
Schema version: 2012v2.1
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 L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-08-12T10:04:58-05:00	Timestamp
Tax Period End Date	2013-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	930623286	EIN

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	680 HAWTHORNE AVE SE 140	AddressLine1
City	SALEM	City
State	OR	State
ZIP Code	97301	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-10-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	930579722	EIN

Name Name

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

Field	Value	IRS element (for citing)
Name Control	SALE	NameControl
Phone	5035615535	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	890 OAK STREET	AddressLine1
City	SALEM	City
State	OR	State
ZIP Code	97301	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	AARON R CRANE	Name
Title	CHIEF FINANCE & STRATEGY OFFICER	Title
Phone	5035615150	Phone
Date Signed	2014-08-07	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	JOYLYN M ANKENEY CPA	Name
PTIN	P00366587	PTIN
Phone	5035857774	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	AARON R CRANE	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	890 OAK STREET	AddressLine1
City	SALEM	City
State	OR	State
ZIP Code	97301	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	604079263	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.SALEMHOSPITAL.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1970	YearFormation
State Legal Domicile	OR	StateLegalDomicile
Activity Or Mission Description	TO IMPROVE THE HEALTH AND WELL BEING OF THE PEOPLE IN THE COMMUNITIES WE SERVE	ActivityOrMissionDescription
Nbr Voting Members Governing Body	14	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	12	NbrIndependentVotingMembers
Total Nbr Employees	4096	TotalNbrEmployees
Total Nbr Volunteers	394	TotalNbrVolunteers
Total Gross UBI	3787954	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	1116703	ContributionsGrantsPriorYear
Contributions Grants Current Year	1300559	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	553452193	ProgramServiceRevenuePriorYear
Program Service Revenue CY	588301112	ProgramServiceRevenueCY
Investment Income Prior Year	2961948	InvestmentIncomePriorYear
Investment Income Current Year	10056283	InvestmentIncomeCurrentYear
Other Revenue Prior Year	2829167	OtherRevenuePriorYear
Other Revenue Current Year	3304977	OtherRevenueCurrentYear
Total Revenue Prior Year	560360011	TotalRevenuePriorYear
Total Revenue Current Year	602962931	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	323884	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	483755	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	279517326	SalariesEtcPriorYear
Salaries Etc Current Year	286518729	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	269658835	OtherExpensePriorYear
Other Expenses Current Year	280707541	OtherExpensesCurrentYear
Total Expenses Prior Year	549500045	TotalExpensesPriorYear
Total Expenses Current Year	567710025	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	10859966	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	35252906	RevenuesLessExpensesCY
Total Assets BOY	896084291	TotalAssetsBOY
Total Assets EOY	967313763	TotalAssetsEOY
Total Liabilities BOY	391589952	TotalLiabilitiesBOY
Total Liabilities EOY	401360778	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	504494339	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	565952985	NetAssetsOrFundBalancesEOY
Mission Description	TO IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE AND COMMUNITIES WE SERVE	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	122984354	Expense
Revenue	304897918	Revenue
Description	SALEM HOSPITAL IS ONE OF THE LARGEST OF OREGON'S 59 ACUTE CARE HOSPITALS AND OPERATES THE BUSIEST EMERGENCY DEPARTMENT IN OREGON. THERE ARE 649 PRACTITIONERS, REPRESENTING 46 DIFFERENT SPECIALTIES. MORE THAN 394 VOLUNTEERS PROVIDE NON-MEDICAL SUPPORT FOR THE HOSPITAL. 2013 STATISTICS: BIRTHS - 3,005, DIAGNOSTIC IMAGING PROCEDURES - 156,909, ED VISITS - 93,099, INPATIENT ADMISSIONS - 21,540, LABORATORY PROCEDURES - 1,186,975, SURGERIES - 13,109. THE PRIMARY SERVICE AREA IS THE GREATER WILLAMETTE VALLEY WITH APPROXIMATELY 500,000 RESIDENTS.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	350466465	Expense
Revenue	271796104	Revenue
Description	SALEM HOSPITAL PROVIDES HEALTHCARE TO PEOPLE IN OUR COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY. IN FY2013, THE COST OF SERVICES PROVIDED AS A COMMUNITY BENEFIT TOTALED $78.7 MILLION. THIS FIGURE CONSISTED OF $24.8 MILLION IN COSTS TO PROVIDE CHARITY CARE TO INDIVIDUALS WHO CANNOT AFFORD TO PAY; $18.2 MILLION IN UNDERPAYMENT BY MEDICAID AS THE AMOUNT PAID WAS LESS THAN THE COST TO PROVIDE THE SERVICES; AND $35.7 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.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	23313912	Expense
Grants	536752	Grants
Revenue	11579520	Revenue
Description	SALEM HOSPITAL ACTIVELY PARTICIPATES IN COMMUNITY HEALTH IMPROVEMENT SERVICES. IN FY 2013, SALEM HOSPITAL GAVE $11.7 MILLION FOR UNFUNDED OR UNDERFUNDED HEALTH SERVICES, INCLUDING IMPROVING ACCESS TO CARE THROUGH PHYSICIAN RECRUITING, COMMUNITY HEALTH EDUCATION AND PREVENTION PROGRAMS. THE HOSPITAL HAS AN ACTIVE SPEAKERS BUREAU PROVIDING FREE HEALTH LECTURES TO COMMUNITY GROUPS. HEALTH SCREENINGS, SUPPORT GROUPS AND EDUCATION CLASSES ARE OFFERED ON AN ON-GOING BASIS. IN FY 2013, SALEM HOSPITAL PROVIDED MORE THAN $537 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.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	496764731	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	0	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	1	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	1	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	339	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	4096	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	14	NbrVotingGoverningBodyMembers
Number Independent Voting Members	12	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	1	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	OR	StatesWhereCopyOfReturnIsFiled
Other Website	X	OtherWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

Field	Value	IRS element (for citing)
Telephone Number	5035611200	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	890 OAK STREET SE	AddressLine1
City	SALEM	City
State	OR	State
ZIP Code	97301	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (32 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
KATHERINE L KEENE
TRUSTEE	11.30	X	0	0	0
GEORGE HAPP
TRUSTEE	3.80	X	0	0	0
BRUCE CARTER MD
TRUSTEE	5.50	X	0	0	0
KENNETH SHERMAN JR
CHAIRPERSON	15.00	X	0	0	0	X
DAVID ELMGREN MD
TRUSTEE	5.50	X	0	0	0
CHUCK HUDKINS
TRUSTEE	4.00	X	0	0	0
BONNIE DRIGGERS RN
TRUSTEE	6.30	X	0	0	0
THERESA HASKINS
TRUSTEE	5.50	X	0	0	0
ALAN WYNN
SECRETARY/TREASURER	3.60	X	0	0	0	X
ALAN COSTIC
VICE-CHAIRPERSON	12.50	X	0	0	0	X
LANE SHETTERLY
TRUSTEE	6.30	X	0	0	0
ROBERT WELLS
TRUSTEE	4.00	X	0	0	0
J BART MCMULLAN MD
TRUSTEE	4.00	X	0	0	0
ROBERT WACHTER MD
TRUSTEE	2.00	X	0	0	0
NORMAN GRUBER
PRESIDENT	40.00		908997	0	257423	X
AARON CRANE
CHIEF FINANCIAL AND STRATE	40.00		462636	0	75121	X
ROBERT BRANNIGAN
CHIEF ADMIN OFFICER WVH	40.00		289855	0	55216		X
LAURIE BARR
VP HUMAN RESOURCES	40.00		226665	0	53986		X
MARTHA ENRIQUEZ
CHIEF NURSING OFFICER	40.00		312821	0	67247		X
BRIAN DAWSON
VP SURGICAL SERVICES	40.00		207319	0	25161		X
MARTIN MORRIS
CHIEF DEVELOPMENT OFFICER/	40.00		264531	0	57077		X
CHERYL NESTER WOLFE
CHIEF OPERATING OFFICER	40.00		453738	0	75298		X
CORT GARRISON
CHIEF INFORMATION OFFICER	40.00		361877	0	71362		X
ANNE KOLLER
CHIEF MARKETING OFFICER	40.00		239711	0	68721		X
WILLIAM HOLLOWAY MD
CHIEF MEDICAL OFFICER	40.00		538518	0	86488		X
LEAH MITCHELL
VP KAIZEN QUALITY & SAFETY	40.00		165310	0	31980		X
AMR HEGAZI MD
ANESTHESIOLOGIST	40.00		501468	0	68320			X
AHMED EBEID MD
PHYSICIAN	40.00		594561	0	84298			X
ALVIE RICHARDSON MD
PHYSICIAN	40.00		461050	0	46849			X
NICOLE VANDERHEYDEN MD
TRAUMA SURGEON	40.00		480400	0	77328			X
THYE SCHUYLER MD
PHYSICIAN	40.00		393181	0	41137			X
BEVERLY BOW
FORMER VP KAIZEN	40.00		423562	0	38139				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	7286200	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1281151	TotalOtherCompensation
Number Individuals GT100 K	175	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
PHOENIX HEALTH SYSTEMS INC
1130 EAST ARAPAHO ROAD SUITE 500	RICHARDSON	TX	75081	IT SUPPORT SERVICES	3171555
EPIC SYSTEMS CORP
PO BOX 88314	MILWAUKIE	WI	53288	CONSULTING SERVICES	2107376
OWENS AND MINOR INC
PO BOX 53523	LOS ANGELES	CA	90074	CONSULTING SERVICES	2063537
OREGON ANESTHESIOLOGY GROUP
120 NW 14TH STREET SUITE 300	PORTLAND	OR	97209	ANESTHESIA COVERAGE	1641095
PEACEHEALTH LABORATORIES
PO BOX 77003	SPRINGFIELD	OR	97475	LABORATORY SERVICES	1378993

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	85	NumberOfContractorsGT100K
Related Organizations	1037536	RelatedOrganizations
All Other Contributions	263023	AllOtherContributions
Total Contributions	1300559	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
PATIENT PAYMENTS	621110	571308788	571308788
PHARMACY	446110	6801865	4662350	2139515
OTHER HOSPITAL SERVICES	900099	4625169	4485406	139763
NUTRITION SERVICES	722210	3958528	3958528
REGIONAL LAB	621500	1606762	128444	1478318

Field	Value	IRS element (for citing)
Total Program Service Revenue	588301112	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	10002837	TotalRevenueColumn
Exclusion	$10,002,837	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	714371	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	1116332	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	-401961	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-401961	TotalRevenueColumn
Exclusion	-$401,961	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	53446	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	0	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	53446	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	53446	TotalRevenueColumn
Related Or Exempt Function Income	53446	RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	PASSTHROUGH INCOME	Description
Business Code	541900	BusinessCode
Total Revenue Column	3706938	TotalRevenueColumn
Related Or Exempt Function Income	3676580	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	30358	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Other Revenue	3706938	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	602962931	TotalRevenueColumn
Related Or Exempt Function Income	588273542	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	3787954	UnrelatedBusinessRevenue
Exclusion	$9,600,876	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	428525	Total
Program Services	428525	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	55230	Total
Program Services	55230	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	5135926	Total
Management And General	5135926	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	219319272	Total
Program Services	205804702	ProgramServices
Management And General	13514570	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	46203503	Total
Program Services	43039108	ProgramServices
Management And General	3164395	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	15860028	Total
Program Services	14581721	ProgramServices
Management And General	1278307	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	831516	Total
Program Services	818416	ProgramServices
Management And General	13100	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1441478	Total
Program Services	96719	ProgramServices
Management And General	1344759	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	350815	Total
Program Services	320311	ProgramServices
Management And General	30504	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	94400	Total
Management And General	94400	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	25942587	Total
Program Services	22891134	ProgramServices
Management And General	3051453	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	628498	Total
Program Services	646	ProgramServices
Management And General	627852	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	31250460	Total
Program Services	3734922	ProgramServices
Management And General	27515538	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	7578580	Total
Program Services	985348	ProgramServices
Management And General	6593232	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	12324315	Total
Program Services	10887549	ProgramServices
Management And General	1436766	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	834970	Total
Program Services	531209	ProgramServices
Management And General	303761	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	1098929	Total
Program Services	919030	ProgramServices
Management And General	179899	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	12189097	Total
Program Services	12189084	ProgramServices
Management And General	13	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	36876589	Total
Program Services	36876589	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	3655397	Total
Program Services	3655397	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
PATIENT SUPPLIES	88613135	88229781	383354
BAD DEBTS	39488592	39488592
OTHER PURCHASED SERVICE	12466515	10024367	2442148
RECRUITING	2354335	149156	2205179

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	2687333	Total
Program Services	1057195	ProgramServices
Management And General	1630138	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	567710025	Total
Program Services	496764731	ProgramServices
Management And General	70945294	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	23910	BOY
EOY	23635	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	7541116	BOY
EOY	2630491	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	72197459	BOY
EOY	72121978	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
EOY	39096	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	7630081	BOY
EOY	9306109	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	5533209	BOY
EOY	5957831	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	4996555	BOY
EOY	7265839	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	845797137	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	410550264	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	443930557	BOY
EOY	435246873	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	326896527	BOY
EOY	406375733	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	8257299	BOY
EOY	11543586	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	19077578	BOY
EOY	16802592	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	896084291	BOY
EOY	967313763	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	53608816	BOY
EOY	61534048	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	298296387	BOY
EOY	309879539	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	1561957	BOY
EOY	1053233	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	38122792	BOY
EOY	28893958	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	391589952	BOY
EOY	401360778	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	502373665	BOY
EOY	563879657	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	2120674	BOY
EOY	2073328	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	504494339	BOY
EOY	565952985	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	896084291	BOY
EOY	967313763	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	35252906	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	17609805	ReconciliationUnrealizedInvest
Reconcilation Other Changes	8595936	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Total Direct Lobbying TotalDirectLobbying

Field	Value	IRS element (for citing)
Filing Organizations Totals	126332	FilingOrganizationsTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	126332	FilingOrganizationsTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	567615626	FilingOrganizationsTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	567741958	FilingOrganizationsTotals

Lobbying Nontaxable LobbyingNontaxableAmount

Field	Value	IRS element (for citing)
Filing Organizations Totals	1000000	FilingOrganizationsTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

Field	Value	IRS element (for citing)
Filing Organizations Totals	250000	FilingOrganizationsTotals

Tot Lobbying Grassroot Minus Non Tx TotLobbyingGrassrootMinusNonTx

Field	Value	IRS element (for citing)
Filing Organizations Totals	0	FilingOrganizationsTotals

Tot Lobby Expend Mns Lobbying Nontx TotLobbyExpendMnsLobbyingNontx

Field	Value	IRS element (for citing)
Filing Organizations Totals	0	FilingOrganizationsTotals

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

Field	Value	IRS element (for citing)
Current Year	1000000	CurrentYear
Total	1000000	Total

Field	Value	IRS element (for citing)
Lobbying Ceiling	$1,500,000	LobbyingCeilingAmount

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

Field	Value	IRS element (for citing)
Current Year	126332	CurrentYear
Total	126332	Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

Field	Value	IRS element (for citing)
Current Year	250000	CurrentYear
Total	250000	Total

Field	Value	IRS element (for citing)
Grassroots Ceiling	$375,000	GrassrootsCeilingAmount

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	EXPLANATION OF LOBBYING ACTIVITIES:	Identifier
Return Reference	PART II-B, LINE 1:	ReturnReference
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.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	2120674	BeginningOfYearBalance
Contributions	160956	Contributions
Investment Earnings Or Losses	379362	InvestmentEarningsOrLosses
Other Expenditures	587664	OtherExpenditures
End Of Year Balance	2073328	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1785208	BeginningOfYearBalance
Contributions	332125	Contributions
Investment Earnings Or Losses	494527	InvestmentEarningsOrLosses
Other Expenditures	491186	OtherExpenditures
End Of Year Balance	2120674	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1903809	BeginningOfYearBalance
Investment Earnings Or Losses	-118601	InvestmentEarningsOrLosses
End Of Year Balance	1785208	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	2363674	BeginningOfYearBalance
Contributions	527436	Contributions
Investment Earnings Or Losses	246579	InvestmentEarningsOrLosses
Other Expenditures	1233880	OtherExpenditures
End Of Year Balance	1903809	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	3255208	BeginningOfYearBalance
Contributions	987591	Contributions
Investment Earnings Or Losses	57741	InvestmentEarningsOrLosses
Other Expenditures	1936866	OtherExpenditures
End Of Year Balance	2363674	EndOfYearBalance

Field	Value	IRS element (for citing)
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	1	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	1	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	9810499	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	23124460	OtherCostOrOtherBasis
Book Value	32934959	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	5789274	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	499521650	OtherCostOrOtherBasis
Depreciation	177184206	Depreciation
Book Value	328126718	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	988861	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	292942887	OtherCostOrOtherBasis
Depreciation	233366058	Depreciation
Book Value	60565690	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	13619506	OtherCostOrOtherBasis
Book Value	13619506	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	435246873	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescription	AmountAmount
FAIR VALUE INTEREST RATE SWAP AGREEMENT	$11,805,602
ACCRUED POST RETIREMENT HEALTHCARE BENEFITS	$6,789,980
ACCRUED MALPRACTICE INSURANCE	$4,253,502
ESTIMATED LIABILITY TO MEDICARE	$5,851,510
DUE TO SALEM HEALTH	$140,693
OTHER LONG-TERM LIABILITIES	$40,999
DUE TO SALEM HOSPITAL FOUNDATION	$11,672

Field	Value	IRS element (for citing)
Total Of Amounts	28893958	TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt	642394162	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	26834574	NetUnrealizedGainsInvestments
Other Revenues	12596657	OtherRevenues
Revenue Not Rptd F990	39431231	RevenueNotRptdF990
Revenue Subtotal	602962931	RevenueSubtotal
Revenue Not Rptd On Fin Stmt	0	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	602962931	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	580935516	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	13225490	OtherExpensesIncluded
Expenses Not Rptd F990	13225490	ExpensesNotRptdF990
Expenses Subtotal	567710026	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	567710026	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:	PART V, LINE 4:	ENDOWMENT FUNDS ARE HELD BY SALEM HOSPITAL FOUNDATION FOR SALEM HOSPITAL SUPPORT.
PART XI, LINE 2D - OTHER ADJUSTMENTS:		REVENUE NETTED WITH EXPENSES 3,307,434. CHANGE IN POSTRETIREMENT BENEFIT OBLIGATION 1,380,316. CUMULATIVE EFFECT OF ADOPTION OF FAIR VALUE OPTION 7,262,965. EXPENSE NETTED WITH REVENUE 645,942.
PART XII, LINE 2D - OTHER ADJUSTMENTS:		NET UNREALIZED LOSS ON INVESTMENTS 9,224,768. REVENUE NETTED WITH EXPENSES 3,307,434. CHANGE IN BENEFICIAL INTEREST IN FOUNDATION 47,346. EXPENSE NETTED WITH REVENUE 645,942.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Persons Served	68096	PersonsServed
Total Community Benefit Expense	24775074	TotalCommunityBenefitExpense
Net Community Benefit Expense	24775074	NetCommunityBenefitExpense
Percent Of Total Expense	0.04690	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Persons Served	71741	PersonsServed
Total Community Benefit Expense	90297827	TotalCommunityBenefitExpense
Direct Offsetting Revenue	72112888	DirectOffsettingRevenue
Net Community Benefit Expense	18184939	NetCommunityBenefitExpense
Percent Of Total Expense	0.03440	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Persons Served	139837	PersonsServed
Total Community Benefit Expense	115072901	TotalCommunityBenefitExpense
Direct Offsetting Revenue	72112888	DirectOffsettingRevenue
Net Community Benefit Expense	42960013	NetCommunityBenefitExpense
Percent Of Total Expense	0.08130	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	3529195	TotalCommunityBenefitExpense
Direct Offsetting Revenue	63023	DirectOffsettingRevenue
Net Community Benefit Expense	3466172	NetCommunityBenefitExpense
Percent Of Total Expense	0.00660	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1779525	TotalCommunityBenefitExpense
Net Community Benefit Expense	1779525	NetCommunityBenefitExpense
Percent Of Total Expense	0.00340	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	16491434	TotalCommunityBenefitExpense
Direct Offsetting Revenue	11516497	DirectOffsettingRevenue
Net Community Benefit Expense	4974937	NetCommunityBenefitExpense
Percent Of Total Expense	0.00940	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	977006	TotalCommunityBenefitExpense
Net Community Benefit Expense	977006	NetCommunityBenefitExpense
Percent Of Total Expense	0.00180	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	536752	TotalCommunityBenefitExpense
Net Community Benefit Expense	536752	NetCommunityBenefitExpense
Percent Of Total Expense	0.00100	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	23313912	TotalCommunityBenefitExpense
Direct Offsetting Revenue	11579520	DirectOffsettingRevenue
Net Community Benefit Expense	11734392	NetCommunityBenefitExpense
Percent Of Total Expense	0.02220	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Persons Served	139837	PersonsServed
Total Community Benefit Expense	138386813	TotalCommunityBenefitExpense
Direct Offsetting Revenue	83692408	DirectOffsettingRevenue
Net Community Benefit Expense	54694405	NetCommunityBenefitExpense
Percent Of Total Expense	0.10350	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	726	TotalCommunityBuildingExpense
Net Community Building Expense	726	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	39985	TotalCommunityBuildingExpense
Net Community Building Expense	39985	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	846035	TotalCommunityBuildingExpense
Net Community Building Expense	846035	NetCommunityBuildingExpense
Percent Of Total Expense	0.00160	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	886746	TotalCommunityBuildingExpense
Net Community Building Expense	886746	NetCommunityBuildingExpense
Percent Of Total Expense	0.00170	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$17,386,005	BadDebtExpenseAmount
Amount Attributable To	9877710	AmountAttributableTo
Amount Reimbursed By Medicare	83120482	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	97011453	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-13890971	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

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

Address Address

Field	Value	IRS element (for citing)
Address Line1	890 OAK STREET SE	AddressLine1
City	SALEM	City
State	OR	State
ZIP Code	97301	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	1	CHNAConducted
Community Definition	X	CommunityDefinition
Community Demographics	X	CommunityDemographics
Existing Resources	X	ExistingResources
How Data Obtained	X	HowDataObtained
Community Health Needs	X	CommunityHealthNeeds
Other Health Issues	X	OtherHealthIssues
Identifying Process	X	IdentifyingProcess
Consulting Process	X	ConsultingProcess
Information Gaps	X	InformationGaps
Needs Assessment Conducted	12	NeedsAssessmentConducted
Take Into Account	1	TakeIntoAccount
Other Facilities	1	OtherFacilities
CHNA Widely Available	1	CHNAWidelyAvailable
Own Website	X	OwnWebsite
On Request	X	OnRequest
Adopt Implement Strategy	X	AdoptImplementStrategy
Execute Implement Strategy	X	ExecuteImplementStrategy
Develop Community Plan	X	DevelopCommunityPlan
Participate Community Plan	X	ParticipateCommunityPlan
Include Operational Plans	X	IncludeOperationalPlans
Adopt Budget	X	AdoptBudget
Prioritize Health Needs	X	PrioritizeHealthNeeds
Prioritize Services	X	PrioritizeServices
Other Needs Addressed	X	OtherNeedsAddressed
All Needs Addressed	0	AllNeedsAddressed
Organization Incur Excise Tax	0	OrganizationIncurExciseTax
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	200.000000000000	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	400.000000000000	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
Uninsured Discount	X	UninsuredDiscount
Medicaid Medicare	X	MedicaidMedicare
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Attached To Invoices	X	AttachedToInvoices
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Provided On Admission	X	ProvidedOnAdmission
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	1	ActionsOnNonpayment
Collection Activities	0	CollectionActivities
Notify Upon Admission	X	NotifyUponAdmission
Notify Before Discharge	X	NotifyBeforeDischarge
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	0	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	8	NumberOfOtherFacilities

Other Facilities OtherFacilities (8 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
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

Form990 Schedule H Part VI Form990ScheduleHPartVI (18 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
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, L7 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 $39,488,592.
PART II: IN 2012, 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 DISCLOSED IN LINE 2 IS CALCULATED BY APPLYING THE RATIO OF COST TO CHARGES AS DETERMINED IN WORKSHEET 2 TO THE FULL BILLED CHARGES WRITTEN OFF AGAINST NET PATIENT SERVICES REVENUE ON THE AUDITED FINANCIAL STATEMENT.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 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 $116,562,734 LESS MEDICARE ADVANTAGE COSTS OF $138,382,111 FOR A TOTAL ADDITIONAL COMMUNITY BENEFIT IN THE AMOUNT OF $21,819,377.
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 V, SECTION B, LINE 3: IN BOTH MARION AND POLK COUNTIES, PUBLIC HEALTH DIRECTORS AND MANAGERS WORKED WITH THE SALEM HOSPITAL COMMUNITY BENEFIT DIRECTOR TO GATHER COMMUNITY PARTNERS FOR REVIEW OF HEALTH INDICATORS AND TO PRIORITIZE NEEDS. ALTHOUGH INDIVIDUALS VARIED, GROUPS REPRESENTED INCLUDED THE UNITED WAY OF THE MID-WILMETTE VALLEY, FAITH-BASED ORGANIZATIONS, RED CROSS OF THE MID-WILLAMETTE VALLEY, OSU EXTENSION, WESTERN OREGON UNIVERSITY, MARION-POLK MEDICAL SOCIETY, MARION AND POLK COUNTY MENTAL HEALTH, SCHOOL DISTRICTS WITHIN MARION AND POLK COUNTY, MARION-POLK COUNTY FAMILY YMCA, THE I LOVE ME DIABETES TASK FORCE, SILVERTON HOSPITAL, AND SANTIAM HOSPITAL.IN ADDITION, AS THE HOSPITAL BOARD OF TRUSTEES REVIEWED THE RICH SOURCES OF SECONDARY DATA, THE COLLABORATIVE HEALTH REPORT AND WORK OF THE CHIP, IT BECAME APPARENT THAT LIMITED PRIMARY DATA WAS AVAILABLE. LIKEWISE, THERE WAS LITTLE UNDERSTANDING OF PERCEIVED NEED FROM HEALTH SYSTEM PROVIDERS. IN 2012, THE BOARD ORGANIZED A SERIES OF FIVE FOCUS GROUPS TO HELP FURTHER UNDERSTAND THE NEEDS OF THE COMMUNITY. THE FOCUS GROUP PARTICIPANTS INCLUDED EMERGENCY DEPARTMENT AND URGENT CARE PROVIDERS, SAFETY NET PROVIDERS, PRIMARY CARE PROVIDERS, MENTAL AND BEHAVIORAL HEALTH PROVIDERS AND SENIOR SERVICES AGENCY REPRESENTATIVES. THE GOAL WAS TO GAIN FIRST-HAND KNOWLEDGE OF THE CHALLENGES WITHIN THE CURRENT HEALTH SYSTEM IN PROVIDING SERVICES FOR VULNERABLE POPULATIONS.	SALEM HOSPITAL
PART V, SECTION B, LINE 4: THE CHNA WAS DONE IN COLLABORATION WITH WEST VALLEY HOSPITAL	SALEM HOSPITAL
PART V, SECTION B, LINE 6I: SALEM HOSPITAL COMMUNITY BENEFIT ACTIVITY TO ADDRESS AREAS OF NEED IN MARION COUNTYHEALTH NEED: ACCESS TO MEDICAL AND MENTAL HEALTH SERVICES COMMUNITY BENEFIT ACTIVITIES TO ADDRESS THIS NEED:-DEVELOPMENT AND PARTICIPATION IN THE WILLAMETTE VALLEY COORDINATED CARE ORGANIZATION (CCO)-RECRUITMENT OF PRIMARY CARE PROVIDERS TO SERVE MARION AND POLK COUNTIES-SPONSORSHIP OF THE SALEM FREE CLINIC AND DALLAS FREE MEDICAL CLINIC-SUPPORT OF PROGRAMS THAT PROVIDE TRANSPORTATION TO MEDICAL SERVICES-DEVELOPMENT OF THE HEALTHCARE WORKFORCEHEALTH NEED: CHRONIC DISEASE PREVENTION AND SELF MANAGEMENT COMMUNITY BENEFIT ACTIVITIES TO ADDRESS THIS NEED:-IMPLEMENT COUNTY-WIDE COMMUNITY HEALTH IMPROVEMENT PLANS WITH PRIMARY FOCUS OF OBESITY PREVENTION-IMPROVE ACCESS TO PRIMARY CARE MEDICAL HOMES FOR RESIDENTS OF POLK COUNTY-FUND SAFETY NET SERVICES IN POLK COUNTY-OFFER CHRONIC DIABETES PREVENTION AND SELF MANAGEMENT PROGRAMS TO UNDERSERVED COMMUNITIES AND INDIVIDUALS-PROVIDE IN-KIND SUPPORT AND MEETING ROOMS FOR COMMUNITY SUPPORT GROUPSHEALTH NEED: ASTHMACOMMUNITY BENEFIT ACTIVITIES TO ADDRESS THIS NEED:THIS NEED IS DIRECTLY LINKED TO ACCESS TO HEALTH SERVICES. ACCESS TO CARE WILL IMPROVE MANAGEMENT OF THIS CONDITION THROUGH MEDICATION PREVENTION STRATEGIES AND BETTER PATIENT EDUCATION TO AVOID CONTACT WITH PREVENTABLE TRIGGERS.HEALTH NEED: CANCER MORTALITYCOMMUNITY BENEFIT ACTIVITIES TO ADDRESS THIS NEED:SALEM HOSPITAL PARTNERS WITH SALEM GASTROENTEROLOGY OF SALEM EACH YEAR IN A MONTH-LONG COLON CANCER AWARENESS CAMPAIGN TO ENCOURAGE MORE PEOPLE TO RECEIVE COLON CANCER SCREENING.-EDUCATION/AWARENESS TO PROMOTE COLON CANCER SCREENING, INCREASING FIBER IN YOUR DIET, AND EARLY DETECTION.-GO DOWNTOWNS FIRST WEDNESDAY IN MARCH-VOLCANOES CANCER AWARENESS WEEKEND-UNION GOSPEL MISSION-HOMELESS CONNECT FAIR-NATIONAL DRESS IN BLUE DAY IS THE FIRST FRIDAY IN MARCH.-SCREENING: 500 STOOL TESTING KITS DISTRIBUTED THROUGHOUT THE COMMUNITY AT VARIOUS LOCATIONS INCLUDING:WEST SALEM CLINICTHE PHYSICIANS BUILDINGSALEM HOSPITAL PHARMACYWILLAMETTE HEALTH PARTNERSSALEM FREE MEDICAL CLINICSALEM CLINICHEALTH NEED: EARLY PRENATAL CARE COMMUNITY BENEFIT ACTIVITIES TO ADDRESS THIS NEED:THIS NEED IS DIRECTLY LINKED TO ACCESS TO HEALTH SERVICES AND INCLUDES:-DEVELOPMENT AND PARTICIPATION IN THE WILLAMETTE VALLEY COORDINATED CARE ORGANIZATION-RECRUITMENT OF PRIMARY CARE PROVIDERS TO SERVE MARION COUNTY-SPONSORSHIP OF SALEM FREE CLINIC -SUPPORT PROGRAMS THAT PROVIDE TRANSPORTATION TO MEDICAL SERVICESHEALTH NEED: PNEUMONIA VACCINATION RATE AGE 65+COMMUNITY BENEFIT ACTIVITIES TO ADDRESS THIS NEED:THIS HEALTH NEED IS ALSO LINKED TO ACCESS TO HEALTH SERVICES. IN ADDITION AT SALEM HOSPITAL, ALL PATIENTS OVER THE AGE OF 6 ARE ASSESSED FOR THE NEED FOR PNEUMOCOCCAL POLYSACCHARIDE (AKA PNEUMOVAX 23). . IF NEED IS INDICATED, IMMUNIZATIONS ARE PROVIDED. SALEM HEALTH, PRIMARY CARE CLINICS OFFER PNEUMONIA VACCINE TO PATIENTS AND THE HOSPITALS OUTREACH DEPARTMENT PARTNERS WITH COUNTY, HEALTH DEPARTMENT CLINICS TO REFER PATIENTS. PNEUMOCOCCAL VACCINE IS OFFERED YEAR ROUND TO SENIORS.HEALTH NEED: SOCIAL DETERMINATES OF HEALTHTHE SOCIAL DETERMINANTS OF HEALTH TOPIC AREA WITHIN HEALTHY PEOPLE 2020 IS DESIGNED TO IDENTIFY WAYS TO CREATE SOCIAL AND PHYSICAL ENVIRONMENTS THAT PROMOTE GOOD HEALTH FOR ALL. ALL AMERICANS DESERVE AN EQUAL OPPORTUNITY TO MAKE CHOICES THAT LEAD TO GOOD HEALTH. BUT TO ENSURE THAT ALL AMERICANS HAVE THAT OPPORTUNITY, ADVANCES ARE NEEDED NOT ONLY IN HEALTH CARE, BUT ALSO IN FIELDS SUCH AS EDUCATION, CHILDCARE, HOUSING, BUSINESS, LAW, MEDIA, COMMUNITY PLANNING, TRANSPORTATION, AND AGRICULTURE. MAKING THESE ADVANCES WOULD INVOLVE WORKING TOGETHER TO:COMMUNITY BENEFIT ACTIVITIES TO ADDRESS THIS NEED:-PROVIDE LEADERSHIP ON THE 211 ADVISORY BOARD-SERVE AS AN ANCHOR INSTITUTION IN MARION AND POLK COUNTY	SALEM HOSPITAL
PART V, SECTION B, LINE 7: NOT ALL IDENTIFIED NEEDS ARE BEING ADDRESSED IN THE HOSPITALS COMMUNITY BENEFIT PLAN. TEEN PREGNANCY AND ADULT BINGE DRINKING IN POLK COUNTY WILL NOT BE ADDRESSED.THE MARION COUNTY CHIP IDENTIFIED TEEN PREGNANCY AS A HEALTH PRIORITY AREA. THE COUNTY HEALTH DEPARTMENT IS TAKING THE LEAD TO ADDRESS THIS HEALTH NEED AND DATA SHOWS SIGNIFICANT IMPROVEMENT IN THIS HEALTH INDICATOR SINCE 2007, WHEN THE RATE WAS 43.0 PREGNANCIES PER 1,000 FEMALES AGED 15 -17. FROM 2010 THROUGH 2011 THE RATE DROPPED FROM 30.6 TO 23.2 PER 1,000. LIKEWISE, POLK COUNTY TEEN PREGNANCIES ARE 16.4 PREGNANCIES PER 1,000 FEMALES AGED 15-17 AND RATES CONTINUE TO SHOW SIGNIFICANT IMPROVEMENT SINCE 2007 WHEN THE RATE WAS REPORTED AT 20.5PREGNANCIES PER 1,000 FEMALES AGED 15-17. SALEM HOSPITAL WILL CONTINUE TO MONITOR IMPROVEMENT AND PARTNER WITH KEY AGENCIES TO SUSTAIN IMPROVEMENT. IN POLK COUNTY 16.5 PERCENT OF ADULT MALES REPORTED BINGE DRINKING AT LEAST ONCE DURING THE 30 DAYS PRIOR TO THE SURVEY. BINGE DRINKING IS DEFINED AS FIVE OR MORE DRINKS ON ONE OCCASION. WHILE COMMUNITY PARTNERING AGENCIES IDENTIFIED BINGE DRINKING AS A HEALTH PRIORITY, THE HEALTHY PEOPLE 2020 NATIONAL HEALTH TARGET IS TO REDUCE THE PROPORTION OF ADULTS AGED 18 YEARS AND OLDER ENGAGING IN BINGE DRINKING DURING THE PAST 30 DAYS TO 24.3 PERCENT. POLK COUNTY DATA SHOWS ADULT MALE BINGE DRINKING WELL BELOW THE NATIONAL TARGET.	SALEM HOSPITAL
PART V, SECTION B, LINE 20D: SALEM HOSPITAL USED THE APPROVED PROSPECTIVE AGB CALCULATION METHOD FROM THE PROPOSED REGULATIONS THAT INCLUDES MEDICARE AND COMMERCIAL PAYOR RATES.	SALEM HOSPITAL
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 FACILITATORS 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 HOSPITALS COMMUNITY BENEFIT ACTIVITIES WILL FOCUS PRIMARILY ON IMPROVING HEALTH IN MARION COUNTY, 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 COUNTIESMARION COUNTY POPULATION ESTIMATE IN 2013 WAS REPORTED 232,614 WITH PERSONS UNDER THE AGE OF 18 YEARS MAKING UP 26% OF THE POPULATION AND THOSE OVER 65 YEARS 13.6% OF THE POPULATION. 24.1% OF MARION COUNTY RESIDENTS ARE HISPANIC OR LATINO, 1.4% BLACK OR AFRICAN AMERICAN, 2.5% AMERICAN INDIAN AND ALASKA NATIVE. 67.8% ARE WHITE, NOT HISPANIC OR LATINO. OVERALL EIGHTEEN PERCENT OF PERSONS, AND 27.1% OF CHILDREN LIVE BELOW THE FEDERAL POVERTY LEVEL IN MARION COUNTY.POLK COUNTY POPULATION ESTIMATE IN 2013 WAS 76,794 WITH PERSONS UNDER THE AGE OF 18 YEARS MAKING UP 23.6% OF THE POPULATION AND THOSE OVER 65 YEARS 15.8% OF THE POPULATION. 12.6% OF POLK COUNTY RESIDENTS ARE HISPANIC OR LATINO, 0.7% BLACK OR AFRICAN AMERICAN, 2,4% AMERICAN INDIAN AND ALASKA NATIVE. 79.9% ARE WHITE, NOT HISPANIC OR LATINO. OVERALL 14.6% OF PERSONS, AND 18.9% OF CHILDREN LIVE BELOW THE FEDERAL POVERTY LEVEL IN POLK COUNTY
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 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 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 3,252 FULL AND PART-TIME EMPLOYEES (AS OF SEPTEMBER 30, 2013). 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.
OR	REPORTS FILED WITH STATES	PART VI, LINE 7

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (17 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance
MARION COUNTY TREASURER
3180 CENTER STREET NE	SALEM	OR	97301	936002307	MARION COUNTY	53086	ACCESS TO PRENATAL CARE
MEDICAL FOUNDATION OF MARION & POLK COUNTIES
2995 RYAN DRIVE STE 100	SALEM	OR	97301	931261633	501 (C ) (3)	15000	IMPROVE ACCESS TO HEALTHCARE
AMERICAN CANCER SOCIETY
2120 1ST AV N	SEATTLE	WA	98121	841316555	501 (C ) (3)	7500	RELAY FOR LIFE SPONSERSHIP/IMPROVE SOCIAL DETERMINATE OF HEALTH
BOYS & GIRLS CLUB
1395 SUMMER ST NE	SALEM	OR	97307	930581470	501 (C ) (3)	5000	IMPROVE SOCIAL DETERMINATE OF HEALTH
FESTIVAL OF LIGHTS
4742 LIBERTY RD S 211	SALEM	OR	97302	931323330	501 (C ) (3)	5000	DISEASE PREVENTION
MARCH OF DIMES
PO BOX 28256	PORTLAND	OR	97228	131846366	501 (C ) (3)	7500	IMPROVE SOCIAL DETERMINATE OF HEALTH
SALEM FREE MEDICAL CLINIC
1300 BROADWAY ST NE STE 104	SALEM	OR	97301	203549992	501 (C ) (3)	55000	ACCESS TO CARE (SALEM & DALLAS)
SALEM HOSPITAL FOUNDATION
PO BOX 14001	SALEM	OR	97309	237002687	501 (C ) (3)	5000	CHARITABLE CONTRIBUTION GOLF TOURNAMENT
UNITED WAY
455 BLILER AVE NE	SALEM	OR	97303	930395586	501 (C ) (3)	5000	IMPROVE SOCIAL DETERMINATE OF HEALTH
PSYCHIATRIC CRISIS CENTER
PO BOX 14500	SALEM	OR	97309	936002307	MARION COUNTY		ACCESS TO MEDICAL SERVICES	141702	ALLOCATION OF COSTS	FREE RENT INCLUDING UTILITIES
MEDASSIST AND PROJECT ACCESS
2995 RYAN DRIVE STE 100	SALEM	OR	97301	931261633	501 (C ) (3)		ACCESS TO MEDICAL SERVICES	25298	ALLOCATION OF COSTS	FREE RENT INCLUDING UTILITIES
CITY OF SALEM
555 LIBERTY ST SE	SALEM	OR	97301	936002249	MUNICIPALITY	5000	IMPROVE SOCIAL DETERMINATE OF HEALTH
THE FOUNDATION FOR MEDICAL EXCELLENCE
1 SW COLUMBIA ST 860	PORTLAND	OR	97258	930632522	501 (C ) (3)	25000	ACCESS TO CARE
LIBERTY HOUSE
2685 4TH ST NE	SALEM	OR	97301	931236936	501 (C ) (3)	5000	DISEASE PREVENTION
SALEM KEIZER EDUC FOUNDATION
233 COMMERICAL STREET NE	SALEM	OR	97301	930831467	501 (C ) (3)	5000	DISEASE PREVENTION
LINDA L VLADYKA BREAST WELLNESS FOUNDATION
4742 LIBERTY RD S PMB 270	SALEM	OR	97302	931328274	501 (C ) (3)	5000	IMPROVE SOCIAL DETERMINATE OF HEALTH
SALEM MULTICULTURAL INST
PO BOX 4611	SALEM	OR	97302	911780361	501 (C ) (3)	5000	IMPROVE SOCIAL DETERMINATE OF HEALTH

Form990 Schedule I Part III Form990ScheduleIPartIII

Field	Value	IRS element (for citing)
Type Of Grant	CASH ASSISTANCE TO PATIENTS IN NEED FOR PRESCRIPTIONS, LIFELINE SUPPORT, REHABILITATION AND OTHER URGENT NEEDS.	TypeOfGrant
Number Of Recipients	202	NumberOfRecipients
Amount Of Cash Grant	55230	AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	Identifier
Return Reference	PART I, LINE 2:	ReturnReference
Explanation	SCHEDULE I, PART I, LINE 2: GRANTS ARE ONLY MADE TO QUALIFIED EXEMPT ORGANIZATIONS. NO MONITORING IS REQUIRED.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	1	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	1	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (18 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
NORMAN GRUBER
PRESIDENT	801372	0	93499	0	14126	0	216250	0	41173	0	1166420	0	0	0
AARON CRANE
CHIEF FINANCIAL AND STRATE	436596	0	13218	0	12822	0	46132	0	28989	0	537757	0	0	0
ROBERT BRANNIGAN
CHIEF ADMIN OFFICER WVH	245979	0	36966	0	6910	0	30130	0	25086	0	345071	0	0	0
LAURIE BARR
VP HUMAN RESOURCES	218870	0	6820	0	975	0	30430	0	23556	0	280651	0	0	0
MARTHA ENRIQUEZ
CHIEF NURSING OFFICER	296180	0	9300	0	7341	0	34774	0	32473	0	380068	0	0	0
BRIAN DAWSON
VP SURGICAL SERVICES	198720	0	6687	0	1912	0	3494	0	21667	0	232480	0	0	0
MARTIN MORRIS
CHIEF DEVELOPMENT OFFICER/	250442	0	7224	0	6865	0	35089	0	21988	0	321608	0	0	0
CHERYL NESTER WOLFE
CHIEF OPERATING OFFICER	432895	0	13603	0	7240	0	47003	0	28295	0	529036	0	0	0
CORT GARRISON
CHIEF INFORMATION OFFICER	348463	0	10856	0	2558	0	38292	0	33070	0	433239	0	0	0
ANNE KOLLER
CHIEF MARKETING OFFICER	228092	0	7184	0	4435	0	44203	0	24518	0	308432	0	0	0
WILLIAM HOLLOWAY MD
CHIEF MEDICAL OFFICER	518219	0	15516	0	4783	0	51286	0	35202	0	625006	0	0	0
LEAH MITCHELL
VP KAIZEN QUALITY & SAFETY	159307	0	5481	0	522	0	20032	0	11948	0	197290	0	0	0
AMR HEGAZI MD
ANESTHESIOLOGIST	453992	0	46000	0	1476	0	32152	0	36168	0	569788	0	0	0
AHMED EBEID MD
PHYSICIAN	543028	0	50000	0	1533	0	46751	0	37547	0	678859	0	0	0
ALVIE RICHARDSON MD
PHYSICIAN	424205	0	35929	0	916	0	13750	0	33099	0	507899	0	0	0
NICOLE VANDERHEYDEN MD
TRAUMA SURGEON	469039	0	7998	0	3363	0	42040	0	35288	0	557728	0	0	0
THYE SCHUYLER MD
PHYSICIAN	322060	0	69000	0	2121	0	14616	0	26521	0	434318	0	0	0
BEVERLY BOW
FORMER VP KAIZEN	341420	0	64145	0	17997	0	19422	0	18717	0	461701	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReference	ExplanationExplanation
PART I, LINE 4B	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 293,498 ($93,498 INCLUDED IN BONUS & INCENTIVE COMPENSATION AND $200,000 INCLUDED IN DEFERRED COMPENSATION) AARON CRANE 29,882 (INCLUDED IN DEFERRED COMPENSATION) ROBERT BRANNIGAN 16,380 (INCLUDED IN DEFERRED COMPENSATION) LAURIE BARR 15,506 (INCLUDED IN DEFERRED COMPENSATION) MARTHA ENRIQUEZ 21,024 (INCLUDED IN DEFERRED COMPENSATION) MARTIN MORRIS 16,338 (INCLUDED IN DEFERRED COMPENSATION) CHERYL NESTER WOLFE 30,753 (INCLUDED IN DEFERRED COMPENSATION) CORT GARRISON 24,542 (INCLUDED IN DEFERRED COMPENSATION) ANNE KOLLER 32,027 (INCLUDED IN DEFERRED COMPENSATION WILLIAM HOLLOWAY 35,036 (INCLUDED IN DEFERRED COMPENSATION) AMR HEGAZI 18,401 (INCLUDED IN DEFERRED COMPENSATION) AHMED EBEID 33,001 (INCLUDED IN DEFERRED COMPENSATION) NICOLE VANDERHEYDEN 25,790 (INCLUDED IN DEFERRED COMPENSATION) THYE SCHUYLER 12,161 (INCLUDED IN DEFERRED COMPENSATION) LEAH MITCHELL 9,313 (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.
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.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
THE HOSPITAL FACILITY AUTHORITY OF THE CITY OF SALEM OREGON REVENUE BONDS
A	521542796	794458CL1	2006-11-15	123122698	QUALIFIED HOSPITAL BOND	0	0	0
THE HOSPITAL FACILITY AUTHORITY OF THE CITY OF SALEM OREGON REVENUE BONDS
B	521542796	794458CY3	2008-11-13	125000000	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	60487711	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	69965000	CURRENT REFUNDING; FINANCE VARIOUS IMPROVEMENTS TO HEALTH CARE FACILITIES.	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Bond ReferenceBondReferenceCd	Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Credit EnhancementCreditEnhancement	Other Spent ProceedsOtherSpentProceeds	Amount In Reserve FundAmountInReserveFund	Amount UnspentAmountUnspent
A	4605000	128355347	1105000	127250347	2009	0	1	1
B	50000000	125021764	633004	9260268	2009	1	1	1	1153492	113975000
C	12750000	60600453	837965	6160859	2009	1	1	1		47630629	5971000
D		69965007	290837	791913	2013	1	0	1		50003336		18878921

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Bond ReferenceBondReferenceCd	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Engage Bond Counsel ContractsEngageBondCounselContracts	Any Research AgreementsAnyResearchAgreements	Engage Bond Counsel ResearchEngageBondCounselResearch	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A	1	1	1	1	1	0.02800	0.00200	0.03000	1
B	1	1	1	1	1	0.01000	0.00100	0.01100	1
C	1	1	1	1	1	0.01000	0.00100	0.01100	1
D	1	1	1	1	1	0.00800	0.00000	0.00800	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	Rebate Not Due YetRebateNotDueYet	Exception To RebateExceptionToRebate	No Rebate DueNoRebateDue	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Business Name Line2NameOfGICProvider/BusinessNameLine2	Term Of GICTermOfGIC	Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied	Gross Proceeds InvestedGrossProceedsInvested	Written Proc To Monitor ReqsWrittenProcToMonitorReqs	Term Of HedgeTermOfHedge	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated
WELLS FARGO BANK
A	0	0	1	0	0	0	1	NA	2.000000000000	1	0	1
UBS AG
B	0	0	1	0	1	1	0				0	1	25.800000000000	0	0
(no name)
C	0	0	1	1	0	0	0				0	1
(no name)
D	0	1	1	0	0	0	0				0	1

Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)

Bond ReferenceBondReferenceCd	Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A	1
B	1
C	1
D	1

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	SUPPLEMENTAL INFORMATION:	Identifier
Explanation	BOND A: DIFFERENCE BETWEEN PART I(E) AND PART II QUESTION 3 IS DUE TO INTEREST EARNED FROM THE PROJECT 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. BOND B: DIFFERENCE BETWEEN PART I(E) AND PART II QUESTION 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 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. BOND C: DIFFERENCE BETWEEN PART I(E) AND PART II QUESTION 3 IS DUE TO INTEREST EARNED ON INVESTED BOND PROCEEDS. 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 BOND ISSUE THAT CURRENTLY REFUNDED THE SERIES 2004A BONDS MET THE 6-MONTH EXPENDITURE EXCEPTION. PART IV, LINE 2C: THE REBATE COMPUTATION WAS PERFORMED ON OCTOBER 18, 2013. BOND D: DIFFERENCE BETWEEN PART I(E) AND PART II QUESTION 3 IS DUE TO INTEREST EARNED FROM THE PROJECT FUND. 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 CURRENT REFUNDING PORTION OF THE BOND ISSUE WILL MEET THE 6-MONTH EXPENDITURE EXCEPTION.	Explanation

Schedule L IRS990ScheduleL

Loan Table LoanTable (2 entries)

Relationship With OrganizationRelationshipWithOrganization	Purpose Of LoanPurposeOfLoan	Loan From OrganizationLoanFromOrganization	Original PrincipalOriginalPrincipalAmount	Balance DueBalanceDue	DefaultDefault	Approved By BoardApprovedByBoard	Written AgreementWrittenAgreement
THYE SCHUYLAR MD
HIGHLY COMPENSATED EMPLOYEE	PHYSICIAN RECRUITMENT/RELOCATION	X	$60,000	38175	0	1	1
AARON CRANE
	TO FUND MASTER'S DEGREE EDUCATION	X	$37,000	921	0	1	1

Field	Value	IRS element (for citing)
Total Balance Due	39096	TotalBalanceDue

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
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 7,262,965. CHANGE IN NET BENEFIT COST 1,380,317. CHANGE IN BENEFICIAL INTEREST IN FOUNDATION -47,346.	CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

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

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	570 LIBERTY ST SE STE 200	AddressLine1
City	SALEM	City
State	OR	State
ZIP Code	97301	ZIPCode

Field	Value	IRS element (for citing)
EIN	123456789	EIN
Primary Activities	HOLDS LAND	PrimaryActivities
Legal Domicile State	OR	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

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

Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg	Direct Controlling Entity NADirectControllingEntityNA
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

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	OREGON COMMUNITY IMAGING LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	2925 RYAN DR SE	AddressLine1
City	SALEM	City
State	OR	State
ZIP Code	97301	ZIPCode

Field	Value	IRS element (for citing)
EIN	202683062	EIN
Primary Activity	MEDICAL IMAGING COOPERATIVE	PrimaryActivity
Legal Domicile State	OR	LegalDomicileState
Direct Controlling Entity NA	N/A	DirectControllingEntityNA

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	1	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	1	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	0	DividendsRelatedOrganization
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	1	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	1	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg