2011-08-15T18:44:14-05:00 2010-09-30 AKT LLP 5665 SW Meadows Rd Suite 200 Lake Oswego OR 97035 990 2009-10-01 930823471 Salem Health SALE 5035615150 890 Oak Street SE Salem OR 97301 Aaron R Crane 5035615150 2011-08-11 1 Martin Moll 5036204489 2009 2016-02-24 21:20:13Z Aaron R Crane 890 Oak Street SE Salem OR 97301 17186 0 X www.salemhealth.org X 1982 OR TO SUPPORT SALEM HOSPITAL, WEST VALLEY HOSPITAL AND SALEM HOSPITAL FOUNDATION. 15 12 0 0 0 0 0 0 983 501 14439 16685 15422 17186 0 0 0 0 0 115 0 115 0 15307 17186 1057122 1074308 0 1057122 1074308 TO SUPPORT SALEM HOSPITAL, WEST VALLEY HOSPITAL AND SALEM HOSPITAL FOUNDATION. 0 0 0 16685 Leases land to Salem Hospital 1 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 OR X X salem hospital 5035615150 890 Oak Street SE salem OR 97301 X KATHERINE KEENE 10.00 X 0 0 0 GEORGE HAPP 10.00 X 0 0 0 BRUCE CARTER MD 10.00 X 0 0 0 KENNETH SHERMAN JR 15.00 X X 0 0 0 DAVID ELMGREN MD 10.00 X 0 0 0 CHUCK HUDKINS 10.00 X 0 0 0 BONNIE DRIGGERS RN 15.00 X X 0 0 0 THERESA TAAFFE 10.00 X 0 0 0 JENNIFER NEAHRING MD 10.00 X 0 0 0 ALAN WYNN 15.00 X X 0 0 0 ALAN COSTIC 10.00 X 0 0 0 LANE SHETTERLY 10.00 X 0 0 0 ROBERT WELLS 10.00 X 0 0 0 NORMAN GRUBER 40.00 X 0 735704 62177 AARON CRANE 40.00 X 0 352668 74347 0 1088372 136524 0 0 1 0 0 501 501 16685 16685 16685 16685 17186 0 0 17186 0 0 0 0 124287 124788 917063 917063 917063 15772 32457 1057122 1074308 0 0 X 1057122 1074308 1057122 1074308 1057122 1074308 X 0 1 0 X 0 X X 0 0 0 salem hospital 930579722 3 1 1 1 0 west valley hospital 431960221 3 1 1 1 0 salem hospital foundation 237002687 7 1 1 1 0 3 0 917063 917063 917063 17186 0 17186 0 17186 17186 0 17186 0 17186 0 0 0 0 0 X X X X 0 1 0 0 0 0 0 1 0 NORMAN GRUBER 0 581199 0 65000 0 89505 0 27500 0 34677 0 797881 0 0 AARON CRANE 0 350319 0 0 0 2349 0 39166 0 35181 0 427015 0 0 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. 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. 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 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. Salem Hospital Foundation 890 Oak Street SE Salem OR 97301 237002687 Supports Salem Hospital OR 501(c)(3) 7 Salem Health Salem Hospital Auxiliary 890 Oak Street SE Salem OR 97301 931081113 Supports Salem Hospital OR 501(c)(3) 9 N/A Salem Hospital 890 Oak Street SE Salem OR 97301 930579722 Hospital OR 501(c)(3) 3 Salem Health West Valley Hospital 525 Southeast Washington Street Dallas OR 97338 431960221 Hospital OR 501(c)(3) 3 Salem Health 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 Willamette Valley Insurance Company 745 Fort Street Honolulu HI 96813 201836190 Captive Insurance HI 501(c)(3) 11 Type 1 Salem Health Willamette Valley Professional Services 890 Oak Street SE Salem OR 97301 753175249 Billing Service for Professional Fees OR 501(c)(3) 3 Salem Health Oregon Community Imaging LLC 2925 Ryan DR SE Salem OR 97301 202683062 Medical Imaging Cooperative OR Salem Hospital Related 594173 19263 0 0 Salem Cardio Diagnostics 665 Winter Street SE Salem OR 97301 930579722 Cardio Diagnostics OR Salem Hospital Related 2216946 1578661 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Salem Hospital A 16685 Salem Hospital D 32457