TY 2023 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(1) JOHN COMBES MD...................................................................... CHAIR	0.60 ................. 3.40	X	X		0	0	0
(2) ALAN WYNN...................................................................... SECRETARY/TREASURER	0.40 ................. 2.70	X	X		0	0	0
(3) JENN COLUMBUS...................................................................... TRUSTEE	0.40 ................. 2.50	X			0	0	0
(4) KATHERINE L KEENE...................................................................... CHAIR-ELECT	0.70 ................. 4.30	X			0	0	0
(5) LANE SHETTERLY...................................................................... PAST-CHAIR	0.80 ................. 5.20	X			0	0	0
(6) ANGELICA VEGA...................................................................... TRUSTEE	0.30 ................. 4.70	X			0	0	0
(7) DAVID HARRISON MD...................................................................... TRUSTEE	0.40 ................. 2.60	X			0	0	0
(8) PHIL JACKSON...................................................................... TRUSTEE	0.40 ................. 2.60	X			0	0	0
(9) ROBERT KELLY MD...................................................................... TRUSTEE	0.70 ................. 3.80	X			0	0	0
(10) THERESA HASKINS...................................................................... TRUSTEE	0.50 ................. 3.00	X			0	0	0
(11) RIC LINARES...................................................................... TRUSTEE	0.40 ................. 2.60	X			0	0	0
(12) MARK ZOOK...................................................................... TRUSTEE	0.70 ................. 4.20	X			0	0	0
(13) ANNETTE CAMPISTA...................................................................... TRUSTEE	0.20 ................. 3.30	X			0	0	0
(14) CHERYL NESTER WOLFE...................................................................... PRESIDENT & CEO	6.00 ................. 34.00		X		0	1,673,623	43,199
(15) JAMES PARR...................................................................... EVP OF OPERATIONS & CFO	3.00 ................. 37.00		X		0	856,362	109,318
(16) SEVEN J HILL...................................................................... WVH IMAGING LEAD	40.00 ................. 0.00			X	222,489	0	23,555
(17) MARY S PLACEK...................................................................... FAMILY PRACTITIONER	40.00 ................. 0.00			X	383,905	0	59,538

(A) Name and business address	(B) Description of services	(C) Compensation
SCOTT EDWARDS ARCHITECTURE LLP 2525 E BURNSIDE STREET PORTLAND,OR97214	ARCHITECTURAL SERVICES	1,328,215
AYA HEALTHCARE INC PO BOX 674907 DALLAS,TX752674907	CONTRACT LABOR	1,028,918
ARUP LABORATORIES PO BOX 27964 SALT LAKE CITY,UT84127	LABORATORY TESTING SERVICES	363,053
THE NETWORK ORGANIZATION LLC PO BOX 3974 SALEM,OR97302	REAL ESTATE MGMT SERVICES	315,967
TODD HIXSON 490 LEFFELLE ST S SALEM,OR97302	PROVIDER SERVICES	167,816
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 5

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization

SALEM HEALTH WEST VALLEY

Employer identification number

43-1960221

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2023

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf ....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2023 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2022 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2023. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2022. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2023. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

10%-facts-and-circumstances test—2022. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990) 2023

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2023 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2022 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2023 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2022 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2023. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3 % support tests—2022. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2023

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2023

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2023

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2023

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2023 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2023	(iii) Distributable Amount for 2023
1 Distributable amount for 2023 from Section C, line 6
2 Underdistributions, if any, for years prior to 2023 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2023:
a From 2018.......
b From 2019.......
c From 2020.......
d From 2021.......
e From 2022.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2023 distributable amount
i Carryover from 2018 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2023 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2023 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2023, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2023. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2024. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2019.....
b Excess from 2020.....
c Excess from 2021.....
d Excess from 2022.....
e Excess from 2023.....

Schedule A (Form 990) (2023)

Schedule A (Form 990) 2023

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Name of the organization

SALEM HEALTH WEST VALLEY

Employer identification number

43-1960221

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990) (2023)

Schedule B (Form 990) (2023) Page 2

Name of organization SALEM HEALTH WEST VALLEY

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2023)

Schedule B (Form 990) (2023)

Page 3

Name of organization SALEM HEALTH WEST VALLEY		Employer identification number 43-1960221

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (2023)

Schedule B (Form 990) (2023)

Page 4


Name of organization SALEM HEALTH WEST VALLEY			Employer identification number 43-1960221
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990) (2023)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
right arrow

Attach to Form 990.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

SALEM HEALTH WEST VALLEY

Employer identification number

43-1960221

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after July 25, 2006, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year right arrow

Number of states where property subject to conservation easement is located right arrow

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2022

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....	68,940	47,141	48,372	47,747	48,090
b	Contributions ...	228	25,299	-1,231	625	-343
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...		3,500
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......	69,168	68,940	47,141	48,372	47,747

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment right arrow

Permanent endowment right arrow

Term endowment right arrow

100.000 %

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

Yes

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....
b	Buildings ....
c	Leasehold improvements
d	Equipment ....	7,697,253	6,251,793	1,445,460
e	Other .....	26,389,752		26,389,752
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				27,835,212

Schedule D (Form 990) 2022

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1)DUE FROM SALEM HEALTH				62,734,826
(2)DUE FROM SHHC				12,441,476
(3)DUE FROM OAHHS				1,027,794
(4)LEASED RENTAL SPACE				1,150,465
(5)BENEFICIAL INTEREST IN FOUNDATION				68,219
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				77,422,780

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
DUE TO SALEM HEALTH	3,033,913
DUE TO SHHC	3,072
DUE TO MEDICAIRE/MEDICAID	2,350,974
DUE TO OAHHS	987,293
LIAB. FOR MALPRACTICE INSURANCE	191,103
DUE TO MSO	48,707
OTHER LONG-TERM ACCRUALS	17,289


Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	6,632,351
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2022

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ...........	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ...........	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

PART V, LINE 4:

ENDOWMENT FUNDS ARE HELD BY WEST VALLEY HOSPITAL FOUNDATION FOR SALEM HEALTH WEST VALLEY SUPPORT.

PART X, LINE 2:

THE CORPORATION, SALEM WEST VALLEY, SHF, WVHF, SHPS, AND WVIC ARE TAX-EXEMPT ORGANIZATIONS PURSUANT TO INTERNAL REVENUE SECTION 501(C)(3). AS SUCH, ONLY UNRELATED BUSINESS INCOME IS SUBJECT TO FEDERAL OR STATE INCOME TAXES. THE PROVISION FOR UNRELATED BUSINESS INCOME TAXES IS IMMATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THE CORPORATION TO EVALUATE TAX POSITIONS TAKEN BY THE CORPORATIONAND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE CORPORATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. MANAGEMENT HAS ANALYZED TAX POSITIONS TAKEN BY THE CORPORATION AND HAS CONCLUDED THAT AS OF JUNE 30, 2024 THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE CORPORATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE CORPORATION MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO FISCAL YEAR 2021.

Schedule D (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
Medium right arrow

Attach to Form 990.
Medium right arrow

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

SALEM HEALTH WEST VALLEY

Employer identification number

43-1960221

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other 30000.0000000000 %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	6,968	1,303,167		1,303,167	2.110 %
b	Medicaid (from Worksheet 3, column a) . . . . .	26,629	17,582,379	17,582,379
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	33,597	18,885,546	17,582,379	1,303,167	2.110 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	1,420	11,547		11,547	0.020 %
f	Health professions education (from Worksheet 5) . . .
g	Subsidized health services (from Worksheet 6) . . . .		2,290,449	1,821,297	469,152	0.760 %
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .
j	Total. Other Benefits . .	1,420	2,301,996	1,821,297	480,699	0.780 %
k	Total. Add lines 7d and 7j .	35,017	21,187,542	19,403,676	1,783,866	2.890 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2023

Schedule H (Form 990) 2023

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support			1,589		1,589	0 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total			1,589		1,589	0 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

2,171,912

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

255,488

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

5,507,681

Enter Medicare allowable costs of care relating to payments on line 5.....

5,289,720

Subtract line 6 from line 5. This is the surplus (or shortfall)........

217,961

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
11 NONE
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2023

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	SALEM HEALTH WEST VALLEY 525 SOUTHEAST WASHINGTON ST DALLAS,OR97338 14-1461	X	X	X

Schedule H (Form 990) 2023

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Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	SALEM HEALTH WEST VALLEY
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 22

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE PART V, SECTION C

Other website (list url): SEE PART V, SECTION C

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE PART V, SECTION C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2023

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Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	SALEM HEALTH WEST VALLEY
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 300.000000000000%
and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

HTTP://WWW.SALEMHEALTH.ORG/ABOUT/CHARITY-CARE-AND-FINANCIAL-POLICY

The FAP application form was widely available on a website (list url):

HTTP://WWW.SALEMHEALTH.ORG/ABOUT/CHARITY-CARE-AND-FINANCIAL-POLICY

A plain language summary of the FAP was widely available on a website (list url):
HTTP://WWW.SALEMHEALTH.ORG/ABOUT/CHARITY-CARE-AND-FINANCIAL-POLICY

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2023

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Part VFacility Information (continued)

Billing and Collections

	SALEM HEALTH WEST VALLEY
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2023

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Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	SALEM HEALTH WEST VALLEY
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2023

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
SALEM HEALTH WEST VALLEY	PART V, SECTION B, LINE 5: A COMMUNITY HEALTH NEEDS ASSESSMENT IS UPDATED ANNUALLY IN COOPERATION WITH LOCAL PARTNERS, INCLUDING MARION COUNTY HEALTH & HUMAN SERVICES, POLK COUNTY HEALTH DEPARTMENT, SANTIAM HOSPITAL AND CLINICS, LEGACY HEALTH, AND KAISER PERMANENTE, WILLAMETTE HEALTH COUNCIL, AND PACIFICSOURCE COMMUNITY SOLUTIONS, THE LOCAL COORDINATED CARE ORGANIZATION.THE COMMUNITY HEALTH NEEDS ASSESSMENT GATHERS DATA FROM VARIOUS RELIABLE SOURCES TO IDENTIFY LOCAL STRENGTHS AND THE MOST PRESSING HEALTH CHALLENGES USING AN EVIDENCE-BASED FRAMEWORK. THIS INFORMATION IS THEN USED TO CREATE A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP), WHICH IDENTIFIES STRATEGIES AND TACTICS TO ADDRESS THE IDENTIFIED PRIORITY AREAS.THE PROCESS USES MAPP (MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS) TO ASSESS AND IMPROVE THE HEALTH OF THE COMMUNITY. MAPP IS A FLEXIBLE, EVIDENCED BASED FRAMEWORK, CREATED BY THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS (NACCHO). MAPP ALLOWS COMMUNITIES TO CAST A WIDE NET, COLLECTING DATA IN MULTIPLE WAYS TO UNDERSTAND LOCAL HEALTH AND WHAT CONTRIBUTES TO LOCAL HEALTH CONDITIONS.
SALEM HEALTH WEST VALLEY	PART V, SECTION B, LINE 6A: A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IS CONDUCTED IN COOPERATION WITH LOCAL PARTNERS, INCLUDING MARION COUNTY HEALTH & HUMAN SERVICES, POLK COUNTY HEALTH DEPARTMENT, SANTIAM HOSPITAL AND CLINICS, LEGACY HEALTH, AND KAISER PERMANENTE, WILLAMETTE HEALTH COUNCIL, AND PACIFICSOURCE COMMUNITY SOLUTIONS, THE LOCAL COORDINATED CARE ORGANIZATION.
SALEM HEALTH WEST VALLEY	PART V, SECTION B, LINE 6B: OTHER CHNA COMMUNITY PARTNERS INCLUDE THESE ORGANIZATIONS: BEHAVIORAL CARE NETWORK, CHEMEKETA COMMUNITY COLLEGE, CHERRIOTS (SALEM-KEIZER MASS TRANSIT), CITY OF WOODBURN, COMMUNITY ACTION AGENCY, EARLY CHILDHOOD LEARNING HUB, CITY OF SALEM, CITY OF WOODBURN, NORTHWEST HUMAN SERVICES, NORTHWEST SENIOR & DISABILITY SERVICES, POLK COUNTY HEALTH SERVICES, SALEM HOUSING AUTHORITY, AND WESTERN OREGON UNIVERSITY.PART V, SECTION B, LINE 7A:HTTPS://WWW.SALEMHEALTH.ORG/ABOUT/COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPART V, SECTION B, LINE 7B:WWW.CO.POLK.OR.US/PH/COMMUNITY-HEALTH-ASSESSMENT-CHA
SALEM HEALTH WEST VALLEY	PART V, SECTION B, LINE 7D: SALEM HEALTH HOSPITALS AND CLINICS PUBLISHES ANNUAL UPDATES TO THE CHNA ON ITS WEBSITE, WHERE IT IS AVAILABLE TO THE COMMUNITY. THE FULL ASSESSMENT, AS WELL AS ANNUAL UPDATES, ARE ALSO POSTED TO COUNTY PUBLIC HEALTH DEPARTMENT WEBSITES. HTTPS://SALEMHEALTH.ORG/DOCS/DEFAULT-SOURCE/COMMUNITY/2023-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDF?SFVRSN=91F282C4_2 HTTPS://WWW.MARIONPOLKCOMMUNITYHEALTH.ORG/PAGES/CHACHIPPART V, SECTION B, LINE 10A:HTTPS://WWW.SALEMHEALTH.ORG/ABOUT/COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
SALEM HEALTH WEST VALLEY	PART V, SECTION B, LINE 11: PRIORITY AREAS DETERMINED ARE BEHAVIORAL HEALTH SUPPORTS, SUBSTANCE USE AND HOUSING. SALEM HEALTH WEST VALLEY CONDUCTS SUICIDE SCREENING ON EACH INDIVIDUAL SEEKING CARE IN THE EMERGENCY DEPARTMENT. SUICIDE PREVENTION SUPPORTS ARE ALSO PROVIDED TO OUR COMMUNITY THROUGH QPR (QUESTION, PERSUADE, REFER) TRAININGS AND ENGAGEMENT IN THE MID-VALLEY SUICIDE PREVENTION COALITION. SALEM HEALTH WEST VALLEY PROVIDES FUNDING AND VOLUNTEERS TO FALL CITY THRIVES AND ITS FALL CITY HAPPY DANCE, A COMMUNITY EVENT WHICH RAISES AWARENESS AROUND MENTAL HEALTH AND RESILIENCY, INCLUDING A COMMUNITY RESOURCE FAIR.SALEM HEALTH WEST VALLEY IS A SMOKE FREE CAMPUS. THE HOSPITAL SCREENS 100% OF ITS PATIENTS FOR TOBACCO USE AND PROVIDES ALL TOBACCO USERS WITH COMMUNITY CESSATION RESOURCE INFORMATION. THE AMERICAN LUNG ASSOCIATION'S FREEDOM FROM SMOKING CURRICULUM IS OFFERED AT NO COST THROUGH OUR COMMUNITY HEALTH EDUCATION CENTER (CHEC) AND THE HEALTH EDUCATION AND OUTREACH TEAMS PROVIDE COMMUNITY-BASED EDUCATION TO SCHOOLS RELATED TO TOBACCO PREVENTION. SALEM HEALTH'S TRAUMA PREVENTION TEAM CONDUCTED CLASSES AND PRESENTATIONS AROUND SUBSTANCE ABUSE PREVENTION, INCLUDING SMOKING, VAPING, MARIJUANA AND METHAMPHETAMINE USE. SALEM HEALTH WEST VALLEY SUPPORTS THE POLK COUNTY SERVICE INTEGRATION TEAM (SIT), BOTH FINANCIALLY AND SERVING AS MEMBERS ON THE TEAM. THE PURPOSE OF SIT IS TO FACILITATE COLLABORATION AMONG COMMUNITY PARTNERS TO PROVIDE COORDINATED RESOURCES AND INFORMATION FOR INDIVIDUALS AND FAMILIES PROVIDING RESOURCES TO FILL GAPS IN AREAS SUCH AS HOUSING, TRANSPORTATION NEEDS, AND HEALTHY FOODS. SERVICE INTEGRATION TEAMS ARE COMMUNITY PARTNERS EXPEDITING SOLUTIONS BY MATCHING RESOURCES TO CLEARLY DEFINED NEEDS, WHILE AVOIDING DUPLICATION OF SERVICE. SIT INTERVENES IN A VARIETY OF CIRCUMSTANCES AND PROVIDE MULTIPLE RESOURCES, CONNECTING INDIVIDUALS AND FAMILIES AND MINIMIZING TOXIC STRESS. MARION AND POLK COUNTIES HAVE A HIGHER PERCENTAGE OF PEOPLE LIVING BELOW THE FEDERAL POVERTY LEVEL THAN OREGON AS A WHOLE. A GREATER PERCENTAGE OF FEMALES WERE LIVING IN POVERTY THAN MALES AND ABOUT 1 IN 10 PEOPLE ARE FOOD INSECURE. SALEM HEALTH WEST VALLEY PARTNERED WITH DALLAS EMERGENCY FOOD BANK AND THE DALLAS DOWNTOWN ASSOCIATION TO ADDRESS FOOD INSECURITY AND FOOD DESERT CHALLENGES.SALEM HEALTH WEST VALLEY PROVIDED FUNDING AND PARTNERSHIP TO SALEM FREE CLINICS TO EXPAND HEALTH SCREENINGS AND HEALTH CARE FOR PEOPLE IN POLK COUNTY, WHICH HAS A SIGNIFICANT PROVIDER SHORTAGE. THE OREGON PROVIDER TO POPULATION RATIO IS 1:358. IN POLK COUNTY, THE RATIO IS ONE PROVIDER FOR EVERY 2,245 PEOPLE. THE FREE CLINICS WITH ACCESS TO MEDICAL, DENTAL AND MENTAL HEALTH CARE ARE EXTREMELY IMPORTANT FOR THIS COMMUNITY.SALEM HEALTH WEST VALLEY EXPANDED ITS EFFORTS TO INCREASE THE AVAILABILITY OF CAR SEATS AND ASSISTANCE WITH CAR SEAT INSTALLATION BY PARTNERING WITH BAMBINOS, WHICH HAS THE ONLY CERTIFIED CAR SEAT INSTALLERS IN POLK COUNTY.COMMUNITY HEALTH EDUCATORS IMPROVED BIKE SAFETY BY PROVIDING FREE HELMETS AND SAFETY INSTRUCTIONS AT LOCAL BIKE RODEOS.SALEM HEALTH WEST VALLEY STRIVES TO FULFILL ITS MISSION TO IMPROVE THE HEALTH AND WELLBEING OF THE PEOPLE AND COMMUNITIES IT SERVES THROUGH ONGOING EFFORTS AND PARTNERSHIPS. NEARLY CONSTANT ASSESSMENT AND EVALUATION OF THE EFFICACY OF PROGRAMS AS WELL AS NONPROFITS ALSO SERVING THESE NEEDS ALLOW SALEM HEALTH WEST VALLEY TO ENGAGE NEW COMMUNITY PARTNERS, INCREASE LEVELS OF AWARENESS, AND IMPROVE UPON EFFECTIVE STRATEGIES OF HEALTH AND COMMUNITY STRENGTH GOING FORWARD.
SALEM HEALTH WEST VALLEY	PART V, SECTION B, LINE 13B: SALEM HEALTH WEST VALLEY FINANCIAL MATRIX IS BASED ON INCOME AS A PERCENT OF FEDERAL POVERTY LEVEL.
SALEM HEALTH WEST VALLEY	PART V, SECTION B, LINE 13H: PATIENTS ARE ELIGIBLE TO APPLY FOR FINANCIAL ASSISTANCE ANY TIME PRIOR, DURING, OR AFTER SERVICES ARE PROVIDED. CRITERIA CONSIDERED IN DETERMINING ELIGIBILITY IS BASED ON YOUR FAMILY SIZE AND HOUSEHOLD'S GROSS INCOME BASED ON FEDERAL POVERTY GUIDELINES (FPG). THE DEFINITION OF 'HOUSEHOLD'S GROSS INCOME' INCLUDES THE COMBINED GROSS MONTHLY INCOME OF ALL PERSONS LEGALLY RESPONSIBLE FOR PATIENT BILL OR BALANCE. THE FINANCIAL ASSISTANCE MATRIX IS AS FOLLOWS:BELOW 300% FPG RECEIVES 100% DISCOUNT301%-400% RECEIVES 65% DISCOUNTCATASTROPHIC DISCOUNT RECEIVES 100% OF BALANCES GREATER THAN 20% GROSS FAMILY INCOMEIF A PATIENT HAS NO INSURANCE COVERAGE, NO THIRD-PARTY LIABILITY, AND NO OTHER VIABLE THIRD-PARTY PAYMENT OPTIONS AVAILABLE THEN AN UNINSURED DISCOUNT OF 53% WILL BE APPLIED TO TOTAL ELIGIBLE BILLED CHARGES.
SALEM HEALTH WEST VALLEY	PART V, SECTION B, LINE 15E: PATIENTS ARE ELIGIBLE TO APPLY FOR FINANCIAL ASSISTANCE ANY TIME BEFORE, DURING, OR AFTER SERVICES ARE PROVIDED. TRANSLATED VERSIONS OF THE APPLICATION FORM, FINANCIAL ASSISTANCE POLICY, AND SUMMARY, ARE AVAILABLE UPON REQUEST IN SPANISH AND RUSSIA. CRITERIA CONSIDERED IN DETERMINING ELIGIBILITY IS BASED ON FAMILY SIZE AND HOUSEHOLD'S GROSS INCOME BASED ON FEDERAL POVERTY GUIDELINES (FPG). THE DEFINITION OF 'HOUSEHOLD'S GROSS INCOME' INCLUDES THE COMBINED GROSS MONTHLY INCOME OF ALL PERSONS LEGALLY RESPONSIBLE FOR PATIENT BILL OR BALANCE.INITIAL DOCUMENTATION NEEDED INCLUDES EITHER OPTION 1 OR OPTION 2:OPTION 1 - ALL PAGES AND SCHEDULES OF THE CURRENT YEAR'S FEDERAL TAX FILING. IF PATIENT OWNS A BUSINESS, PLEASE INCLUDE CURRENT YEAR BUSINESS/CORPORATION TAXES. PLEASE DO NOT SEND HANDWRITTEN TAXES, W-2'S, OR STATE TAXES, AS WE CANNOT ACCEPT THESE DOCUMENTS.OR OPTION 2: IF PATIENT DID NOT FILE A CURRENT YEAR TAX RETURN, THEY WILL NEED TO GET A NON-FILING VERIFICATION LETTER FROM THE IRS. ADDITIONAL DOCUMENTS MIGHT ALSO BE REQUIRED:MOST RECENT THREE (3) MONTHS WAGE STUBS FROM YOUR EMPLOYER. DO NOT SEND DIRECT DEPOSIT INFORMATION OR BANK STATEMENTS, AS WE NEED TO SEE THE GROSS PAY (BEFORE TAXES AND DEDUCTIONS ARE TAKEN OUT).CURRENT YEAR SOCIAL SECURITY ADMINISTRATION AWARD LETTER, PLEASE DO NOT SEND BANK STATEMENTS.CURRENT YEAR PENSION BENEFIT AWARD LETTER, PLEASE DO NOT SEND BANK STATEMENTS.VETERANS AFFAIRS AWARD LETTER, PLEASE DO NOT SEND BANK STATEMENTS.ANNUITY AWARD LETTER, PLEASE DO NOT SEND BANK STATEMENTS.UNEMPLOYMENT BENEFITS LETTER, PLEASE DO NOT SEND BANK STATEMENTS.CHILD SUPPORT AWARD LETTER, PLEASE DO NOT SEND BANK STATEMENTS.ALIMONY AWARD LETTER OR COURT DOCUMENTS.STUDENT FINANCIAL AID AWARD LETTER.SHORT TERM DISABILITY BENEFITS AWARD LETTER, PLEASE DO NOT SEND BANK STATEMENTS.LONG TERM DISABILITY BENEFITS AWARD LETTER, PLEASE DO NOT SEND BANK STATEMENTS.A "BASIC NEEDS" LETTER THAT INDICATES HOW PERSONS WITH NO INCOME ARE MEETING THEIR DAY-TO-DAY BASIC LIVING NEEDSTHE FINANCIAL ASSISTANCE MATRIX IS AS FOLLOWS:BELOW 300% FPG RECEIVES 100% DISCOUNT301%-400% RECEIVES 65% DISCOUNTCATASTROPHIC DISCOUNT RECEIVES 100% OF BALANCES GREATER THAN 20% GROSS FAMILY INCOMEIF A PATIENT HAS NO INSURANCE COVERAGE, NO THIRD-PARTY LIABILITY, AND NO OTHER VIABLE THIRD-PARTY PAYMENT OPTIONS AVAILABLE THEN AN UNINSURED DISCOUNT OF 53% WILL BE APPLIED TO TOTAL ELIGIBLE BILLED CHARGES.PATIENTS WILL RECEIVE A DETERMINATION LETTER OR REQUEST FOR ADDITIONAL DOCUMENTS LETTER IN THE MAIL WITHIN 21 DAYS AFTER THE APPLICATION WAS RECEIVED. ANY OTHER POTENTIAL SOURCES OF PAYMENT, SUCH AS STATE MEDICAL INSURANCE, HEALTH SHARE COOP/COST SHARING, LIABILITY INSURANCE, WORKMAN'S COMP, ETC. MUST BE EXHAUSTED PRIOR TO RECEIVING DISCOUNTS. FINANCIAL ASSISTANCE IS THE OPTION OF LAST RESORT, AND YOU MUST COOPERATE WITH THE APPROVAL PROCESS OF ANY FUNDING SOLUTION THAT WOULD PAY THE PATIENT'S BILLS IN ORDER TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE. PRESUMPTIVE ELIGIBILITY AND DETERMINATION: SALEM HEALTH WILL SCREEN ANY PATIENT/GUARANTOR 1) WITHOUT PUBLIC OR PRIVATE HEALTH INSURANCE COVERAGE, 2) ENROLLED IN A STATE MEDICAL ASSISTANCE PROGRAM, OR 3) WHO WILL OWE THE HOSPITAL $500 OR MORE ON A SINGLE STATEMENT, PRIOR TO THEM RECEIVING A STATEMENT. WE WILL ALSO SCREEN ALL PATIENTS PRIOR TO SENDING TO COLLECTIONS.PRESUMPTIVE CHARITY DISCOUNTS ARE DETERMINED BASED ON THE FEDERAL POVERTY GUIDELINES (FPG) AND OREGON HOUSE BILL 3076. THE PRESUMPTIVE ELIGIBILITY SCREENING MAY INCLUDE A REVIEW OF:(A) EXISTING PATIENT RECORDS;(B) INFORMATION ROUTINELY COLLECTED DURING PATIENT REGISTRATION OR ADMISSION;(C) INFORMATION VOLUNTARILY SUPPLIED BY THE PATIENT;(D) PREVIOUS FINANCIAL ASSISTANCE ADJUSTMENTS; AND(E) EXISTING ELIGIBILITY FOR ASSISTANCE PROGRAMS. EXAMPLES INCLUDE, BUT ARE NOT LIMITED TO: MEDICAID, SUPPLEMENTALNUTRITION ASSISTANCE PROGRAM (SNAP), TEMPORARY ASSISTANCE FOR NEEDY FAMILIES (TANF), WOMEN, INFANTS AND CHILDREN(WIC), FREE LUNCH OR BREAKFAST PROGRAMS, LOW-INCOME HOME ENERGY ASSISTANCE PROGRAMS, OR ANY OTHER PROGRAM WHICH ARE MEANS TESTED AND WOULD REASONABLY REFLECT THE APPROXIMATE PATIENT HOUSEHOLD INCOME.BASED ON THE OUTCOME OF THE REVIEW, ADJUSTMENTS WILL BE APPLIED TO THE PATIENTS/GUARANTORS ACCOUNT PRIOR TO RECEIVING A BILLING STATEMENT IN ACCORDANCE WITH FINANCIAL MATRIX ABOVE.PART V, SECTION B, LINE 16:FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY AND APPLICATION MAY BE DOWNLOADED FROM OUR WEBSITE: HTTPS://WWW.SALEMHEALTH.ORG/ABOUT/CHARITY-CARE-AND-FINANCIAL-POLICY.PAPER COPIES OF THE FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY AND APPLICATION ARE AVAILABLE IN THE EMERGENCY DEPARTMENT AND IN REGISTRATION AREAS.PAPER COPIES OF THE FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY AND APPLICATIONS MAY BE REQUESTED BY MAIL FROM FINANCIAL COUNSELING, SALEM HEALTH, PO BOX 14001, SALEM, OR 97309-9976 OR VIA TELEPHONE BY CALLING 503-562-4357.
SALEM HEALTH WEST VALLEY	PART V, SECTION B, LINE 16J: INFORMATION ON THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY IS MADE PUBLICLY AVAILABLE FREE OF CHARGE IN THE FOLLOWING MANNER:1. NOTICES ARE POSTED IN KEY AREAS OF THE HOSPITAL, INCLUDING ADMITTING, THE EMERGENCY DEPARTMENT, OUTPATIENT DEPARTMENT REGISTRATION AREAS, AND PATIENT FINANCIAL SERVICES.2. THE CONDITIONS OF ADMISSION FORM INFORMS THE PATIENT OF THEIR RIGHT TO APPLY FOR FINANCIAL ASSISTANCE.3. WRITTEN INFORMATION SHALL BE AVAILABLE IN ENGLISH, SPANISH, RUSSIAN AND VIETNAMESE. THE HOSPITAL WILL PROVIDE THE APPROPRIATE INTERPRETATION SERVICES FOR PATIENTS/GUARANTORS WHO DO NOT SPEAK ENGLISH.4. FRONT-LINE STAFF WILL BE TRAINED TO ANSWER FINANCIAL ASSISTANCE QUESTIONS EFFECTIVELY AND WILL DIRECT ANY THAT CANNOT BE ANSWERED TO FINANCIAL COUNSELOR'S IN A TIMELY MANNER.5. THIS POLICY WILL BE POSTED ON SALEM HEALTH'S WEB SITE. WRITTEN INFORMATION ABOUT THIS POLICY WILL BE MADE AVAILABLE UPON REQUEST.6. ALL PATIENT BILLING STATEMENTS WILL INCLUDE A NOTICE THAT FINANCIAL ASSISTANCE IS AVAILABLE AND CONTACT INFORMATION IF THEY WANT TO LEARN MORE.
SALEM HEALTH WEST VALLEY	PART V, SECTION B, LINE 18E: IT IS THE POLICY OF SALEM HEALTH HOSPITALS AND CLINICS TO PURSUE COLLECTION OF PATIENT BALANCES FROM PATIENTS WHO HAVE THE ABILITY TO PAY FOR SERVICES. SALEM HEALTH HOSPITALS AND CLINICS MAKES REASONABLE EFFORTS TO IDENTIFY PATIENTS WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE. COLLECTION PROCEDURES APPLIED CONSISTENTLY AND FAIRLY FOR ALL PATIENTS REGARDLESS OF INSURANCE STATUS. ALL COLLECTIONS PROCEDURES WILL COMPLY WITH APPLICABLE LAWS AND WITH SALEM HEALTH'S MISSION. FOR THOSE PATIENTS UNABLE TO PAY ALL OR A PORTION OF THEIR OPEN BALANCES, THE FINANCIAL ASSISTANCE POLICY WILL BE FOLLOWED.COLLECTION AGENCIES AND/OR LAW FIRMS MAY BE ENLISTED AFTER REASONABLE COLLECTION AND PAYMENT OPTIONS HAVE BEEN EXHAUSTED. AGENCIES MAY HELP RESOLVED ACCOUNTS WHERE PATIENTS ARE UNCOOPERATIVE IN MAKING PAYMENTS, HAVE NOT MADE APPROPRIATE PAYMENTS OR HAVE BEEN UNWILLING TO PROVIDE REASONABLE FINANCIAL AND OTHER DATA TO SUPPORT THEIR REQUEST FOR FINANCIAL ASSISTANCE. COLLECTION AGENCY AND LAW FIRM STAFF WILL UPHOLD THE CONFIDENTIALITY AND INDIVIDUAL DIGNITY OF EACH PATIENT. ALL AGENCIES AND LAW FIRMS WILL COMPLY WITH ALL APPLICABLE LAWS INCLUDING HIPAA REQUIREMENTS FOR HANDLING PROTECTED HEALTH INFORMATION.
SALEM HEALTH WEST VALLEY	PART V, SECTION B, LINE 19E: PATIENTS WILL RECEIVE A DETERMINATION LETTER OR REQUEST FOR ADDITIONAL DOCUMENTS LETTER IN THE MAIL WITHIN 21 DAYS AFTER WE RECEIVE YOUR APPLICATION. ANY OTHER POTENTIAL SOURCES OF PAYMENT, SUCH AS STATE MEDICAL INSURANCE, HEALTH SHARE COOP/COST SHARING, LIABILITY INSURANCE, WORKMAN'S COMP, ETC. MUST BE EXHAUSTED PRIOR TO RECEIVING DISCOUNTS. FINANCIAL ASSISTANCE IS THE OPTION OF LAST RESORT, AND YOU MUST COOPERATE WITH THE APPROVAL PROCESS OF ANY FUNDING SOLUTION THAT WOULD PAY THE PATIENT'S BILLS IN ORDER TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE. SALEM HEALTH HOSPITALS AND CLINICS WILL NOTIFY INDIVIDUALS THAT FINANCIAL ASSISTANCE IS AVAILABLE TO ELIGIBLE INDIVIDUALS AT LEAST 30 DAYS PRIOR TO PURSUING EXTRAORDINARY COLLECTIONS ACTIONS (ECA) TO OBTAIN PAYMENT FOR THE CARE PROVIDED BY THE HOSPITAL. ECAS FOR HOSPITAL SERVICES WILL NOT COMMENCE FOR A PERIOD OF AT LEAST 240 DAYS AFTER THE DATE OF THE FIRST POST-DISCHARGE BILLING STATEMENT AND 30 DAYS AFTER THE HOSPITAL OR AUTHORIZED THIRD PARTY PROVIDES WRITTEN NOTICE OF ECAS THE HOSPITAL PLANS TO INITIATE FOR THE APPLICABLE MEDICALLY NECESSARY OR EMERGENCY CARE.
SALEM HEALTH WEST VALLEY	PART V, SECTION B, LINE 20E: SALEM HEALTH WEST VALLEY WILL NOTIFY INDIVIDUALS THAT FINANCIAL ASSISTANCE IS AVAILABLE TO ELIGIBLE INDIVIDUALS AT LEAST 30 DAYS PRIOR TO PURSUING EXTRAORDINARY COLLECTIONS ACTIONS (ECA) AS TO OBTAIN PAYMENT FOR THE CARE PROVIDED BY THE HOSPITAL BY DOING THE FOLLOWING:1) PROVIDE WRITTEN NOTICE TO THE INDIVIDUAL INDICATING THAT FINANCIAL ASSISTANCE IS AVAILABLE TO ELIGIBLE INDIVIDUALS, INDICATING THAT SALEM HEALTH INTENDS TO INITIATE OR HAVE A THIRD PARTY INITIATE TO OBTAIN PAYMENT FOR THE CARE AND PROVIDE A DEADLINE AFTER WHICH ECAS MAY BE PURSUED, AND WHICH IS NO SOONER THAN 30 DAYS AFTER THE DATE OF THIS WRITTEN NOTICE2) PROVIDE THE INDIVIDUAL A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY WITH THE WRITTEN NOTICE3) MAKE REASONABLE EFFORTS TO ORALLY NOTIFY INDIVIDUAL ABOUT THE SALEM HEALTH'S FINANCIAL ASSISTANCE POLICY
SALEM HEALTH WEST VALLEY	PART V, SECTION B, LINE 21C: NOT APPLICABLE. SALEM HEALTH WEST VALLEY HAS A POLICY RELATIVE TO EMERGENCY MEDICAL CARE THAT REQUIRED THE HOSPITAL FACILITY TO PROVIDE, WITHOUT DISCRIMINATION, CARE FOR EMERGENCY MEDICAL CONDITIONS TO INDIVIDUALS REGARDLESS OF THEIR ELIGIBILITY UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY.
SALEM HEALTH WEST VALLEY	PART V, SECTION B, LINE 21D: NOT APPLICABLE. SALEM HEALTH WEST VALLEY HAS A POLICY RELATIVE TO EMERGENCY MEDICAL CARE THAT REQUIRED THE HOSPITAL FACILITY TO PROVIDE, WITHOUT DISCRIMINATION, CARE FOR EMERGENCY MEDICAL CONDITIONS TO INDIVIDUALS REGARDLESS OF THEIR ELIGIBILITY UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY.

Schedule H (Form 990) 2023

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?4
Name and address		Type of Facility (describe)
1	1 - SALEM HEALTH MEDICAL CLINIC - MONMOUTH 512 MAIN ST E STE 300 MONMOUTH,OR97361	CLINIC
2	2 - SALEM HEALTH MEDICAL CLINIC - INDEPENDEN 1430 MONMOUTH ST INDEPENDENCE,OR97351	CLINIC
3	3 - CENTRAL SCHOOL - HEALTH CLINIC 1601 MONMOUTH ST STE 100 INDEPENDENCE,OR97351	CLINIC
4	4 - SURGICAL SPECIALTY CLINIC 641 SE MILLER AVE DALLAS,OR97338	CLINIC
5
6
7
8
9
10

Schedule H (Form 990) 2023

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
PART I, LINE 3C:	PATIENTS ARE ELIGIBLE TO APPLY FOR FINANCIAL ASSISTANCE ANY TIME PRIOR, DURING, OR AFTER SERVICES ARE PROVIDED. CRITERIA CONSIDERED IN DETERMINING ELIGIBILITY IS BASED ON YOUR FAMILY SIZE AND HOUSEHOLD'S GROSS INCOME BASED ON FEDERAL POVERTY GUIDELINES (FPG). THE DEFINITION OF 'HOUSEHOLD'S GROSS INCOME' INCLUDES THE COMBINED GROSS MONTHLY INCOME OF ALL PERSONS LEGALLY RESPONSIBLE FOR PATIENT BILL OR BALANCE.THE FINANCIAL MATRIX IS AS FOLLOWS:BELOW 300% FPG RECEIVES 100% DISCOUNT301%-400% RECEIVES 65% DISCOUNTCATASTROPHIC DISCOUNT RECEIVES 100% OF BALANCES GREATER THAN 20% GROSS FAMILY INCOMESUPPORTING DOCUMENTATION MAY INCLUDE THE FOLLOWING:CURRENT YEAR FEDERAL TAX FILING INCLUDING ALL PAGES AND SCHEDULESNON-FILING VERIFICATION LETTER FROM THE IRSMOST RECENT THREE (3) MONTHS WAGE STUBS FROM YOUR EMPLOYERCURRENT YEAR SOCIAL SECURITY ADMINISTRATION AWARD LETTERCURRENT YEAR PENSION BENEFIT AWARD LETTERVETERANS AFFAIRS AWARD LETTERANNUITY AWARD LETTERUNEMPLOYMENT BENEFITS LETTERCHILD SUPPORT AWARD LETTERALIMONY AWARD LETTER OR COURT DOCUMENTSSTUDENT FINANCIAL AID AWARD LETTERSHORT TERM DISABILITY BENEFITS AWARD LETTERLONG TERM DISABILITY BENEFITS AWARD LETTERA "BASIC NEEDS" LETTER THAT INDICATES HOW PERSONS WITH NO INCOME ARE MEETING THEIR DAY-TO-DAY BASIC LIVING NEEDS VALIDATES THAT INFORMATION.AS OUTLINED IN SALEM HEALTH HOSPITALS AND CLINICS' CONDITIONS OF ADMISSION, A CREDIT BUREAU REPORT OR A CHARITY SCORING VENDOR MAY BE REQUESTED TO VALIDATE INFORMATION PROVIDED ON THE FINANCIAL ASSISTANCE APPLICATION. SALEM HEALTH MAY ACCEPT INFORMATION PROVIDED ON AN OHP APPLICATION, OHP ELIGIBILITY, PROBATE ESTATES DETERMINATION, DOCUMENTATION OF HOMELESS STATUS, OR RELIABLE THIRD-PARTY CREDIT INFORMATION AS A SUBSTITUTE FOR THE FINANCIAL FORMS. OHP INFORMATION WILL BE CONSIDERED VALID 30 DAYS PRIOR TO ADMISSION AND 90 DAYS POST DISCHARGE. APPROVED SOURCES OF DOCUMENTATION FOR HOMELESS STATUS INCLUDE CHART NOTES, DISCHARGE PLANS, OR DISCHARGE SUMMARIES ENTERED INTO OUR HEALTH INFORMATION SYSTEM BY CARE PROVIDERS OF THE PATIENT INDICATING THEY ARE HOMELESS DURING THE REGISTRATION PROCESS. FINANCIAL ASSISTANCE GRANTED BASED ON THIRD PARTY INFORMATION RATHER THAN A FINANCIAL ASSISTANCE APPLICATION DOES NOT EXTEND TO FUTURE DATES OF SERVICE AND WOULD NEED TO BE REEVALUATED BASED ON INFORMATION AVAILABLE THAT TIME.
PART I, LINE 6A:	A COMMUNITY BENEFIT REPORT WAS PUBLISHED AND IS AVAILABLE AT HTTPS://WWW.SALEMHEALTH.ORG/ABOUT/COMMUNITY/COMMUNITY-BENEFIT-REPORTS.
PART I, LINE 7:	THE RATIO OF PATIENT CARE COST TO CHARGES WAS USED TO CALCULATE THE TOTAL COMMUNITY BENEFIT EXPENSE ON LINE 7, COLUMN C. THIS RATIO WAS APPLIED TO TOTAL FINANCIAL ASSISTANCE, MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS THAT ACCOUNT FOR A LARGE PORTION OF SALEM HEALTH'S COMMUNITY BENEFIT CONTRIBUTION. ENSURING THAT COMMUNITY MEMBERS HAVE ACCESS TO EMERGENCY, PRIMARY CARE AND OTHER HEALTH SERVICES REGARDLESS OF ABILITY TO PAY ALIGNS WITH THE HOSPITAL MISSION AND COMMITMENT TO SERVE THOSE LIVING IN MARION AND POLK COUNTIES. PART II: SALEM HEALTH HOSPITALS AND CLINICS, INCLUDING SALEM HEALTH WEST VALLEY, IS DEEPLY EMBEDDED IN THE COMMUNITY AND HOSPITAL LEADERS WORK HAND IN HAND WITH REPRESENTATIVES FROM GOVERNMENT AGENCIES AND OTHER NON-PROFIT ORGANIZATIONS TO ASSESS AND ADDRESS COMMUNITY NEEDS. THREE AREAS CURRENTLY IDENTIFIED AS PRIORITIES ARE BEHAVIORAL HEALTH SUPPORT, HOUSING, AND SUBSTANCE USE, BUT SALEM HEALTH HOSPITALS AND CLINICS FREQUENTLY ADDRESS AND SUPPORT OTHER CRITICAL COMMUNITY NEEDS SUCH AS PERSONAL SAFETY, INJURY PREVENTION, ACCESS TO CARE AND CHRONIC DISEASE MANAGEMENT FOR VULNERABLE POPULATIONS. COMMUNITY WIDE TASK FORCES ARE IN PLACE TO ADDRESS THESE IDENTIFIED PRIORITIES, WHICH ARE DEEMED MOST CRITICAL IN THE TWO COUNTIES SERVED BY SALEM HEALTH. REPRESENTATIVES FROM APPROPRIATE AREAS OF THE HOSPITAL ATTEND TASK FORCE MEETINGS AND LEVERAGE HOSPITAL RESOURCES TO POSITIVELY IMPACT HEALTH OUTCOMES. HOSPITAL LEADERS VOLUNTEER TIME TO SERVE ON COMMUNITY NON-PROFIT BOARDS WHICH MIRROR THE MISSION OF SALEM HEALTH AND ATTEND REGIONAL COLLABORATIVE WORK GROUPS THAT ADDRESS SOCIAL DETERMINANTS OF HEALTH. EXAMPLES INCLUDE BOARD POSITIONS ON SALEM FREE CLINIC, FAMILY BUILDING BLOCKS, THE BOYS AND GIRLS CLUB, UNITED WAY, YMCA, LIBERTY HOUSE, AND CATHOLIC COMMUNITY SERVICES.SALEM HEALTH WEST VALLEY EMERGENCY ROOM CONDUCTS A SUICIDE PREVENTION SCREENING ON EVERY PERSON WHO PRESENTS THEMSELVES TO THE HOSPITAL. WE ALSO PROVIDE SUPPORTS TO OUR COMMUNITY INCLUDING QPR TRAININGS (QUESTION, PERSUADE, REFER) AND ENGAGEMENT IN THE MID-VALLEY SUICIDE PREVENTION COALITION. SALEM HEALTH WEST VALLEY PROVIDES FUNDING AND VOLUNTEERS TO FALL CITY THRIVES, SPONSORING THE FALL CITY HAPPY DANCE. FALL CITY HAPPY DANCE IS A COMMUNITY ACTIVITY TO ADDRESS MENTAL HEALTH AWARENESS, RESILIENCY AND INCLUDES A RESOURCE FAIR.SALEM HEALTH WEST VALLEY IS A SMOKE FREE CAMPUS AND THE HOSPITAL SCREENS 100% OF ITS PATIENTS FOR TOBACCO USE AND PROVIDES ALL TOBACCO USERS WITH COMMUNITY CESSATION RESOURCE INFORMATION. THE AMERICAN LUNG ASSOCIATION'S FREEDOM FROM SMOKING CURRICULUM IS OFFERED AT NO COST THROUGH OUR COMMUNITY HEALTH EDUCATION CENTER (CHEC) AND THE HEALTH EDUCATION AND OUTREACH TEAMS PROVIDE COMMUNITY-BASED EDUCATION TO SCHOOLS RELATED TO TOBACCO PREVENTION. SALEM HEALTH HOSPITALS AND CLINICS' TRAUMA PREVENTION TEAM CONDUCTED CLASSES AND PRESENTATIONS AROUND SUBSTANCE ABUSE PREVENTION, INCLUDING SMOKING, VAPING, MARIJUANA AND METHAMPHETAMINE USE. SALEM HEALTH WEST VALLEY SUPPORTS THE POLK COUNTY SERVICE INTEGRATION TEAM (SIT), BOTH FINANCIALLY AND SERVING AS MEMBERS ON THE TEAM. THE PURPOSE OF SIT IS TO FACILITATE COLLABORATION AMONG COMMUNITY PARTNERS TO PROVIDE COORDINATED RESOURCES AND INFORMATION FOR INDIVIDUALS AND FAMILIES PROVIDING RESOURCES TO FILL GAPS IN AREAS SUCH AS HOUSING, TRANSPORTATION NEEDS, AND HEALTHY FOODS. SERVICE INTEGRATION TEAMS ARE COMMUNITY PARTNERS EXPEDITING SOLUTIONS BY MATCHING RESOURCES TO CLEARLY DEFINED NEEDS, WHILE AVOIDING DUPLICATION OF SERVICE. SIT INTERVENES IN A VARIETY OF CIRCUMSTANCES AND PROVIDE MULTIPLE RESOURCES, CONNECTING INDIVIDUALS AND FAMILIES AND MINIMIZING TOXIC STRESS. MARION AND POLK COUNTIES HAVE A HIGHER PERCENTAGE OF PEOPLE LIVING BELOW THE FEDERAL POVERTY LEVEL THAN OREGON AS A WHOLE. A GREATER PERCENTAGE OF FEMALES WERE LIVING IN POVERTY THAN MALES AND ABOUT 1 IN 10 PEOPLE ARE FOOD INSECURE. SALEM HEALTH WEST VALLEY PARTNERED WITH DALLAS EMERGENCY FOOD BANK AND THE DALLAS DOWNTOWN ASSOCIATION TO ADDRESS FOOD INSECURITY AND FOOD DESERT CHALLENGES.SALEM HEALTH WEST VALLEY PROVIDED FUNDING AND PARTNERSHIP TO SALEM FREE CLINICS TO EXPAND HEALTH SCREENINGS AND HEALTH CARE FOR PEOPLE IN POLK COUNTY, WHICH HAS A SIGNIFICANT PROVIDER SHORTAGE. THE OREGON PROVIDER TO POPULATION RATIO IS 1:358. IN POLK COUNTY, THE RATIO IS ONE PROVIDER FOR EVERY 2,245 PEOPLE. THE FREE CLINICS WITH ACCESS TO MEDICAL, DENTAL AND MENTAL HEALTH CARE ARE EXTREMELY IMPORTANT FOR THIS COMMUNITY. SALEM HEALTH WEST VALLEY EXPANDED ITS EFFORTS TO INCREASE THE AVAILABILITY OF CAR SEATS AND ASSISTANCE WITH CAR SEAT INSTALLATION BY PARTNERING WITH BAMBINOS, WHICH HAS THE ONLY CERTIFIED CAR SEAT INSTALLERS IN POLK COUNTY.COMMUNITY HEALTH EDUCATORS IMPROVED BIKE SAFETY BY PROVIDING FREE HELMETS AND SAFETY INSTRUCTIONS AT LOCAL BIKE RODEOS.
PART III, LINE 2:	BAD DEBT EXPENSE IS PRIMARILY ESTIMATED BASED UPON THE HOSPITALS' HISTORICAL COLLECTION EXPERIENCE, THE AGE OF THE PATIENT'S ACCOUNT, THE PATIENT'S ECONOMIC ABILITY TO PAY, AND THE EFFECTIVENESS OF COLLECTION EFFORTS. PATIENT ACCOUNTS RECEIVABLE BALANCES ARE ROUTINELY REVIEWED IN CONJUNCTION WITH HISTORICAL COLLECTION RATES AND OTHER ECONOMIC CONDITIONS THAT MIGHT ULTIMATELY AFFECT THE COLLECTABILITY OF PATIENT ACCOUNTS WHEN CONSIDERING THE ADEQUACY OF THE AMOUNTS RECORDED IN THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. ACTUAL WRITE-OFFS HISTORICALLY HAVE APPROXIMATED MANAGEMENT'S EXPECTATIONS.
PART III, LINE 3:	BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER SALEM HEALTH'S FINANCIAL ASSISTANCE POLICY IS ESTIMATED BASED ON DATA FROM OUR PATIENT ACCOUNTING SYSTEM. THIS DATA IS THEN COMPARED AND MATCHED TO MEDIAN HOUSEHOLD INCOME CENSUS DATA BY ZIP CODE TO DETERMINE THE ESTIMATED BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE.
PART III, LINE 4:	PATIENT ACCOUNTS RECEIVABLE ARE RECORDED AT AN ESTIMATED COLLECTIBLE AMOUNT AND DO NOT BEAR INTEREST. EXPLICIT PRICE CONCESSIONS ARE ESTABLISHED AS A RESULT OF NEGOTIATED REIMBURSEMENT METHODOLOGIES WITH THIRD PARTY PAYORS.THE CORPORATION ALSO RECORDS ESTIMATED IMPLICIT PRICE CONCESSIONS (BASED PRIMARILY ON HISTORICAL COLLECTION EXPERIENCE) RELATED TO UNINSURED ACCOUNTS TO RECORD SELF-PAY REVENUES AT THE ESTIMATED AMOUNTS WE EXPECT TO COLLECT. THE CORPORATION DOES NOT ASSESS CREDIT RISK BEFORE SERVICES ARE RENDERED.
PART III, LINE 8:	MEDICARE FEE-FOR-SERVICE COSTS ARE DETERMINED FROM SALEM HEALTH WEST VALLEY'S FILED MEDICARE COST REPORT.
PART III, LINE 9B:	THE BILLING AND COLLECTIONS ADMINISTRATIVE HOUSE-WIDE POLICY AND PROCEDURE STATES, "IF A PATIENT SUBMITS A COMPLETE APPLICATION FOR FINANCIAL ASSISTANCE AFTER AN ACCOUNT HAS BEEN REFERRED FOR COLLECTION ACTIVITY, SALEM HEALTH WILL SUSPEND THE ECAS UNTIL THE PATIENT'S APPLICATION HAS BEEN PROCESSED AND NOTIFY THE PATIENT OF DETERMINATION. IF AN INDIVIDUAL IS FOUND TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE, ANY ECAS WILL BE REVERSED.
PART VI, LINE 2:	PLEASE SEE PART V, SECTION B, LINE 11 NARRATIVE
PART VI, LINE 3:	PLEASE SEE NARRATIVE, PART V, SECTION B, LINES 13-16
PART VI, LINE 4:	MARION AND POLK COUNTIES ARE IN THE WILLAMETTE VALLEY AND ARE THE 5TH AND 13TH MOST POPULOUS COUNTIES IN OREGON RESPECTIVELY. THIS COMMUNITY SPANS ABOUT 1,950 SQUARE MILES, OF WHICH 1,200 ARE IN MARION AND 750 ARE IN POLK. AS OF 2020 THERE WERE APPROXIMATELY 433,353 PEOPLE LIVING IN THE COMMUNITY OF MARION AND POLK COUNTIES, WHICH IS ABOUT 10% OF THE TOTAL STATE POPULATION. OF THOSE, IT IS ESTIMATED THAT 345,920 PEOPLE LIVE IN MARION AND 87,433 LIVE IN POLK. IN MARION, THE FIVE LARGEST CITIES ARE KEIZER, SALEM, SILVERTON, STAYTON, AND WOODBURN, WHICH ARE HOME TO 66% OF THE COUNTY'S TOTAL POPULATION. THE REMAINING 34% LIVE IN ONE OF THE SMALLER 15 CITIES OR ON UNINCORPORATED LAND. IN POLK, THE LARGEST CITIES ARE DALLAS, FALLS CITY, INDEPENDENCE, MONMOUTH, AND WILLAMINA, AS WELL AS A PORTION OF SALEM (WEST), THE COMPOSITE OF WHICH APPROXIMATELY 84% OF POLK'S POPULATION RESIDES. THOSE WHO LIVE OUTSIDE OF THE MAJOR POPULATION AREAS IN THE COMMUNITY MAY EXPERIENCE GREATER DIFFICULTY ACCESSING RESOURCES LIKE HEALTH CARE SERVICES AND HEALTHY FOODS. TRANSPORTATION CAN BE DIFFICULT GIVEN THE LIMITED PUBLIC TRANSPORTATION IN THESE RURAL AREAS.EDUCATIONAL ACHIEVEMENT HAS BEEN IMPROVING IN RECENT YEARS AS A HIGHER PERCENTAGE OF COMMUNITY MEMBERS HAVE A HIGH SCHOOL DIPLOMA/GED. 85% OF ADULTS OVER 25 IN MARION COUNTY AND 91% OF ADULTS IN POLK COUNTY HAVE A HIGH SCHOOL DIPLOMA OR GED. HOWEVER, THE PERCENTAGES DROP SIGNIFICANTLY FOR LATINO POPULATIONS WHICH WERE 53% IN MARION COUNTY AND 61% IN POLK COUNTY. EDUCATIONAL ACHIEVEMENT IN MARION COUNTY WAS LOWER THAN POLK AND THE STATE, ESPECIALLY WITH REGARDS TO COLLEGE GRADUATES. IN MARION COUNTY 23% OF PEOPLE HAD A BACHELOR'S DEGREE OR HIGHER, COMPARED TO 31% IN POLK. EDUCATIONAL ACHIEVEMENT DIFFERED BY SEX, RACE AND ETHNICITY, GEOGRAPHY, AND DISABILITY STATUS. MARION AND POLK COUNTIES HAVE A HIGHER PERCENTAGE OF PEOPLE LIVING BELOW THE FEDERAL POVERTY LEVEL THAN OREGON AS A WHOLE. A GREATER PERCENTAGE OF FEMALES WERE LIVING IN POVERTY THAN MALES. ABOUT 1 IN 10 PEOPLE ARE FOOD INSECURE. 15% OF CHILDREN IN MARION COUNTY ARE FOOD INSECURE, WHICH IS THE HIGHEST RATE IN OREGON. 41% OF COMMUNITY MEMBERS WERE LIVING IN A FOOD DESERT COMPARED TO 18% IN POLK. TO BE CONSIDERED A FOOD DESERT, A CENSUS TRACT MUST BE DESIGNATED AS BOTH LOW-INCOME AND HAVE LOW ACCESS TO SUPERMARKETS OR LARGE GROCERY STORES WHERE HEALTHY FOODS ARE AVAILABLE. KEY FINDINGS FOR MARION & POLK COUNTIES: A GREATER PERCENTAGE OF THE COMMUNITY POPULATION IS YOUNGER, UNDER THE AGE OF 25, THAN OREGON. IN COMING YEARS, THE COMMUNITY IS EXPECTED TO SHIFT, WITH A GREATER PERCENTAGE OF OLDER ADULTS MAKING UP THE POPULATION. MARION COUNTY HAS A LARGER PERCENTAGE OF MEMBERS THAT IDENTIFIED AS HISPANIC OR LATINX THAN OREGON. ABOUT 28.7% IDENTIFIED AS HISPANIC/LATINX IN MARION, COMPARED TO 12.1% IN POLK AND 14.9% IN OREGON. THE COMMUNITY HAS A HIGHER PERCENTAGE OF MEMBERS THAT SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME THAN OREGON. ROUGHLY, 1 IN 4 HOUSEHOLDS (25%) IN MARION SPEAK A LANGUAGE OTHER THAN ENGLISH, COMPARED WITH 12% IN POLK AND 15% IN OREGON. THE MOST COMMON LANGUAGES SPOKEN AFTER ENGLISH WERE SPANISH, VARIOUS ASIAN OR PACIFIC ISLANDER LANGUAGES, AND RUSSIAN. ABOUT 15% OF COMMUNITY MEMBERS ARE LIVING WITH A DISABILITY, WHICH HAS BEEN DECREASING OVER TIME. THE MOST COMMON TYPES OF DISABILITIES IN THE COMMUNITY WERE DIFFICULTIES WALKING, LIVING ALONE, OR COGNITIVE. THE PROPORTION OF COMMUNITY MEMBERS LIVING WITH A DISABILITY DIFFERED BY RACE AND ETHNICITY. ONE THIRD (33%) OF MARION COUNTY COMMUNITY MEMBERS LIVED OUTSIDE OF THE FIVE LARGEST CITIES IN MARION COUNTY. ABOUT 16% OF POLK COUNTY COMMUNITY MEMBERS LIVED OUTSIDE OF ITS LARGEST CITIES. THE COMMUNITY IS GROWING, AGING, AND BECOMING MORE DIVERSE, A TREND THAT IS PREDICTED TO CONTINUE. POPULATION PROJECTIONS ESTIMATE THAT THERE WILL BE 500,000 COMMUNITY MEMBERS BY 2035. OLDER ADULTS WILL REPRESENT A GREATER PROPORTION OF THE OVERALL POPULATION IN THE FUTURE THAN THEY DO CURRENTLY.
PART VI, LINE 5:	IN ADDITION TO THE WORK DESCRIBED IN THE ABOVE NARRATIVE, SALEM HEALTH HOSPITALS AND CLINICS HAS A COMMUNITY HEALTH EDUCATION CENTER THAT OFFERS NO AND LOW-COST HEALTH EDUCATION TO THE GENERAL PUBLIC IN THE FORM OF CLASSES, OUTREACH AND ACCESS TO RESEARCH MATERIALS, ONLINE AND IN PRINT. A STAFF LIBRARIAN IS AVAILABLE TO ASSIST CLINICIANS WITH THE LATEST RESEARCH AND TREATMENT OPTIONS. A STAFF OF HEALTH EDUCATORS PRESENTS TO THE PUBLIC ON VARIOUS COMMUNITY HEALTH TOPICS ON REQUEST AND ATTENDS WELLNESS FAIRS, PROVIDING BIOMETRICS AND HEALTH INFORMATION. FURTHER INFORMATION REGARDING HEALTH PROMOTION CAN BE FOUND IN PART V, SECTION B, LINE 11 NARRATIVE.
PART VI, LINE 7, REPORTS FILED WITH STATES	OR

Schedule H (Form 990) 2023

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Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization
SALEM HEALTH WEST VALLEY

Employer identification number
43-1960221

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of noncash assistance	(h) Purpose of grant or assistance
(1) PSYCHIATRIC CRISIS CENTER PO BOX 14500 SALEM,OR97309	93-6002307	MARION COUNTY	0	11,547	OVERHEAD COSTS	USE OF SPACE	ACCESS TO MEDICAL SERVICES

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2023

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference	Explanation
PART I, LINE 2:	GRANTS ARE ONLY MADE TO QUALIFIED EXEMPT ORGANIZATIONS, BECAUSE DOCUMENTATION AND AUTHORIZATION IS CAREFULLY EXAMINED BEFORE A GRANT IS GIVEN, AND THE PURPOSES FOR A GRANT ARE KNOWN BEFORE IT IS AWARDED, NO ADDITIONAL FOLLOW UP IS PERFORMED TO FIND OUT HOW THE GRANT WAS USED.

Schedule I (Form 990) 2023

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Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
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Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
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Attach to Form 990.
medium right arrow graphic

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

SALEM HEALTH WEST VALLEY

Employer identification number

43-1960221

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2023

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1CHERYL NESTER WOLFE PRESIDENT & CEO	(i) (ii)	0 ------------- 1,053,743	0 ------------- 275,391	0 ------------- 344,489	0 ------------- 28,050	0 ------------- 15,149	0 ------------- 1,716,822	0 ------------- 320,387
2JAMES PARR EVP OF OPERATIONS & CFO	(i) (ii)	0 ------------- 804,313	0 ------------- 0	0 ------------- 52,049	0 ------------- 84,724	0 ------------- 24,594	0 ------------- 965,680	0 ------------- 49,349
3MARY S PLACEK FAMILY PRACTITIONER	(i) (ii)	352,662 ------------- 0	0 ------------- 0	31,243 ------------- 0	32,462 ------------- 0	27,076 ------------- 0	443,443 ------------- 0	0 ------------- 0
4BRANDON SCHMIDGALL FORMER CHIEF ADMIN. OFFICER	(i) (ii)	127,035 ------------- 0	0 ------------- 0	193,451 ------------- 0	10,894 ------------- 0	6,882 ------------- 0	338,262 ------------- 0	0 ------------- 0
5SEVEN J HILL WVH IMAGING LEAD	(i) (ii)	222,001 ------------- 0	0 ------------- 0	488 ------------- 0	14,513 ------------- 0	9,042 ------------- 0	246,044 ------------- 0	0 ------------- 0
6MATTHEW E MARTIN WVH IMAGING LEAD	(i) (ii)	202,523 ------------- 0	0 ------------- 0	104 ------------- 0	15,602 ------------- 0	25,540 ------------- 0	243,769 ------------- 0	0 ------------- 0
7MARGIE L HUGGINS CLINICAL NURSE BSN	(i) (ii)	204,477 ------------- 0	0 ------------- 0	3,497 ------------- 0	15,544 ------------- 0	9,545 ------------- 0	233,063 ------------- 0	0 ------------- 0
8AMANI M ABUJAME PHARMACIST	(i) (ii)	195,833 ------------- 0	0 ------------- 0	218 ------------- 0	9,813 ------------- 0	1,115 ------------- 0	206,979 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2023

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
PART I, LINE 3	THE BOARD OF TRUSTEES WHO ESTABLISH CEO COMPENSATION IS THE SAME BOARD FOR SALEM HEALTH AND SALEM HEALTH WEST VALLEY.
PART I, LINES 4A-B	THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS WHICH ARE REPORTED IN PART II, COLUMN B(III): BRANDON SCHMIDGALL: $193,000 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: JAMES PARR - $56,674 (INCLUDED IN DEFERRED COMPENSATION) MARY PLACEK - $14,312 (INCLUDED IN DEFERRED COMPENSATION)
PART I, LINE 7	THE SALEM HEALTH HOSPITALS AND CLINICS BOARD OF TRUSTEES ESTABLISHES ANNUAL PERFORMANCE GOALS FOR THE CEO AT THE BEGINNING OF EACH FISCAL YEAR. AT THE END OF THE FISCAL YEAR, THE BOARD INDEPENDENTLY EVALUATES THE CEO'S PERFORMANCE AGAINST THESE GOALS AND, AT ITS SOLE DISCRETION, DETERMINES AND AWARDS AN APPROPRIATE BONUS BASED ON THE EXTENT TO WHICH THE GOALS WERE MET.

Schedule J (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization

SALEM HEALTH WEST VALLEY

Employer identification number

43-1960221

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 6	THE SOLE MEMBER OF SALEM HEALTH WEST VALLEY IS SALEM HEALTH HOSPITALS & CLINICS ("SHHC"), A NOT-FOR-PROFIT ENTITY. THE SALEM HEALTH WEST VALLEY TRUSTEES ARE ELECTED BY SHHC WHO ALSO APPROVES SIGNIFICANT DECISIONS OF THE SALEM HEALTH WEST VALLEY GOVERNING BODY.
FORM 990, PART VI, SECTION A, LINE 7A	THE BYLAWS OF SALEM HEALTH WEST VALLEY STATE THAT THE TRUSTEES OF SALEM HEALTH WEST VALLEY SHALL BE ELECTED BY SHHC AT EACH ANNUAL ORGANIZATION MEETING OF THE BOARD OF DIRECTORS OF SHHC, OR IF ANY SUCH ANNUAL MEETING IS NOT HELD, THEN THE TRUSTEES MAY BE ELECTED AT A REGULAR OR SPECIAL MEETING OF THE BOARD OF DIRECTORS OF SHHC.
FORM 990, PART VI, SECTION A, LINE 7B	PURSUANT TO THE SALEM HEALTH WEST VALLEY BYLAWS, SHHC SHALL HAVE THE SOLE AND EXCLUSIVE RIGHT TO ACT WITH RESPECT TO THE FOLLOWING AFFAIRS OF SALEM HEALTH WEST VALLEY: A. APPROVAL OF THE MERGER OR CONSOLIDATION OF SALEM HEALTH WEST VALLEY WITH ANY OTHER ORGANIZATION OR ENTITY; PROVIDED, HOWEVER, THAT THE BOARD OF TRUSTEES MAY SUBMIT MERGER AND CONSOLIDATION PROPOSALS TO SHHC FOR ITS APPROVAL; B. ELECTION TO DISSOLVE AND WIND UP THE AFFAIRS OF SALEM HEALTH WEST VALLEY; PROVIDED THAT THE BOARD OF TRUSTEES MAY SUBMIT A DISSOLUTION PROPOSAL TO SHHC FOR ITS APPROVAL; C. SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE OR OTHER DISPOSITION OF ALL, OR SUBSTANTIALLY ALL, THE PROPERTY AND ASSETS OF SALEM HEALTH WEST VALLEY; PROVIDED, HOWEVER, THAT THE BOARD OF TRUSTEES MAY SUBMIT PROPOSALS FOR SUCH DISPOSITIONS TO SHHC FOR ITS APPROVAL; D. APPROVAL OF ANNUAL OPERATING CASH AND CAPITAL BUDGETS; E. APPROVAL OF LONG-TERM COMMITMENTS; F. APPROVAL OF LONG-RANGE PLANS; G. APPROVAL OF SPECIAL PROJECTS INVOLVING CAPITAL OR OPERATING EXPENDITURES IN EXCESS OF $1,000,000; AND H. MATERIAL ADDITIONS OR DELETIONS OF SERVICES.
FORM 990, PART VI, SECTION B, LINE 11B	THE ORGANIZATION'S ACCOUNTING & FINANCE TEAM WORKS CLOSELY WITH THE OUTSIDE ACCOUNTING FIRM IT ENGAGES TO PREPARE AND REVIEW THE RETURN. THE CONTROLLER AND CFO REVIEW A DRAFT OF THE FORM 990 BEFORE IT IS PRESENTED TO THE GOVERNANCE COMMITTEE OF THE BOARD OF TRUSTEES. FINANCE ADMINISTRATION ADDRESSES AND RESPONDS TO QUESTIONS RAISED BY MEMBERS OF THE GOVERNANCE COMMITTEE. AFTER IT IS REVIEWED BY THE GOVERNANCE COMMITTEE, THE FINAL FORM 990 IS FORWARDED TO THE ENTIRE BOARD OF TRUSTEES PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.
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 AND RETURNED TO THE SECRETARY BY THE TRUSTEE, OFFICER, COMMITTEE MEMBER OR EMPLOYEE PRIOR TO THE BEGINNING OF EACH CALENDAR YEAR. THE ORGANIZATION MAINTAINS A RIGOROUS CONFLICT OF INTEREST POLICY TO ENSURE TRANSPARENCY AND INTEGRITY IN DECISION-MAKING. AT EACH BOARD AND COMMITTEE MEETING, MEMBERS ARE ASKED TO DISCLOSE ANY CONFLICTS OF INTEREST AT THE OUTSET OR AS THEY ARISE. IF A CONFLICT IS DECLARED OR PERCEIVED, THE AFFECTED BOARD MEMBER ABSTAINS FROM VOTING AND MAY BE EXCUSED FROM DISCUSSIONS RELATED TO THE CONFLICT. ADDITIONALLY, ALL BOARD MEMBERS MUST SUBMIT AN ANNUAL CONFLICT OF INTEREST DISCLOSURE DETAILING POTENTIAL CONFLICTS, INCLUDING FINANCIAL AND OWNERSHIP INTERESTS FOR THEMSELVES AND THEIR FAMILY MEMBERS. PHYSICIAN BOARD MEMBERS WHO ALSO SERVE ON THE MEDICAL STAFF OF SALEM HOSPITAL OR WEST VALLEY HOSPITAL ARE EXCLUDED FROM PARTICIPATING IN DECISIONS RELATED TO CEO COMPENSATION.
FORM 990, PART VI, SECTION B, LINE 15	EXECUTIVE COMPENSATION AT SALEM HEALTH (SH) IS DESIGNED TO ALLOW THE ORGANIZATION TO RECRUIT AND RETAIN QUALIFIED SENIOR LEADERS. THE GOVERNANCE COMMITTEE OF THE SH BOARD OF TRUSTEES, NONE OF WHOM IS A SH EMPLOYEE, ENGAGES ONE OR MORE INDEPENDENT CONSULTANTS TO PROVIDE MARKET DATA ON CEO COMPENSATION, INCLUDING BENEFITS, FOR THE CEOS AT COMPARABLE ORGANIZATIONS. THIS INFORMATION IS USED BY THE GOVERNANCE COMMITTEE AND BOARD OF TRUSTEES IN ITS DISCUSSIONS AND DECISIONS ON CEO COMPENSATION. COMPENSATION FOR THE CEO IS REVIEWED ON AN ANNUAL BASIS. THE MOST RECENT REVIEW TOOK PLACE IN SEPTEMBER 2023. THE COMPENSATION DELIBERATIONS AND DECISIONS ARE DOCUMENTED IN THE GOVERNANCE COMMITTEE AND BOARD MINUTES FOR THIS MEETING. ONE OR MORE INDEPENDENT CONSULTANTS ARE ALSO RETAINED TO REVIEW EXECUTIVE COMPENSATION SEPARATE FROM THE CEO. THE CEO, IN CONJUNCTION WITH THE INDEPENDENT CONSULTANTS, ENSURES THAT EACH EXECUTIVE'S COMPENSATION IS COMPETITIVE IN THE MARKET FOR SIMILAR POSITIONS AT COMPARABLE ORGANIZATIONS. THE CEO ALSO PROVIDES INFORMATION TO THE BOARD GOVERNANCE COMMITTEE ON THE LEVELS OF EXECUTIVE COMPENSATION.
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 IX, LINE 11G	PHYSICIAN PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 3,360,916. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,360,916. PHYSICIAN DIRECTOR FEES: PROGRAM SERVICE EXPENSES 91,559. MANAGEMENT AND GENERAL EXPENSES 13,835. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 105,394. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 4,554,045. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,554,045. OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 388,047. MANAGEMENT AND GENERAL EXPENSES 144,961. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 533,008.
FORM 990, PART XI, LINE 9:	CHANGE IN BENEFICIAL INTEREST 246.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

SALEM HEALTH WEST VALLEY

Employer identification number

43-1960221

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)SALEM HEALTH 890 OAK STREET SALEM,OR97301 93-0579722	HOSPITAL	OR	501(C)(3)	LINE 3	SHHC		No
(2)SALEM HEALTH FOUNDATION 890 OAK STREET SALEM,OR97301 23-7002687	SUPPORT SH	OR	501(C)(3)	LINE 7	SHHC		No
(3)SALEM HEALTH HOSPITALS & CLINICS 890 OAK STREET SALEM,OR97301 93-0823471	LEASES LAND	OR	501(C)(3)	LINE 12A, I	N/A		No
(4)WEST VALLEY HOSPITAL FOUNDATION 525 SOUTHEAST WASHINGTON ST DALLAS,OR97338 93-1298564	SUPPORT SHWV	OR	501(C)(3)	LINE 12A, I	SHHC		No
(5)WILLAMETTE VALLEY INSURANCE COMPANY 745 FORT STREET HONOLULU,HI96813 20-1836190	INSURANCE	HI	501(C)(3)	LINE 12A, I	SHHC		No
(6)SALEM HEALTH PROFESSIONAL SERVICES 890 OAK STREET SALEM,OR97301 75-3175249	BILLING	OR	501(C)(3)	LINE 12A, I	SHHC		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2023

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) OREGON HEALTHCARE ENTERPRISES INC -1- 4000 KRUSE WAY PLACE BLDG 2 STE 100 LAKE OSWEGO,OR97035 45-6525337	TAX TRUST PROGRAM	OR		T	82,523		0.450 %		No

Schedule R (Form 990) 2023

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

Yes

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related organization(s) ............................

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved

Schedule R (Form 990) 2023

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) 2023

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) 2023

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: WE STRIVE TO IMPROVE THE HEALTH AND WELL BEING OF THE PEOPLE AND COMMUNITY WE SERVE.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	13
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	13
5	Total number of individuals employed in calendar year 2023 (Part V, line 2a) ......	5	358
6	Total number of volunteers (estimate if necessary) .............	6	14
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	13,818
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	2,586

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	20,631	40,889
9	Program service revenue (Part VIII, line 2g) .........	80,137,713	100,970,256
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	20,900	191,152
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	0	0
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	80,179,244	101,202,297
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	20,769	11,547
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	27,411,428	33,015,010
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	32,766,801	30,803,715
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	60,198,998	63,830,272
19	Revenue less expenses. Subtract line 18 from line 12.......	19,980,246	37,372,025
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	211,555,335	120,113,347
21	Total liabilities (Part X, line 26).............	141,108,876	12,294,617
22	Net assets or fund balances. Subtract line 21 from line 20.....	70,446,459	107,818,730

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 50,925,979 including grants of $ ) (Revenue $ 99,160,159 )
	SALEM HEALTH WEST VALLEY IS A CRITICAL ACCESS HOSPITAL SERVING THE RURAL POLK COUNTY REGION WITH A POPULATION OF 88,799. SERVICES INCLUDE: DIAGNOSTIC IMAGING PROCEDURES 39,885, EMERGENCY DEPARTMENT VISITS 20,162, INPATIENT ADMISSIONS 572, LABORATORY TESTS / DRAWS 286,919, SURGERIES 475.

4b	(Code: ) (Expenses $ 1,303,167 including grants of $ ) (Revenue $ 0 )
	SALEM HEALTH WEST VALLEY PROVIDES HEALTHCARE TO PEOPLE IN OUR COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY IN THE 12 MONTHS ENDED 06/30/2024, THE COST OF SERVICES PROVIDED AS A COMMUNITY BENEFIT TOTALED $1,303.167. THIS FIGURE CONSISTED OF $1,303,167 IN COSTS TO PROVIDE CHARITY CARE TO INDIVIDUALS WHO CANNOT AFFORD TO PAY.

4c	(Code: ) (Expenses $ 2,301,996 including grants of $ ) (Revenue $ 1,821,297 )
	SALEM HEALTH WEST VALLEY ACTIVELY PARTICIPATES IN COMMUNITY HEALTH IMPROVEMENT SERVICES. IN THE 12 MONTHS ENDED 06/30/2024, SALEM HEALTH WEST VALLEY GAVE $11,547 FOR UNFUNDED OR UNDERFUNDED HEALTH SERVICES, INCLUDING 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.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses54,531,142

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)			(D) Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(18) MATTHEW E MARTIN........................................................................ WVH IMAGING LEAD	40.00 .......................0.00	X		202,627	0	41,142
(19) AMANI M ABUJAME........................................................................ PHARMACIST	40.00 .......................0.00	X		196,051	0	10,928
(20) MARGIE L HUGGINS........................................................................ CLINICAL NURSE BSN	40.00 .......................0.00	X		207,974	0	25,089
(21) BRANDON SCHMIDGALL........................................................................ FORMER CHIEF ADMIN. OFFICER	0.00 .......................0.00		X	320,486	0	17,776

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	1,533,532	2,529,985	330,545

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	40,889
e	Government grants (contributions)		1e

f	All other contributions, gifts, grants, and similar amounts not included above		1f

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		40,889

		Business Code
2a	PATIENT SERVICE REV.	621500	50,501,361	50,501,361
b	REGIONAL LAB	621300	38,784,827	38,784,827
c	PHARMACY	621110	11,376,599	11,362,781	13,818
d	NUTRITION SERVICES	722210	174,860	174,860
e	OTHER HOSPITAL SERVICE	900099	132,609	132,609
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		100,970,256

3 Investment income (including dividends, interest, and othersimilar amounts) ......			191,152			191,152
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a
b	Less: rental expenses	6b
c	Rental income or (loss)	6c
d	Net rental income or (loss).......
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a
b	Less: cost or other basis and sales expenses	7b
c	Gain or (loss)	7c
d	Net gain or (loss).........
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..

Business Code
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......
12	Total revenue. See instructions.....			101,202,297	100,956,438	13,818	191,152

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	11,547	11,547
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	25,784,322	22,818,977	2,965,345
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	42,473		42,473
9	Other employee benefits .......	5,488,106	4,856,942	631,164
10	Payroll taxes ...........	1,700,109	1,504,587	195,522
11	Fees for services (non-employees):
a	Management ......
b	Legal .........
c	Accounting ...........
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	8,553,363	8,394,567	158,796
12	Advertising and promotion ....	12,558		12,558
13	Office expenses .......	3,862,432	690,990	3,171,442
14	Information technology ......	1,730	1,730
15	Royalties ..
16	Occupancy ...........	3,699,482	1,670,362	2,029,120
17	Travel ............	45,053	31,139	13,914
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	24,969	14,481	10,488
20	Interest ...........
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	520,921	520,921
23	Insurance ...	63,899	63,899
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	PATIENT SUPPLIES	6,588,234	6,588,234
b	PROVIDER TAX	4,084,283	4,084,283
c	BAD DEBT	2,171,910	2,171,910
d	OTHER PURCHASED SERVICE	751,609	683,301	68,308
e	All other expenses	423,272	423,272
25	Total functional expenses. Add lines 1 through 24e	63,830,272	54,531,142	9,299,130	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			300	1	300
2	Savings and temporary cash investments .........			9,776,514	2	536,541
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			10,978,567	4	13,221,402
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............			1,012,050	8	680,230
9	Prepaid expenses and deferred charges ......			205,072	9	140,982
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	34,087,005
b	Less: accumulated depreciation	10b	6,251,793	19,362,759	10c	27,835,212
11	Investments—publicly traded securities .				11
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............			275,900	14	275,900
15	Other assets. See Part IV, line 11 ...........			169,944,173	15	77,422,780
16	Total assets. Add lines 1 through 15 (must equal line 33)...			211,555,335	16	120,113,347

17	Accounts payable and accrued expenses .....	9,993,421	17	5,044,201
18	Grants payable ...		18
19	Deferred revenue .........	331,053	19	618,065
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	130,784,402	25	6,632,351
26	Total liabilities. Add lines 17 through 25..	141,108,876	26	12,294,617

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	70,378,487	27	107,750,511
28	Net assets with donor restrictions ...........	67,972	28	68,219
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	70,446,459	32	107,818,730
33	Total liabilities and net assets/fund balances ........	211,555,335	33	120,113,347