Totals
- Total revenue
- $80,179,244
- Total expenses
- $60,198,998
- Contributions and grants received
- $20,631
- Grants paid
- $20,769
- Program service revenue
- $80,137,713
- Investment income
- $20,900
- Other revenue
- $0
- Total assets, end of year
- $211,555,335
- Total liabilities, end of year
- $141,108,876
- Net assets or fund balances, end of year
- $70,446,459
- Program services expenses (Part IX)
- $50,595,452
- Management and general expenses
- $9,603,546
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $50,595,452
Program services were 84.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
1d · Related organizations
$20,631
-
2a · Program service revenue: PATIENT SERVICE REV.
total $39,851,439 · related or exempt $39,851,439
-
2b · Program service revenue: REGIONAL LAB
total $30,658,471 · related or exempt $30,657,784 · unrelated business $687
-
2c · Program service revenue: PHARMACY
total $9,171,229 · related or exempt $9,170,815 · unrelated business $414
-
2d · Program service revenue: OTHER HOSPITAL SERVICE
total $305,057 · related or exempt $305,057
-
2e · Program service revenue: NUTRITION SERVICES
total $151,517 · related or exempt $151,517
-
3 · Investment income
total $20,900 · excluded $20,900
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $19,719 · program services $19,719
-
2 · Grants to domestic individuals
total $1,050 · program services $1,050
-
5 · Compensation of officers, directors and key employees
total $651,043 · management and general $651,043
-
7 · Other salaries and wages
total $20,747,038 · program services $19,090,027 · management and general $1,657,011
-
8 · Pension plan contributions
total $78,179 · management and general $78,179
-
9 · Other employee benefits
total $4,257,597 · program services $3,798,361 · management and general $459,236
-
10 · Payroll taxes
total $1,677,571 · program services $1,496,624 · management and general $180,947
-
11b · Fees: legal
total $1,250 · management and general $1,250
-
11c · Fees: accounting
total $35,270 · management and general $35,270
-
11g · Fees: other
total $12,173,588 · program services $12,003,385 · management and general $170,203
-
12 · Advertising and promotion
total $17,958 · management and general $17,958
-
13 · Office expenses
total $5,694,793 · program services $893,983 · management and general $4,800,810
-
14 · Information technology
total $1,618 · program services $1,618
-
16 · Occupancy
total $2,596,276 · program services $1,366,213 · management and general $1,230,063
-
17 · Travel
total $59,038 · program services $49,514 · management and general $9,524
-
19 · Conferences, conventions and meetings
total $21,451 · program services $13,599 · management and general $7,852
-
22 · Depreciation, depletion and amortization
total $509,311 · program services $509,311
-
23 · Insurance
total $54,195 · program services $54,195
-
24a · Other expenses: PATIENT SUPPLIES
total $5,615,623 · program services $5,615,623
-
24b · Other expenses: PROVIDER TAX
total $3,405,488 · program services $3,405,488
-
24c · Other expenses: BAD DEBT
total $1,197,814 · program services $1,197,814
-
24d · Other expenses: OTHER PURCHASED SERVICE
total $1,186,060 · program services $950,880 · management and general $235,180
-
24e · All other expenses
total $197,068 · program services $128,048 · management and general $69,020
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $300 · end of year $300
-
2 · Savings and temporary cash investments
beginning of year $309,344 · end of year $9,776,514
-
4 · Accounts receivable
beginning of year $6,063,126 · end of year $10,978,567
-
8 · Inventories for sale or use
beginning of year $722,633 · end of year $1,012,050
-
9 · Prepaid expenses and deferred charges
beginning of year $190,037 · end of year $205,072
-
10a · Land, buildings and equipment: cost or other basis
$24,848,876
-
10b · Land, buildings and equipment: accumulated depreciation
$5,486,117
-
10c · Land, buildings and equipment, net
beginning of year $5,179,932 · end of year $19,362,759
-
14 · Intangible assets
beginning of year $275,900 · end of year $275,900
-
15 · Other assets
beginning of year $45,187,934 · end of year $169,944,173
-
17 · Accounts payable and accrued expenses
beginning of year $3,328,243 · end of year $9,993,421
-
19 · Deferred revenue
beginning of year $17,820 · end of year $331,053
-
25 · Other liabilities
beginning of year $4,141,662 · end of year $130,784,402
-
27 · Net assets without donor restrictions
beginning of year $50,395,308 · end of year $70,378,487
-
28 · Net assets with donor restrictions
beginning of year $46,173 · end of year $67,972
Mission and programs · 2022
Mission
TO IMPROVE THE HEALTH AND WELL BEING OF THE PEOPLE IN THE COMMUNITIES WE SERVE.
Activities or mission (Part I)
WE STRIVE TO IMPROVE THE HEALTH AND WELL BEING OF THE PEOPLE AND COMMUNITY WE SERVE.
-
SALEM HEALTH WEST VALLEY IS A CRITICAL ACCESS HOSPITAL SERVING THE RURAL POLK COUNTY REGION WITH A POPULATION OF 90,553. SERVICES INCLUDE: DIAGNOSTIC IMAGING PROCEDURES 35,903, EMERGENCY DEPARTMENT VISITS 19,654, INPATIENT ADMISSIONS 493, LABORATORY TESTS / DRAWS 308,505, SURGERIES 438.
Expenses $27,211,278 · Revenue $63,752,682
-
SALEM HEALTH WEST VALLEY PROVIDES HEALTHCARE TO PEOPLE IN OUR COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY IN THE 12 MONTHS ENDED 06/30/2023, THE COST OF SERVICES PROVIDED AS A COMMUNITY BENEFIT TOTALED $6,347,832. THIS FIGURE CONSISTED OF $4,838,985 IN COSTS TO PROVIDE CHARITY CARE TO INDIVIDUALS WHO CANNOT AFFORD TO PAY AND $1,508,847 IN UNDERPAYMENT BY MEDICAID AS THE AMOUNT PAID UNDER THE PROGRAM WAS LESS THAN THE COST TO PROVIDE THE SERVICES.
Expenses $21,174,380 · Grants $20,769 · Revenue $14,826,548
-
SALEM HEALTH WEST VALLEY ACTIVELY PARTICIPATES IN COMMUNITY HEALTH IMPROVEMENT SERVICES. IN THE 12 MONTHS ENDED 06/30/2023, SALEM HEALTH WEST VALLEY GAVE $63,630 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.
Expenses $2,209,794 · Revenue $1,558,483
As filed on the 2022 return.
Listed in Part VII
-
Lane ShetterlyLANE SHETTERLY
CHAIR
- Total calculated
- $0
- Hours/week
- 0.8 + 5.2 related
-
Alan WynnALAN WYNN
SECRETARY/TREASURER
- Total calculated
- $0
- Hours/week
- 0.4 + 2.7 related
-
Ricardo LinaresRICARDO LINARES
TRUSTEE
- Total calculated
- $0
- Hours/week
- 0.4 + 2.6 related
-
John Combes MDJOHN COMBES MD
CHAIR-ELECT
- Total calculated
- $0
- Hours/week
- 0.6 + 3.4 related
-
Katherine L KeeneKATHERINE L KEENE
PAST-CHAIR
- Total calculated
- $0
- Hours/week
- 0.7 + 4.3 related
-
Angelica VegaANGELICA VEGA
TRUSTEE
- Total calculated
- $0
- Hours/week
- 0.3 + 4.7 related
-
Annette CampistaANNETTE CAMPISTA
TRUSTEE
- Total calculated
- $0
- Hours/week
- 0.2 + 3.3 related
-
David Harrison MDDAVID HARRISON MD
TRUSTEE
- Total calculated
- $0
- Hours/week
- 0.4 + 2.6 related
-
Jenn ColumbusJENN COLUMBUS
TRUSTEE
- Total calculated
- $0
- Hours/week
- 0.4 + 2.5 related
-
Mark ZookMARK ZOOK
TRUSTEE
- Total calculated
- $0
- Hours/week
- 0.7 + 4.2 related
-
Phil JacksonPHIL JACKSON
TRUSTEE
- Total calculated
- $0
- Hours/week
- 0.4 + 2.6 related
-
Robert Kelly MDROBERT KELLY MD
TRUSTEE
- Total calculated
- $0
- Hours/week
- 0.7 + 3.8 related
-
Theresa HaskinsTHERESA HASKINS
TRUSTEE
- Total calculated
- $0
- Hours/week
- 0.5 + 3 related
-
Cheryl Nester WolfeCHERYL NESTER WOLFE
PRESIDENT & CEO
- Total calculated
- $1,616,278
- From this org
- $0
- From related orgs
- $1,574,830
- Other
- $41,448
- Hours/week
- 6 + 34 related
Schedule J breakdown matched by us
- Base
- $0 + $1,003,551 related
- Bonus
- $0 + $264,799 related
- Other
- $0 + $306,480 related
- Deferred
- $0 + $25,925 related
- Nontaxable benefits
- $0 + $15,523 related
- Filer's total
- $0 + $1,616,278 related
-
James ParrJAMES PARR
EVP OF OPERATIONS & CFO
- Total calculated
- $1,085,378
- From this org
- $0
- From related orgs
- $981,205
- Other
- $104,173
- Hours/week
- 3 + 37 related
Schedule J breakdown matched by us
- Base
- $0 + $773,768 related
- Bonus
- $0 + $154,507 related
- Other
- $0 + $52,930 related
- Deferred
- $0 + $80,418 related
- Nontaxable benefits
- $0 + $23,755 related
- Filer's total
- $0 + $1,085,378 related
-
Brandon SchmidgallBRANDON SCHMIDGALL
CHIEF ADMIN OFFICER (THRU 3/7/23)
- Total calculated
- $441,763
- From this org
- $370,725
- From related orgs
- $0
- Other
- $71,038
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $306,153
- Bonus
- $62,321
- Other
- $2,251
- Deferred
- $47,821
- Nontaxable benefits
- $23,217
- Filer's total
- $441,763
-
Jennifer BroadusJENNIFER BROADUS
DIRECTOR, CLINICAL OPS (THRU 12/2/22)
- Total calculated
- $218,011
- From this org
- $193,528
- From related orgs
- $0
- Other
- $24,483
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $176,477
- Bonus
- $16,763
- Other
- $288
- Deferred
- $15,734
- Nontaxable benefits
- $8,749
- Filer's total
- $218,011
-
Seven J HillSEVEN J HILL
WVH IMAGING LEAD
- Total calculated
- $221,029
- From this org
- $198,879
- From related orgs
- $0
- Other
- $22,150
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $196,923
- Bonus
- $1,500
- Other
- $456
- Deferred
- $12,995
- Nontaxable benefits
- $9,155
- Filer's total
- $221,029
-
Mary S PlacekMARY S PLACEK
FAMILY PRACTITIONER
- Total calculated
- $453,529
- From this org
- $399,147
- From related orgs
- $0
- Other
- $54,382
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $363,144
- Bonus
- $34,745
- Other
- $1,258
- Deferred
- $31,252
- Nontaxable benefits
- $23,130
- Filer's total
- $453,529
-
Kimberly A WellsKIMBERLY A WELLS
WVH O/P SVCS NURSE MGR(THRU 11/10/22)
- Total calculated
- $220,949
- From this org
- $196,675
- From related orgs
- $0
- Other
- $24,274
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $180,346
- Bonus
- $15,810
- Other
- $519
- Deferred
- $14,736
- Nontaxable benefits
- $9,538
- Filer's total
- $220,949
-
Matthew E MartinMATTHEW E MARTIN
WVH IMAGING LEAD
- Total calculated
- $214,921
- From this org
- $179,108
- From related orgs
- $0
- Other
- $35,813
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $177,527
- Bonus
- $1,500
- Other
- $81
- Deferred
- $13,813
- Nontaxable benefits
- $22,000
- Filer's total
- $214,921
-
Wawona L GilbertWAWONA L GILBERT
CT TECH
- Total calculated
- $209,012
- From this org
- $179,325
- From related orgs
- $0
- Other
- $29,687
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $177,650
- Bonus
- $1,500
- Other
- $175
- Deferred
- $15,418
- Nontaxable benefits
- $14,269
- Filer's total
- $209,012
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
- 3 · Compensation committee
- 3 · Independent compensation consultant
- 3 · Compensation survey or study
- 3 · Approval by the board or compensation committee
- 4b · Supplemental nonqualified retirement plan
- 7 · Other non-fixed payments
Answered no
- 4a · Severance or change-of-control payment
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- PART I, LINE 3
- THE BOARD OF TRUSTEES WHO WORK ON CEO COMPENSATION IS THE SAME BOARD FOR SH AND SHWV
- PART I, LINE 4B
- SOME OF THE HOSPITAL'S EMPLOYEES RECEIVE DEFERRED COMPENSATION UNDER A 457(F) NONQUALIFIED PLAN. THIS COMPENSATION IS INCLUDED IN COMPENSATION REPORTED IN PART II. THE TOTAL NONQUALIFIED PORTION OF EACH PERSONS DEFERRED COMPENSATION IS: BRANDON SCHMIDGALL - $21,896 (INCLUDED IN DEFERRED COMPENSATION) JAMES PARR - $54,493 (INCLUDED IN DEFERRED COMPENSATION) MARY PLACEK - $14,477 (INCLUDED IN DEFERRED COMPENSATION)
- PART I, LINE 7
- IN CALENDAR YEAR 2022 THE GOVERNANCE COMMITTEE APPROVED THE DESIGN & PAYOUT OF A MULTI-YEAR RETENTION/BONUS PROGRAM FOR STAFF, LEADERS, & PROVIDERS. IN MARCH 2022 SALEM HEALTH WEST VALLEY PAID OUT THE EMPLOYEE RECOGNITION & RETENTION PLAN. THE PAYOUT WAS BASED ON A STRUCTURED MODEL SCENARIO.
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
-
POLK COUNTY FAMILY & COMMUNITY OUTREACH
$18,000
IMPROVE SOCIAL DETERMINATE OF HEALTH
-
MONMOUTH POLICE DEPARTMENT
$1,719
IMPROVE SOCIAL DETERMINATE OF HEALTH
-
PSYCHIATRIC CRISIS CENTER
$0
ACCESS TO MEDICAL SERVICES
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
501(C)(3) · HOSPITAL · OR
Directly controlled by SHHC
-
501(C)(3) · SUPPORT SH · OR
Directly controlled by SHHC
-
SALEM HEALTH HOSPITALS & CLINICS
501(C)(3) · LEASES LAND · OR
-
WEST VALLEY HOSPITAL FOUNDATION
501(C)(3) · SUPPORT SHWV · OR
Directly controlled by SHHC
-
WILLAMETTE VALLEY INSURANCE COMPANY
501(C)(3) · INSURANCE · HI
Directly controlled by SHHC
-
SALEM HEALTH PROFESSIONAL SERVICES
501(C)(3) · BILLING · OR
Directly controlled by SHHC
Taxable family on this return
Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.
Related corporations and trusts
Part IV: related organizations taxable as a corporation or trust.
-
OREGON HEALTHCARE ENTERPRISES INC -1-
T · TAX TRUST PROGRAM · OR · 0.45% owned · share of income $9,409
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 7 May 2024
- IRS schema version
- 2022v5.0
- Source object
- 202421309349303052
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