2024-05-15T09:22:00-07:00 2023-06-30 990 2022-07-01 341041385 SALEM COMMUNITY HOSPITAL SALE 3303327214 1995 East State Street Salem OH 44460 Anita Hackstedde CEO/President 3303327214 2024-05-15 Anita Hackstedde 999009999 1 1 11 0 AAL2 X 2022 2023-04-26 12:10:37Z Salem Regional Medical Center Dr Anita Hackstedde MD 1995 East Street Salem OH 44460 113522033 0 X www.salemregional.com X 1913 OH Salem Regional Medical Center (SRMC) is an 87-bed, not-for-profit rural facility, which provides a continuum of medical services to the residents of Columbiana and southern Mahoning counties, including inpatient and outpatient medical and surgical care, orthopedics and intensive care. The Hospital also operates a full-time 24-hour Emergency Department, and treats all patients requiring medical care, irrespective of their financial means. The Hospital provides its services free of charge or on a sliding scale to uninsured/underinsured patients, regardless of race, creed, origin, handicap, age or ability to pay.; in support of its mission- "To Serve. To Care. To Heal." 18 16 767 50 762475 0 4395644 2089585 115584992 100014182 9917843 11205950 218649 168622 130117128 113478339 0 0 0 0 41388415 52109388 0 0 0 70923993 65169864 112312408 117279252 17804720 -3800913 285034235 278717795 80558856 73241608 204475379 205476187 "To Serve. To Care. To Heal," encompasses the Hospital's mission of providing high quality care on both an inpatient and outpatient basis; and addresses our patients' health care needs at each life stage, within our available resources. SRMC seeks to provide a broad range of diagnostic, inpatient, outpatient and emergency services appropriate for a community-based hospital, while ensuring that sufficient, high-quality primary and specialty physician services are available and accessible to residents of our service area. 0 0 100438010 0 99384347 SRMC's mission and purpose is achieved by providing quality care to the sick and injured on both an inpatient and outpatient basis, while addressing our patients' healthcare needs at each life stage, within our available resources. The Medical Center seeks to provide a broad range of diagnostic, inpatient, outpatient and emergency services appropriate for a community hospital, while ensuring that sufficient, high-quality primary and specialty physician services are available and accessible to residents of our service area. During fiscal year 2023, SRMC provided comprehensive healthcare services including: 2,122 Admissions; 2,805 Surgeries; and 19,041 Emergency Department visits. In support of this commitment, SRMC operates a full-time, 24-hour Emergency Department, and treats all patients requiring emergency medical care, irrespective of their financial means. The Medical Center also accepts all patients covered by Medicare, Medicaid and General Assistance. For fiscal year 2023, costs incurred by SRMC for unpaid costs of the Medicaid program were $2,405,760 and unreimbursed costs from other governmental programs were $4,020,346. These community benefits, arising from patient care provided by SRMC are documented to help to relieve a governmental financial and programmatic burden as evidenced through the Medical Center's charitable purpose. The organization also provided charitable support at a cost of $353,198 to patients who qualified. 0 0 0 100438010 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 71 0 1 767 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 18 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X Kimberly Jenkins 3303327214 1995 East State Street Salem OH 44460 Anita Hackstedde President/CEO 35 6 X 458323 0 37474 Dr Richard Beatty Chief of Staff 5 35 X 10000 280811 12217 Mike Giangardella VP Administration 38 2 X 213428 0 26156 Kimberly Jenkins VP Finance 38 2 X 170222 0 27409 Keith Meredith VP Clinical Operations 40 0 X 175483 0 17121 Sue Bryarly Director of Pharmacy 40 0 X 149201 0 39066 Robin Weyant Asst VP of Nursing 40 0 X 141877 0 31875 Corey Less Pharmacist 40 0 X 132468 0 38511 Deborah Pietrzak Asst VP Marketing & Planning 40 0 X 138017 0 17242 Kimberly Meek Pharmacist 40 0 X 134419 0 11115 Joseph Rettig MD Director 1 1 X 14750 0 0 Lauren Fredrickson MD Director 1 1 X 10000 0 0 Peter Apicella MD Director 1 1 X 2000 0 0 Jeffrey Zimmerman Chair 1 1 X 0 0 0 Denise Harlan Vice Chair 1 1 X 0 0 0 Nelson Witmer Treasurer 1 1 X 0 0 0 Chris Meta Secretary 1 1 X 0 0 0 Vito Abruzzino Director 1 1 X 0 0 0 Terry Criss Director 1 1 X 0 0 0 Todd Olson Director 1 1 X 0 0 0 Bruce Rhodes Jr Director 1 1 X 0 0 0 Gina Richardson Director 1 1 X 0 0 0 Ruth Ann Rinto Director 1 1 X 0 0 0 Heather Milliken Mercer Director 1 1 X 0 0 0 Lynn Scullion O D Director 1 1 X 0 0 0 Douglas Shodd Jr Director 1 1 X 0 0 0 Scott Tuel Director 1 1 X 0 0 0 William Young EdD Director 1 1 X 0 0 0 1750188 280811 258186 31 0 1 0 Xanitos PO BOX 735620 Chicago IL 60673 Housekeeping Services 1868582 Northstar Anesthesia 6225N State Hwy 161 Suite 200 Irving TX 75038 Medical Services 1664212 AVI Food Systems 2590 Elm Road NE Warren OH 44483 Food Services/Vending 1496542 Maxim Healthcare Services 12558 Collections Center Drive Chicago IL 60693 Staffing Services 1286287 The Gastroenterology Clinic 1622 East Market Street Warren OH 44483 Medical Services 1099786 34 0 0 0 0 2040369 49216 0 2089585 Patient Service Revenue 622000 98101530 98101530 0 0 Outside Lab Revenue 621500 31117 0 31117 0 Durable Medical Equip Revenue 621610 1632586 901228 731358 0 Affiliated Exempt Oranization Rent 531190 248949 248949 0 0 0 0 0 0 100014182 11136668 0 0 11136668 0 0 0 0 0 0 0 0 79676 0 43694 0 35982 0 35982 0 0 35982 0 69282 0 0 0 69282 69282 0 0 69282 0 Gift Shop Revenue 900099 46577 46577 0 0 Medical Records Fees 900099 6895 6895 0 0 Canteen Revenue 900099 7821 7821 0 0 71347 71347 0 0 132640 113478339 99384347 762475 11241932 X 1122186 1122186 31132044 27671755 3460289 12277357 10614859 1662498 5223878 4471512 752366 2353923 2051759 302164 198667 198667 240206 240206 85204 85204 16539178 14458837 2080341 166029 166029 2261933 1794528 467405 3089804 1933248 1156556 2120405 1839826 280579 40794 36607 4187 1227088 1227088 7655879 6827908 827971 849563 849563 Bad Debt/Implied Price Concessions 2298491 2298491 0 0 State Assessment 3080559 0 3080559 0 Drugs & Pharmaceuticals 12831538 12831538 0 0 Medical Supplies 12380054 12380054 0 0 104472 104472 117279252 100438010 16841242 0 9630648 8534800 8687050 4364052 9613299 8954930 1826438 1719480 3174724 4107176 206999525 114026595 77489264 92972930 174612812 156627244 1437183 285034235 278717795 12151015 11699732 60000 20000 59650972 57831806 0 8696869 3690070 80558856 73241608 X 204475379 205476187 0 0 204475379 205476187 285034235 278717795 X -3800913 6291218 0 0 0 -1489497 X 0 1 X 1 1 1 X 2733647 0 2733647 117967717 0 67627087 50340630 1555485 0 552933 1002552 57589190 0 45846575 11742615 27153486 0 0 27153486 92972930 Short Term Lease Obligations 263724 Long Term Lease Obligations 1183748 Covid Rural Relief Fund 2049532 Deferred Liability 193066 3690070 1 1 1 X 1 X 1 1 0 1 1 889326 608409 280917 0.0024 4524842 2119082 2405760 0.0209 11685794 11022886 662908 0.0058 0 0 17099962 13750377 3349585 0.0291 85 142763 57211 0 57211 0.0005 370 517 710895 0 710895 0.0062 188182 198289 0 0 0 0 0 0 0 0 7 13330 16590 0 16590 0.0001 462 156610 972878 198289 784696 0.0068 462 156610 18072840 13948666 4134281 0.0359 4 400 1162 0 1162 0.00 30 925 9260 0 9260 0.0001 535 5660 32304 0 32304 0.0003 3 125 78224 6603 71621 0.0006 1 14 330 0 330 0.00 6 217 1343 0 1343 0.00 10 1917 36179 0 36179 0.0003 30 364 292324 0 292324 0.0025 619 9622 451126 6603 444523 0.0038 1 901613 26468 17590816 20948254 -3357438 X 1 1 1 1 Salem Community Hospital dba Salem Regional Medical Center 1995 East State Street Salem OH 44460 Salemregional.com X Salem Community Hospital dba Salem Regional Medical Center 1 0 0 1 X X X X X X X X X 22 1 1 1 1 X http://www.salemregional.com X X 1 22 1 http://www.salemregional.com 0 0 1 X 150 400 X 1 1 X X X 1 X http://www.salemregional.com X http://www.salemregional.com X X X 1 X X 1 X X X X X X 1 X 0 0 Schedule H, Part V, Section B, Line 5-Salem Community Hospital Salem Regional Medical Center completed its most recent 2022-2025 Community Health Needs Assessment (CHNA) in May 2022. The CHNA includes a definition of the Columbiana County, Ohio Service Area; the County's demographics and definition of vulnerable populations; prioritization of community needs and identification of available resources to address community needs. To take into account input from persons representing the community served, the 2022-2025 CHNA's primary data collection process included focus group and stakeholder interviews conducted with a total of 106 adult participants, including those from school districts, juvenile justice, community resource centers, senior services, Hispanic community service providers, local government officials, health and human service providers, mental health providers and faith-based organizations. Community leaders and key stakeholders were identified as experts in a particular field related to their background experience or professional position; and/or those who understand the needs of a particular community/geographic region or under-represented group, including the medically underserved and vulnerable populations. In addition, a community survey derived from the Behavioral Risk Factor Surveillance System was completed by 599 adults, so that local primary data could be compared with state and national data. Schedule H, Part V, Section B, Line 6a-Salem Community Hospital Along with Salem Regional Medical Center, East Liverpool City Hospital and Akron Children's Hospital also provided in-kind financial support for the CHNA process. Schedule H, Part V, Section B, Line 6b-Salem Community Hospital A collaborative workgroup conducted the CHNA, composed of Akron Children's Hospital, Columbiana County Educational Service Center, Columbiana County General Health District, Columbiana County Mental Health and Recovery Services Board, Community Action Agency of Columbiana County, East Liverpool City Health Department, East Liverpool City Hospital, Family and Children First Council, Salem City Health Department, Salem Regional Medical Center and The Ohio State University- Extension. In addition to the CHNA, this same workgroup developed a County Health Improvement Plan to address the CHNA's priorities in 2023. Schedule H, Part V, Section B, Line 7d-Salem Community Hospital In May 2022, the CHNA was posted on Salem Regional Medical Center's website at http://www.salemregional.com/about-us/our-publications:Community Health Needs Assessment, along with being posted on many of the collaborative partners' websites. In addition, news releases were issued regarding the preliminary CHNA findings and publication of the final report, with information about how the general public could access the CHNA via the internet. A summary of the CHNA's findings was also presented to area community groups and posted on social media. Schedule H, Part V, Section B, Line 11-Salem Community Hospital SRMC's most recent 2022-2025 Implementation Plan was approved in November 2022 in response to the May 2022 CHNA and focuses on the CHNA's top 4 health priorities related to chronic disease, mental health, substance abuse and obesity; utilizing a three-year intervention strategy and defined target outcomes for each priority. Note that these priorities align with the priority topics identified in Ohio's 2019 State Health Assessment and 2019 State Health Improvement Plan. To address the significant needs identified in the 2022-2025 CHNA, SRMC is focusing its efforts on addressing Community Conditions pertaining to student success; Health Behaviors pertaining to improved nutrition and physical activity; Local Access to Healthcare Providers; Mental Health & Addiction pertaining to reducing suicide deaths and drug overdose deaths; Chronic Disease pertaining to reducing the incidence of heart disease and diabetes; and Overall Health & Equity. SRMC is working with existing community partners to broaden access to increase community outreach and education about healthy food behaviors; developing a food security inpatient reporting process; and promoting organized physical activities. To address the significant needs regarding mental health and substance abuse prevention, SRMC is serving as a community partner in improving access to mental health and substance abuse treatment services, as well as facilitating the coordination of and access to community-based, post-acute treatment resources. SRMC also operates the Behavioral Medicine and Wellness Center as an intensive outpatient and partial hospitalization program designed to meet individual and group needs for mental health services in Columbiana and other surrounding counties. Data related to barriers in accessing clinical care indicated higher ratios of the population to primary care physicians, mental health providers and dental health providers; reflecting health professional shortages in these categories. To reduce barriers to accessing health care, SRMC is providing higher education financial incentives to recruit key health professionals within SRMC's rural and underserved Service Area, along with identifying disparities and maximizing hiring and retention efforts; exploring alternate delivery of care models, such as telemedicine; and increasing health literacy interventions to reduce hospital readmissions and increase patients' knowledge with the goal of decreasing disparities among vulnerable populations. In addition, SRMC will continue to offer health screenings at community events and community education to reduce the incidences of chronic disease and cancer. Primary data gathered from focus group participants and stakeholders identified multi-faceted socio-economic issues related to the poor economy, generational poverty, increased drug abuse and mental health issues, lack of transportation, Appalachian culture/unhealthy lifestyles, obesity, increase of misinformation and loss of trust in healthcare providers and language/health literacy barriers as key drivers of the health status of the community. Other identified needs related to the environment and social determinants of health included inadequate community resources, lack of access to employment/better jobs, lack of infrastructure and built environment, and housing insecurity. Due to their societal magnitude and SRMC's limited resources and capacity to meaningfully impact the environment and economic foundation of the county, SRMC has chosen to allocate significant resources to the priority health needs which yield the greatest opportunities to affect a positive change as outlined in the 2022-2025 CHNA and current Implementation Plan. Schedule H, Part V, Section B, Line 16j-Salem Community Hospital The availability of free or discounted care is provided on billing statements to patients and this information is also posted on a sign at the billing office. Schedule H, Part I, Line 6a Salem Regional Medical Center (SRMC) prepares an Annual Report that is distributed to the community via a paper and electronic format, as well as being posted on the SRMC website at www.salemregional.com. The Annual Report includes a summary of the Medical Center's statement of expenses and uncompensated care, along with highlighting SRMC's major community benefit initiatives and outcomes. This community benefit information is provided in an effort to document its tax exempt purpose and demonstrate the benefits provided for the broader community as determined by community need. Schedule H, Part I, Line 7 Costs are determined by applying the ratio of cost to charges to gross charges and utilizing the format as outlined in the Schedule H instructions. Beyond charity care, "Other Benefits" reported include community health improvement services and community benefit operations; with community building activities listed in Part II. The Medical Center seeks opportunities to further its tax exempt purpose by providing a wide variety of benefits for the broader community, including the development of a county-wide needs assessment to identify regional health needs, and the development and adoption of a related Implementation Plan to address the health needs identified. Examples of other community benefit activities include, but are not limited to: grant-writing activities for improved community health and emergency preparedness; community health education regarding cancer, diabetes, cardiac disease and other chronic diseases; obesity prevention; and community health fairs and free and reduced-cost clinical screenings for high blood pressure, blood sugar, skin cancer and breast cancer. Many of these educational programs, screenings, health fairs and outreach activities are provided in outlying communities within the Medical Center's defined geographic service area, in an effort to increase regional access to health services and health resources for people of all ages and socioeconomic means. It is estimated that over 152,385 area residents from Columbiana and Mahoning Counties participated in traditional community building and health improvement programs and/or events provided and/or sponsored by Salem Regional Medical Center. Schedule H, Part I, Line 7, Column f Bad debt expense in the amount of $2,298,491 is included in total expenses on Form 990, Part IX, Line 25, but was subtracted for purposes of calculating the percentages in Schedule H, Part I, Line 7. Schedule H, Part I, Line 7g Costs for subsidized health services include those attributable to providing Salem Regional Medical Center's Emergency Department, outpatient services, skilled nursing care and outpatient behavioral health services. There are no health services attributable to a physician clinic. Schedule H, Part II During the taxable year, SRMC participated in 619 community building activities in an effort to provide programs and activities that respond to demonstrated, unmet community needs; improve the community's health and safety; and promote the well-being of area residents through the Hospital's resources and expertise. It should be noted that the number of traditional community building activities was reduced from pre-pandemic years due to curtailed activities continuing throughout 2023 related to the pandemic. During this time, SRMC participated in several area activities for the local and regional Chambers of Commerce; assisted in environmental improvements related to community medications' disposal; represented SRMC on diverse community coalitions related to improving community health; assisted with workforce development related to recruiting and retaining physicians and clinical professionals in medically underserved areas; and participated in community workforce boards and partnerships with area universities to address the health care work force shortage. SRMC continued to serve as a community resource and partner for regional non-profit organizations by providing collaborative programming with agencies such as the American Cancer Society, American Red Cross, Columbiana County Community Action Agency, Columbiana County and Salem City Departments of Health, Coordinated Action for School Health, Community Hospice, Kent State University- Salem Campus, Northeast Ohio Medical University, Eastern Gateway Community College and the Salem Community Center. In addition, SRMC made financial and in-kind contributions to many of these and other not-for-profit organizations through event sponsorships and staff support. Schedule H, Part III, Section A, Line 4 Please reference pages 12 and 17 of the attached audited financial statements which explain how the organization's financial statements account for Patient Service Revenue, Contractual Adjustments, Charity Care and Bad Debt Expense. Schedule H, Part III, Section B, Line 8 The costs were obtained from the Medicare cost report. The Medical Center incurred costs in excess of $20.9 million to care for and treat beneficiaries while receiving reimbursement of $17.6 million, leaving a shortfall of $3.3 million. This is a direct benefit provided by the Medical Center to local beneficiaries who live in the surrounding communities. Schedule H, Part III, Section C, Line 9b Per the Medical Center's collection policy, the Medical Center will not pursue collection for non-payment of bills against individuals who demonstrate that they have neither sufficient income or assets to meet their financial obligations. Schedule H, Part VI, Line 2 SRMC formally assesses the health care needs of the communities that it serves on a minimum of a triennial basis, and does so in collaboration with other community health providers. The most recent comprehensive, county-wide needs assessment was published in May 2022; and was developed by a collaborative of Columbiana County's major health providers, public health entities, and health-focused coalitions including Salem Regional Medical Center; East Liverpool City Hospital and Akron Children's Hospital; the Columbiana County, East Liverpool and Salem City Health Departments; Columbiana County Educational Service Center; Community Action Agency of Columbiana County; the Coordinated Action for School Health (CASH) Coalition; and the Columbiana County Mental Health Services and Recovery Board. The CHNA process began in August 2021, with the development of the project plan and timeline. The above mentioned collaborative convened in late August 2021 and continued meeting through May 2022 to evaluate the previous CHNA, collect and analyze primary and secondary data, conduct community asset mapping and identify issues and select priorities to address through the development of the 2022-2025 CHNA. The geographic area of the needs assessment encompassed Ohio's Columbiana County, most of which is within Salem Regional Medical Center's Service Area; and prioritized the public, primary and specialty health care needs of community members from birth through end-of-life care. The CHNA action plan and report development were presented to and approved by the SRMC Board in May 2022, and distributed to all participating coalition organizations. The SRMC Implementation Plan was approved by the Board in November 2022, and both documents are posted on the SRMC website at: http://www.salemregional.com/about-us/our-publications: Community Health Needs Assessment and SRMC Implementation Plan. The Medical Center will carry forward its implementation strategies by addressing them in its Strategic Plan and annual Organizational Goals. In addition, SRMC is a collaborative partner in other types of needs assessments, such as the school health asset study through the Search Institute, conducted on a bi-annual basis with area school districts; behavioral health needs in collaboration with the Mental Health and Recovery Services Board; and minority health access needs in collaboration with faith-based and literacy-based advocacy groups. Schedule H, Part VI, Line 3 The availability of free or discounted care is provided on billing statements to patients and this information is also posted on a sign at the Hospital's billing office. Schedule H, Part VI, Line 4 Salem Regional Medical Center's rural service area is officially designated as within one of Ohio's 32 Appalachian counties and includes Columbiana County, excluding Yellow Creek and East Liverpool Townships; and the five lower townships of Mahoning County. Portions of Columbiana County are also designated as Medically Underserved and a dental and mental health care Health Professional Shortage Area. The Robert Wood Johnson 2022 County Health Rankings data also showed that Columbiana County faces a significant barrier to access as indicated by the county's ratio of the population to primary care providers (2,500:1) being higher than Ohio (1,290:1); and the county's ratio of dentists (3,920:1) being considerably higher than Ohio (1,550:1). Columbiana County residents are older than their state and national counterparts, and the Service Area is characterized by a declining social, economic and population base; which negatively impacts the area's health status and health service utilization. Generational poverty, lack of transportation and lack of insurance are also barriers to access, with the rate of uninsured Columbiana County adults higher than Ohio. Regional health outcomes and social/economic/environmental rates that were worse than Ohio benchmarks included: higher rates of premature death/years of potential life lost before age 75, higher adult obesity rates combined with lower physical activity rates, higher percentage of people who report their physical health as fair or poor, lower post-secondary education rates, higher teen birth rates, greater number of deaths due to injury and a higher index of air pollution. Health disparities are also more common among vulnerable populations and based on the demographics of Columbiana County's population, the 2022-2025 CHNA identified vulnerable populations as those living in poverty/socioeconomically disadvantaged, the Appalachian culture, children/youth, the elderly, disabled, veterans, Amish and those facing ethnic and literacy barriers. Schedule H, Part VI, Line 5 Salem Regional Medical Center actively seeks opportunities to further the community's health status by providing a wide variety of benefits for the broader community, including grant-writing activities for improved community health; financial and in-kind contributions for community-based feeding programs, physical fitness as an obesity and chronic disease prevention tool, blood drives, social services for vulnerable populations (including efforts to reduce food insecurity, assistance with medications and referrals to community support systems); community health education regarding prevention of cancer, diabetes, arthritis, cardiac and other chronic diseases; and community health fairs and free and reduced-cost clinical screenings. Many of these educational programs, screenings, health fairs and outreach activities are provided in outlying school districts and communities within the Medical Center's defined geographic service area, in an effort to increase regional access to health services and health resources for people of all ages and socioeconomic means. It is estimated that over 156,610 area residents participated in community benefit programs and/or events provided and/or sponsored by SRMC. SRMC also utilizes an aging volunteer base, with 30 community members donating over 1,168 hours of volunteer service annually. In addition, the SRMC Board of Directors is comprised of 18 community volunteers from the SRMC Service Area, who perform fiduciary responsibilities through monthly committee and Board activities. X X 0 0 0 0 0 0 0 0 0 Anita Hackstedde President/CEO 450323 0 0 0 8000 0 18232 0 19242 0 495797 0 0 0 Dr Richard Beatty Chief of Staff 10000 280761 0 50 0 0 0 12217 0 0 10000 293028 0 0 Mike Giangardella VP Administration 213428 0 0 0 0 0 9794 0 16362 0 239584 0 0 0 Keith Meredith VP Clinical Operations 175483 0 0 0 0 0 8151 0 8971 0 192605 0 0 0 Kimberly Jenkins VP Finance 170222 0 0 0 0 0 8115 0 19294 0 197631 0 0 0 Sue Bryarly Director of Pharmacy 149201 0 0 0 0 0 6843 0 32223 0 188267 0 0 0 Robin Weyant Asst VP of Nursing 141877 0 0 0 0 0 1421 0 30454 0 173752 0 0 0 Corey Less Pharmacist 132468 0 0 0 0 0 6288 0 32223 0 170979 0 0 0 Deborah Pietrzak Asst VP Marketing & Planning 138017 0 0 0 0 0 6332 0 10911 0 155260 0 0 0 A City Of Salem Ohio 346002560 2022-05-04 59790000 Hospital Facility Construction & Refund 4/4/13 Prior Issue 0 1 0 A 38806741 0 59790000 0 0 0 140000 0 0 13821423 0 3581243 2024 1 0 0 1 A 0 1 0 0 0.0112 0 0.0112 1 0 1 A 0 1 0 0 1 0 0 0 1 A 1 Form 990, Part VI, Section B, Line 11b The 990 is reviewed by the Board of Directors prior to filing. The members are notified when the completed return is available for review on the secure portal. Form 990, Part VI, Section B, Line 12c Each member of the Hospital's governing body, along with the Administrative staff, are required to review and disclose conflicts of interest in accordance with the Hospital's Code of Regulations. On an annual basis, Directors and Key Employees disclose potential business or professional relationships they may have with the Organization and/or other Director/Key Employees. In situations when a Director may have a conflict, they may participate in the discussion, but must leave the room prior to final discussion and vote. Form 990, Part VI, Section B, Line 15 The President's compensation is determined by the Board of Directors of Salem Regional Medical Center, based upon the recommendation of the Board's Executive committee, both of which are comprised primarily of independent board members. The committee evaluates market data through formal statewide surveys, as well as targeted regional survey data. Form 990, Part VI, Section C, Line 19 As a private, not-for-profit organization, Salem Regional Medical Center does not make its governing documents or financial statements generally available to the public; although, the federal Form 990 is available for review upon request. Form 990, Part IX, Line 11g Balance in this category represents the following expenses: 1) Purchased Services total $10,803,596; 2) Repairs and Maitenance Services total $2,681,790; and 3) Professional Health Care Services total $3,053,792. Form 990, Part XI, Line 9 Change in defined benefit plan gains, prior service costs or credits and settlements 11,842,332; transfers to related organization ($13,331,829) SCH Professional Corporation 1995 East State Street Salem OH 44460 341764515 Physician Offices OH 501(c)(3) 11 Salem Community Hospital 0 The Charitable Foundation of Salem Community Hospital 1995 East State Street Salem OH 44460 462902698 Support Salem Community Hospital OH 501(c)(3) 11 Salem Communiy Hospital 0 Firestone Surgery Center LLC 400 Town Center Ave Suite 200 Columbiana OH 44408 921961444 Outpatient Medical Facility OH N/A Related 0 0 0 0 1 1 Salem Medical Arts & Development Corporation 2020 East State Street Salem OH 44460 341049534 Office Rent OH N/A C 1 0 0 1 1 0 0 0 0 0 0 1 1 0 0 0 1 0 1 0 0 SCH Professional Corporation j 248949 Cost per square foot SCH Professional Corporation b 13331829 Actual capital contribution SCH Professional Corporation o 267257 Net of actual salaries and benefits paid The Charitable Foundation of Salem Community Hospital o 153472 Net of actual salaries and benefits paid Salem Medical Arts & Development Corporation q 41247 Reimburse accounts payable cost paid