2020-11-13T23:35:58-06:00 2019-12-31 930418710 DELAP LLP 5885 MEADOWS ROAD NO 200 LAKE OSWEGO OR 97035 990 2019-01-01 930415219 SANTIAM MEMORIAL HOSPITAL SANT 5037692175 1401 N 10TH AVENUE STAYTON OR 973831311 TERRY FLETCHALL CEO 5037692175 2020-11-10 1 MARK E EKLUND CPA P00156145 5036974118 2020-11-10 76.14.192.226 2020-11-10 13:04:04 PS P CADE3294AB3E5E7B2F4B562CA5F6363BCF9E956B C9C56614DEA4E3F8F2BAE576B1AB9F35B16A97BE 2019 2021-01-29 14:40:06Z MAGGIE HUDSON 1401 N 10TH AVENUE STAYTON OR 973831311 59307936 0 X WWW.SANTIAMHOSPITAL.ORG X 1950 OR GENERAL ACUTE HEALTH CARE HOSPITAL SERVING SANTIAM COMMUNITIES 9 9 494 22 0 0 13973 18780 51667607 58470968 186952 161226 263874 256758 52132406 58907732 47596 36221 0 0 37730161 39532232 0 0 0 17226493 17722734 55004250 57291187 -2871844 1616545 56308976 55805974 33086585 31071234 23222391 24734740 SANTIAM MEMORIAL HOSPITAL'S MISSION IS TO PROVIDE QUALITY HEALTH CARE TO PERSONS SUFFERING FROM ILLNESS, INJURIES, OR DISABILITIES AND TO PROMOTE THE GENERAL HEALTH AND WELFARE OF THE COMMUNITY THROUGH EDUCATION, SUPPORT, AND MEDICAL SERVICES. 0 0 47647684 36221 58498864 ACUTE HOSPITAL CARE: PATIENT DAYS 3,371, NURSERY DAYS 192, AMBULANCE TRIPS 1,928, OUTPATIENT DAYS 46,680, REFERENCE LABORATORY 143,709. 47647684 1 1 0 0 0 0 0 0 1 0 1 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 91 0 494 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 OR X X MAGGIE HUDSON 5037692175 1401 N 10TH AVENUE STAYTON OR 97383 RON ETZEL VICE-CHAIR 3.00 X X 0 0 0 VICTOR KINTZ DIRECTOR 3.00 X 0 0 0 MARYANN MEREDITH PRESIDENT 3.00 X X 0 0 0 MIKE ODENTHAL SECRETARY 3.00 X X 0 0 0 RANDY MICKEY DIRECTOR 3.00 X 0 0 0 GEORGE LONG DIRECTOR 3.00 X 0 0 0 JUANITA CULVER DIRECTOR 3.00 X 0 0 0 NORM RAUSCHER DIRECTOR 3.00 X 0 0 0 TERRY FLETCHALL CEO 50.00 X 248866 0 60563 MAGGIE HUDSON CFO/COO 50.00 X 215541 0 64190 SHERRI STEELE CNO 50.00 X 198766 0 30396 JOHN HOFFMAN M.D. 40.00 X 449408 0 25047 BENJAMIN LEE M.D. 40.00 X 448272 0 25047 ROBERT MCGREEVY M.D. 40.00 X 431532 0 15106 NICOLAS J STRATTON M.D. 40.00 X 395824 0 25047 ALLYSON STERLING D.O 40.00 X 364167 0 20330 2752376 0 265726 48 0 1 0 LAURA MASKELL MD 13145 NW NORTHRUP PORTLAND OR 97229 EMERGENCY ROOM PHYSICIAN 315045 OMAC ADVERTISING PO BOX 3994 SALEM OR 97302 DESIGN FOR MARKETING 312311 COMPHEALTH ASSOC INC PO BOX 972625 DALLAS TX 753972625 PHYSICIAN TEMPORARY COVERAGE 273323 MICHAEL MITCHELL MD 12830 SE CREST DR HAPPY VALLEY OR 97086 EMERGENCY ROOM PHYSICIAN 272743 ALPHA CORVI MEDICAL LLC PO BOX 1857 CORVALLIS OR 97339 EMERGENCY ROOM PHYSICIAN 266105 14 18780 18780 PATIENT SERVICE REVENUE - NET 622110 58257307 58257307 K-1, INCOME FROM WVCH, LLC 900099 213661 213661 58470968 166846 166846 37500 55074 -17574 -17574 -17574 339510 344237 893 -4727 -893 -5620 -5620 CAFETERIA REVENUE 722210 228862 228862 OTHER MISC. REVENUE 900099 45470 45470 274332 58907732 58498864 0 390088 36221 36221 761324 761324 30012059 28653272 1358787 474091 474091 6471391 5567703 903688 1813367 1663798 149569 230094 230094 146933 146933 154498 154498 31313 31313 459819 459819 653670 653670 734460 110216 624244 316046 316046 1748455 1592832 155623 8696 8696 2495250 1079859 1415391 549600 179290 370310 MEDICAL SUPPLIES 6042208 6042208 PROVIDER TAX 1846308 1846308 CLINIC EXPENSES 1665340 1665340 EQUIPMENT MAINTENANCE 582854 582854 57190 57190 57291187 47647684 9643503 0 240 240 4582805 9653921 10733849 7925922 1671314 1793376 1173787 813220 58465297 28579280 31954251 29886017 2917473 3168244 272728 272728 2524762 2292306 477767 0 56308976 55805974 6081247 5473144 15680 25931 25078558 24136926 1911100 1435233 33086585 31071234 X 23222391 24734740 23222391 24734740 56308976 55805974 X 1616545 155672 -259868 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 15680 64022 53772 25930 1 X 336760 1144799 1481559 1924421 36743293 14744421 23923293 619850 570102 49748 10000 17153900 13264757 3899143 532274 532274 29886017 EST 3RD PARTY PAYOR SETTLEMENTS 601568 OTHER LONG-TERM LIABILITIES 833665 1435233 X 58859502 155672 55966 211638 58647864 259868 259868 58907732 57347153 55966 55966 57291187 0 57291187 PART IV, LINE 2B: FUNDS BELONG TO THE COMMUNITY SANTIAM SERVICE INTEGRATION TEAM (SIT). THEREFORE, SANTIAM MEMORIAL HOSTPIAL INCLUDED A DEDICATED LIABILITY ACCOUNT ON THE BALANCE SHEET. PART X, LINE 2: IT IS MANAGEMENT'S BELIEF THAT NONE OF THE HOSPITAL'S ACTIVITIES HAVE GENERATED MATERIAL UNRELATED BUSINESS INCOME; THEREFORE, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. INCOME TAX POSITIONS THAT MEET A "MORE-LIKELY-THAN-NOT" RECOGNITION THRESHOLD ARE MEASURED AT THE LARGEST AMOUNT OF INCOME TAX BENEFIT THAT IS MORE THAN 50% LIKELY TO BE REALIZED UPON SETTLEMENT WITH THE APPLICABLE TAXING AUTHORITY. THE PORTION OF THE BENEFITS ASSOCIATED WITH INCOME TAX POSITIONS TAKEN THAT EXCEEDS THE AMOUNT MEASURED AS DESCRIBED ABOVE WOULD BE REFLECTED AS A LIABILITY FOR UNRECOGNIZED INCOME TAX BENEFITS IN THE HOSPITAL'S CONSOLIDATED BALANCE SHEETS ALONG WITH ANY ASSOCIATED INTEREST AND PENALTIES THAT WOULD BE PAYABLE TO THE TAXING AUTHORITIES UPON EXAMINATION. INTEREST AND PENALTIES ASSOCIATED WITH UNRECOGNIZED INCOME TAX BENEFITS WOULD BE CLASSIFIED AS INCOME TAXES IN THE HOSPITAL'S CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS WITHOUT DONOR RESTRICTIONS. THERE WERE NO UNRECOGNIZED INCOME TAX BENEFITS, NOR ANY INTEREST AND PENALTIES ASSOCIATED WITH UNRECOGNIZED INCOME TAX BENEFITS, ACCRUED OR EXPENSED AS OF AND FOR THE YEARS ENDED DECEMBER 31, 2019 AND 2018. PART XI, LINE 2D - OTHER ADJUSTMENTS: REVENUE REPORTED NET OF RENTAL EXPENSES 55,073. ADJUSTMENT TO LOSS ON SALE OF ASSETS 893. PART XI, LINE 4B - OTHER ADJUSTMENTS: GAIN FROM K-1, WILLAMETTE VALLEY COMMUNITY HEALTH, LLC 253,747. GAIN FROM K-1, PROVIDER TAX TRUST 6,121. PART XII, LINE 2D - OTHER ADJUSTMENTS: REVENUE REPORTED NET OF RENTAL EXPENSES 55,073. ADJUSTMENT TO LOSS ON SALE OF ASSETS 893. 1 1 X 1 X 1 X 1 1 0 1 1 240 397332 397332 0.00690 24876 13072770 10901858 2170912 0.03790 1580 2135468 1728443 407025 0.00710 26696 15605570 12630301 2975269 0.05190 1066 123718 15508 108210 0.00190 33922 33922 0.00060 1066 157640 15508 142132 0.00250 27762 15763210 12645809 3117401 0.05440 1 178029 178029 0.00310 1 178029 178029 0.00310 1 2760485 4895817 6363800 -1467983 X 1 1 1 1 SANTIAM MEMORIAL HOSPITAL 1401 N 10TH AVENUE STAYTON OR 973831311 WWW.SANTIAMHOSPITAL.ORG 14-0709 X X X SANTIAM MEMORIAL HOSPITAL 1 0 0 1 X X X X X X X X X 18 1 1 1 1 X WWW.SANTIAMHOSPITAL.ORG 1 19 0 0 0 1 X 200.000000000000 400.000000000000 X X X X 1 1 X X 1 X HTTP://WWW.SANTIAMHOSPITAL.ORG/PATIENTS-VISITORS-INFO/FINANCIAL-ASSISTANCE/ X HTTP://WWW.SANTIAMHOSPITAL.ORG/PATIENTS-VISITORS-INFO/FINANCIAL-ASSISTANCE/ X HTTP://WWW.SANTIAMHOSPITAL.ORG/PATIENTS-VISITORS-INFO/FINANCIAL-ASSISTANCE/ X X X X X X 1 X 0 X X X X 1 X 0 0 SANTIAM MEMORIAL HOSPITAL PART V, SECTION B, LINE 5: CONSULTED WITH MARION COUNTY HEALTH & HUMAN SERVICES, POLK COUNTY HEALTH DEPARTMENT, WILLAMETTE VALLEY COMMUNITY HEALTH, AND LOCAL HEALTH PROFESSIONALS AND COMMUNITY PARTNERS IN THE AREA. SANTIAM MEMORIAL HOSPITAL PART V, SECTION B, LINE 6A: BEHAVIORAL CARE NETWORK, KAISER PERMANENTE, LEGACY HEALTH SILVERTON, SALEM HEALTH, WILLAMETTE VALLEY COMMUNITY HEALTH. SANTIAM MEMORIAL HOSPITAL PART V, SECTION B, LINE 6B: CHEMEKETA COMMUNITY COLLEGE, CHERRIOTS, CITY OF WOODBURN, COMMUNITY ACTION AGENCY, COMMUNITY ADVISORY COUNCIL, EARLY LEARNING HUB, MARION COUNTY HEALTH & HUMAN SERVICES, NORTHWEST SENIOR & DISABILITY SERVICES, POLK COUNTY HEALTH DEPARTMENT, WESTERN OREGON UNIVERSITY. SANTIAM MEMORIAL HOSPITAL PART V, SECTION B, LINE 11: CHIP PLANNING BEGAN IN EARLY 2019. 13 1 - AUMSVILLE MEDICAL CLINIC 205 MAIN ST AUMSVILLE OR 97325 PHYSICIAN CLINIC 2 - SUBLIMITY MEDICAL CLINIC 114 SE CHURCH ST SUBLIMITY OR 97325 PHYSICIAN CLINIC 3 - SANTIAM MEDICAL ASSOCIATES 1401 N 10TH AVENUE STE 100 STAYTON OR 97383 PHYSICIAN CLINIC 4 - SANTIAM GENERAL SURGERY CLINIC 1371 N 10TH AVENUE STAYTON OR 97383 PHYSICIAN CLINIC 5 - SANTIAM INTERNAL MEDICINE CLINIC 1401 N 10TH AVENUE STE 200 STAYTON OR 97383 PHYSICIAN CLINIC 6 - SANTIAM MEDICAL CLINIC 280 S FIRST AVENUE MILL CITY OR 97360 PHYSICIAN CLINIC 7 - CASCADE MEDICAL CLINIC 1375 N 10TH AVENUE STE B STAYTON OR 97383 PHYSICIAN CLINIC 8 - SANTIAM WOMEN'S CLINIC 1373 N 10TH AVENUE STAYTON OR 97383 PHYSICIAN CLINIC 9 - SANTIAM ORTHOPEDIC CLINIC 1369 N 10TH AVENUE STAYTON OR 97383 PHYSICIAN CLINIC 9 - SANTIAM PODIATRY CLINIC 1369 N 10TH AVENUE STAYTON OR 97383 PHYSICIAN CLINIC 10 - SANTIAM PULMONARY CLINIC 1401 N 10TH AVENUE STE 200 STAYTON OR 97383 PHYSICIAN CLINIC 11 - SANTIAM CARDIOLOGY CLINIC 1401 N 10TH AVENUE STE 200 STAYTON OR 97383 PHYSICIAN CLINIC 12 - SANTIAM INFECTIOUS DISEASE CLINIC 1401 N 10TH AVENUE STE 200 STAYTON OR 97383 PHYSICIAN CLINIC PART III, LINE 4: [NOTE: SEE PAGES 10-11 OF THE FINANCIAL STATEMENTS]PATIENT ACCOUNTS RECEIVABLE AND ALLOWANCE FOR DOUBTFUL ACCOUNTS:THE COLLECTION OF RECEIVABLES FROM THIRD-PARTY PAYORS AND PATIENTS IS THE HOSPITAL'S PRIMARY SOURCE OF CASH AND IS CRITICAL TO ITS OPERATING PERFORMANCE. WHEN THE HOSPITAL PROVIDES CARE TO PATIENTS, IT DOES NOT REQUIRE COLLATERAL. THE PRIMARY COLLECTION RISKS RELATE TO UNINSURED PATIENT ACCOUNTS AND PATIENT ACCOUNTS FOR WHICH THE PRIMARY INSURANCE PAYOR HAS PAID, BUT THE PATIENT IS RESPONSIBLE FOR THE REMAINING AMOUNTS OUTSTANDING (GENERALLY DEDUCTIBLES AND CO-PAYMENTS). FOR PATIENT ACCOUNTS RECEIVABLE RESULTING FROM REVENUE RECOGNIZED PRIOR TO JANUARY 1, 2019, AN ESTIMATED ALLOWANCE FOR DOUBTFUL ACCOUNTS WAS ESTABLISHED TO REDUCE THE CARRYING VALUE OF SUCH RECEIVABLES TO THEIR ESTIMATED NET REALIZABLE VALUE. FOR SUCH PATIENT ACCOUNTS RECEIVABLE DUE FROM SELF-PAY - WHICH INCLUDED BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTED FOR PART OF THE BILL - THE HOSPITAL RECORDED A SIGNIFICANT ALLOWANCE FOR DOUBTFUL ACCOUNTS. GENERALLY, THE ALLOWANCE FOR DOUBTFUL ACCOUNTS WAS ESTIMATED BASED PRIMARILY UPON THE HOSPITAL'S HISTORICAL COLLECTION EXPERIENCE, THE AGE OF THE PATIENTS' ACCOUNTS, MANAGEMENT'S ESTIMATE OF ITS PATIENTS' ECONOMIC ABILITY TO PAY, AND THE EFFECTIVENESS OF COLLECTION EFFORTS. FOR PATIENT ACCOUNTS RECEIVABLE RESULTING FROM REVENUE RECOGNIZED PRIOR TO JANUARY 1, 2019, THE HOSPITAL HAD NOT HISTORICALLY MAINTAINED A SIGNIFICANT ALLOWANCE FOR DOUBTFUL ACCOUNTS RELATED TO PATIENT ACCOUNTS RECEIVABLE FROM THIRD-PARTY PAYORS, NOR DID IT HAVE SIGNIFICANT BAD DEBT WRITE-OFFS OF PATIENT ACCOUNTS RECEIVABLE FROM THIRD-PARTY PAYORS. HOWEVER, FOR SERVICES PROVIDED TO PATIENTS WHO HAD THIRD-PARTY COVERAGE, THE HOSPITAL RECORDED THE RELATED PATIENT CARE SERVICE REVENUE AND PATIENT ACCOUNTS RECEIVABLE NET OF CONTRACTUAL DISCOUNTS AND ALLOWANCES. THE HOSPITAL'S ALLOWANCE FOR DOUBTFUL ACCOUNTS REPRESENTED 57% OF GROSS SELF-PAY PATIENT ACCOUNTS RECEIVABLE AS OF DECEMBER 31, 2018.THE FOLLOWING IS AN APPROXIMATE SUMMARY OF THE ACTIVITY IN THE HOSPITAL'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR THE YEARS ENDED DECEMBER 31, 2018: 2018 BALANCE - BEGINNING OF YEAR $1,101,000 PROVISION FOR BAD DEBTS 3,116,000 ACCOUNTS WRITTEN OFF - NET OF RECOVERIES (2,382,000) BALANCE - END OF YEAR $1,835,000 UNDER THE PROVISIONS OF ASC 606, PATIENT ACCOUNTS RECEIVABLE - INCLUDING BILLED ACCOUNTS AND UNBILLED ACCOUNTS FOR WHICH THE HOSPITAL HAS THE UNCONDITIONAL RIGHT TO PAYMENT, AND ESTIMATED AMOUNTS DUE FROM THIRD-PARTY PAYORS FOR RETROACTIVE ADJUSTMENTS - ARE RECEIVABLES IF THE HOSPITAL'S RIGHT TO CONSIDERATION IS UNCONDITIONAL AND ONLY THE PASSAGE OF TIME IS REQUIRED BEFORE PAYMENT OF THAT CONSIDERATION IS DUE. FOR PATIENTS ACCOUNTS RECEIVABLE ARISING SUBSEQUENT TO THE ADOPTION OF ASC 606 ON JANUARY 1, 2019, THE ESTIMATED UNCOLLECTIBLE AMOUNTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE A DIRECT REDUCTION TO PATIENT ACCOUNTS RECEIVABLE RATHER THAN AN ALLOWANCE FOR DOUBTFUL ACCOUNTS.SIGNIFICANT CONCENTRATIONS OF GROSS PATIENT ACCOUNTS RECEIVABLE AS OF DECEMBER 31, 2019 AND 2018 WERE APPROXIMATELY AS FOLLOWS: 2019 2018MEDICARE 33% 42%OREGON HEALTH PLAN (OHP) AND MEDICAID 13 17COMMERCIAL INSURANCE AND OTHER THIRD-PARTY PAYORS 27 27SELF-PAY 27 14 100% 100% PART III, LINE 9B: FINANCIAL ASSISTANCE IS GRANTED ON A SLIDING SCALE. IF AMOUNT DEEMED TO BE PAYABLE BY THE PATIENT IS DELINQUENT, THE PATIENT IS SENT TO COLLECTION AGENCY FOR THE PORTION OUTSTANDING. PART VI, LINE 7, REPORTS FILED WITH STATES OR X X X 0 1 0 0 0 1 0 0 0 TERRY FLETCHALL CEO 219832 0 29034 0 0 0 49025 0 11538 0 309429 0 0 0 MAGGIE HUDSON CFO/COO 200399 0 15142 0 0 0 43859 0 20331 0 279731 0 0 0 SHERRI STEELE CNO 183624 0 15142 0 0 0 23037 0 7359 0 229162 0 0 0 JOHN HOFFMAN M.D. 448158 0 1250 0 0 0 5600 0 19447 0 474455 0 0 0 BENJAMIN LEE M.D. 447022 0 1250 0 0 0 5600 0 19447 0 473319 0 0 0 ROBERT MCGREEVY M.D. 430282 0 1250 0 0 0 5600 0 9506 0 446638 0 0 0 NICOLAS J STRATTON M.D. 394574 0 1250 0 0 0 5600 0 19447 0 420871 0 0 0 ALLYSON STERLING D.O 364167 0 0 0 0 0 5600 0 14730 0 384497 0 0 0 PART I, LINE 4B TERRY FLETCHALL, CEO - $25,000 CONTRIBUTED TO 457(B) & 457(F) SUPPLEMENTAL RETIREMENT PLAN IN 2019. FORM 990, PART VI, SECTION A, LINE 6 THE HOSPITAL HAS APPROXIMATELY 400 MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A THE HOSPITAL MEMBERS VOTE ON SELECTING THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE DIRECTORS AND OFFICERS. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF DIRECTORS, KEY EMPLOYEES AND CHIEF OF STAFF ARE REQUIRED TO SIGN AN ANNUAL CONFLICT OF INTEREST STATEMENT ATTESTING TO THEIR COMPLIANCE. FORM 990, PART VI, SECTION B, LINE 15 SMH USES A THIRD PARTY COMPENSATION AND BENEFIT SERVICE: OLNEY & ASSOCIATES. THE SURVEY PROVIDES DATA ON HOSPITAL KEY EMPLOYEE COMPENSATION AND BENEFITS BASED ON BED SIZE, GEOGRAPHIC REGION, ADMISSIONS AND GROSS REVENUE. THE BOARD OF DIRECTORS REVIEW COMPENSATION AND BENEFITS FOR THE CEO (TERRY FLETCHALL), COO/CFO (MAGGIE HUDSON) AND CHIEF NURSING OFFICER (SHERRI STEELE). THE CEO'S CONTRACT IS THROUGH THE HOSPITAL APPROVED BY THE BOARD AND THE CHIEF NURSING OFFICER AND COO/CFO CONTRACTS ARE WITH THE HOSPITAL APPROVED BY THE CEO. FORM 990, PART VI, SECTION C, LINE 19 SANTIAM MEMORIAL HOSPITAL MAKES COPIES OF ITS GOVERNING DOCUMENTS AND AUDITED FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. THE AUDITED FINANCIAL STATEMENTS ARE ALSO AVAILABLE BY CONTACTING THE STATE OF OREGON DEPARTMENT OF JUSTICE. THE CONFLICT OF INTEREST POLICY IS NOT AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 9: NET GAIN FROM WILLAMETTE VALLEY COMMUNITY HEALTH, LLC K-1 -253,747. NET GAIN FROM PROVIDER TAX TRUST K-1 -6,121. PART XII, LINE 2C NO CHANGES FROM THE PRIOR YEAR. SANTIAM MEDICAL GROUP LLC 1401 N 10TH AVENUE STAYTON OR 97383 462570877 TO PROVIDE OUTPATIENT MEDICAL SERVICES AT VARIOUS CLINIC LOCATIONS OR 16577082 5173933 SANTIAM MEMORIAL HOSPITAL SANTIAM MEMORIAL HOSPITAL AUXILIARY 1401 N 10TH AVENUE STAYTON OR 97383 237399406 OPERATION OF GIFT SHOP AT THE HOSPITAL OR 501(C)(3) LINE 3 0 SANTIAM HEALTHCARE ALLIANCE INC 1401 N 10TH AVENUE STAYTON OR 97383 HOSPITAL OR 501(C)(3) LINE 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 SANTIAM MEMORIAL HOSPITAL AUXILIARY N