2026-05-06T16:49:47-05:00 2025-06-30 135565207 KPMG LLP 1300 SW 5TH AVENUE SUITE 3800 PORTLAND OR 97201 990 2024-07-01 237002687 SALEM HEALTH FOUNDATION SALE 5038141938 890 OAK STREET SALEM OR 97301 JAMES PARR EVP OF OPERATIONS & CFO 5038141938 2026-04-30 1 1 ZELJKO POPOVIC P01795951 5032216500 2026-04-28 2024 2025-03-06 01:10:19Z JAMES PARR 890 OAK STREET SALEM OR 97301 1386073 0 X HTTP://WWW.SALEMHEALTHFOUNDATION.ORG/ X 1968 OR DEDICATED TO RAISING, MANAGING AND DISTRIBUTING FUNDS TO HELP SALEM HEALTH ACHIEVE ITS MISSION. 13 13 0 16 0 0 1752898 1219740 0 0 15623 133033 476 2632 1768997 1355405 4137933 542947 0 0 0 0 0 0 79008 756628 807022 4894561 1349969 -3125564 5436 9507271 9944889 913422 564114 8593849 9380775 THE SALEM HEALTH FOUNDATION IS DEDICATED TO RAISING, MANAGING AND DISTRIBUTING FUNDS TO HELP SALEM HEALTH ACHIEVE ITS MISSION OF IMPROVING THE HEALTH AND WELL-BEING OF THE PEOPLE AND COMMUNITY IT SERVES. 0 0 942659 389594 PROPOSALS TO FUND CAPITAL EQUIPMENT AND MEDICALLY RELATED ACTIVITIES AT SALEM HEALTH ARE RECEIVED AND REVIEWED BY THE FOUNDATION'S CHIEF DEVELOPMENT OFFICER. PROPOSALS ARE FORWARDED TO THE FOUNDATION'S BOARD OF DIRECTORS FOR FURTHER REVIEW AND APPROVAL IF THEY ARE CONSIDERED TO BE CONSISTENT WITH THE FOUNDATION'S ARTICLES OF INCORPORATION, STATING THAT ITS FUNDS ARE TO BE USED FOR HEALTH CARE, CHARITABLE, AND SCIENTIFIC PURPOSES, AND FOR MEDICAL AND SCIENTIFIC EDUCATION AND RESEARCH FOR THE USE AND BENEFIT OF SALEM HEALTH. 95950 95950 SCHOLARSHIPS: NURSING, MEDICAL SCHOOL AND OTHER HEALTHCARE PROGRAMS. RECIPIENTS OF HEALTH CARE RELATED ACADEMIC SCHOLARSHIPS AND THE AMOUNTS OF THE AWARDS ARE DETERMINED BY ANALYSES OF THE CANDIDATES' QUALIFICATIONS, SCHOLARSHIP AWARDS ALREADY AWARDED TO THEM FOR THE YEAR BY OTHER ORGANIZATIONS, AND THE COSTS OF THE SPECIFIC SCHOOLS THE CERTAIN RESTRICTED FUNDS HAVE BEEN CREATED AND ARE USED FOR THE PURPOSE VARIOUS CANDIDATES WISH TO ATTEND. 57403 57403 CERTAIN RESTRICTED FUNDS HAVE BEEN CREATED AND ARE USED FOR THE PURPOSE OF ASSISTING DIABETES AND CANCER PATIENTS WITH THE COSTS OF THEIR EDUCATIONAL, SUPPLY AND OTHER CARE-RELATED EXPENSES. IN ADDITION, FUNDS ARE DISTRIBUTED TO ASSIST LOW INCOME INDIVIDUALS MEDICAL REQUIREMENTS. 1096012 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 OR X SALEM HEALTH 5038141938 890 OAK STREET SALEM OR 97301 ALEX CASEBEER PAST CHAIR 1.00 0.00 X 0 0 0 ALEX RHOTEN VICE CHAIR 1.00 0.00 X X 0 0 0 ANDA YANGSON MD DIRECTOR (JOINED 05/2025) 1.00 0.00 X 0 0 0 ERIC FISKUM DIRECTOR 1.00 0.00 X 0 0 0 GARTH BRANDAW DIRECTOR 1.00 0.00 X 0 0 0 JOHN POLLINO DIRECTOR 1.00 0.00 X 0 0 0 KATHY GORDON DIRECTOR 1.00 0.00 X 0 0 0 NANCY REYES-MOLYNEUX MD DIRECTOR (JOINED 09/2024) 1.00 0.00 X 0 0 0 PAT FORCE CHAIR 1.00 0.00 X X 0 0 0 ROBERT PONEC MD DIRECTOR 1.00 0.00 X 0 0 0 RYAN ALLBRITTON SECRETARY/TREASURER 1.00 0.00 X X 0 0 0 STEVE ALTMAN DIRECTOR 1.00 0.00 X 0 0 0 TIM DUENAS MD DIRECTOR 1.00 0.00 X 0 0 0 CHERYL NESTER WOLFE CEO & PRESIDENT 1.00 39.00 X 0 1680819 49501 JAMES PARR EVP OF OPERATIONS & CFO 1.00 39.00 X 0 1158173 118338 JAMES R BAUER CHIEF DEVELOPMENT OFFICER 1.00 39.00 X 0 626170 39091 0 3465162 206930 0 0 1 0 0 80100 93353 1046287 1219740 133033 133033 14548 80100 30668 -16120 -16120 HAMPSHIRE RENTAL 900099 18752 18752 18752 1355405 0 0 135665 389594 389594 153353 153353 748859 524201 149772 74886 6003 4202 1201 600 20306 14214 4061 2031 233 163 47 23 14692 10285 2939 1468 HAMPSHIRE PROP. MAINT. 13151 13151 DUES 3678 3678 LICENSES AND PERMITS 100 100 1349969 1096012 174949 79008 1091927 700945 198360 84080 2095 124 12905 13802 692000 692000 692000 7509984 8453938 9507271 9944889 913422 564114 913422 564114 X 1671829 2157841 6922020 7222934 8593849 9380775 9507271 9944889 X 5436 752160 29330 X 0 1 X 1 0 X 451593 2040282 3205010 1752898 1219740 8669523 451593 2040282 3205010 1752898 1219740 8669523 2596363 6073160 402845 1016745 171145 15623 133033 1739391 13454 24505 21859 35260 33300 128378 10537292 0.57630 0.45900 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: HAMPSHIRE PROPERTIES - 2020 AMOUNT: $ 13,454. 2021 AMOUNT: $ 14,430. 2022 AMOUNT: $ 15,729. 2023 AMOUNT: $ 19,415. 2024 AMOUNT: $ 18,752. SPECIAL EVENTS - 2021 AMOUNT: $ 10,075. 2022 AMOUNT: $ 6,130. 2023 AMOUNT: $ 15,845. 2024 AMOUNT: $ 14,548. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3726002 72806 59396 93872 3764332 3814095 9897 10820 108810 3726002 3814370 10324 53012 63610 3814095 3463649 427969 77248 3814370 3414730 20925 216671 188677 3463649 0.60290 0.39710 0 0 685000 685000 7000 7000 692000 DUE TO SALEM HEALTH 564114 564114 X PART V, LINE 4: SALEM HEALTH FOUNDATION HOLDS ENDOWMENT FUNDS FOR THE BENEFIT OF SALEM HEALTH AND FOR USE TOWARDS THE FOUNDATION'S MISSION. PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THE CORPORATION TO EVALUATE TAX POSITIONS TAKEN BY THE CORPORATION AND 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, 2025 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 JURSIDCTIONS; 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 2022. GOLF TOURNAMENT 94648 80100 14548 0 2365 11640 7103 3000 6560 94648 80100 14548 2365 11640 7103 3000 6560 30668 -16120 1 SALEM HEALTH 890 OAK STREET SALEM OR 97301 930579722 3 190503 0 N/A N/A TO PAY FOR GENERAL EXPENSES AND CAPITAL EXPENDITURES SALEM FREE CLINICS 1300 BROADWAY ST NE SUITE 104 SALEM OR 97301 203549992 3 10000 0 N/A N/A ACCESS TO HEALTHCARE, BEHAVIORAL HEALTH, & DIABETES MANAGEMENT CARE VANNATTA PUBLIC RELATIONS 3340 COMMERCIAL ST SE 210 SALEM OR 97302 931293121 N/A 45755 0 N/A N/A FENTANYL FREE OREGON (FFO) CAMPAIGN SKYLINE VIDEO PRODUCTIONS 1191 CAPITOL ST NE SALEM OR 97301 822243220 N/A 5350 0 N/A N/A VIDEO PRODUCTION SUPPORT ON EFFECTS OF STREET FENTANYL TRANSFORMATION BY SALEM ANGELS 4742 LIBERTY RD S PMB 555 SALEM OR 97302 853868206 3 5000 0 N/A N/A FOSTER CARE COMMUNITY SUPPORT FOR MARION AND POLK COUNTY SALEM FOR REFUGEES 1400 BROADWAY ST NE SALEM OR 97301 863735350 3 5000 0 N/A N/A SERVICES FOR REFUGEES ARRIVNG IN SALEM 4 2 SCHOLARSHIPS FOR STUDENTS 94 95950 N/A N/A THE FOUNDATION'S PATIENT ASSISTANCE PROGRAM 333 57403 N/A N/A PART I, LINE 2: DECISIONS ON GRANTS TO SALEM HEALTH ARE MADE BY THE SALEM HEALTH FOUNDATION BOARD OF DIRECTORS. MINUTES OF THE MEETINGS OF THE FOUNDATION BOARD ARE SHARED WITH THE SALEM HEALTH BOARD OF TRUSTEES AT THEIR MONTHLY MEETINGS. SCHOLARSHIPS ARE GRANTED TO COLLEGE STUDENTS THAT RESIDE IN MARION AND POLK COUNTIES AND ARE PURSUING A HEALTHCARE RELATED CAREER. A SCHOLARSHIP COMMITTEE REVIEWS INDIVIDUAL APPLICATIONS AND RECOMMENDS TO THE BOARD RECIPIENT AWARDS FOR APPROVAL. SCHOLARSHIPS AWARDED ARE PAID DIRECTLY TO THE EDUCATIONAL INSTITUTIONS FOR TUITION OR RELATED COSTS. 0 1 0 0 0 0 0 0 0 CHERYL NESTER WOLFE CEO & PRESIDENT 0 1004098 0 286407 0 390314 0 29325 0 20176 0 1730320 0 366212 JAMES PARR EVP OF OPERATIONS & CFO 0 834542 0 259029 0 64602 0 88265 0 30073 0 1276511 0 60516 JAMES R BAUER CHIEF DEVELOPMENT OFFICER 0 359659 0 112834 0 153677 0 18975 0 20116 0 665261 0 131803 PART I, LINE 3 COMPENSATION OF THE OFFICERS IS DETERMINED BY THE CEO OF SALEM HEALTH, IN CONJUNCTION WITH OTHER SALARY SURVEY OR PUBLIC INFORMATION AND INDEPENDENT CONSULTANTS TO ENSURE THE COMPENSATION IS COMPETITIVE IN THE MARKET FOR SIMILAR POSITIONS AT COMPARABLE ORGANIZATIONS. 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 INCLUDED IN DEFERRED COMPENSATION RELATED TO ONE INDIVIDUAL IS: JAMES PARR $58,940 SCHEDULE J, PART II, LINE 1: COMPENSATION AND BENEFITS REPORTED FOR OFFICERS ON SCHEDULE J ARE PAID BY SALEM HEALTH. THE FOUNDATION HAS A MANAGEMENT AGREEMENT TO REIMBURSE SALEM HEALTH FOR A PORTION OF OFFICER COMPENSATION AND BENEFITS. THIS AMOUNT IS INCLUDED ON FORM 990 PART IX; LINE 11A UNDER MANAGEMENT SERVICES. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF SALEM HEALTH FOUNDATION IS SALEM HEALTH HOSPITALS & CLINICS ("SHHC"), A NOT-FOR-PROFIT ENTITY. THE SALEM HEALTH FOUNDATION DIRECTORS ARE ELECTED BY SHHC WHO ALSO APPROVES SIGNIFICANT DECISIONS OF THE SALEM HEALTH FOUNDATION GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7A THE BYLAWS OF SALEM HEALTH FOUNDATION STATE THAT THE DIRECTORS OF SALEM HEALTH FOUNDATION 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 DIRECTORS 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 FOUNDATION BYLAWS, SHHC SHALL HAVE THE SOLE AND EXCLUSIVE RIGHT TO ACT WITH RESPECT TO THE FOLLOWING AFFAIRS OF SALEM HEALTH FOUNDATION: A. APPROVAL OF THE MERGER OR CONSOLIDATION OF SALEM HEALTH FOUNDATION WITH ANY OTHER ORGANIZATION OR ENTITY; PROVIDED, HOWEVER, THAT THE BOARD OF DIRECTORS MAY SUBMIT MERGER AND CONSOLIDATION PROPOSALS TO SHHC FOR ITS APPROVAL; B. ELECTION TO DISSOLVE AND WIND UP THE AFFAIRS OF SALEM HEALTH FOUNDATION; PROVIDED THAT THE BOARD OF DIRECTORS 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 FOUNDATION; PROVIDED, HOWEVER, THAT THE BOARD OF DIRECTORS MAY SUBMIT PROPOSALS FOR SUCH DISPOSITIONS TO SHHC FOR ITS APPROVAL; 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 SALEM HEALTH HOSPITALS AND CLINICS CONFLICT OF INTEREST POLICY APPLY TO ALL EMPLOYEES OF SALEM HEALTH HOSPITALS AND CLINICS, INCLUDING TRUSTEES, OFFICERS, COMMITTEE MEMBERS. ON AN ANNUAL BASIS, THE CHIEF CORPORATE INTEGRITY OFFICER SHALL PROVIDE EACH DESIGNATED EMPLOYEES, DEFINED FOR PURPOSES OF THIS POLICY AS THE PRESIDENT/CHIEF EXECUTIVE OFFICER, VICE PRESIDENTS, AND DEPARTMENT DIRECTORS, AS WELL AS ANY ADDITIONAL EMPLOYEES DESIGNATED BY THE BOARD WITH A COPY OF THE CONFLICT OF INTEREST POLICY, ALONG WITH A DISCLOSURE QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRE MUST BE RETURNED TO THE CHIEF CORPORATE INTEGRITY OFFICER PRIOR TO THE BEGINNING OF EACH CALENDAR YEAR. WHERE APPROPRIATE, CORPORATE INTEGRITY SHALL PREPARE AND SUBMIT TO THE CEO A CONFIDENTIAL REPORT CONCERNING ANY INTEREST DISCLOSED BY SUCH QUESTIONNAIRE. IF, AT ANY TIME, AN EMPLOYEE COVERED BY THIS POLICY BECOMES INVOLVED IN, OR BECOMES AWARE OF, ANY TRANSACTION, ARRANGEMENT, RELATIONSHIP, OR SITUATION THAT RESULTS IN AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST, OR THE APPEARANCE OF A CONFLICT OF INTEREST, BETWEEN THE INTERESTS OF SALEM HEALTH AND THE INTERESTS OF THAT INDIVIDUAL, OR ANY ENTITY WITH WHICH THE INDIVIDUAL IS CONNECTED OR RELATED, THE INDIVIDUAL SHALL PROMPTLY NOTIFY THE SALEM HEALTH CORPORATE INTEGRITY OFFICE. CORPORATE INTEGRITY, IN COLLABORATION WITH HUMAN RESOURCES WHEN APPROPRIATE, MAY ELECT TO INTERVIEW ANY INDIVIDUAL WHO HAS DISCLOSED, OR IS BELIEVED TO HAVE, A POTENTIAL CONFLICT OF INTEREST. FOLLOWING FULL DISCLOSURE OF THE INTEREST AND ALL MATERIAL FACTS, AND AFTER DISCUSSION WITH THE INTERESTED INDIVIDUAL, CORPORATE INTEGRITY SHALL DETERMINE WHETHER AN ACTUAL CONFLICT OF INTEREST OR THE APPEARANCE OF A CONFLICT OF INTEREST EXISTS. TO ASSIST IN MAKING THIS DETERMINATION, CORPORATE INTEGRITY MAY, AT THE DIRECTION OF THE EXECUTIVE LEADERSHIP COUNCIL (ELC), CONSULT OR RETAIN A DISINTERESTED INDIVIDUAL OR COMMITTEE TO INVESTIGATE THE MATTER AND EVALUATE REASONABLE ALTERNATIVES, AS APPROPRIATE. UNTIL CORPORATE INTEGRITY HAS COMPLETED ITS REVIEW AND DETERMINED THAT NO ACTUAL OR APPARENT CONFLICT OF INTEREST EXISTS, THE INDIVIDUAL SHALL REFRAIN FROM ACTING ON BEHALF OF SALEM HEALTH WITH RESPECT TO THE TRANSACTION OR SITUATION UNDER REVIEW. ADDITIONALLY, THE INDIVIDUAL SHALL RECUSE HIM OR HERSELF FROM ANY DISCUSSIONS, DECISION MAKING PROCESSES, OR DELIBERATIONS RELATED TO THE MATTER, UNLESS SPECIFICALLY INVITED BY CORPORATE INTEGRITY TO PROVIDE FACTUAL INFORMATION. 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. ONE OR MORE INDEPENDENT CONSULTANTS ARE RETAINED TO REVIEW EXECUTIVE COMPENSATION. THE SH 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, LINES 15A AND 15B ALL COMPENSATION IS PAID BY A RELATED ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 THE CONFLICT OF INTEREST POLICY, GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE NOT PUBLICLY AVAILABLE. FORM 990, PART XI, LINE 9: ASSETS RELEASED FROM RESTRICTIONS 29,330. HAMPSHIRE PROPERTIES LLC 890 OAK STREET SALEM OR 97301 870804582 REAL ESTATE OR 18752 835842 SHF SALEM HEALTH 890 OAK STREET SALEM OR 97301 930579722 HOSPITAL OR 501(C)(3) LINE 3 SHHC 0 SALEM HEALTH HOSPITALS & CLINICS 890 OAK STREET SALEM OR 97301 930823471 LEASES LAND OR 501(C)(3) LINE 12A, I N/A 0 SALEM HEALTH WEST VALLEY 525 SOUTHEAST WASHINGTON ST DALLAS OR 97338 431960221 HOSPITAL OR 501(C)(3) LINE 3 SHHC 0 WEST VALLEY HOSPITAL FOUNDATION 525 SOUTHEAST WASHINGTON ST DALLAS OR 97338 931298564 SUPPORT SHWV OR 501(C)(3) LINE 12A, I SHHC 0 WILLAMETTE VALLEY INSURANCE COMPANY 745 FORT STREET HONOLULU HI 96813 201836190 CAPTIVE INS HI 501(C)(3) LINE 12A, I SHHC 0 SALEM HEALTH PROFESSIONAL SERVICES 890 OAK STREET SALEM OR 97301 753175249 BILLING OR 501(C)(3) LINE 12A, I SHHC 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0