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Santiam Memorial Hospital
Stayton, OR 97383
| Bed count | 40 | Medicare provider number | 380056 | Member of the Council of Teaching Hospitals | NO | Children's hospital | NO |
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
(as % of total functional expenses)
Community Benefit Expenditures: 2021
All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Operating expenses $ 83,892,349 Total amount spent on community benefits as % of operating expenses$ 2,040,065 2.43 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 547,698 0.65 %Medicaid as % of operating expenses$ 1,300,271 1.55 %Costs of other means-tested government programs as % of operating expenses$ 86,558 0.10 %Health professions education as % of operating expenses$ 0 0 %Subsidized health services as % of operating expenses$ 24,669 0.03 %Research as % of operating expenses$ 0 0 %Community health improvement services and community benefit operations*
as % of operating expensesNote: these two community benefit categories are reported together on the Schedule H, part I, line 7e.$ 46,769 0.06 %Cash and in-kind contributions for community benefit* as % of operating expenses$ 34,100 0.04 %Community building*
as % of operating expenses$ 0 0 %- * = CBI denoted preventative categories
- Community building activities details:
Did tax-exempt hospital report community building activities? Not available Number of activities or programs (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Persons served (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Community building expense
as % of operating expenses$ 0 0 %Physical improvements and housing as % of community building expenses$ 0 Economic development as % of community building expenses$ 0 Community support as % of community building expenses$ 0 Environmental improvements as % of community building expenses$ 0 Leadership development and training for community members as % of community building expenses$ 0 Coalition building as % of community building expenses$ 0 Community health improvement advocacy as % of community building expenses$ 0 Workforce development as % of community building expenses$ 0 Other as % of community building expenses$ 0 Direct offsetting revenue $ 0 Physical improvements and housing $ 0 Economic development $ 0 Community support $ 0 Environmental improvements $ 0 Leadership development and training for community members $ 0 Coalition building $ 0 Community health improvement advocacy $ 0 Workforce development $ 0 Other $ 0
Other Useful Tax-exempt Hospital Information: 2021
In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.
Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
as % of operating expenses$ 1,970,409 2.35 %Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program? NO - Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.
Does the organization have a written financial assistance (charity care) policy? YES Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients? YES Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
as % of operating expenses$ 1,576,327 80.00 %- Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Reported to credit agency Not available Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid? YES The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines? Not available In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.
Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute? YES
Community Health Needs Assessment Activities: 2021
The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.
Did the tax-exempt hospital report that they had conducted a CHNA? YES Did the CHNA define the community served by the tax-exempt hospital? YES Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital? YES Did the tax-exempt hospital make the CHNA widely available (i.e. post online)? YES Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA? YES
Supplemental Information: 2021
- Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4A (Expenses $ 70997289 including grants of $ 74390) (Revenue $ 84975958) ACUTE HOSPITAL CARE: PATIENT DAYS 4,655, NURSERY DAYS 295, AMBULANCE TRIPS 1,823, OUTPATIENT DAYS 82,225, REFERENCE LABORATORY 194,358.
4B (Expenses $ 2908183 including grants of $ 2328496) (Revenue $ 0) SANTIAM CANYON WILDFIRE RELIEF FUND DISTRIBUTION TO PEOPLE IMPACTED BY OREGON WILDFIRES.
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Facility Information
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, 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 2021.
PART V, LINE 20A SANTIAM MEMORIAL HOSPITAL DOES NOT TAKE EXTRAORIDNARY COLLECTION ACTIONS
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Supplemental Information
PART I, LINE 3C: A SLIDING FEE SCHEDULE WILL BE USED TO DETERMINE CHARITY DISCOUNTS WHEN GROSS FAMILY INCOME IS OVER 250% OF FEDERAL POVERTY INCOME GUIDELINES. AVAILABLE LIQUID ASSETS, APPROPRIATE TO VERIFIED INCOME, MAY ALSO BE CONSIDERED.INCOME AS A % OF FEDERAL POVERTY LEVEL FINANCIAL ASSISTANCE ADJUSTMENT % 0 - 250% 100%251 - 300% 75%301 - 400% 55%FINANCIAL ASSISTANCE MAY BE PROVIDED TO A RESPONSIBLE PARTY WITH GROSS FAMILY INCOME GREATER THAN SMH RECOGNIZED FEDERAL POVERTY INCOME GUIDELINES IF CIRCUMSTANCES SUCH AS EXTRAORDINARY, NON-DISCRETIONARY EXPENSES, FUTURE EARNING CAPACITY AND THE ABILITY TO MAKE PAYMENTS OVER AN EXTENDED PERIOD OF TIME WARRANT CONSIDERATION.
PART I, LINE 7G: THE ENTIRE AMOUNT REPORTED ON SCH H, PART I, LINE 7G REFLECTS COSTS FROM PHYSICIAN CLINICS.
PART III, LINE 2: ESTIMATES ARE BASED ON PAST COLLECTIONS.
PART III, LINE 3: ESTIMATED 80% OF BAD DEBT COULD BE ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY.
PART III, LINE 4: [NOTE: SEE PAGE 14 OF THE FINANCIAL STATEMENTS]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).PATIENT ACCOUNTS RECEIVABLE - INCLUDING BILLED ACCOUNTS AND UBILLED ACCOUNTS FOR WHICH THE HOSPITAL HAS THE UNCONDITIONAL RIGHT TO PAYMENT, AND ESTIMATED AMOUNTS DUE FROM THIRD-PARTY PAYORS FOR RETROACTIVE ADJUSTMENTS - ARE RECEIVABLES OF THE HOSPITAL'S RIGHT TO CONSIDERATION IS UNCONDITIONAL AND ONLY THE PASSAGE OF TIME IS REQUIRED BEFORE PAYMENT OF THAT CONSIDERATION IS DUE. THE ESTIMATED UNCOLLECTIBLE AMOUNTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE A DIRECT REDUCTION TO PATIENT ACCOUNTS RECEIVABLE RATHER THAN AS AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. DURING THE YEAR ENDED DECEMBER 31, 2021 AND 2020, PATIENT CARE SERVICE REVENUE WAS DECREASED BY APPROXIMATELY $212,000 AND $641,000, RESPECTIVELY, DUE TO A CHANGE IN MANAGEMENT'S ESTIMATE OF THE IMPLICIT PRICE CONCESSIONS. DURING THE YEAR ENDED DECEMBER 31, 2021, NET PATIENT SERVICE REVENUE WAS INCREASED BY APPROXIMATELY $1,250,000 DUE TO A CHANGE IN MANAGEMENT'S ESTIMATE OF THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE AS OF DECEMBER 31, 2020.SIGNIFICANT CHANGES IN PAYOR MIX, BUSINESS OFFICE OPERATIONS, ECONOMIC CONDITIONS, OR TRENDS IN FEDERAL AND STATE GOVERNMENTAL HEALTH CARE COVERAGE COULD AFFECT THE HOSPITAL'S COLLECTION OF PATIENT ACCOUNTS RECEIVABLE, CASH FLOWS, AND RESULTS OF OPERATIONS.SIGNIFICANT CONCENTRATIONS OF GROSS PATIENT ACCOUNTS RECEIVABLE AS OF DECEMBER 31, 2021 AND 2020 WERE APPROXIMATELY AS FOLLOWS: 2021 2020MEDICARE 34% 32%OREGON HEALTH PLAN (OHP) AND MEDICAID 16 16COMMERCIAL INSURANCE AND OTHER THIRD-PARTY PAYORS 34 32SELF-PAY 16 20 100% 100%
PART III, LINE 8: A COST TO CHARGE RATIO OF 48.3% WAS USED AGAINST MEDICARE CHARGES.
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 2: HEALTHCARE NEEDS ARE ASSESSED BY LISTENING TO PROVIDERS' FEEDBACK ON WHATPATIENT NEEDS ARE CURRENTLY. SANTIAM MEMORIAL HOSPITAL'S SERVICE INTEGRATION TEAM HEARS THE NEEDS OF THE GREATER COMMUNITY IN THEIR WORK WITH COMMUNITY PARTNERS.
PART VI, LINE 3: ALL INPATIENTS ARE PROVIDED A FINANCIAL ASSISTANCE POLICY BROCHURE UPON ADMISSION. ANY INPATIENT PRESENTING WITHOUT INSURANCE IS PROVIDED ASSISTANCE IN APPLYING FOR THE OREGON HEALTH PLAN. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS LISTED ON PATIENT STATEMENTS. FINANCIAL ASSISTANCE POLICY BROCHURES ARE PRESENT AT EVERY ADMITTING DESK, AND THE FINANCIAL ASSISTANCE POLICY AND APPLICATON ARE AVAILABLE UPON REQUEST AND ON THE SANTIAM MEMORIAL HOSPITAL WEBSITE.
PART VI, LINE 4: SANTIAM MEMORIAL HOSPITAL SERVES THE SANTIAM RIVER CANYON AND SURROUNDINGCOMMUNITIES OF AUMSVILLE, TURNER, STAYTON, SUBLIMITY, SHAW, MARION, CRABTREE, LYONS, MILL CITY AND IDANHA.
PART VI, LINE 5: LOCAL COMMUNITY MEMBERS VOLUNTEER TO SERVE AS THE BOARD OF DIRECTORS.SANTIAM MEMORIAL HOSPITAL EMPLOYS A SERVICE INTEGRATION COORDINATOR WHO LEADS THE SANTIAM SERVICE INTEGRATION PROGRAM. THE PURPOSE OF THE SANTIAM SERVICE INTEGRATION PROGRAM IS TO FACILITATE COLLABORATION AMONG COMMUNITY PARTNERS TO PROVIDE COORDINATED RESOURCES AND INFORMATION FOR INDIVIDUALS AND FAMILIES. THESE ARE AGENCY AND COMMUNITY PARTNERSEXPEDITING SOLUTIONS BY MATCHING RESOURCES TO CLEARLY DEFINED NEEDS, WHILE AVOIDING DUPLICATION OF SERVICES.SERVICE INTEGRATION IS A PARTNERSHIP BETWEEN SANTIAM MEMORIAL HOSPITAL, SCHOOL DISTRICTS, FAITH GROUPS, NON-PROFITS, SOCIAL SERVICE AGENCIES, LOCAL CLUBS, GOVERNMENT AGENCIES, BUSINESSES, AND COMMUNITY MEMBERS. THE SERVICE INTEGRATION TEAMS MEETS MONTHLY TO NETWORK, SHARE RESOURCES, DISCUSS LOCAL NEEDS, AND FIND SOLUTIONS. EACH TEAM IS UNIQUE TOITS COMMUNITY.
PART VI, LINE 7, REPORTS FILED WITH STATES OR
