Civic Intelligence

Salem Community Hospital

EIN 34-1041385 • 501(c)3 • Salem, OH

Profile

"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.

1995 East State StreetSalem, OH 44460

www.salemregional.com

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

49th percentile

0.28x

Higher debt load relative to assets than 49% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2022

Liabilities / Revenue

60th percentile

0.62x

Higher debt load relative to revenue than 60% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2022

Net Margin

73rd percentile

14%

Higher net margin than 73% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2022

Top Officer Pay

27th percentile

$469,221

Higher top officer pay than 27% of similar nonprofits.

Top officer pay equals 0.4% of source-year revenue.

501(c)3 • $250M-$1B nonprofits • Source year 2022

Asset Growth

20th percentile

-1.7%

Faster asset growth than 20% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Annualized from 2021 to 2022

Revenue Growth

27th percentile

-0.1%

Faster revenue growth than 27% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Annualized from 2021 to 2022

Assets

Down

$278,079,983

Down $637,812 (-0.2%) from 2023

Liabilities

Down

$72,991,177

Down $250,431 (-0.3%) from 2023

Net Assets

Down

$205,088,806

Down $387,381 (-0.2%) from 2023

Revenue

Up

$116,743,416

Up $3,265,077 (+2.9%) from 2023

Expenses

Down

$106,552,131

Down $10,727,121 (-9.1%) from 2023

Net Income

Up

$10,191,285

Up $13,992,198 (+368%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$300M$200M$100M$0Assets 2010: $189,775,318Liabilities 2010: $53,973,823Net Assets 2010: $135,801,4952010Assets 2011: $204,224,659Liabilities 2011: $42,884,461Net Assets 2011: $161,340,1982011Assets 2012: $200,584,570Liabilities 2012: $58,055,743Net Assets 2012: $142,528,8272012Assets 2013: $234,566,857Liabilities 2013: $74,532,194Net Assets 2013: $160,034,6632013Assets 2014: $245,043,049Liabilities 2014: $70,731,524Net Assets 2014: $174,311,5252014Assets 2015: $244,370,098Liabilities 2015: $76,539,240Net Assets 2015: $167,830,8582015Assets 2016: $240,252,649Liabilities 2016: $86,902,322Net Assets 2016: $153,350,3272016Assets 2017: $244,575,881Liabilities 2017: $82,302,332Net Assets 2017: $162,273,5492017Assets 2018: $238,336,672Liabilities 2018: $75,448,531Net Assets 2018: $162,888,1412018Assets 2019: $240,445,095Liabilities 2019: $73,550,080Net Assets 2019: $166,895,0152019Assets 2020: $254,361,671Liabilities 2020: $85,461,550Net Assets 2020: $168,900,1212020Assets 2021: $290,042,052Liabilities 2021: $63,893,260Net Assets 2021: $226,148,7922021Assets 2022: $285,034,235Liabilities 2022: $80,558,856Net Assets 2022: $204,475,3792022Assets 2023: $278,717,795Liabilities 2023: $73,241,608Net Assets 2023: $205,476,1872023Assets 2024: $278,079,983Liabilities 2024: $72,991,177Net Assets 2024: $205,088,8062024

Highlighted filing

2024

Assets$278,079,983
Liabilities$72,991,177
Net Assets$205,088,806

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$150M$100M$50M$0-$50MExpenses 2010: $94,481,0062010Expenses 2011: $95,052,7542011Expenses 2012: $96,284,2432012Expenses 2013: $98,828,2572013Revenue 2014: $111,066,213Expenses 2014: $102,857,106Net Income 2014: $8,209,1072014Revenue 2015: $114,423,581Expenses 2015: $104,684,295Net Income 2015: $9,739,2862015Revenue 2016: $113,309,083Expenses 2016: $106,246,068Net Income 2016: $7,063,0152016Revenue 2017: $112,387,801Expenses 2017: $110,190,694Net Income 2017: $2,197,1072017Revenue 2018: $110,587,566Expenses 2018: $110,427,178Net Income 2018: $160,3882018Revenue 2019: $118,406,152Expenses 2019: $105,934,502Net Income 2019: $12,471,6502019Revenue 2020: $115,912,146Expenses 2020: $103,629,146Net Income 2020: $12,283,0002020Revenue 2021: $130,270,087Expenses 2021: $104,591,146Net Income 2021: $25,678,9412021Revenue 2022: $130,117,128Expenses 2022: $112,312,408Net Income 2022: $17,804,7202022Revenue 2023: $113,478,339Expenses 2023: $117,279,252Net Income 2023: -$3,800,9132023Revenue 2024: $116,743,416Expenses 2024: $106,552,131Net Income 2024: $10,191,2852024

Highlighted filing

2024

Revenue$116,743,416
Expenses$106,552,131
Net Income$10,191,285

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$278$73.0$205$117$107$10.2
2023Detailed filing. Detailed filing data is available for this year.$279$73.2$205$113$117$3.80
2022Detailed filing. Detailed filing data is available for this year.$285$80.6$204$130$112$17.8
2021Detailed filing. Detailed filing data is available for this year.$290$63.9$226$130$105$25.7
2020Detailed filing. Detailed filing data is available for this year.$254$85.5$169$116$104$12.3
2019Detailed filing. Detailed filing data is available for this year.$240$73.6$167$118$106$12.5
2018Detailed filing. Detailed filing data is available for this year.$238$75.4$163$111$110$0.16
2017Detailed filing. Detailed filing data is available for this year.$245$82.3$162$112$110$2.20
2016Detailed filing. Detailed filing data is available for this year.$240$86.9$153$113$106$7.06
2015Detailed filing. Detailed filing data is available for this year.$244$76.5$168$114$105$9.74
2014Detailed filing. Detailed filing data is available for this year.$245$70.7$174$111$103$8.21
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$235$74.5$160$98.8
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$201$58.1$143$96.3
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$204$42.9$161$95.1
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$190$54.0$136$94.5
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
May 8, 2025
Return Version
2023v6.0
Gross Receipts
$116,786,750
Mission and Program Overview

Mission

"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.

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."

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$156,627,244$142,306,713▼ $14,320,531
Land, Buildings, and Equipment, Net$92,972,930$102,979,093▲ $10,006,163
Prepaid Expenses and Deferred Charges$4,107,176$8,216,203▲ $4,109,027
Accounts Receivable$8,954,930$7,594,780▼ $1,360,150
Cash and Non-Interest-Bearing Accounts$8,534,800$6,531,371▼ $2,003,429
Savings and Temporary Cash Investments$4,364,052$4,097,966▼ $266,086
Inventories for Sale or Use$1,719,480$1,913,753▲ $194,273
Investments Program Related-$174,650-
Total Assets$278,717,795$278,079,983▼ $637,812
Other Assets Total$1,437,183$4,265,454▲ $2,828,271
Liabilities
Tax Exempt Bond Liabilities$57,831,806$56,026,639▼ $1,805,167
Accounts Payable and Accrued Expenses$11,699,732$12,471,941▲ $772,209
Other Liabilities$3,690,070$4,492,597▲ $802,527
Deferred Revenue$20,000$0▼ $20,000
Total Liabilities$73,241,608$72,991,177▼ $250,431
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$205,476,187$204,855,956▼ $620,231
Net Assets With Donor Restrictions$0$232,850▲ $232,850
Total Net Assets Fund Balance$205,476,187$205,088,806▼ $387,381
Total Liabilities and Net Assets / Fund Balance$278,717,795$278,079,983▼ $637,812

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$82,182,429$72,482,573$0
Other Land Buildings$331,395$0$0
Land$2,733,647-$0
Equipment$16,691,217$48,207,368$0
Leasehold Improvements$1,040,405$577,613$0
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Anita HacksteddePresident/CEOFT$473,107$39,641$512,748
Kimberly JenkinsVP FinanceFT$190,691$29,180$219,871
Keith MeredithVP Clinical OperationsFT$178,277$17,596$195,873
Sue BryarlyDirector of PharmacyFT$151,965$40,626$192,591
Corey LessPharmacistFT$128,530$39,784$168,314
Robin WeyantAsst VP of NursingFT$145,203$22,122$167,325
Deborah PietrzakAsst VP Marketing & PlanningFT$140,146$6,485$146,631
Mike GiangardellaVP AdministrationFT$125,509$15,018$140,527
Jacqueline BoyleVP Human ResourcesFT$133,925$6,198$140,123
Joseph Rettig MDChief of Staff (7/1/23-12/31/24)-$10,500-$10,500
Lauren Fredrickson MDDirector-$10,000-$10,000
Peter Apicella MDDirector-$1,500-$1,500

Board Members and Trustees

NameTitle
Denise HarlanChair
Nelson WitmerVice Chair
Bruce Rhodes JrDirector
Douglas Shodd JrDirector
Heather Milliken MercerDirector
Jeffrey ZimmermanDirector
Lynn Scullion O DDirector
Ruth Ann RintoDirector
Sara SutterDirector
Scott TuelDirector
Terry CrissDirector
William Young EdDDirector
Dr Richard BeattyChief Medical Officer
Bart Brine MDChief of Staff (1/01/24-6/30/24)
Todd OlsonSecretary
Gina RichardsonTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Northstar AnesthesiaHousekeeping ServicesPO BOX 735620, Suite 200, Chicago, IL 60673$1,961,312
Maxim Healthcare ServicesMedical Services6225N State Hwy 161, PO Box 41500, Irving, TX 75038$1,601,987
AVI Food SystemsStaffing Services12558 Collections Center Drive, Chicago, IL 60693$1,564,625
CerecoreFood Services/Vending2590 Elm Road NE, Warren, OH 44483$1,508,850
-IT/Technology ServicesMSC 30225, Nashville, TN 37241-5000$1,314,377
Revenue and Support

Revenue Composition

Contributions and Grants
$2,061,849
Program Service Revenue
$99,203,403
Investment Income
$15,082,337
Other Revenue
$395,827
All Other Contributions
$13,035
Change in Net Assets
$10,191,285
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$67,917,657
Salaries, Compensation, and Employee Benefits$38,634,474
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$26,499,471$2,974,423-$29,473,894
Fees for Services Other$16,880,341$2,572,464-$19,452,805
Other Expenses$12,158,878$4,803$0$12,163,681
Depreciation Depletion$7,818,210$629,899-$8,448,109
Other Employee Benefits$4,152,116$733,727-$4,885,843
Information Technology$2,553,084$749,725-$3,302,809
Occupancy$2,507,808$253,799-$2,761,607
Payroll Taxes$1,960,194$284,917-$2,245,111
Current Officers, Directors, Trustees, and Key Employees-$1,219,549-$1,219,549
Office Expenses$750,570$458,508-$1,209,078
Interest$1,173,443--$1,173,443
Insurance-$984,418-$984,418
Pension Plan Contributions$691,774$118,303-$810,077
All Other Expenses$274,595$505,763$0$780,358
Fees for Services Legal$387,466$91,591-$479,057
Fees for Services Management-$202,505-$202,505
Advertising$189$156,532-$156,721
Fees for Services Accounting-$102,000-$102,000
Travel$35,166$1,670-$36,836
Total Functional Expenses$91,193,028$15,359,103$0$106,552,131
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Long Term Lease Obligations$4,096,353
Short Term Lease Obligations$203,178
Deferred Liability$193,066

Bond Issues

BondIssuerIssuedIssue PricePurpose
ACity Of Salem Ohio2022-05-04$59,790,000Hospital Facility Construction & Refund 4/4/13 Prior Issue

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$59,790,000$0$38,806,741$140,000

Bond Financing Compliance

No rebate due
No
Rebate not yet due
Yes
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 2

Denise Harlan has ownership interest in an outside organization and therefore has a business relationship with the following directors: Nelson Witmer, Jeff Zimmerman, Gina Richardson, and Todd Olson. These 4 directors are clients of the outside organization/business in which Denise Harlan has an ownership interest.

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 directors/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.

Filing and Contact Details

Filer

Filer Name
Salem Community Hospital
EIN
34-1041385
Phone
3303327214
Address
1995 East State Street, Salem, OH 44460
Doing Business As
Salem Regional Medical Center

Signing Officer

Name
Anita Hackstedde
Title
CEO/President
Phone
3303327214
Signed
2025-05-08

Organization Details

Principal Officer
Anita Hackstedde MD
Formed
1913
Legal Domicile
Oh
Voting Board Members
18
Independent Board Members
15
Employees
726
Volunteers
50
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

Balance in this category represents the following expenses: 1) Purchased Services total $13,715,552; 2) Repairs and Maintenance Services total $2,737,964; and 3) Professional Health Care Services total $2,999,289.

Form 990, Part XI, Line 9

Balance in this category represents the following: 1) Transfers to related organization ($11,067,774); 2) Dissolution of related organization (The Charitable Foundation of Salem Community Hospital) ($347,371); 3) Restricted funds from related organization (The Charitable Foundation of Salem Community Hospital) and retaining restricted status total $182,850; 4) Restricted donation received $50,000.

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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/ActivityOrMissionDesc0Salem 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."
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IRS990/Desc0SRMC'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 2024, SRMC provided comprehensive healthcare services including: 2,043 Admissions; 2,738 Surgeries; and 18,087 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 2024, costs incurred by SRMC for unpaid costs of the Medicaid program were $3,503,495 and unreimbursed costs from other governmental programs were $250,030. 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 $517,917 to patients who qualified.
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IRS990/Form990PartVIISectionAGrp/TitleTxt0President/CEO
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