SKY LAKES MEDICAL CENTER INC: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- SKY LAKES MEDICAL CENTER INC (EIN 93-0508781)
- Tax period
- 2019-10-01 to 2020-09-30
- Filed
- 2021-08-12
- IRS object ID
- 202112249349302481
- Schema version
- 2019v5.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-08-12T18:19:12-05:00 | ReturnTs |
| Tax Period End | 2020-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 910189318 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOSS ADAMS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 805 SW BROADWAY STE 1200 | AddressLine1Txt |
| City | PORTLAND | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97205 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 930508781 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SKY LAKES MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SKYL | BusinessNameControlTxt |
| Phone | 5412746311 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2865 DAGGETT AVENUE | AddressLine1Txt |
| City | KLAMATH FALLS | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97601 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RICHARD RICO | PersonNm |
| Person Title | VP/CFO | PersonTitleTxt |
| Phone | 5412746311 | PhoneNum |
| Signature | 2021-08-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | WENDY CAMPOS | PreparerPersonNm |
| PTIN | P00448102 | PTIN |
| Phone | 5032421447 | PhoneNum |
| Preparation | 2021-08-09 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | PAUL STEWART | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2865 DAGGETT AVENUE | AddressLine1Txt |
| City | KLAMATH FALLS | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $673,820,579 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SKYLAKES.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1979 | FormationYr |
| Legal Domicile State | OR | LegalDomicileStateCd |
| Activity Or Mission | SKY LAKES MEDICAL CENTER WILL CONTINUALLY STRIVE TO REDUCE THE BURDEN OF ILLNESS, INJURY AND DISABILITY, AND TO IMPROVE THE HEALTH, SELF- RELIANCE AND WELL-BEING OF THE PEOPLE WE SERVE. WE WILL DEMONSTRATE THAT WE ARE COMPETENT AND CARING IN ALL WE DO. WE SHALL ENDEAVOR TO BE SO SUCCESSFUL IN THIS EFFORT THAT WE WILL BECOME A PREEMINENT HEALTHCARE CENTER. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 1764 | TotalEmployeeCnt |
| Total Volunteers | 264 | TotalVolunteersCnt |
| Total Gross UBI | $7,500 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $3,469 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,205,100 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,163,485 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $665,035,449 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $656,749,118 | CYProgramServiceRevenueAmt |
| PY Investment Income | $4,716,967 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,209,617 | CYInvestmentIncomeAmt |
| PY Other Revenue | $8,934,321 | PYOtherRevenueAmt |
| CY Other Revenue | $6,848,207 | CYOtherRevenueAmt |
| PY Total Revenue | $679,891,837 | PYTotalRevenueAmt |
| CY Total Revenue | $667,970,427 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $249,421 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $245,690 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $126,408,378 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $127,885,560 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $529,740,868 | PYOtherExpensesAmt |
| CY Other Expenses | $518,209,405 | CYOtherExpensesAmt |
| PY Total Expenses | $656,398,667 | PYTotalExpensesAmt |
| CY Total Expenses | $646,340,655 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $23,493,170 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $21,629,772 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $416,863,008 | TotalAssetsBOYAmt |
| Total Assets EOY | $459,854,725 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $130,070,850 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $149,112,608 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $286,792,158 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $310,742,117 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SKY LAKES MEDICAL CENTER WILL CONTINUALLY STRIVE TO REDUCE THE BURDEN OF ILLNESS, INJURY AND DISABILITY, AND TO IMPROVE THE HEALTH, SELF- RELIANCE AND WELL-BEING OF THE PEOPLE WE SERVE. WE WILL DEMONSTRATE THAT WE ARE COMPETENT AND CARING IN ALL WE DO. WE SHALL ENDEAVOR TO BE SO SUCCESSFUL IN THIS EFFORT THAT WE WILL BECOME A PREEMINENT HEALTHCARE CENTER. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $544,608,155 | ExpenseAmt |
| Grant | $123,793 | GrantAmt |
| Revenue | $624,994,346 | RevenueAmt |
| Desc | PATIENT CARE EXPENSES - ACUTE INPATIENT CARE FOR ADULT AND PEDIATRIC PATIENTS; A LEVEL III TRAUMA EMERGENCY DEPARTMENT; SERVICES RELATED TO CHILD ABUSE, HOME CARE, PHYSICAL, OCCUPATIONAL AND SPEECH THERAPIES; A CANCER TREATMENT CENTER WITH BOTH MEDICAL AND RADIATION ONCOLOGY; AND DIAGNOSTIC TESTING (LABORATORY AND DIAGNOSTIC IMAGING) AVAILABILITY IN SETTINGS AROUND THE COMMUNITY. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $16,238,859 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | UNCOMPENSATED CARE - DURING FISCAL YEAR 2020, CHARGES WRITTEN OFF UNDER OUR BROAD-REACHING CHARITY CARE POLICY TOTALED $8,936,275. IN ADDITION TO CHARITY CARE WRITE OFFS, CHARGES WRITTEN OFF AS BAD DEBT TOTALED $7,302,584. AS A PERCENTAGE OF CHARGES, FISCAL YEAR 2020 WRITE OFFS REPRESENT 1.4% (CHARITY CARE) AND 1.1% (BAD DEBT), RESPECTIVELY. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $4,842,333 | ExpenseAmt |
| Grant | $121,897 | GrantAmt |
| Revenue | $1,746,632 | RevenueAmt |
| Desc | EDUCATIONAL SUPPORT - SKY LAKES MEDICAL CENTER COMMITS SIGNIFICANT DOLLARS AND HOURS TO BENEFIT EDUCATIONAL EFFORTS IN AND FOR THE COMMUNITY. AMONG THOSE COMMITMENTS ARE THE FOLLOWING: OREGON HEALTH & SCIENCE UNIVERSITY AFFILIATED FAMILY PRACTICE RESIDENCY PROGRAM AND CLINIC; AN RN I TRAINING PROGRAM TO INCLUDE 6 MONTHS OF ONE-ON-ONE SUPERVISED ORIENTATION TO THE INPATIENT CARE AREAS; AWARDING OF SCHOLARSHIPS TO COMMUNITY MEMBERS AND/OR EMPLOYEES IN HEALTHCARE- RELATED PROGRAMS; A HOSPITAL DEPARTMENT, LEARNING RESOURCES, DEDICATED TO THE EDUCATION OF PHYSICIANS, EMPLOYEES AND COMMUNITY MEMBERS; COMMITMENT TO EMPLOYEES ACTING, EITHER FULL-TIME OR PART-TIME, AS INSTRUCTORS IN ACCREDITED COURSES AT THE HIGH SCHOOL, COMMUNITY COLLEGE OR UNIVERSITY LEVEL; STIPEND PAYMENTS TO STUDENTS PERFORMING WORK AND/OR ON-THE-JOB TRAINING WITHIN THE HOSPITAL SETTING; TUITION REIMBURSEMENTS PAID TO EMPLOYEES ENROLLED IN COLLEGE-LEVEL COURSEWORK; JOINT PARTICIPATION IN A SIMULATION LABORATORY WITH OIT; FREE OR MINIMAL COST COMMUNITY EDUCATIONAL OPPORTUNITIES SUCH AS DIABETES EDUCATION, NUTRITION AND OTHER EDUCATION PROGRAMS IN OR FOR THE SCHOOLS; AND HEALTH FAIRS. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $45,962,020 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $30,216,380 | RevenueAmt |
| Desc | EXPENSES RELATED TO MEDICAL CENTER SUPPORTING SERVICES SUCH AS ADMINISTRATION, INFORMATION SYSTEMS, FINANCIAL SERVICES, REVENUE CYCLE PROCESSES, HUMAN RESOURCES, ENGINEERING, ENVIRONMENTAL SERVICES, RISK MANAGEMENT, AND SAFETY AND SECURITY. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $45,962,020 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $0 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $30,216,380 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $611,651,367 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | Yes (1) | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 193 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1764 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | OR | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RICHARD RICO VPCFO | PersonNm |
| Phone | 5412746150 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2865 DAGGETT AVENUE | AddressLine1Txt |
| City | KLAMATH FALLS | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97601 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| PAUL STEWART | ||||||||
| PRESIDENT/CEO/SECRETARY/TREAS | 50.00 | 1.00 | Yes (X) | Yes (X) | $895,918 | $0 | $47,462 | |
| JOHN BELL | ||||||||
| CHAIRMAN | 3.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ROD WENDT | ||||||||
| VICE CHAIRMAN | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| HEIDI NEEL BIGGS | ||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CLARK PEDERSON | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JEAN PHILLIPS | ||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| WENDY WARREN MD | ||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DOUGLAS MCINNIS DVM | ||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| HOLLY MONTJOY MD | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| ROBERT JACKMAN MD | ||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| RICHARD E RICO | ||||||||
| VP/CFO | 50.00 | 0.00 | Yes (X) | $510,919 | $0 | $46,466 | ||
| STANTON T SMITH MD | ||||||||
| MEDICAL PROVIDER | 40.00 | 0.00 | $638,988 | $0 | $28,854 | Yes (X) | ||
| JARED OGAO MD | ||||||||
| MEDICAL PROVIDER | 40.00 | 0.00 | $605,961 | $0 | $33,327 | Yes (X) | ||
| MARC ORLANDO MD | ||||||||
| MEDICAL PROVIDER | 40.00 | 0.00 | $601,635 | $0 | $32,145 | Yes (X) | ||
| BRADLEY A KRAMER MD | ||||||||
| MEDICAL PROVIDER | 40.00 | 0.00 | $582,243 | $0 | $29,802 | Yes (X) | ||
| AMR HASSAN | ||||||||
| MEDICAL PROVIDER | 40.00 | 0.00 | $539,417 | $0 | $31,339 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,375,081 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $249,395 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 228 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| KLAMATH ORTHOPEDIC CLINIC | |||||
| 2200 BRYANT WILLIAMS DR | KLAMATH FALLS | OR | 97601 | PHYSICIAN PRACTICE | $10,648,888 |
| KLAMATH RADIOLOGY ASSOCIATES | |||||
| 2900 DAGGETT AVE | KLAMATH FALLS | OR | 97601 | PHYSICIAN PRACTICE | $5,252,164 |
| WALSH CONSTRUCTION COOREGON | |||||
| 2905 SW FIRST AVE | PORTLAND | OR | 97201 | CONSTRUCTION | $2,796,389 |
| EDWARD SCOTT HUDSON | |||||
| 4625 NADINE LN | FRANKLIN | TN | 37064 | STAFFING SERVICES | $1,373,224 |
| KLAMATH ELITE ANESTHESIA GROUP | |||||
| 2865 DAGGETT AVE | KLAMATH FALLS | OR | 97601 | PHYSICIAN PRACTICE | $1,209,780 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 29 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $1,163,485 | RelatedOrganizationsAmt |
| Total Contributions | $1,163,485 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT REVENUE | 622110 | $625,917,844 | $625,917,844 |
| OTHER PROGRAM REVENUE | 622110 | $30,831,274 | $30,831,274 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $656,749,118 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,209,617 | TotalRevenueColumnAmt |
| Exclusion | $3,209,617 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $516,138 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $644,832 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$128,694 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$128,694 | TotalRevenueColumnAmt |
| Exclusion | -$128,694 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $11,966,481 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $5,205,320 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,761,161 | TotalRevenueColumnAmt |
| Exclusion | $6,761,161 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PASSTHROUGH INCOME | Desc |
| Business | 622110 | BusinessCd |
| Total Revenue Column | $215,740 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $208,240 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $7,500 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $215,740 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $667,970,427 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $656,957,358 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $7,500 | UnrelatedBusinessRevenueAmt |
| Exclusion | $9,842,084 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $86,415 | TotalAmt |
| Program Services | $86,415 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $159,275 | TotalAmt |
| Program Services | $159,275 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,570,170 | TotalAmt |
| Management And General | $1,570,170 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $101,480,269 | TotalAmt |
| Program Services | $89,713,525 | ProgramServicesAmt |
| Management And General | $11,766,744 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,747,881 | TotalAmt |
| Program Services | $4,960,252 | ProgramServicesAmt |
| Management And General | $787,629 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,935,408 | TotalAmt |
| Program Services | $10,212,678 | ProgramServicesAmt |
| Management And General | $1,722,730 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,151,832 | TotalAmt |
| Program Services | $5,967,090 | ProgramServicesAmt |
| Management And General | $1,184,742 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,032,585 | TotalAmt |
| Program Services | $43,429 | ProgramServicesAmt |
| Management And General | $989,156 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $207,644 | TotalAmt |
| Management And General | $207,644 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $219,209 | TotalAmt |
| Management And General | $219,209 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,194,526 | TotalAmt |
| Program Services | $24,171,225 | ProgramServicesAmt |
| Management And General | $23,301 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $929,967 | TotalAmt |
| Program Services | $227,507 | ProgramServicesAmt |
| Management And General | $702,460 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,050,022 | TotalAmt |
| Program Services | $1,002,071 | ProgramServicesAmt |
| Management And General | $1,047,951 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,905,373 | TotalAmt |
| Program Services | $1,030,117 | ProgramServicesAmt |
| Management And General | $7,875,256 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,514,175 | TotalAmt |
| Program Services | $1,949,095 | ProgramServicesAmt |
| Management And General | $1,565,080 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $91,641 | TotalAmt |
| Program Services | $91,641 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $404,617 | TotalAmt |
| Program Services | $318,066 | ProgramServicesAmt |
| Management And General | $86,551 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,992,194 | TotalAmt |
| Program Services | $2,992,194 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,519,688 | TotalAmt |
| Program Services | $12,172,387 | ProgramServicesAmt |
| Management And General | $347,301 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,832,668 | TotalAmt |
| Program Services | $1,377,371 | ProgramServicesAmt |
| Management And General | $455,297 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| CONTRACTUAL ALLOWANCE | $386,810,708 | $386,810,708 | |
| SUPPLIES | $37,186,206 | $36,674,900 | $511,306 |
| FINANCIAL ASSISTANCE | $8,936,275 | $8,936,275 | |
| BAD DEBTS | $7,302,584 | $7,302,584 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,079,323 | TotalAmt |
| Program Services | $15,452,562 | ProgramServicesAmt |
| Management And General | $3,626,761 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $646,340,655 | TotalAmt |
| Program Services | $611,651,367 | ProgramServicesAmt |
| Management And General | $34,689,288 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,024,633 | BOYAmt |
| EOY | $67,853,839 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,867,442 | BOYAmt |
| EOY | $2,886,491 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,811,596 | BOYAmt |
| EOY | $29,181,642 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,160,671 | BOYAmt |
| EOY | $1,349,366 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,985,486 | BOYAmt |
| EOY | $6,365,780 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,560,897 | BOYAmt |
| EOY | $3,652,176 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $290,769,810 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $154,526,746 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $90,324,322 | BOYAmt |
| EOY | $136,243,064 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,978,078 | BOYAmt |
| EOY | $40,152,571 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $98,122,949 | BOYAmt |
| EOY | $107,578,678 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $108,026,934 | BOYAmt |
| EOY | $64,591,118 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $416,863,008 | BOYAmt |
| EOY | $459,854,725 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,295,858 | BOYAmt |
| EOY | $34,235,831 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,340,678 | BOYAmt |
| EOY | $34,749,551 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $76,825,727 | BOYAmt |
| EOY | $72,674,775 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,608,587 | BOYAmt |
| EOY | $7,452,451 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $130,070,850 | BOYAmt |
| EOY | $149,112,608 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $286,792,158 | BOYAmt |
| EOY | $310,742,117 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $286,792,158 | BOYAmt |
| EOY | $310,742,117 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $416,863,008 | BOYAmt |
| EOY | $459,854,725 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $21,629,772 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $2,467,447 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | $4,202 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | -$151,462 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,567,616 | BeginningYearBalanceAmt |
| Contributions | $1,700 | ContributionsAmt |
| Investment Earnings Or Losses | $538,586 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $29,111 | GrantsOrScholarshipsAmt |
| Other Expenditures | -$714 | OtherExpendituresAmt |
| End Year Balance | $5,079,505 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,337,398 | BeginningYearBalanceAmt |
| Contributions | $33,078 | ContributionsAmt |
| Investment Earnings Or Losses | $237,779 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $40,455 | GrantsOrScholarshipsAmt |
| Other Expenditures | $184 | OtherExpendituresAmt |
| End Year Balance | $4,567,616 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,795,751 | BeginningYearBalanceAmt |
| Contributions | $189,824 | ContributionsAmt |
| Investment Earnings Or Losses | $561,415 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $209,418 | GrantsOrScholarshipsAmt |
| Other Expenditures | $174 | OtherExpendituresAmt |
| End Year Balance | $4,337,398 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $16,327,034 | BeginningYearBalanceAmt |
| Contributions | $207,062 | ContributionsAmt |
| Investment Earnings Or Losses | $649,810 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $203,150 | GrantsOrScholarshipsAmt |
| Other Expenditures | $13,185,005 | OtherExpendituresAmt |
| End Year Balance | $3,795,751 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $14,766,429 | BeginningYearBalanceAmt |
| Contributions | $831,608 | ContributionsAmt |
| Investment Earnings Or Losses | $1,640,023 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $21,511 | GrantsOrScholarshipsAmt |
| Other Expenditures | $587,712 | OtherExpendituresAmt |
| Administrative Expenses | $301,803 | AdministrativeExpensesAmt |
| End Year Balance | $16,327,034 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 1.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,178,507 | OtherCostOrOtherBasisAmt |
| Book Value | $4,178,507 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $183,460,262 | OtherCostOrOtherBasisAmt |
| Depreciation | $81,528,892 | DepreciationAmt |
| Book Value | $101,931,370 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,006,917 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,036,205 | DepreciationAmt |
| Book Value | $2,970,712 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $92,790,108 | OtherCostOrOtherBasisAmt |
| Depreciation | $68,507,752 | DepreciationAmt |
| Book Value | $24,282,356 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,334,016 | OtherCostOrOtherBasisAmt |
| Depreciation | $453,897 | DepreciationAmt |
| Book Value | $2,880,119 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $136,243,064 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (3 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| INVESTMENTS IN OTHER COMPANIES | $8,133,630 | C |
| LIFE INSURANCE | $95,995,674 | F |
| DEFERRED COMP PLAN ASSETS | $3,449,374 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $107,578,678 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| ASSETS LIMITED AS TO USE | $1,577,974 |
| OTHER ASSETS | $1,133,350 |
| RISK POOL WITHHOLD RECEIVABLE | $5,154,387 |
| CONSTRUCTION IN PROCESS | $3,268,634 |
| OTHER RECEIVABLES | $53,456,773 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $64,591,118 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| CAPITAL LEASE OBLIGATIONS | $4,785,186 |
| ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS | $2,667,265 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $7,452,451 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | ENDOWMENTS ARE HELD BY A RELATED ORGANIZATION, SKY LAKES MEDICAL CENTER FOUNDATION, FOR THE BENEFIT OF SKY LAKES MEDICAL CENTER. |
| PART X, LINE 2: | FIN 48 (ASC 740) UNCERTAIN TAX POSITION FOOTNOTE - THE MEDICAL CENTER AND FOUNDATION ARE TAX-EXEMPT ORGANIZATIONS AND ARE NOT SUBJECT TO STATE OR FEDERAL INCOME TAXES, EXCEPT ON UNRELATED BUSINESS INCOME, IN ACCORDANCE WITH SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE MEDICAL CENTER AND FOUNDATION HAD NO UNRECOGNIZED TAX BENEFITS AT SEPTEMBER 30, 2020 OR 2019. THE MEDICAL CENTER AND FOUNDATION RECOGNIZE INTEREST ACCRUED AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AS AN ADMINISTRATIVE EXPENSE. DURING THE YEARS ENDED SEPTEMBER 30, 2020 AND 2019, THE MEDICAL CENTER AND FOUNDATION RECOGNIZED NO INTEREST AND PENALTIES. THE MEDICAL CENTER FILES AN EXEMPT ORGANIZATION INFORMATION RETURN AND AN UNRELATED BUSINESS INCOME TAX RETURN IN THE U.S. FEDERAL JURISDICTION AND AN UNRELATED BUSINESS INCOME TAX RETURN WITH THE OREGON DEPARTMENT OF REVENUE. THE FOUNDATION FILES AN EXEMPT ORGANIZATION INFORMATION RETURN IN THE U.S. FEDERAL JURISDICTION. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 250.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,361,598 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,361,598 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00530 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $67,352,661 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $50,067,931 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $17,284,730 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02700 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $70,714,259 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $50,067,931 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $20,646,328 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03230 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $672,865 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $84,805 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $588,060 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,842,333 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,746,630 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,095,703 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00480 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $19,068,023 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,558,116 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,509,907 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00550 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $83,795 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $83,795 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $24,667,016 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,389,551 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,277,465 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01130 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $95,381,275 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $67,457,482 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $27,923,793 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04360 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $574,553 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $518,807 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $55,746 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $822 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $822 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,127,320 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,127,320 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00180 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,702,695 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $518,807 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,183,888 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00190 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $7,302,584 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $1,093,706 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $73,278,103 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $109,040,509 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$35,762,406 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SKY LAKES MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2865 DAGGETT AVENUE | AddressLine1Txt |
| City | KLAMATH FALLS | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | SKYLAKES.ORG | WebsiteAddressTxt |
| State License | 14-0724 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SKY LAKES MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 18 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SKYLAKES.ORG | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | HEALTHYKLAMATH.ORG | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 18 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SKYLAKES.ORG | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 250.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SKYLAKES.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SKYLAKES.ORG | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SKYLAKES.ORG | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SKY LAKES MEDICAL CENTER | PART V, SECTION B, LINE 3J: TO BETTER UNDERSTAND THE HEALTH NEEDS OF THE COMMUNITY IT SERVES, SKY LAKES MEDICAL CENTER WORKED WITH AN ASSORTMENT OF COMMUNITY PARTNERS TO DEVELOP A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT AND THE COMPANION COMMUNITY HEALTH IMPROVEMENT PLAN. TOGETHER, THE DOCUMENTS DESCRIBE AND HELP US UNDERSTAND THE POPULATION'S HEALTH NEEDS AND WAYS TO ADDRESS THOSE NEEDS AS TOGETHER WE WORK TO IMPROVING THE HEALTH OF THE COMMUNITY. THE MAJOR PARTNERS SKY LAKES MEDICAL CENTER, KLAMATH FALLS, ORE., ENGAGED IN THE NEEDS ASSESSMENT INCLUDE KLAMATH COUNTY (ORE.) PUBLIC HEALTH; KLAMATH HEALTH PARTNERSHIP (A.K.A. KLAMATH OPEN DOOR), WHICH OPERATES FEDERALLY QUALIFIED FAMILY MEDICINE AND DENTAL CLINICS; AND CASCADE HEALTH ALLIANCE, WHICH OVERSEES CARE FOR SOME 18,000 MEDICAID RECIPIENTS IN THE AREA, BASED IN KLAMATH FALLS; KLAMATH BASIN BEHAVIORAL HEALTH, WHICH SERVES ADULTS, CHILDREN AND ADOLESCENTS WHO ARE ELIGIBLE FOR MEDICAID COVERAGE UNDER THE OREGON HEALTH PLAN IN KLAMATH COUNTY; AND THE BLUE ZONES PROJECT-KLAMATH FALLS, NOW THE HEALTHY KLAMATH DEPARTMENT OF SKY LAKES MEDICAL CENTER, WHICH PRODUCES AND ACTIVELY PROMOTES HEALTHY IMPROVEMENT PLANS THAT ALIGN WITH THE COMMUNITY HEALTH IMPROVEMENT PLAN TO ADDRESS HEALTH AND WELLNESS IN KLAMATH FALLS. THESE AND OTHER COMMUNITY PARTNERS ARE ORGANIZED IN THE HEALTHY KLAMATH COALITION. THE COALITION REPRESENTS THE TALENT, ASSISTANCE AND SUPPORT OF LOCAL ORGANIZATIONS, AGENCIES AND BUSINESSES INCLUDING CASCADES EAST FAMILY MEDICINE CENTER, A RURAL RESIDENCY PROGRAM AND CLINIC IN KLAMATH FALLS; OREGON STATE UNIVERSITY'S EXTENSION IN KLAMATH COUNTY; OREGON HEALTH & SCIENCE UNIVERSITY'S NURSING PROGRAM AT OREGON INSTITUTE OF TECHNOLOGY IN KLAMATH FALLS; THE CITY OF KLAMATH FALLS AND KLAMATH COUNTY GOVERNMENTS; LOCAL SCHOOL DISTRICTS; THE LOCAL NEWSPAPER; THE REGION'S LARGEST RADIO STATIONS; AND OTHERS. SKY LAKES, THE LOCAL PUBLIC HEALTH AGENCY, KLAMATH HEALTH PARTNERSHIP, AND CASCADE HEALTH ALLIANCE COMPRISE THE HEALTHY KLAMATH COALITION LEADERSHIP. IT IS THIS COLLABORATION THAT ALSO PROVED INSTRUMENTAL IN BRINGING THE BLUE ZONES PROJECT TO KLAMATH FALLS AND SUSTAINING ITS WORK LOCALLY. DATA COLLECTED IN BEHALF OF THE BLUE ZONES PROJECT HELPED CORROBORATE FINDINGS IN THE NEEDS ASSESSMENT AND VALIDATE STRATEGIES IN THE IMPROVEMENT PLAN. THE BLUE ZONES PROJECT-KLAMATH FALLS/HEALTHY KLAMATH DEPARTMENT STAFF CONTINUE TO COORDINATE THE HEALTH KLAMATH ACTIVITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FORMALLY ASSESSES AND DOCUMENTS THE HEALTH OF OUR COMMUNITY UTILIZING A COORDINATED AND COLLABORATIVE PROCESS. IT IS THE FIRST STEP TO THE ONGOING PROCESS OF COMMUNITY HEALTH IMPROVEMENT. CONDUCTING THE ASSESSMENT IS A DYNAMIC PROCESS THAT HELPS THE LOCAL HEALTHCARE COMMUNITY AND OTHERS SEEKING TO IMPROVE THE HEALTH OF THEIR COMMUNITY TO IDENTIFY CURRENT AND EMERGING HEALTH ISSUES AND ANALYZE TRENDS OF HEALTH OUTCOMES. THE PROCESS ALSO HELPS COMMUNITY PARTNERS GAIN VALUABLE INSIGHT FROM THEIR CONSTITUENCIES ON FACTORS AFFECTING HEALTH AND QUALITY OF LIFE IN THE SERVICE AREA. THE CHNA DOCUMENTS KEY FINDINGS AND RECOGNIZES THERE ARE MYRIAD CAUSES FOR POOR HEALTH; THE PROBLEM IS TOO LARGE FOR ANY ONE ORGANIZATION TO TAKE ON ALONE, FURTHER REINFORCING THE COLLABORATIVE NATURE OF THE HEALTHY KLAMATH COALITION. THE ASSESSMENT RELIES PRIMARILY ON SECONDARY DATA AND USED SURVEYS AND FOCUS GROUPS TO GATHER BOTH QUALITATIVE AND QUANTITATIVE DATA. THE INTENT IS TO HEAR FROM MANY VOICES AS IS PRACTICAL AND TO STRIVE FOR HARMONY AS WE WORKED TOGETHER TO MAKE CHANGES, SUPPORTED BY DATA, THAT WOULD RESULT IN HEALTHIER BEHAVIORS IN THE POPULATION.WE MONITOR OUR PROGRESS USING MORE THAN 120 HEALTHY COMMUNITIES INSTITUTE (HCI) HEALTH AND SOCIO-ECONOMIC INDICATORS AND DISPLAYED ON A PUBLIC WEBSITE, HEALTHYKLAMATH.ORG; THE SITE ALSO LINKS FROM THE MEDICAL CENTER'S SITE, SKYLAKES.ORG. THE INDICATORS ARE CONTINUALLY UPDATED AS NEW DATA ARE COLLECTED. FOR THE MOST PART, PRIMARY DATA WERE NOT COLLECTED FOR THIS CHNA BECAUSE THOSE EFFORTS WOULD GENERALLY DUPLICATE RECENT EFFORTS OF PARTNER ORGANIZATIONS, WHICH COLLECTED MEANINGFUL DATA THROUGH COMMUNITY SURVEYS, FOCUS GROUPS, ENGAGEMENT WITH VARIOUS CIVIC AND SERVICE ORGANIZATIONS, AND INTERNAL DATA ANALYSIS. RESULTS FROM THOSE REPORTS WERE SYNTHESIZED INTO A COMPREHENSIVE COMMUNITY ASSESSMENT. MANY DATA SOURCES WERE UTILIZED THROUGHOUT THIS ASSESSMENT, BUT CERTAIN KEY REPORTS WERE HEAVILY RELIED UPON BECAUSE OF THEIR RICH QUALITATIVE DATA THAT PROVIDES THE STORIES BEHIND THE NUMBERS.ASSESSMENTS AND RESOURCES CONTAINING PRIMARY DATA INCLUDE: USING THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) COMMUNITY-WIDE STRATEGIC PLANNING PROCESS FOR IMPROVING PUBLIC HEALTH, THE HEALTHY KLAMATH COALITION IDENTIFIED THE FORCES THAT MAY AFFECT THE COMMUNITY AND THE THREATS AND OPPORTUNITIES WITH THOSE FORCES. IN MAY 2018, 32 MEMBERS OF THE HEALTHY KLAMATH COALITION BRAINSTORMED TRENDS, FACTORS, AND EVENTS THAT HAVE AFFECTED THE COMMUNITY EITHER POSITIVELY OR NEGATIVELY. MEMBERS OF THE CORE GROUP NARROWED THE LIST TO FORCES THAT EITHER DIRECTLY OR INDIRECTLY AFFECT HEALTH IN THE COMMUNITY. THE LIST WAS ORGANIZED INTO FOUR CATEGORIES TO ALIGN WITH THE COUNTY HEALTH RANKINGS MODEL: HEALTH BEHAVIORS, CLINICAL CARE, SOCIAL AND ECONOMIC FACTORS, AND PHYSICAL ENVIRONMENT. THEN A FOLLOW-UP MEETING WAS HELD IN JUNE 2018 WITH 16 PARTICIPANTS FROM THE STEERING COMMITTEE AND THE HEALTHY KLAMATH COALITION TO IDENTIFY THE THREATS AND OPPORTUNITIES FOR THE PREVIOUSLY IDENTIFIED FORCES. THE FORCES OF CHANGE THREATS AND OPPORTUNITY FINDINGS WERE USED FOR THIS PART OF THE ASSESSMENT. THIS INFORMATION WILL BE USED AGAIN DURING THE COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) PROCESS WHEN PRIORITIZING HEALTH ISSUES. ON JUNE 27, 2018, THE HEALTHY KLAMATH COALITION HOSTED A COMMUNITY FORUM AT THE KLAMATH COUNTY LIBRARY FOR 25 COMMUNITY MEMBERS WHO PROVIDED INSIGHT ON HEALTH AND QUALITY OF LIFE IN KLAMATH COUNTY. THE RESULTS WERE ALSO CATEGORIZED TO ALIGN WITH THE COUNTY HEALTH RANKINGS MODEL CATEGORIES: HEALTH BEHAVIORS, CLINICAL CARE, SOCIAL AND ECONOMIC FACTORS, AND PHYSICAL ENVIRONMENT. STRENGTHS IDENTIFIED BY THE GROUP INCLUDE THE NUMEROUS WELLNESS INITIATIVES IN THE COMMUNITY THAT ARE FOCUSED ON DIET AND PHYSICAL ACTIVITY, THE HOSPITAL'S INVOLVEMENT IN THE COMMUNITY AND COLLABORATION AMONG THE PARTNERS, AND AN EMPHASIS ON EDUCATION. OPPORTUNITIES NOTED AT THE FORUM INCLUDE TOBACCO AND SUBSTANCE ABUSE, LOW HEALTH LITERACY, PUBLIC TRANSPORTATION ISSUES, AND AN ASSORTMENT OF SOCIOECONOMIC ISSUES.A KLAMATH COMMUNITY HEALTH SURVEY CREATED IN ENGLISH AND SPANISH TO COLLECT CURRENT QUANTITATIVE DATA TO BETTER UNDERSTAND LOCAL HEALTH STATUS, HEALTH CONCERNS, FACILITATORS AND BARRIERS TO CARE, AND HEALTH BEHAVIORS OF COMMUNITY MEMBERS, WAS FIELDED MARCH TO JULY 2018. OREGON INSTITUTE OF TECHNOLOGY POPULATION HEALTH MANAGEMENT STUDENTS WORKING WITH THE PROGRAM'S RESEARCH CENTER WERE INSTRUMENTAL IN FINALIZING AND DISTRIBUTING THE SURVEY AND ANALYZING RESULTS. A TOTAL OF 500 SURVEY RESPONSES WERE COLLECTED AT THE SKY LAKES MEDICAL CENTER'S ANNUAL HEALTH FAIR, AT WORKSITES, AND IN SEVERAL COMMUNITY CLINICS. NEARLY 38% OF THE RESPONDENTS REPORTED HAVING GOOD HEALTH, HOWEVER, ABOUT 20% REPORTED POOR HEALTH. WHEN ASKED, "IN THE PAST 30 DAYS, HOW OFTEN DID MENTAL HEALTH CONCERNS MAKE IT HARD FOR YOU TO DO YOUR USUAL ACTIVITIES, SUCH AS SELF-CARE OR WORK?" ALMOST 31% OF RESPONDENTS ANSWERED SOMETIMES, OFTEN, OR ALWAYS. ROUGHLY 6% OF THE RESPONDENTS SAID THEY DO NOT HAVE RELIABLE TRANSPORTATION, AND MORE THAN HALF, 52%, SAID THEY DO NOT FIND PUBLIC TRANSPORTATION TO BE CONVENIENT AND EASY TO USE. MORE THAN 20% SAID THAT IN THE PREVIOUS YEAR THEY HAD WORRIED THAT THEIR FOOD WOULD RUN OUT BEFORE THEY HAD MONEY TO BUY MORE. WHEN ASKED, "IS THERE ANYTHING YOU FEEL IS KEEPING YOU FROM HAVING BETTER HEALTH?" THE TOP THREE RESPONSES IN ORDER WERE LACK OF PHYSICAL ACTIVITY, COST, AND CHRONIC ILLNESS. OTHER FINDINGS INDICATED ABOUT A FOURTH OF THE RESPONDENTS REPORTED A HOUSEHOLD INCOME OF LESS THAN $20,000; MORE THAN A THIRD HAD EMPLOYER-SPONSORED HEALTH INSURANCE WHILE ROUGHLY THE SAME NUMBER WERE ENROLLED IN A GOVERNMENT-SPONSORED INSURANCE PROGRAM. [SEE LINE 3J OVERFLOW LATER IN PART V] |
| SKY LAKES MEDICAL CENTER | PART V, SECTION B, LINE 5: THE KLAMATH COUNTY CHNA COORDINATED BY SKY LAKES MEDICAL CENTER IN PARTNERSHIP WITH OTHER ORGANIZATIONS TAKES INTO ACCOUNT AN UNDERSTANDING OF THE ENVIRONMENT WITHIN WHICH WE OPERATE. UNDERSTANDING THE STRENGTHS AND WEAKNESSES OF THE CURRENT LOCAL HEALTHCARE SYSTEM, AS WELL AS SOCIAL, POLITICAL, AND ECONOMIC CONDITIONS, ARE INTEGRAL TO DEVELOPING PRIORITY AREAS OF FOCUS. THE MAJOR PARTNERS WITH SKY LAKES MEDICAL CENTER, KLAMATH FALLS, ORE., INCLUDED KLAMATH COUNTY (ORE.) PUBLIC HEALTH; KLAMATH HEALTH PARTNERSHIP (A.K.A. KLAMATH OPEN DOOR), WHICH OPERATES FEDERALLY QUALIFIED FAMILY MEDICINE AND DENTAL CLINICS; CASCADE HEALTH ALLIANCE, WHICH OVERSEES CARE FOR SOME 18,000 MEDICAID RECIPIENTS IN THE AREA, BASED IN KLAMATH FALLS. OTHER COMMUNITY PARTNERS ARE ORGANIZED IN THE HEALTHY KLAMATH COALITION. THE COALITION REPRESENTS THE HELP AND SUPPORT OF LOCAL ORGANIZATIONS AND AGENCIES INCLUDING CASCADES EAST FAMILY MEDICINE CENTER, A RURAL RESIDENCY PROGRAM AND CLINIC IN KLAMATH FALLS; OREGON STATE UNIVERSITY'S EXTENSION IN KLAMATH COUNTY; OREGON HEALTH & SCIENCE UNIVERSITY'S NURSING PROGRAM AT OREGON INSTITUTE OF TECHNOLOGY IN KLAMATH FALLS; THE CITY OF KLAMATH FALLS AND KLAMATH COUNTY GOVERNMENTS; LOCAL SCHOOL DISTRICTS; THE LOCAL NEWSPAPER; THE REGION'S LARGEST RADIO STATION; KLAMATH BASIN BEHAVIORAL HEALTH, WHICH SERVES ADULTS, CHILDREN AND ADOLESCENTS WHO ARE ELIGIBLE FOR MEDICAID COVERAGE UNDER THE OREGON HEALTH PLAN IN KLAMATH COUNTY; AND THE BLUE ZONES PROJECT KLAMATH FALLS, NOW THE HEALTHY KLAMATH DEPARTMENT OF SKY LAKES MEDICAL CENTER, WHICH PRODUCES AN ANNUAL PLAN THAT ALIGNS WITH THE COMMUNITY HEALTH IMPROVEMENT PLAN TO ADDRESS HEALTH AND WELLNESS IN KLAMATH FALLS, AND OTHERS. SKY LAKES, THE LOCAL PUBLIC HEALTH AGENCY, KLAMATH HEALTH PARTNERSHIP, AND CASCADE HEALTH ALLIANCE COMPRISE THE HEALTHY KLAMATH COALITION'S LEADERSHIP. IT IS THIS COLLABORATION THAT ALSO PROVED INSTRUMENTAL IN BRINGING THE BLUE ZONES PROJECT TO KLAMATH FALLS. DATA COLLECTED IN BEHALF OF THE BLUE ZONES PROJECT HELPED CORROBORATE FINDINGS IN THE NEEDS ASSESSMENT AND VALIDATE STRATEGIES IN THE IMPROVEMENT PLAN. THE COALITION WITH ITS PARTNER AGENCIES USED THE MAPP (MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS), A COMMUNITY-WIDE STRATEGIC PLANNING PROCESS FOR IMPROVING PUBLIC HEALTH, METHODOLOGY TO CONDUCT THE CHNA. THIS FRAMEWORK HELPS COMMUNITIES PRIORITIZE PUBLIC HEALTH ISSUES, IDENTIFY RESOURCES TO ADDRESS THEM, AND TAKE ACTION TO IMPROVE CONDITIONS THAT SUPPORT HEALTHY LIVING. THE CRITICAL ELEMENTS OF THE MAPP PROCESS, WHICH ESTABLISH THE FOUNDATION FOR CONTINUOUS COMMUNITY HEALTH IMPROVEMENT, INCLUDE STRATEGIC PLANNING, SYSTEMS THINKING, COMMUNITY OWNERSHIP AND STAKEHOLDER INVESTMENT, SHARED RESPONSIBILITY AND WORKING TOWARDS A COLLECTIVE VISION, USING COMPREHENSIVE DATA TO INFORM THE PROCESS, BUILDING ON PREVIOUS EXPERIENCE, PARTNERSHIPS, AND INVOLVING THE LOCAL PUBLIC HEALTH SYSTEM. THE SIX-PHASED MAPP MODEL INCLUDES FOUR ASSESSMENTS THAT GUIDE THE COMMUNITY HEALTH ASSESSMENT PROCESS. THE QUALITATIVE AND QUANTITATIVE DATA COLLECTED FROM THE FOUR ASSESSMENTS INFORMS THE DEVELOPMENT, IMPLEMENTATION, AND EVALUATION OF STRATEGIC COMMUNITY HEALTH IMPROVEMENT PLANS. |
| SKY LAKES MEDICAL CENTER | PART V, SECTION B, LINE 7D: PRINTED COPIES AT SKY LAKES MEDICAL CENTER, CASCADES EAST FAMILY MEDICINE CLINIC, KLAMATH COUNTY HEALTH DEPARTMENT, KLAMATH COUNTY LIBRARY'S MAIN BRANCH, AND ON REQUEST. |
| SKY LAKES MEDICAL CENTER | PART V, SECTION B, LINE 11: THE TOP FIVE LEADING CAUSES OF DEATH IN KLAMATH COUNTY ARE CANCER, HEART DISEASE, CHRONIC RESPIRATORY DISEASES, ACCIDENTS AND SUICIDE. FURTHER, ALMOST A FOURTH OF ALL DEATHS IN KLAMATH COUNTY ARE TOBACCO-RELATED. UNTIL THE PANDEMIC PREVENTED IN-PERSON GATHERINGS, SKY LAKES MEDICAL CENTER'S RESPONSE TO CANCER- AND TOBACCO-RELATED DEATHS INCLUDE TRAINING FACILITATORS AND HOSTING FREEDOM FROM SMOKING CLASSES AND MARKETING THE CLASSES ONLINE, IN MASS MEDIA AND IN NEWS CHANNELS. THOSE CLASSES ENDED IN MID-2020 ALTHOUGH ONLINE PROMOTION OF SMOKING CESSATION CONTINUED UNTIL THAT FALL WHEN A MALWARE ATTACK ON THE MEDICAL CENTER'S COMPUTER NETWORK PREVENTED CONTINUING THEM. ACCORDING TO THE FINDINGS WITHIN THE CHNA, MORE THAN HALF THE PEOPLE IN KLAMATH COUNTY HAVE ONE OR MORE CHRONIC CONDITIONS, AND MOST HAVE ONE OR MORE RISK FACTORS FOR A CHRONIC CONDITION. RISK FACTORS INCLUDE OBESITY, LACK OF PHYSICAL ACTIVITY, TOBACCO USE, HIGH BLOOD PRESSURE, AND HIGH CHOLESTEROL. SKY LAKES PROVIDES PEOPLE IN THE COMMUNITY IT SERVES MORE THAN $5.5 MILLION (NET) IN SUBSIDIZED HEALTH SERVICES IN FISCAL 2020.SKY LAKES IS ADDRESSING OBESITY HEAD ON WITH THE IMPLEMENTATION OF THE SKY LAKES WELLNESS CENTER, WHICH OFFERS NUTRITION, EXERCISE, AND STRESS MANAGEMENT COACHING. MANY PARTNER ORGANIZATIONS INCLUDING OREGON STATE UNIVERSITY'S EXTENSION PROGRAM, OFTEN IN COOPERATION WITH SKY LAKES DEPARTMENTS, IMPLEMENTED INTERVENTIONS TO PREVENT OBESITY BY OFFERING WALKING GROUPS, AFTER-SCHOOL ACTIVITIES, NUTRITION EDUCATION, AND RECREATION OPPORTUNITIES. THE PRECAUTIONS TO PREVENT SPREADING COVID-19 MEANT THOSE PROGRAMS HAD TO BE DISCONTINUED IN THE SPRING OF 2020. PRIOR TO THAT, SKY LAKES DIETITIANS REGULARLY PRESENT AT NO CHARGE TO BUSINESSES AND ORGANIZATIONS IN THE COMMUNITY ADVOCATING FOR BETTER NUTRITION CHOICES. THESE AND RELATED COMMUNITY-BUILDING ACTIVITIES INVOLVING SKY LAKES AMOUNTED TO APPROXIMATELY $1.3 MILLION LAST YEAR (NET). SKY LAKES INVESTED $600,000 OVER THREE YEARS ($200,000 A YEAR THROUGH 2018) TO LEVERAGE $1.2 MILLION MATCHING FUNDING TO BRING THE BLUE ZONES PROJECT TO KLAMATH FALLS. THE CITY IS THE FIRST BLUE ZONES DEMONSTRATION CITY IN THE PACIFIC NORTHWEST. BLUE ZONES EMPLOYS EVIDENCE-BASED WAYS TO HELP PEOPLE LIVE LONGER WHILE LIVING BETTER. BLUE ZONES TAKES A SYSTEMATIC, ENVIRONMENTAL APPROACH TO WELL-BEING, WHICH FOCUSES ON OPTIMIZING POLICY, BUILDING DESIGN, SOCIAL NETWORKS, AND THE BUILT ENVIRONMENT. THE CURRENT ITERATION OF THE BLUE ZONES PROJECT IS THE HEALTHY KLAMATH DEPARTMENT OF SKY LAKES AND EMPLOYS ITS LEADERSHIP AND STAFF TO HELP ENSURE CONTINUITY AND COORDINATION OF LOCAL PROGRAMS. THE SKY LAKES INVESTMENT IN COMMUNITY HEALTH IMPROVEMENT SERVICES IN FISCAL 2020 AMOUNTED TO MORE THAN $588,000. THE PROJECT'S FULL-TIME STAFF AND AN EXTENSIVE LOCAL VOLUNTEER CADRE ENCOURAGE INCREASED PHYSICAL ACTIVITY, NO TOBACCO USE, AND HEALTHIER NUTRITION CHOICES AS WELL AS MORE SOCIAL INTERACTIONS TO RELIEVE STRESS. THEY ALSO ADVOCATE FOR POLICIES THAT ENABLE BUILT ENVIRONMENT, ANTI-SMOKING REGULATIONS, AND MORE FRESH FOOD. WORK BY SKY LAKES AND LOCAL BLUE ZONES PROJECT-HEALTHY KLAMATH STAFF IS AIMED AT ENCOURAGING MORE PHYSICAL ACTIVITY, PROMOTING SELF-AWARENESS ABOUT HEALTHFUL LIFESTYLES, AND CHANGING POLICIES AT WORKPLACES, IN BUSINESS, AND AT GOVERNMENT LEVELS -- TO ALIGN WITH THAT PHILOSOPHY. SKY LAKES WAS INSTRUMENTAL IN THE DEVELOPMENT OF EXTENSIVE AREA TRAILS FOR HIKING, A PROTECTED BIKE LANE FROM CITY-CENTER TO A MUNICIPAL PARK, THE DEVELOPMENT OF A FAMILY-FRIENDLY PLAY AREA AT A NEIGHBORHOOD PARK, AND THE CREATION OF A NEW DOWNTOWN PARK IN RESPONSE TO THE BLUE ZONE PROJECT'S GUIDANCE IN CONCERT WITH THE SKY LAKES WELLNESS CENTER AND OTHER SKY LAKES DEPARTMENTS. THE TRAILS AND PARK WERE OPENED PRIOR TO 2020, BUT SKY LAKES CONTINUES TO CONTRIBUTE TO THEIR UPKEEP AS PART OF THE ORGANIZATION'S OPERATIONAL BUDGET AND PROMOTES THEIR USE IN SKY LAKES-FUNDED MARKETING MATERIAL REGARDING PLAY AND EXERCISE. TO ENCOURAGE ADULTS, ESPECIALLY SENIORS, TO REMAIN PHYSICALLY ACTIVE, SKY LAKES AND CASCADES EAST, UNTIL SPRING 2020'S COVID-19 PREVENTION MANDATES, HOSTED THE WALK WITH A DOC PROGRAM EVERY SATURDAY (EXCEPT MAJOR HOLIDAYS) AT A LOCAL SPORT PARK. AREA PHYSICIANS PRESENTED ON A HEALTH-RELATED TOPIC AND THEN LEAD AN HOUR-LONG WALK WITH DOZENS OF PEOPLE IN ATTENDANCE. SKY LAKES IS ALSO A MAJOR SPONSOR A CHILDREN-ONLY RUNNING SERIES, WHICH WAS CONDUCTED VIRTUALLY IN 2020. SKY LAKES FUNDS ALSO MADE AN INDOOR SOCCER FACILITY AVAILABLE TO OTHER WALKING GROUPS TO USE ON A REGULAR SCHEDULE. THOSE GROUPS WERE DISCONTINUED DURING THE PANDEMIC. RELATED TO OBESITY IS DIABETES. DIABETES PREVENTION AND LIFESTYLE-CHANGE STRATEGIES WERE THE FOCUS OF A MULTI-MEDIA ADVERTISING AND AWARENESS CAMPAIGN COORDINATED BY SKY LAKES DIABETES EDUCATORS. THE WINTER "COOKING MATTERS" CLASSES HOSTED BY THE SKY LAKES WELLNESS CENTER AND SUPPORTED BY CONTRIBUTIONS FROM THE MEDICAL CENTER FOCUSED ON HEALTHY NUTRITION CHOICES TO SUPPORT WEIGHT REDUCTION AND DIABETES PREVENTION. SKY LAKES GENEROUSLY CONTRIBUTED TO LOCAL CHILDHOOD INTERVENTION PROGRAMS SUCH AS CASA, FRIENDS OF THE CHILDREN-KLAMATH FALLS, AND CITIZENS FOR SAFE SCHOOLS IN THE WINTER OF 2019-2020 TO HELP SUPPORT THEIR EDUCATIONAL AND MENTORING EFFORTS AIMED AT TEACHING HEALTHY LIFESTYLE STRATEGIES TO CHILDREN AND YOUNG ADULTS. MENTAL HEALTH IS A GROWING CONCERN IDENTIFIED IN THE NEEDS ASSESSMENT. KLAMATH COUNTY IS A VIBRANT COMMUNITY FACED WITH SOME CONCERNING MENTAL HEALTH CHALLENGES. THERE IS A HIGH PREVALENCE OF MENTAL HEALTH PROBLEMS AND AN UNFORTUNATE LACK OF MENTAL HEALTH PROVIDERS IN KLAMATH COUNTY. MENTAL HEALTH ISSUES OFTEN LEAD TO OTHER SOCIAL AND PHYSICAL HEALTH ISSUES, CREATING BROADER, COMMUNITY-WIDE PROBLEMS. ACTIVE INTERVENTION IN MENTAL HEALTH CASES IS BEYOND THE SCOPE OF SKY LAKES, ALTHOUGH THE ORGANIZATION WORKS IN CLOSE COORDINATION WITH KLAMATH BASIN BEHAVIORAL HEALTH AND SUPPORTS THE KBBH ROLE IN THE COMMUNITY. SKY LAKES EMPLOYEES, HOWEVER, CAN AND DO PLAY AN ACTIVE ROLE IN COMMUNITY MENTAL HEALTH AND SUBSTANCE DISORDER PREVENTION ACTIVITIES. SKY LAKES WAS PIVOTAL IN CREATING THE KLAMATH WORKS AGENCY, WHERE STAFF HELP CLIENTS LEARN HOW TO APPLY FOR AND RETAIN JOBS; THE AGENCY IS HOUSED IN AN OFF-CAMPUS SKY LAKES BUILDING. SKY LAKES IS AMONG THE AGENCIES RESPONSIBLE FOR BUILDING A NEW FACILITY TO AID PEOPLE IN MENTAL HEALTH CRISES OR SEEKING ALCOHOL- AND SUBSTANCE-ABUSE REHABILITATION THERAPY SERVICES. SKY LAKES CONTRIBUTED $200,000 TOWARD THE FACILITY'S CONSTRUCTION, AND, WHEN THE FACILITY IS OPEN, ESTIMATED TO BE IN FY2020-2021, SKY LAKES WILL CONTRIBUTE TO ITS OPERATION. ACCORDING TO THE CHNA, THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) HAS IDENTIFIED KLAMATH COUNTY AS A HEALTH PROFESSIONAL SHORTAGE AREA. TO HELP COUNTER THE SHORTAGE OF PROVIDERS, SKY LAKES OPERATES THE CASCADES EAST FAMILY MEDICINE RESIDENCY IN COOPERATION WITH OREGON HEALTH & SCIENCE UNIVERSITY AND STAFFS THE ASSOCIATED CLINIC. EIGHT PHYSICIANS A YEAR STUDY FOR THREE YEARS AT THE KLAMATH FALLS PROGRAM EN ROUTE TO THEIR FAMILY MEDICINE SPECIALTY. THIS INVESTMENT WAS MORE THAN $3 MILLION (NET) BY SKY LAKES IN 2020. TO HELP DEVELOP A NEW GENERATION OF PHYSICAL THERAPISTS, SKY LAKES INVESTED $200,000 TO HELP OREGON INSTITUTE OF TECHNOLOGY LAUNCH A DOCTOR OF PHYSICAL THERAPY PROGRAM, TO BE OFFERED IN PARTNERSHIP WITH OREGON HEALTH & SCIENCE UNIVERSITY. THE PROGRAM IS OREGON TECH'S FIRST DOCTORAL DEGREE. THE PROGRAM WILL BE HOUSED IN THE NEW $50 MILLION SKY LAKES COLLABORATIVE HEALTH CENTER, WHICH OPENED ON THE MEDICAL CENTER CAMPUS IN JANUARY 2020. SKY LAKES ALSO IS A MAJOR SPONSOR OF HIGH SCHOOL AND COMMUNITY COLLEGE PROGRAMS AIMED AT TRAINING NURSES AND NURSE AIDES, AND ENCOURAGING STUDENT PARTICIPATION IN SCIENCE, TECHNOLOGY, ENGINEERING, MATH AND MEDICAL (STEM&M) CURRICULA. SKY LAKES PHARMACY HAS AN ACTIVE RESIDENCY PROGRAM TO FURTHER DEVELOP HEALTH CARE RESOURCES. SKY LAKES FUNDS THE PHARMACY RESIDENCY AT A NET EXPENSE OF APPROXIMATELY $250,000 ANNUALLY. SKY LAKES ALSO OFFERS STUDENTS IN A LOCAL COMMUNITY COLLEGE CLASSROOM INSTRUCTION REGARDING VARIOUS ASPECTS OF BEDSIDE CARE.SKY LAKES IS AN ENTHUSIASTIC PARTNER WITH LOCAL SCHOOLS IN ATHLETIC AS WELL AS ACADEMIC PROGRAMS. SKY LAKES ALSO ENCOURAGES PARTICIPATION IN EXTRA-CURRICULAR ACTIVITIES AT ALL LEVELS AND HAS HISTORICALLY PROVIDED FUNDING FOR ROBOTICS, HEALTH OCCUPATIONS COMPETITIONS, AND ACADEMIC COMPETITIONS. THE COVID-19 PANDEMIC PUT A HALT TO MOST SCHOOL ACTIVITIES, SO MUCH OF OUR FUNDING WAS NOT USED. INSTEAD, SKY LAKES STAFF SHARED THEIR KNOWLEDGE AD HOC WITH STUDENTS WHO SOUGHT THEIR ASSISTANCE. [SEE LINE 11 OVERFLOW LATER IN PART V] |
| SKY LAKES MEDICAL CENTER | PART V, SECTION B, LINE 13H: SKY LAKES PROVIDES PRESUMPTIVE ELIGIBILITY BY RELYING ON OUTSIDE AGENCIES DETERMINATION OF INCOME STATUS. |
| PART V, SECTION B, LINE 3J OVERFLOW: | THE GALLUP-HEALTHWAYS WELL-BEING INDEX KLAMATH FALLS ASSESSMENT PROCESS COLLECTS A SURVEY DATA FROM RESIDENTS IN THE KLAMATH FALLS URBAN GROWTH BOUNDARY TO ANALYZE FIVE ELEMENTS OF WELLBEING: PURPOSE, SOCIAL, FINANCIAL, COMMUNITY, AND PHYSICAL. THE INDEX WAS LAUNCHED LOCALLY FIRST IN 2015 AND REPEATED ANNUALLY. THE INDEX WAS CALCULATED THROUGH 765 COMPLETED ADDRESS-BASED SURVEYS ADMINISTERED IN THE SUMMER OF 2018. THOSE DATA INDICATE THE INDEX IN KLAMATH COUNTY INCREASED TO 59.5. THAT'S ABOUT 3.5 POINTS BELOW THE US VALUE 4 POINTS BELOW THE OREGON VALUE. COMMUNITY WELL-BEING CAN BE DEFINED AS LIKING WHERE YOU LIVE, FEELING SAFE AND HAVING PRIDE IN YOUR COMMUNITY. USING THE INSTRUMENT FROM THE NATIONAL PUBLIC HEALTH PERFORMANCE STANDARDS, THE 2018 LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT (LPHSA) SURVEY ASKED THREE QUESTIONS IN EACH OF 11 CATEGORIES SEEKING INFORMATION ON THE 10 ESSENTIAL PUBLIC HEALTH SERVICES AND HEALTH EQUITY. THE MONTH-LONG ELECTRONIC SURVEY RESULTED IN 31 FULLY COMPLETED RESPONSES FROM COMMUNITY PARTNERS REPRESENTING MANY DIFFERENT SECTORS. THE RESULTS IDENTIFIED WHERE PARTNERS CAN STRENGTHEN HOW THEY DELIVER ESSENTIAL PUBLIC HEALTH SERVICES. WHILE THE AREA SERVED BY SKY LAKES AND ITS PARTNERS COVERS MORE THAN 10,000 SQUARE MILES IN FOUR COUNTIES, TWO OF THEM IN NORTHERN CALIFORNIA, THE POPULATION IS CONCENTRATED WITHIN THE KLAMATH FALLS URBAN GROWTH BOUNDARY (UGB). COMMUNITY HEALTH IMPROVEMENT EFFORTS ARE PRIMARILY IMPLEMENTED WITHIN THE UGB TO HAVE THE GREATEST IMPACT ON THE HIGHEST CONCENTRATION OF RESIDENTS. KLAMATH COUNTY'S POPULATION IS APPROXIMATELY 68,240 (2019) WITH KLAMATH FALLS BEING THE LARGEST CITY WITH AN EQUALLY LARGE SUBURBAN POPULATION. THE ESTIMATED POPULATION OF THE UGB IS 44,000 PEOPLE. THE REGION IS PREDOMINANTLY WHITE AND NON-HISPANIC, 88.4% (2019). THE POPULATION OF PEOPLE IDENTIFYING AS HISPANIC OR LATINO IS STEADILY RISING AT 13.8% IN 2019, UP FROM 10% IN 2010. THE REGION IS ALSO UNIQUE IN THAT IT HAS A STRONG AMERICAN INDIAN PRESENCE THAT MAKES UP 5% OF THE POPULATION. AGE PLAYS A SIGNIFICANT ROLE ON THE HEALTH OF A COMMUNITY, AS DIFFERENT LIFE STAGES TEND TO EXPERIENCE HEALTH OUTCOMES UNIQUE TO THEIR AGE. IN KLAMATH COUNTY THOSE 65 AND OLDER COMPRISE 21.7% OF THE POPULATION WHILE THOSE UNDER 18 COMPRISE 27.5%THE PRIMARY GOAL OF THE CHNA IS TO BETTER UNDERSTAND THE HEALTH OF OUR COMMUNITY AND TO DEVELOP LOCAL STRATEGIES TO ADDRESS OUR COMMUNITY'S SPECIFIC NEEDS AND IDENTIFIED PRIORITY ISSUES. THE CHNA INFORMS THE GROUP AND HELPS SET COMMUNITY PRIORITIES, ESTABLISHES BENCHMARKS AND MONITORS TRENDS IN THE HEALTH STATUS OF KLAMATH COUNTY RESIDENTS. THERE IS AN ADDED BENEFIT IN THAT THE IMPROVEMENT EFFORTS EXTEND TO OTHER REGIONS IN THE CATCHMENT AREA OUTSIDE THE DEFINED COMMUNITY. WE ACKNOWLEDGE THAT THE CHNA IS A LIVING DOCUMENT, ALLOWING US TO SEEK CONTINUOUS IMPROVEMENT AND FURTHER ANALYZE THE DATA AND, ULTIMATELY, IMPROVE THE HEALTH OF PEOPLE IN OUR COMMUNITY. UNDERSTANDING THAT HEALTH IS A PRODUCT OF MANY CONDITIONS AND FACTORS, AN ADAPTED VERSION OF THE STRATEGIC PLANNING FRAMEWORK DEVELOPED BY THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS (NACCHO) IN COOPERATION WITH THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) WAS MADE TO CREATE THIS CHNA. THE STRATEGIC PLANNING FRAMEWORK THAT WAS ADAPTED FOR KLAMATH COUNTY IS KNOWN AS MOBILIZING ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP). MAPP IS A COMMUNITY-DRIVEN PROCESS THAT RESULTS IN THE IDENTIFICATION OF HEALTH ISSUES AND HEALTH IMPROVEMENT STRATEGIES THROUGH COMMUNITY MEMBER AND STAKEHOLDER ENGAGEMENT. FACILITATED BY COMMUNITY HEALTH LEADERS, MAPP IS INTENDED TO IMPROVE THE EFFICIENCY, EFFECTIVENESS, AND PERFORMANCE OF LOCAL HEALTHCARE SYSTEMS; SKY LAKES IS A PRINCIPAL PART OF THAT LOCAL SYSTEM. MAPP ALLOWS FOR AN ENHANCED UNDERSTANDING OF THE INFLUENCES ON COMMUNITY HEALTH THROUGH THE ANALYSIS OF POPULATION-BASED QUANTITATIVE DATA, LOCALLY GATHERED QUALITATIVE DATA, AND THE EXPERTISE OF KEY STAKEHOLDERS. THESE VARIOUS DATA-COLLECTION METHODS ALLOW FOR A BETTER UNDERSTANDING OF THE SOCIAL DETERMINANTS OF HEALTH. THE SOCIAL DETERMINANTS OF HEALTH ARE THE CIRCUMSTANCES IN WHICH PEOPLE ARE BORN, RAISED, LIVE, AND WORK, IN ADDITION TO AVAILABLE RESOURCES. THEY PROVIDE A LENS THROUGH WHICH TO VIEW DIFFERENT POPULATIONS AND COMMUNITIES AND IDENTIFY CONDITIONS THAT PROMOTE HEALTH, RATHER THAN LIMIT IT. WITH THIS INFORMATION WE CAN COLLECTIVELY BETTER UNDERSTAND THE DRIVERS OF HEALTH OUTCOMES IN KLAMATH COUNTY AND DEVELOP STRATEGIES FOR HEALTH IMPROVEMENT. SKY LAKES AND OUR COMMUNITY PARTNERS COLLABORATIVELY AGREED TO UTILIZE HEALTHY COMMUNITIES INSTITUTE (HCI), WHICH MANAGES AND CONTINUALLY UPDATES A CENTRALIZED PUBLICLY AVAILABLE WEB-BASED SOURCE OF POPULATION DATA AND COMMUNITY HEALTH INFORMATION, AS A PLATFORM. WITH IT, WE HAVE CONTINUAL MONITORING AND TRACKING ON MORE THAN 120 INDICATORS THAT ARE ROUTINELY UPDATED AS WELL AS AN ASSORTMENT OF OTHER LOCAL STATISTICS. THESE INDICATORS WERE ASSESSED ON FOUR FACTORS: COMPARISON TO OREGON AND NATIONAL BENCHMARKS; TRENDS OVER TIME; HEALTH DISPARITIES; AND SEVERITY OF HEALTH ISSUE. THE 2018 COMMUNITY HEALTH ASSESSMENT DATA COLLECTION AND ANALYSIS IS ALIGNED WITH THE COUNTY HEALTH RANKINGS MODEL. THIS COMPREHENSIVE MODEL INCLUDES HEALTH OUTCOMES, WHICH ARE LENGTH OF LIFE (MORTALITY) AND QUALITY OF LIFE (MORBIDITY), AND HEALTH FACTORS, WHICH ARE THE DETERMINANTS THAT INFLUENCE HEALTH AND OVERALL OUTCOMES. THE OUTCOMES AND FACTORS ARE THEN BROKEN DOWN INTO COMPONENTS AND SUBCOMPONENTS. THE COMPONENTS INFORM THE CATEGORIES FOR THE 2018 COMMUNITY HEALTH ASSESSMENT, WHILE THE SUBCOMPONENTS INCLUDE THE SPECIFIC INDICATORS AND DATA ANALYSIS FOR EACH AREA. ADDITIONAL BEHAVIORAL HEALTH AND MATERNAL AND CHILD HEALTH COMPONENTS WERE ADDED. THE FORMULATION OF THE CHNA COORDINATED BY SKY LAKES MEDICAL CENTER WAS STRONGLY INFLUENCED BY INPUT FROM COMMUNITY PARTNERS AND STAKEHOLDERS AS WELL AS INDIVIDUALS IN THE COMMUNITIES WE SERVE. COMMUNITY INVOLVEMENT IS ESSENTIAL TO SUCCESSFUL PUBLIC HEALTH ACTION, AND THE PRIORITY AREAS FOR HEALTH IMPROVEMENT SHOULD REFLECT THE PROBLEMS OF GREATEST CONCERN TO THE LOCAL COMMUNITIES. SKY LAKES AND ITS PARTNERS REGULARLY SEEK COMMUNITY INPUT VIA LISTENING SESSIONS, FOCUS GROUPS, THE HOSPITAL'S PARTNERS IN CARE PATIENT-FAMILY ADVISORY COUNCIL, AND SURVEYS. COMMUNITY PERCEPTIONS REGARDING HEALTH NEEDS ARE CAPTURED IN NON-SCIENTIFIC SURVEYS AND INTERVIEWS CONDUCTED AT THE CONCLUSION OF COMMUNITY EVENTS HOSTED BY THE MEDICAL CENTER. INFORMATION FROM THESE ACTIVITIES HELPS INFORM FOLLOW-ON STRATEGIES AND PROGRAMS. |
| PART V, SECTION B, LINE 11 OVERFLOW: | TRANSPORTATION IS IDENTIFIED AS A NEED IN THE COMMUNITY, ESPECIALLY AMONG LOWER SOCIO-ECONOMIC POPULATIONS. SKY LAKES OUTPATIENT CARE MANAGEMENT PROVIDES HEALTH CARE-RELATED TRANSPORTATION TO MORE THAN 300 QUALIFYING INDIVIDUALS AT A NET COMMUNITY BENEFIT OF MORE THAN $20,000. EDUCATION IS ONE OF THE IDENTIFIED SOLUTIONS. IT CAN REDUCE POVERTY, INCREASE INCOME, AND PROVIDE MORE FUTURE OPPORTUNITIES. IT HELPS COMBAT INEQUALITY AND INJUSTICE, IS ASSOCIATED WITH BETTER OVERALL HEALTH, AND DRIVES SUSTAINABLE ECONOMIC GROWTH WITHIN A COMMUNITY. DIRECT INTERVENTION IS BEYOND THE SCOPE OF SKY LAKES, HOWEVER. OTHER SOCIAL DETERMINANTS OF HEALTH INCLUDE UNEMPLOYMENT, HOMELESSNESS, CRIME AND SAFETY. WHILE SKY LAKES WAS INSTRUMENTAL IN THE FORMATION OF THE INNOVATIVE KLAMATH WORKS AGENCY, WHICH HELPS ADDRESS MANY OF THOSE ISSUES, SKY LAKES IS UNABLE TO DIRECTLY ADDRESS THE FUNDAMENTAL ISSUES. SUBSTANCE ABUSE, A MODIFIABLE HEALTH RISK, WILL BE ADDRESSED BY A SOBERING CENTER ON THE KLAMATH WORKS CAMPUS. SKY LAKES COMMITTED $200,000 TO ITS CONSTRUCTION AND PLEDGED TO COVER A SUBSTANTIAL PART OF ITS ANNUAL OPERATION TO ENSURE PROPER PATIENT CARE AND REHABILITATION TREATMENT. "BUILT ENVIRONMENT" IS DEFINED AS OUR HUMAN-MADE SURROUNDINGS THAT INFLUENCE ACTIVITIES AND THEREFORE HEALTH BEHAVIORS AND SOCIAL NORMS. IMPROVED POPULATION HEALTH REQUIRES A FOCUS ON IMPROVING THE BUILT ENVIRONMENT BECAUSE OF THE IMPORTANT ROLE IT PLAYS IN PROMOTING HEALTH AND PREVENTING CHRONIC DISEASE. FOR EXAMPLE, WHEN THERE ARE SAFE AREAS -- GREEN SPACES, PARKS, SAFE WALKING AND BICYCLE ROUTES, AND THRIVING BUSINESSES EASILY ACCESSIBLE, PEOPLE FIND IT EASIER TO BE PHYSICALLY ACTIVE AND WALK TO THESE PLACES, FEEL SAFE, AND MEET WITH SOCIAL GROUPS. ALL OF THESE ACTIVITIES IMPROVE HEALTH. SKY LAKES HAS CONTRIBUTED FINANCIAL AND HUMAN RESOURCES TO HELP CREATE GREENSPACES IN DOWNTOWN KLAMATH FALLS, TO HELP REHABILITATE A MAJOR NEIGHBORHOOD PARK NEAR THE MEDICAL CENTER AND ADD A CHILDREN'S PLAY AREA, AND TO HELP CREATE HIKING AND BIKING TRAILS IN AND AROUND THE CITY. SKY LAKES HAD A LEADERSHIP ROLE IN CREATING A SAFE BIKE LANE CONNECTING DOWNTOWN AND THE LARGEST MUNICIPAL PARK IN THE CITY. THESE ARE STRATEGIES INTENDED TO ENCOURAGE PEOPLE TO BE MORE PHYSICALLY ACTIVE WHILE REDUCING VEHICULAR TRAFFIC. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 19 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (19 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - SKY LAKES PRIMARY CARE CLINIC | ||||
| 2821 DAGGETT AVENUE | KLAMATH FALLS | OR | 97601 | MEDICAL CLINIC |
| 2 - FAMILY MEDICINE RESIDENCY | ||||
| 2801 DAGGETT AVENUE | KLAMATH FALLS | OR | 97601 | MEDICAL CLINIC & MEDICAL RESIDENCY PGM |
| 3 - OUTPATIENT IMAGING | ||||
| 2900 DAGGETT AVENUE | KLAMATH FALLS | OR | 97601 | OUTPATIENT DIAGNOSTIC IMAGING CENTER |
| 4 - MOB II | ||||
| 3000 BRYANT WILLIAMS DRIVE | KLAMATH FALLS | OR | 97601 | MEDICAL CLINIC |
| 5 - MOB I | ||||
| 2200 BRYANT WILLIAMS DRIVE | KLAMATH FALLS | OR | 97601 | MEDICAL CLINIC |
| 6 - CANCER TREATMENT CENTER | ||||
| 2610 URHMAN | KLAMATH FALLS | OR | 97601 | MEDICAL CLINIC |
| 7 - CENTER FOR OCCUPATIONAL HEALTH | ||||
| 2621 CROSBY AVENUE | KLAMATH FALLS | OR | 97603 | HOME HEALTH SERVICES, EMPLOYEE ASSISTANCE PROGRAM |
| 8 - UROLOGY CLINIC | ||||
| 2630 CAMPUS DRIVE | KLAMATH FALLS | OR | 97601 | MEDICAL CLINIC |
| 9 - MOB III | ||||
| 2680 UHRMANN ROAD | KLAMATH FALLS | OR | 97601 | MEDICAL CLINIC |
| 10 - DERMATOLOGY | ||||
| 2617 ALMOND STREET | KLAMATH FALLS | OR | 97601 | MEDICAL CLINIC |
| 11 - BEHAVIORAL HEALTH CLINIC | ||||
| 2600 CLOVER | KLAMATH FALLS | OR | 97601 | MEDICAL CLINIC |
| 12 - WELLNESS CENTER | ||||
| 128 SOUTH 11TH STREET | KLAMATH FALLS | OR | 97601 | MEDICAL CLINIC |
| 13 - PULMONARY MEDICINE | ||||
| 2301 CLAIRMONT | KLAMATH FALLS | OR | 97601 | MEDICAL CLINIC |
| 14 - RECOVERY ZONE | ||||
| 2846 EBERLEIN AVE | KLAMATH FALLS | OR | 97601 | REHABILITATION SERVICES |
| 15 - PEDIATRIC REHAB | ||||
| 2686 CAMPUS DRIVE | KLAMATH FALLS | OR | 97601 | REHABILITATION SERVICES |
| 16 - COMMUNITY HEALTHEDUCATION | ||||
| 2200 NORTH ELDORADO AVENUE | KLAMATH FALLS | OR | 97601 | COMMUNITY EDUCATION FACILITY |
| 17 - HUGH CURRIN HOUSE | ||||
| 2601 DAGGETT AVENUE | KLAMATH FALLS | OR | 97603 | RESIDENTIAL FACILITY FOR FAMILIES UNDERGOING CARE |
| 18 - FAMILY PRACTICE CLINIC | ||||
| 1905 MAIN | KLAMATH FALLS | OR | 97601 | MEDICAL CLINIC |
| 19 - SANFORD CHILDREN'S CLINIC | ||||
| 3001 DAGGETT AVENUE | KLAMATH FALLS | OR | 97601 | MEDICAL CLINIC |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | A COST-TO-CHARGE RATIO WAS USED FOR THE FINANCIAL ASSISTANCE AND COMMUNITY BENEFITS TABLE. THE RATIO WAS DERIVED USING WORKSHEET 2, 'RATIO OF PATIENT CARE COST-TO-CHARGES.' |
| PART I, LINE 7, COLUMN (F): | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 7,291,375. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | COMMUNITY SUPPORT: ACTIVITIES INCLUDE KLAMATH-LAKE CHILD ABUSE RESPONSE AND EVALUATION SERVICES (CARES). CARES IS DEDICATED TO PROVIDING SAFE, COMPREHENSIVE, OBJECTIVE MEDICAL ASSESSMENTS, AND TO RAISING AWARENESS ABOUT CHILD ABUSE THROUGH COORDINATED, COLLABORATIVE EDUCATIONAL PROGRAMS. FOUR TIMES PER YEAR, DISCOUNTED AND FREE PRESCRIPTION DRUGS, ALONG WITH EDUCATIONAL SUPPORT BY LICENSED PHARMACISTS, ARE PROVIDED TO LOW INCOME ELDERLY THROUGH LOCAL SENIOR CENTERS. THE NO ONE DIES ALONE PROGRAM IS A VOLUNTEER PROGRAM THAT PROVIDES THE REASSURING PRESENCE OF A VOLUNTEER COMPANION TO DYING PATIENTS WHO WOULD OTHERWISE BE ALONE. SKY LAKES ALSO PARTICIPATES IN RELAY FOR LIFE, UNITED WAY AND OTHER LOCAL FUNDRAISING AND AWARENESS INITIATIVES, AS WELL AS ONGOING EFFORTS IN THE PERIOD OF PURPLE CRYING COMMUNITY EDUCATION CAMPAIGN. THERE ARE A NUMBER OF OTHER COMMUNITY SUPPORT ACTIVITIES THAT ARE PROVIDED, INCLUDING BUT NOT LIMITED TO SPONSORSHIP OF SUPPORT GROUPS FOR CANCER, ADOPTING FAMILIES AT CHRISTMAS, TRANSPORTATION ASSISTANCE TO INDIGENT PATIENTS, STAFF VOLUNTEER PARTICIPATION IN COMMUNITY EVENTS, AND FREE ACCESS TO MEETING ROOMS.COALITION BUILDING: THE LOCAL HEALTH DEPARTMENT, IN CONJUNCTION WITH THE OREGON HEALTH DEPARTMENT, PERIODICALLY PERFORMS HEALTH ASSESSMENTS OF THE PEOPLE IN THE COMMUNITIES SERVED BY SKY LAKES. THE MEDICAL CENTER WORKS WITH LOCAL HEALTH AUTHORITIES TO DETERMINE THE HEALTH INITIATIVES THAT CAN BE JOINTLY ADDRESSED BY COMMUNITY LEADERS, WITH SKY LAKES MEDICAL CENTER SERVING A SIGNIFICANT LEADERSHIP ROLE. SKY LAKES MEDICAL CENTER ACTIVELY PARTNERS WITH AGENCIES SUCH AS THE KLAMATH COUNTY HEALTH DEPARTMENT, OREGON HEALTH & SCIENCE UNIVERSITY, AND THE UNITED WAY OF THE KLAMATH BASIN IN HEALTH-IMPROVEMENT INITIATIVES. EMPLOYEES VOLUNTEER THEIR TIME FOR LEADERSHIP KLAMATH, KLAMATH HOSPICE AND MANY OTHER COMMUNITY SERVICE ORGANIZATIONS WHERE LEADERS COME TOGETHER.COMMUNITY HEALTH IMPROVEMENT ADVOCACY: SKY LAKES HEALTH IMPROVEMENT ADVOCACY TAKES PLACE VIA AN ANNUAL HEALTH FAIR AND ONGOING EDUCATIONAL OFFERINGS FOR HEART DISEASE, CHOLESTEROL SCREENING, WEIGHT MANAGEMENT, NUTRITION, DUII, EATING ON BUDGET, BREASTFEEDING, SMOKING CESSATION, CAR SEAT SAFETY, AIDS/HIV, AND DIABETES. IN ADDITION TO COMMUNITY MEMBERS, EDUCATIONAL OFFERINGS INCLUDE NURSING STUDENTS, ELEMENTARY, MIDDLE, HIGH SCHOOLS AND LOCAL COLLEGES. EMPLOYEE SUPPORT - TIME AND MONETARY DONATIONS - OF LOCAL FOOD BANKS IS ALSO ENCOURAGED. WORKFORCE DEVELOPMENT: SKY LAKES UNDERWRITES THE WAGES AND BENEFITS OF SELECTED NEW GRADUATES FROM THE LOCAL BACCALAUREATE NURSING PROGRAM. THESE NURSES SPEND 6 MONTHS ORIENTING TO VARIOUS INPATIENT UNITS BY SHADOWING EXPERIENCED REGISTERED NURSES IN ORDER TO DETERMINE THE BEST EMPLOYMENT "FIT" FOR THEM AND FOR SKY LAKES. |
| PART III, LINE 4: | BAD DEBTS ARE ACCRUED MONTHLY AT A FIXED PERCENTAGE OF GROSS CHARGES. BOOKED BAD DEBT EXPENSE IS ROUTINELY COMPARED TO ACTUAL BAD DEBT WRITEOFFS, WHICH INCLUDE PAYMENTS TO PREVIOUSLY RECORDED BAD DEBTS, AND THE ACCRUAL PERCENTAGE IS ADJUSTED ACCORDINGLY. THIS PROCESS HAS THE INTENDED EFFECT OF REALIZING BAD DEBT EACH MONTH AS A LESS VOLATILE EXPENSE.BAD DEBT EXPENSE INCLUDES PAYMENTS - PATIENT AND INSURANCE - TO PREVIOUSLY RECORDED BAD DEBTS.SKY LAKES MEDICAL CENTER OFFERS A CHARITY CARE APPLICATION TO ALL PATIENTS, EITHER IN PERSON OR MAKING IT AVAILABLE VIA US MAIL OR ON THE HOSPITAL'S WEBSITE. A SAMPLE OF PROCESSED CHARITY CARE APPLICATIONS WAS TAKEN. WE FOUND THAT 15% OF CHARITY CARE APPLICATIONS WERE TURNED TO BAD DEBT DUE TO LACK OF INFORMATION SUPPLIED BY THE HOUSEHOLD. WE ASSUME THAT ALL REMAINING BAD DEBT ACCOUNTS WERE CORRECTLY CLASSIFIED DURING OUR COLLECTION PROCESS. THIS 15% REPRESENTS $1,095,388.THE FOOTNOTE THAT DISCUSSES BAD DEBT EXPENSE IS CONTAINED ON PAGE 14 OF THE ATTACHED FINANCIAL STATEMENTS, ENTITLED 'PATIENT ACCOUNTS RECEIVABLE.' |
| PART III, LINE 8: | MEDICARE REIMBURSEMENTS DO NOT COVER THE COSTS OF DELIVERING CARE TO THE COMMUNITY. IN ADDITION, SKY LAKES IS A TEACHING HOSPITAL THAT PROVIDES ACCESS TO PRIMARY CARE IN A RURAL COMMUNITY THAT HAS A PHYSICIAN SHORTAGE.SKY LAKES DOES NOT UTILIZE A COST ACCOUNTING SYSTEM. VENDORS AND SURVEYING AGENCIES (GOVERNMENTAL AND NON-GOVERNMENTAL) ARE PROVIDED WITH THE MEDICARE COST REPORT COST-TO-CHARGE RATIO WHEN THEY REQUEST IT.COSTS OF ROUTINE AND ICU NURSING SERVICES ARE CALCULATED ON A PER DIEM. ANCILLARY SERVICE COSTS ARE CALCULATED BASED ON TOTAL COSTS INCLUDING OVERHEAD TO TOTAL CHARGES BY ANCILLARY SERVICE TO DEVELOP A RATIO OF COSTS-TO-CHARGES (RCC), WITH MEDICARE'S APPORTIONMENT CALCULATED BY TAKING MEDICARE CHARGES MULTIPLIED BY THE RCC DEVELOPED ON THE COST REPORT. |
| PART III, LINE 9B: | SKY LAKES PLACES ALL ACCOUNTS IDENTIFIED AS ELIGIBLE FOR FINANCIAL ASSISTANCE ON HOLD AND THEN MAKES ANY NECESSARY ADJUSTMENTS BEFORE STATEMENTS ARE SENT. MANY OF THESE ACCOUNTS ARE ADJUSTED OFF COMPLETELY AND NO STATEMENTS ARE SENT. SKY LAKES ALSO CALLS PAST DUE ACCOUNTS (THIRD STATEMENT) AND REVIEWS TO SEE IF FINANCIAL ASSISTANCE IS AVAILABLE. LARGER ACCOUNTS ARE REVIEWED BY FINANCIAL COUNSELORS AND CHANGE HEALTHCARE FOR FINANCIAL ASSISTANCE ELIGIBILITY OR MEDICAID ELIGIBILITY. BOTH GROUPS MAKE PROACTIVE CALLS AND FOLLOW UP WITH PATIENTS TO GET THE NECESSARY INFORMATION TURNED IN. |
| PART VI, LINE 2: | SKY LAKES MEDICAL CENTER ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES BY MONITORING THE HEALTHY COMMUNITIES INSTITUTE (HCI) INDICATORS TRACKED AND DISPLAYED AT HEALTHYKLAMATH.ORG; SKYLAKES.ORG LINKS TO THE HEALTHY KLAMATH SITE. THAT WEBSITE IS THE COMMUNICATIONS TOOL OF THE LOCAL COMMUNITY COLLABORATIVE AIMED AT IMPROVING THE LIVABILITY OF THE REGION. THERE ARE MORE THAN 120 INDICATORS THAT MONITOR ACCESS QUESTIONS, RATES OF DISEASES INCLUDING CANCER AND DIABETES IN THE POPULATION, AS WELL AS MATERNAL AND INFANT HEALTH, MENTAL HEALTH, AND INDIRECT INFLUENCES OF HEALTH SUCH AS SUBSTANCE ABUSE AND STRESS. THE ORGANIZATION ALSO ACTIVELY ENGAGES THE ROBERT WOOD JOHNSON FOUNDATION-UNIVERSITY OF WISCONSIN'S ANNUAL COUNTY HEALTH RANKINGS TO MONITOR INDICATORS FOR HEALTH OUTCOMES, HEALTH BEHAVIORS, AND CLINICAL CARE TO FURTHER REFINE STRATEGIES AND PRIORITIZE ACTIVITIES. SKY LAKES ASKS ADULTS TO SELF-REPORT THEIR HEALTH STATUS VIA ANONYMOUS AND RANDOMIZED SURVEYS MAILED TO PATIENTS RECENTLY DISCHARGED FROM THE MEDICAL CENTER (INPATIENTS AND EMERGENCY DEPARTMENT), AND, THROUGH 2020, PEOPLE WHO HAVE USED SKY LAKES FACILITIES FOR OUTPATIENT TESTING AND TREATMENTS. THE GALLUP-HEALTHWAYS WELL-BEING INDEX SURVEY PROCESS ASKS QUESTIONS RELATED TO FIVE ELEMENTS OF WELLBEING: PURPOSE, SOCIAL, FINANCIAL, COMMUNITY, AND PHYSICAL. THE INDEX WAS LAUNCHED LOCALLY FIRST IN 2015 AND REPEATED ANNUALLY. MOST RECENTLY, THE 2018 ASSESSMENT TEAM COLLECTED 765 MAIL SURVEYS FROM INDIVIDUALS INSIDE THE KLAMATH FALLS URBAN GROWTH BOUNDARY. SKY LAKES USES FORMAL CONVERSATIONS WITH COMMUNITY PARTNERS AND MEDICAL COLLABORATORS, AND ACTIVELY PARTNERS WITH AGENCIES IN HEALTH-IMPROVEMENT INITIATIVES. KLAMATH COUNTY PUBLIC HEALTH, IN CONJUNCTION WITH THE OREGON HEALTH AUTHORITY, PERIODICALLY PERFORMS HEALTH ASSESSMENTS OF THE PEOPLE IN THE COMMUNITIES SERVED BY SKY LAKES. THE MEDICAL CENTER WORKS WITH LOCAL HEALTH AUTHORITIES TO DETERMINE THE HEALTH INITIATIVES THAT CAN BE JOINTLY ADDRESSED BY COMMUNITY LEADERS, WITH SKY LAKES SERVING A SIGNIFICANT LEADERSHIP ROLE. PRIOR TO THE PANDEMIC, WHICH CURTAILED MOST COMMUNITY EVENTS IN 2020, THE PERCEPTIONS OF PARTICIPANTS REGARDING HEALTH NEEDS WERE CAPTURED IN NON-SCIENTIFIC SURVEYS CONDUCTED AT THE CONCLUSION OF EVENTS HOSTED BY THE MEDICAL CENTER. IN MID-2018, KLAMATH-LAKE FOOD BANK CONDUCTED A COMMUNITY FOOD ASSESSMENT TO HELP IDENTIFY THE CURRENT STATE OF FOOD SECURITY, NUTRITION, HEALTH, AND ECONOMIC OPPORTUNITIES RELATED TO OUR LOCAL FOOD SYSTEM. THE ASSESSMENT TOOK A FOCUSED APPROACH ON CURRENT FOOD INITIATIVES IN THE KLAMATH BASIN, INCORPORATED DATA FROM THE 2016 LAKE COUNTY FOOD ASSESSMENT. SKY LAKES PROVIDED FUNDING FOR SOME OF THE PARTNER AGENCIES INVOLVED WITH THE ASSESSMENT. BETWEEN JUNE AND SEPTEMBER 2018, SURVEYS WERE DEVELOPED AND DISSEMINATED TO COMMUNITY MEMBERS, COMMUNITY MEAL SITE MANAGERS, PANTRY SITE MANAGERS, FARMERS AND RANCHERS, AND LOCAL STORES. ADDITIONALLY, IN-DEPTH INTERVIEWS WERE UNDERTAKEN WITH SEVERAL KEY INFORMANTS REPRESENTING AGENCIES ACTIVE IN FOOD SYSTEMS PROJECTS. DATA WERE ANALYZED IN OCTOBER 2018. |
| PART VI, LINE 3: | SKY LAKES MEDICAL CENTER'S FINANCIAL ASSISTANCE POLICY AND APPLICATION FOR ASSISTANCE IS LOCATED ON THE HOSPITAL'S WEBSITE IN ENGLISH AND SPANISH, IS REFERENCED IN THE ONLINE BILL-MANAGEMENT SECTION OF THE SITE, WITH HANDOUT MATERIAL LOCATED IN THE HOSPITAL AND OUTPATIENT CLINICS IN ENGLISH AND SPANISH, AND IS FEATURED IN MEDICAL CENTER PUBLICATIONS DISTRIBUTED TO HOMES IN THE SERVICE AREA. THE FINANCIAL ASSISTANCE POLICY AND ASSISTANCE APPLICATION ALSO ARE PROVIDED WHEN PATIENTS REGISTER FOR SERVICES, AT PATIENT FINANCIAL SERVICE WHEN THEY PAY THEIR BILLS IN PERSON, AND WHEN PATIENTS INQUIRE ABOUT THEIR BILLS OR ASSISTANCE. FURTHER, A REMINDER WITH THE WEBSITE URL IS ON THE BACK OF PATIENT BILLS. IN ADDITION, UNINSURED PATIENTS ARE PROVIDED PATIENT ADVOCACY-BASED ELIGIBILITY AND ENROLLMENT SERVICES FOR MEDICAID AND OTHER BENEFIT PROGRAMS. THE MEDICAL CENTER ENSURES INFORMATION ABOUT FINANCIAL ASSISTANCE AND APPLICATIONS FOR ASSISTANCE IS AT ALL PATIENT REGISTRATION AREAS AND OUR SPECIALLY TRAINED FINANCIAL COUNSELORS HELP APPLICANTS COMPLETE THE FORM. FINANCIAL COUNSELORS TELEPHONE UNINSURED PATIENTS WITH LARGE BALANCES TO PROACTIVELY OFFER ASSISTANCE. OUR ABILITY TO OFFER FINANCIAL ASSISTANCE IS CLEARLY LISTED ON EVERY STATEMENT AND ON MOST FORM LETTERS MAILED TO PATIENTS AND FAMILIES. IT ALSO IS COVERED DURING COURTESY PHONE CALLS IF THERE IS MENTION OF DIFFICULTY IN PAYING. SKY LAKES ALSO USES CHANGE HEALTHCARE, AN ON-SITE SERVICE TO HELP ELIMINATE THE FINANCIAL BARRIERS PATIENTS AND FAMILIES ENCOUNTER. THOSE STAFF PROVIDE CONSUMERS GUIDANCE, TOOLS AND DATA ALONG WITH COUNSELING AND ELIGIBILITY FOR ENROLLMENT IN FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS. THE ORGANIZATION HELPS UNINSURED INPATIENTS DETERMINE THEIR POTENTIAL ELIGIBILITY AND ACCESS APPROPRIATE GOVERNMENT FUNDING. THOSE STAFF FURTHER ASSIST PATIENTS IN COMPLETING FINANCIAL ASSISTANCE APPLICATIONS IF THEY ARE UNSUCCESSFUL GETTING ACCEPTED INTO A GOVERNMENT PROGRAM.THE SKY LAKES CANCER TREATMENT CENTER, A DEPARTMENT OF THE MEDICAL CENTER, ALSO HAS FINANCIAL COUNSELORS WHO ASSIST WITH PHARMACEUTICAL CO-PAY RELIEF THROUGH THE DRUG MANUFACTURERS, RELIEVING PATIENTS OF SOME OF THAT FINANCIAL OBLIGATION. THE MEDICAL CENTER, THROUGH A THIRD-PARTY RELATIONSHIP, ROUTINELY PROVIDES NO-CHARGE MEDICATIONS TO QUALIFYING PATIENTS THROUGH MAJOR PHARMACEUTICAL COMPANIES. |
| PART VI, LINE 4: | COMMUNITIES IN A 10,000-SQUARE-MILE, FOUR-COUNTY AREA ENCOMPASSING SOUTH-CENTRAL OREGON AND NORTH-CENTRAL CALIFORNIA COMPRISE THE SKY LAKES MEDICAL CENTER SERVICE AREA. WHILE KLAMATH COUNTY IS THE LARGEST POLITICAL UNIT IN THE SERVICE AREA, A TOTAL MORE THAN 80,000 PEOPLE IN TWO OREGON COUNTIES, KLAMATH AND LAKE, AND TWO CALIFORNIA COUNTIES, MODOC AND SISKIYOU, RELY ON SKY LAKES FOR THEIR ACUTE HEALTHCARE NEEDS. BECAUSE THERE ARE NOT HARD POLITICAL BOUNDARIES THAT DEFINE THE SERVICE AREA, WE ARE UNABLE TO MAKE ACCURATE DEMOGRAPHIC MEASUREMENTS. THAT MEANS DATA FOR KLAMATH COUNTY, WHICH INCLUDES THE LARGEST CITIES IN THE AREA AND THE LARGEST POPULATION CONCENTRATION, ARE USED FOR THIS NARRATIVE. THE POPULATION PRIMARILY TARGETED FOR HEALTH IMPROVEMENT ACTIVITIES IS INSIDE THE KLAMATH FALLS URBAN GROWTH BOUNDARY (UGB), WHICH INCLUDES KLAMATH FALLS, THE COUNTY SEAT, AND AREAS IMMEDIATELY SURROUNDING IT. KLAMATH COUNTY'S POPULATION IS LISTED AT 68,238 (2019) WITH ROUGHLY A THIRD OF THEM LIVING IN AND NEAR KLAMATH FALLS, THE LARGEST CITY WITH AN EQUALLY LARGE SUBURBAN POPULATION. THE POPULATION'S GENDER SPLIT IS EVEN WITH 50.0% EACH FEMALE AND MALE. NEARLY 38% OF THE TOTAL IS CONSIDERED "RURAL" VERSUS 19% IN THE STATE. ALSO, WHITE, NON-HISPANIC ACCOUNT FOR 77.1% OF THE TOTAL, 5% AS AMERICAN INDIAN AND ALASKA NATIVE, 13.8% HISPANIC, AND ROUGHLY 0.7% NON-HISPANIC BLACK. THE MEDIAN HOUSEHOLD INCOME IN THE COUNTY IS REPORTED AT $53,000, COMPARED TO $67,000 FOR OREGON, WITH 66% OF CHILDREN ELIGIBLE FOR FREE OR REDUCED-PRICE LUNCH. THAT COMPARES TO 32% NATIONALLY AND 49% IN OREGON.THE COUNTY HEALTH RANKINGS FOR 2019 SHOWS KLAMATH COUNTY IS RANKED 34 OUT OF 36 OREGON COUNTIES. THE REPORT RANKS SUCH FACTORS AS: -POOR OR FAIR HEALTH (21% VS THE NATIONAL BENCHMARK OF 14% AND 18% IN OREGON), -ADULT SMOKING (22% VS 16% NATIONALLY AND IN OREGON), -UNINSURED ADULTS (11% VS 6% NATIONALLY AND 8% IN OREGON), -PRIMARY CARE PROVIDERS (1,070:1 VS 1,030:1 NATIONALLY AND 1,060:1 IN OREGON), -CHILDREN IN POVERTY (23% VS 10% NATIONALLY AND 14% IN OREGON), AND -VIOLENT CRIME RATE (218 VS 63 NATIONALLY AND 249 IN OREGON). |
| PART VI, LINE 5: | BESIDES PROVIDING HIGH-QUALITY HEALTHCARE, SKY LAKES MEDICAL CENTER FURTHERS ITS TAX-EXEMPT PURPOSE AND FULFILLS ITS MEDICAL MISSION TO THE COMMUNITY BY PROVIDING OR SUBSIDIZING NUMEROUS ACTIVITIES. BEFORE THE COVID-19 PANDEMIC, THOSE ACTIVITIES INCLUDED CLASSES, SUPPORT GROUPS, SCREENINGS AND SELF-HELP PROGRAMS; FREE CHILDBIRTH PREPARATION CLASSES FOR MOMS-TO-BE, AND LACTATION EDUCATION FOR NEW MOMS; A FREE COMMUNITY HEALTH FAIR ATTENDED BY MORE THAN 2,500 PEOPLE A YEAR; A VARIETY OF PROGRAMS AIMED AT ENCOURAGING BETTER FITNESS AND IMPROVED NUTRITION, INCLUDING FOOD PREPARATION INSTRUCTION; AND SEPARATE SUPPORT GROUPS FOR PEOPLE AFFECTED BY CANCER AND THOSE WHO HAVE DIABETES. DURING THE PANDEMIC, SOME OF THE CLASSES AND FOOD PREPARATION AND NUTRITION SESSIONS WERE VIRTUAL, WHILE OTHERS WERE DONE ONE-ON-ONE IN EXTENDED TELEPHONE CALLS. IN FY2019-2020, THE SKY LAKES FAMILY BIRTH CENTER STAFF INVESTED 98 HOURS AND HELPED 154 PERSONS WITH BREASTFEEDING EDUCATION. SKY LAKES STAFF AND VOLUNTEERS HELPED THE AMERICAN RED CROSS CONDUCT BLOOD DRIVES FROM SKY LAKES FACILITIES COLLECTING 60 PINTS IN A WINTER EVENT. SKY LAKES INFECTION PREVENTION AND CONTROL SPECIALISTS PERFORMED N-95 MASK FIT TESTING FOR 191 STAFF MEMBERS OF AREA DENTAL OFFICES OVER SEVERAL DAYS TO HELP THE OFFICES REOPEN FOLLOWING THE COVID-19 PANDEMIC SHUTDOWN. NOTING THAT HEALTH IS MORE THAN JUST THE ABSENCE OF SICKNESS, SKY LAKES INVESTED NEARLY $13,000 TO HELP PROMOTE HEALTHIER LIFESTYLES WITH NUTRITION AND FITNESS EDUCATION VIA MASS MEDIA CAMPAIGNS. THESE PROMOTIONS WERE INTENDED TO ENCOURAGE PEOPLE TO DO WHAT THEY COULD WITHIN THE CONFINES OF THE PANDEMIC'S SHUTDOWN. COMMUNITY HEALTH IMPROVEMENT SERVICES AMOUNTED TO MORE THAN $588,000 (NET). DURING THE PANDEMIC, SKY LAKES PROVIDED FLU AND COVID-19 TESTING AT A STAND-ALONE FACILITY FOR A TIME THE ONLY TEST SITE IN THE COUNTY AND LATER ADMINISTERED COVID-19 VACCINATIONS AS SOON AS VACCINES BECAME AVAILABLE IN DECEMBER 2020. THE CARES (CHILD ABUSE RESPONSE AND EVALUATION SERVICES) DEPARTMENT'S SCREENINGS AND EDUCATION, SKY LAKES STAFF TIME DONATED TO AREA ORGANIZATIONS AND CIVIC CONTRIBUTIONS AMOUNTED TO MORE THAN $1.18 MILLION (NET) AS WE GLADLY CONTRIBUTED TO THE OVERALL HEALTH OF OUR COMMUNITY. AT CARES, CHILDREN WHO MAY BE VICTIMS OF ABUSE RECEIVE A WELL-CHILD MEDICAL EXAMINATION. IF A DISCLOSURE OF ABUSE IS MADE, THEY ARE SAFE TO SHARE THEIR EXPERIENCES. SOME 350 CHILDREN ANNUALLY ARE ASSESSED FOR POSSIBLE ABUSE, MOST OF THEM SEXUAL ABUSE CASES ALONG WITH CHILD PHYSICAL ABUSE, DRUG-ENDANGERED CHILDREN, EXPOSURE TO DOMESTIC VIOLENCE, AND NEGLECT. EVEN IF SUSPECTED ABUSE IS NOT VERIFIED DURING AN EXAM, FAMILIES LEAVE CARES WITH PROFESSIONAL RECOMMENDATIONS RANGING FROM A FOLLOW-UP WITH A PRIMARY CARE PHYSICIAN TO A REFERRAL FOR COUNSELING. CARES FOLLOWS THE FAMILY FOR AT LEAST THREE MONTHS AFTER THE ASSESSMENT. IF CARES WAS NOT ASSOCIATED WITH SKY LAKES, THE SERVICE LIKELY WOULD NOT EXIST LOCALLY. A PROGRAM COORDINATED BY SKY LAKES FAMILY BIRTH CENTER IS CLOSELY ASSOCIATED WITH THE WORK AT CARES. SKY LAKES CONTRIBUTES $10,000 A YEAR AND PROVIDES STAFF TO HELP COORDINATE AND PROVIDE COLLATERAL SUPPORT IN THE WAY OF ADDITIONAL MULTI-MEDIA ADVERTISING TO FURTHER THE MESSAGE OF THE LOCAL "STOP THE HURT" ANTI-CHILD ABUSE CAMPAIGN AND "PERIODS OF PURPLE CRYING" ANTI-SHAKEN BABY CAMPAIGN. THE PROGRAMS ARE AIMED AT STOPPING INCIDENTS OF INFANT AND CHILD ABUSE AT THE HANDS OF ADULTS. BECAUSE TRANSPORTATION WAS IDENTIFIED AS A MAJOR OBSTACLE TO MANY OF THE PEOPLE WE SERVE ACCESSING HEALTHCARE, SKY LAKES PROVIDED NEARLY $30,000 IN BUS TOKENS AND CAB FARE TO HELP 250 PEOPLE. SKY LAKES PROVIDED MORE THAN $3.3 MILLION IN CHARITY CARE IN THE REPORTING PERIOD, WITH A TOTAL NET COST OF UNREIMBURSED CARE AMOUNTING TO $55.52 MILLION.SKY LAKES IS GOVERNED BY A 10-MEMBER BOARD OF DIRECTORS, WHICH IS OUR DIRECT CONNECTION TO OUR COMMUNITY. THOSE VOLUNTEERS SET POLICY DIRECTION THAT IS PUT INTO ACTION THROUGH OUR SENIOR MANAGEMENT TEAM, OUR PRESIDENT/CHIEF EXECUTIVE OFFICER AND FOUR VICE PRESIDENTS. BUSINESS LEADERS, A VETERINARIAN, A NOT-FOR-PROFIT EXECUTIVE, AND ACTIVE PHYSICIANS COMPRISE THE BOARD. THE SENIOR MANAGEMENT TEAM, WORKING WITH OUR DIRECTORS AND STAFF, DEVELOP PLANS TO PUT INTO ACTION THE POLICY DIRECTION SET BY THE BOARD. DESPITE THE RESTRICTIONS OF THE PANDEMIC, SKY LAKES ACTIVELY PROMOTED HAND HYGIENE BY OFFERING FREE HAND SANITIZER BOTTLES ON REQUEST BY COMMUNITY AND SCHOOL GROUPS, AND SKIN PROTECTION WITH FREE SUNSCREEN IN SINGLE-USE PACKETS. THESE ACTIVITIES ARE IN COORDINATION WITH A MULTI-MEDIA PUBLIC SERVICE CAMPAIGN PROMOTING EARLY DETECTION SCREENINGS AND TESTS AND PROMOTING HEALTHIER BEHAVIORS. BEFORE THE PANDEMIC SHUTDOWN, THE SKY LAKES EMERGENCY DEPARTMENT PURCHASED AND DISTRIBUTED 200 "STOP THE BLEED" KITS AND PROVIDED TRAINING FOR MORE THAN 300 PEOPLE IN 27 CLASSES. THE NATIONALLY RECOGNIZED PROGRAM TEACHES HOW TO RECOGNIZE AND TREAT LIFE-THREATENING BLEEDING. SKY LAKES IS THE PRINCIPAL UNDERWRITER FOR CASCADES EAST FAMILY MEDICINE, A CLINIC AND A FAMILY PRACTICE RESIDENCY PROGRAM OPERATED IN PARTNERSHIP WITH OREGON HEALTH & SCIENCE UNIVERSITY. FINANCIAL SUPPORT FROM SKY LAKES AMOUNTS SOME $3.1 MILLION (NET). FURTHER, SKY LAKES INVESTED $3.51 MILLION (NET) IN 2020 TO RECRUIT PROVIDERS TO THE AREA, WHICH IS CHRONICALLY UNDERSERVED BY PHYSICIANS, AND TO SUPPORT THEIR PRACTICES ONCE HERE. SKY LAKES TAKES AN ACTIVE ROLE IN THE DEVELOPMENT OF PROGRAMS TO HELP PROVIDE MENTAL HEALTH AND SUBSTANCE-DISORDER SERVICES FOR THE COMMUNITY. THE LOCAL ALCOHOL AND DRUG PLANNING COMMITTEE EVALUATES THE AVAILABILITY OF TREATMENT PROGRAMS AND ENHANCES COMMUNICATION AMONG PROVIDERS TO IMPROVE ACCESS TO TREATMENT AND SUPPORT FOR RECOVERY AND PREVENTION SERVICES. SEVERAL SKY LAKES STAFF MEMBERS ARE PART OF THE COMMITTEE AND ATTEND MEETINGS DURING REGULAR WORK TIME. SKY LAKES WILLINGLY CONTRIBUTES TO CIVIC PROJECTS AND ENTHUSIASTICALLY SPONSORS AN ASSORTMENT OF EVENTS AND PROGRAMS TO ENCOURAGE INCREASED PHYSICAL ACTIVITY. SKY LAKES SPONSORS THE FALL AND SPRING HEALTHY KIDS RUNNING SERIES, A FIVE-WEEK RUNNING PROGRAM AT A LOCAL ELEMENTARY SCHOOL FOR KIDS FROM PRE-K TO EIGHTH GRADE. THE SPRING 2020 EVENT WAS CANCELED BECAUSE OF THE PANDEMIC. THE INITIAL SKY LAKES FINANCIAL CONTRIBUTION ($600,000 GIFT OVER THREE YEARS), WHICH LEVERAGED AN ADDITIONAL $1.2 MILLION GIFT FROM THE CAMBIA HEALTH FOUNDATION, ENABLED THE LAUNCH OF THE BLUE ZONES PROJECT THAT HELPED KLAMATH FALLS BE A HEALTHIER COMMUNITY. THE LOCAL BLUE ZONES PROJECT CONTINUED BEYOND THE INITIAL THREE YEARS, AND MORPHED INTO HEALTHY KLAMATH, A SKY LAKES DEPARTMENT WITH SKY LAKES EMPLOYEES. KLAMATH FALLS BECAME THE FIRST BLUE ZONE COMMUNITY IN THE PACIFIC NORTHWEST, AND SKY LAKES WAS THE FIRST DESIGNATED BLUE ZONES WORKSITE IN KLAMATH FALLS. BY INVESTING IN THE BLUE ZONES PROJECT LOCALLY, SKY LAKES DEMONSTRATED ITS COMMITMENT TO IMPROVING OUR COMMUNITY'S HEALTH. FURTHER, ACHIEVING THE DESIGNATION AS THE FIRST BLUE ZONES WORKSITE IN THE NORTHWEST DEMONSTRATES OUR COMMITMENT TO CREATING A HEALTHIER WORK ENVIRONMENT BY SUPPORTING THE WELL-BEING OF OUR EMPLOYEES.TO HELP SUPPORT OTHER COMMUNITY NON-PROFIT ORGANIZATIONS HELP THE COMMUNITY FLOURISH, SKY LAKES PLEDGED $60,000 OVER FIVE YEARS TO THE KLAMATH COMMUNITY FOUNDATION.OTHER PARTNERSHIPS THAT HELP ENSURE THE SUCCESS OF PROGRAMS INCLUDE SKY LAKES SUPPORT OF: -KLAMATH-LAKE COMMUNITY ACTION SERVICES PROGRAM BY DONATING MATERIAL FOR ITS PROGRAM TO PROVIDE QUALIFYING INDIVIDUALS AND FAMILIES ACCESS TO MEDICAL AND DENTAL CARE, AND HYGIENE RESOURCES; -THE RED CROSS BY GIVING AT NO-CHARGE SPACE IN SKY LAKES FACILITIES FOR COMMUNITY BLOOD DRIVES; -MEDICAL MISSIONS TO CENTRAL AMERICA AND TO FIJI BY DONATING MEDICATIONS AND RELATED SUPPLIES AMOUNTING TO A RETAIL VALUE OF MORE THAN $5,000; -FRIENDS OF THE CHILDREN-KLAMATH FALLS AND THE LOCAL COURT APPOINTED SPECIAL ADVOCATES TO SUPPORT THEIR MISSIONS OF ADVOCACY FOR AT-RISK CHILDREN AND YOUTH. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | OR |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| KLAMATH COUNTY SCHOOL DISTRICT | |||||||
| 10501 WASHBURN WAY | KLAMATH FALLS | OR | 97603 | 936000543 | 501(C)(1) | $18,730 | HOSA PROGRAM ASSISTANCE |
| CASA FOR CHILDREN OF KLAMATH COUNTY | |||||||
| 731 MAIN STREET SUITE 202 | KLAMATH FALLS | OR | 97601 | 931261640 | 501(C)(3) | $10,000 | CHILDREN ADVOCACY |
| KLAMATH BASIN SENIOR | |||||||
| 2045 ARTHUR STREET | KLAMATH FALLS | OR | 97601 | 460716639 | 501(C)(3) | $7,500 | SENIOR ADVOCACY |
| BASIN UNITED SOCCER CLUB | |||||||
| 4500 FOOTHILLS BLVD | KLAMATH FALLS | OR | 97603 | 352190336 | 501(C)(3) | $7,000 | WALKING PROGRAM |
| FRIENDS OF THE CHILDREN | |||||||
| 3837 ALTAMONT DRIVE | KLAMATH FALLS | OR | 97603 | 931290284 | 501(C)(3) | $5,850 | CHILDREN ADVOCACY |
| KCDC | |||||||
| 2960 MAYWOOD DRIVE 10 | KLAMATH FALLS | OR | 97603 | 931175532 | 501(C)(3) | $5,000 | MILITARY COMPETITION |
| INTEGRAL YOUTH SERVICES | |||||||
| PO BOX 1385 | KLAMATH FALLS | OR | 97601 | 930981933 | 501(C)(3) | $5,000 | CHILDREN ADVOCACY |
| ROSS RAGLAND THEATER | |||||||
| 218 N 7TH STREET | KLAMATH FALLS | OR | 97601 | 931006823 | 501(C)(3) | $5,000 | BIG SCREEN SEASON 19-20 |
| KLAMATH BASIN BEHAVIORAL HEALTH | |||||||
| 2210 ELDORADO AVENUE | KLAMATH FALLS | OR | 97601 | 930753926 | 501(C)(3) | $5,000 | YOUTH MATTER TO KLAMATH COALITION |
| KLAMATH WORKS | |||||||
| 1930 S 6TH ST | KLAMATH FALLS | OR | 97601 | 811337449 | 501(C)(3) | $5,000 | TRAINING |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 10 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (3 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt |
|---|---|---|
| EDUCATION GRANTS | 20 | $91,423 |
| PATIENT CARE GRANTS | 1474 | $37,378 |
| EDUCATION GRANTS - EMPLOYEES | 14 | $30,474 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE BOARD OF DIRECTORS MAKES DECISIONS ON LARGE GRANT AWARDS. SCHOLARSHIP AWARDS ARE BASED ON A WRITTEN POLICY. OTHER STIPENDS AND EDUCATIONAL SUPPORT REQUIRE, RESPECTIVELY, WORKED HOURS OR MINIMUM GRADING CRITERIA. PATIENT ASSISTANCE GRANTS ARE BASED ON ASSESSMENT OF NEED BY ASSIGNED PERSONNEL. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PAUL STEWART | ||||||||||||||
| PRESIDENT/CEO/SECRETARY/TREAS | $554,230 | $0 | $341,688 | $0 | $0 | $0 | $32,162 | $0 | $15,300 | $0 | $943,380 | $0 | $0 | $0 |
| RICHARD E RICO | ||||||||||||||
| VP/CFO | $402,390 | $0 | $108,529 | $0 | $0 | $0 | $25,514 | $0 | $20,952 | $0 | $557,385 | $0 | $0 | $0 |
| STANTON T SMITH MD | ||||||||||||||
| MEDICAL PROVIDER | $565,537 | $0 | $73,451 | $0 | $0 | $0 | $7,902 | $0 | $20,952 | $0 | $667,842 | $0 | $0 | $0 |
| JARED OGAO MD | ||||||||||||||
| MEDICAL PROVIDER | $569,257 | $0 | $36,704 | $0 | $0 | $0 | $12,375 | $0 | $20,952 | $0 | $639,288 | $0 | $0 | $0 |
| MARC ORLANDO MD | ||||||||||||||
| MEDICAL PROVIDER | $566,443 | $0 | $35,192 | $0 | $0 | $0 | $11,193 | $0 | $20,952 | $0 | $633,780 | $0 | $0 | $0 |
| BRADLEY A KRAMER MD | ||||||||||||||
| MEDICAL PROVIDER | $582,243 | $0 | $0 | $0 | $0 | $0 | $8,850 | $0 | $20,952 | $0 | $612,045 | $0 | $0 | $0 |
| AMR HASSAN | ||||||||||||||
| MEDICAL PROVIDER | $509,417 | $0 | $30,000 | $0 | $0 | $0 | $10,387 | $0 | $20,952 | $0 | $570,756 | $0 | $0 | $0 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| KLAMATH FALLS INTERCOMMUNITY HOSPITAL AUTHORITY | ||||||||
| A | 931061020 | 498413EF6 | 2012-11-29 | $18,288,334 | REFUNDING OF 2002 BONDS; ENERGY EFFICIENCY COSTS; RESERVE FUND | 0 | 0 | 0 |
| KLAMATH FALLS INTERCOMMUNITY HOSPITAL AUTHORITY | ||||||||
| B | 931061020 | 498413FR9 | 2016-06-23 | $59,146,386 | REFUNDING OF 2006 BONDS; NEW MEDICAL OFFICE BUILDINGS; PARKING FACILITIES | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Other Spent ProceedsOtherSpentProceedsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $2,839,000 | $11,772,436 | $18,288,334 | $59,879 | $257,477 | $6,198,542 | 2013 | 0 | Yes (1) | Yes (1) | Yes (1) | |
| B | $983,000 | $59,146,386 | $846,856 | $25,000,000 | 2016 | 0 | Yes (1) | Yes (1) | Yes (1) | $33,299,530 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 0 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | 0 |
| B | 0 |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PAUL STEWART | PersonNm |
| Relationship With Org | PRES/CEO | RelationshipWithOrgTxt |
| Loan Purpose | LIFE INSURANCE POLICY PURCHASE | LoanPurposeTxt |
| Loan From Organization | Yes (X) | LoanFromOrganizationInd |
| Original Principal | $1,200,000 | OriginalPrincipalAmt |
| Balance Due | $1,349,366 | BalanceDueAmt |
| Default | 0 | DefaultInd |
| Board Or Committee Approval | Yes (1) | BoardOrCommitteeApprovalInd |
| Written Agreement | Yes (1) | WrittenAgreementInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $1,349,366 | TotalBalanceDueAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | FORM 990 IS REVIEWED BY THE CONTROLLER, CFO AND OTHER STAFF BEFORE FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | IT IS THE DUTY OF THE BOARD OF DIRECTORS OF SKY LAKES MEDICAL CENTER TO SAFEGUARD THE TAX EXEMPT STATUS OF SKY LAKES MEDICAL CENTER, AND AS SUCH THE BOARD WILL TAKE SERIOUSLY ANY CONFLICT OF INTEREST ON THE PART OF ANY BOARD MEMBER OR POTENTIAL BOARD MEMBER. ALL BOARD MEMBERS AND POTENTIAL MEMBERS MUST DISCLOSE THE EXISTENCE OF ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST. AN UPDATED STATEMENT OF SUCH POTENTIAL CONFLICTS SHALL BE SUBMITTED YEARLY BY ALL BOARD MEMBERS FOR REVIEW AT THE BOARD'S ANNUAL MEETING. AFTER DISCLOSURE OF THE POTENTIAL CONFLICT OF INTEREST AND AFTER ANY DISCUSSION WITH THE INTERESTED PARTY, HE/SHE SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. THE MINUTES OF THE BOARD AND ALL COMMITTEES OF THE BOARD SHALL CONTAIN 1) THE NAMES OF THE PERSONS WHO DISCLOSED OR OTHERWISE WERE FOUND TO HAVE A FINANCIAL INTEREST IN CONNECTION WITH AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST; 2) THE NATURE OF THE FINANCIAL INTEREST; 3) THE NAMES OF THE PERSONS WHO WERE PRESENT FOR THE DISCUSSIONS AND VOTES RELATING TO THE TRANSACTION OR ARRANGEMENT; 4) THE CONTENT OF THE DISCUSSION INCLUDING ANY ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT; 5) ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT OF INTEREST WAS PRESENT; AND, 6) THE BOARD OR COMMITTEE'S DECISION AS TO WHETHER A CONFLICT OF INTEREST IN FACT EXISTED. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS COMPARATIVE DATA FOR THE CEO. FOR THE CEO POSITION ONLY, THE EVALUATION COMMITTEE COMPLETES A PERSONNEL ACTION FORM, WHICH IS SIGNED BY THE BOARD CHAIR. FOR ALL VP POSITIONS, ALL EVALUATIONS ARE MADE BY THE CEO, BASED ON A REVIEW OF MARKET DATA. THE COMPENSATION REVIEW PROCESS WAS LAST UNDERTAKEN IN FEBRUARY 2020. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE ALL MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | BOOK/TAX DIFFERENCE FROM PARTNERSHIPS -151,462. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUTHERN OREGON EMERGENCY CARE LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2865 DAGGETT AVENUE | AddressLine1Txt |
| City | KLAMATH FALLS | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 611595709 | EIN |
| Primary Activities | PHYSICIAN SERVICES | PrimaryActivitiesTxt |
| Legal Domicile State | OR | LegalDomicileStateCd |
| Total Income | $0 | TotalIncomeAmt |
| End Of Year Assets | $0 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SKY LAKES MEDICAL CENTER | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| SKY LAKES MEDICAL CENTER FOUNDATION | ||||||||||
| 2865 DAGGETT AVENUE | KLAMATH FALLS | OR | 97601 | 930946020 | FUNDRAISING AND STEWARDSHIP; SUPPORT MEDICAL CENTER | OR | 501(C)(3) | LINE 12A, I | SKY LAKES MEDICAL CENTER | Yes (1) |
| KLAMATH CARE SERVICES INC | ||||||||||
| 2865 DAGGETT AVENUE | KLAMATH FALLS | OR | 97601 | 930946018 | SUPPORT MEDICAL CENTER (INACTIVE) | OR | 501(C)(3) | LINE 12C, III-FI | SKY LAKES MEDICAL CENTER | 0 |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KLAMATH MEDICAL BUSINESS CENTER LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2865 DAGGETT AVENUE | AddressLine1Txt |
| City | KLAMATH FALLS | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020731372 | EIN |
| Primary Activities | REAL AND PERSONAL PROPERTY RENTAL | PrimaryActivitiesTxt |
| Legal Domicile State | OR | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SKY LAKES MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | INVESTMENT | PredominantIncomeTypeTxt |
| Share Of Total Income | $73,699 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $656,536 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| UBI Code V | $7,500 | UBICodeVAmt |
| General Or Managing Partner | Yes (1) | GeneralOrManagingPartnerInd |
| Ownership | 0.50000 | OwnershipPct |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WEST PHYSICIAN SERVICES LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2865 DAGGETT AVENUE | AddressLine1Txt |
| City | KLAMATH FALLS | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 870696029 | EIN |
| Primary Activities | PHYSICIAN SERVICES | PrimaryActivitiesTxt |
| Legal Domicile State | OR | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SKY LAKES MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C | EntityTypeTxt |
| Share Of Total Income | -$5,941,847 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $4,925,356 | ShareOfEOYAssetsAmt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| WEST PHYSICIAN SERVICES LLC | ||
| D | $322,666 | INCREASE IN LIABILITY |
| KLAMATH MEDICAL BUSINESS CENTER LLC | ||
| K | $120,571 | CASH TRANSFERRED |