2025-08-04T15:25:17-05:00 2024-09-30 390859910 BAKER TILLY ADVISORY GROUP LP 805 SW BROADWAY STE 1400 PORTLAND OR 97205 990 2023-10-01 930508781 SKY LAKES MEDICAL CENTER SKYL 5412746311 2865 DAGGETT AVENUE KLAMATH FALLS OR 97601 ANDREW MOLATORE CFO 5412746150 2025-08-04 1 1 WENDY CAMPOS P00448102 5032421447 2025-08-04 2023 2025-03-06 01:10:19Z DAVID CAUBLE 2865 DAGGETT AVENUE KLAMATH FALLS OR 97601 942397487 0 X WWW.SKYLAKES.ORG X 1979 OR 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. 8 6 1990 94 0 0 1438112 1335160 879562202 916106568 -570381 -701782 6728195 6205491 887158128 922945437 9057737 20120992 0 0 172455239 180701648 0 0 0 703860280 715266162 885373256 916088802 1784872 6856635 473045212 478660589 125339150 113050466 347706062 365610123 X 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. 0 0 871433307 20120992 916216716 PATIENT CARE - 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.UNCOMPENSATED CARE - CHARGES WRITTEN OFF UNDER OUR BROAD-REACHING CHARITY CARE POLICY TOTALED $19,670,284. IN ADDITION TO CHARITY CARE WRITEOFFS, CHARGES WRITTEN OFF AS BAD DEBT TOTALED $5,154,316.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. 871433307 1 1 0 0 0 0 0 0 0 1 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 281 0 1 1990 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 6 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 1 0 OR X ANDREW MOLATORE CFO 5412746150 2865 DAGGETT AVENUE KLAMATH FALLS OR 97601 CAUBLE DAVID A PRESIDENT & CEO 40.00 1.00 X X 607563 0 41529 G SCOTT MCCREADIE MD BOARD MEMBER, MEDICAL DIRECTOR 40.00 1.00 X 489424 0 40736 JOHN BELL CHAIRMAN 3.00 1.00 X X 0 0 0 ROD WENDT VICE CHAIRMAN 1.00 1.00 X X 0 0 0 DAVID STORK BOARD MEMBER 1.00 1.00 X 0 0 0 DOUGLAS MCINNIS DVM BOARD MEMBER 1.00 1.00 X 0 0 0 HEIDI NEEL BIGGS BOARD MEMBER 1.00 1.00 X 0 0 0 WENDY WARREN MD BOARD MEMBER 1.00 1.00 X 0 0 0 RADU MOISA BOARD MEMBER 1.00 1.00 X 0 0 0 RICO RICHARD E VP & CFO 40.00 0.00 X 551633 0 36159 NARAGHI FRED F MEDICAL PROVIDER 40.00 0.00 X 1098559 0 44581 KUBAC GEORGE MEDICAL PROVIDER 40.00 0.00 X 807330 0 33785 OGAO JARED MEDICAL PROVIDER 40.00 0.00 X 674315 0 41358 HASSAN AMR MEDICAL PROVIDER 40.00 0.00 X 666739 0 41734 SMITH STANTON T MEDICAL PROVIDER 40.00 0.00 X 639388 0 40022 STEWART PAUL FORMER CEO 40.00 0.00 X 274395 0 17851 5809346 0 337755 529 1 1 0 KLAMATH ORTHOPEDIC CLINIC 2200 BRYANT WILLIAMS DR KLAMATH FALLS OR 97601 PHYSICIAN PRACTICE 11479928 EDWARD SCOTT HUDSON 4625 NADINE LN FRANKLIN TN 37064 STAFFING SERVICES 9531897 MEDICAL SOLUTIONS 1010 N 102ND STREET SUITE 300 OMAHA NE 68114 STAFFING SERVICES 5794736 KLAMATH RADIOLOGY ASSOCIATES 2900 DAGGETT AVE KLAMATH FALLS OR 97601 PHYSICIAN PRACTICE 5526044 MODOC CONTRACTING COMPANY INC 4027 HWY 39 KLAMATH FALLS OR 97603 CONSTRUCTION 5018184 17 1335160 1335160 PATIENT REVENUE 622110 893930464 893930464 OTHER PROGRAM REVENUE 622110 22176104 22176104 916106568 477074 477074 481261 592585 -111324 -111324 -111324 1178856 -1178856 -1178856 -1178856 23887276 17680609 6206667 6206667 PARTNERSHIP INCOME 901101 110148 110148 110148 922945437 916216716 0 5393561 159548 159548 19961444 19961444 1925220 1925220 145557763 131108702 14449061 7050828 6152194 898634 16886184 14972837 1913347 9281653 7746499 1535154 1498591 172452 1326139 207968 207968 196263 196263 39010829 38992223 18606 576159 150728 425431 1645430 668054 977376 13307771 884163 12423608 3638233 1939485 1698748 57319 57319 730729 483240 247489 3448578 3448578 11888862 11423484 465378 3062778 2401997 660781 CONTRACTUAL ALLOWANCE 559933593 559933593 SUPPLIES 58865878 58427971 437907 BAD DEBTS 5154316 5154316 12042865 7194480 4848385 916088802 871433307 44655495 0 17407657 5586257 229030 23140232 34975509 44410748 1848826 2027095 9553697 10328099 7432567 6409661 310030309 193037225 124924155 116993084 24748464 10776225 144868046 155221556 107057261 103767632 473045212 478660589 47463273 46265540 2206926 2805488 65865015 60546157 9803936 3433281 125339150 113050466 X 347706062 365610123 347706062 365610123 473045212 478660589 X 6856635 11115116 1 -67691 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 7550481 57022 2655149 124709 10137943 6328288 140000 1223786 141593 7550481 6981087 674284 -1322860 4223 6328288 5079505 220491 1757202 39000 37111 6981087 4567616 1700 538586 29111 -714 5079505 0.00000 0.00000 1.00000 0 1 1 5158668 5158668 196694435 104128072 92566363 7345615 5051784 2293831 97760339 83278398 14481941 3071252 578971 2492281 116993084 INVESTMENTS IN OTHER COMPANIES 9066280 C LIFE INSURANCE 140537230 F DEFERRED COMP PLAN ASSETS 5618046 F 155221556 ASSETS LIMITED AS TO USE 155450 OTHER ASSETS 898678 RISK POOL WITHHOLD RECEIVABLE 11117369 CONSTRUCTION IN PROCESS 14355790 OTHER RECEIVABLES 77240345 103767632 ROU LEASE LIABILITIES 1681647 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 1751634 3433281 X 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: 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, 2024 OR 2023. 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, 2024 AND 2023, 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. 1 1 X 1 X 250.000000000000 1 X 1 1 1 0 1 1 7004109 7004109 0.00770 88265296 75186092 13079204 0.01440 95269405 75186092 20083313 0.02210 1860098 452551 1407547 0.00150 8777136 2380839 6396297 0.00700 10624171 8007092 2617079 0.00290 171130 171130 0.00020 21432535 10840482 10592053 0.01160 116701940 86026574 30675366 0.03370 0 5154316 386574 124319785 159590016 -35270231 X 1 1 1 1 SKY LAKES MEDICAL CENTER 2865 DAGGETT AVENUE KLAMATH FALLS OR 97601 SKYLAKES.ORG 14-0724 X X X X SKY LAKES MEDICAL CENTER 1 0 0 1 X X X X X X X X X X 21 1 0 0 1 X SKYLAKES.ORG X HEALTHYKLAMATH.ORG X X 1 21 1 SKYLAKES.ORG 0 1 X 250.000000000000 400.000000000000 X X X X X 1 1 X X X X 1 X SKYLAKES.ORG X SKYLAKES.ORG X SKYLAKES.ORG X X X X X X 1 X 0 X X X X 1 X 0 0 SKY LAKES MEDICAL CENTER PART V, SECTION B, LINE 3J: 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 HELPS SET COMMUNITY PRIORITIES, ESTABLISHES BENCHMARKS AND MONITORS TRENDS IN THE HEALTH STATUS OF KLAMATH COUNTY RESIDENTS. 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 AND POTENTIAL WAYS TO ADDRESS THOSE NEEDS AS TOGETHER WE WORK TO IMPROVING THE HEALTH OF THE PEOPLE IN THE COMMUNITIES WE SERVE. THE MAJOR PARTNERS WITH WHICH SKY LAKES MEDICAL CENTER ENGAGED FOR THE COMMUNITY HEALTH ASSESSMENT INCLUDE KLAMATH COUNTY PUBLIC HEALTH; KLAMATH HEALTH PARTNERSHIP (A.K.A. KLAMATH OPEN DOOR), WHICH OPERATES LOCAL FEDERALLY QUALIFIED FAMILY MEDICINE AND DENTAL CLINICS, CASCADE HEALTH ALLIANCE, WHICH OVERSEES CARE FOR MORE THAN 18,000 MEDICAID RECIPIENTS IN THE AREA, ALSO BASED IN KLAMATH FALLS. ADDITIONALLY, 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 ACTIVELY PROMOTES HEALTH-IMPROVEMENT INITIATIVES THAT ALIGN WITH THE COMMUNITY HEALTH IMPROVEMENT PLAN, CONTRIBUTED TIME AND RESOURCES TO HELP COMPLETE THE ASSESSMENT. THESE AND OTHER COMMUNITY PARTNERS ARE ORGANIZED IN THE HEALTHY KLAMATH NETWORK. THE NETWORK 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; KLAMATH TRIBAL HEALTH & FAMILY SERVICES; OREGON HEALTH & SCIENCE UNIVERSITY'S NURSING PROGRAM AT OREGON INSTITUTE OF TECHNOLOGY (OIT) IN KLAMATH FALLS; THE CITY OF KLAMATH FALLS AND KLAMATH COUNTY GOVERNMENTS; THE LOCAL NEWSPAPER; THE REGION'S LARGEST RADIO STATIONS; AMONG OTHERS. SKY LAKES, THE LOCAL PUBLIC HEALTH AGENCY, KLAMATH HEALTH PARTNERSHIP, AND CASCADE HEALTH ALLIANCE COMPRISE THE HEALTHY KLAMATH NETWORK CORE LEADERSHIP. DATA COLLECTED ON BEHALF OF HEALTHY KLAMATH HELPED CORROBORATE FINDINGS IN THE NEEDS ASSESSMENT AND WILL HELP VALIDATE STRATEGIES IN THE IMPROVEMENT PLAN. THE HEALTHY KLAMATH STAFF CONTINUE TO COORDINATE THE HEALTHY KLAMATH ACTIVITIES. THE FIRST KLAMATH COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED IN 2013, AND WAS IMMEDIATELY FOLLOWED BY A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). THIS IN-DEPTH LOOK HELPED THE COMMUNITY COLLECT BASELINE DATA AND IDENTIFY PRESSING HEALTH ISSUES AND WAS A DRIVING FORCE IN ORGANIZING AND POSITIVELY CHANGING COMMUNITY ATTITUDES REGARDING HEALTH. CHNA REPORTS WERE COMPLETED IN 2015 AND 2018 AND 2021 WITH CHIP REPORTS FOLLOWING ABOUT A YEAR LATER EACH. THE CYCLE FOR CHNA AND CHIP COMPLETION IS EVERY THREE YEARS, THE MINIMUM AMOUNT OF TIME RECOMMENDED TO RECOGNIZE TRENDS IN DATA AND TO MONITOR PROGRESS IN ADDRESSING HEALTH ISSUES AND POOR HEALTH OUTCOMES. THE 2021 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 NETWORK. THE ASSESSMENT PROCESS RELIES PRIMARILY ON SECONDARY DATA AND USES SURVEYS AND COMMUNITY FEEDBACK TO GATHER BOTH QUALITATIVE AND QUANTITATIVE DATA. THE INTENT IS TO HEAR FROM MANY VOICES AS IS PRACTICAL AND TO STRIVE FOR COOPERATION AS WE WORK TOGETHER TO MAKE CHANGES, SUPPORTED BY DATA THAT WOULD RESULT IN HEALTHIER BEHAVIORS IN THE POPULATION.WE MONITOR OUR PROGRESS USING APPROXIMATELY 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. TO GATHER DATA FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLAN, WE USE THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) MODEL, A COMMUNITY-WIDE STRATEGIC PLANNING PROCESS FOR IMPROVING PUBLIC HEALTH. THERE ARE NINE CRITICAL ELEMENTS OF THE MAPP PROCESS, WHICH LAY THE FOUNDATION FOR CONTINUOUS COMMUNITY HEALTH IMPROVEMENT. THESE ELEMENTS ARE 1) STRATEGIC PLANNING; 2) SYSTEMS THINKING; 3) COMMUNITY OWNERSHIP AND STAKEHOLDER INVESTMENT; 4) SHARED RESPONSIBILITY AND WORKING TOWARDS A COLLECTIVE VISION; 5) USING COMPREHENSIVE DATA TO INFORM THE PROCESS; 6) BUILDING ON PREVIOUS EXPERIENCE; 7) PARTNERSHIPS; 8) INVOLVING THE LOCAL PUBLIC HEALTH SYSTEM; AND 9) CELEBRATING SUCCESSES. THE 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. MAPP ALLOWS FOR AN ONGOING CYCLE OF ASSESSMENT, EVALUATION AND ACTION. ONE OF THE MAPP ASSESSMENTS INCLUDES THE KLAMATH COMMUNITY HEALTH ASSESSMENT SURVEY, WHICH WAS CREATED IN ENGLISH AND SPANISH TO COLLECT QUANTITATIVE DATA TO BETTER UNDERSTAND LOCAL HEALTH STATUS, HEALTH CONCERNS, FACILITATORS AND BARRIERS TO CARE, AND HEALTH BEHAVIORS OF COMMUNITY MEMBERS, WAS FIELDED TO COLLECT DATA FOR THE PREVIOUS CHNA. PARTICIPANTS AT COVID-19 VACCINE CLINICS WERE ASKED COMPLETE EITHER A PAPER SURVEY ONSITE OR VISIT THE ONLINE SURVEY TO PROVIDE ANSWERS TO 26 ASSESSMENT QUESTIONS. THE SURVEY WAS ALSO MADE AVAILABLE TO THE COMMUNITY THROUGH EMAILS SENT TO LISTS CURATED BY HEALTHY KLAMATH AGENCIES, VARIOUS MEDIA ARTICLES, AND DISTRIBUTION TO PEOPLE BEING SERVED BY COMMUNITY HEALTH WORKERS. A TOTAL OF 1,058 PEOPLE PARTICIPATED, UP FROM 500 FOR THE 2018 ASSESSMENT. A FEW KEY FINDINGS FROM THIS SURVEY SHOWED THAT 12% REPORTED BEING IN "FAIR OR "POOR" HEALTH; 2021'S COUNTY HEALTH RANKINGS & ROADMAPS RECORDED THE NUMBER AT 21%. MORE THAN 9% FOUND PUBLIC TRANSPORTATION DIFFICULT TO USE, WITH 80% REPORTING NOT USING PUBLIC TRANSPORTATION. ABOUT 30% REPORTED FOOD INSECURITY. 10% HAD SHELTER CONCERNS. 12.5% HAD NO HEALTH SERVICES. BARRIERS TO RECEIVING HEALTH SERVICES INCLUDED COST (15%), DISTANCE AND/OR WEATHER (10%), AND COULD NOT GET AN APPOINTMENT (9%). MEDICAL CHECK-UP (11.6%) AND DENTAL EXAM (10.7%) WERE THE MAIN SERVICES PEOPLE WERE UNABLE TO USE. ABOUT 11% REPORTED MISSING OR SKIPPING A HEALTH SERVICES APPOINTMENT IN THE LAST 30 DAYS. JUST UNDER HALF OF THE RESPONDENTS (ABOUT 45%) REPORTED HAVING MENTAL HEALTH ISSUES THAT AFFECTED DAILY ACTIVITIES IN THE LAST 30 DAYS. THE 2021 COUNTY RANKINGS & ROADMAPS REPORTED KLAMATH COUNTY RESIDENTS EXPERIENCED 5.4 POOR MENTAL HEALTH DAYS EACH MONTH. MORE THAN HALF (55%) REPORTED PHYSICAL PAIN AFFECTED DAILY ACTIVITIES. THE 2021 COUNTY RANKINGS REPORTED RESIDENTS HAD 5 POOR PHYSICAL HEALTH DAYS EACH MONTH. PREVIOUSLY PRIMARY DATA WAS ALSO COLLECTED THROUGH LISTENING SESSIONS, BUT DUE TO COVID-19, DATA WAS COLLECTED SURVEYS, ON FACEBOOK, AND THROUGH COMMUNITY EVENTS. FOR KLAMATH FALLS, THE OVERALL 2021 WELL-BEING SCORE WAS 59.9 OUT OF 100. THIS WAS THE SAME AS 2020. SOCIAL AND PHYSICAL WELL-BEING WERE THE STRONGEST AREAS; OPPORTUNITY AREAS ARE STRESS MANAGEMENT, FRUIT AND VEGETABLE CONSUMPTION, AND BODY MASS INDEX. HEALTHCARE ACCESS IS A WEAKNESS FOR KLAMATH FALLS, WITH AREAS OF IMPROVEMENT SEEN IN WALKING AND BIKING TO WORK, AND USING PUBLIC TRANSPORTATION FOR COMMUTING. AREAS TO BE AWARE OF ARE THE HIGH POVERTY RATE AND HIGH PERCENT OF RESIDENTS RECEIVING SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM BENEFITS. THE PRIORITY AREAS IDENTIFIED TO FOCUS ON INCLUDE: EQUITY; FOOD INSECURITY, HUNGER; HEALTH PROMOTION, ACCESS TO SERVICES; MENTAL HEALTH; SUBSTANCE USE, AND PHYSICAL ACTIVITY. SKY LAKES MEDICAL CENTER HAS SUCCESSFULLY PARTNERED TO COMPLETE THE DATA COLLECTION FOR THE 2024 COMMUNITY HEALTH NEEDS ASSESSMENT. THIS WAS COMPLETED THROUGH SURVEY COLLECTION AND COMMUNITY LISTENING SESSIONS. THE 2024 COMMUNITY HEALTH NEEDS ASSESSMENT FINAL DRAFT WILL BE COMPLETED BY JUNE 2025. SKY LAKES MEDICAL CENTER PART V, SECTION B, LINE 5: OUR COMMUNITY HEALTH NEEDS ASSESSMENT, 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 MORE THAN 18,000 MEDICAID RECIPIENTS IN THE AREA, BASED IN KLAMATH FALLS. OTHER COMMUNITY PARTNERS ARE ORGANIZED IN THE HEALTHY KLAMATH NETWORK. THE NETWORK 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; KLAMATH TRIBAL HEALTH & FAMILY SERVICES; 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. FOR THE 2021 CHNA, SKY LAKES MEDICAL CENTER STAFF ALONGSIDE OF THE HEALTHY KLAMATH NETWORK PRIORITIZED INCLUDING FEEDBACK FROM ALL POPULATIONS IN KLAMATH COUNTY, AND MADE AN EFFORT TO GET INCREASED FEEDBACK FROM THE TRIBAL POPULATION, HISPANIC POPULATION, AND INPUT FROM COMMUNITIES ACROSS KLAMATH COUNTY. WE DID THIS BY TRAVELING TO OUTLYING COMMUNITIES AND HOSTING LISTENING SESSIONS TO LEARN MORE ABOUT THE COMMUNITIES AND POPULATIONS SPECIFIC NEEDS. THE INFORMATION GAINED FROM THE LISTENING SESSIONS WERE USED TO CHOOSE OUR COMMUNITY HEALTH IMPROVEMENT PLAN PRIORITY AREAS. 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, AND ON REQUEST. SKY LAKES MEDICAL CENTER PART V, SECTION B, LINE 11: SKY LAKES MEDICAL CENTER IS PARTNERING WITH ORGANIZATIONS ACROSS THE COMMUNITY TO ADDRESS THE NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. SKY LAKES PARTNERS BY PROVIDING STAFF DEDICATED TO IMPLEMENTING HEALTH IMPROVEMENT PLANS ADDRESSING NEEDS FOUND IN THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT. FOOD INSECURITY: SKY LAKES MEDICAL CENTER IS ACTIVELY ADDRESSING FOOD INSECURITY IN THE COMMUNITY THROUGH VARIOUS INITIATIVES. THE SKY LAKES WELLNESS CENTER OFFERS PROGRAMS IN NUTRITION, EXERCISE, AND STRESS AND LIFESTYLE CHANGE MANAGEMENT. PARTNERING WITH ORGANIZATIONS LIKE OREGON STATE UNIVERSITY'S EXTENSION PROGRAM, SKY LAKES IMPLEMENTS INTERVENTIONS TO PREVENT OBESITY THROUGH NUTRITION AND FOOD PREPARATION EDUCATION, OFTEN FUNDED BY SKY LAKES. ADDITIONALLY, SKY LAKES DIETITIANS HAVE HISTORICALLY PROVIDED FREE PRESENTATIONS TO LOCAL BUSINESSES AND ORGANIZATIONS, PROMOTING BETTER NUTRITION CHOICES. IN 2024 SKY LAKES MEDICAL CENTER ALSO STARTED HOSTING A PRODUCE CONNECTION SITE. PRODUCE CONNECTION IS FREE PRODUCE FOR ALL COMMUNITY MEMBERS, DELIVERING THOUSANDS OF POUNDS TO PATIENTS, STAFF AND COMMUNITY MEMBERS.THE NUTRITION OREGON CAMPAIGN LED BY SKY LAKES' HEALTHY KLAMATH DEPARTMENT, IN PARTNERSHIP WITH OHSU MOORE INSTITUTE, AIMS TO EXPAND NUTRITION EDUCATION FOR YOUNG WOMEN, EXPECTING AND NEW MOTHERS, ENSURING HEALTHY STARTS FOR THEIR BABIES. FURTHERMORE, SKY LAKES HAS SUPPORTED INTEGRAL YOUTH SERVICES THROUGH COMMUNITY BENEFIT FUNDING, PROVIDING MOBILE SERVICES THAT DELIVER FOOD AND EDUCATIONAL MATERIALS TO REMOTE COMMUNITIES. IN 2023, SKY LAKES UTILIZED COMMUNITY BENEFIT FUNDING TO SUPPORT THE KLAMATH FALLS FARMERS MARKET. THIS SUPPORT ENABLED THE MARKET TO OFFER A DOUBLE UP FOOD BUCKS PROGRAM, EFFECTIVELY DOUBLING THE PURCHASING POWER OF SNAP PARTICIPANTS FOR FRESH, LOCALLY GROWN PRODUCE. FURTHERMORE, SKY LAKES CONTRIBUTED $10,000 TO THE KLAMATH AND LAKE COUNTIES COUNCIL FOR AGING ADULTS, SPECIFICALLY FOR THEIR MEALS ON WHEELS PROGRAM, WHICH DELIVERS ESSENTIAL FOOD TO ELDERLY INDIVIDUALS FACING FOOD INSECURITY.HEALTH PROMOTION, ACCESS TO SERVICE: 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 PROGRAM 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 GAINING THEIR FAMILY MEDICINE SPECIALTY. ONE OF THE KEY AREAS OF FOCUS FOR SKY LAKES IS SUPPORTING THE PROFESSIONAL GROWTH OF HEALTHCARE PROVIDERS. SKY LAKES SPENT $8,777,136 IN 2024 TO FOSTER THE DEVELOPMENT OF INTERNS, RESIDENTS, FELLOWS, NURSES, AND OTHER HEALTH PROFESSIONALS. THIS INVESTMENT ENSURES THAT THE NEXT GENERATION OF HEALTHCARE PROVIDERS IS WELL-TRAINED AND PREPARED TO MEET THE EVOLVING NEEDS OF THE COMMUNITY. SKY LAKES PHARMACY ALSO HAS AN ACTIVE RESIDENCY PROGRAM TO FURTHER DEVELOP HEALTH CARE RESOURCES. SKY LAKES OFFERS STUDENTS IN A LOCAL COMMUNITY COLLEGE CLASSROOM INSTRUCTION REGARDING VARIOUS ASPECTS OF BEDSIDE CARE. TO INCREASE ACCESS TO PRESCRIPTION MEDICATIONS SKY LAKES ALSO OPENED A NEW PHARMACY THAT PROVIDES A DRIVE THROUGH INCREASING AVAILABILITY AND ACCESSIBILITY. SKY LAKES MEDICAL CENTER REMAINS A SIGNIFICANT SUPPORTER OF LOCAL HEALTHCARE TRAINING PROGRAMS, INCLUDING THOSE AT THE HIGH SCHOOL AND COMMUNITY COLLEGE LEVELS FOR CERTIFIED NURSING ASSISTANTS AND MEDICAL ASSISTANTS. THE MEDICAL CENTER ALSO ACTIVELY PROMOTES STUDENT ENGAGEMENT IN SCIENCE, TECHNOLOGY, ENGINEERING, MATH, AND MEDICAL (STEM&M) FIELDS. SKY LAKES IS ACTIVELY WORKING WITH THE CITY AND COUNTY SCHOOLS TO EXPAND CAREER PIPELINES FOR LOCAL HIGH SCHOOL STUDENTS FOR HEALTH CAREER CTE. THIS YEAR, SKY LAKES SECURED OVER $500,000 TO SUPPORT THE HEALTH CAREER PATHWAY WITH LOCAL HIGH SCHOOLS, AND PLANS TO DEVELOP AND INVEST IN A CTE CAMPUS. SKY LAKES SPENT $30,000 ON A CONSULTANT TO ENGAGE THE COMMUNITY AROUND HUMAN CENTERED DESIGN FOR THE NEW CTE CAMPUS AT SKY LAKES. SKY LAKES MEDICAL CENTER IS AN ENTHUSIASTIC PARTNER WITH LOCAL SCHOOLS IN ATHLETIC AS WELL AS ACADEMIC PROGRAMS. WE ACTIVELY SUPPORT A LOCAL ORGANIZATION CALLED KLAMATH PROMISE, AND HELP THEM PROVIDE SCHOLARSHIPS TO HUNDREDS OF STUDENTS IN KLAMATH COUNTY. SKY LAKES ALSO ENCOURAGES PARTICIPATION IN EXTRA-CURRICULAR ACTIVITIES AT ALL LEVELS AND PROVIDES FUNDING FOR ROBOTICS, HEALTH OCCUPATIONS AND ACADEMIC COMPETITIONS IN 2024.ADDITIONALLY, SKY LAKES MEDICAL CENTER DEMONSTRATES A STRONG COMMITMENT TO COMMUNITY HEALTH EDUCATION AND OUTREACH. WITH OVER $200,000 ALLOCATED TO THESE EFFORTS, SKY LAKES WORKS TO EDUCATE THE PUBLIC ON VITAL HEALTH ISSUES, PROMOTE WELLNESS, AND PREVENT DISEASE. SKY LAKES DOES THIS THROUGH A COMMUNITY HEALTH FAIR, WELLNESS CENTER PROGRAM, AND THE HEALTHY KLAMATH NETWORK. THESE EDUCATIONAL INITIATIVES ARE ESSENTIAL IN EMPOWERING INDIVIDUALS TO MAKE INFORMED DECISIONS ABOUT THEIR HEALTH, ULTIMATELY LEADING TO A HEALTHIER COMMUNITY.CHARITY CARE IS ANOTHER CRITICAL COMPONENT OF SKY LAKES' COMMUNITY SUPPORT IN INCREASING ACCESS TO CARE. SKY LAKES PROVIDES OVER $7 MILLION IN TOTAL CHARITY CARE, SERVING MORE THAN 11,000 INDIVIDUALS WHO MIGHT OTHERWISE LACK ACCESS TO NECESSARY HEALTHCARE. THIS SUBSTANTIAL CONTRIBUTION UNDERSCORES SKY LAKES' DEDICATION TO ENSURING THAT FINANCIAL BARRIERS DO NOT PREVENT INDIVIDUALS FROM RECEIVING THE CARE THEY NEED. BY OFFERING THESE SERVICES, SKY LAKES HELPS BRIDGE THE GAP FOR VULNERABLE POPULATIONS, FOSTERING A MORE INCLUSIVE HEALTHCARE ENVIRONMENT.MENTAL HEALTH: KLAMATH COUNTY FACES INCREASING MENTAL HEALTH CONCERNS, AS HIGHLIGHTED IN THE COMMUNITY NEEDS ASSESSMENT. DESPITE BEING A VIBRANT COMMUNITY, THERE IS A SIGNIFICANT PREVALENCE OF MENTAL HEALTH ISSUES COUPLED WITH A SHORTAGE OF MENTAL HEALTH PROVIDERS. THESE CHALLENGES OFTEN CONTRIBUTE TO WIDER SOCIAL AND PHYSICAL HEALTH PROBLEMS WITHIN THE COUNTY. IN RESPONSE TO THIS GROWING NEED, SKY LAKES MEDICAL CENTER RUNS A BEHAVIORAL HEALTH CLINIC. THIS CLINIC NOW EMPLOYS ONE PSYCHIATRIST AND THREE LICENSED COUNSELORS, AN EXPANSION DRIVEN BY THE IDENTIFIED NEEDS IN THE COMMUNITY HEALTH NEEDS ASSESSMENT AND THE INCREASING DEMAND FOR MENTAL HEALTH SUPPORT.SKY LAKES MEDICAL CENTER ALSO WORKS IN CLOSE COORDINATION WITH KLAMATH BASIN BEHAVIORAL HEALTH (KBBH) AND SUPPORTS THAT ORGANIZATION'S ROLE IN THE COMMUNITY. ADDITIONALLY, A NEW STRATEGIC PRIORITY FOR SKY LAKES IS TO FORM A MENTAL HEALTH STRATEGIC PLAN TO CREATE A VISION FOR THE FUTURE OF MENTAL HEALTH IN OUR COMMUNITY. PHYSICAL ACTIVITY: SKY LAKES HEALTHY KLAMATH DEPARTMENT IN PARTNERSHIP WITH HEALTHY KLAMATH NETWORK WORK TO INCREASE PHYSICAL ACTIVITY OPPORTUNITIES BY PROVIDING FREE CLASSES TO THE COMMUNITY AND RAISING FUNDING FOR PLAYGROUNDS AND PROJECTS THAT INCREASE PHYSICAL ACTIVITY FOR ALL POPULATIONS. SKY LAKES STAFF SUCCESSFULLY RAISED 1.4 MILLION DOLLARS IN GRANT FUNDS TO BE INVESTED IN OUR COMMUNITY'S PARKS TO CREATE MORE PHYSICAL ACTIVITY OPPORTUNITIES FOR YOUTH. LEVERAGING COMMUNITY BENEFIT FUNDING, THE ORGANIZATION HAS SUPPORTED INITIATIVES SUCH AS UPDATED PLAYGROUND EQUIPMENT FOR SCHOOLS, SWIMMING LESSONS FOR COMMUNITY YOUTH, AND THE HEALTHY KIDS RUNNING SERIES.SKY LAKES MEDICAL CENTER HAS ACTIVELY CONTRIBUTED TO ENHANCING LOCAL OUTDOOR RECREATION. THIS INCLUDES THE DEVELOPMENT OF NUMEROUS HIKING TRAILS AND A PROTECTED BIKE LANE CONNECTING THE CITY CENTER TO A PARK, WITH STAFF RECENTLY SEEKING GRANT FUNDING FOR THE BIKE LANE'S COMPLETION. FURTHERMORE, SKY LAKES SPEARHEADED THE CREATION OF A FAMILY PLAY AREA AT A LOCAL PARK AND A NEW DOWNTOWN PARK, ALIGNING WITH THE BLUE ZONES PROJECT'S RECOMMENDATIONS AND IN PARTNERSHIP WITH THE SKY LAKES WELLNESS CENTER AND OTHER DEPARTMENTS. THE ORGANIZATION ALSO SECURED $108,900 TO IMPROVE COMMUNITY WAYFINDING, SIGNAGE, AND WALKING PATHS. CURRENTLY, SKY LAKES STAFF ARE DEDICATED TO ESTABLISHING A RECREATION DISTRICT FOR THE COUNTY, ENVISIONING IT AS A SUSTAINABLE SOURCE OF FUNDING FOR MAINTENANCE AND FUTURE EXPANSION OF RECREATIONAL AMENITIES.ADDITIONALLY, SKY LAKES MEDICAL CENTER HAS CONTRIBUTED FINANCIAL AND HUMAN RESOURCES TO HELP CREATE GREENSPACES IN DOWNTOWN KLAMATH FALLS, INCLUDING IMPROVING DILAPIDATED BUILDINGS, INCREASING PUBLIC ART, AND CREATING A NEARLY ONE SQUARE-BLOCK PARK, 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. ADDITIONALLY, SKY LAKES IS ACTIVELY WORKING WITH THE CITY OF KLAMATH FALLS AND KLAMATH COUNTY THROUGH OUR BUILT ENVIRONMENT COMMITTEE TO IMPROVE WALKING TRAILS DOWNTOWN, CREATE NEW PARKS, AND RAISE FUNDING FOR ADDITIONAL PHYSICAL ACTIVITY INFRASTRUCTURE. [SEE PART V 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 11 OVERFLOW: SUBSTANCE USE: SKY LAKES COLLABORATES CLOSELY WITH COMMUNITY PARTNERS TO COMBAT SUBSTANCE USE ISSUES IN KLAMATH COUNTY. LEADERSHIP FROM SKY LAKES ACTIVELY PARTICIPATES IN THE LOCAL ALCOHOL AND DRUG PREVENTION COUNCIL, ENSURING THEY ARE AT THE FOREFRONT OF PREVENTION EFFORTS. FURTHERMORE, SKY LAKES HAS JOINED FORCES WITH THESE PARTNERS TO DEVELOP A COMPREHENSIVE BEHAVIORAL HEALTH STRATEGIC PLAN. THIS PLAN OUTLINES SPECIFIC STRATEGIES FOR REDUCING SUBSTANCE USE AND PROVIDING CRITICAL SERVICES TO THOSE IN NEED. OTHER COMMUNITY SUPPORT:IN ADDITION TO ADDRESSING THE KEY FOCUS AREAS OF THE COMMUNITY HEALTH IMPROVEMENT PLAN, SKY LAKES ALSO FULFILLS ITS MISSION TO SERVE THE COMMUNITY BY PROVIDING OR SUBSIDIZING NUMEROUS ACTIVITIES. FOR EXAMPLE, CARES (CHILD ABUSE RESPONSE AND EVALUATION SERVICES), A SKY LAKES DEPARTMENT, CONDUCTS SCREENINGS AND EDUCATION TO HELP HUNDREDS OF CHILDREN. LAST YEAR, SKY LAKES CONTRIBUTED $576,382 FOR THOSE SERVICES. 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. STAFF THERE ASSESS NEARLY 400 CHILDREN ANNUALLY 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 THE CARES PROGRAM WAS NOT ASSOCIATED WITH SKY LAKES MEDICAL CENTER, THE SERVICE LIKELY WOULD NOT EXIST LOCALLY.OTHER PARTNERSHIPS FUNDED IN 2024 THAT HELP ENSURE THE SUCCESS OF PROGRAMS INCLUDE SKY LAKES SUPPORT OF: - COURT APPOINTED SPECIAL ADVOCATES (CASA) FOR CHILDREN OF KLAMATH COUNTY WITH A $5,000 CONTRIBUTION TO HELP THEM PREPARE FOR THEIR ANNUAL FUNDRAISER CALLED CASABLANCA. THIS EVENT HELPS RAISE THOUSANDS OF DOLLARS FOR VARIOUS EXPENSES. - KLAMATH COUNTY OUTDOOR SCIENCE SCHOOL WITH $5,000 TO EDUCATE KIDS ABOUT THE IMPORTANCE OF OUTDOORS. - PONDEROSA JUNIOR HIGH SPEAKER SPONSORSHIP TO HELP EDUCATE KIDS AND FAMILIES. - $101,006 TO ASSIST WITH TRANSPORTATION, BUS TOKENS, CAB FARE AND OTHER MEANS OF TRANSPORTATION FOR PATIENTS IN NEED OF ASSISTANCE. - OVER $100,000 IN COMMUNITY BENEFIT GRANT FUNDS THAT SUPPORT VARIOUS PROGRAMS, PROJECTS, AND EVENTS TO SUPPORT LOCAL NON-PROFIT HEALTH IMPROVEMENT AND COMMUNITY DEVELOPMENT RELATED WORK. SKY LAKES MEDICAL CENTER SUPPORTED 83,259 ENCOUNTERS THROUGH VARIOUS COMMUNITY BENEFIT PROGRAMS. THE TOTAL EXPENSE FOR THESE SERVICES WAS $200,458,226 WITH DIRECT OFFSETTING REVENUE OF $75,186,092, LEAVING A NET COMMUNITY BENEFIT EXPENSE OF $13,667,812. 17 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 PROGRAM 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 - DIETITIAN AND CODERS 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 2301 MOUNTAIN VIEW BLVD SUITE A 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 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 $ 5,154,316. 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.THE FOOTNOTE THAT DISCUSSES BAD DEBT EXPENSE IS CONTAINED ON THE ATTACHED FINANCIAL STATEMENTS AND 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 ACTIVELY MONITORING THE HEALTHY COMMUNITIES INSTITUTE (HCI) INDICATORS TRACKED AND DISPLAYED AT HEALTHYKLAMATH.ORG. THAT WEBSITE IS THE COMMUNICATIONS TOOL OF HEALTHY KLAMATH, 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 ALSO CONDUCTS AN NRC SURVEY TO ALL PATIENTS, AND ASKS ADULTS TO SELF-REPORT THEIR HEALTH STATUS VIA ANONYMOUS AND RANDOMIZED SURVEYS MAILED TO PATIENTS RECENTLY DISCHARGED FROM THE MEDICAL CENTER. THE HEALTHY KLAMATH NETWORK IN PARTNERSHIP WITH KLAMATH COUNTY PUBLIC HEALTH AND THE OREGON HEALTH AUTHORITY, PERIODICALLY PERFORMS HEALTH ASSESSMENTS OF THE PEOPLE IN THE COMMUNITIES SERVED BY SKY LAKES MEDICAL CENTER. THE MEDICAL CENTER WORKS WITH LOCAL HEALTH AUTHORITIES AND AGENCIES TO DETERMINE THE HEALTH-IMPROVEMENT INITIATIVES THAT CAN BE JOINTLY ADDRESSED BY COMMUNITY LEADERS, WITH SKY LAKES SERVING A SIGNIFICANT LEADERSHIP ROLE AND A FUNDING SOURCE. PART VI, LINE 3: SKY LAKES MEDICAL CENTER'S FINANCIAL ASSISTANCE POLICY AND APPLICATION FOR ASSISTANCE AND INSTRUCTIONS ARE LOCATED ON THE HOSPITAL'S WEBSITE IN ENGLISH AND SPANISH, AND 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. 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'S 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. SKY LAKES CONTRACTS WITH CHANGE HEALTHCARE TO HELP US IDENTIFY UNINSURED PATIENTS WHO MAY QUALIFY FOR COVERAGE THROUGH VARIOUS GOVERNMENT PROGRAMS, INCLUDING MEDICARE AND MEDICAID. ON-SITE CHANGE HEALTHCARE STAFF CAN HELP GET PATIENTS' PAPERWORK ORGANIZED AT NO COST TO PATIENTS. THEY ALSO WORK WITH PATIENTS WHO DO NOT QUALIFY TO RECEIVE FINANCIAL HELP FROM MEDICAID TO FIND OTHER OPTIONS LIKE STATE AND LOCAL PROGRAMS, DISABILITY, AND INSURANCE THROUGH THE AFFORDABLE CARE ACT, THE SKY LAKES CHARITY PROGRAM, OR OTHER PAYMENT 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. THE SKY LAKES CANCER TREATMENT CENTER, AN OUTPATIENT 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: KLAMATH COUNTY'S POPULATION IS APPROXIMATELY 70,212 (2024) WITH KLAMATH FALLS BEING THE LARGEST CITY WITH A LARGE SUBURBAN POPULATION. THE UGB'S ESTIMATED POPULATION IS APPROXIMATELY 60% OF THE TOTAL. THE REGION IS PREDOMINANTLY NON-HISPANIC WHITE, 75.8% (2024). THE POPULATION OF PEOPLE IDENTIFYING AS HISPANIC OR LATINO IS STEADILY RISING AT 14.9% IN 2024, 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 IN 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 22.1% OF THE POPULATION WHILE THOSE UNDER 18 COMPRISE 21.7% THE MEDIAN HOUSEHOLD INCOME IN KLAMATH COUNTY IS REPORTED TO BE $57,219 (2024, UP FROM $41,900 IN 2020), COMPARED TO $86,780 FOR OREGON, WITH 65% OF CHILDREN ELIGIBLE FOR FREE OR REDUCED-PRICE LUNCH. THAT COMPARES TO 32% NATIONALLY AND 51% IN OREGON.THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AIMS TO GAIN A DEEPER UNDERSTANDING OF OUR COMMUNITY'S HEALTH STATUS AND CREATE LOCALIZED APPROACHES TO TACKLE SPECIFIC NEEDS AND PRIORITIES IDENTIFIED WITHIN IT. TO ENSURE THE CHNA DATA ACCURATELY REFLECTS COMMUNITY SENTIMENT, WE ALSO CONDUCT LISTENING SESSIONS. THESE SESSIONS ARE OPEN FORUMS WHERE RESIDENTS CAN SHARE THEIR PERSPECTIVES AND THOUGHTS ON THEIR HEALTH AND THE COMMUNITY. THE INFORMATION GATHERED DURING THESE SESSIONS IS THEN ANALYZED AND INCORPORATED INTO THE CHNA REPORT. 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. 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, PULMONARY DISEASE AND THOSE WHO HAVE DIABETES. SKY LAKES STAFF AND VOLUNTEERS ALSO CONTINUE TO HELP THE AMERICAN RED CROSS CONDUCT REGULAR BLOOD DRIVES FROM SKY LAKES FACILITIES. NOTING THAT HEALTH IS MORE THAN JUST THE ABSENCE OF SICKNESS, SKY LAKES MEDICAL CENTER INVESTED NEARLY $100,000 TO HELP PROMOTE HEALTHIER LIFESTYLES WITH HEALTH PROMOTION AND FITNESS EDUCATION VIA MASS MEDIA CAMPAIGNS THROUGH THE HEALTHY KLAMATH WORK. COMMUNITY HEALTH IMPROVEMENT SERVICES AMOUNTED TO $724,282 IN 2024 (NET). TO FUND CARES (CHILD ABUSE RESPONSE AND EVALUATION SERVICES) DEPARTMENT'S SCREENINGS AND EDUCATION SKY LAKES CONTRIBUTED $576,382 TO HELP HUNDREDS OF CHILDREN. 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. THE STAFF THERE ASSESS NEARLY 400 CHILDREN ANNUALLY FOR POSSIBLE ABUSE, MOST OF THEM SEXUAL ABUSE CASES ALONG WITH CHILD PHYSICAL ABUSE, DRUG-ENDANGERED CHILDREN, EXPOSURE TO DOMESTIC VIOLENCE, AND NEGLECT. 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 $101,006 (NET 2024) IN BUS TOKENS, CAB FARE, AND THE LIKE TO HELP HUNDREDS OF PEOPLE. TOTAL SKY LAKES NET COMMUNITY BENEFIT SPENDING GREW TO $35,536,492 IN 2024.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 MID-LEVEL DIRECTORS AND FRONTLINE STAFF, DEVELOPS PLANS TO PUT INTO ACTION THE POLICY DIRECTION SET BY THE BOARD. SKY LAKES MEDICAL CENTER 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 FOR HEALTH PROFESSION EDUCATION AMOUNTED TO $8,777,136 IN 2024. SKY LAKES ALSO 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 COMMUNITY PROJECTS, EVENTS, AND PROGRAMS TO ENCOURAGE INCREASED COMMUNITY HEALTH, WELL-BEING AND PHYSICAL HEALTH. PART VI, LINE 7, REPORTS FILED WITH STATES OR 1 UNITED WAY OF KLAMATH PO BOX 1839 KLAMATH FALLS OR 97601 930441766 501(C)(3) 50000 0 COMMUNITY SPONSORSHIP OREGON INSTITUTE OF TECHNOLOGY 3201 CAMPUS DRIVE KLAMATH FALLS OR 97601 936001786 GOVERNMENT 37500 0 RESPIRATORY CARE EQUIPMENT CITY OF KLAMATH FALLS 500 KLAMATH AVE PO BOX 237 KLAMATH FALLS OR 97601 936002195 GOVERNMENT 21548 0 11TH STREET PARK MAINTANENCE & EVERYONE SWIMS PROGRAM OREGON TECH FOUNDATION INC 3201 CAMPUS DRIVE KLAMATH FALLS OR 97601 237056213 501(C)(3) 10000 0 EVENT SPONSORSHIP KLAMATHLAKE COUNCIL OF AGING 404 MAIN ST SUITE 6 KLAMATH FALLS OR 97601 930577208 501(C)(3) 10000 0 MEALS ON WHEELS DONATION KLAMATH COUNTY FAIR 3531 S 6TH STREET KLAMATH FALLS OR 97603 936002301 GOVERNMENT 10000 0 FAIR SPONSORSHIP OREGON TECH ATHLETIC DEPARTMENT 3201 CAMPUS DRIVE KLAMATH FALLS OR 97601 472893144 GOVERNMENT 5500 0 PINK OUT ADVERTISING 7 0 EDUCATION GRANTS 46 173772 PATIENT CARE GRANTS 3121 117388 GENERAL CHARITY CARE 2000 19670284 PART I, LINE 2: 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. X X X 0 0 0 0 0 0 0 0 0 NARAGHI FRED F MEDICAL PROVIDER 1098559 0 0 0 0 0 24125 0 20456 0 1143140 0 0 0 KUBAC GEORGE MEDICAL PROVIDER 806960 0 370 0 0 0 18548 0 15237 0 841115 0 0 0 OGAO JARED MEDICAL PROVIDER 663298 0 11017 0 0 0 20902 0 20456 0 715673 0 0 0 HASSAN AMR MEDICAL PROVIDER 605989 0 60750 0 0 0 21278 0 20456 0 708473 0 0 0 SMITH STANTON T MEDICAL PROVIDER 625088 0 14300 0 0 0 19566 0 20456 0 679410 0 0 0 CAUBLE DAVID A PRESIDENT & CEO 607563 0 0 0 0 0 21073 0 20456 0 649092 0 0 0 RICO RICHARD E VP & CFO 431365 0 120268 0 0 0 20922 0 15237 0 587792 0 0 0 G SCOTT MCCREADIE MD BOARD MEMBER, MEDICAL DIRECTOR 452704 0 36720 0 0 0 20280 0 20456 0 530160 0 0 0 STEWART PAUL FORMER CEO 274395 0 0 0 0 0 16506 0 1345 0 292246 0 0 0 A KLAMATH FALLS INTERCOMMUNITY HOSPITAL AUTHORITY 931061020 498413FR9 2016-06-23 59146386 REFUNDING OF 2006 BONDS; NEW MEDICAL OFFICE BUILDINGS; PARKING FACILITIES 0 0 0 B KLAMATH FALLS INTERCOMMUNITY HOSPITAL AUTHORITY 931061020 498413FK4 2022-12-14 11000000 REFUNDING OF 2012 BONDS; CAFETERIA REMODEL 0 0 0 A 983000 59146386 846856 25000000 33299530 2016 0 1 1 1 B 11000000 220000 5366720 5413280 0 1 1 1 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 A 0 1 0 0 0 0 0 0 0 B 0 1 0 0 0 0 0 0 0 A 0 B 0 PAUL STEWART FORMER CEO LIFE INSURANCE POLICY X 1320662 2027095 0 1 1 2027095 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 IS COMPLETED ANNUALLY. 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 -67,691. SOUTHERN OREGON EMERGENCY CARE LLC 2865 DAGGETT AVENUE KLAMATH FALLS OR 97601 611595709 PHYSICIAN SERVICES OR 0 0 SKY LAKES MEDICAL CENTER 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 1 KLAMATH MEDICAL BUSINESS CENTER LLC 2865 DAGGETT AVENUE KLAMATH FALLS OR 97601 020731372 REAL AND PERSONAL PROPERTY RENTAL OR SKY LAKES MEDICAL CENTER RELATED 36111 802808 0 1 0.50000 WEST PHYSICIAN SERVICES LLC 2865 DAGGETT AVENUE KLAMATH FALLS OR 97601 870696029 PHYSICIAN SERVICES OR SKY LAKES MEDICAL CENTER C -5380289 8719726 1.00000 1 0 0 1 1 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 WEST PHYSICIAN SERVICES LLC D 361901 INCREASE IN LIABILITY KLAMATH MEDICAL BUSINESS CENTER LLC J 120571 CASH TRANSFERRED