STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

SKY LAKES MEDICAL CENTER INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
SKY LAKES MEDICAL CENTER INC (EIN 93-0508781)
Tax period
2018-10-01 to 2019-09-30
Filed
2020-08-14
IRS object ID
202032279349302753
Schema version
2018v3.2
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 ReturnHeader

FieldValueIRS element (for citing)
Return2020-08-14T15:01:56-05:00ReturnTs
Tax Period End2019-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN910189318PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MOSS ADAMS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1805 SW BROADWAY STE 1200AddressLine1Txt
CityPORTLANDCityNm
State AbbreviationORStateAbbreviationCd
ZIP97205ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN930508781EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SKY LAKES MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSKYLBusinessNameControlTxt
Phone5412746311PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12865 DAGGETT AVENUEAddressLine1Txt
CityKLAMATH FALLSCityNm
State AbbreviationORStateAbbreviationCd
ZIP97601ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRICHARD RICOPersonNm
Person TitleVP/CFOPersonTitleTxt
Phone5412746311PhoneNum
Signature2020-08-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonWENDY CAMPOSPreparerPersonNm
PTINP00448102PTIN
Phone5032421447PhoneNum
Preparation2020-08-13PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address76.115.0.27IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-08-13IPDt
IP Tm18:04:30IPTm
IP TimezonePDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id06B4DE7D56E09CB4E6180B2096A9A38989FE8D6DAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-11-06 18:47:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerPAUL STEWARTPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12865 DAGGETT AVENUEAddressLine1Txt
CityKLAMATH FALLSCityNm
State AbbreviationORStateAbbreviationCd
ZIP97601ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$686,298,756GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SKYLAKES.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1979FormationYr
Legal Domicile StateORLegalDomicileStateCd
Activity Or MissionSKY 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 Body10VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee1786TotalEmployeeCnt
Total Volunteers301TotalVolunteersCnt
Total Gross UBI$7,315TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$3,313NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,693,000PYContributionsGrantsAmt
CY Contributions Grants$1,205,100CYContributionsGrantsAmt
PY Program Service Revenue$638,302,623PYProgramServiceRevenueAmt
CY Program Service Revenue$665,035,449CYProgramServiceRevenueAmt
PY Investment Income$1,439,402PYInvestmentIncomeAmt
CY Investment Income$4,716,967CYInvestmentIncomeAmt
PY Other Revenue$5,441,606PYOtherRevenueAmt
CY Other Revenue$8,934,321CYOtherRevenueAmt
PY Total Revenue$646,876,631PYTotalRevenueAmt
CY Total Revenue$679,891,837CYTotalRevenueAmt
PY Grants And Similar Paid$265,123PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$249,421CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$125,200,047PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$126,408,378CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$503,199,485PYOtherExpensesAmt
CY Other Expenses$529,740,868CYOtherExpensesAmt
PY Total Expenses$628,664,655PYTotalExpensesAmt
CY Total Expenses$656,398,667CYTotalExpensesAmt
PY Revenues Less Expenses$18,211,976PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$23,493,170CYRevenuesLessExpensesAmt
Total Assets BOY$379,169,745TotalAssetsBOYAmt
Total Assets EOY$416,863,008TotalAssetsEOYAmt
Total Liabilities BOY$119,660,072TotalLiabilitiesBOYAmt
Total Liabilities EOY$130,070,850TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$259,509,673NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$286,792,158NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSKY 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 Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$547,539,221ExpenseAmt
Grant$182,398GrantAmt
Revenue$651,211,910RevenueAmt
DescPATIENT 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

FieldValueIRS element (for citing)
Expense$19,494,785ExpenseAmt
Grant$0GrantAmt
Revenue$0RevenueAmt
DescUNCOMPENSATED CARE - DURING FISCAL YEAR 2019, CHARGES WRITTEN OFF UNDER OUR BROAD-REACHING CHARITY CARE POLICY TOTALED $11,530,369. IN ADDITION TO CHARITY CARE WRITE OFFS, CHARGES WRITTEN OFF AS BAD DEBT TOTALED $7,964,416. AS A PERCENTAGE OF CHARGES, FISCAL YEAR 2019 WRITE OFFS REPRESENT 1.7% (CHARITY CARE) AND 1.2% (BAD DEBT), RESPECTIVELY.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$4,696,773ExpenseAmt
Grant$67,023GrantAmt
Revenue$1,988,758RevenueAmt
DescEDUCATIONAL 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

FieldValueIRS element (for citing)
Expense$48,277,580ExpenseAmt
Grant$0GrantAmt
Revenue$11,275,279RevenueAmt
DescEXPENSES 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
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$48,277,580TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$11,275,279TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$620,008,359TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan OutstandingYes (1)LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document217IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1786EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or Procedure0WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldORStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonRICHARD RICO VPCFOPersonNm
Phone5412746150PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12865 DAGGETT AVENUEAddressLine1Txt
CityKLAMATH FALLSCityNm
State AbbreviationORStateAbbreviationCd
ZIP97601ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
PAUL STEWART
PRESIDENT/CEO/SECRETARY/TREAS50.001.00Yes (X)Yes (X)$829,103$0$46,134
JOHN BELL
CHAIRMAN3.001.00Yes (X)Yes (X)$0$0$0
ROD WENDT
VICE CHAIRMAN1.001.00Yes (X)Yes (X)$0$0$0
HEIDI NEEL BIGGS
BOARD MEMBER1.001.00Yes (X)$0$0$0
CLARK PEDERSON
BOARD MEMBER1.003.00Yes (X)$0$0$0
JEAN PHILLIPS
BOARD MEMBER1.001.00Yes (X)$0$0$0
WENDY WARREN MD
BOARD MEMBER1.001.00Yes (X)$0$0$0
DOUGLAS MCINNIS DVM
BOARD MEMBER1.001.00Yes (X)$0$0$0
HOLLY MONTJOY MD
BOARD MEMBER1.001.00Yes (X)$0$0$0
ROBERT JACKMAN MD
BOARD MEMBER1.000.00Yes (X)$0$0$0
RICHARD E RICO
VP/CFO50.000.00Yes (X)$459,262$0$51,258
STANTON T SMITH MD
MEDICAL PROVIDER40.000.00$598,734$0$32,758Yes (X)
MARC ORLANDO MD
MEDICAL PROVIDER40.000.00$591,393$0$32,758Yes (X)
JARED OGAO MD
MEDICAL PROVIDER40.000.00$583,740$0$32,758Yes (X)
BRADLEY A KRAMER MD
MEDICAL PROVIDER40.000.00$582,849$0$32,758Yes (X)
DAVID CHADBOURNE MD
MEDICAL PROVIDER40.000.00$537,847$0$32,758Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,182,928TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$261,182TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K194IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
WALSH CONSTRUCTION COOREGON
2905 SW FIRST AVENUEPORTLANDOR97201CONSTRUCTION$21,903,045
KLAMATH ORTHOPEDIC CLINIC
2200 BRYANT WILLIAMS DRKLAMATH FALLSOR97601PHYSICIAN PRACTICE$8,555,378
KLAMATH RADIOLOGY ASSOCIATES
2900 DAGGETT AVKLAMATH FALLSOR97601PHYSICIAN PRACTICE$4,115,190
EDWARD SCOTT HUDSON
4625 NADINE LNFRANKLINTN37064STAFFING SERVICES$2,533,208
MEDICAL SOLUTIONS
1010 NORTH 102ND STOMAHANE68114STAFFING SERVICES$2,142,168
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K33CntrctRcvdGreaterThan100KCnt
Related Organizations$1,205,100RelatedOrganizationsAmt
Total Contributions$1,205,100TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT REVENUE622110$654,305,753$654,305,753
OTHER PROGRAM REVENUE622110$10,729,696$10,729,696
FieldValueIRS element (for citing)
Total Program Service Revenue$665,035,449TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,716,967TotalRevenueColumnAmt
Exclusion$4,716,967ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$623,048RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$679,268RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$56,220RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$56,220TotalRevenueColumnAmt
Exclusion-$56,220ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$13,300,079GrossSalesOfInventoryAmt
Cost Of Goods Sold$5,727,651CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,572,428TotalRevenueColumnAmt
Exclusion$7,572,428ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NONOPERATING INCOME900099$1,970,300$1,970,300
PASSTHROUGH INCOME622110-$552,187-$559,502$7,315
FieldValueIRS element (for citing)
Other Revenue Total$1,418,113OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$679,891,837TotalRevenueColumnAmt
Related Or Exempt Func Income$664,475,947RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$7,315UnrelatedBusinessRevenueAmt
Exclusion$14,203,475ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$139,065TotalAmt
Program Services$139,065ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$110,356TotalAmt
Program Services$110,356ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,495,218TotalAmt
Management And General$1,495,218ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$101,854,205TotalAmt
Program Services$89,940,414ProgramServicesAmt
Management And General$11,913,791ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,644,161TotalAmt
Program Services$3,103,088ProgramServicesAmt
Management And General$541,073ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$12,330,259TotalAmt
Program Services$10,552,157ProgramServicesAmt
Management And General$1,778,102ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$7,084,535TotalAmt
Program Services$5,679,376ProgramServicesAmt
Management And General$1,405,159ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,794,303TotalAmt
Program Services$62,410ProgramServicesAmt
Management And General$1,731,893ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$518,068TotalAmt
Management And General$518,068ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$152,372TotalAmt
Management And General$152,372ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$23,832,257TotalAmt
Program Services$23,810,494ProgramServicesAmt
Management And General$21,763ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,151,271TotalAmt
Program Services$360,831ProgramServicesAmt
Management And General$790,440ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,117,545TotalAmt
Program Services$1,051,188ProgramServicesAmt
Management And General$1,066,357ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$8,871,194TotalAmt
Program Services$1,032,471ProgramServicesAmt
Management And General$7,838,723ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,679,348TotalAmt
Program Services$2,114,348ProgramServicesAmt
Management And General$1,565,000ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$123,620TotalAmt
Program Services$123,620ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$920,785TotalAmt
Program Services$625,748ProgramServicesAmt
Management And General$295,037ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,310,162TotalAmt
Program Services$3,235,818ProgramServicesAmt
Management And General$74,344ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$10,649,788TotalAmt
Program Services$10,620,541ProgramServicesAmt
Management And General$29,247ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,909,018TotalAmt
Program Services$1,545,578ProgramServicesAmt
Management And General$363,440ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
CONTRACTUAL ALLOWANCE$390,911,184$390,911,184
SUPPLIES$37,949,458$37,667,663$281,795
BAD DEBTS$7,964,416$7,964,416
TAXES PAID ON UBI$33,000$33,000

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$33,853,079TotalAmt
Program Services$29,357,593ProgramServicesAmt
Management And General$4,495,486ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$656,398,667TotalAmt
Program Services$620,008,359ProgramServicesAmt
Management And General$36,390,308ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$10,522,782BOYAmt
EOY$16,024,633EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$13,038,735BOYAmt
EOY$7,867,442EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$31,182,469BOYAmt
EOY$28,811,596EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$977,608BOYAmt
EOY$1,160,671EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$5,362,360BOYAmt
EOY$5,985,486EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,647,174BOYAmt
EOY$3,560,897EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$239,986,919LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$149,662,597LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$95,630,530BOYAmt
EOY$90,324,322EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$62,963,378BOYAmt
EOY$56,978,078EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$83,188,163BOYAmt
EOY$98,122,949EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$73,656,546BOYAmt
EOY$108,026,934EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$379,169,745BOYAmt
EOY$416,863,008EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$35,562,792BOYAmt
EOY$44,295,858EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$2,374,116BOYAmt
EOY$2,340,678EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$75,180,639BOYAmt
EOY$76,825,727EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,542,525BOYAmt
EOY$6,608,587EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$119,660,072BOYAmt
EOY$130,070,850EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$259,509,673BOYAmt
EOY$286,792,158EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$259,509,673BOYAmt
EOY$286,792,158EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$379,169,745BOYAmt
EOY$416,863,008EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$23,493,170ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$3,225,382NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments$279PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$563,654OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,337,398BeginningYearBalanceAmt
Contributions$33,078ContributionsAmt
Investment Earnings Or Losses$237,779InvestmentEarningsOrLossesAmt
Grants Or Scholarships$40,455GrantsOrScholarshipsAmt
Other Expenditures$184OtherExpendituresAmt
End Year Balance$4,567,616EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,795,751BeginningYearBalanceAmt
Contributions$189,824ContributionsAmt
Investment Earnings Or Losses$561,415InvestmentEarningsOrLossesAmt
Grants Or Scholarships$209,418GrantsOrScholarshipsAmt
Other Expenditures$174OtherExpendituresAmt
End Year Balance$4,337,398EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$16,327,034BeginningYearBalanceAmt
Contributions$207,062ContributionsAmt
Investment Earnings Or Losses$649,810InvestmentEarningsOrLossesAmt
Grants Or Scholarships$203,150GrantsOrScholarshipsAmt
Other Expenditures$13,185,005OtherExpendituresAmt
End Year Balance$3,795,751EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$14,766,429BeginningYearBalanceAmt
Contributions$831,608ContributionsAmt
Investment Earnings Or Losses$1,640,023InvestmentEarningsOrLossesAmt
Grants Or Scholarships$21,511GrantsOrScholarshipsAmt
Other Expenditures$587,712OtherExpendituresAmt
Administrative Expenses$301,803AdministrativeExpensesAmt
End Year Balance$16,327,034EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$15,555,625BeginningYearBalanceAmt
Contributions$128,097ContributionsAmt
Investment Earnings Or Losses$183,989InvestmentEarningsOrLossesAmt
Grants Or Scholarships$15,940GrantsOrScholarshipsAmt
Other Expenditures$878,284OtherExpendituresAmt
Administrative Expenses$207,058AdministrativeExpensesAmt
End Year Balance$14,766,429EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.00000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY1.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,178,507OtherCostOrOtherBasisAmt
Book Value$4,178,507BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$138,306,785OtherCostOrOtherBasisAmt
Depreciation$76,133,800DepreciationAmt
Book Value$62,172,985BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,376,354OtherCostOrOtherBasisAmt
Depreciation$3,752,404DepreciationAmt
Book Value$1,623,950BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$88,743,912OtherCostOrOtherBasisAmt
Depreciation$69,356,864DepreciationAmt
Book Value$19,387,048BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,381,361OtherCostOrOtherBasisAmt
Depreciation$419,529DepreciationAmt
Book Value$2,961,832BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$90,324,322TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
INVESTMENTS IN OTHER COMPANIES$5,973,530C
LIFE INSURANCE$89,205,705F
DEFERRED COMP PLAN ASSETS$2,943,714F
FieldValueIRS element (for citing)
Total Book Value Securities$98,122,949TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
ASSETS LIMITED AS TO USE$1,635,100
OTHER ASSETS$1,189,518
RISK POOL WITHHOLD RECEIVABLE$7,269,368
CONSTRUCTION IN PROCESS$47,845,138
OTHER RECEIVABLES$50,087,810
FieldValueIRS element (for citing)
Total Book Value Other Assets$108,026,934TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
CAPITAL LEASE OBLIGATIONS$4,992,131
ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS$1,616,456
FieldValueIRS element (for citing)
Total Liability$6,608,587TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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, 2019 OR 2018. 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, 2019 AND 2018, 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

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other250.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,151,592TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,340DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,142,252NetCommunityBenefitExpnsAmt
Total Expense0.00640TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$64,899,368TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$56,450,415DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,448,953NetCommunityBenefitExpnsAmt
Total Expense0.01300TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$69,050,960TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$56,459,755DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,591,205NetCommunityBenefitExpnsAmt
Total Expense0.01940TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$980,066TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$131,588DirectOffsettingRevenueAmt
Net Community Benefit Expns$848,478NetCommunityBenefitExpnsAmt
Total Expense0.00130TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,696,773TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,988,758DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,708,015NetCommunityBenefitExpnsAmt
Total Expense0.00420TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$23,133,361TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$18,088,421DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,044,940NetCommunityBenefitExpnsAmt
Total Expense0.00780TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$589,235TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$589,235NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$29,399,435TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$20,208,767DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,190,668NetCommunityBenefitExpnsAmt
Total Expense0.01420TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$98,450,395TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$76,668,522DirectOffsettingRevenueAmt
Net Community Benefit Expns$21,781,873NetCommunityBenefitExpnsAmt
Total Expense0.03360TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$615,916TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$444,283DirectOffsettingRevenueAmt
Net Community Benefit Expns$171,633NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,206TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,206NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,349,268TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,349,268NetCommunityBenefitExpnsAmt
Total Expense0.00210TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,976,390TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$444,283DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,532,107NetCommunityBenefitExpnsAmt
Total Expense0.00240TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$7,964,416BadDebtExpenseAmt
Bad Debt Expense Attributable$1,194,662BadDebtExpenseAttributableAmt
Reimbursed By Medicare$80,325,142ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$113,260,247CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$32,935,105MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SKY LAKES MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12865 DAGGETT AVENUEAddressLine1Txt
CityKLAMATH FALLSCityNm
State AbbreviationORStateAbbreviationCd
ZIP97601ZIPCd
FieldValueIRS element (for citing)
Website AddressSKYLAKES.ORGWebsiteAddressTxt
State License14-0724StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1SKY LAKES MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
OtherYes (X)OtherInd
CHNA Conducted18CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSKYLAKES.ORGOwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLHEALTHYKLAMATH.ORGOtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt18ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSKYLAKES.ORGStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care250.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSKYLAKES.ORGFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSKYLAKES.ORGFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSKYLAKES.ORGFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SKY LAKES MEDICAL CENTERPART 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., PRIMARILY ENGAGED IN THE NEEDS ASSESSMENT INCLUDE KLAMATH COUNTY (ORE.) PUBLIC HEALTH; KLAMATH HEALTH PARTNERSHIP (AKA 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. THESE AND OTHER COMMUNITY PARTNERS ARE ORGANIZED IN THE HEALTHY KLAMATH COALITION.THE COALITION REPRESENTS THE HELP 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 STATION; AND OTHERS. SKY LAKES, THE LOCAL PUBLIC HEALTH AGENCY, KLAMATH HEALTH PARNETSHIP, 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 CONTINUES 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 HEALTH CARE COMMUNITY AND OTHERS SEEKING TO IMPROVE THE HEALTH OF THEIR COMMUNITY TO IDENTIFY CURRENT 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 ON SECONDARY DATA AND USED SURVEYS AND FOCUS GROUPS TO GATHER BOTH QUALITATIVE AND QUANTITATIVE DATA. THE INTENT WAS TO HEAR FROM MANY VOICES 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 SOME 150 HEALTHY COMMUNITIES INSTITUTE (HCI) HEALTH AND SOCIO-ECONOMICS 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, 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:- BLUE ZONES PROJECT-KLAMATH FALLS, ASSESSMENT REPORT. THE BLUE ZONES PROJECT ASSESSMENT TEAM IN 2016 CONDUCTED 16 FOCUS GROUPS WITH MORE THAT 220 PEOPLE AND MET WITH MORE THAN 25 KEY LEADERS AND COMMUNITY GROUPS TO LEARN ABOUT KLAMATH FALLS, ITS HISTORY, ECONOMY, AND PEOPLE. FOCUS GROUPS WERE ORGANIZED BY SECTOR AND INCLUDED SCHOOLS, WORKSITES, COMMUNITY POLICY, RESTAURANTS, GROCERY STORES, AND FAITH-BASED AND CIVIC GROUPS. ADDITIONALLY, A THREE-DAY BUILT ENVIRONMENT AUDIT VIA WALKING, BIKING, AND DRIVING WAS CONDUCTED BY NATIONAL BIKE AND WALKABILITY EXPERTS DAN BURDEN AND SAMANTHA THOMAS. THESE DATA WERE REGULARLY REVIEWED AND CONSIDERED FOR THE CURRENT CHNA, AND ADDRESSING THOSE ISSUES IS PART OF THE CURRENT IMPLEMENTATION PLAN. - GALLUP-HEALTHWAYS WELL-BEING INDEX, KLAMATH FALLS: THIS ASSESSMENT TEAM 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 CURRENT INDEX WAS CALCULATED THROUGH 765 COMPLETED ADDRESS-BASED SURVEYS ADMINISTERED IN THE SUMMER OF 2018. THOSE DATA INDICATE THE INDEX IN KLAMATH COUNTY INCREASED 2.6 POINTS TO 54.9. THAT'S 3.6 POINTS BELOW THE US VALUE 4.2 POINTS BELOW THE OREGON VALUE. COMMUNITY WELL-BEING CAN BE DEFINED AS LIKING WHERE YOU LIVE, FEELING SAFE AND HAVING PRIDE IN YOUR COMMUNITY.- OREGON INSTITUTE OF TECHNOLOGY (OIT) POPULATION HEALTH MANAGEMENT: STUDENTS IN THE PROGRAM WORKING WITH THE OIT RESEARCH CENTER FIELDED A KLAMATH COMMUNITY SURVEY TO COLLECT CURRENT QUALITATIVE DATA TO BETTER UNDERSTAND LOCAL HEALTH STATUS, HEALTH CONCERNS, BARRIERS TO CARE, AND HEALTH BEHAVIORS. A TOTAL OF 500 SURVEYS WERE COLLECTED FROM AN ASSORTMENT OF EVENTS AND VENUES INCLUDING THE ANNUAL SKY LAKES HEALTH FAIR HELD AT THE KLAMATH COUNTY FAIRGROUNDS NEAR THE POPULATION CENTER OF KLAMATH FALLS, THE LARGEST CITY IN THE COUNTY. PRINCIPAL FINDINGS INDICATED ABOUT A FOURTH OF THE RESPONDENTS REPORTED A HOUSEHOLD INCOME OF LESS THAN $20,000; ABOUT 38 PERCENT HAD EMPLOYER-SPONSERED HEALTH INSURANCE WHILE ANOTHER 38 PERCENT WERE ENROLLED IN A GOVERNMENT-SPONSORED INSURANCE PROGRAM; AND THE TOP THREE RESPONSES TO THE QUESTION "IS THERE ANYTHING YOU FEEL IS KEEPING YOU FROM HAVING BETTER HEALTH?" WERE LACK OF PHYSICAL ACTIVITY, COST, AND CHRONIC ILLNESS. - LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT (LPHSA): USING THE INSTRUMENTS FROM THE NATIONAL PUBLIC HEALTH PERFORMANCE STANDARDS, THE SURVEY ASKED THREE QUESTIONS IN EACH OF THE 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. - COMMUNITY THEMES AND STRENGTHS ASSESSMENT: THIS INSTRUMENT SOUGHT TO IDENTIFY ASSETS IN THE COMMUNITY AND ISSUES THAT ARE IMPORTANT TO PEOPLE LIVING HERE. THE ONE-DAY COMMUNITY FORUM WAS ATTENDED BY 25 PEOPLE WHO EVALUATED "HEALTH BEHAVIORS," "CLINICAL CARE," "PHYSICAL ENVIRONMENT, AND "SOCIAL AND ECONOMIC FACTORS." THESE CATEGORIES ALIGN WITH THE NATIONAL COUNTY HEALTH RANKINGS MODEL. AMONG THE FINDINGS:STRENGTHS INCLUDE:- THE HOSPITAL IS VERY INVOLVED IN THE COMMUNITY, AND HOSTS LARGE-SCALE EVENTS SUCH AS THE COMMUNITY HEALTH FAIR;- THERE ARE NUMEROUS WELLNESS INITIATIVES IN THE COMMUNITY, MANY LAUNCHED AND MAINTAINED BY SKY LAKES, FOCUSED ON DIET AND PHYSICAL ACTIVITY; AND- THE FOCUS ON TRAILS, PARKS, AND BIKE LANES, OFTEN WITH SKY LAKES IN A LEADERSHIP POSITION.WEAKNESSES INCLUDE:- TOBACCO USE;- LOW HEALTH LITERACY;- DISPARITIES BETWEEN POPULATIONS; AND- PUBLIC TRANSPORATIONWHILE 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 67,650 (2018) WITH KLAMATH FALLS, AT 21,540 PEOPLE, BEING THE LARGEST CITY WITH AN EQUALLY LARGE SUBURBAN POPULATION. THE POPULATION OF THE UGB WAS ESTIMATED AT 43,500 PEOPLE, AND IT'S WIDELY HELD THAT ANOTHER 12,000 PEOPLE ARE SCATTERED IN ENCLAVES AROUND THE UGB.THE REGION IS PREDOMINANTLY WHITE AND NON-HISPANIC, 77.4 PERCENT (2018). THE POPULATION OF PEOPLE IDENTIFYING AS HISPANIC OR LATINO IS STEADILY RISING AT 13.4 PERCENT IN 2018, UP FROM 10 PERCENT IN 2010. THE REGION IS ALSO UNIQUE IN THAT IT HAS A STRONG AMERICAN INDIAN PRESENCE THAT MAKES UP 4.9 PERCENT OF THE POPULATION[SEE LINE 3J OVERFLOW LATER IN PART V]
SKY LAKES MEDICAL CENTERPART 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; AND 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; 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.ASSESSMENTS AND RESOURCES CONTAINING PRIMARY DATA INCLUDE: BLUE ZONES PROJECT-KLAMATH FALLS, ASSESSMENT REPORT. THE BLUE ZONES PROJECT ASSESSMENT TEAM IN 2016 CONDUCTED 16 FOCUS GROUPS WITH MORE THAN 220 PEOPLE AND MET WITH MORE THAN 25 KEY LEADERS AND COMMUNITY GROUPS TO LEARN ABOUT KLAMATH FALLS, ITS HISTORY, ECONOMY, AND PEOPLE. FOCUS GROUPS WERE ORGANIZED BY SECTOR AND INCLUDED SCHOOLS, WORKSITES, COMMUNITY POLICY, RESTAURANTS, GROCERY STORES, AND FAITH-BASED AND CIVIC GROUPS. ADDITIONALLY, A THREE-DAY BUILT ENVIRONMENT AUDIT VIA WALKING, BIKING, AND DRIVING WAS CONDUCTED BY NATIONAL BIKE AND WALKABILITY EXPERTS DAN BURDEN AND SAMANTHA THOMAS. THESE DATA WERE REGULARLY REVIEWED AND CONSIDERED FOR THE CURRENT CHNA, AND ADDRESSING THOSE ISSUES IS PART OF THE CURRENT IMPLEMENTATION PLAN.GALLUP-HEALTHWAYS WELL-BEING INDEX, KLAMATH FALLS: THIS ASSESSMENT TEAM 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 CURRENT INDEX WAS CALCULATED THROUGH 765 COMPLETED ADDRESS-BASED SURVEYS ADMINISTERED IN THE SUMMER OF 2018. THOSE DATA INDICATE THE INDEX IN KLAMATH COUNTY INCREASED 2.6 POINTS TO 54.9. THAT'S 3.6 POINTS BELOW THE US VALUE 4.2 POINTS BELOW THE OREGON VALUE. COMMUNITY WELL-BEING CAN BE DEFINED AS LIKING WHERE YOU LIVE, FEELING SAFE AND HAVING PRIDE IN YOUR COMMUNITY.OREGON INSTITUTE OF TECHNOLOGY (OIT) POPULATION HEALTH MANAGEMENT: STUDENTS IN THE PROGRAM WORKING WITH THE OIT RESEARCH CENTER FIELDED A KLAMATH COMMUNITY SURVEY TO COLLECT CURRENT QUALITATIVE DATA TO BETTER UNDERSTAND LOCAL HEALTH STATUS, HEALTH CONCERNS, BARRIERS TO CARE, AND HEALTH BEHAVIORS. A TOTAL OF 500 SURVEYS WERE COLLECTED FROM AN ASSORTMENT OF EVENTS AND VENUES INCLUDING THE ANNUAL SKY LAKES COMMUNITY HEALTH FAIR HELD AT THE KLAMATH COUNTY FAIRGROUNDS NEAR THE POPULATION CENTER OF KLAMATH FALLS, THE LARGEST CITY IN THE COUNTY. PRINCIPAL FINDINGS INDICATED ABOUT A FOURTH OF THE RESPONDENTS REPORTED A HOUSEHOLD INCOME OF LESS THAN $20,000; ABOUT 38 PERCENT HAD EMPLOYER-SPONSORED HEALTH INSURANCE WHILE ANOTHER 38 PERCENT WERE ENROLLED IN A GOVERNMENT-SPONSORED INSURANCE PROGRAM; AND THE TOP THREE RESPONSES TO THE QUESTION "IS THERE ANYTHING YOU FEEL IS KEEPING YOU FROM HAVING BETTER HEALTH?" WERE LACK OF PHYSICAL ACTIVITY, COST, AND CHRONIC ILLNESS.LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT (LPHSA): USING THE INSTRUMENT FROM THE NATIONAL PUBLIC HEALTH PERFORMANCE STANDARDS, THE 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.COMMUNITY THEMES AND STRENGTHS ASSESSMENT: THIS INSTRUMENT SOUGHT TO IDENTIFY ASSETS IN THE COMMUNITY AND ISSUES THAT ARE IMPORTANT TO PEOPLE LIVING HERE. THE ONE-DAY COMMUNITY FORUM WAS ATTENDED BY 25 PEOPLE WHO EVALUATED "HEALTH BEHAVIORS," "CLINICAL CARE," "PHYSICAL ENVIRONMENT, AND "SOCIAL AND ECONOMIC FACTORS." THESE CATEGORIES ALIGN WITH THE NATIONAL COUNTY HEALTH RANKINGS MODEL.
SKY LAKES MEDICAL CENTERPART 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 CENTERPART V, SECTION B, LINE 11: ACCORDING TO THE FEDERAL CENTERS FOR DISEASE CONTROL (CDC), THE TOP 10 LEADING CAUSES OF DEATH IN THE UNITED STATES ARE HEART DISEASE, CANCER, CHRONIC LOWER RESPIRATORY DISEASES, STROKE, UNINTENTIONAL INJURIES, ALZHEIMER'S DISEASE, DIABETES MELLITUS, PNEUMONIA AND INFLUENZA, KIDNEY DISEASE, AND SUICIDE. SEVEN OF THESE 10 ARE CHRONIC DISEASES THAT PERSIST FOR YEARS, DECREASE QUALITY OF LIFE, AND STRAIN THE HEALTHCARE SYSTEM; TREATING PEOPLE WITH CHRONIC CONDITIONS ACCOUNTS FOR 90 PERCENT OF THE NATION'S HEALTHCARE COSTS. 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. 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. SKY LAKES ALSO PROMOTED REGULAR SCREENING (COLORECTAL AND SKIN CANCER SCREENINGS ARE HIGHLIGHTS OF THE 2019 ANNUAL COMMUNITY HEALTH FAIR ORGANIZED BY SKY LAKES; SOME 2,500 PEOPLE ATTEND THE FREE EVENT AT THE KLAMATH COUNTY FAIRGROUNDS) AND MASS MEDIA AWARENESS CAMPAIGNS. THE HEALTH FAIR AND OTHER COMMUNITY HEALTH IMPROVEMENT AND ADVOCACY PROGRAMS AMOUNT TO A SKY LAKES INVESTMENT OF MORE THAN $90,000 (NET) EACH YEAR.ACCORDING TO THE FINDINGS WITHIN THE CHNA, MORE THAN HALF THE PEOPLE IN KLAMATH COUNTY HAVE ONE OR MORE CHRONIC CONDITIONS, AND MOST PEOPLE 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 APPROXIMATELY $5.5 MILLION (NET) IN SUBSIDIZED HEALTH SERVICES.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, ARE IMPLEMENTING INTERVENTIONS TO PREVENT OBESITY BY OFFERING WALKING GROUPS, AFTER-SCHOOL ACTIVITIES, NUTRITION EDUCATION, AND RECREATION OPPORTUNITIES. 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 AMOUNT TO APPROXIMATELY $1.4 MILLION A 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. SKY LAKES IS THE PRINCIPAL SPONSOR OF THE CURRENT BLUE ZONES PROJECT AND EMPLOYS ITS LEADERSHIP STAFF TO HELP ENSURE CONTINUITY AND COORDINATION OF LOCAL PROGRAMS.THE PROJECT'S FULL-TIME STAFF AND AN EXTENSIVE LOCAL VOLUNTEER CADRE ENCOURAGE INCREASED PHYSICAL ACTIVITY, NO TOBACCO, 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 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.SKY LAKES SPONSORED A THREE-YEAR "LEARN TO SWIM" PROGRAM FOR AREA THIRD-GRADERS AS A WAY TO FURTHER ENCOURAGES A LIFELONG HABIT OF PHYSICAL ACTIVITY AND WELLNESS. THE SPONSORSHIP, APPROXIMATELY $25,000 A YEAR, INVOLVES NEARLY 800 STUDENTS IN AREA PUBLIC AND PRIVATE SCHOOLS WHO TRAVEL TO THE ELLA REDKEY MUNICIPAL POOL TO GAIN VALUABLE LIFE-SAVING SKILLS. TO ENCOURAGE ADULTS, ESPECIALLY SENIORS, TO REMAIN PHYSICALLY ACTIVE, SKY LAKES AND CASCADES EAST HOST THE WALK WITH A DOC PROGRAM EVERY SATURDAY (EXCEPT MAJOR HOLIDAYS) AT A LOCAL SPORT PARK. AREA PHYSICIANS PRESENT 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 OF COMMUNITY WALK-RUN EVENTS, A CHILDREN-ONLY RUNNING SERIES, AND AMATEUR SPORTS ACTIVITIES INCLUDING PICKLEBALL (SKY LAKES WAS A MAJOR SPONSOR OF NEW COURTS FOR THE LOCAL LEAGUE) AND AN ADULT BASKETBALL LEAGUE, AND BASEBALL SCHOLARSHIPS TO HELP ECONOMICALLY CHALLENGED AREA YOUTH.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. REGULAR "COOKING MATTERS" CLASSES HOSTED BY THE SKY LAKES WELLNESS CENTER AND SUPPORTED BY CONTRIBUTIONS FROM THE MEDICAL CENTER ALSO FOCUS ON HEALTHY NUTRITION CHOICES TO SUPPORT WEIGHT REDUCTION AND DIABETES PREVENTION. SKY LAKES GENEROUSLY CONTRIBUTES TO LOCAL CHILDHOOD INTERVENTION PROGRAMS SUCH AS CASA, FRIENDS OF THE CHILDREN-KLAMATH FALLS, AND CITIZENS FOR SAFE SCHOOLS TO HELP SUPPORT THEIR EDUCATIONAL AND MENTORING EFFORTS AIMED AT TEACHING HEALTHY LIFESTYLE STRATEGIES TO CHILDREN AND YOUNG ADULTS.TO FURTHER SUPPORT HEALTHY NUTRITION, SUPPORTS THE KLAMATH-LAKE FOOD BANK AND ITS PRODUCE CONNECT PROGRAM, WHICH ANNUALLY DISTRIBUTES A QUARTER TON OF FRESH PRODUCE TOMORE THAN 4,000 HOUSEHOLDS IN THE AREA. SKY LAKES ALSO OPENS SOME OF ITS FACILITIES AS DISTRIBUTION SITES, AND ENCOURAGES STAFF TO VOLUNTEER IN THE DISTRIBUTION ACTIVITIES.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, 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 A SKY LAKES BUILDING.SKY LAKES IS AMONG THE AGENCIES 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, 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 AMOUNTS TO AN INVESTMENT OF MORE THAN $2.3 MILLION (NET) ANNUALLY BY SKY LAKES. [SEE LINE 11 OVERFLOW LATER IN PART V]
SKY LAKES MEDICAL CENTERPART 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: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, THE MEDIAN AGE IS 42.6 YEARS. THOSE 65 AND OLDER COMPRISE 21.2 PERCENT OF THE POPULATION WHILE THOSE UNDER 18 COMPRISE 21.7 PERCENT. 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 PARTNERSHIP (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. THE PROCESS IS DESCRIBED MORE FULLY IN THE CHNA. 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 THE HEALTHY COMMUNITIES INSTITUTE (HCI), WHICH MANAGES AND CONTINUALLY UPDATES A CENTRALIZED PUBLICALLY AVAILABLE WEB-BASED SOURCE OF POPULATION DATA AND COMMUNITY HEALTH INFORMATION, AS A PLATFORM. WITH IT, WE HAVE CONTINUAL MONITORING AND TRACKING ON SOME 150 INDICATORS THAT ARE ROUTINELY UPDATED. THESE INDICATORS WERE ASSESSED ON FOUR FACTORS:1) COMPARISON TO OREGON AND NATIONAL BENCHMARKS;2) TRENDS OVER TIME;3) HEALTH DISPARITIES; AND4) SEVERITY OF HEALTH ISSUES.THE HEALTH INDICATORS SELECTED MET AT LEAST THREE OF THE FOUR CONDITIONS:- KLAMATH COUNTY RATE IS HIGHER THAN THE OREGON STATE AVERAGE AND/OR DOES NOT MEET THE NATIONAL HEALTHY PEOPLE 2020 BENCHMARK;- THE TREND IS WORSENING;- CERTAIN POPULATIONS ARE EXPERIENCING A DISPARITY; OR- LONG-TERM CONSEQUENCE, PREMATURE DEATH, AND/OR HIGH HEALTH-RELATED EXPENDITURES ARE ASSOCIATED.THE FORMULATION OF 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: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.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 ALSO 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 ACADEMIC AS WELL AS ATHLETIC PROGRAMS. SKY LAKES ALSO ENCOURAGES PARTICIPATION IN EXTRA-CURRICULAR ACTIVITIES AT ALL LEVELS BY PROVIDING FUNDING FOR ROBOTICS, HEALTH OCCUPATIONS COMPETITION, AND ACADEMIC COMPETITIONS. HEALTH EQUITY IS BECOMING A PRIORITY IN THE HEALTH FIELD, AS NOT EVERYONE HAS THE CHANCE TO ACHIEVE OPTIMAL HEALTH DUE TO SOCIAL POSITION OR CIRCUMSTANCE. HEALTH INEQUITIES ARE DEMONSTRATED BY MARKED DIFFERENCES IN QUALITY OF LIFE, DISEASE RATES, AND ACCESS TO RESOURCES. RACIAL AND ETHNIC MINORITIES, SEXUAL MINORITIES, PEOPLE WITH DISABILITIES, AND OTHER VULNERABLE GROUPS MORE OFTEN FACE UNNECESSARY BARRIERS TO ACHIEVING OPTIMAL HEALTH, WHICH CAN BE ELIMINATED. THESE ARE AREAS IN WHICH SKY LAKES ACTIVELY SUPPORTS PUBLIC AND PRIVATE AGENCIES AND GOVERNMENT OFFICES AS THEY SEEK SOLUTIONS, BUT CANNOT BE EXPECTED TO ADDRESS THE NEEDS. 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 $22,000. 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.HIGH RATES OF CHRONIC ABSENTEEISM AND MOBILITY WITHIN SCHOOL DISTRICTS HAVE BEEN IDENTIFIED AS MAIN FACTORS DRIVING DOWN RATES OF EDUCATIONAL SUCCESS. THIS IS WIDELY RECOGNIZED AMONG LEADERSHIP GROUPS ACROSS THE COUNTY, AND AS A RESULT, A STRONG PARTNERSHIP BETWEEN THE LOCAL HIGHER EDUCATION INSTITUTIONS, YOUTH MENTORING PROGRAMS, AND PUBLIC SCHOOLS HAS FORMED. KLAMATH PROMISE IS A POWERFUL INITIATIVE FOCUSED ON REDUCING ABSENTEEISM AND PROVIDING MENTORING TO HELP KLAMATH COUNTY ACHIEVE A 100 PERCENT GRADUATION RATE. SKY LAKES GENEROUSLY CONTRIBUTES FINANCIALLY TO KLAMATH PROMISE AND RELATED SCHOOL-BASED PROGRAMS AS WELL AS TO READING PROGRAMS SUCH AS SMART (START MAKING A READER TODAY) AIMED AT STUDENTS IN GRADES 1-3, AND ROTARY INTERNATIONAL-SPONSORED READING PROGRAMS FOR FIRST-GRADERS. 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 ADDRESS THE FUNDAMENTAL ISSUES. SUBSTANCE ABUSE, A MODIFIABLE HEALTH RISK, WILL BE ADDRESSED BY A SOBERING CENTER ON THE 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 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 SAFE BIKE LANES 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.
FieldValueIRS element (for citing)
Facility18FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (18 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - FAMILY MEDICINE RESIDENCY
2801 DAGGETT AVENUEKLAMATH FALLSOR97601MEDICAL CLINIC & MEDICAL RESIDENCY PGM
2 - OUTPATIENT IMAGING
2900 DAGGETT AVENUEKLAMATH FALLSOR97601OUTPATIENT DIAGNOSTIC IMAGING CENTER
3 - MOB II
3000 BRYANT WILLIAMS DRIVEKLAMATH FALLSOR97601MEDICAL CLINIC
4 - FAMILY PRACTICE CLINIC
1905 MAINKLAMATH FALLSOR97601MEDICAL CLINIC
5 - MOB I
2200 BRYANT WILLIAMS DRIVEKLAMATH FALLSOR97601MEDICAL CLINIC
6 - CANCER TREATMENT CENTER
2610 URHMANKLAMATH FALLSOR97601MEDICAL CLINIC
7 - CENTER FOR OCCUPATIONAL HEALTH
2621 CROSBY AVENUEKLAMATH FALLSOR97603HOME HEALTH SERVICES, EMPLOYEE ASSISTANCE PROGRAM
8 - ADULT MEDICINE & FAMILY PRACTICE
3001 DAGGETT AVENUEKLAMATH FALLSOR97601MEDICAL CLINICS
9 - UROLOGY CLINIC
2630 CAMPUS DRIVEKLAMATH FALLSOR97601MEDICAL CLINIC
10 - MOB III
2680 UHRMANN ROADKLAMATH FALLSOR97601MEDICAL CLINIC
11 - FAMILY PRACTICE CLINIC
2617 ALMOND STREETKLAMATH FALLSOR97601MEDICAL CLINIC
12 - FAMILY PRACTICE CLINIC
2600 CLOVERKLAMATH FALLSOR97601MEDICAL CLINIC
13 - WELLNESS CENTER
128 SOUTH 11TH STREETKLAMATH FALLSOR97601MEDICAL CLINIC
14 - PULMONARY MEDICINE
2301 CLAIRMONTKLAMATH FALLSOR97601MEDICAL CLINIC
15 - COMMUNITY HEALTHEDUCATION
2200 NORTH ELDORADO AVENUEKLAMATH FALLSOR97601COMMUNITY EDUCATION FACILITY
16 - HUGH CURRIN HOUSE
2601 DAGGETT AVENUEKLAMATH FALLSOR97601RESIDENTIAL FACILITY FOR FAMILIES UNDERGOING CARE
17 - RECOVERY ZONE
2846 EBERLEIN AVEKLAMATH FALLSOR97603REHABILITATION SERVICES
18 - PEDIATRIC REHAB
2686 CAMPUS DRIVEKLAMATH FALLSOR97601REHABILITATION SERVICES

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 $ 7,964,416.
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 $1,194,662.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. THAT WEBSITE IS THE COMMUNICATIONS TOOL OF THE LOCAL COMMUNITY COLLABORATIVE AIMED AT IMPROVING THE LIVABILITY OF THE REGION. THERE ARE MORE THAN 100 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 IN ORDER TO FURTHER REFINE STRATEGIES AND PRIORITIZE ACTIVITIES.SKY LAKES REGULARLY 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 PEOPLE WHO HAVE USED SKY LAKES FACILITIES FOR OUTPATIENT TESTING AND TREATMENTS.THE GALLUP-HEALTHWAYS WELL-BEING INDEX 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. COMMUNITY MEMBERS' PERCEPTIONS REGARDING HEALTH NEEDS ARE CAPTURED IN NON-SCIENTIFIC SURVEYS CONDUCTED AT THE CONCLUSION OF COMMUNITY EVENTS HOSTED BY THE MEDICAL CENTER.
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 PROVIDES INFORMATION ABOUT FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS. WE HAVE ENGAGED THE SERVICES OF CHAMBERLIN EDMONDS, A COMPANY THAT SPEAKS WITH ALL UNINSURED INPATIENTS WHO MEET CLEARLY DEFINED CRITERIA. CHAMBERLIN EDMONDS STAFF ALSO REVIEW ALL QUALIFYING OUTPATIENT ACCOUNTS AND CONTACT PATIENTS TO DISCUSS THEIR ELIGIBILITY. THOSE STAFF FURTHER ASSIST PATIENTS IN COMPLETING FINANCIAL ASSISTANCE APPLICATIONS IF THEY ARE UNSUCCESSFUL GETTING ON 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 OF ROUGHLY 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 THE POLITICAL BOUNDARIES OF THE SERVICE AREA MAKE ACCURATE MEASUREMENTS IMPOSSIBLE, DATA FOR KLAMATH COUNTY ARE USED FOR THIS NARRATIVE. THE POPULATION PRIMARILY TARGETED FOR HEALTH IMPROVEMENT ACTIVITIES IS INSIDE THE KLAMATH FALLS URBAN GROWTH BOUNDARY (UGB).KLAMATH COUNTY'S POPULATION IS APPROXIMATELY 67,650 (2018) WITH KLAMATH FALLS, AT 21,540 PEOPLE, BEING THE LARGEST CITY WITH AN EQUALLY LARGE SUBURBAN POPULATION. THE POPULATION OF THE UGB WAS ESTIMATED AT 43,500 PEOPLE, AND IT'S WIDELY HELD THAT ANOTHER 12,000 PEOPLE ARE SCATTERED IN ENCLAVES AROUND THE UGB.. THE POPULATION'S GENDER SPLIT IS EVEN WITH 50.0 PERCENT EACH FEMALE AND MALE, NEARLY 40 PERCENT OF THE TOTAL IS CONSIDERED "RURAL," ALSO, WHITE, NON-HISPANIC ACCOUNT FOR 89.1 PERCENT OF THE TOTAL, 4.9 PERCENT AS AMERICAN INDIAN. 13.4 PERCENT HISPANIC OR LATINO, AND ROUGHLY 1 PERCENT AFRICAN AMERICAN.THE MEDIAN HOUSEHOLD INCOME IN THE COUNTY (2014-2018) IS REPORTED AT $43,522, WITH 20.3 PERCENT OF THE POPULATION IN POVERTY. THAT COMPARES TO 18.7 PERCENT NATIONALLY AND 14.1 IN OREGON.THE COUNTY HEALTH RANKINGS FOR 2019 SHOWS KLAMATH COUNTY IS RANKED 35 OUT OF 36 RANKED OREGON COUNTIES. THE REPORT RANKS SUCH FACTORS AS:- POOR OR FAIR HEALTH (17 PERCENT VS THE NATIONAL BENCHMARK OF 12 PERCENT AND THE OREGON BENCHMARK OF 16 PERCENT),- ADULT SMOKING (18 PERCENT (DOWN FROM 23 PERCENT TWO YEARS EARLIER) VS 14 PERCENT NATIONALLY AND 16 PERCENT IN OREGON),- UNINSURED ADULTS (9 PERCENT VS 6 PERCENT NATIONALLY AND 7 PERCENT IN OREGON),- PRIMARY CARE PROVIDERS (1,110:1 VS 1,050:1 NATIONALLY AND 1,080:1 IN OREGON),- CHILDREN IN POVERTY (26 PERCENT VS 11 PERCENT NATIONALLY AND 17 PERCENT 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 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. THESE ARE AUTHORIZED BY A 10-MEMBER BOARD OF DIRECTORS. SKY LAKES LABORATORY SERVICES, USING EXPERIENCE FROM THE ANNUAL HEALTH FAIR, PROVIDED NO-CHARGE SCREENINGS FOR DIABETES AND HEART DISEASE AT AN EVENT IN A NEARBY COMMUNITY HOSTED BY A NURSING STUDENT ORGANIZATION. ABOUT 60 PEOPLE WERE SERVED.ALSO, SKY LAKES HOSTS FREE "WALK WITH A DOC" PROGRAMS IN COOPERATION WITH AREA PHYSICIANS AND CLINICS. THE ABOVE ACTIVITIES ARE PROVIDED AT NO CHARGE AS PUBLIC SERVICES OF SKY LAKES AND ACTIVELY PROMOTED ONLINE, IN SOCIAL MEDIA, AND TRADITIONAL MEDIA. SKY LAKES ROUTINELY WORKS WITH COMMUNITY PARTNERS TO PROMOTE HEALTHIER NUTRITION CHOICES, HANDS-ON COOKING CLASSES, SMOKING CESSATION CLASSES, AND INCREASED PHYSICAL ACTIVITY. TO ENCOURAGE PEOPLE TO BE MORE ACTIVE, SKY LAKES OFFERS FREE PEDOMETERS TO PEOPLE INTERESTED IN KEEPING TRACK OF THEIR STEPS EN ROUTE TO A GOAL OF 10,000 STEPS A DAY. PEDOMETERS ARE OFFERED VIA THE MEDICAL CENTER'S QUARTERLY LIVE SMART MAGAZINE, VIA SOCIAL MEDIA, AND AT SKY LAKES-HOSTED EVENTS.SKY LAKES HELPED PROMOTE AND SUPPORT TWO BICYCLE EVENTS THAT SERVED APPROXIMATELY 4,200 PEOPLE IN ALL. THE MEDICAL CENTER ALSO DONATED NEARLY $2,700 IN SNACKS FOR PARTICIPANTS. SKY LAKES EMERGENCY DEPARTMENT STAFF MEMBERS CONDUCT HAND-HYGIENE EDUCATION AND FREE BLOOD PRESSURE CHECKS AT THE EVERY-OTHER-YEAR AREA SAFETY FAIR HOSTED BY AREA EMERGENCY SERVICES AGENCIES, AND AT SIMILAR COMMUNITY EVENTS. THE MEDICAL CENTER FURTHER PROMOTES HAND HYGIENE BY OFFERING FREE HAND SANITIZER BOTTLES AT COMMUNITY ACTIVITIES AND DURING SCHOOL EVENTS, AND SKIN PROTECTION USING A UV DEMONSTRATION FOLLOWED UP WITH FREE SUN SCREEN SAMPLES. THESE ACTIVITIES ARE IN COORDINATION WITH A MULTI-MEDIA PUBLIC SERVICE CAMPAIGN PROMOTING EARLY DETECTION SCREENINGS AND TESTS FOR CANCER, AND PROMOTING HEALTHIER BEHAVIORS. THE EMERGENCY DEPARTMENT ALSO 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 WAS ONE OF THE PRINCIPAL AGENCIES CONTRIBUTING TO KLAMATH COUNTY BEING AWARDED THE RWJF CULTURE OF HEALTH PRIZE IN 2018; ONE OF ONLY FOUR IN THE NATION. THE PRIZE RECOGNIZES THE COMMUNITY'S EFFECTS TO IMPROVE HEALTH OUTCOMES, WHICH WERE DRIVEN BY THE HEALTHY KLAMATH COALITION AND MANY FUNDED AND SUPPORTED BY SKY LAKES.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 TO MORE THAN $4 MILLION WITH A NET COMMUNITY BENEFIT OF SOME $2.3 MILLION.KLAMATH-LAKE CHILD ABUSE RESPONSE AND EVALUATION SERVICES (CARES) IS A SKY LAKES DEPARTMENT WITH A BUDGET OF $540,000 AND A NET COMMUNITY BENEFIT OF $68,000. 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. MORE THAN 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.IN ADDITION, KLAMATH COUNTY IS A PHYSICIAN-SHORTAGE AREA AND PHYSICIAN RECRUITMENT EFFORTS ARE UNDERWRITTEN BY THE MEDICAL CENTER. THE MEDICAL CENTER INVESTED MORE THAN $300,000 IN RECRUITING ACTIVITIES IN THE TAX YEAR AND SOME $5.3 MILLION (NET) IN CLINIC START-UP AND SUPPORT. THIS IS IN ADDITION TO THE UNDERWRITING SUPPORT FOR SKY LAKES FOR THE CASCADES EAST FAMILY MEDICINE RESIDENCY PROGRAM. A NUMBER OF SKY LAKES EMPLOYEES PROVIDE VOLUNTEER EDUCATIONAL SUPPORT IN THE FORM OF TEACHING, MENTORING, PROGRAM DEVELOPMENT, AND TOURS AND DEMONSTRATIONS FOR LOCAL SCHOOLS AND COLLEGES. SKY LAKES STAFF MEMBERS ALSO VOLUNTEER DURING WORK TIME TO DISTRIBUTE FRESH FRUITS AND VEGETABLES AT PRODUCE CONNECTION SITES TO FURTHER THE MEDICAL CENTER'S AIM OF IMPROVING NUTRITION AMONG THE POPULATION AND HELPING PEOPLE MAKE BETTER NUTRITION CHOICES.TO PROMOTE MORE PHYSICAL ACTIVITY AMONG YOUNG PEOPLE, SKY LAKES PROVIDED ALL AREA PUBLIC AND PRIVATE SCHOOL THIRD-GRADERS SWIMMING LESSONS AT THE CITY OF KLAMATH FALLS-OWNED MUNICIPAL SWIMMING POOL OVER A THREE-YEAR SPAN. SKY LAKES ALSO FUNDED SCHOLARSHIPS SO 12 QUALIFIED YOUTH COULD PLAY AT VARIOUS ABILITY LEVELS.SKY LAKES ENCOURAGES STAFF TO SEEK OPPORTUNITIES TO IMPROVE THE HEALTH OF THE COMMUNITY BEYOND THEIR NORMAL DUTIES. AMONG THEM:- A SKY LAKES OUTPATIENT CARE MANAGEMENT EMPLOYEE HELPS PUT ON CLASSES AT THE LOCAL SENIOR CENTER PROMOTING MENTAL FITNESS AND AGILITY; - SKY LAKES DIETITIANS SHARE THEIR KNOWLEDGE AT PRIVATE WORKSITES IN THE AREA; AND- SKY LAKES DIABETES EDUCATORS REGULARLY PRESENT TO COMMUNITY GROUPS HOW TO PREVENT DIABETES AND HOW TO RECOGNIZE PREDIABETES.SKY LAKES EMERGENCY DEPARTMENT PHYSICIANS, NURSES AND STAFF DONATED NEARLY 500 HOURS TO ASSIST THE MORE THAN 15 COMMUNITY-PARTNER AGENCIES PUT ON OPERATION PROM NIGHT FOR HIGH SCHOOL SENIORS, AND SUPPORT ITS MISSION OF PREVENTION. THE PROGRAM'S AIM IS TO HELP YOUNG ADULTS REALIZE THE DANGERS OF DISTRACTED DRIVING. THE PERFORMANCE THE AGENCIES ORCHESTRATE AROUND THE SPRING PROM SEASON FOR AREA HIGH SCHOOL STUDENTS ILLUSTRATES A GRIM REALITY: DISTRACTED DRIVING - DRIVING UNDER THE INFLUENCE OF ALCOHOL OR DRUGS, TEXTING, OR SIMPLY NOT PAYING ATTENTION - ACCOUNTS FOR THE DEATHS OF HUNDREDS YOUNG DRIVERS ANNUALLY.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 TIMES.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. RECOGNIZING KLAMATH BASIN WINTERS CAN INTERFERE WITH PHYSICAL ACTIVITY, SKY LAKES DONATED $5,000 TO MAKE AN INDOOR SOCCER PRACTICE FACILITY AVAILABLE SO ADULTS WOULD BE ABLE TO SAFELY WALK. SIMILARLY, SKY LAKES SPENT MORE THAN $900,000 TO DEVELOP A BLIGHTED CITY BLOCK NEAR DOWNTOWN AND TURN IT INTO A MULTI-USE PARK WITH OPEN GREEN SPACE, A SPLASH PAD, AND A NATURAL AMPHITHEATER.SKY LAKES COMMITTED TO A THREE-YEAR, $600,000 GIFT ($200,000 PER YEAR ENDING IN 2018), LEVERAGING AN ADDITIONAL $1.2 MILLION GIFT FROM THE CAMBIA HEALTH FOUNDATION AND ENABLED THE LAUNCH OF THE BLUE ZONES PROJECT THAT WILL HELP KLAMATH FALLS BE A HEALTHIER COMMUNITY. THE LOCAL BLUE ZONES PROJECT CONTINUES BEYOND THE INITIAL THREE YEARS, AND SKY LAKES IS THE PRINCIPAL SPONSOR OF THE PROJECT; THE PROJECT STAFF ARE 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. [SEE LINE 5 OVERFLOW LATER IN PART VI]
PART VI, LINE 7, REPORTS FILED WITH STATESOR
PART VI, LINE 5 OVERFLOW:BEING A MAJOR SUPPORTER OF THE OREGON HEALTHIEST STATE TO HELP KLAMATH FALLS BECOME THE FIRST BLUE ZONES DEMONSTRATION COMMUNITY IN THE NORTHWEST, AND 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 ($15,000 A YEAR) 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;- KLAMATH HOSPICE'S CAMP EVERGREEN BY PROVIDING EMERGENCY MEDICATIONS FOR CAMP NURSES TO HELP KEEP CAMPERS SAFE, AND INDIVIDUAL WATER BOTTLES FOR PARTICIPANTS TO PROMOTE PROPER HYDRATION. SKY LAKES IS A REGULAR MAJOR SPONSOR OF THE AGENCY'S FUNDRAISING WALK-RUN TO BENEFIT THE CAMP;- 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;- SKY LAKES ALSO FUNDED THE FRIENDS OF THE CHILDREN GARDEN AND PANTRY TO HELP ADULTS TEACH MENTEES THE SKILLS NECESSARY TO HAVE SUCCESSFUL VEGETABLE GARDEN. THE CHILDREN LATER HARVESTED THEIR PRODUCE AND, THANKS TO ANOTHER GRANT FROM SKY LAKES FOR THE "PANTRY PROJECT," LEARNED HOW TO USE FRESH VEGETABLES IN MEALS;- BEYOND PROGRAMS FOR YOUTH, SKY LAKES ALSO PROVIDED $5,000 TO THE KLAMATH BASIN SENIOR CENTER TO HELP IMPROVE ACCESS TO HOT MEALS FOR SENIOR CITIZENS, $5,000 TO HELP FUND AWARMING CENTER FOR AREA HOMELESS, AND $6,000 TO THE OREGON TECH VETERANS ASSOCIATION TO HELP MILITARY VETERANS;- THE AMERICAN LUNG ASSOCIATION'S FREEDOM FROM SMOKING CLASSES BY PROVIDING TRAINING FOR EDUCATORS, FREE MEETING SPACE FOR THE CLASSES, AND MARKETING MATERIALS AND ADVERTISING TO PROMOTE THE CLASSES AND THEIR INTENT.SKY LAKES COMMUNITY PARTNERSHIPS INCLUDE:- AMERICAN CANCER SOCIETY- AMERICAN LUNG ASSOCIATION - KLAMATH FALLS GOSPEL MISSION- HEALTHY ACTIVE KLAMATH- KLAMATH FALLS CITY SCHOOLS AND STUDENTS- KLAMATH COUNTY SCHOOL DISTRICT AND STUDENTS- KLAMATH COMMUNITY COLLEGE AND STUDENTS- KLAMATH COUNTY CASA- KLAMATH COUNTY CHAMBER OF COMMERCE- KLAMATH HOSPICE- KLAMATH-LAKE FOOD BANK- OREGON INSTITUTE OF TECHNOLOGY AND STUDENTS - OREGON TECH VETERANS ASSOCIATION- KLAMATH BASIN RESEARCH AND EXTENSION CENTER- PREGNANCY HOPE CENTER- UNITED WAY OF THE KLAMATH BASIN- CITIZENS FOR SAFE SCHOOLS- KLAMATH PROMISE- ELLA REDKEY MUNICIPAL SWIMMING POOL- KLAMATH FALLS LITTLE LEAGUE - BABE RUTH BASEBALL- KLAMATH BASIN UNITED SOCCER- KLAMATH ICE SPORTS- KLAMATH-LAKE FOOD BANK

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (14 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
KLAMATH COUNTY SCHOOL DISTRICT
10501 WASHBURN WAYKLAMATH FALLSOR97603936000543501(C)(1)$21,500HOSA PROGRAM ASSISTANCE
KLAMATH COMMUNITY FOUNDATION
PO BOX 1903KLAMATH FALLSOR97601205502851501(C)(3)$19,000SOFTWARE
KLAMATH PUBLIC SAFETY PAC
316 MAIN STKLAMATH FALLSOR97602463281965501(C)(3)$17,000COMMUNITY BENEFIT
CITY OF KLAMATH FALLS
222 S SIXTH STKLAMATH FALLSOR97601936002195501(C)(1)$12,390CHILDREN'S SWIM PROGRAM
KLAMATH LAKE COUNTIES FOOD BANK
3231 MAYWOOD DRKLAMATH FALLSOR97603930873280501(C)(3)$10,805FEED THE HUNGRY
KLAMATH ICE SPORTS INC
5075 FOX SPARROW DRKLAMATH FALLSOR97601931279736501(C)(3)$10,070BUILDING CAMPAIGN
FRIENDS OF THE CHILDREN
3837 ALTAMONT DRIVEKLAMATH FALLSOR97603931290284501(C)(3)$8,800CHILDREN ADVOCACY
CASA OF CHILDREN OF KLAMATH COUNTY
731 MAIN STREET 202KLAMATH FALLSOR97601931261640501(C)(3)$7,500CHILDREN ADVOCACY
KCDC
2960 MAYWOOD DRIVE 10KLAMATH FALLSOR97603931175532501(C)(3)$6,000MILITARY COMPETITION
KLAMATH BASIN SENIOR
2045 ARTHUR STREETKLAMATH FALLSOR97601460716639501(C)(3)$6,000SENIOR ADVOCACY
KLAMATH ASSEMBLY OF GOD
235 S LAGUNA STKLAMATH FALLSOR97601930513049501(C)(3)$5,000FEED THE HUNGRY
KLAMATH FALLS YOUTH BASEBALL
2261 S SIXTH STKLAMATH FALLSOR97601680494059501(C)(3)$5,000CHILDREN'S PROGRAMS
BASIN UNITED SOCCER CLUB
4500 FOOTHILLS BLVDKLAMATH FALLSOR97603352190336501(C)(3)$5,000WALKING PROGRAM
STEEN'S SPORT PARK
4500 FOOTHILLS BLVDKLAMATH FALLSOR97603931226388501(C)(3)$5,000CHILDREN'S BASEBALL PROGRAM
FieldValueIRS element (for citing)
Total501c3 Org14Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (3 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmt
EDUCATION REIMBURSEMENT21$50,779
PATIENT ASSISTANCE1115$43,333
STUDENT LOAN/TUITION ASSISTANCE TO EMPLOYEES9$16,244

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE 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

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
PAUL STEWART
PRESIDENT/CEO/SECRETARY/TREAS$529,103$0$300,000$0$0$0$32,250$0$13,884$0$875,237$0$0$0
RICHARD E RICO
VP/CFO$385,706$0$73,556$0$0$0$32,250$0$19,008$0$510,520$0$0$0
STANTON T SMITH MD
MEDICAL PROVIDER$564,983$0$33,751$0$0$0$13,750$0$19,008$0$631,492$0$0$0
MARC ORLANDO MD
MEDICAL PROVIDER$558,402$0$32,991$0$0$0$13,750$0$19,008$0$624,151$0$0$0
JARED OGAO MD
MEDICAL PROVIDER$563,740$0$20,000$0$0$0$13,750$0$19,008$0$616,498$0$0$0
BRADLEY A KRAMER MD
MEDICAL PROVIDER$582,849$0$0$0$0$0$13,750$0$19,008$0$615,607$0$0$0
DAVID CHADBOURNE MD
MEDICAL PROVIDER$537,847$0$0$0$0$0$13,750$0$19,008$0$570,605$0$0$0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
KLAMATH FALLS INTERCOMMUNITY HOSPITAL AUTHORITY
A931061020498413EF62012-11-29$18,288,334REFUNDING OF 2002 BONDS; ENERGY EFFICIENCY COSTS; RESERVE FUND000
KLAMATH FALLS INTERCOMMUNITY HOSPITAL AUTHORITY
B931061020498413FR92016-06-23$59,146,386REFUNDING OF 2006 BONDS; NEW MEDICAL OFFICE BUILDINGS; PARKING FACILITIES000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndOther Spent ProceedsOtherSpentProceedsAmt
A$2,839,000$11,772,436$18,288,334$59,879$257,477$6,198,54220130Yes (1)Yes (1)Yes (1)
B$983,000$59,146,386$846,856$25,000,00020160Yes (1)Yes (1)Yes (1)$33,299,530

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00000.000000.000000.00000000
B00000.000000.000000.00000000

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A0Yes (1)0000000
B0Yes (1)0000000

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
A0
B0

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

FieldValueIRS element (for citing)
PersonPAUL STEWARTPersonNm
Relationship With OrgPRES/CEORelationshipWithOrgTxt
Loan PurposeLIFE INSURANCE POLICY PURCHASELoanPurposeTxt
Loan From OrganizationYes (X)LoanFromOrganizationInd
Original Principal$1,050,000OriginalPrincipalAmt
Balance Due$1,160,671BalanceDueAmt
Default0DefaultInd
Board Or Committee ApprovalYes (1)BoardOrCommitteeApprovalInd
Written AgreementYes (1)WrittenAgreementInd
FieldValueIRS element (for citing)
Total Balance Due$1,160,671TotalBalanceDueAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BFORM 990 IS REVIEWED BY THE CONTROLLER, CFO AND OTHER STAFF BEFORE FILING.
FORM 990, PART VI, SECTION B, LINE 12CIT 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 15THE 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 JANUARY 2019.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING 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 563,654.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1SOUTHERN OREGON EMERGENCY CARE LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12865 DAGGETT AVENUEAddressLine1Txt
CityKLAMATH FALLSCityNm
State AbbreviationORStateAbbreviationCd
ZIP97601ZIPCd
FieldValueIRS element (for citing)
EIN611595709EIN
Primary ActivitiesPHYSICIAN SERVICESPrimaryActivitiesTxt
Legal Domicile StateORLegalDomicileStateCd
Total Income$0TotalIncomeAmt
End Of Year Assets$0EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SKY LAKES MEDICAL CENTERBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
SKY LAKES MEDICAL CENTER FOUNDATION
2865 DAGGETT AVENUEKLAMATH FALLSOR97601930946020FUNDRAISING AND STEWARDSHIP; SUPPORT MEDICAL CENTEROR501(C)(3)LINE 12A, ISKY LAKES MEDICAL CENTERYes (1)
KLAMATH CARE SERVICES INC
2865 DAGGETT AVENUEKLAMATH FALLSOR97601930946018SUPPORT MEDICAL CENTER (INACTIVE)OR501(C)(3)LINE 12C, III-FISKY LAKES MEDICAL CENTER0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1KLAMATH MEDICAL BUSINESS CENTER LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12865 DAGGETT AVENUEAddressLine1Txt
CityKLAMATH FALLSCityNm
State AbbreviationORStateAbbreviationCd
ZIP97601ZIPCd
FieldValueIRS element (for citing)
EIN020731372EIN
Primary ActivitiesREAL AND PERSONAL PROPERTY RENTALPrimaryActivitiesTxt
Legal Domicile StateORLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SKY LAKES MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeINVESTMENTPredominantIncomeTypeTxt
Share Of Total Income$24,843ShareOfTotalIncomeAmt
Share Of EOY Assets$509,592ShareOfEOYAssetsAmt
Disproportionate Allocations0DisproportionateAllocationsInd
UBI Code V$7,315UBICodeVAmt
General Or Managing PartnerYes (1)GeneralOrManagingPartnerInd
Ownership0.50000OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1WEST PHYSICIAN SERVICES LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12865 DAGGETT AVENUEAddressLine1Txt
CityKLAMATH FALLSCityNm
State AbbreviationORStateAbbreviationCd
ZIP97601ZIPCd
FieldValueIRS element (for citing)
EIN870696029EIN
Primary ActivitiesPHYSICIAN SERVICESPrimaryActivitiesTxt
Legal Domicile StateORLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SKY LAKES MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeCEntityTypeTxt
Share Of Total Income-$5,043,348ShareOfTotalIncomeAmt
Share Of EOY Assets$3,893,579ShareOfEOYAssetsAmt
Ownership1.00000OwnershipPct
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
WEST PHYSICIAN SERVICES LLC
D$152,586INCREASE IN LIABILITY
KLAMATH MEDICAL BUSINESS CENTER LLC
K$120,571CASH TRANSFERRED