SKY LAKES MEDICAL CENTER INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: SKY LAKES MEDICAL CENTER INC (EIN 93-0508781)
Tax period: 2017-10-01 to 2018-09-30
Filed: 2019-08-14
IRS object ID: 201902269349302720
Schema version: 2017v2.3
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-08-14T16:12:58-05:00	ReturnTs
Tax Period End	2018-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	910189318	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	MOSS ADAMS LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	805 SW BROADWAY STE 1200	AddressLine1Txt
City	PORTLAND	CityNm
State Abbreviation	OR	StateAbbreviationCd
ZIP	97205	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	930508781	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SKY LAKES MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	SKYL	BusinessNameControlTxt
Phone	5412746311	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2865 DAGGETT AVENUE	AddressLine1Txt
City	KLAMATH FALLS	CityNm
State Abbreviation	OR	StateAbbreviationCd
ZIP	97601	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	RICHARD RICO	PersonNm
Person Title	VP/CFO	PersonTitleTxt
Phone	5412746311	PhoneNum
Signature	2019-08-13	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	WENDY CAMPOS	PreparerPersonNm
PTIN	P00448102	PTIN
Phone	5032421447	PhoneNum
Preparation	2019-08-12	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	12.129.4.211	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2019-08-13	IPDt
IP Tm	10:54:28	IPTm
IP Timezone	PD	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DA39A3EE5E6B4B0D3255BFEF95601890AFD80709	AtSubmissionCreationDeviceId
At Submission Filing Device Id	D294BCF825AD6123C8D8C79B00469E80119B4775	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	PAUL STEWART	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2865 DAGGETT AVENUE	AddressLine1Txt
City	KLAMATH FALLS	CityNm
State Abbreviation	OR	StateAbbreviationCd
ZIP	97601	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$652,236,677	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SKYLAKES.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1979	FormationYr
Legal Domicile State	OR	LegalDomicileStateCd
Activity Or Mission	SKY LAKES MEDICAL CENTER WILL CONTINUALLY STRIVE TO REDUCE THE BURDEN OF ILLNESS, INJURY AND DISABILITY, AND TO IMPROVE THE HEALTH, SELF- RELIANCE AND WELL-BEING OF THE PEOPLE WE SERVE. WE WILL DEMONSTRATE THAT WE ARE COMPETENT AND CARING IN ALL WE DO. WE SHALL ENDEAVOR TO BE SO SUCCESSFUL IN THIS EFFORT THAT WE WILL BECOME A PREEMINENT HEALTHCARE CENTER.	ActivityOrMissionDesc
Voting Members Governing Body	10	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	1675	TotalEmployeeCnt
Total Volunteers	251	TotalVolunteersCnt
Total Gross UBI	$7,500	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$86,684	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,564,000	PYContributionsGrantsAmt
CY Contributions Grants	$1,693,000	CYContributionsGrantsAmt
PY Program Service Revenue	$620,520,661	PYProgramServiceRevenueAmt
CY Program Service Revenue	$638,302,623	CYProgramServiceRevenueAmt
PY Investment Income	$2,524,778	PYInvestmentIncomeAmt
CY Investment Income	$1,439,402	CYInvestmentIncomeAmt
PY Other Revenue	$2,389,639	PYOtherRevenueAmt
CY Other Revenue	$5,441,606	CYOtherRevenueAmt
PY Total Revenue	$626,999,078	PYTotalRevenueAmt
CY Total Revenue	$646,876,631	CYTotalRevenueAmt
PY Grants And Similar Paid	$571,853	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$265,123	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$117,767,961	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$125,200,047	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$494,030,357	PYOtherExpensesAmt
CY Other Expenses	$503,199,485	CYOtherExpensesAmt
PY Total Expenses	$612,370,171	PYTotalExpensesAmt
CY Total Expenses	$628,664,655	CYTotalExpensesAmt
PY Revenues Less Expenses	$14,628,907	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$18,211,976	CYRevenuesLessExpensesAmt
Total Assets BOY	$352,003,938	TotalAssetsBOYAmt
Total Assets EOY	$379,169,745	TotalAssetsEOYAmt
Total Liabilities BOY	$113,903,102	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$119,660,072	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$238,100,836	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$259,509,673	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SKY LAKES MEDICAL CENTER WILL CONTINUALLY STRIVE TO REDUCE THE BURDEN OF ILLNESS, INJURY AND DISABILITY, AND TO IMPROVE THE HEALTH, SELF- RELIANCE AND WELL-BEING OF THE PEOPLE WE SERVE. WE WILL DEMONSTRATE THAT WE ARE COMPETENT AND CARING IN ALL WE DO. WE SHALL ENDEAVOR TO BE SO SUCCESSFUL IN THIS EFFORT THAT WE WILL BECOME A PREEMINENT HEALTHCARE CENTER.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$524,511,046	ExpenseAmt
Grant	$151,733	GrantAmt
Revenue	$638,681,377	RevenueAmt
Desc	PATIENT CARE EXPENSES - ACUTE INPATIENT CARE FOR ADULT AND PEDIATRIC PATIENTS; A LEVEL III TRAUMA EMERGENCY DEPARTMENT; SERVICES RELATED TO CHILD ABUSE, HOME CARE, PHYSICAL, OCCUPATIONAL AND SPEECH THERAPIES; A CANCER TREATMENT CENTER WITH BOTH MEDICAL AND RADIATION ONCOLOGY; AND DIAGNOSTIC TESTING (LABORATORY AND DIAGNOSTIC IMAGING) AVAILABILITY IN SETTINGS AROUND THE COMMUNITY.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$17,229,599	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$0	RevenueAmt
Desc	UNCOMPENSATED CARE - DURING FISCAL YEAR 2018, CHARGES WRITTEN OFF UNDER OUR BROAD-REACHING CHARITY CARE POLICY TOTALED $10,320,195. IN ADDITION TO CHARITY CARE WRITE OFFS, CHARGES WRITTEN OFF AS BAD DEBT TOTALED $6,909,405. AS A PERCENTAGE OF CHARGES, FISCAL YEAR 2018 WRITE OFFS REPRESENT 1.6% (CHARITY CARE) AND 1.1% (BAD DEBT), RESPECTIVELY.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$4,345,923	ExpenseAmt
Grant	$113,390	GrantAmt
Revenue	$2,005,131	RevenueAmt
Desc	EDUCATIONAL SUPPORT - SKY LAKES MEDICAL CENTER COMMITS SIGNIFICANT DOLLARS AND HOURS TO BENEFIT EDUCATIONAL EFFORTS IN AND FOR THE COMMUNITY. AMONG THOSE COMMITMENTS ARE THE FOLLOWING: OREGON HEALTH & SCIENCE UNIVERSITY AFFILIATED FAMILY PRACTICE RESIDENCY PROGRAM AND CLINIC; AN RN I TRAINING PROGRAM TO INCLUDE 6 MONTHS OF ONE-ON-ONE SUPERVISED ORIENTATION TO THE INPATIENT CARE AREAS; AWARDING OF SCHOLARSHIPS TO COMMUNITY MEMBERS AND/OR EMPLOYEES IN HEALTHCARE- RELATED PROGRAMS; A HOSPITAL DEPARTMENT, LEARNING RESOURCES, DEDICATED TO THE EDUCATION OF PHYSICIANS, EMPLOYEES AND COMMUNITY MEMBERS; COMMITMENT TO EMPLOYEES ACTING, EITHER FULL-TIME OR PART-TIME, AS INSTRUCTORS IN ACCREDITED COURSES AT THE HIGH SCHOOL, COMMUNITY COLLEGE OR UNIVERSITY LEVEL; STIPEND PAYMENTS TO STUDENTS PERFORMING WORK AND/OR ON-THE-JOB TRAINING WITHIN THE HOSPITAL SETTING; TUITION REIMBURSEMENTS PAID TO EMPLOYEES ENROLLED IN COLLEGE-LEVEL COURSEWORK; JOINT PARTICIPATION IN A SIMULATION LABORATORY WITH OIT; FREE OR MINIMAL COST COMMUNITY EDUCATIONAL OPPORTUNITIES SUCH AS DIABETES EDUCATION, NUTRITION AND OTHER EDUCATION PROGRAMS IN OR FOR THE SCHOOLS; AND HEALTH FAIRS.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$49,387,819	ExpenseAmt
Grant	$0	GrantAmt
Revenue	-$2,929,692	RevenueAmt
Desc	EXPENSES RELATED TO MEDICAL CENTER SUPPORTING SERVICES SUCH AS ADMINISTRATION, INFORMATION SYSTEMS, FINANCIAL SERVICES, REVENUE CYCLE PROCESSES, HUMAN RESOURCES, ENGINEERING, ENVIRONMENTAL SERVICES, RISK MANAGEMENT, AND SAFETY AND SECURITY.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$49,387,819	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$0	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	-$2,929,692	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$595,474,387	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	Yes (1)	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	239	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1675	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	10	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	0	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	0	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	OR	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	RICHARD RICO VPCFO	PersonNm
Phone	5412746150	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2865 DAGGETT AVENUE	AddressLine1Txt
City	KLAMATH FALLS	CityNm
State Abbreviation	OR	StateAbbreviationCd
ZIP	97601	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
JOHN BELL
CHAIRMAN	3.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
ROD WENDT
VICE CHAIRMAN	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
PAUL R STEWART
PRESIDENT/CEO/SECRETARY/TREASURER	50.00	1.00	Yes (X)	Yes (X)	$750,563	$0	$46,800
HEIDI NEEL BIGGS
BOARD MEMBER	1.00	1.00	Yes (X)		$0	$0	$0
CLARK PEDERSON
BOARD MEMBER	1.00	3.00	Yes (X)		$0	$0	$0
JEAN PHILLIPS
BOARD MEMBER	1.00	1.00	Yes (X)		$0	$0	$0
WENDY WARREN MD
BOARD MEMBER	1.00	1.00	Yes (X)		$0	$0	$0
DOUGLAS MCINNIS DVM
BOARD MEMBER	1.00	1.00	Yes (X)		$0	$0	$0
HOLLY MONTJOY MD
BOARD MEMBER	1.00	1.00	Yes (X)		$0	$0	$0
ROBERT JACKMAN MD
BOARD MEMBER	1.00		Yes (X)		$0	$0	$0
RICHARD E RICO
VP/CFO	50.00			Yes (X)	$467,298	$0	$52,452
MARC ORLANDO MD
MEDICAL PROVIDER	40.00				$581,723	$0	$34,452	Yes (X)
STANTON T SMITH MD
MEDICAL PROVIDER	40.00				$531,117	$0	$34,452	Yes (X)
FAISAL SAIFUL MD
MEDICAL PROVIDER	40.00				$536,750	$0	$34,452	Yes (X)
JARED OGAO MD
MEDICAL PROVIDER	40.00				$541,272	$0	$34,452	Yes (X)
DAVID CHADBOURNE MD
MEDICAL PROVIDER	40.00				$547,920	$0	$34,452	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,956,643	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$271,512	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	173	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
KLAMATH ORTHOPEDIC CLINIC
2200 BRYANT WILLIAMS DR	KLAMATH FALLS	OR	97601	PHYSICIAN PRACTICE	$4,953,356
EDWARD SCOTT HUDSON
4625 NADINE LN	FRANKLIN	TN	37064	STAFFING SERVICES	$4,082,484
KLAMATH RADIOLOGY ASSOCIATES
2900 DAGGETT AV	KLAMATH FALLS	OR	97601	PHYSICIAN PRACTICE	$3,720,150
MEDICAL SOLUTIONS
1010 NORTH 102ND ST	OMAHA	NE	68114	STAFFING SERVICES	$2,217,184
KLAMATH ELITE ANESTEHSIA GROUP
1815 MAJESTIC ST	KLAMATH FALLS	OR	97601	PHYSICIAN PRACTICE	$739,746

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	30	CntrctRcvdGreaterThan100KCnt
Related Organizations	$1,693,000	RelatedOrganizationsAmt
Total Contributions	$1,693,000	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT REVENUE	622110	$638,681,377	$638,681,377
OTHER PROGRAM REVENUE	622110	-$378,754	-$378,754

Field	Value	IRS element (for citing)
Total Program Service Revenue	$638,302,623	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,448,718	TotalRevenueColumnAmt
Exclusion	$1,448,718	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$966,476	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,008,577	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$42,101	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$42,101	TotalRevenueColumnAmt
Exclusion	-$42,101	ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$9,316	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$9,316	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$9,316	TotalRevenueColumnAmt
Exclusion	-$9,316	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$11,701,734	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$4,342,153	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,359,581	TotalRevenueColumnAmt
Exclusion	$7,359,581	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
PASSTHROUGH INCOME	622110	-$538,307	-$545,807	$7,500
OTHER INCOME	900099	-$1,337,567			-$1,337,567

Field	Value	IRS element (for citing)
Other Revenue Total	-$1,875,874	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$646,876,631	TotalRevenueColumnAmt
Related Or Exempt Func Income	$637,756,816	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$7,500	UnrelatedBusinessRevenueAmt
Exclusion	$7,419,315	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$89,267	TotalAmt
Program Services	$89,267	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$175,856	TotalAmt
Program Services	$175,856	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,365,583	TotalAmt
Management And General	$1,365,583	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$99,485,485	TotalAmt
Program Services	$88,516,111	ProgramServicesAmt
Management And General	$10,969,374	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,551,531	TotalAmt
Program Services	$2,492,302	ProgramServicesAmt
Management And General	$1,059,229	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$14,177,285	TotalAmt
Program Services	$12,113,425	ProgramServicesAmt
Management And General	$2,063,860	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$6,620,163	TotalAmt
Program Services	$5,328,864	ProgramServicesAmt
Management And General	$1,291,299	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$1,505,749	TotalAmt
Program Services	$308,178	ProgramServicesAmt
Management And General	$1,197,571	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$300,930	TotalAmt
Program Services	$4,220	ProgramServicesAmt
Management And General	$296,710	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$162,896	TotalAmt
Management And General	$162,896	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$16,948,603	TotalAmt
Program Services	$16,923,609	ProgramServicesAmt
Management And General	$24,994	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$859,202	TotalAmt
Program Services	$321,217	ProgramServicesAmt
Management And General	$537,985	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,977,112	TotalAmt
Program Services	$903,346	ProgramServicesAmt
Management And General	$1,073,766	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$7,029,654	TotalAmt
Program Services	$69,645	ProgramServicesAmt
Management And General	$6,960,009	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,323,921	TotalAmt
Program Services	$2,828,362	ProgramServicesAmt
Management And General	$1,495,559	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$132,299	TotalAmt
Program Services	$132,299	ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$807,309	TotalAmt
Program Services	$582,692	ProgramServicesAmt
Management And General	$224,617	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,045,362	TotalAmt
Program Services	$3,007,760	ProgramServicesAmt
Management And General	$37,602	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$14,082,240	TotalAmt
Program Services	$14,067,878	ProgramServicesAmt
Management And General	$14,362	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,950,610	TotalAmt
Program Services	$1,330,055	ProgramServicesAmt
Management And General	$620,555	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
CONTRACTUAL ALLOWANCE	$378,025,497	$378,025,497
SUPPLIES	$36,990,181	$36,667,871	$322,310
BAD DEBTS	$6,909,405	$6,909,405
TAXES PAID ON UBI	$1,000		$1,000

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$28,147,515	TotalAmt
Program Services	$24,676,528	ProgramServicesAmt
Management And General	$3,470,987	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$628,664,655	TotalAmt
Program Services	$595,474,387	ProgramServicesAmt
Management And General	$33,190,268	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$6,945,698	BOYAmt
EOY	$10,522,782	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$23,475,969	BOYAmt
EOY	$13,038,735	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$34,624,052	BOYAmt
EOY	$31,182,469	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$801,178	BOYAmt
EOY	$977,608	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$4,998,091	BOYAmt
EOY	$5,362,360	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,675,441	BOYAmt
EOY	$2,647,174	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$238,029,355	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$142,398,825	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$89,785,205	BOYAmt
EOY	$95,630,530	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$45,847,367	BOYAmt
EOY	$62,963,378	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$60,517,924	BOYAmt
EOY	$83,188,163	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$82,333,013	BOYAmt
EOY	$73,656,546	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$352,003,938	BOYAmt
EOY	$379,169,745	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$33,204,841	BOYAmt
EOY	$35,562,792	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$2,407,554	BOYAmt
EOY	$2,374,116	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$70,149,898	BOYAmt
EOY	$75,180,639	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$8,140,809	BOYAmt
EOY	$6,542,525	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$113,903,102	BOYAmt
EOY	$119,660,072	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$238,100,836	BOYAmt
EOY	$259,509,673	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$238,100,836	BOYAmt
EOY	$259,509,673	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$352,003,938	BOYAmt
EOY	$379,169,745	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$18,211,976	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$2,609,724	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$587,137	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$15,555,625	BeginningYearBalanceAmt
Contributions	$128,097	ContributionsAmt
Investment Earnings Or Losses	$183,989	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$15,940	GrantsOrScholarshipsAmt
Other Expenditures	$878,284	OtherExpendituresAmt
Administrative Expenses	$207,058	AdministrativeExpensesAmt
End Year Balance	$14,766,429	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$14,589,830	BeginningYearBalanceAmt
Contributions	$170,459	ContributionsAmt
Investment Earnings Or Losses	$1,968,108	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$62,666	GrantsOrScholarshipsAmt
Other Expenditures	$896,032	OtherExpendituresAmt
Administrative Expenses	$214,074	AdministrativeExpensesAmt
End Year Balance	$15,555,625	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.00000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	1.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,033,542	OtherCostOrOtherBasisAmt
Book Value	$4,033,542	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$137,289,209	OtherCostOrOtherBasisAmt
Depreciation	$71,600,448	DepreciationAmt
Book Value	$65,688,761	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,801,933	OtherCostOrOtherBasisAmt
Depreciation	$3,541,037	DepreciationAmt
Book Value	$1,260,896	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$88,462,938	OtherCostOrOtherBasisAmt
Depreciation	$66,876,622	DepreciationAmt
Book Value	$21,586,316	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,441,733	OtherCostOrOtherBasisAmt
Depreciation	$380,718	DepreciationAmt
Book Value	$3,061,015	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$95,630,530	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
INVESTMENTS IN OTHER COMPANIES	$2,415,350	C
LIFE INSURANCE	$78,895,916	F
DEFERRED COMP PLAN ASSETS	$1,876,897	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$83,188,163	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
ASSETS LIMITED AS TO USE	$11,078,308
OTHER ASSETS	$1,245,686
RISK POOL WITHHOLD RECEIVABLE	$3,794,599
CONSTRUCTION IN PROCESS	$12,551,809
OTHER RECEIVABLES	$44,986,144

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$73,656,546	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
CAPITAL LEASE OBLIGATIONS	$5,525,464
ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS	$1,017,061

Field	Value	IRS element (for citing)
Total Liability	$6,542,525	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART V, LINE 4:

ENDOWMENTS ARE HELD BY A RELATED ORGANIZATION, SKY LAKES MEDICAL CENTER FOUNDATION, FOR THE BENEFIT OF SKY LAKES MEDICAL CENTER.

PART X, LINE 2:

FIN 48 (ASC 740) UNCERTAIN TAX POSITION FOOTNOTE - THE MEDICAL CENTER AND FOUNDATION ARE TAX-EXEMPT ORGANIZATIONS AND ARE NOT SUBJECT TO STATE OR FEDERAL INCOME TAXES, EXCEPT ON UNRELATED BUSINESS INCOME, IN ACCORDANCE WITH SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE MEDICAL CENTER AND FOUNDATION HAD NO UNRECOGNIZED TAX BENEFITS AT SEPTEMBER 30, 2018 OR 2017. 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, 2018 AND 2017, THE MEDICAL CENTER AND FOUNDATION RECOGNIZED NO INTEREST AND PENALTIES. THE MEDICAL CENTER FILES AN EXEMPT ORGANIZATION INFORMATION RETURN AND AN UNRELATED BUSINESS INCOME TAX RETURN IN THE U.S. FEDERAL JURISDICTION AND AN UNRELATED BUSINESS INCOME TAX RETURN WITH THE OREGON DEPARTMENT OF REVENUE. THE FOUNDATION FILES AN EXEMPT ORGANIZATION INFORMATION RETURN IN THE U.S. FEDERAL JURISDICTION.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	250.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,280,487	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$16,280,487	NetCommunityBenefitExpnsAmt
Total Expense	0.02620	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$59,445,920	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$48,400,281	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,045,639	NetCommunityBenefitExpnsAmt
Total Expense	0.01780	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$75,726,407	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$48,400,281	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$27,326,126	NetCommunityBenefitExpnsAmt
Total Expense	0.04400	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,816,421	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$245,385	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,571,036	NetCommunityBenefitExpnsAmt
Total Expense	0.00250	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,345,923	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,005,131	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,340,792	NetCommunityBenefitExpnsAmt
Total Expense	0.00380	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,458,919	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,835,348	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,623,571	NetCommunityBenefitExpnsAmt
Total Expense	0.00900	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$674,989	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$674,989	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$28,296,252	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,085,864	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,210,388	NetCommunityBenefitExpnsAmt
Total Expense	0.01640	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$104,022,659	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$66,486,145	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$37,536,514	NetCommunityBenefitExpnsAmt
Total Expense	0.06040	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$542,940	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$472,230	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$70,710	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$26,326	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$26,326	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$881,566	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$881,566	NetCommunityBenefitExpnsAmt
Total Expense	0.00140	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,450,832	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$472,230	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$978,602	NetCommunityBenefitExpnsAmt
Total Expense	0.00150	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$6,909,405	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,032,319	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$83,386,207	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$111,237,201	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$27,850,994	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SKY LAKES MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2865 DAGGETT AVENUE	AddressLine1Txt
City	KLAMATH FALLS	CityNm
State Abbreviation	OR	StateAbbreviationCd
ZIP	97601	ZIPCd

Field	Value	IRS element (for citing)
Website Address	SKYLAKES.ORG	WebsiteAddressTxt
State License	14-0724	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	SKY LAKES MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Other	Yes (X)	OtherInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SKYLAKES.ORG	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	HEALTHYKLAMATH.ORG	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SKYLAKES.ORG	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	250.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SKYLAKES.ORG	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SKYLAKES.ORG	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SKYLAKES.ORG	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
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Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
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Permit No Actions	Yes (X)	PermitNoActionsInd
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Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
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Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SKY LAKES MEDICAL CENTER	PART V, SECTION B, LINE 3J: TO BETTER UNDERSTAND THE HEALTH NEEDS OF THE COMMUNITY IT SERVES, SKY LAKES MEDICAL CENTER WORKED WITH AN ASSORTMENT OF COMMUNITY PARTNERS TO DEVELOP A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT AND THE COMPANION COMMUNITY HEALTH IMPROVEMENT PLAN. TOGETHER, THE DOCUMENTS DESCRIBE AND HELP US UNDERSTAND THE POPULATION'S HEALTH NEEDS AND WAYS TO ADDRESS THOSE NEEDS AS TOGETHER WE WORK TO IMPROVING THE HEALTH OF THE COMMUNITY. THE MAJOR PARTNERS SKY LAKES MEDICAL CENTER, KLAMATH FALLS, ORE., PRIMARILY ENGAGED IN THE NEEDS ASSESSMENT INCLUDE KLAMATH COUNTY (ORE.) PUBLIC HEALTH DEPARTMENT; KLAMATH OPEN DOOR, A FEDERALLY QUALIFIED FAMILY MEDICINE CLINIC; 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 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; AND THE REGION'S LARGEST RADIO STATION; AND OTHERS. SKY LAKES, THE LOCAL PUBLIC HEALTH AGENCY, KLAMATH OPEN DOOR, 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. DATA COLLECTED IN BEHALF OF THE BLUE ZONES PROJECT HELPED CORROBORATE FINDINGS IN THE NEEDS ASSESSMENT AND VALIDATE STRATEGIES IN THE IMPROVEMENT PLAN.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 IDENTIFY CURRENT HEALTH ISSUES AND ANALYZE TRENDS OF HEALTH OUTCOMES. THE PROCESS ALSO HELPS COMMUNITY PARTNERS GAIN VALUABLE INSIGHT FOR 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 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 THAT WOULD PERSIST IN THE POPULATION.WE MONITOR OUR PROGRESS USING THE MORE THAN 100 HEALTHY COMMUNITIES INSTITUTE (HCI) HEALTH AND SOCIO-ECONOMICS INDICATORS AND DISPLAYED ON A PUBLIC WEBSITE, HEALTHYKLAMATH.ORG; THE SITE LINKS FROM THE MEDICAL CENTER'S SITE, SKYLAKES.ORG, ALSO. 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 AND FOCUS GROUPS. 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 COLLECTED 765 MAIL SURVEYS 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. IN 2018, 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 FARIGROUNDS 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 REPSONSES 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 INITIALLY BEING IMPLEMENTED WITHIN THE UGB TO HAVE THE GREATEST IMPACT ON THE HIGHEST CONCENTRATION OF RESIDENTS.KLAMATH COUNTY'S POPULATION IS APPROXIMATELY 67,000 (2017) WITH KLAMATH FALLS, AT 21,113 PEOPLE, BEING THE LARGEST CITY WITH AN EQUALLY LARGE SUBURBAN POPULATION. THE POPULATION OF THE UGB WAS ESTIMATED AT 43,100 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, 78.7 PERCENT (2017). THE POPULATION OF PEOPLE IDENTIFYING AS HISPANIC OR LATINO IS STEADILY RISING AT 12.3 PERCENT IN 2017, UP FROM 10 PERCENT IN 2010. THE REGION IS ALSO UNIQUE IN THAT IT HAS A STRONG AMERICAN INDIAN PRESENCE THAT MAKES UP 3.2 PERCENT OF THE POPULATION. NEARLY 4 PERCENT OF THE POPULATION IDENTIFIES AS MULTI-RACIAL, 1 PERCENT AS ASIAN, 0.7 PERCENT AS NON-HISPANIC AFRICAN AMERICAN.[SEE LINE 3J OVERFLOW LATER IN PART V]
SKY LAKES MEDICAL CENTER	PART V, SECTION B, LINE 5: THE KLAMATH COUNTY CHNA COORDINATED BY SKY LAKES MEDICAL CENTER IN PARTNERSHIP WITH OTHER ORGANIZATIONS TAKES INTO ACCOUNT AN UNDERSTANDING OF THE ENVIRONMENT WITHIN WHICH WE OPERATE. UNDERSTANDING THE STRENGTHS AND WEAKNESSES OF THE CURRENT LOCAL HEALTHCARE SYSTEM, AS WELL AS SOCIAL, POLITICAL, AND ECONOMIC CONDITIONS, ARE INTEGRAL TO DEVELOPING PRIORITY AREAS OF FOCUS. THE MAJOR PARTNERS WITH SKY LAKES MEDICAL CENTER, KLAMATH FALLS, ORE., INCLUDED KLAMATH COUNTY (ORE.) PUBLIC HEALTH DEPARTMENT; KLAMATH OPEN DOOR (A.K.A. KLAMATH HEALTH PARTNERSHIP), A FEDERALLY QUALIFIED FAMILY MEDICINE CLINIC; 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; AND THE REGION'S LARGEST RADIO STATION; AND OTHERS. SKY LAKES, THE LOCAL PUBLIC HEALTH AGENCY, KLAMATH OPEN DOOR, 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 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.GALLUP-HEALTHWAYS WELL-BEING INDEX, KLAMATH FALLS: THIS ASSESSMENT TEAM COLLECTED 765 MAIL SURVEYS 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. IN FY2017-18, 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. 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 CENTER	PART V, SECTION B, LINE 7D: PRINTED COPIES AT THE HOSPITAL, KLAMATH COUNTY HEALTH DEPARTMENT, KLAMATH COUNTY LIBRARY'S MAIN BRANCH, AND UPON REQUEST.
SKY LAKES MEDICAL CENTER	PART 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 86 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 IN MASS MEDIA AND IN NEWS CHANNELS. SKY LAKES ALSO PROMOTES REGULAR SCREENING (COLORECTAL AND SKIN CANCER SCREENINGS ARE HIGHLIGHTS OF THE 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 ADVOCACY PROGRAMS AMOUNT TO A SKY LAKES INVESTMENT OF MORE THAN $90,000 (NET) EACH YEAR.ACCORDING TO THE FINDINGS WITHIN THE CHNA, ABOUT 52 PERCENT OF 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.AMONG THE STRATEGIES SKY LAKES HAS EMPLOYED ARE DEVELOPING STRONG PARTNERSHIPS WITH AREA HEALTH, SENIOR AND HUMAN SERVICES AGENCIES TO GROW COLLABORATION IN AN EFFORT TO MEET THE NEEDS OF INDIVIDUALS LIVING WITH CHRONIC CONDITIONS. WORKING WITH THE PARTNERS, WE BROUGHT STANFORD UNIVERSITY'S LIVING WELL WITH CHRONIC CONDITIONS PROGRAM TO KLAMATH FALLS. THIS EVIDENCE-BASED PROGRAM TEACHES INDIVIDUALS HOW TO MANAGE THEIR CHRONIC CONDITIONS AND IMPROVE THEIR QUALITY OF LIFE. SKY LAKES PROVIDES SIGNIFICANT FUNDING, FACILITIES AND NO CHARGE, AND MANAGEMENT AND MARKETING SERVICES TO HELP THE PROGRAM ACHIEVE ITS GOALS.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 HAS APPLIED THESE TENETS AT COMMUNITIES AND CORPORATIONS ACROSS THE U.S. AND HAS SUCCESSFULLY RAISED LIFE EXPECTANCY AND LOWERED HEALTH CARE COSTS WHILE BRINGING DOWN OBESITY RATES. BLUE ZONES TAKES A SYSTEMATIC, ENVIRONMENTAL APPROACH TO WELL-BEING, WHICH FOCUSES ON OPTIMIZING POLICY, BUILDING DESIGN, SOCIAL NETWORKS, AND THE BUILT ENVIRONMENT. THE BLUE ZONES PROJECT IS BASED ON THIS INNOVATIVE APPROACH.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, AND THE DEVELOPMENT OF A FAMILY-FRIENDLY PLAY AREA AT A NEIGHBORHOOD PARK IN RESPONSE TO THE BLUE ZONE PROJECT'S GUIDANCE. IN EARLY 2018, SKY LAKES BEGAN FULL-SCALE DEVELOPMENT OF A BLOCK-SIZED DOWNTOWN PARK CREATED WHERE A BURNED-OUT BUILDING ONCE STOOD.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. 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 AND AMATEUR SPORTS ACTIVITIES INCLUDING PICKLEBALL AND AN ADULT BASKETBALL LEAGUE ($2,000 TOTAL), TENNIS INFRASTRUCTURE ($20,000 TO HELP BUILD COURTS AT A LOCAL HIGH SCHOOL), AND A BASEBALL CAMP FOR 300 GRADE-SCHOOLERS ($3,000). RELATED TO OBESITY IS DIABETES. AND DIABETES PREVENTION AND LIFESTYLE-CHANGE STRATEGIES ARE THE FOCUS OF DIABETES AND NUTRITION SERVICES ACTIVITIES AT A DIABETES-SPECIFIC EVENT IN THE FALL AND AT THE SPRING SKY LAKES COMMUNITY HEALTH FAIR; ADMISSION TO BOTH EVENTS IS FREE. 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 (APPROXIMATELY $18,000 IN ALL) 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 SOME 230,000 POUNDS OF FRESH PRODUCE TO 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 HUMAN SERVICES CAMPUS, WHERE KEY SOCIAL SERVICES AGENCIES CAN HELP THEIR CLIENTS, BY PURCHASING THE 18-ACRE SITE. THE CAMPUS WILL BECOME HOME FOR A NEW SOBERING CENTER THAT WILL ALSO OFFER 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 CENTER	PART V, SECTION B, LINE 13H: SKY LAKES PROVIDES PRESUMPTIVE ELIGIBILITY BY RELYING ON OUTSIDE AGENCIES DETERMINATION OF INCOME STATUS.
PART V, SECTION B, LINE 3J OVERFLOW:	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 AND THE LARGEST SINGLE AGE GROUP IS THOSE 45-55 YEARS AT ALMOST 13 PERCENT. THOSE 65 AND OLDER COMPRISE 19 PERCENT OF THE POPULATION WHILE THOSE UNDER 18 COMPRISE ALMOST 22 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, ESTABLISH BENCHMARKS AND MONITOR 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 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 MORE THAN 100 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, 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:	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 ($1,000 FOR EACH OF THREE TEAMS), HEALTH OCCUPATIONS COMPETITION ($1,500), RUNNING CLUBS (PRIMARY SPONSOR FOR FALL AND SPRING EVENTS FOR GRADE-SCHOOL AGED CHILDREN), AND DESTINATION IMAGINATION CONTESTS ($1,200). 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 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.HIGH RATES OF CHRONIC ABSENTEEISM AND MOBILITY WITHIN THE DISTRICT 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% 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 HUMAN SERVICES CAMPUS, WHICH WILL EVENTUALLY CO-LOCATE TO A SINGLE SITE MANY OF THE SOCIAL SERVICE AGENCIES REQUIRED TO HELP 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 HAS 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, ACCESSIBLE AREAS (GREEN SPACES, PARKS, SAFE ROUTES, AND THRIVING BUSINESSES) NEARBY, IT'S EASIER TO BE PHYSICALLY ACTIVE AND WALK TO THESE PLACES, FEEL SAFE, AND MEET WITH SOCIAL GROUPS--ALL WHICH 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 COMMUNITY. SKY LAKES IS TAKING A LEADERSHIP ROLE IN CREATING SAFE BIKE LANES CONNECTING DOWNTOWN AND THE LARGEST MUNICIPAL PARK IN THE CITY. DOING SO WILL ENCOURAGE PEOPLE IN THE RESIDENTIAL NEIGHBORHOODS ALONG THE LANES TO BE MORE PHYSICALLY ACTIVE WHILE REDUCING VEHICULAR TRAFFIC.

Field	Value	IRS element (for citing)
Facility	18	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (18 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - FAMILY MEDICINE RESIDENCY
2801 DAGGETT AVENUE	KLAMATH FALLS	OR	97601	MEDICAL CLINIC & MEDICAL RESIDENCY PGM
2 - OUTPATIENT IMAGING
2900 DAGGETT AVENUE	KLAMATH FALLS	OR	97601	OUTPATIENT DIAGNOSTIC IMAGING CENTER
3 - MOB II
3000 BRYANT WILLIAMS DRIVE	KLAMATH FALLS	OR	97601	MEDICAL CLINIC
4 - FAMILY PRACTICE CLINIC
1905 MAIN	KLAMATH FALLS	OR	97601	MEDICAL CLINIC
5 - MOB I
2200 BRYANT WILLIAMS DRIVE	KLAMATH FALLS	OR	97601	MEDICAL CLINIC
6 - CANCER TREATMENT CENTER
2610 URHMAN	KLAMATH FALLS	OR	97601	MEDICAL CLINIC
7 - CENTER FOR OCCUPATIONAL HEALTH
2621 CROSBY AVENUE	KLAMATH FALLS	OR	97603	HOME HEALTH SERVICES, EMPLOYEE ASSISTANCE PROGRAM
8 - ADULT MEDICINE & FAMILY PRACTICE
3001 DAGGETT AVENUE	KLAMATH FALLS	OR	97601	MEDICAL CLINICS
9 - UROLOGY CLINIC
2630 CAMPUS DRIVE	KLAMATH FALLS	OR	97601	MEDICAL CLINIC
10 - MOB III
2680 UHRMANN ROAD	KLAMATH FALLS	OR	97601	MEDICAL CLINIC
11 - FAMILY PRACTICE CLINIC
2617 ALMOND STREET	KLAMATH FALLS	OR	97601	MEDICAL CLINIC
12 - FAMILY PRACTICE CLINIC
2600 CLOVER	KLAMATH FALLS	OR	97601	MEDICAL CLINIC
13 - WELLNESS CENTER
128 SOUTH 11TH STREET	KLAMATH FALLS	OR	97601	MEDICAL CLINIC
14 - PULMONARY MEDICINE
2301 CLAIRMONT	KLAMATH FALLS	OR	97601	MEDICAL CLINIC
15 - COMMUNITY HEALTHEDUCATION
2200 NORTH ELDORADO AVENUE	KLAMATH FALLS	OR	97601	COMMUNITY EDUCATION FACILITY
16 - HUGH CURRIN HOUSE
2601 DAGGETT AVENUE	KLAMATH FALLS	OR	97601	RESIDENTIAL FACILITY FOR FAMILIES UNDERGOING CARE
17 - RECOVERY ZONE
2846 EBERLEIN AVE	KLAMATH FALLS	OR	97603	REHABILITATION SERVICES
18 - PEDIATRIC REHAB
2686 CAMPUS DRIVE	KLAMATH FALLS	OR	97601	REHABILITATION SERVICES

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7:	A COST-TO-CHARGE RATIO WAS USED FOR THE FINANCIAL ASSISTANCE AND COMMUNITY BENEFITS TABLE. THE RATIO WAS DERIVED USING WORKSHEET 2, 'RATIO OF PATIENT CARE COST-TO-CHARGES.'
PART I, LINE 7, COLUMN (F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 6,909,405.
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 $1,032,319.THE FOOTNOTE THAT DISCUSSES BAD DEBT EXPENSE IS CONTAINED ON PAGE 11 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. SKY LAKES ALSO 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, THIS ASSESSMENT TEAM COLLECTED 765 MAIL SURVEYS FROM INDIVIDUALS INSIDE THE KLAMATH FALLS URBAN GROWTH BOUNDARY.THE MEDICAL CENTER ALSO USES THE ANNUAL COUNTY HEALTH RANKINGS DATA, A ROBERT WOOD JOHNSON FOUNDATION PROGRAM, TO MONITOR INDICATORS FOR HEALTH OUTCOMES, HEALTH BEHAVIORS, AND CLINICAL CARE.SKY LAKES ALSO USES FORMAL CONVERSATIONS WITH COMMUNITY PARTNERS AND MEDICAL COLLABORATORS, AND ACTIVELY PARTNERS WITH AGENCIES IN HEALTH-IMPROVEMENT INITIATIVES. THE KLAMATH COUNTY HEALTH DEPARTMENT, 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 INDIGENT 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 TO 100,000 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 67,000 (2017) WITH KLAMATH FALLS, AT 21,100 PEOPLE, BEING THE LARGEST CITY WITH AN EQUALLY LARGE SUBURBAN POPULATION. THE POPULATION OF THE UGB WAS ESTIMATED AT 43,100 PEOPLE. THE POPULATION'S GENDER SPLIT IS ALMOST EVEN WITH 50.1 PERCENT FEMALE, WITH 37.6 PERCENT OF THE TOTAL LISTED AS BEING "RURAL, AND 89.1 PERCENT LISTED AS WHITE, 4.7 PERCENT AS AMERICAN INDIAN, 12.2 PERCENT HISPANIC OR LATINO, AND 0.9 PERCENT AFRICAN AMERICAN. THE MEDIAN HOUSEHOLD INCOME IN THE COUNTY IN 2017 IS REPORTED AT $42,531, UP FROM $39,534 IN 2015, WITH 18.7 PERCENT OF THE POPULATION IN POVERTY. THAT COMPARES TO 14.6 PERCENT NATIONALLY AND 14.9 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),- UNEMPLOYMENT (5.9 PERCENT VS 2.9 PERCENT NATIONALLY AND 4.1 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 GENERAL 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. 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. 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 WELLNESS TIPS MAGAZINE, VIA SOCIAL MEDIA, AND AT SKY LAKES-HOSTED EVENTS.SKY LAKES 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. FINANCIAL AND IN-KIND DONATIONS TO COMMUNITY PARTNERS THAT HELP PROMOTE HEALTH AND WELLNESS AMOUNTED TO $547,000 (NET).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 FOR 2017 WAS NEARLY $4 MILLION WITH A 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. ANNUALLY, MORE THAN 350 CHILDREN 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, OR 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 SO 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 A SUMMER BASEBALL CAMP TO HELP CHILDREN IN GRADES 4, 5 AND 6 LEARN THE BASICS OF FIELDING, THROWING AND HITTING. PLAYERS OF A LOCAL SEMI-PRO TEAM PUT ON THE CAMP'S CLINICS AT A KLAMATH FALLS BASEBALL FIELD.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 WITH PARTICIPANTS OF A BARIATRIC SUPPORT GROUP;- 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 LAEKS PROVIDED $20,000 IN FUNDING TO HELP BUILD TENNIS COURTS THAT WILL SERVE THE POPULATIONS PRIMARILY IN THE SOUTHEAST SUBURBS. SKY LAKES WILLINGLY CONTRIBUTES TO 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 $10,000 TO KLAMATH ICE SPORTS TO INCREASE AVAILABILITY AT THE COMMUNITY RINK OF ICE SKATING AND HOCKEY FOR CHILDREN AND YOUTH. TO HELP MOTIVATE PEOPLE TO BE MORE PHYSICALLY ACTIVE BY PRESENTING MULITPLE OUTDOOR OPPORTUNITIES, SKY LAKES WORKS WITH COMMUNITY PARTNERS TO DEVELOP PROJECTS THAT WILL MAKE IT EASIER TO GET OUTSIDE. SKY LAKES DONATED $25,000 TO THE KLAMATH TRAILS ALLIANCE TO ADD THREE MILES TO A FULLY ACCESSIBLE TRAIL ON SPENCE MOUNTAIN. SKY LAKES MANAGED A GRANT FOR AND CONTRIBUTED TO A HANDICAP-FRIENDLY TRAIL ON THE HILLSIDE BETWEEN THE MEDICAL CENTER AND OREGON TECH. SKY LAKES PROVIDED LEADERSHIP ON A PROJECT THAT CREATED A PROTECTED BIKE LANE BETWEEN DOWNTOWN KLAMATH FALLS AND A NEARBY PARK. THE TRAILS WILL MEAN MORE OPPORTUNITIES FOR QUALITY OUTDOOR EXPERIENCES IN NEARBY MOUNTAINS AND CLOSE TO THE URBAN AREA, AND A PROTECTED BIKE LANE HELPS ENCOURAGE BICYCLE RIDING BY ENCHANCING RIDER SAFETY. SIMILARLY, SKY LAKES SPENT MORE THAN $300,000 TO DEVELOP A CHILDREN'S PLAY AREA WITHIN KIT CARSON PARK, PART OF THE KLAMATH FALLS PARK SYSTEM IN A NEIGHBORHOOD NEAR THE MEDICAL CENTER CAMPUS, AND RETURNED THE PARK TO THE CITY AT THE DEVELOPMENT'S COMPLETION. SKY LAKES ALSO WILL INVEST IN A BLIGHTED CITY BLOCK NEAR DOWNTOWN TO TURN IT INTO A MULTI-USE PARK WITH OPEN GREEN SPACE, A SPLASH PAD, AND A NATURAL AMPHITHEATER. THE TWO-YEAR PROJECT LAUNCHED IN 2017.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. [SEE LINE 5 OVERFLOW LATER IN PART VI]
PART VI, LINE 7, REPORTS FILED WITH STATES	OR
PART VI, LINE 5 OVERFLOW:	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. 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.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 BY DONATING MEDICATIONS AND RELATED SUPPLIES AMOUNTING TO A RETAIL VALUE OF NEARLY $5,000;- THE LOCAL CHAPTERS OF THE MARCH OF DIMES AND MUSCULAR SCLEROSIS ORGANIZATIONS TO HELP WITH THEIR RESEARCH AND EDUCATION MISSIONS;- FRIENDS OF THE CHILDREN-KLAMATH FALLS ($7,000), AND THE LOCAL COURT APPOINTED SPECIAL ADVOCATES ($7,500) TO SUPPORT THEIR MISSIONS OF ADVOCACY FOR AT-RISK CHILDREN AND YOUTH;- SKY LAKES ALSO FUNDED THE FRIENDS OF THE CHILDREN GARDEN ($7,500) 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 A YOUTH CENTER FOR THE LOCAL INTEGRAL YOUTH SERVICES ORGANIZATION, 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 ASSOCIATION OF UNIVERSITY WOMEN- AMERICAN CANCER SOCIETY- AMERICAN LUNG ASSOCIATION - BIKE TO WORK OREGON- 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 CRISIS CENTER- KLAMATH HOSPICE- KLAMATH-LAKE FOOD BANK- KLAMATH TRIBAL HEALTH AND FAMILY SERVICES- 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 TRAILS ALLIANCE- KLAMATH BASIN UNITED SOCCER- KLAMATH ICE SPORTS- KLAMATH-LAKE FOOD BANK

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
KLAMATH COUNTY SCHOOL DISTRICT
10501 WASHBURN WAY	KLAMATH FALLS	OR	97603	936000543	501(C)(1)	$17,000	HOSA PROGRAM ASSISTANCE
CASA OF CHILDREN OF KLAMATH COUNTY
731 MAIN STREET 202	KLAMATH FALLS	OR	97601	931261640	501(C)(3)	$15,000	CHILDREN ADVOCACY
KLAMATH COMMUNITY FOUNDATION
PO BOX 1903	KLAMATH FALLS	OR	97601	205502851	501(C)(3)	$15,000	SOFTWARE
FRIENDS OF THE CHILDREN
3837 ALTAMONT DRIVE	KLAMATH FALLS	OR	97603	931290284	501(C)(3)	$14,500	CHILDREN EDUCATION
KLAMATH FALLS CITY SCHOOLS
1336 AVALON STREET	KLAMATH FALLS	OR	97603	936000545	501(C)(1)	$6,617	CHILDREN EDUCATION
KCDC
2960 MAYWOOD DRIVE 10	KLAMATH FALLS	OR	97603	931175532	501(C)(3)	$6,000	MILITARY COMPETITION
KLAMATH BASIN SENIOR
2045 ARTHUR STREET	KLAMATH FALLS	OR	97601	460716639	501(C)(3)	$5,150	SENIOR ADVOCACY
INTEGRAL YOUTH SERVICES
PO BOX 1385	KLAMATH FALLS	OR	97601	930981933	501(C)(3)	$5,000	CHILDREN ADVOCACY
FAVELL MUSEUM
125 W MAIN STREET	KLAMATH FALLS	OR	97601	200524744	501(C)(3)	$5,000	EDUCATION

Field	Value	IRS element (for citing)
Total501c3 Org	9	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (5 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
EDUCATION REIMBURSEMENT	23	$81,310
PATIENT ASSISTANCE	827	$62,465
STUDENT LOAN/TUITION ASSISTANCE TO EMPLOYEES	7	$26,237
EMPLOYEE STUDENT LOAN FORGIVENESS	1	$4,386
EXTERNSHIP STIPENDS	5	$1,458

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	THE BOARD OF DIRECTORS MAKES DECISIONS ON LARGE GRANT AWARDS. SCHOLARSHIP AWARDS ARE BASED ON A WRITTEN POLICY. OTHER STIPENDS AND EDUCATIONAL SUPPORT REQUIRE, RESPECTIVELY, WORKED HOURS OR MINIMUM GRADING CRITERIA. PATIENT ASSISTANCE GRANTS ARE BASED ON ASSESSMENT OF NEED BY ASSIGNED PERSONNEL.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
PAUL R STEWART
PRESIDENT/CEO/SECRETARY/TREASURER	$475,563	$0	$275,000	$0	$0	$0	$31,500	$0	$15,300	$0	$797,363	$0	$0	$0
RICHARD E RICO
VP/CFO	$380,808	$0	$86,490	$0	$0	$0	$31,500	$0	$20,952	$0	$519,750	$0	$0	$0
MARC ORLANDO MD
MEDICAL PROVIDER	$554,414	$0	$27,309	$0	$0	$0	$13,500	$0	$20,952	$0	$616,175	$0	$0	$0
STANTON T SMITH MD
MEDICAL PROVIDER	$517,860	$0	$13,257	$0	$0	$0	$13,500	$0	$20,952	$0	$565,569	$0	$0	$0
FAISAL SAIFUL MD
MEDICAL PROVIDER	$536,750	$0	$0	$0	$0	$0	$13,500	$0	$20,952	$0	$571,202	$0	$0	$0
JARED OGAO MD
MEDICAL PROVIDER	$541,272	$0	$0	$0	$0	$0	$13,500	$0	$20,952	$0	$575,724	$0	$0	$0
DAVID CHADBOURNE MD
MEDICAL PROVIDER	$530,635	$0	$17,285	$0	$0	$0	$13,500	$0	$20,952	$0	$582,372	$0	$0	$0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
KLAMATH FALLS INTERCOMMUNITY HOSPITAL AUTHORITY
A	931061020	498413EF6	2012-11-29	$18,288,334	REFUNDING OF 2002 BONDS; ENERGY EFFICIENCY COSTS; RESERVE FUND	0	0	0
KLAMATH FALLS INTERCOMMUNITY HOSPITAL AUTHORITY
B	931061020	498413FR9	2016-06-23	$59,146,386	REFUNDING OF 2006 BONDS; NEW MEDICAL OFFICE BUILDINGS; PARKING FACILITIES	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Other Spent ProceedsOtherSpentProceedsAmt
A	$2,839,000	$11,772,436	$18,288,334	$59,879	$257,477	$6,198,542	2013	0	Yes (1)	Yes (1)	Yes (1)
B	$983,000		$59,146,386		$846,856	$25,000,000	2016	0	Yes (1)	Yes (1)	Yes (1)	$33,299,530

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0.00000	0.00000	0.00000	0	0	0
B	0	0	0	0	0.00000	0.00000	0.00000	0	0	0

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	Yes (1)	0	0	0	0	0	0	0
B	0	Yes (1)	0	0	0	0	0	0	0

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	0
B	0

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Field	Value	IRS element (for citing)
Person	PAUL R STEWART	PersonNm
Relationship With Org	PRES/CEO	RelationshipWithOrgTxt
Loan Purpose	LIFE INSURANCE POLICY PURCHASE	LoanPurposeTxt
Loan From Organization	Yes (X)	LoanFromOrganizationInd
Original Principal	$900,000	OriginalPrincipalAmt
Balance Due	$977,608	BalanceDueAmt
Default	0	DefaultInd
Board Or Committee Approval	Yes (1)	BoardOrCommitteeApprovalInd
Written Agreement	Yes (1)	WrittenAgreementInd

Field	Value	IRS element (for citing)
Total Balance Due	$977,608	TotalBalanceDueAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11B	FORM 990 IS REVIEWED BY THE CONTROLLER, CFO AND OTHER STAFF BEFORE FILING.
FORM 990, PART VI, SECTION B, LINE 12C	IT IS THE DUTY OF THE BOARD OF DIRECTORS OF SKY LAKES MEDICAL CENTER TO SAFEGUARD THE TAX EXEMPT STATUS OF SKY LAKES MEDICAL CENTER, AND AS SUCH THE BOARD WILL TAKE SERIOUSLY ANY CONFLICT OF INTEREST ON THE PART OF ANY BOARD MEMBER OR POTENTIAL BOARD MEMBER. ALL BOARD MEMBERS AND POTENTIAL MEMBERS MUST DISCLOSE THE EXISTENCE OF ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST. AN UPDATED STATEMENT OF SUCH POTENTIAL CONFLICTS SHALL BE SUBMITTED YEARLY BY ALL BOARD MEMBERS FOR REVIEW AT THE BOARD'S ANNUAL MEETING. AFTER DISCLOSURE OF THE POTENTIAL CONFLICT OF INTEREST AND AFTER ANY DISCUSSION WITH THE INTERESTED PARTY, HE/SHE SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. THE MINUTES OF THE BOARD AND ALL COMMITTEES OF THE BOARD SHALL CONTAIN 1) THE NAMES OF THE PERSONS WHO DISCLOSED OR OTHERWISE WERE FOUND TO HAVE A FINANCIAL INTEREST IN CONNECTION WITH AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST; 2) THE NATURE OF THE FINANCIAL INTEREST; 3) THE NAMES OF THE PERSONS WHO WERE PRESENT FOR THE DISCUSSIONS AND VOTES RELATING TO THE TRANSACTION OR ARRANGEMENT; 4) THE CONTENT OF THE DISCUSSION INCLUDING ANY ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT; 5) ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT OF INTEREST WAS PRESENT; AND, 6) THE BOARD OR COMMITTEE'S DECISION AS TO WHETHER A CONFLICT OF INTEREST IN FACT EXISTED.
FORM 990, PART VI, SECTION B, LINE 15	THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS COMPARATIVE DATA FOR THE CEO. FOR THE CEO POSITION ONLY, THE EVALUATION COMMITTEE COMPLETES A PERSONNEL ACTION FORM, WHICH IS SIGNED BY THE BOARD CHAIR. FOR ALL VP POSITIONS, ALL EVALUATIONS ARE MADE BY THE CEO, BASED ON A REVIEW OF MARKET DATA. THE COMPENSATION REVIEW PROCESS WAS LAST UNDERTAKEN IN JANUARY 2018.
FORM 990, PART VI, SECTION C, LINE 19	GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE ALL MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9:	BOOK/TAX DIFFERENCE FROM PASSTHROUGH INCOME 587,137.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	SOUTHERN OREGON EMERGENCY CARE LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2865 DAGGETT AVENUE	AddressLine1Txt
City	KLAMATH FALLS	CityNm
State Abbreviation	OR	StateAbbreviationCd
ZIP	97601	ZIPCd

Field	Value	IRS element (for citing)
EIN	611595709	EIN
Primary Activities	PHYSICIAN SERVICES	PrimaryActivitiesTxt
Legal Domicile State	OR	LegalDomicileStateCd
Total Income	$0	TotalIncomeAmt
End Of Year Assets	$0	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	SKY LAKES MEDICAL CENTER	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
SKY LAKES MEDICAL CENTER FOUNDATION
2865 DAGGETT AVENUE	KLAMATH FALLS	OR	97601	930946020	FUNDRAISING AND STEWARDSHIP; SUPPORT MEDICAL CENTER	OR	501(C)(3)	LINE 12A, I	SKY LAKES MEDICAL CENTER	Yes (1)
KLAMATH CARE SERVICES INC
2865 DAGGETT AVENUE	KLAMATH FALLS	OR	97601	930946018	SUPPORT MEDICAL CENTER (INACTIVE)	OR	501(C)(3)	LINE 12C, III-FI	SKY LAKES MEDICAL CENTER	0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	KLAMATH MEDICAL BUSINESS CENTER LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2865 DAGGETT AVENUE	AddressLine1Txt
City	KLAMATH FALLS	CityNm
State Abbreviation	OR	StateAbbreviationCd
ZIP	97601	ZIPCd

Field	Value	IRS element (for citing)
EIN	020731372	EIN
Primary Activities	REAL AND PERSONAL PROPERTY RENTAL	PrimaryActivitiesTxt
Legal Domicile State	OR	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	SKY LAKES MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Predominant Income Type	INVESTMENT	PredominantIncomeTypeTxt
Share Of Total Income	$70,743	ShareOfTotalIncomeAmt
Share Of EOY Assets	$486,088	ShareOfEOYAssetsAmt
Disproportionate Allocations	0	DisproportionateAllocationsInd
UBI Code V	$7,500	UBICodeVAmt
General Or Managing Partner	Yes (1)	GeneralOrManagingPartnerInd
Ownership	0.50000	OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	WEST PHYSICIAN SERVICES LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2865 DAGGETT AVENUE	AddressLine1Txt
City	KLAMATH FALLS	CityNm
State Abbreviation	OR	StateAbbreviationCd
ZIP	97601	ZIPCd

Field	Value	IRS element (for citing)
EIN	870696029	EIN
Primary Activities	PHYSICIAN SERVICES	PrimaryActivitiesTxt
Legal Domicile State	OR	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	SKY LAKES MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C	EntityTypeTxt
Share Of Total Income	-$4,705,631	ShareOfTotalIncomeAmt
Share Of EOY Assets	$3,678,619	ShareOfEOYAssetsAmt
Ownership	1.00000	OwnershipPct
Controlled Organization	Yes (1)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
WEST PHYSICIAN SERVICES LLC
D	$165,940	INCREASE IN LIABILITY
KLAMATH MEDICAL BUSINESS CENTER LLC
K	$120,571	CASH TRANSFERRED