SKY LAKES MEDICAL CENTER INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- SKY LAKES MEDICAL CENTER INC (EIN 93-0508781)
- Tax period
- 2016-10-01 to 2017-09-30
- Filed
- 2018-08-14
- IRS object ID
- 201822269349302547
- Schema version
- 2016v3.0
- 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 | 2018-08-14T17:34:10-05:00 | ReturnTs |
| Tax Period End | 2017-09-30 | 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 | 2016-10-01 | 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 | 2018-08-13 | 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 | 2018-08-01 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | PAUL STEWART | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2865 Daggett Avenue | AddressLine1Txt |
| City | Klamath Falls | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $632,224,319 | 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 | 1692 | TotalEmployeeCnt |
| Total Volunteers | 280 | TotalVolunteersCnt |
| Total Gross UBI | $6,900 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $2,902 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $703,711 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,564,000 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $594,048,546 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $620,520,661 | CYProgramServiceRevenueAmt |
| PY Investment Income | $4,418,026 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,524,778 | CYInvestmentIncomeAmt |
| PY Other Revenue | $908,549 | PYOtherRevenueAmt |
| CY Other Revenue | $2,389,639 | CYOtherRevenueAmt |
| PY Total Revenue | $600,078,832 | PYTotalRevenueAmt |
| CY Total Revenue | $626,999,078 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $393,014 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $571,853 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $110,202,768 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $117,767,961 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $459,799,032 | PYOtherExpensesAmt |
| CY Other Expenses | $494,030,357 | CYOtherExpensesAmt |
| PY Total Expenses | $570,394,814 | PYTotalExpensesAmt |
| CY Total Expenses | $612,370,171 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $29,684,018 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $14,628,907 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $334,383,334 | TotalAssetsBOYAmt |
| Total Assets EOY | $352,003,938 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $113,037,601 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $113,903,102 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $221,345,733 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $238,100,836 | 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 | $526,632,840 | ExpenseAmt |
| Grant | $518,702 | GrantAmt |
| Revenue | $606,658,176 | 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 | $15,008,765 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | UNCOMPENSATED CARE - DURING FISCAL YEAR 2017, charges written off under our broad-reaching charity care policy totaled $9,234,126. In addition to charity care write offs, charges written off as bad debt totaled $5,774,640. As a percentage of charges, fiscal year 2017 write offs represent 1.5% (charity care) and 0.9% (bad debt), respectively. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $4,445,782 | ExpenseAmt |
| Grant | $53,151 | GrantAmt |
| Revenue | $1,927,772 | 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 | $34,293,633 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $11,235,142 | 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 | $34,293,633 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $0 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $11,235,142 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $580,381,020 | 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 | 241 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1692 | 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) | $673,433 | $0 | $61,596 | |
| 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 | ||
| DWIGHT SMITH MD | ||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| RICHARD E RICO | ||||||||
| VP/CFO | 50.00 | Yes (X) | $434,298 | $0 | $67,923 | |||
| MARC ORLANDO MD | ||||||||
| MEDICAL PROVIDER | 40.00 | $594,395 | $0 | $34,202 | Yes (X) | |||
| STANTON T SMITH MD | ||||||||
| MEDICAL PROVIDER | 40.00 | $565,779 | $0 | $20,079 | Yes (X) | |||
| FAISAL SAIFUL MD | ||||||||
| MEDICAL PROVIDER | 40.00 | $536,510 | $0 | $34,202 | Yes (X) | |||
| JARED OGAO MD | ||||||||
| MEDICAL PROVIDER | 40.00 | $529,298 | $0 | $34,202 | Yes (X) | |||
| DAVID CHADBOURNE MD | ||||||||
| MEDICAL PROVIDER | 40.00 | $495,018 | $0 | $20,952 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,828,731 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $273,156 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 143 | 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 |
|---|---|---|---|---|---|
| PERLO CONSTRUCTION | |||||
| 16101 SW 72nd Av SUITE 200 | PORTLAND | OR | 97224 | CONSTRUCTION | $9,137,849 |
| HUDSON STAFFING PLLC | |||||
| 4625 NADINE LN | FRANKLIN | TN | 37064 | STAFFING SERVICES | $4,030,348 |
| MEDICAL SOLUTIONS | |||||
| 1010 NORTH 102ND ST | OMAHA | NE | 68114 | STAFFING SERVICES | $3,946,652 |
| KLAMATH RADIOLOGY ASSOCIATES | |||||
| 2900 DAGGETT AV | KLAMATH FALLS | OR | 97601 | PHYSICIAN PRACTICE | $3,648,684 |
| KLAMATH ORTHOPEDIC CLINIC | |||||
| 2200 BRYANT WILLIAMS DR | KLAMATH FALLS | OR | 97601 | PHYSICIAN PRACTICE | $3,124,339 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 32 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $1,014,000 | RelatedOrganizationsAmt |
| All Other Contributions | $550,000 | AllOtherContributionsAmt |
| Total Contributions | $1,564,000 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT REVENUE | 622110 | $606,658,176 | $606,658,176 |
| Other Program Revenue | 622110 | $13,862,485 | $13,862,485 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $620,520,661 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,587,164 | TotalRevenueColumnAmt |
| Exclusion | $2,587,164 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,067,190 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,064,511 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,679 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,679 | TotalRevenueColumnAmt |
| Exclusion | $2,679 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $62,386 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$62,386 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$62,386 | TotalRevenueColumnAmt |
| Exclusion | -$62,386 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $8,486,296 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $4,098,344 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,387,952 | TotalRevenueColumnAmt |
| Exclusion | $4,387,952 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| PASSTHROUGH INCOME | 622110 | -$635,718 | -$699,571 | $6,900 | $56,953 |
| OTHER INCOME | 900099 | -$1,365,274 | -$1,365,274 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | -$2,000,992 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $626,999,078 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $619,821,090 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $6,900 | UnrelatedBusinessRevenueAmt |
| Exclusion | $5,607,088 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $458,597 | TotalAmt |
| Program Services | $458,597 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $113,256 | TotalAmt |
| Program Services | $113,256 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,334,669 | TotalAmt |
| Management And General | $1,334,669 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,838,838 | TotalAmt |
| Program Services | $88,373,097 | ProgramServicesAmt |
| Management And General | $7,465,741 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,868,882 | TotalAmt |
| Program Services | $2,692,713 | ProgramServicesAmt |
| Management And General | $176,169 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,041,985 | TotalAmt |
| Program Services | $9,347,393 | ProgramServicesAmt |
| Management And General | $1,694,592 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,683,587 | TotalAmt |
| Program Services | $5,143,866 | ProgramServicesAmt |
| Management And General | $1,539,721 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,925,450 | TotalAmt |
| Program Services | $101,489 | ProgramServicesAmt |
| Management And General | $1,823,961 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $224,319 | TotalAmt |
| Management And General | $224,319 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $203,271 | TotalAmt |
| Management And General | $203,271 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,154,348 | TotalAmt |
| Program Services | $17,113,827 | ProgramServicesAmt |
| Management And General | $40,521 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,134,683 | TotalAmt |
| Program Services | $380,093 | ProgramServicesAmt |
| Management And General | $754,590 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,404,242 | TotalAmt |
| Program Services | $1,228,585 | ProgramServicesAmt |
| Management And General | $1,175,657 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,482,917 | TotalAmt |
| Program Services | $55,701 | ProgramServicesAmt |
| Management And General | $6,427,216 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,422,282 | TotalAmt |
| Program Services | $2,792,456 | ProgramServicesAmt |
| Management And General | $1,629,826 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $138,153 | TotalAmt |
| Program Services | $138,150 | ProgramServicesAmt |
| Management And General | $3 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $952,009 | TotalAmt |
| Program Services | $651,153 | ProgramServicesAmt |
| Management And General | $300,856 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,113,588 | TotalAmt |
| Program Services | $3,054,825 | ProgramServicesAmt |
| Management And General | $58,763 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,602,574 | TotalAmt |
| Program Services | $10,320,938 | ProgramServicesAmt |
| Management And General | $3,281,636 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,546,600 | TotalAmt |
| Program Services | $1,430,996 | ProgramServicesAmt |
| Management And General | $115,604 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Contractual Allowance | $371,419,845 | $371,419,845 | |
| Supplies | $35,301,212 | $35,110,712 | $190,500 |
| BAD DEBTS | $5,774,640 | $5,774,640 | |
| TAXES PAID ON UBI | $500 | $500 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,229,724 | TotalAmt |
| Program Services | $24,678,688 | ProgramServicesAmt |
| Management And General | $3,551,036 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $612,370,171 | TotalAmt |
| Program Services | $580,381,020 | ProgramServicesAmt |
| Management And General | $31,989,151 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,207,245 | BOYAmt |
| EOY | $6,945,698 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,576,792 | BOYAmt |
| EOY | $23,475,969 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,321,734 | BOYAmt |
| EOY | $34,624,052 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $630,383 | BOYAmt |
| EOY | $801,178 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,939,835 | BOYAmt |
| EOY | $4,998,091 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,540,788 | BOYAmt |
| EOY | $2,675,441 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $218,043,332 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $128,258,127 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $92,625,139 | BOYAmt |
| EOY | $89,785,205 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,441,303 | BOYAmt |
| EOY | $45,847,367 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,167,942 | BOYAmt |
| EOY | $60,517,924 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,932,173 | BOYAmt |
| EOY | $82,333,013 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $334,383,334 | BOYAmt |
| EOY | $352,003,938 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,902,325 | BOYAmt |
| EOY | $33,204,841 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,440,992 | BOYAmt |
| EOY | $2,407,554 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,612,390 | BOYAmt |
| EOY | $70,149,898 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,081,894 | BOYAmt |
| EOY | $8,140,809 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $113,037,601 | BOYAmt |
| EOY | $113,903,102 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $221,345,733 | BOYAmt |
| EOY | $238,100,836 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $221,345,733 | BOYAmt |
| EOY | $238,100,836 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $334,383,334 | BOYAmt |
| EOY | $352,003,938 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $14,628,907 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,440,166 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $686,030 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $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 |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $3,795,751 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| 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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| 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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| 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 |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $13,956,740 | BeginningYearBalanceAmt |
| Contributions | $12,716 | ContributionsAmt |
| Investment Earnings Or Losses | $2,126,606 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $10,509 | GrantsOrScholarshipsAmt |
| Other Expenditures | $1,214,051 | OtherExpendituresAmt |
| Administrative Expenses | $281,672 | AdministrativeExpensesAmt |
| End Year Balance | $14,589,830 | 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 | $121,011,376 | OtherCostOrOtherBasisAmt |
| Depreciation | $67,269,189 | DepreciationAmt |
| Book Value | $53,742,187 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,801,933 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,332,721 | DepreciationAmt |
| Book Value | $1,469,212 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $84,651,070 | OtherCostOrOtherBasisAmt |
| Depreciation | $57,337,527 | DepreciationAmt |
| Book Value | $27,313,543 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,545,411 | OtherCostOrOtherBasisAmt |
| Depreciation | $318,690 | DepreciationAmt |
| Book Value | $3,226,721 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $89,785,205 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (3 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| INVESTMENTS IN OTHER COMPANIES | $2,952,813 | C |
| LIFE INSURANCE | $56,216,203 | F |
| DEFERRED COMP PLAN ASSETS | $1,348,908 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $60,517,924 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Assets LIMITED AS TO USE | $17,723,088 |
| Other Assets | $1,301,854 |
| RISK POOL WITHHOLD RECEIVABLE | $4,368,671 |
| Construction in Process | $14,741,088 |
| Other Receivables | $44,198,312 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $82,333,013 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Capital Lease obligations | $2,014,415 |
| ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS | $6,126,394 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $8,140,809 | 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. During the fiscal year, the foundation's general fund reclassified out of being designated a quasi-endowment fund which resulted in an increase to line 1e other expenditures of $13,155,005. |
| 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, 2017 or 2016. 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, 2017 and 2016, 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. |
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 | $16,059,791 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $16,059,791 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02650 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $61,978,482 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $60,131,427 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,847,055 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00300 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $78,038,273 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $60,131,427 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $17,906,846 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02950 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $941,854 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $203,277 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $738,577 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00120 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,445,782 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,071,127 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,374,655 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00390 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $19,852,475 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,445,084 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,407,391 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00890 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $956,370 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $956,370 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $26,196,481 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,719,488 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,476,993 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01560 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $104,234,754 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $76,850,915 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $27,383,839 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04510 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $574,561 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $556,276 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $18,285 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $619 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $619 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $108,475 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $108,475 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,041,355 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,041,355 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00170 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,725,010 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $556,276 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,168,734 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00190 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $5,774,640 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $860,283 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $60,037,797 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $68,682,697 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$8,644,900 | 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 | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | skylakes.org | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 250.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | skylakes.org | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | skylakes.org | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | skylakes.org | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SKY LAKES MEDICAL CENTER | Part V, Section B, Line 3j: To better understand the health needs of the community it serves, Sky Lakes Medical Center worked with an assortment of community partners to develop and regularly update 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, health needs and ways to address those needs as together we work to improving the health of the community. The 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.To help address the needs identified in the report, Sky Lakes enlisted 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.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. The community health needs assessment recognizes there are myriad causes for poor health and the problem is too large for any one organization to take on alone. The assessment relies on secondary data using 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 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) 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 current CHNA, primary data were not collected because those efforts would generally duplicate recent efforts of partner organizations, which collected meaningful primary 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 is a structured, community-wide well-being improvement initiative designed to make healthy choices easier, for everyone. BZP takes a life-radius approach and uses evidence-based best practices and a comprehensive set of tools that encourages schools, worksites, restaurants, grocery stores, city government, and faith-based and civic organizations to change their environments for better health. It also creates opportunities for individuals to articulate purpose, connect with the community, and make positive, personal health behavior changes.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. During the assessment, hundreds of community members expressed a desire to make Klamath a better place to live, work, and play, and more importantly, a readiness to roll up their sleeves and do the work to make a positive change.- Gallup-Healthways Well-Being Index, Klamath Falls: This assessment team collected more than 700 mail surveys from residents in the Klamath Falls Urban Growth Boundary to analyze five elements of wellbeing: purpose, social, financial, community, and physical.- Oregon Health and Science University (OHSU) School of Nursing Klamath County Youth Health and Behavior Assessment: Nursing students conducted focus groups with local teenagers from four high schools throughout Klamath County. The "Place Matters" focus groups provided youth perspective on things in their community that were positive and negative influences on their health. Students were also asked about tobacco usage and norms.- Klamath Lake Community Action Services (KLCAS) Community Health Needs Assessment Report: A total of 662 surveys were collected from clients who were struggling with poverty and at-risk or currently homeless. In all, 348 surveys were collected from community partners. Participants were asked to share their views on poverty, self-sufficiency, and needed services.While the area served by Sky Lakes and its partners covers more than 10,000 square miles in four counties, two of them in northern California, the population is concentrated within the Klamath Falls Urban Growth Boundary (UGB). Community health improvement efforts are initially being implemented within the UGB, as to have the greatest impact on the highest concentration of residents.Geographically, Klamath County is the fourth largest county in Oregon but is home to only 66,443 people. Klamath Falls is the largest city in Klamath County with approximately 21,500 people and an equally large suburban population. Together they comprise the urban growth boundary, much of which falls under Klamath County jurisdiction. Klamath Falls is an integral part of Klamath County as it serves as the central hub of activities and services for most county residents, and also houses the county seat.Klamath County's population is comprised of predominantly White (78.3%) individuals, but our county continues to grow in diversity with approximately - 12.5% Hispanic and Latino;- 4.9% Native American; and - 4.1% mixed race individuals.Klamath County continues to have a high rate of economically disadvantaged residents with 14.2% of families and 19.3% of individuals living below the federal poverty level. Indeed, nearly 64% of students in the Klamath County School District qualify for free and reduced lunch. The geographic spread of the county presents a range of barriers to accessing necessary health and human services, especially for those with limited means and mobility.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 largest age groups are 15-24 , 45-54 and 55-64 with a median age of 42 years. The aging population has been a pressing concern nationwide, and Klamath has a large population of older adults as nearly 1 in 5 residents are 65 years or older. Health rankings give a high-level snapshot of the overall health status of a community. The Robert Wood Johnson Foundation's County Health Rankings places Klamath County in the bottom quartile for both Health Outcomes and Health Factors. Health professionals recognized Klamath County was in dire straits and knew the community had to mobilize, but needed a place to start and a platform for change. With strong leadership and a groundswell of momentum, the Healthy Klamath Coalition was formed in 2012. This multi-sector partnership of dedicated community members, leaders, and local organizations came together to build a healthier community.The Centers for Disease Control's (CDC) Community Health Status Indicators ranking tool, which matches counties with comparable "peer" counties across the nation, ranks Klamath County falls within the second and third quartiles. Gallup Relative Well Being Index (WBI) Scores indicates Klamath does well in the index's five measures (Purpose, Social, Financial, Community, and Physical) and classifies scores as Thriving, Struggling, and Suffering. Klamath Falls ranked in the middle (third quintile) when compared to all U.S. counties; its strongest elements were Purpose, Social and Physical, all of which exceed both state and national averages. Community and financial well-being rankings are both lower than Oregon and the U.S. with Thriving-to-Struggling ratios of 1:1 when the goal is to have a ratio of 5:1.[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. Secondary data from the measures collected by Healthy Communities Institute and displayed at the HealthyKlamath.org website include measurements from 100-plus indicators spanning all demographics of the county.Assessments and resources containing primary data include:Blue Zones Project-Klamath Falls, 2015 Assessment Report, which reflects information from 16 focus groups with more than 220 people, interviews of 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.Gallup-Healthways Well-Being Index Klamath Falls 2015 Report, which has data from more than 700 mail surveys from residents in the Klamath Falls Urban Growth Boundary to analyze five elements of wellbeing: purpose, social, financial, community, and physical.Oregon Health and Science University (OHSU) School of Nursing Klamath County Youth Health and Behavior Assessment based on focus groups with local teenagers. Four high schools throughout Klamath County participated in "Place Matters" focus groups to offer the youth perspective on what they felt were things in their community that were positive and negative influences on their health. Students were also asked about tobacco usage and norms.Klamath Lake Community Action Services (KLCAS) 2014-2015 Community Health Needs Assessment Report, which includes data from 662 surveys collected from clients struggling with poverty and at-risk or currently homeless. Participants were asked to share their views on poverty, self-sufficiency, and needed services. |
| 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. Klamath County's rates of COPD, arthritis, and diabetes are higher than state averages (approximately 6%, 27%, and 9%, respectively). Prevalence of asthma, heart attack, and stroke are similar to state averages (9%, 3%, and 3%, respectively).The number of people living with multiple chronic conditions continues to rise, and about half the adults in Klamath County have one or more chronic conditions. A strong partnership between health, senior, and human services agencies has grown as collaboration continues an effort to meet the needs of individuals living with chronic conditions. They worked together to bring 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.Cancer screening and treatment have been identified as significant needs. Cancer incidence in Klamath County is 438 per 100,000 people. The age adjusted death rate per 100,000 due to lung cancer is 49.5, breast cancer is 23.2, colorectal cancer is 19.3, and prostate cancer is 18.8. Sky Lakes routinely communicates in a multimedia campaign that is important for individuals, especially those ages 40 and older, to be screened for cancer as a preventive measure. Prevalence of preventive screenings is 58 percent for colonoscopies 75 percent for mammograms, and 83 percent for Pap smears. In addition to its "early detection" campaign to educate the community on the importance of preventive screenings, the Sky Lakes Cancer Treatment Center actively promotes skin cancer prevention at area health fairs, and advocates for colorectal cancer screening in mass media and events.The Sky Lakes Cancer Treatment Center also organizes and promotes free monthly education and support groups for breast cancer and prostate cancer patients and families.Sky Lakes actively promotes the American Cancer Society's Freedom From Smoking curricula, coordinates scheduling the classes with several Sky Lakes-employed facilitators, and encourages providers to schedule their patients to the classes.Obesity and its collateral effects have been identified as significant issues in the region. Obesity contributes to numerous chronic conditions including heart disease, stroke, diabetes, depression, and chronic pain. In Klamath County, 60 percent of adults are overweight or obese, which is consistent with the rest of the nation. Perhaps even more concerning is 12 percent of preschoolers, 24 percent of eighth-graders and 26.5 percent of 11th graders are overweight or obese, according to research. Childhood obesity puts children at risk for high blood pressure and high cholesterol, which are risk factors for cardiovascular disease, type two diabetes, asthma, joint problems, and psychological issues such as depression. Sky Lakes is addressing obesity head on with the implementation of the Wellness Center, which offers nutrition, exercise, and stress management coaching. Many partner organizations including Oregon State University's Extension program, Cascades East Family Medicine Residency, Healthy Kids Running Series, and Friends of the Children, often in cooperation with Sky Lakes departments, actively intervene to prevent obesity by offering walking groups, after school activities, nutrition education, and recreation opportunities. To encourage outdoor play, Sky Lakes funded a roughly $300,000 development of a children's play area at Kit Carson Park, which is adjacent several residential neighborhoods, and $7,000 to complete a play area at a YMCA facility. Sky Lakes also contributed management services and $28,000 funding for a trail system on the hillside near the medical center and Oregon Institute of Technology, and sponsored an extension of a popular hiking/biking trail at Spence Mountain with a $25,000 contribution. Sky Lakes is the principal sponsor and organizer of the weekly Walk With A Doc program on Saturdays.Sky Lakes dietitians regularly present at no charge to businesses and organizations in the community advocating for better nutrition choices. Combined with the health fairs autumn and spring Diabetes Services reached directly an estimated 715 people in 2017.Also in cooperation with OSU Extension, Sky Lakes participates in Cooking Matters classes, which are provided at no charge to the community. Sky Lakes dietitians are among the presenters, and Sky Lakes provides the food ingredients used during the classes as well as incidental tools for the participants.Reducing food insecurity was identified as a priority by the needs assessment. The Klamath-Lake Counties Food Bank has been a champion in this work for 33 years. Sky Lakes provided $15,000 in funding to help the Food Bank purchase a refrigerated truck to help ensure everyone has easy access to fresh fruits and vegetables.The Food Bank's Produce Connection program is in its fourth year of operation and has been successful because of the strong support of community partners. The goal was to increase the number of pounds of free, fresh produce distributed to people in need. There are no eligibility requirements and no questions are asked, which gives equal access and alleviates any embarrassment about income status. In 2017 the program distributed 720,000 pounds at 20 main sites including two on the Sky Lakes campus and one at the Sky Lakes Wellness Center downtown; Sky Lakes staff volunteered to assist at their locations. Sky Lakes also provided patrons with free tote bags to help them carry their produce back home, and recipes to help them prepare meals using the fruits and vegetables.Sky Lakes invested $600,000 over three years ($200,000 a year) to leverage $1.2 million matching funding to bring the Blue Zones Project to Klamath Falls; the funding expires in August 2018. Blue Zones employs evidence-based ways to help people live longer while living better. Since 2009, Blue Zones has applied the tenets of the books to 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 has a staff of five full-time employees and an extensive local volunteer cadre including dozens of Sky Lakes officers, directors and front-line staff. The city is the first Blue Zones demonstration city in the Pacific Northwest, and Sky Lakes was the first Blue Zones Approved Worksite in the Northwest. Work by Sky Lakes and local Blue Zones Project staff is aimed at improving the built environment to encourage walking and other physical activity, promoting self-awareness about healthful lifestyles, and changing policies at workplaces, in business, and at government levels -- to align with that philosophy.Related to obesity is diabetes. Sky Lakes hosts an annual autumn health fair dedicated to diabetes education and prevention. It is organized by the Diabetes Services Department and the Nutrition Services Department and includes community resources and intervention options. The Diabetes Services Department continues its outreach with monthly support groups that are widely promoted by the department and other community agencies. [see line 11 overflow later in part v] |
| SKY LAKES MEDICAL CENTER | Part V, Section B, Line 13h: The medical center applies a 100% financial assistance adjustment for homeless, state disability programs, Medicaid and other presumptive charity services. |
| Part V, Section B, Line 3j Overflow: | Across all three ranking systems, Klamath ranks high in the social categories, demonstrating resilience and social support, but low on physical and financial health. Through key informant interviews and quantitative data collection, we found that our rural location, lack of transportation, low socioeconomic status, high rates of substance abuse, lack of access to nutritious foods, lack of law enforcement presence, and limited access to health care services contribute to our low health rankings. Also, Klamath County is designated by the Health Resources and Services Administration as a Health Professional Shortage Area for physical and mental health.The chronic lack of providers necessitates the need for community programming to improve health through prevention and health promotion to reserve physicians for the truly sick. In addition to placing a strong emphasis on health improvement, we have begun reinventing ourselves through recreation, tourism, military, and renewable energy, while our agricultural roots remain intact.Klamath County's rates of COPD, arthritis, and diabetes are higher than state averages (approximately 6%, 27%, and 9%, respectively). Prevalence of asthma, heart attack, and stroke are similar to state averages (9%, 3%, and 3%, respectively). The number of people living with multiple chronic conditions continues to rise, and in Klamath County half adults has one or more chronic conditions.Cancer incidence in Klamath County is approximately 438 per 100,000 people, making it among the top five chronic diseases in the region. The CHNA reveals the age-adjusted death rate per 100,000 due to lung cancer is 49.5, breast cancer is 23.2, colorectal cancer is 19.3, and prostate cancer is 18.8. It is important for individuals, especially those ages 40 and older, to be screened for cancer as a preventive measure. Prevalence of preventive screenings is 58 percent for colonoscopies 75 percent for mammograms, and 83 percent for pap smears.Obesity contributes to numerous chronic conditions including heart disease, stroke, diabetes, depression, and chronic pain. In Klamath County, 60 percent of adults are overweight or obese, which is consistent with the rest of the nation.The primary goal of the community health needs assessment 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 needs assessment 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 needs assessment 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 community health needs assessment.The strategic planning framework that was adapted for Klamath County was a community-driven process that resulted in the identification of health issues and health improvement strategies through community member and stakeholder engagement.Facilitated by community health leaders and led by Sky Lakes the process yielded 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. The information for this collaborative needs assessment was collected from stakeholders with the ability to speak to the current system as well as the future opportunities and uncertainties that may affect the current system.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 the needs assessment 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: | 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. Sky Lakes provides funds and staff time to help the Local Alcohol and Drug Planning Council's outreach activities. Sky Lakes employees take an active role in community mental health and substance disorder prevention and treatment 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 (groundbreaking is predicted to be in mid-2018) that will also offer alcohol- and substance-abuse rehabilitation therapy services. Sky Lakes contributed $200,000 toward the facility's construction and commitments to substantially fund the facility's operation to help ensure proper patient care and rehabilitation treatment.Low breastfeed rates are identified as a significant concern. Breast milk is the ideal nutrition for infants. In Klamath County, 88% of new mothers initiate breastfeeding before leaving the hospital. The county reports high breastfeeding initiation rates, but continued breastfeeding rates at six and 12 months and exclusively breastfeeding rates are significantly less. Although Oregon is a national leader in breastfeeding rates, more efforts are needed in Klamath County to improve overall rates of breastfeeding. Sky Lakes offers no-charge one-on-one consultations with lactation specialists in an effort to encourage continued breastfeeding into the first six to 12 months of life. Sky Lakes also encourages breastfeeding moms in a variety of ways, all at no charge, including weekly lunch-time support groups. In 2017, Sky Lakes invested $28,000 and served 622 moms with its breastfeeding program.The needs assessment also identified areas of concern such as low birth weight, prenatal care, and reproductive health as a result of multiple risk factors including tobacco and alcohol use, and oral hygiene. Sky Lakes supports the work by community agencies to further understand the social and environmental risk factors and trends. Sky Lakes also provides direct assistance at no charge through its Community Health Workers at the Outpatient Care Management Department. Outpatient Care Management conducts more than 100 home visits and almost 200 transports a month, and maintains connections with clients to help ensure they have appropriate access to services and remain on their care plans. When it comes to health, zip code may be more important than genetic codeplace matters in terms of social determinants of health. These include factors that affect health beyond the doctor's office, where we live, learn, work, and play. Eating well, exercising, and other positive health behaviors are important, but health is also strongly influenced by social and economic circumstances. For example, social determinants of health are things like public safety, access to healthy food options, clean and safe housing, access to educational and employment opportunities, income, transportation, and social support. These factors explain why some people are healthier than others despite their health behaviors, and are clearly beyond the purview of a stand-along medical center.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 and running clubs and more. 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. 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.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, and funds book purchases by an assortment of civic organizations such as Rotary International. "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.Sky Lakes also actively addresses improving access to health care and services. The Cascades East Family Practice Residency Program trains eight providers a year for three years more than half will practice in rural communities and the clinic serves about 24,000 people a year. In 2017, the Sky Lakes investment in Cascades East amounted to $4 million ($2.5 million community benefit). Sky Lakes also supports the Cascades East mobile clinic, which served some 4,000 people who were unable to get to the clinic building.Further, Sky Lakes invested $466,000 directly to recruit health care providers to the area, and another $1.01 million to train nurses. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 16 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (16 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 | Rehabilitation services, 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 |
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 $ 5,774,640. |
| 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 $860,283.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.SERVICES PROVIDED AND PAID ON THE MEDICARE FEE SCHEDULE (E.G. OUTPATIENT LAB TESTS, OUTPATIENT THERAPY SERVICES, OR PROVIDER BASED PHYSICIAN SERVICES) ARE NOT INCLUDED IN THE MEDICARE AMOUNTS INCLUDED IN PART III, SECTION B.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 CHAMBERLIN EDMONDS 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 conditions 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.Further, Sky Lakes uses secondary data such as the Klamath-Lake Community Action Services (KLCAS) assessment identifying ways to assist individuals who are trying to climb out of poverty. 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 with links on the homepage, is referenced in the online bill-management section of the site, and is featured in a variety of 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 Census Bureau's Population Estimates Program (PEP), utilizing current data on births, deaths, and migration to calculate population change since the most recent decennial census, estimates the population in 2017 at 66,443. Of the total, 21.7 percent are younger than 18, and 20.3 percent are 65 or older. 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. Census data indicate the median household income in the county for the period of 2012-2016 was $41,951, up from $40,336 previously and below the Oregon value of $53,270, with 21.9 percent of the population in poverty. That compares to 14.8 percent nationally.The County Health Rankings for 2017 shows Klamath County is ranked 36 out of 36 ranked Oregon counties in the categories of "health rankings, and "quality of life," 33 of 36 in "health factors, and 35 of 36 for "health behaviors." The report ranks such factors as:- Poor or fair health (18.8 percent vs the national benchmark of 12 percent and the Oregon benchmark of 15 percent),- Adult smoking (19 percent (down from 23 percent three years earlier) vs 14 percent nationally and 17 percent in Oregon),- Uninsured adults (13 percent vs 8 percent nationally and 12 percent in Oregon),- Primary care providers (1,190:1 vs 1,040:1 nationally and 1,070:1 in Oregon),- Unemployment (8.0 percent vs 3.3 percent nationally and 5.7 in Oregon), - Children in poverty (29 percent vs 12 percent nationally and 20 percent in Oregon), and- Violent crime rate (220 vs 62 nationally and 245 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, AND A SEPARATE FREE HEALTH FAIR FOCUSED ON INFORMATION FOR PEOPLE WITH DIABETES; A VARIETY OF PROGRAMS AIMED AT ENCOURAGING BETTER FITNESS AND IMPROVED NUTRITION, INCLUDING PREPARATION INSTRUCTION; AND SEPARATE SUPPORT GROUPS FOR PEOPLE AFFECTED BY CANCER AND THOSE WHO HAVE DIABETES. 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.SKY LAKES ROUTINELY PARTNERS WITH OSU EXTENSION TO PROMOTE HEALTHIER NUTRITION CHOICES, HANDS-ON COOKING CLASSES, AND FOOD-PRESERVATION COURSES. TO ENCOURAGE PEOPLE TO BE MORE ACTIVE, SKY LAKES OFFERS FREE PEDOMETERS TO PEOPLE INTERESTED IN KEEPING TRACK OF THEIR STEPS EN ROUTE TO A GOAL OF 10,000 STEPS A DAY. PEDOMETERS ARE OFFERED VIA THE MEDICAL CENTER'S QUARTERLY LIVE SMART MAGAZINE AND VIA SOCIAL MEDIA. 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, AT SIMILAR COMMUNITY EVENTS, AND AT WORKPLACES. THE MEDICAL CENTER FURTHER PROMOTES HAND HYGIENE BY OFFERING FREE HAND SANITIZER, 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.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 $2.5 MILLION.CASCADES EAST ALSO OPERATES A MOBILE CLINIC THAT PROVIDES NO-CHARGE HEALTHCARE SERVICES TO UN- AND UNDERINSURED POPULATIONS IN THE REGION; SKY LAKES COVERS THE MOBILE CLINIC'S EXPENSES. CASCADES EAST MEDICAL STAFF LOG MORE THAN 1,000 MILES IN THE VEHICLE EACH YEAR AND PERFORM MORE THAN 400 PATIENT EXAMS.KLAMATH-LAKE CHILD ABUSE RESPONSE AND EVALUATION SERVICES (CARES) IS A SKY LAKES DEPARTMENT WHERE 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. IN 2017, MORE THAN 350 CHILDREN WERE 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.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 ALSO UNDERWRITTEN BY THE MEDICAL CENTER RATHER THAN LOCAL MEDICAL PRACTICES INCURRING THAT EXPENSE. THE MEDICAL CENTER INVESTS HUNDREDS OF THOUSANDS OF DOLLARS IN RECRUITING ACTIVITIES AND SOME $4 MILLION IN CLINIC START-UP AND SUPPORT.SKY LAKES PROVIDES FREE EDUCATION IN OR FOR THE SCHOOLS THROUGH ITS PARTNERSHIP WITH OREGON STATE UNIVERSITY EXTENSION'S NUTRITION EDUCATION PROGRAM. AND 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.TO PROMOTE MORE PHYSICAL ACTIVITY AMONG YOUNG PEOPLE, SKY LAKES PROVIDED ALL AREA THIRD-GRADERS SWIMMING LESSONS AT THE CITY OF KLAMATH FALLS-OWNED MUNICIPAL SWIMMING POOL OVER A FOUR-YEAR SPAN.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 AGAIN THIS YEAR TO ASSIST THE MORE THAN 15 COMMUNITY-PARTNER AGENCIES PUT ON OPERATION PROM NIGHT 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.SKY LAKES WILLINGLY CONTRIBUTES TO PROJECTS AND ENTHUSIASTICALLY SPONSORS AN ASSORTMENT OF EVENTS AND PROGRAMS TO ENCOURAGE INCREASED PHYSICAL ACTIVITY. SKY LAKES IS THE TITLE SPONSOR OF THE KINGSLEY FIELD DUATHLONS ORGANIZED BY THE KINGSLEY FIELD JUNIOR ENLISTED COUNCIL AND OPEN TO ALL AGES OF WALKERS, JOGGERS, AND RUNNERS THROUGHOUT THE REGION. 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. TO HELP MOTIVATE PEOPLE TO BE MORE PHYSICALLY ACTIVE, 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 IS PROVIDING LEADERSHIP ON A PROJECT THAT AIMS TO CREATE A PROTECTED BIKE LANE BETWEEN DOWNTOWN KLAMATH FALLS AND MOORE PARK. COMPLETION OF THE TRAILS WILL MEAN MORE OPPORTUNITIES FOR QUALITY OUTDOOR EXPERIENCES IN NEARBY MOUNTAINS AND CLOSE TO THE URBAN AREA, AND A PROTECTED BIKE LANE WOULD ENCOURAGE SAFE BICYCLE RIDERSHIP. PHYSICAL ACTIVITY CONTRIBUTES TO HEALTH AND WELL-BEING.SIMILARLY, SKY LAKES PROVIDED $300,000 FUNDING AND MANAGEMENT TO CREATE A CHILDREN'S PLAY AREA WITHIN KIT CARSON PARK, PART OF THE KLAMATH FALLS PARK SYSTEM.SKY LAKES COMMITTED TO A THREE-YEAR, $600,000 GIFT ($200,000 PER YEAR), LEVERAGING AN ADDITIONAL $1.2 MILLION GIFT FROM THE CAMBIA HEALTH FOUNDATION AND LAUNCHED THE BLUE ZONES PROJECT THAT WILL HELP KLAMATH FALLS BE A HEALTHIER COMMUNITY. KLAMATH FALLS IS THE FIRST BLUE ZONE COMMUNITY IN THE PACIFIC NORTHWEST, AND SKY LAKES IS 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. |
| Part VI, Line 6: | Other partnerships help ensure the success of programs such as: - Klamath-Lake Community Action Services Program by donating material for its program to provide qualifying individuals and families access to medical and dental care, hygiene resources and the like; - The Red Cross by giving at no-charge space in Sky Lakes facilities for community blood drives and spearheading a fundraising drive for a new Bloodmobile, contributing the first $50,000;- Klamath Hospice's Camp Evergreen by providing emergency medications for camp nurses, and individual water bottles for participants to promote proper hydration;- Medical missions to Central America by donating medications and related supplies;- The local YMCA by providing $7,500 in funding to enhance a playground on the site with additional play structures for children and benches for adults to encourage use;- The local chapters of the March of Dimes, Muscular Sclerosis organizations, Friends of the Children-Klamath Falls, and the local CASA (Court Appointed Special Advocates) by contributing thousands of dollars each to support their missions;- 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 buys to promote the classes and their intent.Some of the other 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- High Desert Hospice- 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 Fire Prevention Cooperative - Klamath Hospice- Klamath-Lake Food Bank- Klamath Tribal Health and Family Services- Oregon Air National Guard at Kingsley Field- Oregon Institute of Technology and Students (clinical precepting, etc.)- Oregon Tech Veterans Association- Klamath Basin Research and Extension Center- Pregnancy Hope Center- Sanford Health Foundation- United Way Of The Klamath Basin- Area 4-H Programs- Citizens For Safe Schools- Klamath Promise- Ella Redkey Municipal Swimming Pool- Klamath Falls Little League And Babe Ruth Baseball- Klamath Trails Alliance- Sage Brush Rendezvous (a fundraiser for American Cancer Society)- Klamath Basin United Soccer- Klamath Ice Sports- Klamath-Lake Food Bank |
| Part VI, Line 7, Reports Filed With States | OR |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|---|---|
| City of Klamath Falls | ||||||||||
| 222 S 6th Street | Klamath Falls | OR | 97601 | 936002195 | Government | $169,622 | $155,675 | Cost | Park IMPROVEMENTS | Airport Support |
| Klamath Community College | ||||||||||
| 7390 S 6th Street | Klamath Falls | OR | 97603 | 931211933 | Government | $50,000 | Work Skills | |||
| kLAmath Community fOUNDATION | ||||||||||
| PO Box 1903 | Klamath Falls | OR | 97601 | 205502851 | 501(c)(3) | $20,000 | Software | |||
| Friends of the Children | ||||||||||
| 3837 Altamont Drive | Klamath Falls | OR | 97603 | 931290284 | 501(c)(3) | $19,300 | CHildren Education | |||
| Klamath Count School District | ||||||||||
| 10501 Washburn Way | Klamath Falls | OR | 97603 | 936000543 | Government | $13,000 | HOSA Program Assistance | |||
| Casa of the Children of Klamath County | ||||||||||
| 731 Main Street 202 | Klamath Falls | OR | 97601 | 931261640 | 501(c)(3) | $10,000 | Children Advocacy | |||
| Bonanza Quick Response | ||||||||||
| PO Box 363 | Bonanza | OR | 97623 | 931175532 | 501(c)(3) | $10,000 | Ambulance | |||
| KCDC | ||||||||||
| 2960 Matwood Drive 10 | Klamath Falls | OR | 97603 | 931175532 | 501(c)(3) | $6,000 | Military Competition | |||
| Steen Sports Park | ||||||||||
| 4500 Foothills Blvd | Klamath Falls | OR | 97603 | 931226388 | 501(c)(3) | $5,000 | Baseball Fields | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 9 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (4 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt |
|---|---|---|
| Employee student loan forgiveness | 671 | $60,105 |
| Student Loan/Tuition assistance to employees | 17 | $34,383 |
| Student Loan/Tuition assistance to employees | 4 | $13,200 |
| Patient Assistance | 1 | $5,568 |
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 | $433,433 | $0 | $240,000 | $0 | $0 | $0 | $46,296 | $0 | $15,300 | $0 | $735,029 | $0 | $0 | $0 |
| RICHARD E RICO | ||||||||||||||
| VP/CFO | $365,980 | $0 | $68,318 | $0 | $0 | $0 | $46,971 | $0 | $20,952 | $0 | $502,221 | $0 | $0 | $0 |
| MARC ORLANDO MD | ||||||||||||||
| MEDICAL PROVIDER | $594,395 | $0 | $0 | $0 | $0 | $0 | $13,250 | $0 | $20,952 | $0 | $628,597 | $0 | $0 | $0 |
| STANTON T SMITH MD | ||||||||||||||
| MEDICAL PROVIDER | $565,779 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $20,079 | $0 | $585,858 | $0 | $0 | $0 |
| FAISAL SAIFUL MD | ||||||||||||||
| MEDICAL PROVIDER | $536,510 | $0 | $0 | $0 | $0 | $0 | $13,250 | $0 | $20,952 | $0 | $570,712 | $0 | $0 | $0 |
| JARED OGAO MD | ||||||||||||||
| MEDICAL PROVIDER | $529,298 | $0 | $0 | $0 | $0 | $0 | $13,250 | $0 | $20,952 | $0 | $563,500 | $0 | $0 | $0 |
| DAVID CHADBOURNE MD | ||||||||||||||
| MEDICAL PROVIDER | $495,018 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $20,952 | $0 | $515,970 | $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 | $750,000 | OriginalPrincipalAmt |
| Balance Due | $801,178 | 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 | $801,178 | 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. This process was last undertaken in April 2017. |
| 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 686,030. |
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 | $63,853 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $417,519 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| UBI Code V | $6,900 | 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 | -$4,724,102 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $3,343,809 | 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 | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | 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 | $169,576 | INCREASE IN LIABILITY |
| KLAMATH MEDICAL BUSINESS CENTER LLC | ||
| K | $120,571 | CASH TRANSFERRED |